National Urban Health Mission PIP Plan
First NUHM meeting was conducted under the chairmanship of Principal Secretary to discuss about the preparatory work needed for implementation of National Urban Health Mission in the state. The task of preparing a road map for NUHM implementation in Bangalore city was entrusted to KSHSRC in coordination with Public Health Foundation of India (PHFI), Bangalore branch. The justification for Bangalore city was in case we can get a model for Bangalore city, which is the biggest and most diversified city in the state, other cities could be covered with this model. A budget of about (7 lakhs) was released from NRHM to KSHSRC to carry on with this assignment.
KSHSRC along with PHFI conducted series of consultation meetings inviting various stakeholders like; BBMP Health officers, Public Health experts, NGOs, CBOs, Activists working in the area of Health like SOCHARA and JAAK, Media personnel, Medical college professors, Public health Institute, Karuna Trust, etc to take their views, suggestions and advise. Modalities on how State should implement NUHM by effectively involving the Local body –BBMP were discussed in this meeting.
Discussions were held on the following broad themes:
- Health vulnerability assessment
- Facility assessment
- Intersectoral collaboration
- Public health assessment
- Role of Community organization – Capacity of urban local body
- Financing models in urban health were discussed in groups
Road map for implementation of NUHM in Bangalore city was developed based on the inputs gathered from all the groups and document was prepared. This document was disseminated before the then Health Minister (Aravind Limbavali) by inviting all those who participated in consultation meetings and Department officers. The document was distributed among all the participants. Representatives from US AID and Govt of India (GoI) also participated in this meeting. Karnataka was the first state to prepare a structured document for implementation of NUHM.
The Representatives from US AID and Govt of India shared about the Urban Health initiatives in Bhubaneswar, Odisha. A team from Karnataka state comprising of Principal Secretary, Deputy Director Planning, and ED KSHSRC visited Bhubaneswar.
Following this, the road map of NUHM -Bangalore city, was presented by our Principal secretary in the first NUHM meeting of all Secretaries, Mission directors and Directors of Health Department in Delhi chaired by AS&MD, NRHM. After this, it was decided by the State to implement NUHM in selected cities for the year 2014-15. Thus Bangalore, Mysore, Mangalore, Bagalkot cities and Ullal town were selected.
A Department nodal officer was appointed for NUHM, DD Community monitoring at Directorate, Health and family welfare was given the charge of NUHM nodal officer.
Mysore, Bagalkot, Bangalore and Mangalore cities and Ullal town were visited by the KSHSRC team, comprising of three to five members during the months of January and February and collected data, information and conducted focussed group discussions about the local needs and compiled data to prepare a city specific plan for each of these cities by involving the Urban Local Bodies, Corporations and Municipalities. We are happy to share that NUHM PIP of Karnataka was rated as the best among the PIPs from many states received by Govt of India.
A team from GOI visited Bangalore city and verified our road map by conducting consultation meetings with various stake holders. Much later after preparation of PIP, One consultant Public health planning under NUHM was appointed for the state. Two other posts (M & E and Advisor) were called for but were not filled because of lack of quality candidates.
NUHM PIP accommodates the determinants of health (living and working conditions), as well as health seeking behaviours from both demand and supply side, including reach, range, quality, connectivity, accountability, and flexibility of services. A number of interventions and programs to reach vulnerable sections have been incorporated in the NUHM framework. A comprehensive baseline survey and Mapping shall be undertaken to gain insights in to the dynamics of health needs of existing listed and unlisted slum pockets. In order to improve TB case detection and treatment in urban slums, a unique project through the support of NGOs has been proposed. Community participation will be facilitated by Mahila Arogya Samitis (MAS), Arogya Raksha Samitis (ARS) will be constituted as part of Community monitoring, which will act as a bridge between the Communities and nearest health facility. The proposed cities will be supported with adequate manpower, vehicles, and logistics through existing program management units.
Post submission of NUHM PIP, GOI called for discussions on the same wherein Executive Director, KSHSRC also attended these discussions as many clarifications were sought for approval of PIP. Then the ROP was released.
Later, Executive committee of the State health society, chaired by Principal Secretary, decided that for the implementation of NUHM, additional Manpower at KSHSRC, in the form of consultants and other requirements may be projected for approval in the upcoming National Health Mission PIP 2014-15 in the implementation of NUHM by KSHSRC, being integral part of Executive committee of City NUHM societies.