Center for Health Market Innovations (CHMI)

Programs

Contracting Primary Health Centers in Orissa

last updated Sep 27, 2011

Overview

Implementing organization: 
Nysasdri
Implementation Partner(s): 
NYSASDRI
Legal Status: 
Public-private partnership
Year Launched: 
2005
Stage: 
Existing/expansion stage
Income Level of Target Population: 
Bottom 20%

Funding

Primary Source of Funding: 
Government
Additional Source(s) of Funding: 
Donor
Funders: 
NYSASDRI

Scale

Personnel Employed: 
10-49
Number of Clients Served: 
200000
Summary: 

One Primary Health Center is established for a population of 15,000, In Orissa there are about 2200 primary health center, about six sub centers are attached to each primary health center, one sub center is provided for every 2000 population.

Though 2200 PHCs exist in Orissa many PHCs are not operational, the underlying reasons being lack of infrastructure, equipment, and manpower. Infrastructure and equipment could be purchased and provided, the problem with manpower has been critical for operations of these PHCs. There are many PHCs which had not been operational since last three years due to lack of manpower. This can be remedied through initiating public private partnerships with NGOs in Orissa.

Program goals/rationale: 

The objective was to operationalize nonfunctional PHCs with prescribed Indian Public Health Standards and adopt Public Private Partnership as an alternative strategy to achieve the objective and to meet the public health goal.

Key program components: 

Strengthening Primary Health Care in Orissa by collaborating with Private Provides with following specific objectives –
- NGO to provide preventive, promotive, and curative health services by managing PHC.
- Improving quality, accessibility, availability, acceptability and efficiency.
- Exchange of skills and expertise between public and private sector.
- Mobilization of additional resources for better health services.
- Strengthening the existing health system by improving the management.
- Widening the range of services and number of service providers.
- Clearly defined sharing of risks.
- Community ownership for health services.
Further with the help of NGOs effectively supplement the Public Health System by assisting in
- Increasing Immunization coverage, antenatal care and institutional delivery.
- Increasing use of family planning methods.
- Dispelling myths and misconceptions associated with contraceptive use, sex and sexuality.
- Building awareness and mobilizing community on health issues.
- Identify and addressing local needs in a customized manner.
- Extending services to remote areas through outreach health services.
- Providing an effective platform for a range of activities such as Tetanus Toxoid (TT) campaigns, Pulse Polio Campaign, reproductive and child health (RCH) camps.
Need for Contracting
The nonfunctional Primary Health Centers were the cause for poor health care in few regions, increasing problems at grass root level would destabilize the health care system. Though few PHCs were made operational by attending to Infrastructure issues, it was difficult to address the human resource issue. Few NGOs were serving in the region, few companies operating in the region also were interested to support the operations by sharing resources both financial and management. It was essential to turnaround the operations of these PHCs, and contracting with private provider appears to be only way out, all other methods had been tried.
Operating Model –
In this partnership the Physical infrastructure, equipment, medicines are handed over to Private Provider, along with Sub centers. Human resources and management of the PHC would be responsibility of Private Provider. Private provider will –
- Undertake effective planning and delivery of services in the PHC sector.
- Provide curative and preventive services at the PHC
- Conduct awareness programs in relation to health and various government initiatives.
- Participate and provide support in National Health Programs.
- Strengthen referral services for secondary health care centers, such as Sub Divisional Hospitals, District Head Quarter hospitals.
- Develop and implement change behavior in the community.
- Promote institutional services for pregnant women, family planning sterilization..etc.Conduct training programs for Skill Birth Attendants (SBA), Community health workers for capacity building on various preventive aspects of healthcare.

PreviewAttachmentSize
ppp-health[1].pdf208.12 KB
Nysasdri - PHC before and after of ppp[1] (2).pdf998.5 KB
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