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Reengineering Public Healthcare

Reengineering Public Healthcare

Background

Due to insufficient healthcare infrastructure in Bijapur, injured soldiers and general public facing complicated ailments were referred to either Jagdalpur (160km) or Raipur (450km). Poor tribal people who couldn’t travel these long distances had to return to their villages seeking remedies from traditional healers (Siraah Guniya).

Prolonged lack of access to modern medical facilities has reinforced the prominence of these traditional healers. If sufficient healthcare infrastructure existed, the population of Bijapur would have received proper care and medical treatment.

Intervention

Taking into account the existing challenges in healthcare, the district administration came up with an innovative Human Resource strategy, along with improvements in infrastructure and proactive outreach to community.

Infrastructure Improvement:

  • A state-of-the-art district hospital was constructed with modular operation theatre, blood bank, pathology lab and Intensive Care Unit ward (ICUs).
  • A 50-bed mother and child healthcare centre was setup.
  • Centralised oxygen supply was provided to operation theatres and ICUs.
  • Furnished accommodation and recreational facilities were provided for medical personnel.
  • New Public Health Centres (PHCs) were built to reduce patient travel distance from 50km to 20km on an average and expand institutional outreach.

Recruitment and Retainment of Talented Human Resources:

  • SOS campaign was run on WhatsApp and Facebook to reach out to specialists, doctors, and staff nurses. Salaries comparable to that of private sector, contractual appointments, and furnished accommodation with recreational amenities, jobs for spouses and school admissions of wards were provided.
  • Internal reward systems and employee welfare policies were put into place.
  • Skill trainings were provided for healthcare workers on the field.

Community Outreach:

  • Haat Bazars were organised that proved useful to reach people from inaccessible Naxal affected villages.
  • Sirah Guniya Sammelans (traditional healers meetings) were organised where traditional healers were educated towards referring patients to hospitals.
  • Saas-Bahu Sammelans were organised to target the beneficiary and decision-maker for family planning to promote institutional delivery and nutritional services. 

Impact

In a district, where there was only one specialist, 15 doctors, and 16 staff nurses, there are now 17 specialists, 30 doctors, and 116 staff nurses. They today serve patients 24x7, and have performed 1,444 major and minor surgeries. In addition, four new PHCs have been built at strategic locations to reduce the distance travelled from 50km to 20km (on an average). These PHCs have also expanded institutional outreach.

Source : Asirational Districts for WEB



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