Table of Contents
COMMUNITY MOBILIZATION AND LOCAL GOVERNANCE
FEMALE COMMUNITY HEALTH VOLUNTEERS (FCHV)
Reorganizing the importance of women’s participation in promoting health of the people, GoN initiated the Female Community Health Volunteer (FCHV) Program in FY 2045/46 (1988/1989) in 27 districts and expanded to all 75 districts of the country in a phased manner. Initially, the approach was to select one FCHV per ward regardless of the population size. Later in 1993 population based approach was introduced in selected (28) districts. At present there are 48,541 FCHVs actively working in the country (FHD, Administrative record, 2010/11).
The FCHVs program strategy has been revised in 2067(2010) and document provides strategic directions and critical approaches to ensure a strengthened national program and consistent, continuous support of every FCHVs. Nepal government is committed to increase the high moral of FCHVs & participation in community health development. In fiscal year 2064/5 MoHP established FCHVs fund by providing Rs. 50,000 to each VDC. The mobilization of this fund for income generating activities to benefit the FCHVs and the community at large.
The major role of the FCHV is to promote health and healthy behaviour of mothers and community people for the promotion of safe motherhood, child health, family planning, and other community based health services with the support of health personnel from the SHPs, HPs, and PHCCs. Besides the motivation and education, the FCHVs re-supply pills and distribute condoms, ORS packets and vitamin A capsules; and treat pneumonia cases and refer more complicated cases to health institution. Similarly, they also distribute iron tablets to pregnant women in districts with Iron Intensification Programs.
FCHVs are selected by members of Mother’s Group for Health (MGH) with the help of local health personnel. They are provided 18 days basic training in two phases (9+9 days) on selected primary health care components. After the completion of the basic training, FCHVs are provided with a certificated and Medicine kit box free of cost consisting of necessary drugs and supplies. The FCHVs are also provided with manuals, flip chart, ward register, IEC materials, FCHV bag, signboard and identity card. For Family Planning services, regular supply of commodities (pills and condoms only to FCHVs) is instituted through local health facility.
The goal of FCHV program is to support the national goal of health through community involvement in public health activities. This includes imparting knowledge and skills for empowerment of women, increasing awareness on health related issues and involvement of local institutions in promoting health care.
FCHV program has the following objectives:
- To activate the women for tracking common health problems by imparting relevant knowledge and skills
- To prepare a pool of self motivated volunteers as a focal person for bridging the health programs with community
- To prepare a pool of volunteers to provide services for community based health programs
- To increase the participation of community in improving health
- To develop FCHV as health motivator
- To increase utilization of health care services through demand creation