scholarly journals Social Accountability and community participation in Village Health Nutrition and Sanitation committees in Uttar Pradesh

2020 ◽  
Vol 32 (1) ◽  
pp. 108-113
Author(s):  
Amith Nagaraj Bathula ◽  
Lakshmi Sripada ◽  
Lincoln P Choudhury
Keyword(s):  
Community Participation ◽  
Community Involvement ◽  
Group Discussion ◽  
Uttar Pradesh ◽  
Poverty Line ◽  
Cross Sectional ◽  
Village Level ◽  
The Government ◽  
The Village ◽  
Village Health

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.

scholarly journals KAJIAN PARTISIPASI MASYARAKAT DALAM PENGELOLAAN SANITASI BERBASIS MASYARAKAT (PSBM) DI KELURAHAN MANGUNHARJO, SEMARANG

2016 ◽  
Vol 4 (2) ◽  
pp. 151 ◽  
Author(s):  
Ivan Kurnia Adi ◽  
Mardwi Rahdriawan
Keyword(s):  
Community Participation ◽  
Community Involvement ◽  
Power Sharing ◽  
Community Based ◽  
The Public ◽  
The People ◽  
High Participation ◽  
The Government ◽  
The Village

The tendency of the existing infrastructure is not in accordance with the needs of the community because it is top down. Therefore, this study aims to assess community participation in managing community-based sanitation. Studies conducted focusing on participatory processes and the level of community participation in the provision of sanitation in the village program Mangunharjo precisely in RT 03 and 04 RW I. The method used in this research is quantitative and qualitative. The level of community participation in the management of the sanitation program has high participation category that has meaning on the degree of power-sharing community which has occurred rights, responsibilities and authority between the community and government to participate. Meanwhile, at the stage of organizing the participation category includes medium category (tokensm) in which the wishes of the people has been discussed, but the decision rests with the government. It is influenced by the role of the Village and Chairman of RT / RW is too dominant so that the public is not very enthusiastic in participating at the stage of organizing and resigned to the decision of the facilitator. Implementation of the program when viewed from the principle pelaksaaan almost matches that is about 80%, planning, implementation, and evaluation is fully in accordance with the principle only at the stage of organizing has obstacles described earlier which resulted in incompatibility in principle with the implementation of the program. That there is a relationship between the facilitator and community involvement, if the facilitator can perform their duties well as explaining the program well and excessive interference, then the public will enthusiastically participate. The Government needs to show its commitment in the implementation of the provision of community-based sanitation program (PSBM) in terms of giving people an opportunity to participate fully in sanitation management stages.

scholarly journals Implementation fidelity of village health and nutrition days in Hardoi District, Uttar Pradesh, India: a cross-sectional survey

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Mira Johri ◽  
Louis Rodgers ◽  
Dinesh Chandra ◽  
Cybil Abou-Rizk ◽  
Eleanor Nash ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Rural Areas ◽  
Institutional Delivery ◽  
Uttar Pradesh ◽  
Implementation Fidelity ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health And Nutrition ◽  
The Government ◽  
Village Health

Abstract Background Village Health and Nutrition Days (VHNDs) are a cornerstone of the Government of India’s strategy to provide first-contact primary health care to rural areas. Recent government programmes such as the Janani Suraksha Yojana (JSY) and Mission Indradhanush (MI) have catalysed important changes impacting VHNDs. To learn how VHNDs are currently being delivered, we assessed the fidelity of services provided as compared to government norms in a priority district of Uttar Pradesh. Methods We fielded a cross-sectional study of VHNDs to provide a snapshot of health services functioning. Process evaluation data were collected via administrative sources, non-participant observation using a standardised form, and structured questionnaires. Questionnaires were designed using a framework to assess implementation fidelity. Key respondents were VHND participants, front-line workers involved in VHND delivery, and VHND non-participants (pregnant women due for antenatal care or children due for vaccination as per administrative records). Results were summarised as counts, frequencies, and proportions. Results In the 30 villages randomly selected for inclusion, 36 VHNDs were scheduled but four (11.1%) were cancelled and one VHND was not surveyed. Vaccination and antenatal care were offered at 96.8% (30/31) and child weighing at 83.9% (26/31) of VHNDs. Other normed services were infrequently provided or completely absent. Health education and promotion were particularly weak; institutional delivery was the only topic discussed in a majority of VHNDs. The true proportion of any serious problem impeding vaccine delivery was 47.2% (17/36), comprising 4 VHND cancellations and 13 VHNDs experiencing vaccine shortages. Of the 13 incidents of vaccine shortage, 11 related to an unexpected global shortage of injectable polio vaccine (IPV). Over the 31 VHNDs, 37.8% (171 of the 452 scheduled beneficiaries) did not participate. Analysis of missed opportunities for vaccination highlighted inaccuracies in beneficiary identification and tracking and demand side-factors. Conclusions The transformative potential of VHNDs to improve population health is only partially being met. A core subset of high-priority services for antenatal care, institutional delivery, and vaccination associated with high-priority government programmes (JSY, MI) is now being provided quite successfully. Other basic health promotion and prevention services are largely not provided, constituting a critical missed opportunity.

scholarly journals Kegagalan pemaknaan “Lembaga Musawarah Perencanaan dan Pembangunan Desa”dalam mewujudkan deepening democracy

2016 ◽  
Vol 29 (4) ◽  
pp. 191 ◽  
Author(s):  
Novita Tresiana ◽  
Noverman Duadji
Keyword(s):  
Community Involvement ◽  
Group Discussion ◽  
Development Planning ◽  
Essential Elements ◽  
Governmental Organization ◽  
Interactive Analysis ◽  
The Government ◽  
Initial Description ◽  
Concept Theory ◽  
The Village

Government’s failure in the provision of public goods and ideas deepening democracy were considered as a panacea for the success of rural development. The objective of this research is to describe the village development planning in achieving policy production and to find essential elements in attempt to realize a superior deliberative policy. This research uses qualitative method. Research conducted in Southern Lampung, the Province of Lampung. Initial description obtained by understanding the meaning of emic and cross-subject inverstigation by comparing concept (theory), interpretation, and deliberative substantive policy theory formulation. Informant for this research consist of head of village and village officers, subdistrict head and its staff, SKPD in Southern Lampung Regency and chief and officers of provincial assembly; (2) elit and political party figures, Non-governmental organization and choosen villagers; (3) businessmen and local group interest and (4) academician. Data gathered through: 1) Observation; (2) In-depth interview; (3) Document; and 4) Focus Group Discussion (FGD). Data analyzedd by Miles and Huberman interactive analysis. This paper reveals that the village development planning was seen as a goal, when it was just a selected tool or process. Essential elements required to achieve public policy excellence: by strengthening the institutional capacity of the government through new dialogue space and community engagement through deliberative forum. It requires commitment, active community involvement, citizens’ trust, and social networks.

scholarly journals Community involvement in reproductive health: Findings from research in Karnataka, India

2004 ◽  
Author(s):  
Keyword(s):  
Child Health ◽  
Reproductive Health ◽  
Health Services ◽  
Community Participation ◽  
Community Involvement ◽  
Child Health Services ◽  
Reproductive And Child Health ◽  
The Government ◽  
The Impact ◽  
And Child Health

In 1996, the government of India decided to provide a package of reproductive and child health services through the existing family welfare program, adopting a community needs assessment approach (CNAA). To implement this approach, the government abolished its practice of setting contraceptive targets centrally and introduced a decentralized planning strategy whereby health workers assessed the reproductive health needs of women in their respective areas and prepared local plans to meet those needs. They also involved community leaders to promote community participation in the reproductive and child health program. Since 1998, several evaluation studies have assessed the impact of CNAA on the program’s performance and community participation. These studies showed that the performance of the maternal health-care program improved, whereas the functioning of the family planning program initially declined but later recovered. The approach achieved little in boosting community involvement. This project tested a new model of health committee to help stimulate community participation in reproductive and child health activities at the village level. The experiment, described in this report, was conducted in the Hunsur block of the Mysore District in Karnataka for two years. Researchers evaluated the impact in terms of community involvement and utilization of reproductive and child health services.

scholarly journals PARTISIPASI KOMUNITAS PEDULI WARGA TERDAMPAK COVID-19 DI NAGARI PULAKEK KOTO BARU KECAMATAN SUNGAI PAGU KABUPATEN SOLOK SELATAN

2021 ◽  
Vol 5 (1) ◽  
pp. 57
Author(s):  
Syamsurizaldi Syamsurizaldi ◽  
Oktariza Putri A ◽  
Ananda Syafitri ◽  
Rihadatul Aisy ◽  
Shelina Aulia Nasyrah ◽  
...  
Keyword(s):  
Community Participation ◽  
Community Service ◽  
Food Packages ◽  
West Sumatra ◽  
Service Activity ◽  
Education And Outreach ◽  
Housing Complex ◽  
The Government ◽  
The Impact ◽  
The Village

Pademi global Covid-19 telah menyebar ke banyak Negara dan benua, termasuk Indonesia. Salah satu Provinsi yang menerapkan PSBB dalam mengurangi dampak penyebaran Covid-19 adalah Provinsi Sumatera Barat. Dalam penangaanannya tidak hanya bisa dilakukan oleh Pemerintah sendirian dan mesti melibatkan berbagai element masyarakat untuk berpartisipasi di lingkungan masing-masing. Kegiatan pengabdian kepada masyarakat ini bertujuan memberdayakan masyarakat melalui partisipasi komunitas peduli warga terdampak Covid-19 di Nagari Pulakek Koto baru Kecamatan Sungai Pagu Kabupaten Solok Selatan.  Metode pelaksanaan kegiatan meliputi sosialisasi, edukasi dan pengumpulan serta penyerahan donasi kepada warga terdampak. Hasil kegiatan yaitu terlaksananya persiapan pelaksanaan kegiatan yaitu pertemuan dengan wali nagari, relawan desa dan perwakilan komunitas peduli. Pengumpulan donasi yang berasal dari warga peduli sebanyak  Rp. 6.000.000.- dan penyerahan paket sembako kepada warga terdampak  sebanyak 60 paket sembako kepada 60 kepala keluarga terdampak yaitu 56 KK dari warga sekitar komplek perumahan bukit pematang permai Jorong Mantirai Indah dan 4 KK berasal dari luar Jorong Mantirai Indah namun sehari-sehari bekerja di keluarga yang tinggal di Perumahan Bukit Pematang Permai. Bantuan diserahkan seminggu sebelum Hari Raya Idul Fitri 1441 H sehingga terasa sangat bermanfaat bagi warga terdampak.  Disamping penerahan donasi juga dilakukan edukasi dan sosialisasi kepada warga terdampak tentang pentingnya mematuhi protocol kesehatan.       Kata kunci: Partsipasi, Peduli Warga Terdampak, Covid-19  ABSTRACT The Covid-19 global academy has spread to many countries and continents, including Indonesia. One of the provinces that have implemented the PSBB in reducing the impact of the spread of Covid-19 is West Sumatra Province. The handling is not only done by the Government alone and must involve various elements of society to participate in their respective environments. This community service activity aims to empower the community through community participation in caring for residents affected by Covid-19 in Nagari Pulakek Koto baru, Sungai Pagu District, South Solok Regency. Methods of implementing activities include socialization, education and collection and delivery of donations to affected residents. The result of the activity is the implementation of preparations for the implementation of activities, namely meetings with the village guardian, village volunteers and representatives of the caring community. The collection of donations from caring residents is Rp. 6,000,000.- and the handover of 60 basic food packages to the affected residents to 60 affected families, namely 56 families from residents around the Jorong Mantirai Indah Pematang hill housing complex and 4 families from outside Jorong Mantirai Indah but working daily in family who live in Bukit Pematang Permai Housing. The aid was handed over a week before Idul Fitri 1441 H, so it was very beneficial for the affected residents. Apart from distributing donations, education and outreach was also carried out to affected residents about the importance of complying with health protocols. Keywords: Participation, Care for Affected Citizens, Covid-19

scholarly journals Community Participation in the Village Fund Program in Kemang Manis Village, Tebing Tinggi District, Empat Lawang Regency, South Sumatra

2018 ◽  
Vol 1 (1) ◽  
pp. 23-38
Author(s):  
Hikmah Adila ◽  
Andy Alfatih ◽  
Alfitri
Keyword(s):  
Community Participation ◽  
Community Involvement ◽  
Financial Management ◽  
Development Project ◽  
Community Empowerment ◽  
Land Values ◽  
Infrastructure Development ◽  
Daily Work ◽  
Village Government ◽  
The Village

This study aimed to find out how community participation in the Village Fund program in Kemang Manis Village in the Four Lawang District in 2016 and the factors that supported and blocked community participation in the village fund program in Kemang Manis Village. The method used was qualitative so that the data obtained through interviews, observation and study of documentation and qualitative descriptive analysis techniques. The results showed that at the decision making stage, the participation of the Kemang Manis village community in the Village Fund Program in 2016 was still low because the data synchronization activities were not carried out, only the village elite community and workers as well as grant providers, were invited, attended, gave opinions, and approve the results of the meeting's decision. At the implementation stage (community participation) was quite good, it appeared in the crowded community who registered themselves as candidates for village infrastructure activities, following the work briefing and direction from the village government. At the time of implementation the community brought their own carpentry equipment, donated food and drinks, and received wages or daily work incentives, and participants of community empowerment activities received transport money. The stages of the utilization of benefits (benefits) the community felt the benefits of the results of village development. Roads could be passed by 4-wheeled vehicles, making it easier to transport agricultural produce, residents began to build houses because roads were available and land values ​​had also increased. The community had not yet been involved in the monitoring, supervision and evaluation stages, because in the planning stages of the Village RPJM and Village RKP documents the community involvement is still low. At the stage of implementation of village development the community was involved as an implementer, but the procurement and financial management and administration activities were carried out by the village government. There were no complaints from the public and information disclosure regarding the new Village Fund in the form of a Village Infrastructure development project board.

scholarly journals Market food diversity mitigates the effect of environment on women’s dietary diversity in the Agriculture to Nutrition (ATONU) study, Ethiopia

2019 ◽  
Vol 22 (11) ◽  
pp. 2110-2119 ◽  
Author(s):  
Ramya Ambikapathi ◽  
Nilupa S Gunaratna ◽  
Isabel Madzorera ◽  
Simone Passarelli ◽  
Chelsey R Canavan ◽  
...  
Keyword(s):  
Food Availability ◽  
Market Access ◽  
Dietary Diversity ◽  
Diversity Index ◽  
Food Groups ◽  
Cross Sectional ◽  
Village Level ◽  
Food Diversity ◽  
The Impact ◽  
The Village

AbstractObjectiveIn Ethiopia, women’s dietary diversity is low, primarily due to poor food availability and access, both at home and market level. The present study aimed to describe market access using a new definition called market food diversity (MFD) and estimate the impact of MFD, crop and livestock diversity on dietary diversity among women enrolled in the Agriculture to Nutrition (ATONU) trial.DesignBaseline cross-sectional data collected from November 2016 to January 2017 were used for the analysis. Availability of foods in markets was assessed at the village level and categorized into nine food groups similar to the dietary diversity index for women. Bivariate and multivariate mixed-effects regression analyses were conducted, adjusted for clustering at the village level.SettingChicken-producing farmers in rural Ethiopia.ParticipantsWomen (n 2117) aged 15–49 years.ResultsOverall, less than 6 % of women met the minimum dietary diversity (≥5 food groups) and the most commonly consumed food groups were staples and legumes. Median MFD was 4 food groups (interquartile range: 2–8). Multivariate models indicated that women’s dietary diversity differed by livestock diversity, food crop diversity and agroecology, with significant interaction effects between agroecology and MFD.ConclusionsWomen’s dietary diversity is poor in Ethiopia. Local markets are variable in food availability across seasons and agroecological zones. The MFD indicator captures this variability, and women who have access to higher MFD in the highland agroecological zone have better dietary diversity. Thus, MFD has the potential to mitigate the effects of environment on women’s dietary diversity.

scholarly journals Addressing water-related shocks and coping decision through enhanced community participation: case studies from Ganga basin, Uttarakhand, India

Water Policy ◽  
2019 ◽  
Vol 21 (5) ◽  
pp. 999-1016
Author(s):  
Divya Sharma ◽  
Neha Khandekar ◽  
Kamna Sachdeva
Keyword(s):  
Coping Strategies ◽  
Community Participation ◽  
Community Involvement ◽  
Government Officials ◽  
Context Analysis ◽  
Ganga Basin ◽  
Farming Communities ◽  
Study Sites ◽  
And Coping ◽  
The Village

Abstract Farming communities in the Upper Ganga basin, nestled in the Himalayan region, are finding it extremely difficult to face water-related shocks, which stand to profoundly impact their quality of life and livelihoods, due to climate change. Often, coping strategies (technological or institutional interventions), developed by planners, become counter-productive as they are not in cognizance with the end user community. This study presents a methodology to enable incorporation of community knowledge and expectations in planning by integrating participatory rural appraisal (PRA) with geographic information systems, leading to better informed coping strategies. As part of this, we create thematic maps which: (i) capture information on a spatial scale (otherwise lost during PRA), (ii) facilitate community participation for further research and planning in their contexts, and, (iii) co-create knowledge to develop a shared understanding of water-related hazards at the village level. The proposed methodology is presented through three case study sites – two in the plains (<500 masl) and one in the middle (500–1,500 masl) elevation regions of Upper Ganga basin. We show how this way of approaching context analysis facilitates community involvement as well as co-creating a knowledge base which can help researchers and government officials with mindful planning of interventions in the area.

scholarly journals Combating non-communicable diseases in rural Lucknow: Are the skills and knowledge of female health workers adequate?

2020 ◽  
Vol 7 (9) ◽  
pp. 3480
Author(s):  
Arunima Saini ◽  
Monika Agarwal
Keyword(s):  
Health Workers ◽  
Uttar Pradesh ◽  
Cross Sectional Study ◽  
Communicable Diseases ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Grass Root ◽  
Grass Root Level ◽  
The Government ◽  
Essential Knowledge

Background: India is facing the surging trend of non-communicable diseases (NCD). Forecasting the burden for NCDs, the Government of India (GOI) initiated a program in 2010 across the country, i.e., National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases, and Stroke. The GOI has envisaged the female health workers (FHW) for the last mile delivery of health services under the programme. Available literature shows that FHWs lack essential knowledge regarding chronic diseases. This study attempts to fill these gaps by studying knowledge and skills regarding NCDs among FHWs in rural Lucknow. Objectives were to explore the knowledge about NCDs among ASHAs and ANMs in rural Lucknow and to assess of skills related to NCD screening among ANMs in rural Lucknow.Methods: It was a cross-sectional study conducted among FHWs of Lucknow, Uttar Pradesh from June 2019 to August 2019.Results: Among the FHWs, knowledge about NCDs was found to be higher for those with the age more than 40 years, with the education of higher secondary and above and also amongst those who had received previous training for NCDs.Conclusions: Majority of the respondents were found to have poor knowledge regarding NCDs. Additionally, older age, training and higher education are found to be associated with good knowledge; there is a need of training of grass root level workers for them to correctly identify the symptoms and risk factors of various NCDs.

scholarly journals Dampak Kebijakan Dana Desa terhadap Peningkatan Kesejahteraan Masyarakat (Studi Komparasi di Desa Ponggok, Desa Tegalrejo, dan Desa Kalangan, Klaten, Jawa Tengah)

2020 ◽  
Vol 6 (1) ◽  
pp. 67
Author(s):  
Fadli Razzak ◽  
Zuly Qodir
Keyword(s):  
Community Development ◽  
Community Participation ◽  
Training Programs ◽  
Fundamental Change ◽  
Regional Autonomy ◽  
The Government ◽  
Village Government ◽  
The Impact ◽  
The Village

A fundamental change in the government system in Indonesia after the reforms is the implementation of decentralization and real regional autonomy. Giving village funds is a form of fulfilling the village's rights for the implementation of its own autonomy to grow and develop following diversity, participation, autonomy, empowerment, democratization of the community and increasing the role of the village government in order to provide services and improve the welfare of the community in areas that are adrift . Therefore, this study aims to reveal the impact of village fund policies on improving people's welfare and reducing unemployment in Ponggok Village, Tegalrejo Village, and Kalangan Klaten Village. Ponggok village was chosen because it is a pilot village that has managed to manage village funds provided for the welfare of its people. Ponggok Village uses its village funds to provide infrastructure to support the sustainability of Ponggok Tourism Village, conduct training programs, toilets for each house, as well as other assistance that can improve the welfare of its citizens, and the entire community participates in the programs. As a result, the program can significantly reduce unemployment. Tegalrejo Village uses its village funds to improve village infrastructure and train its community. Desa Kalangan uses its village funds to improve village infrastructure, reforestation, training and community development. However, the results of the management of the village fund of the two villages have not been able to improve the economy and reducing unemployment, due to the lack of community participation in the programs being implemented. Keywords: regional autonomy, village funds, community welfare, unemployment

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