As early as 1998, the state implemented a DANIDA-funded Institutional Service Monitoring Report, which evolved into an effective monitoring mechanism, (5) Similarly, there was a lot of emphasis on early registration of pregnancies with the Village Health Nurse, with the emphasis on registering by the third month.
The burden of implementing this task falls on Village Health Nurses, who are also women, reducing their time for interacting with and educating people and visiting communities, which is their primary task and the basis on which they are evaluated.
Thus, Village Health Nurses have to spend huge amounts of time and money to travel to the nearest town with an internet cafe to make these entries into the PICME system, which are not compensated for by the government.
The Village Health Nurses end up doing a lot of administrative and data entry work instead of interacting with and educating people and visiting communities, which is their primary task and the basis on which they are evaluated.
A number of recently introduced community-based monitoring schemes, which are part of the flagship National Rural Health Mission, where community-based committees are trained to monitor their entitlement to services from the public health system, (18) may further enhance the frustration of the Village Health Nurses, who will be overburdened with administrative tasks.
Each PHC has from five to ten sub-centres, each staffed by a community health worker who, in Tamilnadu, is called a village health nurse (VHN).
This paper reports on qualitative research on abortion services in the Coimbatore district of Tamil Nadu in south India, and the role of government village health nurses (VHNs) in assisting women to obtain abortions.
(13) After a brief training on leprosy, 118 village health nurses and 312 volunteers made house visits in the tribal colonies and enquired of available family members by showing a flash card with pictures of people affected by leprosy.
Village health nurses and volunteers collected information on the total number of family members living together, during house to house visits.
We thank all the staff of the District Leprosy Office, Nellore, village health nurses and volunteers for their participation in this active case search.
Reaching beyond the federation's 800 women leaders to all SHG members and larger communities, these groups have been running a community health fund since 2007; collaborating with government primary health centres (PHCs) and hospitals to organise health awareness talks and village-level health camps; (7) providing referral services; growing and distributing herbal medicines; and linking community members to PHCs, village health nurses
, hospitals and government services.