Direct Monitoring at PATI, Community Health Center in
                     Madhya Pradesh
                              Pr...
Barwani
Deficiencies Observed in CHC,
                 Pati
                                      - Doctors not coming on time to ...
‘Direct Monitoring’ of Services in Pati Block CHC
    Repeated protests to improve health services in the Pati had
     y...
How was Direct Monitoring Done?
Direct Monitoring involved 50-
200 persons camping in the
CHC premises continuously for
fo...
How was Direct Monitoring Done?
              Villagers divided themselves into
                  groups and observed serv...
How was Direct Monitoring Done?
   Doctors were present outside the
   CHC who examined the patients
   and if any mistake...
Results of ‘Direct Monitoring’
                                       - Doctors started coming on time and
               ...
When People
 Assert For
Their Health
  Rights.
Struggle continued at District
     Hospital, BARWANI…………….
                           - On 27th May 08, around
          ...
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Community Monitoring In Barwani

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Community Monitoring In Barwani

  1. 1. Direct Monitoring at PATI, Community Health Center in Madhya Pradesh Presentation by Sant Kumar, SATHI at International People's Health University course on Health and Equity September 2009, Bangalore
  2. 2. Barwani
  3. 3. Deficiencies Observed in CHC, Pati - Doctors not coming on time to the CHC in working hours, leaving within an hour or so. - Health staff in the CHC demanding money for service. - Ambulance not given to the people in case of emergencies - One needle used to inject upto 10-15 patients - People asked to purchase medicines from outside instead of providing them with free medicines from the CHC. - Doctors of the CHC asking patients to come to their private clinic for consultation
  4. 4. ‘Direct Monitoring’ of Services in Pati Block CHC  Repeated protests to improve health services in the Pati had yielded minimum results. People decided to organize ‘direct monitoring’. Main actors involved were Villagers Tch en icaS lu po prt by Jagrut Adivasi Dalit Sanghtan Village Health Committees SATHI-Nodal NGO  Collaborative efforts of these actor help strengthen the programme
  5. 5. How was Direct Monitoring Done? Direct Monitoring involved 50- 200 persons camping in the CHC premises continuously for four days (19th to 22nd May,2008). People’s direct monitoring Groups of villagers Villagers had direct Doctors were present People were directly observed dialogue with outside who rechecked provided Services along doctors of CHC patients who went to the information about with VHC members regarding CHC health rights and ASHAs present poor services offered
  6. 6. How was Direct Monitoring Done? Villagers divided themselves into groups and observed services If deficiencies were found, announced on mike, people went and questioned the doctors present .
  7. 7. How was Direct Monitoring Done? Doctors were present outside the CHC who examined the patients and if any mistakes were discovered they were send back to the CHC to demand rectification
  8. 8. Results of ‘Direct Monitoring’ - Doctors started coming on time and staying for the entire day. - Ambulance services were made available to Patients for the first time. - Separate needles began to be used fo each patient. - Health Staff demanded no charges for services offered. - No medicines were prescribed from the stores. - Doctors stopped calling patients for private consultation to their homes.
  9. 9. When People Assert For Their Health Rights.
  10. 10. Struggle continued at District Hospital, BARWANI……………. - On 27th May 08, around thousand people demonstrated outside the District Hospital, to demand the improvement in Health Services. Struggle for Right to Health Care has not stopped here…. It continues ……………

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