国家卫生特派团设立了乡村卫生,环卫,和营养委员会(VHSNCs),旨在确保印度当地社区的健康和福祉。缺乏关于VHSNC在国家一级运作的具体证据。因此,这项研究是为了概述角色,责任,以及VHSNCs在印度的功能。我们在Medline进行了全面的数据搜索,科克伦图书馆,ScienceDirect,EMBASE,和谷歌学者在2005年至2021年8月之间。所有报告角色的同行评审定性研究,责任,功能,我们的审查中包括了来自印度的VHSNCs的良好做法。关键评估技能计划清单用于评估个人研究的质量。总的来说,我们纳入了来自印度各州的15项研究(包括1100+VHSNCs)。我们的审查强调,大多数VHSNC在没有明确的角色和职责定义的情况下运作,有不定期的会议和劳动力短缺。缺乏包容性,问责制,以及延迟处理无限制资金。纳入的研究表明,VHSNCs参与了健康促进活动,例如制定和实施乡村健康计划,通过公共分配系统提供服务,确保饮用水安全和卫生监督,以及营养不良儿童的识别和转诊。我们的审查强调了VHSNC在改善农村人口健康结果方面发挥的关键作用,并强调需要继续支持和能力建设努力以确保其有效性。
National Health Mission instituted the Village Health, Sanitation, and Nutrition Committees (VHSNCs) in 2005, with an aim of ensuring health and well-being for local communities in India. There is a lack of concrete evidence on the functioning of VHSNCs at a national level. Thus, this study was undertaken to outline the roles, responsibilities, and functions of VHSNCs in India. We conducted a comprehensive data search in Medline, Cochrane Library, ScienceDirect, EMBASE, and Google Scholar between 2005 and August 2021. All peer-reviewed qualitative studies that reported the roles, responsibilities, functions, and good practices of VHSNCs from India were included in our review. Critical Appraisal Skills Programme checklist was used to assess the quality of individual studies. In total, we included 15 studies (including 1100+ VHSNCs) from various states of India. Our review highlighted that the majority of the VHSNCs functioned without a clear-cut definition of roles and responsibilities had irregular meetings and workforce shortage. There was a lack of inclusivity, accountability, and delay in the processing of untied funds. The included studies have showed that VHSNCs were involved health promotional activities such as formulation and implementation of village health plans, delivery of services through public distribution systems, ensuring safe drinking water and sanitary supervision, and identification and referral of malnourished children. Our review highlights the crucial role that VHSNCs play in improving the health outcomes of rural populations and underscores the need for continued support and capacity-building efforts to ensure their effectiveness.