The Advisory Group on Community Action (AGCA) guided the implementation of a pilot on community action for health in 1,620 villages across 36 districts in nine states between 2007 and 2009, which was supported by the MoHFW. An external evaluation of the pilot phase observed the following outcomes:
- The process empowered the community, especially marginalised groups to engage with Health Department
- Strengthened service delivery and facilitated communities in availing health entitlements – with improved range, access and quality of services
- Enabled planning and corrective action
- Brought accountability among the service providers in relation to service delivery and meeting community needs.
The key recommendations from the evaluation include:
- Institutional support mechanism should be developed at the state level and below to guide scaling up of community action processes
- Continued technical and financial support from the MoHFW is essential to ensure the process continues to be implemented in the pilot states as well as initiation in other states.
9 States, 36 Districts, 1620 Villages
- Madhya Pradesh
- Tamil Nadu
Districts: Chirang, Dhemaji and Kamrup Rural
Districts: Baster, Kawardha, Koriya
Districts: Palamu, West Singbhum, Hazaribag
Districts: Gadag, Chamarajnagar, Tumkur, Raichur
Districts: Guna, Chindwada, Sidhi, Badwani and Bhind
Districts: Nandurbar, Pune, Amaravati, Osmanabad and Thane
Districts: Bolangir, Kendrapara, Mayurbhanj and Nawarangpur
Districts: Alwar, Chittorgarh, Jodhpur and Udaipur
Districts: Dharmapuri, Kanyakumari, Perambalur, Thiruvallur and Vellore
List of State Nodal NGOs
The film highlights the potential of Community Monitoring as a community empowerment tool and democratization process in the context of people’s right to health. The film contains the experiences and opinions of various stakeholders associated with the process at the national, state and grassroots levels. It also captures the processes, immediate impact of the process at the field level, lessons learned and challenges faced. Screen the film for more details.