Community Base Health Monitoring Under National Health Mission (CBHMP)

Introduction

The accountability framework proposed in the National health Mission of Maharashtra is a three-pronged process that includes internal monitoring, periodic surveys and studies, and community-based monitoring – Community Action for Health (CAH) process.

The role of MGVS has been to strengthen the CAH process. The CAH is a process to get beneficiary feedback on government health services. An effective CAH enables participation of community members in the assessment of the health services. MGVS works with 11 PHCs – 6 in Vaijapur Block and 5 in Gangapur Block – that cater to 55 villages to build their capacities on CAH. Each of these PHCs has committees that monitor the health services. Regular meetings of the committees are held along with the beneficiaries to receive feedback on the services and monitor any corrective measures.

Block level federations of the PHCs are also formed in Vaijapur and Gangapur blocks. These  federations also meet regularly to monitor the health services of the PHCs, sub-centres, and any interventions through the block-level services. They also facilitate the selection and capacity building of Gram Arogya Doots to facilitate effective health services at the villages.

Impact

Through CAH, we’ve seen a significant increase in community engagement in health service monitoring, leading to improvements in healthcare quality and accessibility. This initiative has not only reduced healthcare disparities but also enhanced overall satisfaction with public health services, demonstrating our NGO’s commitment to fostering a strong community‐healthcare provider partnership.