Village Health and Nutrition Day

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Village Health & Nutrition Day (VHND/ MCHN):

Village Health & Nutrition Day (VHND/ MCHN) State Institute of Health & Family Welfare, Jaipur

MCHN day:

MCHN day Organized once every month preferably on Thursdays For those villages that have been left out, on any other day of the same month) At the AWC in the village Mobilization by ASHAs, AWWs, 2 SIHFW: an ISO9001: 2008 certified institution

Services on MCHN day:

Services on MCHN day Registration of all Pregnant women ANC Dropouts (PW) to be tracked and services provided Vaccination Dropout children to be vaccinated Vitamin A solution Weigh all children & record Anti-TB drugs to be given Distribution of condoms & OCPs to all eligible couples Supplementary nutrition to underweight children 3 SIHFW: an ISO9001: 2008 certified institution

Issues for discussion:

Issues for discussion Danger signs during pregnancy Importance of ID Importance of PNC Counseling on ENBC Registration for JSY Counseling for better nutrition Exclusive Breastfeeding Weaning & complementary feeding 4 SIHFW: an ISO9001: 2008 certified institution

Slide 5:

Care during diarrhea & home management Care during ARI Prevention of malaria, TB, and other communicable diseases Prevention of HIV/AIDS Prevention of STIs Dangers of sex selection Age at marriage 5 SIHFW: an ISO9001: 2008 certified institution

Slide 6:

Importance of safe drinking water Personal hygiene Household sanitation Education of children Information on RTIs, STIs, HIV and AIDS Disease outbreak Disaster management 6 SIHFW: an ISO9001: 2008 certified institution

Identify cases needing special attention:

Identify cases needing special attention Identify Children with disabilities Children with grade III and grade IV for referral Severe cases of anemia Pregnant women who need hospitalization Cases of malaria, TB, leprosy, and kala azar Problems of the old and the destitute Pay special attention to the SC, ST, minorities & weaker sections Reproductive & Child Health Program (RCH) 7 SIHFW: an ISO9001: 2008 certified institution

Who should owe responsibility for MCHN day:

Who should owe responsibility for MCHN day ASHA AWW PRI member Helper of AWW Staff to come from outside the village ANMs Male MPW (if available) ASHA facilitators (if available) 8 SIHFW: an ISO9001: 2008 certified institution

ASHA : Before MCHN day :

ASHA : Before MCHN day Visit all households, particularly poor/SC/ST households Make a list of: Pregnant women Women who need ANC for first time or for repeat visits Infants who need immunization, were left out or dropped-out 9 SIHFW: an ISO9001: 2008 certified institution

Slide 10:

Children who need care for malnutrition Children who were missed during the pulse polio round Children with special needs, particularly girl children TB patients who need anti-TB drugs Coordinate with the AWW and the ANM 10 SIHFW: an ISO9001: 2008 certified institution

ASHA: on MCHN day:

ASHA: on MCHN day Ensure that: All listed women & children come for services Malnourished children come for consultation with the ANM Supplementary nutrition to children with special needs All listed TB patients collect their drugs Assist the ANM and the AWW 11 SIHFW: an ISO9001: 2008 certified institution

AWW: on MCHN day :

AWW: on MCHN day Ensure that the AWC is clean & availability of clean drinking water Ensure a place with privacy at the AWC for ANC Keep an adequate number of MCH cards Coordinate activities with ASHA and ANM 12 SIHFW: an ISO9001: 2008 certified institution

ANM: on MCHN day :

ANM: on MCHN day Ensure that: VHND is held without fail Supplies, instruments, drugs Communication materials Adequate money is available for disbursement to the ASHA Reporting of the VHND to the MO/IC Coordinate with the ASHA and the AWW 13 SIHFW: an ISO9001: 2008 certified institution

PRI: on MCHN Day:

PRI: on MCHN Day Ensure the availability of: VHSC members, schoolteachers and PRI members Clean drinking water, proper sanitation 14 SIHFW: an ISO9001: 2008 certified institution

Service package:

Service package Maternal Health Early registration of pregnancies Focused ANC Referral for complicated pregnancies and emergency cases Referral for safe abortion to approved MTP centers Counseling on: Education of adolescent girls 15 SIHFW: an ISO9001: 2008 certified institution

Slide 16:

Age at marriage Care during pregnancy Danger signs during pregnancy Birth preparedness Importance of nutrition Institutional delivery Identification of referral transport Availability of funds under the JSY for referral transport 16 SIHFW: an ISO9001: 2008 certified institution

Slide 17:

Post-natal care Breastfeeding and complementary feeding Care of a newborn Contraception Organizing group discussions 17 SIHFW: an ISO9001: 2008 certified institution

Check list for supervision of MCHN:

Check list for supervision of MCHN General information: Session site, availability of staff, timings displayed List of beneficiaries Cold chain: Vaccine carrier with ice packs, VVM's status on vaccine vials Availability of essential supplies Vaccination – process monitoring Availability of IEC/BCC material 18 SIHFW: an ISO9001: 2008 certified institution

Slide 19:

Disposal of AD syringes Immunization for children scheduled to arrive Follow-up activities for ANC Blood films collected for MP Client satisfaction: Exit interviews Disbursement of incentives to ASHA Record review for Women and children from vulnerable communities 19 SIHFW: an ISO9001: 2008 certified institution

MCHN week: Guidelines:

MCHN week: Guidelines Vaccination sites AWW Schools Urban dispensaries Private clinics Team Vaccinator & Social mobilizers Timing Begin at 10:00 am not more than two sessions/ day 20 SIHFW: an ISO9001: 2008 certified institution

Outcomes of MCHN day:

Outcomes of MCHN day 100% coverage with preventive and promotive interventions Preventive and promotive coverage for the National Disease Control Programs Increased awareness Improved knowledge about the services Greater emphasis on the community's role 21 SIHFW: an ISO9001: 2008 certified institution

Slide 22:

Thank You For more details log on to www. sihfwrajasthan.com or contact : Director-SIHFW on sihfwraj@yahoo.co.in

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