VISION: Healthy Jharkhand & Happy Jharkhand

1. Sahiyya Movement – An empowering ProcessJanuary 21, 2006Ministry of Health, Family Welfare, Medical Education and ResearchGovernment of Jharkhand

2. VISION: Healthy Jharkhand & Happy Jharkhand

3. MISSION: “To Provide Quality Health Care services to the last person in the Last Household of the Last Village”

4. Strategies for realizing our Vision Strategies: • Community Participation (involvement + Ownership) • System Strengthening, Reorganization and reconstruction of the existing infrastructure • Convergence : Intra & Inter- Department Convergence • Promoting active Public-private partnership • Promoting integration of the Indian System of Medicines (AYUSH) to provide choice to the people under one roof. • Emphasis on the effective Capacity Building • Effective Behavior Change Communication • Effective HR placement and their utilization

5. Community Participation: An empowered Institution Building Process • Organizing Village Health Committee as an Organization in the Village • Group Organization and Leadership Development to address the Health issues in the village • Taking problem solving community action around Health issues • Mobilization & Management of Community resources as “Village Health Fund” • Government to provide the matching to the Community contribution • Action on keeping People in the Centre of Health Programme.

6. Community Participation: An empowered Institution Building Process (Contd.) • Focus on the Women and Children and marginalized section of Community. • Reaching to un-reach area and communities. • Empowered community can analyze the cause and effect of the Poor Health issues and identify the Health Issues of Village • Based on the causal analysis realistic Micro operational plan with strong community based monitoring system • Sahiyya, AWW and ANM are accountable to the community

7. Sahiyya – an empowering process • A Key Village Health Volunteer – a woman (of reproductive age) of village • Selected by the Village Health Committee • No Honorarium by Government, • Community will pay to sahiyya in cash or in kind • A link between the community and Service providers • A facilitator for convergence between ICDS-AWW & Health worker -ANM • A promoter of the Inter-personal-communication on health issues • A facilitator for community based monitoring system

8. Sahiyya – an empowering process (Contd.) • Village Drug Depot Holder • Trained in the Preventive & Promotive Primary Health Care • A facilitator for integrated mother and child health care (ANC, Institutional delivery and Routine immunization) • A family health communicator with the Eligible married Couple in the village. • A First Aid Provider in the community • An agent for the Institutional referral and also follow up for the completion of the treatment

9. Road map • Strengthening of the Sahiyya working Group • Involvement of other departments like : Social Welfare, PHED and Education • Involvement of NGOs for implementation • Development of Sahiyya Guideline • Development of Field tested Training materials for the facilitators and Sahiyya by Sahiyya working Group • Development of Communication aid - Materials for Sahiyya • Orientation to the District & Block Health Service Providers

10. NGO Partners for Sahiyya (as of Jan. ‘06)

11. Progress in – Sahiyya movement • Around 1000 Village health committees have been formed and same number of sahiyya have been identified. • We may reach to 5,000 selected and first phase trained Sahiyyas by March, 2006. • 7 lead NGOs (TSRDS, KGVK, Vikas Bharati, RKS Mission, Badlao foundation, NBJK, SJVK) have been finalized and they are working in 34 blocks for formation of VHCs and sahiyaa • Convergence amongst Health, Social welfare, PHED, education and rural development departments.

12. An empowered health programme by empowered community – a Sahiyya Movement Thank you