Common use of Achievements Clause in Contracts

Achievements. The VHTs were asked to mention any achievement as a result of the work and they say that hygiene in homes has improved; early treatment seeking behavior has improved as well, while more mothers are going for ANC visits and taking their children for immunization. Among the constraints faced by the VHTs is non availability of identification cards for people to be able to identify that this is a VHT member and then offer the required assistance. In case of the rain, following up of patients becomes very difficult and considering the terrain in rural areas there is need for gumboots and rain coats. There is also insufficient support from the community especially leaders by not enforcing recommendations from the VHTs. This leads to frustration. Health workers help them to supervise and advise them about their work and when the VHTs are in need of services they do not line up but are given special treatment. It was interesting to learn that amidst the challenges VHTs face including serving the community on voluntary basis, there are certain motivational factors that encourage them to keep serving as VHTs; these are