|
|
|
Economic
Development Policy |
| PUBLIC
HEALTH AND FAMILY WELFARE |
THRUST
The
government is committed to improving the quality of life of the
people in the state. The state proposes to achieve this by
ensuring efficient utilization of its scarce resources and
restricting population growth through rapid reduction in the
fertility rate. To this effect, the government had announced a
population policy in the year 2000.
The state envisages |
|
» |
The
creation of an environment conductive to family planning
and creating a demand for family planning and reproductive
health services.
|
| » |
Increasing
collaboration with the Panchayati Raj Institutions, the
private sector and the non-government sector in community
moblization and programme implementation.
|
| » |
Improving
the management of the family welfare programme to achieve
excellence in meeting the needs of clients.
|
| » |
Developing
appropriate implementing structures |
|
The
above initiatives are proposed to be implemented through
|
| » |
Enhancing
Political and Social Support
|
| » |
Empowering
women
|
| » |
Introducing
Adolescent and Family Life Education
|
| » |
Mobilizing
Community Support
|
|
POLICY
INITIATIVES
The
population policy envisages a
holistic approach to family welfare programs and the active
involvement of all the stakeholders in achieving population
stabilisation. The state therefore proposes to
|
| » |
Couple
the family planning efforts with implementation of other
policies related to age at marriage, provision of
comprehensive reproductive health services, universal
education, empowerment of women and social welfare.
|
| » |
Ensure
the active involvement of all development departments of
the government, non-governmental organizations and the
community at large.
|
| » |
Involving
Panchayati Raj Institutions, Urban Local Bodies, NGOs,
Co-operatives and the Private Sector in the delivery of
Reproductive and Child Health services, social marketing
and community mobilization.
|
| » |
Involving
departments having significant presence at the village
level as catalysts for generating demand for Family
Planning and RCH services.
|
|
The
state also proposes to
address issues related to access to and quality of services,
devise IEC strategies to generate demand for family planning
services, and promote informed choice. To ensure better program
implementation the following measures are proposed to be taken.
|
| » |
Strengths
and Weakness of the organisational structure will be
reviewed with a thrust on consolidating the existing
infrastructure.
|
| » |
The
district planning committee mechanism will be used to
accelerate the process of decentralization of authority
and responsibility for programme planning and resource
utilisation.
|
| » |
An
autonomous IEC Bureau – to be managed by professionals
– will be created to carry out adolescent and family
education in addition to IEC activities.
|
| » |
A
new unit called the State Population Resource Centre will
be established to strengthen monitoring and
evaluation;
|
| » |
The
State Government will allocate Rs.5 Crore every year out
of its own resources to fund the Family Welfare programme
(which is currently being funded by the GOI entirely) as a
token expression of the commitment of the State Government
to the population stabilization effort.
|
|
In
order to improve access to and the quality of services, the
delivery system will be reviewed and revitalized.
Some of the proposed measures are:
|
| » |
A
system of supportive supervision and a mechanism of
concurrent internal monitoring and evaluation will be
developed;
|
| » |
Management
information system will be streamlined with an emphasis on
reliable and adequate collection of data and use of
information for decision making
|
| » |
Traditional
birth attendants will be trained to register pregnant
women and provide safe delivery;
|
| » |
First
referral units will be rated on the basis of minimum
quality standards;
|
| » |
More
focused attention will be given to promotion of spacing
methods;
|
| » |
No-
scalpel vasectomy method will be promoted to increase male
participation in Family Planning.
|
| » |
A
suitable service delivery will be developed for urban
areas, specially covering slums and disadvantaged areas.
|
| » |
Private
sector will be involved in providing essential package of
services.
|
| » |
A
communication strategy will be developed to cater to
different segments of clients.
|
| » |
Human
Resource Development will be given the highest priority.
The training programme will be reviewed and redesigned,
clinical training will be strengthened.
|
| » |
Specific
courses on RCH and Family Planning will be introduced in
Medical Colleges.
|
|
|
The
government is also committed to the decentralization of authority
in resource mobilization and delivery of health care. Various
intiatives have been launched, these will be expanded to ensure
coverage of the entire state
|
| » |
Rogi
Kalyan Samitis |
|
Rogi
Kalyan Samiti is an innovative scheme of Govt. of
Madhya Pradesh for the management of public
hospitals through community participation. So far
RKS has been successfully constituted in all the
District Hospitals, Civil Hospitals and Community
Health Centres. The Rogi Kalyan Samities have
people’s representatives and concerned govt.
officials as members. The Rogi Kalyan Samitis are
authorised to levy user charges for services
provided at the hospital and are responsible for
the management of hospitals and for taking
decisions to improve its functioning. This program
has resulted in the availability of quality
medical services in Government Health Institutions
and an improvement in the working environment in
the Hospitals.
The
government proposes to expand this model to the
rural areas also.
|
| » |
Village
Health Committees: |
|
These were constituted to provide community action on
health. The
agenda for action includes action on determinates like
safe water supply, sanitation and nutrition.
|
| » |
Swasth
Jeevan Sewa Guarantee Yojana: |
|
Swasth
Jeevan Sewa Guarantee Yojana conceives action for
health by identifying a set of services within the
health sector and some key determinants of health
like safe water supply, sanitation and nutrition
to be provided within a rights – based framework
of a guarantee by the Government. The state
proposes to operationalize this program at the
District, Panchayat and Village level. The
implementation of Swasth Jeevan Sewa Guarantee
Yojana will lead to increased control of the
community in management of basic health care,
creation of community with skills in basic health
care and disease prevention, effective management
and utilization of current resources, and
augmenting resources to meet health-related tasks.
The State introduced the Jan Swasthya Rakshak
Scheme to develop health skills by training of
Volunteers to become a Jan Swasthya Rakshak. The
Govt. proposes to provide a Jan Swasthya Rakshak
in all villages by December – 2002.
|
| » |
Some
other measures which are being considered by the
department include: - |
|
| » |
Creation
of a patient information and empowerment system; |
| » |
Development
of a health insurance system for the poor;
|
| » |
Engaging
private medical practitioners for providing health
services in urban slums and rural areas;
|
| » |
Separate
managerial cadre of professionals for hospital
management/ administration;
|
| » |
Revalidation
of skills of Government Doctors through a
professional developmental plan. |
|
|
|
