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Public Private Partnership

PROPOSAL FOR INVOLVEMENT OF NGO UNDER NRHM FOR PUBLIC PRIVATE PARTNERSHIP (PPP) FOR HEALTH PROGRAMMES IN WARDHA ON AN EXPERIMENT BASIS UNDER NRHM

        One of the Primary functions of the State is to provide affordable, accessible and quality health services to the population. Presently the Rural Health services provided by Government Hospitals are underutilized due to the non-availability of regular doctors, absence of motivated and geared health staff and unavailability of specialist services to serve the rural population. Almost 79% of the Indian population use out of pocket expenses for availing of health facilities from private sectors.

        The National Health Policy (NPP) 2002 and National Health Mission (2005) have recognized the need for increased cooperation between the public and the private sectors in order to achieve the ambitious tasks set out by the year 2010.

        Public Private Partnership are collaborative efforts between private and public sectors, with clearly defined / identified partnership structures, shared objectives and specified performance indicators for delivery of a set of health services in a stipulated time period. Partnership, Integration and Convergence are the need of hour for imparting best quality health care based on values of efficiency, effectiveness and equity. PPP in rural health care can deliver quality services to people at the right time, at right place and at affordable costs. It is in this direction that the health infrastructure has to be set up.

        In Wardha district, to provide health services to the community from Public health sector there are 27 PHCs, 180 Sub-centers, 39 Dispensaries,3 Sub-Dist.Hospitals,5 Rural Hospital and 1 District Hospital for 1074078 rural and 315137 urban population thus total 1389165 Population. Despite of having comprehensive infrastructure, medical and paramedical staff in all health institutions, due to non-availability of regular MBBS doctors and specialist manpower at PHC/RH level, it is difficult to give quality of health services to the people and achieve desired goals in all health programs.

        The Private sector plays a major role in health care services delivery. Almost 79% of the population seek health care facility through out of pocket expenses as mentioned earlier. There is a need to build onto the comparative strength of the two sectors with greater autonomy. The private sector can develop models of excellence and share results and lessons. Taking into consideration the health need of the people and Public Private Partnership envisaged in NRHM mission document, it is proposed to involve NGOs under NRHM for PPP for Health Programs in Wardha district on pilot basis with the following objectives to prioritize areas for co-operation and principles of working together.

AIMS & OBJECTIVES

  1. Universal coverage and equity for primary health care.
  2. Providing services of two medical officers at each PHC.
  3. Improving quality, accessibility, availability, acceptability and efficiency of existing health infrastructure.
  4. Mobilization of additional resources.
  5. To achieve regular Anganwadi visits, Comprehensive School Health programme and regular MCP sessions.
  6. To Provide Specialist health services that is Surgery, Obstetrics and Gynecology, Pediatrics, ENT etc. on weekly basis at PHCs and Gynaec, pediatric visits at sub center level on monthly basis.
  7. To increase the No. of institutional deliveries through availability of specialist services.
  8. To decrease the MMR and IMR through quality health services.
  9. Providing emergency services and developing proper referral plans with the 2 Medical Colleges in Wardha district.
  10. To develop model PHC and RH as per IPHS standards.
  11. To monitor quality of health services and to obtain regular feedback for appropriate transformation/ redressal action.

        To achieve the time bound goals of various health indicators; it is (proposed to involve two Medical Colleges in the provision of health care services. The medical colleges have vast pool of MBBS doctors available with them. It is proposed that they be given the responsibility of provision of MBBS doctors and the specialists to a few PHCs and RHs covered under the scheme for PPP. The MBBS doctors would be provided with the stipends under the NRHM project whereas the specialists would be the Medical Collegesí contribution to the improvement of the quality of services of the health care infrastructure. The details of the scheme are given as under.

Name of NGO / MC
PHC
SC
RH
Dispensaries.
MGIMS Sewagram Talegaon (T),
Anji,
Kharangna (G)
8
7
5
Bhidi Goji
Waigaon
JNMC Sawangi ( M) Deoli
Giroli
Gaul
Waifad
6
4
5
7
Pulgaon Murudgaon
Dapori
JNMC Sawangi Nachangaon
Vijaygopal
6
4
Arvi Sonora (Dhok)

        Before implementation of this PPP programme, baseline data on various health indicators like infant mortality rate, maternal mortality ratio, eligible couple survey, family planning acceptors and client satisfaction survey etc has been carried out by an Independent agency appointed by the DHO and two Medical Colleges / NGO with due consensus.

        One year after the implementation of the PPP programme an evaluation or appraisal for fulfillment of objectives will be done by the same Independent agency, who carried out baseline data to compare basic health indicators, specialist services provided, client satisfaction survey, utilization of health facility, new innovative services provided and in all health institutions achievements as per IPHS standards .

        Conclusion: - This scheme is made in accordance with the NRHM objectives of providing affordable, accessible and quality of health services to the populations at large.

        This is an endeavor to improve the quality of health services provided to the rural population through public private partnership according to government policy guidelines, since existing health services are inadequate and unable to render services to fulfill the demand of rural population.

 
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