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JNNURM (BSUP) and IHSDP are two large programs for improving basic services to the urban poor ICDS programme is also speedily expanding reach in urban slums 74th Constitutional amendment stresses on greater role of Urban Local Bodies in health and related matters
Key Strengths/Accomplishments
Alluded to as Nodal Technical Agency for Urban Health for GOI UHRC acted as secretariat for National Urban Health Task Force (2006) at the directive from the Prime Ministers office. Task Force recommend NUHM Frequent questions in National Parliament (Jan 07-April 08) on health and well being of the urban poor, some quoting UHRCs evidence. UHRC assisting MOHFW in responding to questions Urban Health Guidelines issued by Govt of India, Feb 2004 Supported design of urban component of RCH II
City Programs Provide Learning for Policy, Program, Research City programs serve as demonstration and learning sites
Inequity and social exclusion addressed by inclusion of unlisted / hidden slums in city health plans Tools to identify & map unlisted and vulnerable slums, facilities developed Strategies for empowering improvement demonstrated slum communities for health
Study tours by government, non-government program managers (100 officers representing programs of >20 cities) Program managers, leaders from demonstration and learning sites share experiences at State and National levels Program research conducted and used for hygiene improvement, immunization tracking and exclusion related research.
Research, Knowledge Management and Advocacy National and state level urban poor specific data informed policy and programmes Repository of Urban Health Literature Collaboration with academic/professional resulted in greater attention to the issue Comprehensive urban health website attracts 60,000 hits per month Enhanced attention on the issue through conference, workshop, symposia & media
Mr. Prassana Hota, Secretary to the Ministry of Health and Family Welfare, Govt. of India, acknowledged the role of UHRC in furthering the urban health agenda in a message to UHRC website :
Technical assistance given to the GOI and State Governments has provided the right momentum for formulating policies and programmes for improving health of the urban poor.. I am confident that UHRC will continue its technical assistance efforts and its crusade for furthering urban health with dedication, commitment and a collaborative spirit.
Envisaged Policy Advocacy Role for JNNURM and ICDS Advocate for greater JNNURM (BSUP) investment on water, sanitation and hygiene. Foster greater convergence at different levels with health.
Advocate with ICDS,BSUP and IHSDP to reach all urban poor habitations including unlisted slums
Advocate for stronger synergies at community level Advocate for greater role and capacity of Urban Local Bodies in view of 74th Amendment.
Catalytic Inputs for operationalizing mandated strategies Support evolving operational convergence mechanisms Development of Curriculum for Training of USHAs. Research and Data support
Envisaged focus of Demonstration & Learning Programs Computerized /technology based HMIS
GIS to show health data in select area
Use of communication tech. (cell phone, PCO) for expanding reach and effective referral Model for Smart Card for PPP with doctors or private hospitals Community level health system to negotiate with public and private providers for RH services Ward based planning and implementation with focus on improving urban governance Community Health Insurance
Build Corpus fund Arogya basti fund Purchase/build UHRC offices Establish Urban Health Training Institute
Technical
Expand breadth of the UHRC programme responsiveness beyond MNCHN services
Providing field site and mentoring to PhD students for their dissertation
Management System
Decision making/institutional structure: Core Team, sub-committees Governing Board Advisory Board Financial management system: Concurrent audit Annual/statutory audit Financial Policy in place Regular efforts on Institutional sustainability plan Grants and Contract mechanism in place HR System (Ernst & Young) Recruitment system Performance Management system Resource Mobilization Team Staff capacity building policy in place Admin policies in place
Long Lever of : a) Commitment , Motivation b) Knowledge, Experience c) Proximity to problems d) Accountability, responsibility
A small body of determined spirits fired by an unquenchable faith in their mission, can alter the course of history
www.uhrc.in
Socially Committed, passionate Development Professionals with, Civil Society, Govt., slum communities