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Review of the Public Private Partnership under NRHM Assam

  • Sandip Ghosh
  • Agency : Public Private Partnership, NRHM, Quality of Services
  • Objective : Not Available
  • Background : Not Available
  • Methodology : This study is a cross sectional descriptive in nature. The study has cover the facility survey of Boat clinics and outreach camps, Tea Garden Hospitals where partnership is enforces for more than six months and accredited Charitable Hospitals in the state. The primary data was collected through the different facility checklists, discussion with different stakeholders and general observation. Both state and district level secondary data were also taken in to consideration to understand the performance of PPPs.
  • Findings : Different models of PPP are useful under different circumstances. The PPP lists have a wide-ranging set of PPP options ranging from options for improved service delivery, augmentation of resources and infrastructure, organizational and systemic improvement, to advocacy. However any mechanism of PPP must be based on an assessment of local needs and a situation analysis. In all models the positive approach from the partner is one of the major concerns. PPP with Tea Garden Management: Here all the garden management are giving stress on new infrastructure development, where as the availability of manpower is one of the major area to be addressed. Again the quality of services and the awareness among the garden people was very poor. PPP with Charitable Hospitals: There was lack of uniformity among the different charitable hospitals while providing services under the PPP. Only two charitable hospitals are providing outreach health services through monthly medical camp which is one of the major components. Again the quality of services at certain hospital was very poor. The fund utilization  and  reporting to  the  DHS  need  to  be streamlined. Boat Clinic PPP:  It is the only model where NGO is providing the services in very challenging island areas of river Brahmaputra. The boat clinic team provide services  through  outreach  camps.  The  DCO  of  every district makes a harmony with DHS in every aspects of service delivery. To improve the RCH component in those unreached areas, in real sense the boat clinic is the Ship of Hope. The immunization and ANC is one of the regular services at boat clinic besides the general health checkups.
  • Recommendations : As is evident Partnership mechanisms do not work without common benefits and an enabling environment. For enablement the government must understand  the  advantages,  disadvantages  and requirements of partnership. They need to understand that partnerships are based on common objectives, shared risks, shared investments and participatory decision-making. To improve this Govt. can organize formal and non-formal training programs and doing active follow-up to strengthen capacity building of voluntary agencies, members and associates. Strengthen grassroots-level health care delivery by equipping village health workers with training and communication materials. Awareness generation is one of the key concerns for service delivery. Regular review meeting and proper physical and financial monitoring system can make the both party accountable.