1 / 33

EQUITY, ACCOUNTABILITY QUALITY HEALTH CARE SERVICES IN ORISSA Ms Anu Garg, I.A.S Commissioner-cum-Secretary, Dept o

NRHM Goal . The Goal of the Mission is to improve the availability of and access to quality health care by people, especially for those residing in rural areas, the poor, women and children.. EVIDENCES OF DISPARITY. Source: Calculated from unit level data, NSS 61st round, 2004-05, based on URP. EVIDENCES OF DISPARITY.

sawyer
Download Presentation

EQUITY, ACCOUNTABILITY QUALITY HEALTH CARE SERVICES IN ORISSA Ms Anu Garg, I.A.S Commissioner-cum-Secretary, Dept o

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    2. NRHM Goal The Goal of the Mission is to improve the availability of and access to quality health care by people, especially for those residing in rural areas, the poor, women and children.

    3. EVIDENCES OF DISPARITY

    4. EVIDENCES OF DISPARITY

    6. Equity Strategy Orissa (2009-2012) “To improve the health of the poor and excluded in the state, and to reduce disparities in health that currently exist between them and the rest of the population” Six Thematic Areas Leadership : Cross Sector Equity Task force Systems : Social protection mechanisms Services : Quality health care services Accountability : Entitlements, Public access to information & redressal mechanism Citizen’s capacity : Strengthening community participation KBK+ : Reduction in health disparity

    7. Approach to address inequity Reaching the unreached Increasing access to Services Addressing Gender in-equity Reducing out of pocket spending Incentivisation

    8. Mobile Health Units of different models 1. Mobile Medical Van with medical team (AYUSH doctor, Pharmacist, ANM & Attendant) visit to selected villages on fixed day fixed time in each fortnight 2. Ambulance boat for people in cut-off reservoir areas 3. MHU visit to difficult villages on motor cycles 4. Periodic visit of Health Team on walk to most difficult areas

    10. 22 PHC(N)s managed in 11 districts 88 FNGOs in 352 difficult Sub Centres of 22 districts Urban Health Slum Projects (PPP mode at 12 slums) - focusing on RCH components Accreditation of Private hospitals (17) for JSY Benefits to ST/SC & BPL beneficiaries

    11. Increased access to Services Janani Express/Ambulance located at difficult Health Units 11

    13. Maternity Waiting Home Temporary Home (5 beded) for expectant mothers of most difficult areas Piloted in 4 districts Implementing through PPP mode Facilities ensured Accommodation Food for expectant mother & escorts Counseling services Regular health checkup Medicine Loss of wages

    14. For Physically Challenged

    15. For gender equity

    16. Reducing out of pocket spending

    17. Incentivisation Enhancement in remuneration of contractual doctors (Special Package for KBK + districts) Consultant Physician (MBBS) @ Rs.18,000/- PM (Rs.12,000/- in other districts) Consultant Physician (PG) DHH/SDH @ Rs.20,000/- PM (Rs.15,000/- in other areas) Peripheral health institutions @ Rs.25,000/- PM (Rs.20,000/- in other areas) Incentive for regular doctors DHH/SDH @ Rs.4,000/- PM Peripheral Institution @ Rs.8,000/- PM Remuneration of contractual Staff Nurse Increased from Rs.4,000/- to Rs.6,000 /- in coastal areas and to Rs.6,500/- in KBK areas.

    18. 18 Institutional Delivery

    19. Accountability: A core value Approach: Governance - Changing institutional arrangements (decentralization, Community Participation, Public Private Mix) Transparency – Information sharing, Feedback Mechanism

    23. Payment through cheque, e-transfer in ASHA bank account Other payments through cheque - JSY, Sterilization

    24. Transparency : Fixed Day Approach Fixed day Programmes VHND – Fixed day (Tuesday / Friday) Pustikar Divas on 15th of every month Fixed immunization day – Every Wednesday Fixed day Family planning services – Block level Fixed day payment ASHA Payment day-10th of every month Spot Payment –JSY, Sterilization, Pustikar Divas

    25. Quality Approach: ISO Certification Lab Accreditation Healthy Hospital and Hygienic Hospital - Drive initiated Innovation in Community Initiatives Bottom-up Planning Sensitization of Programme Officers M&E dimensions for Quality implementation

    27. Standardization of Lab and accreditation All DHH Lab in focus in this year 2009-2010 Biochemistry department of 3 Medical colleges - Lead agency Action Plan developed for accrediting to NABL Accreditation of Intermediate Reference Laboratory(RNTCP) by GoI 27

    28. ASHA Programme - Quality Focus Training for maximizing functional effectiveness of ASHA - First Aid training in 3 districts, PNC training in 3 districts, FTD training - ongoing, involvement of freelancer & NGO in conducting Module - 5 training Streamlining Incentive payment through cheque/e-transfer on a fixed day (10th of every month) Support provisions like Rest Shed, Bi-Cycle, Diary, Uniform

    29. TIKA Express Vaccine Transportation – PPP mode

    30. Bottom-up Planning Strengthening Institutions at various levels (GKS, RKS,ZSS) for preparing plan Facilitation by Consultants, Sr. Officers from Directorate & Partners Annual PIP developed – Village(1055), Block-314, District-30, State PIP Booklet printed, unveiled by RKS & circulated

    32. Strengthening Programme Implementation Comprehensive guidelines developed and circulated for all approved activities Compendium of Guidelines - available with Programme Officers up to block level Online Test on guidelines – for Consultants/Programme Officers of DPMU and BPMU

    33. M&E Dimensions… Nodal Officers appointed (Sr. & Jr.) for every District PIP Based Reporting – District Ranking E-Governance initiatives with web-based circulars and GOs with SMS alert IT strengthening and introduction of programmes software (HosMIS, HRMIS, ProMIS etc.) Integrated M&E Cell (hub of information with all available sources) at State/District level

    34. 34

More Related