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Community participation in Health Service Delivery

Innovative communication for behavior change to improve maternal and child health, sanitation & hygiene at Bihar

  • 1 VHND at Vaishali
  • 2 Multi-stakeholder Workshop at Bhagalpur
  • 3 Service information displayed in AWC
  • 4 Theatre show at Vaishali
Our Work

The Government of Bihar has taken the initiative to organize Village Health & Nutrition Day (VHND) under the umbrella of National Rural Health Mission (NRHM) to strengthen the service delivery through an integrated approach to ensure services to the underserved especially those living in the hard to reach areas In order to facilitate success of VHND, theatre based campaigns are being carried out in Vaishali, Gaya, Darbhanga, Purnia and Bhagalpur districts of Bihar to improve usage of services offered at the Anganwadi centre (AWC) on VHND.

Key problems regarding access to health care identified during baseline study were inadequate infrastructure in health centres, myths and misconceptions among community regarding immunization and health services, lack of awareness among service providers on the services to be made available on VHND, weak linkage between service providers and service seekers.

To address this, an innovative approach of organizing community forums called Community Development Meetings (CDM) is being used at Vaishali district. The meetings are facilitating dialogue and reducing gap between the service providers and the service seekers. Various health and social issues are being discussed and solutions are suggested by the village level leaders. Several actions have been taken up by the Panchayat while in some cases the Block and District officials have been approached for taking actions. As an important outcome of the CDMs, the health workers are now putting up information sheets displaying the medicine availability and take home ration in their respective centers thus spreading awareness among community about health service delivery.


Increased awareness among service providers as well as targeted beneficiaries is leading to improved health service delivery and usage. The Panchayat members, ward members are being mobilized to be present during the VHNDs and ensure reach among target groups. Action group members are helping out health workers to mobilize the resistant families and also making list of pregnant women and new born babies. The ward members are monitoring delivery of health service by the health worker. Kiosks are being set up on the day of VHND which is making the site more attractive.


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