01 Oct 2014 - 31 Mar 2015
01 Oct 2014 - 31 Mar 2015
Health is a cross cutting issue in poverty alleviation and sustainable development as the health status of the urban poor is an integral part of the vicious cycle of poverty to which they are subjected. National Family Health Survey 3 reveals that the health needs of the urban poor in Maharashtra are not being adequately addressed. The health of the urban poor has been neglected by policy makers. The Government initiative on National Urban Health Mission (NUHM) got stalled for a while as the Planning commission decided to initiate discussions on the NUHM proposal with several advisory groups where a decision was taken to implement the NUHM proposal only in the 12th five year plan. IHMP designed and pre-tested 6 distinct interventions that can be introduced as a Public Private Partnership Model in the primary urban health care centres proposed to be established in future under NUHM by the Government. The Six innovations in the context of urban slums are as follows:
IHMP is a training Institute and has trained over 5000 NGO functionaries in the country and more than 250 NGOs in RCH, in Maharashtra. IHMP has experience in partnering for the scaling up of several initiatives:
As a result of this small investment by IHMP, laboratory facilities have been started at the PUHC by the municipal corporation. A laboratory technician and lab equipment and reagents have been provided by the municipal corporation
Case study – Shalan Jadhav – Out of pocket expenditure
My name is Shalan and I am from Suryaprakash Nagar. I am living in a joint family where my mother-in-law is head of the household. I am a housewife. My husband works as a labourer. We belong to the Wadar caste. Our average monthly expenditure is around Rs 8000.00.
When I was two months pregnant I had severe lower abdominal pain and vaginal bleeding. I visited a private hospital for treatment; the doctor examined me and advised hospitalization. He told me the treatment will cost Rs 10,000.00 and asked me to pay an advance fee of Rs 5000.00. At that time I was not in position to pay such a big amount hence I didn’t take the treatment for my ailment from the private hospital.
Dipali, the CHW in our slum, trained by Institute of Health Management, Pachod visits our house every month. Since I was pregnant I was worried that I may have an abortion or some other severe complication so I went to Dipali and discussed my problem with her. She gave me counseling on where to go for treatment for this ailment. She referred me to the Rajiv Gandhi Hospital (MCH clinic) that is run by the Pune Municipal Corporation.
Dipali offered to come with me to the hospital so I decided to go and get treatment at this hospital. At the hospital the doctors examined me and asked me to get admitted for treatment. I was admitted at the MCH clinic for three days in a general ward and was given treatment. I am completely cured now.
The expenditure incurred for the treatment was Rs 690/-. It includes doctor’s fee, ward fee, fees for diagnostic tests and cost of medicines.
My husband lost his wages for three days and we had to spend money on food and transportation which totaled to Rs 1560.00.
I paid the amount of expenditure incurred for the treatment by taking a loan of Rs 1000.00 from my relatives and spent Rs 1250.00 from household income.
I am really grateful to Dipali, our CHW, for her advice and support. Because of her I could get treatment at the PMC hospital at a cost that I and my husband could afford.