Keerti Bhusan Pradhan Consultant-Health Systems Keerti.health@gmail

1. Human Resources Factors-Key to SustainabilityLearning from the Example of Public and Private Health services KeertiBhusanPradhan Consultant-Health Systems Keerti.health@gmail.com

2. 9 components of systemic capacity building Source: Potter & Brough HPP

4. Eye care services-Example • World Bank assistance of US$136 million was provided in 1994 to the NPCB for 7 states which accounted for more than 70% of the cataract work load. • The program consisted of Infrastructure development, equipment, consumables, training and capacity building. • States: AP, MP, MS, Orissa, Rajasthan, TN & UP

5. Dhenkanal District Eye HospitalOrissa inaugurated July 2000 in district hospital campus

6. Govt. Eye Hospital- 9 years later Photo taken 2009

7. Ophthalmologist in the District Hospital OPD

8. Ophthalmologist in the District Hospital OPD • Sitting in the open patient waiting area • Does not use required equipment/instruments to check the eye • Eye Examination equipment-slit lamp is lying inside without any use

9. District Hospital Eye Unit OT • Big OT • All equipment available • Expensive eqpt. available • Some are brand new but defunct • Only 254 surgeries per year

10. Private (NGO) Eye Hospital in a rented building in the same district hq

11. Private (NGO) Eye Hospital OT • Small size OT in comparison to Govt. eye unit • Doing 5000 surgeries per year

12. Talking to the patient

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14. What it needs to ensure in Capacity Building of HR? • Not only knowledge and skills • Not just additional manpower • Not just organisational structures • Not just regular salaries • Not just regular training and capacity building But Strategies to keep the workforce motivated and a culture of teamwork in healthcare…………..

15. Thank you