01 Apr 2015 - 31 Mar 2016
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Despite significant improvements in health parameters like life expectancy at birth of and the reduction of infant mortality, there are large parts of the country where people continue to have very poor access to health care services and their health status continues to be abysmal. A high proportion of the population continues to suffer from and die of preventable conditions like maternal deaths, malaria and tuberculosis. Public spending on health in India, especially on preventive and promotive health is also very low in India. On the other hand the private, out of pocket expenditure on health is very high, about three times higher than the public expenditure. Thus there is an urgency to deal with the multiple health related crisis that the rural poor in the country are faced with. There is also the need to transform the health system into an efficient, transparent and accountable system delivering affordable and quality services. There is a need to bring changes in the ways Health services are being delivered to rural poor.
About the Project:
Parivartan has taken the initiative to promote the community monitoring process to enable the people to access their health rights and entitlements and thereby making the public health system more demand driven and accountable. The aim of Parivartan is to improve the availability of and access to quality health, especially for women, children, tribals and the rural poor through participatory health services and community based monitoring of NRHM in Kalahandi district of Odisha. The focus will on developing and strengthening a people’s forums to take up the issues of the community and act as pressure group for policy and practice changes at health institutional level.
The thrust will be:
- Orientation to GKS on its monitoring role at Village level
- Establishing Kishori Balika centers
- Orientation of ASHA and AWW
- Engagement with block level health resource group and advocacy for better service delivery
- Health sharing meeting at CHC level
- Organize GKS convention
Results to be Achieved:
- At least 60% of GKS of our operational area will be using the Community based monitoring tools to monitor the quality of village level health & nutrition service providers & accessibility of community to various health facilities & schemes.
- Maximum enrolment of beneficiaries & getting benefits under different health & nutrition schemes like: - MAMATA, JSY, JSSK & ensuring six services under VHND in at least 40% of villages for safe motherhood & increasing the referral cases of malnourished children to NRC.
- Meaningful engagement with block & district level health & ICDS officials on area specific health issues & operational problems & their remedial steps through evidence based advocacy through block level GKS federation & health resource committee at Junagarh block.
- 20 GKS in Junagarh and 11 GKS in Th. Rampur have been strengthened and are functioning properly as per the guideline. There is significant improvement in proper utilization of untied funds, preparation of village health plan, regularizing monthly meetings, participating in VHND, immunization and referral services.
- Referral of Red grade Child by ASHA worker has increased by more than 20%. Now the status is about 40%.
- Because of continuous engagement with the DPM and other health officials, the district authorities have taken the decision to evaluate cretin indicators of GKS by a committee headed by GKS Coordinator before grant is released to GKS to prevent mismanagement of GKS untied fund in TH Rampur. Secondly RKS of all PHCs New & OLD, CHCs will be audited by a panel of independent auditors.
- Civil society and CBO representatives in RKS, PRI functionaries, GKS Leaders raised issues regarding lack of transparency on utilsation of fund, lack of facilities for diagnostic tests by Laboratory Technician, non-availability of medicines in the PHC