National Health MissionMaharashtra

Community Based Monitoring

Community Based Monitoring of Health Services under National Rural Health Mission (NRHM)

Introduction:

As a CBMP, the overall vision and priorities of NHM / MOHFW regarding community accountability and action are to be shared. This would be combined with sharing of perspectives by State Mission Director and State Health officials, regarding Community Action for Health (CAH) in Maharashtra. This would be followed by discussion on recent developments, challenges faced during ongoing activities, and chalking out the way forward related to CAH processes in Maharashtra.

Community based monitoring and planning (CBMP) of Health services has successfully completed 10 years of implementation as a component of NHM in Maharashtra, in June 2017.

CBMP has clearly demonstrated its significant effectiveness as a demand side intervention to improve accountability and delivery of frontline health services. It has also emerged that the concept and process of CBMP should be taken forward towards generalization, institutionalization in the existing Public Health System.

While doing so issues like public participation, all-inclusiveness, accountability, replicability,and documentationof sharing and learnings are equally important.

Important components of CBMP

  1. Strengthening the existing CBMP Processes using innovative strategies –development of community led monitoring mechanisms
  2. Detailing of transition process and taking it ahead form the perspective of Upscaling of the programme as a part of major up-scaling of Community action for Health in Maharashtra.
  3. Expansion of DHP Processes – Implementation of Decentralized Health Planning (DHP) process in CBMP covered districts where community need based proposals can be developed and may be included in PIPs. 
  4. Capacity building of relevant stakeholders involving corporates for developing the public private partnership, BCC activities.
  5. Formation and Capacity Building and Strengthening of community based formations/CBO’s and block level health federations, for promoting sustainability
  6. Participatory Audit and Planning (PAP) process related to RKS in all CBMP covered PHCs.
  7. Strengthening Village Water and Sanitation Committees and Social Audit Committees
  8. Thrust on mainstreaming and convergence
  9. Study of CBMP processes in other States of India
  10. Development of village specific plan taking into account various CBMP stages and processes

CBMP Program is currently being implemented in 17 Districts. To support NHM for quality implementation of the program through Network of District and Block NGOs, NHM is appointing State Nodal NGO. State Nodal NGO will mentor and facilitate the CBMP process through NGO network at selected District and Block Level.  

  1. The "State Nodal NGO" (SATHI) is working in the areas of Health and Nutrition in combination with action and reserch components. SATHI has been assigned 13 Districts (Aurangabad, Beed, Gadchiroli, Kolhapur, Nandurbar, Nashik, Palghar, Pune, Solapur, Sangli, Thane, Yawatmal, Bhandara) of CBMP in Maharashtra as their area of work.
  2. The "State Nodal NGO" (STAPI)Sosva Training and Promotion Institute works towards Sustained Promotion, Strengthening and Building up of Human Resources of Voluntary Sector through Training, Consultancy Documentation and Research.  STAPI has been assigned 4 Districts (Raigad, Ahmednagar, Amravati and Chandrapur) of CBMP in Maharashtra as their area of work.

Budget for Activity

FMR Code

Activity

Approved Budget (in lakhs)

NGO’s

B.15.1.1

State level

102.64

State Nodal Agency, SATHI and STAPI, Pune

B.15.1.2

District Level

96.47

District Nodal NGO’s – including all CBM District

B.15.1.3

Block Level

263.81

Block Nodal NGO’s – including all CBM Block

Total

 

462.92

 

 

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