10TH COMMON REVIEW MISSION JS (Policy) Background

Transcript:10TH COMMON REVIEW MISSION JS (Policy) Background:
10TH COMMON REVIEW MISSION JS (Policy) Background - Nov 4th -11th , 2016 - Covered a total of 16 states – 8 High Focus States including three North-Eastern States, six Non High Focus States and 2 UTs. A total of about 300 members including GoI Officials from NITI Aayog, MOHFW and other related departments, Public Health Experts, Civil Society members, Development Partners representatives and MoHFW Consultants. Terms of Reference Service Delivery : Reaching the Unreached RMNCH+A Communicable Disease Control Programmes Non- communicable Disease Control Programmes HRH and Training Community Processes and Convergence Information and Knowledge Healthcare Financing Quality Assurance National Urban Health Mission Governance and Management TOR 1 : Service Delivery- Encouraging Findings NHM Free Drugs Services Initiative taking route across the country All CRM States have notified Free Drug Policy, Out of Pocket Expenditure (OOPE) on drugs declined IT based drug distribution system adopted in all CRM States(except Arunachal Pradesh, Nagaland and Chandigarh) Call centers linked ambulance services established in all CRM States (except Jharkhand, Kerala, Tripura and Nagaland) NHM Free Diagnostic Services Programme implemented in several States including Andhra Pradesh, Gujarat, MP etc improving footfalls Biomedical Equipment Maintenance Program (BMMP) has improved functionality of equipments and helped in assured diagnostics services, BMMP implemented in 7 out of 16 CRM states. TOR 1 Service Delivery Areas of Concern DVDMS functionality upto PHC level yet to be operationalized in many States. Integration of National drug supplies and stock outs still an area of concern. Quality Assurance, Prescription audits and STGs are yet to be institutionalized in some CRM States. Free Diagnostics Services Initiative not yet implemented in J&K, Bihar, Arunachal Pradesh, Tripura Significant shortfall in number of health facilities (CHCs, PHCs, SHCs) in Bihar, UP and Nagaland etc MMUs under-utilized (e.g. Arunachal Pradesh, Bihar, J&K) and not operationalized in UP. TOR 1 Service Delivery Areas of Concern Limited functioning of Blood Storage Units due to non-linkage with a mother Blood Bank (Nagaland, Gujarat, Arunachal Pradesh, UP, J&K and Bihar) Barring Tamil Nadu, reports indicate some form of out of pocket expenditure on blood services, transportation and drugs (The cost incurred towards blood services ranged from Rs 300 to Rs 3000). Infrastructure completion rate poor in some States. eg Jharkhand, Bihar, UP. TOR 1 Service Delivery Recommendations Prioritizing DH with at least 8 core specialties, follow GOI guidelines on DH strengthening Appraising & building the capacities of EMTs for ensuring quality