1 / 77

Health sector reform initiatives in Gujarat

Structural. . Pre reform model. Integrated structure. Department of Health

morrison
Download Presentation

Health sector reform initiatives in Gujarat

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. Health sector reform initiatives in Gujarat

    2. Structural

    3. Pre reform model

    4. Integrated structure

    6. Other Initiatives DPCs AHAs Using ISM professionals Mentoring TCS HMIS Autonomy Capacity building Governance Communitisation

    7. Clear goals

    8. Our Goals Reduce maternal and child mortality Address adverse sex ratio Stabilize population Effectively implement National Health Programmes and address locally endemic diseases like leptospirosis, sickle cell anemia and thalesemia Provide state of the art health and medical education relevant to local needs Work with the citizens to make the health system more equitable, accessible, accountable, transparent, and cost-effective to enhance overall satisfaction with health services Provide an environment in which the health teams blossom fully to lead a fulfilling life and effectively achieve the above goals Develop public health capacities and systems, to effectively address determinants of good health such as potable water, sanitation, nutrition and healthy environment as well as to promote healthy life styles

    9. Reducing Maternal and child mortality Chiranjeevi

    10. MMR Over Time

    12. Health care facilities available

    13. Availability of OBGYs in CHCs

    14. Bonus - saving neonates

    15. SERVICE PACKAGE

    16. Gynecologist involvement in Chiranjeevi

    22. Institutional deliveries trend

    24. Extended Chiranjeevi and Bal Sakha

    25. Our Goals Reduce maternal and child mortality Address adverse sex ratio Stabilize population Effectively implement National Health Programmes and address locally endemic diseases like leptospirosis, sickle cell anemia and thalesemia Provide state of the art health and medical education relevant to local needs Work with the citizens to make the health system more equitable, accessible, accountable, transparent, and cost-effective to enhance overall satisfaction with health services Provide an environment in which the health teams blossom fully to lead a fulfilling life and effectively achieve the above goals Develop public health capacities and systems, to effectively address determinants of good health such as potable water, sanitation, nutrition and healthy environment as well as to promote healthy life styles

    28. Sex ratio at birth as per CRS records

    30. Our Goals Reduce maternal and child mortality Address adverse sex ratio Stabilize population Effectively implement National Health Programmes and address locally endemic diseases like leptospirosis, sickle cell anemia and thalesemia Provide state of the art health and medical education relevant to local needs Work with the citizens to make the health system more equitable, accessible, accountable, transparent, and cost-effective to enhance overall satisfaction with health services Provide an environment in which the health teams blossom fully to lead a fulfilling life and effectively achieve the above goals Develop public health capacities and systems, to effectively address determinants of good health such as potable water, sanitation, nutrition and healthy environment as well as to promote healthy life styles

    35. Crude birth rate

    36. Our Goals Reduce maternal and child mortality Address adverse sex ratio Stabilize population Effectively implement National Health Programmes and address locally endemic diseases like leptospirosis, sickle cell anemia and thalesemia Provide state of the art health and medical education relevant to local needs Work with the citizens to make the health system more equitable, accessible, accountable, transparent, and cost-effective to enhance overall satisfaction with health services Provide an environment in which the health teams blossom fully to lead a fulfilling life and effectively achieve the above goals Develop public health capacities and systems, to effectively address determinants of good health such as potable water, sanitation, nutrition and healthy environment as well as to promote healthy life styles

    37. Effective Implementation of national health programmes in PPP Working with IMA Outsourcing CD4 testing MNGOs, SNGOs and FNGOs Working with Rotary and Lions GIA institutions Outsourcing staff Working with private OBGYs

    45. Curative services through MHUs

    46. Our Goals Reduce maternal and child mortality Address adverse sex ratio Stabilize population Effectively implement National Health Programmes and address locally endemic diseases like leptospirosis, sickle cell anemia and thalesemia Provide state of the art health and medical education relevant to local needs Work with the citizens to make the health system more equitable, accessible, accountable, transparent, and cost-effective to enhance overall satisfaction with health services Provide an environment in which the health teams blossom fully to lead a fulfilling life and effectively achieve the above goals Develop public health capacities and systems, to effectively address determinants of good health such as potable water, sanitation, nutrition and healthy environment as well as to promote healthy life styles

    47. PPP in ME Medical colleges in PPP with Bombay hospital; United phosphorous; Narayan Rudalaya and Fortis Setting up of PHFI Gujarat Nursing colleges Outsourcing staff; security; laundry Outsourcing diagnostics Outsourcing lab work

    49. MOU s SIGNED VIBRANT GUJARAT

    50. Our Goals Reduce maternal and child mortality Address adverse sex ratio Stabilize population Effectively implement National Health Programmes and address locally endemic diseases like leptospirosis, sickle cell anemia and thalesemia Provide state of the art health and medical education relevant to local needs Work with the citizens to make the health system more equitable, accessible, accountable, transparent, and cost-effective to enhance overall satisfaction with health services Provide an environment in which the health teams blossom fully to lead a fulfilling life and effectively achieve the above goals Develop public health capacities and systems, to effectively address determinants of good health such as potable water, sanitation, nutrition and healthy environment as well as to promote healthy life styles

    51. NOVEL INITIATIVES

    52. EMRI - 108

    53. EMRI EMRI is a non-profit organization based on the Public Private Partnership (PPP) model in Gujarat. The service is currently available in parts of Gujarat through the toll free number 108. By August end 400 ambulances will serve the whole state. The pre hospitalization emergency care provided by EMRI is free and the patient is admitted to a hospital of his or her choice. More than 400 hospitals in the state collaborating with EMRI to stabilize the patient brought in, free of charge. Massive capacity building Setting up of EMS authority and EMS Act

    54. Trauma care EMS act EMS authority Extensive planning for trauma care Trauma care services A total of 93053 emergencies have been attended 39% 31613 trauma related 16% 13224 pregnancy related 291 pregnancies handled in the ambulance. 181 trauma care units already operational 4.4 dispatches per ambulance daily All 400 to be operational by August 2008.

    55. Running CHCs and PHCs in partnership with CBOs

    56. PERFORMANCE INDICATORS

    57. Better infrastructure with PIU

    58. PROJECT IMPLEMENTATON UNIT GUJARAT

    61. NABH/NABL ACCREDITATION 1ST PHASE (2007-08) Food and drugs administration lab already accredited by NABL 8 District Hospitals (NABH) 1 Medical Colleges (NABH) 6 Medical Colleges (NABL) 2ND PHASE (2008 -10) 18 District Hospitals 5 Medical Colleges

    63. Making sense of data Enhanced patient care and effective use of resources with HMIS

    67. Blocks performing poorly

    68. Institutional Deliveries – Vadodara Region

    69. Institutional Deliveries – Panchmahal District

    70. Institutional Deliveries in the PHCs in a Block in Panchmahal District

    71. Our Goals Reduce maternal and child mortality Address adverse sex ratio Stabilize population Effectively implement National Health Programmes and address locally endemic diseases like leptospirosis, sickle cell anemia and thalesemia Provide state of the art health and medical education relevant to local needs Work with the citizens to make the health system more equitable, accessible, accountable, transparent, and cost-effective to enhance overall satisfaction with health services Provide an environment in which the health teams blossom fully to lead a fulfilling life and effectively achieve the above goals Develop public health capacities and systems, to effectively address determinants of good health such as potable water, sanitation, nutrition and healthy environment as well as to promote healthy life styles

    72. Capacity building Reservation of seats in PG seats Sri Chitra AMA TISS PHFI CORT SIDA UNICEF WHO fellowships Mentoring Awards for PP partners and our own staff

    73. Our Goals Reduce maternal and child mortality Address adverse sex ratio Stabilize population Effectively implement National Health Programmes and address locally endemic diseases like leptospirosis, sickle cell anemia and thalesemia Provide state of the art health and medical education relevant to local needs Work with the citizens to make the health system more equitable, accessible, accountable, transparent, and cost-effective to enhance overall satisfaction with health services Provide an environment in which the health teams blossom fully to lead a fulfilling life and effectively achieve the above goals Develop public health capacities and systems, to effectively address determinants of good health such as potable water, sanitation, nutrition and healthy environment as well as to promote healthy life styles

    74. Integrated disease surveillance

    77. Issues Malnutrition Neonatal health Unmet need for FW Sex ratio PPP initiatives Filling up of places Improving satisfaction with health care facilities Health infrastructure development corporation Capacity building

More Related