Question : PRIMARY HEALTH CARE SYSTEM



(a) whether the Government is actively considering Public Private Partnerships (PPPs) to revitalise the primary health care system; and

(b) if so, the details thereof?

Answer given by the minister


THE MINISTER OF HEALTH & FAMILY WELFARE(SHRI GHULAM NABI AZAD)

(a) & (b) National Rural Health Mission [NRHM] was launched in April 2005 with thrust on creating a fully functional platform for health care at all levels, from the village, the Sub-Centre, the Primary Health Centre, the Community Health Centre, the District Hospital to the District and State levels with the prime objective of providing quality services that are affordable, accessible and accountable.The NRHM Mission document has also articulated the need for Public Private Partnerships. NRHM encourages training and up-gradation of skills for public-private providers wherever such efforts are likely to improve quality of services for the poor.

Some of the examples of successful models of Public Private Partnership under NRHM are:
[i] Tamil Nadu Government’s Criteria for Accreditation of Public-Private providers undertaken as part of the Janani Suraksha Yojana (JSY) for institutional delivery.
[ii] Franchising, as per agreed standards and costs as attempted by the Surya Clinics of Janani in Bihar,
[iii] Yeshasvini Trust Health Insurance partnerships in Karnataka for standard surgeries at agreed costs
[iv] Chiranjeevi Scheme of Gujarat to involve private sector Gynaecologists for institutional delivery of Below Poverty Line women,
[v] Initiative by Government of West Bengal in partnerships with the private sector for its Mobile Health Clinics,
[vi] Outsourcing of diagnostic tests successfully attempted in Bihar and West Bengal
[vii] community worker programme of Mitanins, ASHAs and link workers in some States involving private organizations on a very large scale in facilitation, training and resource support.
[viii] The successful management of PHCs in Arunachal Pradesh by Karuna Trust, Voluntary Health Association of India and other organizations.
[ix] Emergency Medical Relief Programme (EMRI) of Andhra Pradesh.