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Online published on 31 August, 2018.
NRHM, (National Rural Health Mission) a health scheme was launched in India in the year 2005 to provide effective healthcare facilities to the rural population. The prime motive behind launching this scheme was to bring about necessary architectural correction in the basic health care delivery system and also to improve the quality of healthcare for those residing in villages especially poor, women and children. Under the scheme, each village has a female health activist called ASHA (Accredited Social Health Activist) chosen by and accountable to Panchayat. They play a crucial role as various activities are undertaken under NRHM for improving rural health scenario. However, the purpose of providing comprehensive and better health facilities to rural people remain limited to these selective services. Universal access to public health services such as food and nutrition, health and hygiene, water supply, sanitation, individual toilets, revitalizing local health traditions and promoting a healthy lifestyle for which Village Health Sanitation and Nutrition Committee (VHSNC) were constituted are yet to be fulfilled. Against this backdrop, the paper proposes to analyze the working and role of VHSNCs in one of the backward block of Unnao district in Uttar Pradesh(India) and will try to know why these committees are unable to address the local health issues and bring about desired change. The paper argues that despite promoting community participation and rural awareness as core objectives of NRHM, people in villages are still struggling to get better healthcare facilities.
Health sector, N.R.H.M, Challenges