NISHTHA: Transforming Comprehensive Healthcare in India

To empower the people on their health care needs, improvement in infrastructure facilities, and effective utilization of public health care services, Jan Arogya Samitis are formed in select districts of Jharkhand. 

As part of the USAID-supported NISHTHA project in partnership with Jhpiego, GRAAM is in piloting the project Community monitoring and social audit mechanism of Health and Wellness Centres (HWC) through the formation and strengthening of Jan Arogya Samithi (JAS)  in selected HWCs of West Singhbhum and Khunti District of Jharkhand State. 

GRAAM formed Jan Arogya Samiti (JAS) a committee that proposed to set up Health and Wellness Centres (HWC ) and SHC (Sub Health Centres) under Ayushman Bharath in the selected HWCs of West Singhbhum & Khunti district of Jharkhand. 

The project is expected to engage the communities for health and allied areas and establish community Monitoring & accountability mechanisms in the intervention areas as per the GOI guidelines.



Project Snapshot:

Project Name NISHTHA: Transforming Comprehensive Healthcare in India
Project Sanction Date 15 Dec 2020
Project Period Dec 2020 to Mar 2023
Project Location Jharkhand
Project Supported By
Implementation Partner January 2021
Project Team

Project objectives:

The aim of the project is to demonstrate community led monitoring mechanism and establishment of Jan Arogya Samitis (JAS) for strengthening delivery of Comprehensive Primary Health Centres  (CPHC) through Sub Centres -Health and Wealth Centres (SC-HWCs) in Jharkhand.

Project Result / Accomplishments:

The team stationed at Jharkhand is training the JAS members to implement the plan at the grassroots level. The Jan Arogya Samiti members were also taught about the concept of the Samiti, its objectives, and the role and responsibilities the members would be expected to deliver. 

Monthly meetings are undertaken to understand the concerns of the members and they are also being trained to solve the same. In one such instance, the JAS members of HWC Bhandra and Mahil were oriented on their roles and responsibilities in building a healthy village. A total of 17 members from the Bujur village were trained to carry out their responsibilities.  

JAS members are working dedicatedly to plan and support multi-sectoral action on Social and Environmental Determinants of Health. To evaluate present health trends, a meeting was organized in Chaibasa. The members were able to bring new ideas to the discussion table.

The research team was also identifying the Jan Arogya Samiti members from the non-health sector with the aim to collect data for the Patient Satisfactory Survey. This data along with other technology-based data collected would be used to understand the condition of the available services and delivery items at the AB-HWC. The team has successfully recorded 750 patients’ data.   

The team of NISHTHA and GRAAM provided orientation to the JAS members under Health and Wellness Centre Ambari in Jharkhand and conducted community engagement activities and a Patient Satisfaction Survey.  

Currently, as many as 42 monthly meetings have been organized in which 230 JAS members and 166 villagers have actively participated.

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