Programmes

Programme Management

PMU Structure and Capacity Building

  • Established Programme Management Unit at different level to support and manage NRHM/RCH-II

    Programme at various level like:
    1. State Level - SPMU
    2. Regional Level -RPMU
    3. District Level – DPMU
    4. Corporation Level – CPMU
    5. Block Level – BPMU
  • Managers functioning at various level like Project Officers /RPC/ DPC/AHA are qualified Health/Hospital Management Professionals so there is a need to ensure their technical capabilities and focus on the programme management.
  • Orientation Training of the NRHM / RCH-II Programme has been given to all Managers at the time of recruitment and also periodically whenever required.
  • Terms of Reference for every staff are in place which includes their Qualifications Criteria and Job Responsibilities to access their technical capabilities and performance.

Utilization of technical persons/Managers

  • Actively involved in preparation of DHAP / RHAP / SHAP under NRHM.
  • Involved in providing regular managerial support to Programme Officers of the different programme at different level for better implementation of NRHM /RCH-II programme in the state.
  • Active involvement in monthly progress report preparation, FMR Preparation and analysis of the reports.
  • Monitoring and Supervisory structure at state, regional and district levels.
  • Well Structured Monitoring system at various level to monitor the performance of the staff working at the different level under NRHM
  • District Level CDHO is the overall supervisory authority and different programme officers are the Monitoring authority of the various staff functioning at DPMU/BPMU under NRHM
  • Regional Level Regional Deputy Director is the overall supervisory and Monitoring authority of the various staff function at RPMU/CHC under NRHM
  • State Level Mission Director (NRHM) is the overall Supervisory Authority and respective Additional Directors / Programme Officers are the Monitoring Authority for the various staff functioning at SPMU under NRHM

Institutional Mechanism

Recognizing the importance of Health in the process of economic and social development and improving the quality of the citizens, the Government of India has resolved to launch the National Rural Health Mission (NRHM) to carry out necessary architectural correction in the basic health care delivery system. The Mission adopts a synergistic approach by relating health to determinants of good health viz. segments of nutrition, sanitation, hygiene and safe drinking water. It also aims at mainstreaming the Indian systems of medicine to facilitate health care. The plan of Action includes increasing public expenditure on health, reducing regional imbalance in health infrastructure, pooling resources, integration of organizational structures, optimization of health manpower, decentralization and district management of health programs, community participation and ownership of assets, induction of management and financial personnel into district health system, and operationalising community health centers into functional hospitals meeting Indian Public Health Standards in each Block of the Country.

The National Rural Health Mission (2005-12) seeks to provide effective health care to rural population throughout the country. It aims to undertake architectural correction of the health system to enable it to effectively handle increased allocations as promised under the National Common Minimum Program and promote policies that strengthen public health management and service delivery in the country.

At the National level, the NRHM has a Mission Steering Group (MSG) headed by the Union Minister for Health & Family Welfare and an Empowered Program Committee (EPC) headed by the Union Secretary for Health & FW. The EPC will implement the National Rural Health Mission under the overall guidance of the MSG.

In this context, the Government of India has requested to the Gujarat State Government to constitute State Health Mission to achieve the goals of National Rural Health Mission by improving the determinants of good health in the State.

In accordance with National Mission, the Government of Gujarat plans to set up a State and District Health Missions for achieving the goal. In order to implement the Mission, state and district level institutional mechanisms are required. The following is the Goal and mechanisms at the state level for the Health Mission.

Goal of Gujarat State Health Mission

The Goal of the Mission is to improve the availability of and access to quality health care by people, especially for those residing in rural areas, the poor, women and children in the state.

Organization of State Health Mission

In Gujarat, the Mission would function under the overall guidance of the State Health Mission headed by the Chief Minister of the State. The functions under the Mission would be carried out through the State Health & Family Welfare Society. The structures of the Mission and Society and their linkages are mentioned in the following chart and paragraphs.

State Health Mission

To support the District Health Mission, the districts will have an integrated District Health Society (DHS) and all the existing societies for different health Programs will be merged with it. The DHS will be responsible for planning and managing all the health and family welfare Programs in the district, both in the rural as well as urban areas. Implications of this include district planning to take note of both treasury and non-treasury sources of funds, even though it may not be handling all sources directly. Secondly, its geographical jurisdiction will be the entire district1 (including urban and rural).

Ensuring Inter-sect oral convergence and integrated planning should be a specific task for the Governing Body of the DHS. DHS will provide the platform where the three arms of governance – urban health management and district health administration/ district program officers of NRHM sectors get together to decide on health issues of the district and delineate their mutual roles and responsibilities.

The DHS will help to strengthen the capacity of district administration, particularly for planning, budgeting and budget analysis, development of operational policy2 proposals, and financial management etc. DHS will set up a District Program Management Unit, which has adequate contingent of staff and experts. It will have rules, regulations and procedures for hiring the staff and experts both from the open market on contract base, on consultancy as well as on deputation from the Government.

The DHS is not an implementing agency; it is a facilitating mechanism for the district health administration and convergence as also the mechanism for joint planning by NRHM related sectors.

Objectives of the Society

The ultimate objective of District Health Society is to ensure effective planning, implementation and monitoring all the health and family welfare programs in the district with decentralized and integrated efforts to achieve the Mission goals.

In pursuance of the above goal, the objectives of the society are:

  • To frame in the rules and regulation of the society, to reconsider administrative and financial powers to be given to the concerned health officials and establish health care service system to achieve the objectives of National Health Policy-2002 and State Population Policy – 2002.
  • To have integrated planning and implementation of various health programs for the effective and efficient planning and implementation of the health programs.
  • To make the health system responsive to the needs of the community.
  • To minimize duplication of efforts through optimization of inputs and resources by consolidating all program efforts under one institution mechanism.
  • To encourage effective community participation and improve inter-sectoral coordination though decentralization process.
  • To provide equitable, affordable and acceptable quality care of health services to the people with accessibility as near as possible to the door step of the community
  • To provide supportive & effective supervision for implementation of various health programs.

You Can also Refer

Important Documents & Government Resolutions

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