Community Enquiry and Facility Surveys

Overview • Provides inputs on the status of health services – as per

NHM service guarantees• Data is collected through individual and group

interviews at the community and facility either on a quarterly/ bi-annual basis

• Data is collated to develop village, PHC and block report cards

• Services are ranked into three categories- good, average and poor

• Report cards are shared and validated along with service providers- to identify gap areas and find local solutions

What is monitored

• Demand• Coverage• Access• Quality• Behaviour and presence of health personnel• Possible denial of care and negligence

Issues monitoredMaternal and Child Health,

Disease SurveillanceCurative services

Untied fundASHA FunctioningAdverse outcomes

MethodsGroup meetings

Interview with marginalized groups

Interview with ASHAs

Ranking

Good (>75%)

Average (74-50%)

Poor (< 50%)

Village Health Report Card

Village Health Report Card

Theme Village-1

Village-2

Village-3

Maternal Health Janani Sishu Swasthya Surksha Yojana (JSSK)Child HealthDisease Surveillance Curative Services United funds Quality of Care Functioning of ASHA

Adverse outcomesEquity index

Maternal Health- Key indicators

1. Early registration of pregnancy2. Ante natal care- height and weight examination, blood

pressure, abdominal check up, blood and urine tests, IFA tablets etc

3. Identification of high risk pregnancies and referral services

4. Provision of supplementary nutrition through the Anganwadi Center

5. Counseling- diet, rest, family planning, danger signs, five cleans etc

6. JSSK services

Compiled Village Health Report Card (Maharashtra)Round 1 Round 2

Issues monitoredAvailability and Quality of services

Equipment, Supplies, PersonnelUnofficial chargesRKS Functioning

MethodsFacility Observation

Exit InterviewsDiscussions with providers

Ranking

Good (>75%)

Average (74-50%)

Poor (<50%)

Facility Report Card

Facility Score Card

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Theme Facility-1

Facility-2 Facility-3

Infrastructure and Personnel

Equipment and Supplies

Service Availability

Unofficial charges Quality of Care Functioning of Rogi Kalyan Samiti (RKS)

Preparation and sharing of report cards• VHNSC members with support

from NGO facilitators collect data regarding health services at village, PHC and CHC level.

• Report cards are prepared after analyzing the data

• Displayed at village, PHC and CHC for discussions with service providers

• Cumulative report cards are shared at the Jan Samwaad

Members of Community filling the report card

Community level sharing of health report cards

Review of community report cards

Thank You