_________________________________________________________________________ *Corresponding author: Email: prakash.doke@gmail.com International Journal of TROPICAL DISEASE & Health 3(4): 355-364, 2013 SCIENCEDOMAIN international www.sciencedomain.org Community Based Monitoring under National Rural Health Mission (NRHM) at Village Level in the State of Maharashtra, India P. P. Doke 1* and A. P. Kulkarni 2 1 Community Medicine Department, MGM Medical College, Kamothe, Navi Mumbai, India. 2 Research Directorate, Pravara Institute of Medical Sciences University, Loni, India. Authors’ contributions This work was carried out in collaboration between both the authors. Both the authors contributed to the study conceptualization and design. Author PPD finalized the design and contributed to writing of the article, analysis and interpretation of the data. Author APK conducted field visits. Received 25 th May 2013 Accepted 7 th September 2013 Published 23 rd September 2013 ABSTRACT Background: Government of India, under National Rural Health Mission has established Village Health Sanitation Nutrition Committees (VHSNCs) and appointed Accredited Social Health Activists (ASHAs) in all the villages. Government of India also started Community Based Monitoring (CBM) project through Non-Governmental Organizations (NGOs). State of Maharashtra was one of the nine states selected for implementation of the pilot project. Objectives: To assess the effect of training and implementation of CBM on Knowledge, Attitude and Practices of VHSNC members including ASHAs. Design: It is a descriptive study using comparison group. Settings: The study was carried out in 90 villages, 45 each from study and comparison group, in the State of Maharashtra, India. Interventions: The study was conducted with the help of the Community Medicine Departments from nearby Medical Colleges. From each village one ASHA and three members of VHSNC were interviewed. An assessment instrument was developed having some parameters. Based upon responses to each parameter, a scoring system was also Short Communication