The presentation is on the operational process of Village Health, Sanitation & Nutrition Day conducted in all villages of India in general.

1. By,
Dr. Priyakshi Borkotoky (PhD)
Consultant Nutrition
National Health Mission, Assam

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A community level strategy for convergent actions for Health,
Early Childhood Development, Nutrition and Sanitation.
VHSND helps in reaching the unreached and all others as a
powerful initiative to deliver integrated services for health &
well-being since 2007 in India.
VHSND is

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Platform for Convergent Activity
• UIP
• ANC
• PMMVY
• Awareness generation on nutrition, health, hygiene &
sanitation & current health and well-being issues
• Family planning innervations
• Growth monitoring

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•• IImprove availability of health, nutrition, early
childhood development and sanitation services at
community level.
• Provide information and generate awareness on
health, early childhood development, nutrition,
sanitation and related govt schemes plus counseling.
• Identify cases requiring referrals or families requiring
support and link them with appropriate service
providers in the relevant sector.

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Components of VHSND

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*Health and Family Welfare (DHFW)
*Women and Child Development (DWCD)
* Social Welfare (DSW)
* Panchayati Raj Department
* Rural Development (RDD)
* Drinking Water and Sanitation Missions
Others:
* VHSNC members
* Self-help groups (SHGs)
* Community Based Organizations (CBOs)

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* in many cases this may be conducted
at other place instead of AWC
*
Common VHSND Activities

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➔
Community participation
➔AAA Coordination
➔Client follow up
➔Logistic availability
➔Record keeping
Essentials of VHSND

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Common VHSND Activities
1. ANM, AWW and ASHA will ensure
➢
VHSND site is opened at the stipulated time.
➢
Common due list is available at the site.
➢
Designated Health area, Nutrition corner, ECD corner
➢
Area for group counselling is ready
➢ Drugs, logistics, supplies, materials and IEC materials
availability.
2. ASHA should check that the identified beneficiaries are
attending the VHSND.

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Common VHSND Activities
3. MPW-F (ANM) and Anganwadi worker keep record of
service delivery in register & MCP card . Any additional
services given should also be recorded.
4. Lady supervisors, Lady Health visitors, ASHA facilitators
and Mid-level Service providers (Health & Wellness Clinics)
are to provide supportive supervision and monitor VHSND
using the monitoring checklist
Contd.

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Process of VHSND
➔
Finalization of date and place of VHSND.
➔ Line listing of beneficiary category wise with the help of ASHA &
AWW.
➔
Ensuring logistics for all.
➔
Finalizing topic of discussion.
➔
Conduction of VHSND and service delivery.
➔ Record keeping and reporting.
➔
ANM, Anganwadi worker and ASHA should make a tally of
beneficiaries who attended VHSND and the absentees and alternative
arrangement for same.
➔ ANM, Anganwadi worker and ASHA should high light VHSND
related issues in respective monthly meetings with higher authorities.

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➔ Immunization
➔ ANC
➔ PNC
➔ FP
➔ RTI & STI
➔ Adolescent Health
➔ Communicable diseases
➔ NCD
➔ Nutrition
➔ Gender Issues
➔ Anaemia
➔ Vitamin A supplementation
➔ Fortified salt
➔ Supplementary Nutrition
➔ ECD
➔ Water, sanitation & hygiene

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Month-wise counselling aligned with POSHAN
Abhiyaan

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Roles and responsibility before VHSND

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Roles and responsibility during VHSND

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Roles and responsibility after VHSND

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