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Concurrent Evaluation of National Rural Health Mission 3-7th February, 2009

Objectives of the Concurrent Evaluation . To evaluate the impact of NRHM interventions, by Agencies outside the Government, and make recommendations on:The institutional mechanisms and monitoring systems that have been put in place.Programme designs for consistency, feasibility and effectiveness

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Concurrent Evaluation of National Rural Health Mission 3-7th February, 2009

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    1. Concurrent Evaluation of National Rural Health Mission 3-7th February, 2009 TOT OF ZONAL AGENCIES

    2. Objectives of the Concurrent Evaluation To evaluate the impact of NRHM interventions, by Agencies outside the Government, and make recommendations on: The institutional mechanisms and monitoring systems that have been put in place. Programme designs for consistency, feasibility and effectiveness with respect to goals of NRHM. Operationalisation of the programme elements of NRHM, identifying managerial and design constraints. Capacities available and adequacy building efforts. Programme outcomes with the respect to the phase of the programme in each State. 2

    3. NRHM – The Key Principles Distrust to trust Employment to service guarantee Inflexibility to flexibility Centralized to decentralized action Funds, functions, functionaries for service Monitoring against institution specific goals Institution specific recruitment Building capacities at all levels

    4. NRHM – Key Challenges Resident, skilled, community health worker Quality of services from public systems Enhancing accountable Nursing services Partnerships with non governmental sector Streamlined procurement and logistic systems in States like TNMSC Meeting the challenge of skill development Increasing the density of accountable and skilled human resources for health in rural areas Adequate and flexible financing of health care Making PRI/Community institutions and activities fully functional in each village/institution

    5. NRHM Time line for activities

    10. Scope and Extent By Independent Agencies including PRCs To cover all Districts within 1.5 years in Rounds First Round (R-I & SR-I) to cover over 200 Districts from all States/UTs (29% of Districts) Revisit after completion of Rounds 10

    11. Agencies Field Agencies one for each State/Sub-State (UP, MP) 5 Zonal Agencies one for 5-6 States National - IIPS 11

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