Social Accountability and community participation in Village Health Nutrition and Sanitation committees in Uttar Pradesh
Keywords:Village health sanitation and health committee, Social Accountability, Community involvement, Community participation
Background: A First step towards community involvement is Participation. The government of India under its flagship program, the National Health Mission, advocates and actively encourages community participation and has setup Village Health Nutrition and Sanitation Committees (VHNSCs) at village level. Aim & Objective: The objective of this paper is to examine “The Level of Community Participation in the Village Health Sanitation committees” in the state of Uttar Pradesh. Methods and Material: A cross-sectional mix method study was undertaken in 3 districts, covering 15 villages, in Uttar Pradesh between August to October 2019. The quantitative component included a pre-tested semi structured questionnaire. Further, Focused group discussion (FGDs) and key informant in-depth interview were undertaken for more information. Informed consent was collected from all the participants. The quantitative data was analyzed using SPSS 21.0 while the qualitative data was analyzed manually, based on themes. Results: The average size of the household was 5, 65% respondents were educated, 88% were Hindus, 47% were from other backward class and 50% had below poverty line cards. In the year 2019, 7% of the respondents participated in the Gram Sabha and 5% in village health nutrition and sanitation committee meetings. Statistically significant variations were noticed where less than 20% of the schedule castes and schedule tribes had lower participation than other castes in any of the village level committees. Lack of time was one the key reasons cited for non-participation. Conclusions: To ensure adequate participation from all castes it is important to schedule meetings at times convenient may encourage more community participation.
Gera R, Narwal R, Jain M, Taneja G, Gupta S. Sustainable development goals: Leveraging the global agenda for driving health policy reforms and achieving universal health coverage in India. Vol. 43, Indian Journal of Community Medicine. Wolters Kluwer Medknow Publications; 2018. p. 255–9.
Ministry of Health and Family Welfare. Government of India. National Health Policy 2017. 2017.
The World Bank. Localizing Development Does Participation Work? 2013.
Menon S, Hartz-Karp J. Institutional innovations in public participation for improved local governance and urban sustainability in India. Sustain Earth [Internet]. 2019 Dec 16 [cited 2020 Jan 8];2(1):6. Available from: https://sustainableearth.biomedcentral.com/articles/10.1186/s42055-019-0013-x
Kenny A, Farmer J, Dickson-Swift Phd V, Hyett Mhsc N, Student L, Rural LT, et al. Community participation for rural health: a review of challenges.
Farmer J, Nimegeer A. Community participation to design rural primary healthcare services [Internet]. 2014 [cited 2020 Jan 8]. Available from: http://www.biomedcentral.com/1472-6963/14/130
Village Health Sanitation & Nutrition Committee?:: National Health Mission [Internet]. [cited 2020 Jan 8]. Available from: https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=149&lid=225
National Health Mission. Government of India. Handbook for members of village health sanitation and nutrition committee.
International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey(NFHS-4) 2015-16: Uttar Pradesh [Internet]. 2017 [cited 2020 Jan 10]. Available from: http://www.rchiips.org/nfhs
Madon S, Krishna S. Challenges of accountability in resource-poor contexts: lessons about invited spaces from Karnataka’s village health committees. Oxford Dev Stud. 45:522–41.
Patel G, Garimella S, Scott K. Doing implementation research on health governance: a frontline researcher’s reflexive account of field-level challenges and their management. Int J Equity Heal. 16:1–10.
Ved R, Sheikh K, George AS, Raman VR. Village Health Sanitation and Nutrition Committees: Reflections on strengthening community health governance at scale in India. BMJ Glob Heal. 2018 Jan 1;3.
Srivastava A, Gope R, Nair N, Rath S, Rath S, Sinha R, et al. Are village health sanitation and nutrition committees fulfilling their roles for decentralised health planning and action? A mixed methods study from rural eastern India. BMC Public Health. 2016 Jan 22;16(1).
Behera B, Mishra P. Democratic Local Institutions for Sustainable Management and Use of Minor Irrigation Systems: Experience of Pani Panchayats in Odisha, India. Water Econ Policy. 2018 Jul 1;4(3).
Dierickx S, O’Neill S, Gryseels C, Immaculate Anyango E, Bannister?Tyrrell M, Okebe J, et al. Community sensitization and decision?making for trial participation: A mixed?methods study from The Gambia. Dev World Bioeth [Internet]. 2018 Dec 16 [cited 2020 Jan 11];18(4):406–19.
How to Cite
Copyright (c) 2020 Indian Journal of Community Health
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.