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Case study of the Capacity Building Initiatives by Public Health Resource Network and the Decentralised Health Planning un...
<ul><li>NRHM Planning process in Jharkhand </li></ul><ul><li>Describing the Inputs, the expected outputs and results </li>...
<ul><li>The National Rural Health Mission has initiated </li></ul><ul><ul><li>Decentralized planning and flexible pool fun...
<ul><ul><li>A strong presence of experts in Public Health is required at the district level to take NRHM forward.  </li></...
<ul><li>District Plans were prepared by state consultants </li></ul><ul><li>District Officials and PMU were not taking acc...
<ul><li>Fast Track Training  on District Health Planning and Management </li></ul><ul><ul><li>For Medical Officers and DPM...
<ul><li>PG Diploma -IGNOU </li></ul><ul><ul><li>29 officials and 19 Civil society persons enrolled </li></ul></ul>16 Decem...
<ul><li>10 out of 24 districts have in-house capacities for district health planning. </li></ul><ul><ul><li>Have prepared ...
<ul><li>Innovative local ideas added into the DHAPs and accepted in the state PIP-RoP </li></ul><ul><ul><li>Boat clinics f...
<ul><li>Excited about Civil Society Participation </li></ul><ul><ul><li>It truly demonstrates a PPP. People working for th...
<ul><li>Comfortable with Public Health and Management </li></ul><ul><ul><li>The capacity for understanding the health situ...
<ul><li>I have a team now! </li></ul><ul><ul><li>The whole process of capacity building programme has helped because after...
<ul><li>Feel wanted  </li></ul><ul><ul><li>We were kept outside the system earlier. Due to these planning processes initia...
<ul><li>Selection of Medical officers and DPMU staffs </li></ul><ul><ul><ul><li>Handpicked by name and not by nominations ...
<ul><li>Innovative and new sessions </li></ul><ul><ul><ul><li>Practical and group work based </li></ul></ul></ul><ul><ul><...
<ul><li>Bringing in the Civil Society </li></ul><ul><ul><li>One cause, one team – with district health team </li></ul></ul...
<ul><li>The Community Health Fellow </li></ul><ul><ul><li>Positioning the fellow at the District level  </li></ul></ul><ul...
<ul><li>What worked – synergy of </li></ul><ul><ul><li>Theoretical learning </li></ul></ul><ul><ul><li>Handholding for exp...
<ul><ul><li>JRHM and SPMU, Govt. of Jharkhand  </li></ul></ul><ul><ul><li>NHSRC, New Delhi </li></ul></ul><ul><ul><li>SHSR...
<ul><li>Dr. Suranjeen Prasad-   [email_address]   </li></ul><ul><li>VR Raman-  [email_address]   </li></ul><ul><li>Rajan K...
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Equipping missionaries for the mission:Case study of the capacity building initiatives by Public Health Resource Network and the decentralized health planning under NRHM in Jharkhand,India- Haldar mahto

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  • NRHM has moved from vertical, normative, scheme based funding to sector wide flexible pool funding. Implicit to this shift is decentralised planning.
  • Transcript of "Equipping missionaries for the mission:Case study of the capacity building initiatives by Public Health Resource Network and the decentralized health planning under NRHM in Jharkhand,India- Haldar mahto"

    1. 1. Case study of the Capacity Building Initiatives by Public Health Resource Network and the Decentralised Health Planning under NRHM in Jharkhand State, India
    2. 2. <ul><li>NRHM Planning process in Jharkhand </li></ul><ul><li>Describing the Inputs, the expected outputs and results </li></ul><ul><li>Analysis of the results </li></ul><ul><li>Conclusions </li></ul>16 December 2010 Public Health Resource Network - PHRN
    3. 3. <ul><li>The National Rural Health Mission has initiated </li></ul><ul><ul><li>Decentralized planning and flexible pool funding </li></ul></ul><ul><ul><li>Program Management Units at State, District and Block </li></ul></ul><ul><ul><li>Community Participation </li></ul></ul><ul><li>Public Health Resource Network evolved as a collective of concerned organizations and individuals, to support the mission in those needy areas </li></ul><ul><ul><li>Mission needs Missionaries, and it need them where the challenges are greatest </li></ul></ul><ul><ul><li>Jharkhand was one amongst the 4 states of initial interventions (Bihar, Chhattisgarh, Jharkhand, orissa) </li></ul></ul>16 December 2010 Public Health Resource Network - PHRN
    4. 4. <ul><ul><li>A strong presence of experts in Public Health is required at the district level to take NRHM forward. </li></ul></ul><ul><ul><li>Doctors nor the PMU seem to understand public health </li></ul></ul><ul><li>The Hypothesis </li></ul><ul><ul><li>Building the capacity of local persons from within the government system and the civil society will improve the level of District planning for health and its implementation. </li></ul></ul>16 December 2010 Public Health Resource Network - PHRN
    5. 5. <ul><li>District Plans were prepared by state consultants </li></ul><ul><li>District Officials and PMU were not taking accountability for any programme </li></ul><ul><ul><li>‘ if you want to do anything in the district, you will have to get a letter from the state RCH officer or the MD’ Civil Surgeon to Development Partners </li></ul></ul><ul><ul><li>‘ I am not sure of my role and responsibility, neither does the Civil Surgeon allow me to do anything or visit the field ’ - DPM </li></ul></ul>16 December 2010 Public Health Resource Network - PHRN
    6. 6. <ul><li>Fast Track Training on District Health Planning and Management </li></ul><ul><ul><li>For Medical Officers and DPMs </li></ul></ul><ul><ul><li>Three six-days training package (18 days) spread over a year. </li></ul></ul><ul><ul><li>Partnership and Support from NHSRC </li></ul></ul><ul><li>Distance Learning for Civil Society members: </li></ul><ul><ul><li>Training self-supported by participants, </li></ul></ul><ul><ul><li>Modules and course management with ICCHN support </li></ul></ul><ul><li>Placing of Community Health Fellows in select districts, </li></ul><ul><ul><li>with ICCHN support </li></ul></ul><ul><li>PG Diploma in District Health Planning and Management </li></ul><ul><ul><li>in partnership with IGNOU </li></ul></ul>16 December 2010 Public Health Resource Network - PHRN
    7. 7. <ul><li>PG Diploma -IGNOU </li></ul><ul><ul><li>29 officials and 19 Civil society persons enrolled </li></ul></ul>16 December 2010 Public Health Resource Network - PHRN <ul><li>Fast Track Training </li></ul><ul><ul><li>A total of 155 persons trained to cover 24 districts. </li></ul></ul><ul><li>Community Health Fellows </li></ul><ul><ul><li>10 fellows posted </li></ul></ul><ul><li>Distance Learning </li></ul><ul><ul><li>85 Civil Society members trained in 10 districts </li></ul></ul>
    8. 8. <ul><li>10 out of 24 districts have in-house capacities for district health planning. </li></ul><ul><ul><li>Have prepared the plans without external support </li></ul></ul><ul><ul><li>Six of them have been rated as being of good quality (Saraikela, Dumka, Gumla, Jamtara, Pakur and Latehar) </li></ul></ul><ul><ul><li>All other districts attempted the preparation of the DHAP on there own. </li></ul></ul>16 December 2010 Public Health Resource Network - PHRN
    9. 9. <ul><li>Innovative local ideas added into the DHAPs and accepted in the state PIP-RoP </li></ul><ul><ul><li>Boat clinics for Sahibganj. </li></ul></ul><ul><ul><li>Provision of garments to the newborn for promotion of institutional delivery. </li></ul></ul><ul><ul><li>Incentives to ASHA for referral of Malnourished children </li></ul></ul><ul><ul><li>provisioning of food at CHCs for inpatients </li></ul></ul><ul><li>Moving towards Block Health Action Plans this year. </li></ul><ul><ul><li>“ Landmark results in other states as well- e.g. district financial envelops and guidelines in Bihar” </li></ul></ul>16 December 2010 Public Health Resource Network - PHRN
    10. 10. <ul><li>Excited about Civil Society Participation </li></ul><ul><ul><li>It truly demonstrates a PPP. People working for the govt., the NGO's & CBO's share a common platform & try to bring about change in the existing health scenario at different levels. </li></ul></ul><ul><li>Being in command - Seeing clearly </li></ul><ul><ul><li>Personally I found the log frame analysis very useful (Dr Poonam Mehta). </li></ul></ul><ul><ul><li>It has helped in understanding the health situation better for my block and district and preparing a district specific plan ( Dr. GP Seth). </li></ul></ul><ul><ul><li>It has benefitted in understanding the planning process and looking in to things scientifically, systematically and in a broader way ( Dr. Ajit Xalxo). </li></ul></ul>16 December 2010 Public Health Resource Network - PHRN
    11. 11. <ul><li>Comfortable with Public Health and Management </li></ul><ul><ul><li>The capacity for understanding the health situation in my district and personal capacity has enhanced </li></ul></ul><ul><ul><li>I now feel that I own this program and can do something </li></ul></ul><ul><li>Understanding the process – Planning makes Sense </li></ul><ul><ul><li>I was able to understand how existing resources of manpower and materials can be optimally utilized and critical gaps can be identified and addressed.  </li></ul></ul><ul><ul><li>To mark specific activities for each strategy and design the activities at tentative time frame.  </li></ul></ul><ul><ul><li>Helped to study situational analysis and make recommendations towards policy or workforce management. </li></ul></ul>16 December 2010 Public Health Resource Network - PHRN
    12. 12. <ul><li>I have a team now! </li></ul><ul><ul><li>The whole process of capacity building programme has helped because after training the entire district team has been equipped. Earlier only one persons was form social and management background. </li></ul></ul><ul><ul><li>Due to this, planning group has been formed in the district and now the task for planning and even in management has become very easy. </li></ul></ul><ul><li>Empowering spiral </li></ul><ul><ul><li>I have been able to ensure that the process has been decentralized and reached up to HSC level. </li></ul></ul><ul><ul><li>Many new things are coming due to this process. </li></ul></ul>16 December 2010 Public Health Resource Network - PHRN
    13. 13. <ul><li>Feel wanted </li></ul><ul><ul><li>We were kept outside the system earlier. Due to these planning processes initiated in the blocks and district we have been able to bring in the ground realities in the district plan. We are now valued in the district and been called for every meetings now (sahibganj) </li></ul></ul><ul><li>Understand Public Health Challenges </li></ul><ul><ul><li>Network has been able to help us understand the public health scenario and its provisions in our district .It facilitated us to ask for and add area specific health plans in the district. Due to our enhanced knowledge and skills , the deputy commissioners always asks us for suggestions. </li></ul></ul>16 December 2010 Public Health Resource Network - PHRN
    14. 14. <ul><li>Selection of Medical officers and DPMU staffs </li></ul><ul><ul><ul><li>Handpicked by name and not by nominations (5 MOs from each district) </li></ul></ul></ul><ul><ul><ul><li>Only those who were interested ( with at least two meetings in each district to assess them) </li></ul></ul></ul><ul><ul><ul><li>Motivated </li></ul></ul></ul><ul><ul><ul><li>Willing to attend all three sessions. </li></ul></ul></ul><ul><li>Team building and Rapport </li></ul><ul><ul><ul><li>Join the network – set up district chapter </li></ul></ul></ul><ul><ul><ul><li>Feel like a family </li></ul></ul></ul><ul><ul><ul><li>‘ Conspire’ for ‘good’, together. </li></ul></ul></ul>16 December 2010 Public Health Resource Network - PHRN
    15. 15. <ul><li>Innovative and new sessions </li></ul><ul><ul><ul><li>Practical and group work based </li></ul></ul></ul><ul><ul><ul><li>Post Training support with post training assignments Post training assignments.doc </li></ul></ul></ul><ul><li>Resource Persons </li></ul><ul><ul><ul><li>Experience in working with Government </li></ul></ul></ul><ul><ul><ul><li>Cross – learning (Resource persons from Orissa for malaria, North –east for Tuberculosis, Unicef for maternal health) </li></ul></ul></ul><ul><ul><ul><li>All resource persons were voluntary </li></ul></ul></ul><ul><ul><ul><li>Personally inspiring </li></ul></ul></ul>16 December 2010 Public Health Resource Network - PHRN
    16. 16. <ul><li>Bringing in the Civil Society </li></ul><ul><ul><li>One cause, one team – with district health team </li></ul></ul><ul><ul><li>Able to better articulate health issues. </li></ul></ul><ul><ul><li>Complement resources – brining in field data and reality </li></ul></ul>16 December 2010 Public Health Resource Network - PHRN
    17. 17. <ul><li>The Community Health Fellow </li></ul><ul><ul><li>Positioning the fellow at the District level </li></ul></ul><ul><ul><ul><li>Our District did not have a DPM, the Community Health Fellow organized all the meetings for the District Health Planning. – East Singhbhum District Health officers </li></ul></ul></ul><ul><ul><ul><li>The Community Health Fellow was a real support, she really helped me. – DPC of West Singhbhum </li></ul></ul></ul><ul><ul><li>Positioning the Fellow with a local NGO </li></ul></ul><ul><ul><li>Continuous learning Cycle and field experimentation </li></ul></ul>16 December 2010 Public Health Resource Network - PHRN
    18. 18. <ul><li>What worked – synergy of </li></ul><ul><ul><li>Theoretical learning </li></ul></ul><ul><ul><li>Handholding for experiential learning </li></ul></ul><ul><ul><li>Civil Society participation </li></ul></ul><ul><ul><li>Team Spirit </li></ul></ul><ul><li>Local teams can be empowered in a short time </li></ul><ul><ul><li>We just need to search and identify motivated and talented people. </li></ul></ul>16 December 2010 Public Health Resource Network - PHRN
    19. 19. <ul><ul><li>JRHM and SPMU, Govt. of Jharkhand </li></ul></ul><ul><ul><li>NHSRC, New Delhi </li></ul></ul><ul><ul><li>SHSRC/VSRC, Jharkhand </li></ul></ul><ul><ul><li>SHSRC, Chhattisgarh </li></ul></ul><ul><ul><li>PHRN , New Delhi </li></ul></ul><ul><ul><li>UNICEF, Jharkhand </li></ul></ul><ul><ul><li>Ekjut, Jharkhand </li></ul></ul><ul><ul><li>AROHAN Trust, Sundarpahari, Gooda (Jharkhand) </li></ul></ul><ul><ul><li>NE RRC, Guwahati </li></ul></ul><ul><ul><li>ICCHN, Pune </li></ul></ul><ul><ul><li>RTF Campaign, Jharkhand </li></ul></ul><ul><ul><li>EFFICORE, SAHEBGANJ, Jharkhand </li></ul></ul><ul><ul><li>BGVS, Dhanbad </li></ul></ul>16 December 2010 Public Health Resource Network - PHRN
    20. 20. <ul><li>Dr. Suranjeen Prasad- [email_address] </li></ul><ul><li>VR Raman- [email_address] </li></ul><ul><li>Rajan Kumar- [email_address] </li></ul><ul><li>Ms. Shampa Roy- [email_address] </li></ul><ul><li>Mr. Alexander Kerketta- [email_address] </li></ul><ul><li>Dr. Dinesh - [email_address] </li></ul><ul><li>Dr. Vandana Prasad- [email_address] </li></ul>16 December 2010 Public Health Resource Network - PHRN
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