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(Towards
Further Decentralization)
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| Decentralized planning and implementation
of the RCH programme at the district level has been one
of SIFPSA’s successful interventions. District Action
Plans (DAPs), being executed in ten districts in U.P.
cover a population of 2.45 crore. Experience in these
districts has shown that decentralization has led to:
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a need-based programme
being developed |
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increase in the involvement
of stake holders |
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quicker decision making |
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flexibility in implementation
and |
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improved performance
through integrated programmes |
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Achieving New Heights
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| Innovative strategies in the ten DAP
districts have been successful in increasing access to
services with 31 private sector and 8 dairy cooperative
projects reaching out to a population of around 102 lakh.
5748 integrated RCH camps providing a range of reproductive
and child health services have been held in these districts.
The number of contraceptive users has increased dramatically
and sterilization performance has improved by 29.4%. |
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Expanding Reach |
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| Five new DAPs were formulated after
a series of workshops held from February 14 – 23, 2001
in Jhansi, Mirzapur, Moradabad, Shahjahanpur & Sitapur
districts. The workshops followed a standard schedule
of presentations on the district scenario and setting
objectives for the next three years through participatory
group work. Strategies to be adopted in each district
were also evolved after group discussions. There was substantial
representation and active participation from both, the
field level - Medical Officers in Charge (MOICs), Dy.
CMOs and NGOs as well as the decision makers – the Chief
Medical Officer (CMO), Chief Development Officer (CDO),
the District Magistrate and the Commissioner. This resulted
in formulation of practical, need-based strategies and
achievable goals for each district. |
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Tailor-made Strategies |
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| Successful strategies in the existing
DAPs are being replicated in the new districts as well.
New strategies like a measles vaccination campaign and
an IEC campaign for sterilization would be common to all
districts. However, district specific strategies have
also been planned based on the local strengths and needs
in each district. These are: |
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Jhansi |
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Outreach health camps
at sub centres |
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IEC campaign to promote
IUCD use |
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Forging linkages with
ICDS programme |
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Project involving
the Railways department |
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Mirzapur |
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Involvement of self
help groups |
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Management of one
government health centre (CHC) by an NGO |
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Involving the Carpet
Export Council in a project |
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Moradabad & Shahjahanpur |
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Orientation of religious
leaders |
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Team of medical officers
for sterilization |
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Assistance to private
nursing homes |
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Sitapur |
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Involvement of the
postal network |
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Male participation
in FP using the network of barbers |
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Involving Primary
Agriculture Cooperative Societies (PACS) |
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Improving service
quality standards |
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| The population covered by the five new
DAPs will be 1.20 crore. Total population covered by fifteen
DAPs will thus increase to 3.65 crore. As this has proved
to be a successful intervention, rapid up-scaling of the
DAPs to all 70 districts in the state is in the offing.
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