Navigation

Home Departmental Setup Programmes

NRHM

Communitization CIHSR IEC

Achievements

Gallery

Disclosure under RTI

Communitization

The State Government has established hospitals and health centres of various categories all over the state, however, it was found that these health units have not been able to provide services as expected. It was felt that health services delivery can be improved to a great deal if there was participation and ownership by the  user communities. Towards this end, harnessing eh rich social capital in the  State, the process of Communitization for health service delivery was initiated in the State in the year 2002 under the leadership of the then Chief Secretary of Nagaland Mr. R. S. Pandey to revitalize the dysfunctional and decadent public institution and services. The concept of Communitization was to develop a partnership between the Government and Community in which people’s participation formed the backbone of partnership. Rural health institution were among the first to be initially taken up for communitization. Under this concept Village Health institution (VHC), Urban Health Committees (UBC), Common subcentre Health Committee and Health Centre Management Committees (HCMC) were constituted in order to facilitate and strengthen the process of communitization.

            Initial response to the concept of Communitization was mixed. However, over a period of time the process started taking roots and Committees started welcoming the movements. Some positive outcome of Communitization are the following:

1.      Improvement in staff attendance

2.      Improvement and medicine availability

3.      Timely disbursement of staff salaries

4.      More regular reporting from Health Units

5.      Communities have a better understanding of health issues and the need for participation and collaborative efforts to promote health.

Status of Communitization of Health units:

 Decision and step taken in the 2007-08 to strengthen the process of communitization are as follows:

1. Continued capacity building at all levels.

2. Ensuring  availability of man power at the health units giving focus to communitize centres.

3. Periodic publication of activities and achievement of Village Health Committees (VHCs) and Health Centres Management Committees (HCMCs)

4. Converging activities of Communitizatin and NRHM and institution.

5. Directing Information Education and Communication (IEC) toward Behavior Change Communication (BCC)

6. Incorporation of Communitization  budget into State plan to become a non-plan expenditure in future.

7. ACA Grants for Communitization to be used for infrastuture and equipments.

8. Identify more traditional medicinal practitioners and provide them motivation.

9. Strengthen monitoring activities.

10. To provide motivation to best performing units by giving due recognition with awards.

          ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

1. There are several sub-centres without sub-centre building. The State Communitization Committee has resolved to construct some new sub-centres at selected places in each district. Amount of Rs. 4.97 lakhs each will be given to those selected VHCs so that they construct the sub-centre and in case there are shortages they may also mobilize fund to complete the same. Name of the sub-centres are given below:

2. Exposure trip:  Exposure trip of VHC members as per concept note framed for 2006-07, a sum of Rs. 50,000/- (rupees fifty thousand) each only is released to all CMOs in order for them to organize an exposure trip for at least 2 VHC members from all sub-centres. The team will visit some very well performing sub-centre of another district and have interaction with each other for further improvement of the sub-centres.

 Two new initiative have been taken up under State Communitisation Committee

3. Cluster approach:  Cluster Health Delivery approach at Sangsangnyu (Tuensang). Sangsangnyu, a sub-centre which is situated about 25 kms from district headquarter. This sub-centre caters to 8 eight surrounding villages for health needs. State Communitisation Committee (Health) have decided to adopt this sub-centre. The department shall provide logistic support eg. fund etc. The people of these eight villages will jointly work out and appoint staff, build health centre building and run the sub-centre.

4. Indigenous system of healing:  The State Communitisation Committee (Health) also have adopted an indigenous healing centre being run by a Catholic Father named Rev. Godfrey at Jalukie. The department shall provide necessary logistic support, whereas the institute will impart training on areas of various locally available herbs, plants and other indigenous system of healing. Commissioner & Secretary Health & Family Welfare along with Director and several officers attended the inaugural of one of   such training on 22-08-08.