MONITORING OF DLHS 3
Prof Deoki Nandan
Dr. Pushpanjali Swain
Dr. Hemanta Meitei and Dr. V.K. Tiwari
The Bhore? Committee which envisaged provision of all needed health care services for the population (with special focus on the vulnerable groups like pregnant women and children) in a holistic manner was the blue print for Independent India to plan its health services. In 1994, at ICPD, there was an International commitment for provision of holistic RCH services.
Based on the results of 1991 census which showed massive inter district variation in birth rate, death rate and fertility pattern, GOI committed to decentralised district based planning based on needs of people. The ICPD in 1994 also advocated a decentralised planning based on people's needs. The congruence of national policy and internationally commitments gave a boost to India's FW programme and RCH programme with aim of providing integrated services and decentralised district based planning was initiated in 1997.
Such decentralised district based planning needed district level data (as district is the basic nucleus of administration) Various Health, FWN and Nutrition process indicators, information on awareness of services available and on quality of services provided for various Reproductive and Child Health issues.
Hence MOHFW, Government of India decided to undertake District Level Household Survey in all the districts in the country. The first round of the RCH survey (RHS-RCH) in India was conducted during the year 1998-99 in two phases (each phase covered half of the districts from all states/union territories) for which International Institute for Population Sciences (IIPS), Mumbai was designated as the nodal agency.
In Round II, the survey was completed during 2002-04 in 593 districts as per the 2001 Census. In addition to the information in various RCH issues in Round II had a significant nutritional component included such as:
- Measuring weight of children to assess the nutritional status.
- Testing of blood of children (ages below 72 months), adolescents and pregnant women to assess the level of Anaemia and
- Testing of cooking salt for iodine levels.
Both the surveys was conducted by various Regional Agencies (Ras?) and coordinated by the International Institute for Population Sciences (IIPS), Mumbai. DLHS III, focusing on RCH issues only and facilities available, is being carried out in all districts in the country IIPS is the Nodal Agency for coordinating the survey being carried out by identified regional field agencies from September 2007. In DLHS III a component of monitoring the field activities of these regional agencies by 8 monitoring agencies (MA's) has been added. NIHFW has been designated as Nodal Agency for Monitoring with the following TOR.
- To support the Ministry and UNICEF in coordinating with the selected 8 MAs.
- To provide assistance of one or two of its faculty member in manning the Monitoring unit, along with a consultant and Programme assistant, to be engaged for this purpose.
- To gather all field reports from the MAs and ensure informing IIPS about the gaps identified in the field.
- To ensure that MAs perform their specific TOR, as envisaged.
- To release fund to the MAs on the advice of the Ministry/UNICEF.
- To provide a space in the institute for setting up of a Programme Unit for DLHS-3/Monitoring activity.
NIHFW was also given the task of monitoring the activities for DLHS II for Western UP, Haryana, Delhi and the monitoring activity was entrusted to the Dept. of Statistics and Demography. In 1st phase only Western UP is allocated for monitoring of fieldwork which would continue for 3 months. The other Monitoring agencies were PRC's, (Baroda, Pune, Shimla, Bangalore, Lucknow, Orissa) and AIIPH &H. The states have been allocated to all agencies.