|
|
 Whats New
Wednesday, 04-November, 2009
The last five years have seen remarkable improvements in several health indicators in West Bengal - infant and child mortality rates have fallen, more babies have been born in a health institution, there have been higher rates of child immunization, and people have had more access to maternal and child health services. As the Government of West Bengal’s programme to support its health sector strategy and strengthen the health scenario in the state comes to a close (Health Systems Development Initiative, HSDI: 2005-09), more and more people have benefitted from improved health services in the state over the last five years.
Health Minister in Charge, Dr. Surja Kanta Mishra, releasing a booklet, 'Health Systems Development Initiative: Reforms and Achievements', at a workshop in Kolkata on 22 October 2009A workshop was held in Kolkata from 22-23 October 2009 to commemorate the achievements of the HSDI, share best practices and lessons learnt, and chalk out a path to take the process of health reforms forward. Minister in Charge, Department of Health and Family Welfare (DoHFW), Dr. Surja Kanta Mishra, Minister of State, DoHFW, S.K. Anwarul Haque, and Principal Secretary, Department of Women and Child Development, Ms. Rinchen Tempo, attended the workshop along with representatives from the UK Government’s Department for International Development (DFID) and dignitaries from within and outside the state.
Minister in Charge, Dr. Surja Kanta Mishra, released a booklet on the occasion, ‘Health Systems Development Initiative: Reforms and Achievements’. He also acknowledged DFID’s funding support that led to speedier health reforms in the state and improved numbers for maternal and infant mortality (a 27% drop in maternal mortality, one of the highest in the country – down 141 per 100,000 live births from 194 between 2001-03). These reforms, amongst others, have placed West Bengal amongst the ranks of better performing states in the country with the fourth lowest birth rate after Kerala, Tamil Nadu, and Punjab; third lowest death rate, after Delhi and Jammu and Kashmir; third lowest infant mortality rate, same as Delhi and after Kerala, Mahrashtra, and Tamil Nadu.
However, no reform process comes without its own bottlenecks and challenges. Some of these in West Bengal are:
- lack of health system monitoring at the district level and below
- physical distance to a qualified health institution, higher out-of-pocket expenses, and poverty are barriers to institutional deliveries
- inadequate regulation of the private sector
- large amount of unutilized funds, and
- shortage of manpower, especially doctors, across different health facilities in the state.
A summary of achievements: 2005-09
- Strategic & Policy Framework
- The Department of Health & Family Welfare (DoHFW) institutes a 3-5 year public expenditure planning exercise
- 3-year district health plans established
- New donor programmes are harmonized around the DoHFW strategy
- Health Sector Strategy & the MDGs
- Morality rates reduce from 51 to 35
- 50% increase in institutional deliveries; 50% increase in child immunization in poorer districts
- Web-based monitoring system for First Referral Units implemented
- Organization & Management Systems
- Urban Health Strategy developed
- 50% reduction in staff absenteeism; 90% health institutions fully staffed
- Hospital Management Cell constituted
- Health Financing
- Government health spend up 7% by 2010
- Primary health spend up 55% by 2010
- Medium Term Expenditure Framework developed
- Access & Demand
- 50% reduction in diseases from maternal, neonatal, & nutritional deficiencies
- Access & Demand strategy developed
- Increase in people seeking treatment from public & private health providers
- Public-Private Partnership (PPP)
- Diagnostic services available in rural hospitals
- PPP policy developed; PPP Cell established
- Ayushmati scheme implemented involving private hospitals for safe deliveries
- Assets & Supplies Management
- Primary health infrastructure handed over to Panchayati Raj Institutions
- Basic medicines available in primary health centres & rural hospitals
- Integrated Hospital & Management Cell constituted to monitor & support hospitals
- Procurement & Financial Management
- Mid-Term Expenditure Framework (MTEF) group formed & MTEF prepared
- Internal audits strengthened
- Fiduciary risk significantly reduced
Nutrition
- State Nutrition Strategy developed
- Percentage of underweight children (0-3 yrs) down from 43.5% to 35%
- Percentage of children (0-5 months) exclusively breast-fed up 80% from 59%
Technical Assistance Team – a partner for health reforms in West Bengal
A Technical Assistance Support Team (TAST) was engaged by DFID on behalf of the Government of West Bengal to support and strengthen health reforms in the state. Over the last five years, TAST complemented DFID’s budget support to the Government of West Bengal, accelerated reforms, and developed close working ties with the Department of Health and Family Welfare. A mid-term review of the Health Systems Development Initiative notes, “TAST in West Bengal has become integrated with the main system and has been recognized as a useful partner at all levels of state machinery”. (IIHMR, July 2008)
Agenda of the cross-TAST meeting, 21 October 2009
HEALTH SYSTEMS DEVELOPMENT INITIATIVE
GOVERNMENT OF WEST BENGAL
Workshop
Health Sector Reforms: Reflection & Way Ahead
Venue: ITC Sonar Kolkata, India
22 – 23 October 2009
Thursday, October 22, 2009
DAY 1
|
Time
|
DETAILS
|
SPEAKER
|
|
9.30 – 10.00 hrs
|
REGISTRATION
|
|
10.00 – 11.20 hrs
|
Inaugural Session
|
|
10.00 – 10.05
|
Welcome address
|
Dr.
Aniruddha Kar, Director Health Services, DHFW, GoWB
|
|
10.05 – 10.10
|
Objective of the Workshop
|
Mr. S. K. Gupta, Commissioner, DHFW, GoWB
|
|
10.10 – 10.20
|
Nutrition in HSDI
|
Ms. Rinchen Tempo, Principal Secretary,
DWCD, GoWB
|
|
10.20 – 10.35
|
DFID perspective on Health Reform in India
|
Mr. Chris Chalmers, Dy. Head of DFID India
|
|
10.35– 10.45
|
Speech by Additional Chief Secretary, DHFW,
GoWB
|
Mr. Samar Ghosh
|
|
10.45 – 10.55
|
Key Note Address
|
Sk. Anwarul Haque, Hon’ble MOS, DHFW, GoWB
|
|
10.55 – 11.15
|
Inaugural Address
|
Dr. Surjya Kanta Mishra, Hon’ble Minister in Charge, DHFW, GoWB
|
|
11.15 – 11.20
|
Vote of thanks
|
Mr. A. K. Das, Project Director-
HSDI, DHFW, GoWB
|
|
11.20 – 11.30
|
TEA BREAK
|
|
11.30 – 13.00 hrs
|
Session 1: HSDI – Five years of sector reform
Chair:
Mr. Samar Ghosh, IAS Addl. Chief Secretary, DHFW, GoWB
|
|
11.35 – 11.50
|
Implementing
the HSS: 5 years of HSDI – An overview
|
Mr. A. K. Das, Project Director, HSDI,
DHFW, GoWB
|
|
11.50 – 12.10
|
Spearheading Reforms – Role of SPSRC &
SNSMU
|
Dr. Subhra S. Basu, Technical Officer,
SPSRC
Mr. Dipanjan Bhattacharya, SNSMU
|
|
12.10 – 12.25
|
Lessons
learnt from HSDI
|
Dr. B. R. Satpathi, Technical Officer,
SPSRC
|
|
12.25 – 12. 40
|
Role
of TA support in realizing reforms
|
Mr. Abdul Rahim, Team Leader, WBTAST
|
|
12.40 – 13.00
|
Floor Interactions
|
|
13.00 – 13.45
|
LUNCH
|
|
13.45 – 15.30
|
Session 2: State experience in strategic
planning and sector reform
Chair: Mr. S. K. Gupta, IAS, Secretary
& Mission Director NRHM, DHFW, GoWB
|
|
13.50 – 14.05
|
Kerala:
Experience sharing
|
Dr. Dinesh Arora, Mission Director (NRHM),
DHFW Kerala
|
|
14.05 – 14.20
|
Initiatives
on Rogi Kalyan Samiti , Nutrition Rehabilitation Centers and Sick Newborn
Care Units in Madhya Pradesh: Experience sharing
|
Mr. Sudhi Ranjan Mohanty, Secretary,
Department of Public Health & Family Welfare, GOMP
|
|
14.20 – 14.35
|
Experiences of Gujarat in Strategic Planning and Sector Reforms
|
Dr. N. B. Dholakia, Commissionerate of
Health, Medical Education and Research, Gujarat
|
|
14.35 – 14.50
|
NRHM
and Reform Initiative
|
Dr. K. Ray Barman, Senior Consultant, NHSRC
|
|
14.50 – 15.05
|
Sundarban
Health Master Plan
|
Dr. Barun Kanjilal, Professor, IIHMR,
Jaipur
|
|
15.05 – 15.20
|
Floor Interactions
|
|
15.30 – 15.45
|
TEA BREAK
|
|
15.45 – 16.45
|
Session 3: Research and innovation
Chair:
Dr. S. N. Banerjee, Director Medical Education, GoWB
|
|
15.50 – 16.05
|
HR in Orissa: setting strong
foundations for change
|
Dr D N Nayak, Team Leader State Human Resource Management Unit, DoHFW, GoO
|
|
16.05 – 16.20
|
Centre
of Excellence for Neonatology Research in West Bengal
|
Dr.
Arun Singh, HOD, Dept. of Neonatology, IPGMER &SSKM Hospital
|
|
16.20 – 16.35
|
Health
and Demographic Surveillance System
|
Dr.
Abhijit Chowdhury, HOD, Dept. of Gastroenterology, IPGMER &SSKM Hospital
|
|
16.35 – 16.50
|
Floor Interactions
|
|
16.50 – 18. 00
|
Poster Presentations from districts
|
|
|
|
|
HEALTH SYSTEMS DEVELOPMENT INITIATIVE
GOVERNMENT OF WEST BENGAL
Workshop
Health Sector Reforms: Reflection & Way Ahead
Venue: ITC Sonar Kolkata, India
22 – 23 October 2009
Friday, October 23, 2009
DAY 2
|
Time
|
DETAILS
|
SPEAKER
|
|
9:30 – 10:00
|
REGISTRATION
|
|
10:00 – 11:40
|
Session 4: Strengthening services: recent
efforts
Chair:
Mr. S. K. Gupta, IAS, Secretary & Mission Director NRHM, DHFW, GoWB
|
|
10:05 – 10:20
|
Improvements in maternal and
child health in West Bengal: Efforts & Prospects
|
Mr. D. K. Chakraborty, Jt.
Secretary, DHFW, GoWB
|
|
10:20 – 10:35
|
Using PPPs for enhancing services
|
Mr. P. Pramanik, Technical
Officer, SPSRC
|
|
10:35 – 10:50
|
Quality improvement in government
hospitals with emphasis on bio- medical waste disposal
|
Dr. Aniruddha Mukherjee,
Technical Officer, SPSRC
|
|
10:50 – 11.05
|
Strengthening Nutrition in ICDS
|
Mr. P. K. Chanda, OSD & e.o
Joint Secretary, DWCD&SW, GoWB
|
|
11.05– 11:20
|
Pilot on Performance Management
in Warangal District of Andhra Pradesh
|
Ms. Ranjini Gopinath, Team
Leader, Andhra Pradesh TAST
|
|
11:20 – 11.35
|
Floor Interactions
|
|
11.35- 11.45
|
TEA BREAK
|
|
11.45– 13.40
|
Session 5: Monitoring – the missing strand
Chair:
Mr. S. K. Sen, Project Director, West Bengal State Aids Prevention &
Control Society
|
|
11.50– 12.05
|
Enhanced
monitoring: the dashboard monitoring approach
|
Dr. Samudra Sengupta, SPSRC
Ms. Anindita Roy, WBTAST
|
|
12.05 – 12.20
|
User
satisfaction feedback: Citizens Report Card
|
|
|
12.20 – 12.35
|
Using technology for monitoring FRU
performance
|
Dr. Sebanti Ghosh, WBTAST
Ms. Panchali Ghosh, WBTAST
|
|
12.35 – 12.50
|
Financial planning and monitoring
systems
|
|
|
12.50 – 13.05
|
Health Management Information
Systems: Initiative from Tamil Nadu
|
|
|
13.05 – 13.20
|
Developing a comprehensive HMIS:
Experience from Andhra Pradesh
|
|
|
13.20 – 13. 35
|
Floor Interactions
|
|
13.35 – 14.30
|
LUNCH BREAK
|
|
14.30 – 15:30
|
Session 6: The leaders at the frontline – Innovations
from the field
Chair: Dr. Aniruddha Kar, Director Heath Services,
GoWB
|
|
14.30 – 14.40
|
Results of Poster Presentations
|
|
14:40 – 15.25
|
Presentation 1 (15 min)
Presentation 2 (15 min)
Presentation 3 (15 min)
|
Respective District CMOHs
|
|
15:25 – 15.40
|
Floor Interactions
|
|
15:40 – 16.00
|
TEA BREAK
|
|
16.00 – 17:15
|
Session 7: Way forward & Valedictory
|
|
16.00 – 16.45
|
Panel
Discussion Moderated by DFID
Theme:
Challenges faced by health sector in India
|
Moderator:
Mr. Billy Stewart, Senior Health Adviser,
DFID India
Panelists:
Mr. J. P. Misra, Sr. Technical Specialist,
GTZ India
Dr. Kaninika Mitra, Health Project Officer,
UNICEF
Mr. V. Subhramaniam, Principal Secretary,
HM&FWD, Govt. of Andhra Pradesh
|
|
16:45 – 17.05
|
Tasks ahead and role of SPSRC
|
Mr. Samar Ghosh, Addl. Chief Secretary,
DHFW, WB
|
|
17.05 – 17.15
|
Vote
of thanks
|
Mr. N.K. Roy, Jt. Director, SPSRC
|
|
|
|
|
|
Presentations made at HSDI workshop, 22-23 October 2009, Kolkata
HSDI - Five years of sector reform
Title: Implementing the HSS: 5 years of HSDI
Presentation made by: Sri. A.K. Das, Project Director, HSDI, DHFW, GoWB
Download
Title: Health reforms in West Bengal: The SPSRC experience
Presentation made by: Dr. Subhra S. Basu, Technical Officer, SPSRC
Download
Title: HSDI Lessons Learnt
Presentation made by: Dr. B.R. Satpathy, Technical Officer, SPSRC
Download
Title: Role of TA in facilitating reforms
Presentation made by: Abdul Rahim, West Bengal Technical Assistance Support Team (WB TAST)
Download
Title: State Nutrition Strategy Monitoring Unit (SNSMU)
Presentation made by: Dipanjan Bhattacharya, SNSMU
Download
State experience in strategic planning and sector reform
Title: Orissa - Human Resources on Health: Setting a strong foundation for change
Presentation made by: Dr. D.N. Nayak, Team Leader, State Human Resource Management Unit, DHFW, GoO
Download
Title: Madhya Pradesh - Care of children with Severe Acute Malnutrition
Presentation made by: Sri. Sudhi Ranjan Mohanty, Secretary, Department of Public Health and Family Welfare, GoMP
Download
Title: Health Sector Reform: Initiatives under NRHM
Presentation made by: Dr. K. Roy Barman, Senior Consultant, National Health Systems Resource Centre
Download
Title: Best practices initiated under NRHM, Kerala
Presentation made by: Dr. Dinesh Arora, Mission Director (NRHM), DHFW, Kerala
Download
Title: Experiences of Gujarat in Strategic Planning and Sector Reforms
Presentation made by: Dr. N.B. Dholakia, Commissionerate of Health, Medical Education and Research, Gujarat
Download
Strengthening services: recent efforts
Title: Efforts in Maternal and Child Health
Presentation made by: D.K. Chakraborty, Joint Secretary, DHFW, GoWB
Download
Title: Public Private Partnership (PPP) as a means for enhancing services
Presentation made by: Prasanta Pramanik, Technical Officer, SPSRC
Download
Title: Facilitating quality assurance programme in secondary hospitals in West Bengal
Presentation made by: Dr. Aniruddha Mukherjee, Technical officer, SPSRC
Download
Title: Quality enhancement in primary health care, Andhra Pradesh Health Sector Reform
Presentation made by: G. Srinivasa Rao, MD, NRHM, DHFW, Andhra Pradesh
Download
Monitoring: the missing strand
Title: Enhanced monitoring through the Dashboard approach
Presentation made by: Dr. Samudra Sengupta, SPSRC; Ms. Anindita Roy, WB TAST
Download
Title: Citizens' assessment of public services, Report Card for Gram Panchayats
Presentation made by: Krishanu Bhattacharya, Programme Management Support Consultant, SRD Cell, WB SRDA
Download
Title: Using technology for monitoring FRU performance
Presentation made by: Dr. Sebanti Ghosh, WB TAST; Panchali Ghosh, WB TAST
Download
Title: Financial planning and monitoring software
Presentation made by: P.K. Mohanty, SPSRC; Abdul Rahim, WB TAST
Download
Title: Health Management Information System, Tamil Nadu
Presentation made by: Dr. V. Vasanthi, Deputy Director (Training), State Health Society, DHFW, Tamil Nadu
Download
Title: AP Health Management Information System (APHMIS)
Presentation made by: L.V. Subhramanyam, Principal Secretary (Health), Department of Health, Medical, and Family Welfare, GoAP
Download
|