Andhra Pradesh Urban Slum Health Care Project (APUSHCP)
Country of Operation
- Government of Andhra PradeshGovernment
- World BankNot-for-profit
Target income level
- Lower-middle income (20-40%)
- Middle-income (40-60%)
SummaryThe 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.
The project aims to increase availability and utilization of Health and family Welfare services; develop referral system from the community to UHCs and
UHCs to First Referral Units; and increase over all health awareness and better health seeking behaviour among the slum dwellers.
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.