3. • Facility wise Infrastructure and Manpower
Mapping.
• Indications of vacancies/gaps at
primary/secondary/tertiary level.
• Infrastructure linked deployment with provision
for higher deployment on improvement of
infrastructure - time frame - acceleration through
different programme initiatives.
• Infrastructural and Financial Constraints for
modifications.
• MTEF and fund requirements.
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4. • Cadre wise review with reference to
requirements, present positions and future
assessment vis a vis availability.
• Role clarity at all levels and enunciating who does
what at different levels by drawing up job
requirements /job specifications.
• Responsibility – for proper delivery of job
assigned with administrative capacity at required
levels.
• Cadre wise Career Advancement Program linked
with requirements at different levels.
• Promotion policy.
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5. • Identification of cadres which may be
restructured to the present day needs and future
requirements.
• Multiplicity of workers at some level. e.g. Sub
centres- coordinating their roles to lessen the
overlap for better outcomes.
• Coordinating the role of field level workers of
different vertical programmes (National and/or
State level) to supplement the overall objective of
getting better health for all.
• Pinpointing dearth group/ cadres - assessment of
their present needs - possibility of resurrecting
the cadres by proper training (Sanitary Inspector).
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6. • Giving stress and more importance to some
vital cadres for better management (Ward
masters, HF (M), PHN, GNM, Staff nurses).
• SNCU/ITU/ICCU and similar types - special
requirements.
• Lab technicians - dovetailing.
• Posting of gynaecologists and paediacitrians at
primary, secondary and tertiary levels
institutions.
• Incentives.
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7. • Nurse Practioner Theory - pivotal role of
nurses-backbone.
• Group C and Group D requirements -
outsourcing.
• Lab Services – outsourcing - 24 X 7 activity.
• WBPHAS Cadre.
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8. • Financial Responsibility and proper spending
along with keeping adequate records of accounts.
• Policy planning - decentralisation.
• Link with Panchayat - mixed response - roles and
functions - delivery mechanism.
• Rogi Kalyan Samity - proper devolution.
• Supply of drugs and other accessories-proper
store management-proper service to patients –
Medical Service Corporation.
• Rationalisation of fund availability from sub
centre to tertiary level-effective fund transfer
mechanism through Samity (WBSHFWS).
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10. • Apathy towards going to rural areas - causes
and remedies.
• Rural Urban divide-skewed deployment in
urban.
• Revisiting Referral Policy - strict control
regarding referring to other institutions-
adequate infrastructure development both
clinical and administrative at base level.
• Linking facility mapping and manpower
mapping with GIS.
• Creating a dynamic manpower Database -
continuous update necessary.
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