Sustainable Community-Based Health and Development Programs in Rural India

  • Alok Mukhopadhyay
  • Anjali Gupta


In the broader context of Indian state’s commitment to achieve “health for all,” this chapter attempts to study the cross cutting intervention of a non government group to bring about a holistic change in the lives of the communities by uplifting their socioeconomic and health status. The success story of Khoj – a VHAI project operational in the remote rural parts of the country is discussed. The chapter tries to establish the fact that “we cannot achieve Health For All without building on the strengths of the people.” In the Khoj projects there is no concept of recipients as the community is involved in managing the development efforts, as well as figuring out how to obtain the resources needed, (locally if possible). With a vision to create an enabling climate for an overall sociopolitical development of the community in the difficult terrains of the country, Khoj begins with developing an understanding of the social, economic, cultural and political dynamics of the community, and integrates the knowledge gained with action to improve the health and well-being of community members. The chapter is divided into three parts. The first part of this chapter briefly outlines the Health Sector in India – status and trends with a focus on the health inequities in the country. The second part discusses in detail the community-centric sustainable strategy of Khoj in three difficult settings and its impact on the overall well being of the population. The final part contains major findings and concluding remarks.


India Khoj Inequalities Community Women Infant mortality Rural 


  1. Allen, J. C. (2007) Morphing Rural Community Development Models: The Nexus between the Past and the Future. Community Investments, Spring 2007 pp. 16-30. Available _community_­development.pdf cited May 2009.
  2. Agarwal, S., Sarasua, I. (2002). Community-based health financing: CARE India’s experience in the maternal and infant survival project. Research in Healthcare Financial Management, Annual 2002. Available cited November 2009.
  3. IIPS. (2007). National Family Health Survey (NFHS-3), 2005-06, Mumbai: International Institute for Population Sciences. Available NFHS-3%20Data/ VOL-1/ India_volume_I_corrected_17oct08.pd f]. cited December 2009.
  4. IIPS. (2001). Reproductive and Child Health –Rapid Household Survey (RCH-RHS- Phase I & II), 1998–99. Mumbai: International Institute for Population Sciences. Available] cited December 2009.
  5. IIPS. (2000). National Family Health Survey 1998–99 (NFHS-2). Mumbai, India: International Institute for Population Sciences. Available cited December 2009.
  6. Office of the Registrar General & Census Commissioner. (2001). Census of India 2001. Available cited November 2009.
  7. Peters, D., Yazbeck, A., Ramana, G., Sharma, R., Pritchett, L., Wagstaff, A. (2001). India - Raising the Sights: Better Health Systems for India’s Poor. Washington DC: The World Bank.Google Scholar
  8. Tandon, S. D., Phillips, K., Bordeaux, B. C., Bone, L., Brown, P. B., Cagney, K. A. et al. (2007). A Vision for Progress in Community Health Partnerships. Progress in Community Health Partnerships: Research, Education and Action, vol 1.1. 11–30. The Johns Hopkins University Press.CrossRefGoogle Scholar
  9. UNDP. (2001). Human Development Report 2001. Making New Technologies Work for Human Development. Published for the United Nations Development Programme. New York: Oxford University Press. Available cited November 2009.
  10. VHAI. (2007). ICDHI Monograph. Update on Health and Development Status of India. Independent Commission on Development and Health in India (ICDHI). New Delhi: VHAI.Google Scholar
  11. VHAI. (2004). Health for the Millions April-May & June-July 2004, Vol. 30, No. 1&2. New Delhi: Voluntary Health Association of India.Google Scholar
  12. WHO. (1986). Ottawa Charter for Health Promotion. Copenhagen: World Health Organization.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Voluntary Health Association of IndiaNew DelhiIndia

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