In January 2019, a community monitoring process was done by CYSD at five villages of Nuniapalli Panchayat of Bolangir district, revealed that many fold issues were faced by the communities related to basic health services and benefits of pregnant women, lactating mothers and pre-school children. First and foremost was that the malnutrition rate was high in these villages. Second issue was related quality VHND as the pregnant and lactating mothers were not attending it regularly. Third issue was that the ambulance driver was asking for money for picking up for delivery and dropping off after delivery from the families of the pregnant women. Even the hospital staffs i.e. doctors and nurses were asking for money after delivery. Fourth issue was that the sub-centre was never opened and people were not able access health services. Fifth issue was that the cash benefits under JSY and MAMATA schemes were not received by and distributed to the beneficiaries regularly and evenly. The sixth issue was that the quality and quantity of the chhatua was not good and owing to this, the beneficiaries do not prefer to have it.

In five villages of Nuniapalli Panchayat (i.e. Khaliapali, Amaramunda, Laxampali, Nilachpali and Jhakarpali) , there is a total number of 69 pregnant women, 48 lactating mothers, 342 adolescent girls, 248 children in the age group of 6 months to 3 years and 208 children in the age group of 3 years to 6 years.

During a panchayat level community monitoring process, it was identified that the pregnant women and lactating mothers are severely malnourished and most of the mothers are identified as high risk mothers (red card holders). Due to lack of appropriate information regarding importance of VHND, they were not attending the VHND sessions regularly. Around 20 per cent beneficiaries did not receive the monetary benefit of JSY and MAMATA scheme even though they are eligible. In this circumstance, a panchayat level action plan was organized by covering all these villages of Nuniapalli panchayat. To grace the occasion, the CDMO, the BDO, CDPO & block chairperson of Agalpur block along with the Sarpanches were called off.

It was commonly agreed that, kitchen garden will be promoted at each and every household of these villages to promote healthy and organic eating habits; all PRI members took the responsibility to monitor VHNDs; ASHAs were promised to ensure participation of pregnant women and lactating mothers at the designated VHNDs; ANM was agreed to make herself available at the Sub-center; CDMO, Block Chairperson and CDPO have jointly promised to  ensure regular and evenly distribution of cash benefits under JSY and MAMATA scheme. Along with this, quality and quantity assurance of Chhatua was promised too.

At present, link is established with the horticulture department to mobilize seeds for household level kitchen garden. While other PRI members are visiting the VHNDs to ensure full attendance, Sarpanch is monitoring the entire process. The cash benefits under JSY and MAMATA is now being received regularly and distributed evenly among the beneficiaries after successful intervention from these administrative officials such as CDPO and CDMO. After facing threats from local people ambulance driver, nurses and doctors are not asking for money for pickup and delivery respectively. In addition, good quality Chhatua is being provided to the beneficiaries after successful intervention by the Block Chairperson of Agalpur block.