This document discusses initiatives under the National Rural Health Mission in India and the Twelfth Five Year Plan's steering committee on health and medical education. It provides details on major NRHM initiatives like ASHA workers and Rogi Kalyan Samiti. It outlines the steering committee's objectives like reviewing health policies, assessing the need to continue NRHM, and recommending reforms. It also summarizes village visits and the roles of ASHA workers in three villages, noting their qualifications, training received, and responsibilities regarding community awareness and the Janani Suraksha Yojana program.

1. NATIONAL RURAL HEALTH MISSION
DERCIA MATUCA
ARYA VATSA
GOKUL BALU
BONNY JOHN
SUKANYA NAIR

2. Initiatives
• Some of the major initiatives under National
Health Mission (NHM) are as follows:
• Accredited Social Health Activists
• Rogi Kalyan Samiti (Patient Welfare
Committee) / Hospital Management Society
• Untied Grants to Sub-Centres
• ANMs
• Health care contractors
• Janani Suraksha Yojana (JSY)
• National Mobile Medical Units (NMMUs)
• National Ambulance Services
• Janani Shishu Suraksha Karyakram (JSSK)
• Rashtriya Bal Swasthya Karyakram (RBSK)
• Mother and Child Health Wings (MCH Wings)
• Free Drugs and Free Diagnostic Service
• District Hospital and Knowledge Center (DHKC)
• National Iron+ Initiative
• NRHM Framework Approach: MESH

3. TWELFTH FIVE YEAR PLAN (2012-2017)
STEERING COMMITTEE ON "HEALTH AND MEDICAL
EDUCATION"
• 1. To review the National Health Policy 2002 with special
focus on women, children, life cycle care and preventive and
curative health care. To also explore the possibility of adopting
the Right to Health as an approach.
• 2. To assess the need to continue NRHM in the 12th Five
Year Plan and review the situation of health care in urban and
rural areas including the health care provided by government
as well as voluntary, private and joint sectors after the launch
of NRHM.
• 3. To review the progress and performance of AYUSH
schemes of the 11th Five Year Plan and make
recommendations about specific schemes that can develop
and modernize the AYUSH sector outlining their scope,
objectives, budget outlays, strategies as well as mechanism
for their effective implementation.
• 4. To appoint a special group with select members of Working
Groups and others to review the existing norms for
infrastructure / human resource (keeping inputs of the High
Level Expert Group as the basis) in health and critically
assess the role of private sector and PPP in Medical
Education and healthcare deliver, suggesting reforms,
• 5. To review community processes and assess the role of
community ownership in changing responsiveness of Public Health
Services (For example, Community Based Monitoring),
• 6. To review the drug & food regulatory mechanism in the country
to ensure access to quality, safe drugs and wholesome food in the
country,
• 7. to recommend governance reforms in primary, secondary and
tertiary health care,
• 8. To suggest effective initiatives for monitoring and evaluation of
health programmes and recommend monitorable indicators for the
12th Plan,
• 9. To deliberate and give recommendations on any other matter
relevant to the topic.

4. VILLAGES VISITED
• Lalheri Kalan
• Rajpura
• Sandal Kalan

5. COMPARATIVE STUDY
LALHERI KALAN RAJPURA SANDAL KALAN
POPULATION 3000-4000 6000 3000
SARPANCH Female (32) Female (85) Male (45)
EDUCATION
QUALIFICATION
10TH Pass Illiterate 10TH Pass
CASTES Jhats, Pandits, Sunar,
Sharma, Rathi, Harijans
Jhats, Brahmin, Teli Harijan, Valmiki, Sikni,
Gujjar
OCCUPATION Farming, Poor families
go to factory, carpet
making, polishing
cooker
farming, animal
husbandry, business
like textile shops,
agriculture, and animal
husbandry
HEALTH CENTRE NIL Sub centre Subcentre

6. LALHERI KALAN
SL NO VILLAGE HEALTH OBSERVATIONS/
REMARKS
1. Contribution and duties of Sarpanch- 1. Address the grievances of
the community
2.documentation and in
issuing the BPL cards,
3.Installed street lights, laid
streets. expanded junctions .
VHSC 1 Anganwadi worker,
ASHA worker
1 ANM worker
Freedom Fighter
Chaukidar
1. A Health Centre and a
dispensary needs to be set up.
2. They want a veterinary hospital.
3. Rich families also apply for the
BPL cards.
4. Sarpanch is not in good terms
with the ASHA worker.
5. Internal conflicts between Panch
and sarpanch.
2. Waste Disposal 1. huge pits
2. Three ponds: 2 for
Disposal & 1 for cleaning
buffaloes
Epidemic
Diseases
Kidney stone and one
case of chikungunya
was reported.
No serious health
issues
3. Gram Sabha 1-2 times Preferred
Treatment
No SC.
Ganaur Private hospital
preferred.
4. Water supply & Sanitation Jet pumps, Tube wells
Most of the houses have
toilets except 2 or 3
Awareness
Programmes
NIL

7. RAJPURA
SL NO VILLAGE HEALTH OBSERVATIONS/
REMARKS
1. Contribution and duties
of Sarpanch-
1.Tube wells and
connection for pipelines,
2. laid roads, resolved
many complex fights,
3.hear to the complaints
of the community
VHC 1 ASHA,
1 ANM,
1 freedom fighter,
1 Watchman,
1 teacher,
1 Mahila Mandal
worker.
1. SHG’s and youth
groups who discuss
social issues of the
community.(4-5
SHGs)
2. Case of the
pregnant woman:
JSY
2 Waste Disposal No Information Epidemic Diseases No epidemic diseases
3 Gram Sabha Since women in the
village are restricted
from attending the
meetings, Sarpanch’s
son represents the
women related issues.
Preferred Treatment Sine most of the
villagers are rich, they
prefer going to the
private hospitals in
Ganaur and Sonipat.
Sub center is mostly
seen as dispensary.
4. Water supply &
Sanitation
mainly dependent on
tube wells. Pipeline
water facility is also
available (Poor quality)
Toilets available in
every households.
Awareness
Programmes
No awareness
programmes have been
conducted. The only
channel of awareness is
through ASHA workers
and PRIA

8. SANDAL KALAN
SL NO VILLAGE HEALTH OBSERVATIONS/
REMARKS
1. Contribution and duties
of Sarpanch-
Welfare of the people,
resolving conflicts,
infrastructural
development
(Laid down streets and
canals, Laid roads to
sub centres,
graveyards, MCC plots,
SC/ST chaupal,
General chaupal-
MNREGA)
VHC There is a VHC but no
one takes it seriously.
Sarpanch doesn’t
attend the VHSC
meeting as well as SHG
meeting.
1. Stadium needs to
be constructed
2. Swagath gate needs
to be erected.
3. Indira Awaas Yojana
(IAY) & Priyadarshini
Awaz Yojana
4. Members of
Parliament Local
Area Development
Scheme – 9lakhs.
5. The Speaker gave
one crore for the
village’s
development
2
Waste Disposal 1.Dumped at a common
spot.
2.Some dispose in their
own farms
Epidemic Diseases No recent cases.
3 Gram Sabha 3 times
feud between
neighbours, domestic
violence.
Preferred Treatment Subcentres.
Rich go to private
hosptitals.
4. Water supply &
Sanitation
Government tube wells
Toilets in every
Households except for a
couple.
Awareness
Programmes
polio camps, awareness
programs and rallies like
sarva siksha abhayan
were conducted.
ASHA

9. ASHA (Sahayogini)

10. Five important duties of ASHA

11. TRAINING & FUNCTIONS

12. COMMUNITY AWARENESS
Create Awareness and Information on:
• Nutrition & Minimum curative care
• Basic sanitation & Hygiene practice
• Health living and working conditions
• Local Health Planning &
• Family Welfare Services
Counsel on:
Pre-Natal -- Post Natal -- Anti-Natal Care,
Vaccination and
Child Health Care

13. ASHA in the village
Rajpura Lalheri Kalan Santhal Kalan
Population &
households
6000 6000 550(h)
ASHA workers
(since)
4 4 3(2007)
Qualification 10th pass 10th pass 10th pass
Training (every year) -- 7 times

14. QUESTIONAIRE
• According to the guidelines
• Awareness on nutrition, sanitation hygiene practice
• Assist VHSC
• Counsel women on birth preparedness
• Recruitment & Training
• ASHA kit
• Responsibilities under JSY
• Community support & suggestions

15. THANK YOU