Public Health Resource Society

Project Theme

Health

Target Group

Others

Project Period

01 Apr 2015 - 31 Mar 2016

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Introduction

Chhattisgarh is one of the poorest states in the country. As per official poverty surveys (2002-03), more than 19 lakh families in the state are below poverty line (BPL). Additionally, the state government has recognised another 15 lakh families as ‘poor’. Thus the poverty rate in the state is close to 70%. The situation is worse when it comes to blocks having predominantly tribal population. 

The poor and tribals in the state face a grim situation regarding access to health care and nutrition services. The tribal areas face much higher rates of morbidity and mortality. The main reason for this is that the gaps in health care delivery are much bigger in tribal areas. These areas are chronically under-served areas. In absence of adequate public health care, a lot of poor people have to turn to the private sector. The situation in terms of accessing private health care is similar to what we see in the whole of the country. More than 80% of outpatients and more than 60% of indoor cases are treated in private clinics and hospitals in India. However large-scale commercialization and overcharging, lack of effective self-regulation by Medical Councils, frequent irrational procedures, and violation of patient’s rights today characterize the private sector. Patients are many times exploited in private medical sector and they do not have a single forum to complain about private hospitals and get relief in some form. In tribal areas, the private sector is more exploitative as well as of poor quality. 

 

About the Project: 

The Chhattisgarh Government passed the ‘Chhattisgarh State Upcharyagriha Tatha Rogopchar Sambandhi Sthapanaye Anugyapan Adhiniyam 2010’ in 2010 and rules under this act have been recently notified in August 2013. By doing so, Chhattisgarh becomes the first state in the country to include Patient’s Rights in healthcare regulatory framework legislation. However, awareness regarding this Act is very low as the government has not been active in disseminating information about this Act. As a result, there is a threat that the provisions under the Act, especially the ones related to Patient’s Rights, grievance redressal, and hospital regulation will simply remain on paper.

Therefore, awareness building of civil society, media and the community is necessary so that they are vigilant and can ensure that the Act is being properly implemented, especially in the context of the rights of patients, grievance redressal and regulation of the hospital.

 

Results to be Achieved: 

  • Increased awareness of CBOs and media on patients' rights
  • Capacities of CBOs improved to train communities on patient's rights
  • Process Documentation and Building Evidences through case studies on patient's rights
  • Advocacy with Government over proper implementation of Patients' Rights

 

Prior Achievements:

It runs various Distance Learning Programme on Decentralized Public Health Management. It also runs community health fellowship. It is also known for building capacities of front line workers ASHAs and ANMS.