Assessing Knowledge And Functionality Of Village Health Sanitation And Nutrition Committees In India: A Mixed-Method Research

Background: Studies have highlighted lacunae in the effective implementation of Village Health Sanitation and Nutrition Committees (VHSNC) in India. The present study aimed to evaluate the routine functioning of VHSNC in two districts of Odisha. Methods: Our study included mixed-method research. The members of 467 VHSNCs were interviewed in two districts. The quantitative data was collected using a semi-structured questionnaire. Besides, we did 18 focus group discussions and 3 in-depth interviews to obtain the perceptions of the members of VHNSCs on the needs of the communities and the challenges. Conclusions: VHSNC is an effective mechanism of health governance, but there are challenges, such as a lack of knowledge about the functioning of its members, irregular meetings, delayed funds or improper documentation, and ineffective supervision. A comprehensive model of VHSNC implementation needs to be developed and delivered with continuous monitoring to make them function effectively.