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ORIGINAL ARTICLE
Year : 2015  |  Volume : 4  |  Issue : 2  |  Page : 251-256

Availability of Village Health and Nutrition Day services in Uttarakhand, India


1 Department of Community and Family Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
2 Department of Community Medicine, Integral University, Lucknow, Uttar Pradesh, India
3 VCSGGMS and RI Srinagar, Garhwal, Uttarakhand, India
4 All India Institute of Medical Sciences, Jodhpur, Rajashthan, India

Correspondence Address:
Vartika Saxena
Department of Community and Family Medicine, All India Institute of Medical Sciences, Pashulok Vihar, Virbhadra Marg, Rishikesh - 249 201 Uttarakhand
India
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Source of Support: Source(s) of support in the form of grants, equipment, drugs, or all of these Project was financially supported by ICMR, New Delhi., Conflict of Interest: None


DOI: 10.4103/2249-4863.154667

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Background: Village Health and Nutrition Day (VHND) was identified to provide primary care services (health, nutrition and sanitation) at village level under National Rural Health Mission. Aim: The study aimed to assess availability of health, nutrition and sanitation services, required instruments/equipment and medicines at VHND with client satisfaction from the VHND services. Materials and Methods: A cross-sectional study was conducted in three districts of Uttarakhand at Nainital, Tehri-Garhwal and Chamoli involving 24 villages in six blocks using multistage stratified sampling using predesigned pretested observation checklists (quantitative data). All the concerned functionaries of health, Integrated Child Development Services and Panchayati Raj Institution were interviewed (qualitative data) to understand the gap in services and remediation. Results: Of the 24 VHNDs observed, blood pressure measurement was done at 11 (45.83%) and weight at 13 (54.17%) sites in ante-natal care services; non-availability of blood pressure instrument and adult weighing machine were 45.83% and 41.66% sites, respectively. Immunization for children was provided at 22 sites; however, availability of other services were poor-vitamin A (three), growth monitoring of children (seven); supplementary nutrition (five); identification of households for construction of toilet (eight). Yet, one-third of clients provided three and four for satisfaction from VHND services on the scale score of 1-5. Conclusion: It was noted that none of the VHND site was providing all the stipulated services, though immunization was provided mostly. Anganwadi centers were lacking availability of various essential instruments and equipment. So regular orientation of village functionaries for ensuring all the VHND services with the availability of required logistic is recommended.


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