Passi Reetu, Goel Sonu, Ajay Sangeeta
Ph.D. Scholar, Department of School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Additional Professor, Department of School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Public Health. 2017 Oct-Dec;61(4):290-296. doi: 10.4103/ijph.IJPH_244_16.
Village Health, Sanitation and Nutrition Committees (VHSNCs), one of the key interventions introduced by National Rural Health Mission, are an important mechanism to ensure community participation and ownership for decentralized health planning.
To assess the implementation status of VHSNCs and analyze the issues regarding their implementation in the villages of Chandigarh.
A cross-sectional mix method study was conducted in the year 2015 in all 22 VHSNCs of Chandigarh. The data of VHSNCs' members were obtained using interview schedule and in-depth interview checklist, while record review checklist was used to assess functioning of VHSNCs. A scoring sheet was developed based on sociodemographic profile, public services monitoring, training status, untied funds utilization, and regularity of monthly meetings. The comparison of VHSNC indicators was done between villages under Panchayat and Municipal Corporation (MC).
Most VHSNCs' members are trained (except medical officers) and had their joint bank account (95.4%). Maximum fund is utilized for administrative purposes, leaving less for health and nutrition-related activities. Most villages (68.9%) got 25-30 score depicting that implementation status of VHSNCs under these villages is "promising," while one and six villages were "low performing" and "good performing," respectively. Public service monitoring indicator's implementation was better in villages under Panchayat as compared to those under MC.
The performance of most villages having VHSNCs under Chandigarh was satisfactory. Few areas such as training of medical officers and supportive supervision of VHSNCs needs strengthening for achieving mandate of National Rural Health Mission regarding community ownership and decentralizing health sector.
乡村卫生、环境卫生和营养委员会（VHSNCs）是国家农村卫生使命引入的关键干预措施之一，是确保社区参与和对分散式卫生规划拥有自主权的重要机制。
评估VHSNCs的实施状况，并分析其在昌迪加尔村庄实施过程中存在的问题。
2015年在昌迪加尔所有22个VHSNCs中开展了一项横断面混合方法研究。通过访谈提纲和深入访谈清单获取VHSNCs成员的数据，同时使用记录审查清单评估VHSNCs的运作情况。根据社会人口统计学概况、公共服务监测、培训状况、非指定用途资金使用情况和月度会议的规律性制定了一份评分表。对村公所和市政公司（MC）管辖村庄的VHSNC指标进行了比较。
大多数VHSNCs成员（除医务人员外）接受过培训，并且有联合银行账户（95.4%）。最大比例的资金用于行政目的，用于卫生和营养相关活动的资金较少。大多数村庄（68.9%）得分为25 - 30分，表明这些村庄的VHSNCs实施状况“有希望”，而分别有1个和6个村庄“表现不佳”和“表现良好”。与MC管辖的村庄相比，村公所管辖村庄的公共服务监测指标实施情况更好。
昌迪加尔大多数设有VHSNCs的村庄表现令人满意。为实现国家农村卫生使命关于社区自主权和卫生部门权力下放的任务，医务人员培训和VHSNCs的支持性监督等少数领域需要加强。
