Center for Health Market Innovations (CHMI)

Programs

Overview

Implementing organization: 
Government of Andhra Pradesh in partnership with local not for profit institutions
Implementation Partner(s): 
World Bank
Legal Status: 
Year Launched: 
2000
Stage: 
Existing/expansion stage
Income Level of Target Population: 
20-60% (lower to lower-middle)

Funding

Primary Source of Funding: 
Government
Additional Source(s) of Funding: 
Membership/subscription fees
Funders: 

Scale

Personnel Employed: 
100<
Number of Clients Served: 
More than 100 Million
Summary: 

The Andhra Pradesh Urban Slum Health Care Project (APUSHCP) was initiated with assistance from the World Bank in order to provide primary care to the population living in the urban slums of Andhra Pradesh and implement the national health programs.

Key program components: 

The project oversaw the establishment of 192 Urban Health Centres (UHCs) in 74 Municipalities of the state. While the UHCs were established by the State, their day-to-day management was contracted out to local service providers (NGOs, for profit and not for profit entities).

The UHCs are located within the slum to ensure easy access for the target population. Each UHC is assigned a defined slum area, clearly demarcated in terms of the boundaries, which covers an average of 15-20,000 individuals. Every facility is run by a Medical Officer with the help of 1 Community Organiser, 2 Auxilarry Nurse and Midwife (ANM) and 3 support staff.

The UHCs in each district are overseen by a District Medical and Health Officer (DH&HO) with decision control of a District Level Committee comprising of: District Collector, Municipal Chairman, DM&HO, Municipal Commissioner, and the Medical/Health Officer of Municipality. Advisory support is provided by an Advisory Committee consisting of a Municipal Councillor, Project Co-ordinator of the concerned NGO, Medical Officer of the UHC, Community Organiser of the UHC, Community Representatives, Representative from First Refferal Unit (FRU), Representative of private hospitals, Municipal Health Officer, and the District Extension Media Officer.

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