Sahiyya Movement

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Sahiyya Movement An empowering
ProcessJanuary 21, 2006Ministry of Health,
Family Welfare, Medical Education and
ResearchGovernment of Jharkhand
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• VISION
• Healthy Jharkhand
• Happy Jharkhand

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• MISSION
• To Provide Quality Health Care services to the
  last person in the Last Household of the Last
  Village

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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

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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.

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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

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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

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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

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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

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NGO Partners for Sahiyya (as of Jan. 06)
Sl. No. Name Of NGO No. of Blocks Name of District
1 Krishi Gram Vikash Kendra 05 Ranchi
2 Nav Bharat Jagriti Kendra 05 Hazaribagh
3 R.K. S. Mission 04 Hazaribagh
4 Badlao Foundation 05 Jamtara
5 Samekit jan Vikas Kendra 05 Sariekela Kharswan
6 Tata steel Rural Development Society 05 Singhbhum (east)
7 Vikas Bharati 05 Gumla
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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.

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An empowered health programme by empowered
community a Sahiyya Movement

• Thank you