Health programs, policies and infrastructure of Madhya Pradesh

Health programs, policies and infrastructure of Madhya Pradesh

Public private partnership for health infrastructure

Although the government employs qualified health care practitioners and in many rural areas, the government staff is the only source of qualified health care, the less than qualified providers (non registered practitioners) predominate in rural areas and this trend is also increasing in some urban and semi-urban areas. On an average, 70% of the first contacts for health care take place in private sector and private sector is the predominant provider of curative health care. Rich and poor often use private health care; poor often using the care from less than qualified private providers.

Given the numbers and spread of private health care providers in rural areas (often the less than qualified providers) and substantial presence of qualified and less than qualified providers in urban areas, it is obvious to explore possibilities of the role the private sector can play for improved public health in the state. So far, the private health services have operated in isolation, with no or minimum control for quality. In general, the technical qualities of care in government facilities are far better than in the private sector (particularly in the rural areas). To address the issues related to access and quality of health care in private sector, government proposes strategies and interventions to use the potential of the private health care sector for improvement in population (public) health. Government puts forward specific measures for encouraging public – private collaboration in the fields of immunization, reduction of maternal mortality and control of infectious diseases (tuberculosis, leprosy etc.). Further, measures are suggested to use the human and financial resources of non-government organizations (NGOs) and private sector for management of some government owned facilities.

State health policy

The policy identifies some core issues to improve the access, quality and coverage of health care in MP. The financing for health care is inadequate and should be increased particularly from the public sources. Further, the financing, as out of pocket payment at the time of receiving services is regressive from equity perspective, and is also against the interest of the poor. The present management system for the government institutions is inefficient mainly due to lack of financial and managerial (e.g. management of personnel) autonomy. Thus, innovative thinking in financing, financing mechanism for health care and modern management (financial, personnel) with defined autonomy, responsibility, output and outcome orientation, will go a long way to improve the health of the people in the state of MP.

Vision

All people living in the state of Madhya Pradesh will have the knowledge and skills required to keep themselves healthy, and have equity in access to effective and affordable health care, as close to the family as possible, that enhances their quality of life*, and enables them to lead a healthy productive life.

Characteristics of policy

Ensuring geographic and economic access to primary and secondary quality health care and family welfare services to all people of Madhya Pradesh within a span of five to seven years.
Prevention of disaster, to the extent possible, and preparedness for disaster management as and when necessary.
Reducing the MMR to 220 by 2011 from the level of 498 (1997 level).
Reducing the IMR to 62 by 2011 from the level of 97 (1997 level).
Total Fertility Rate to reach replacement level fertility (i.e. a TFR of 2.1) by the year 2011.
Address problems related to mental health and initiate action to create information base and preventive intervention for improved mental health in the state.

Health programmes

Janani Express Yojna

The Janani Express Yojana (JEY) is providing emergency transportation facility to expectant mothers, sick infants in rural Madhya Pradesh so as to enable them to avail adequate healthcare facilities on time 24 X 7. It was introduced in the year 2006 as a pilot basis in 10 districts of Madhya Pradesh which implemented throughout the state in 2009 later covered all the districts in 2012.

The Deendayal Mobile Hospital Scheme

Deendayal Mobile Hospital Scheme was launched in June 2006 with a view to providing quality health facilities in the remote areas of the state. Under the scheme, a mobile van is equipped with a doctor, staff, necessary appliances and medicines. This van provides medical treatment to patients in tribal-dominated villages and Haat-Bazaars free of cost.

Tribals residing in remote rural and forest areas cannot generally go to the hospital. They also avoid going there due to lack of facilities. This scheme has provided them quality healthcare and treatment facilities in their villages as well as haat bazaars, which is nothing less than a boon for them.

Deendayal Antyoday Upchar Yojna

The scheme launched in September 2004 aims at providing medical treatment to patients belonging to BPL families of all the categories. Under the scheme, medical checkup and treatment worth up to Rs 20 thousand is given to a family in one financial year. Every beneficiary family is given a health card in which family’s details are entered. Entries in the card are also made on a patient undergoing treatment by getting admitted to a hospital.

Vijayaraje Janani Kalyan Bima Yojana

Scheme was launched as a part of efforts to bring down maternal and infant mortality rates in Madhya Pradesh.

Under the scheme women are provided a financial assistance of Rs 1,000 for antenatal tests, institutional delivery and hospitalisation in a Government health institution after the delivery. However, assistance will be provided for up to three deliveries only.

MPPCS Notes brings Prelims and Mains programs for MPPCS Prelims and MPPCS Mains Exam preparation. Various Programs initiated by MPPCS Notes are as follows:-

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