Last modified at 20/07/2016 14:46 by hfwnhm



VHNDs are a platform for providing basic primary health care services to the marginalized and vulnerable sections of the society, particularly pregnant women, lactating mothers, children and adolescent girls in rural areas and urban slums. VHNDs are organized every 3rd Saturdays of the month at the Anganwadi Center, Sub Center, Community Halls, Gram Panchayats or any other convenient public places. Every month one village in the Sub Center area is selected for VHND and all other villages in the Sub Center are covered in subsequent months on rotation basis. 

On VHND days, ASHAs, ANMs and Anganwadi Workers will jointly mobilize all pregnant women, lactating mothers, children and adolescent girls and mothers/mother-in-law and PRI members for the VHNDs. The following services will be provided on VHNDs:
1. Registration of all Pregnant Women.
2. Mobilization and registration of drop out Pregnant Women and children.
3. ANC and PNC Care.
4. Immunization for Pregnant Women and Children.
5. Nutritional Counseling. 
6. Counseling for Family Planning methods.
7. Counseling for institutional deliveries.
8. Birth Planning and referral to institutions for delivery.
9. Identification of sick infants, mal-nourished infants and children and their referral to the NRCs/higher centers of care. 
10. Early initiation of breast feeding, exclusive breast feeding and continued breast feeding and complimentary feeding of children.
11. Personal hygiene, hand washing and use of sanitary latrines and discouraging open air defecation.
12. Detection of danger signs of pregnancy/high risk pregnancy and their follow up and referral to FRUs.
13. Detection of Anemia and prophylactic treatment of anemia, tracking severe anemia and its referral for proper management. 
14. Growth monitoring of 0-5 years’ children.
15. Vitamin A Supplementation of 0-5 years’ children. 
16. Home Based New Born Care and Post Natal visits by ASHAs/ANMs
17. Care of children during diarrhea and pneumonia, importance of ORS & Zinc.
18. Role of ASHAs and her services to the community.
19. Creating awareness about all health programs / schemes, particularly demand generation schemes like JSY, JSSK, Prasoothi Aaraike, Madilu, Thayi Bhagya, ‘108’, ‘104’, Janani Suraksha Vahini, ‘Nagu-Magu’ and others. 
20. Sensitization on gender bias, female infanticide and feticide.
21. Prevention and control of communicable and non-communicable diseases. 

• Visit all households, and line list all the beneficiaries for VHNDs.
• Make a list of all Children and Pregnant Women due for immunization / drop out of immunization and plan their mobilization for VHNDs to immunize them. 
• Line-list all severely underweight/ SAM Children and arrange their referral. 
• Identify all TB patients and mobilize them for DOTs.
• Coordinate with ANM, Anganwadi Worker and PRI members for organizing VHNDs.

By Anganwadi Workers: 
• Ensure that the Anganwadi is open and clean.
• Ensure privacy for examination of women.
• Ensure safe drinking water.
• Coordinate with ASHA and ANM.

• Ensure VHNDs are held without fail. Make alternate arrangement if she is on leave.
• Ensure that supply of Thayi Cards, Weighing Scale, IFA, Vaccines, syringes, IEC materials, BP apparatus, and other rapid test kits are available. 
• Ensure that cash benefit cheque are ready for delayed payments. 
• Submit VHND report to the PHC Medical Officer. 
• Coordinate with ASHA and AWW. 

By PRI Members:
• Ensure that all PRI members and VHSNC members participate and support VHND organization. 
• Ensure that School teacher/s and AWWs participate in VHNDs. 
• Ensure clean premises, drinking water and sanitation for VHNDs. 
• Ensure that all line listing of follow up and referral of identified beneficiaries are done.