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3 rd CRM Visit to Sikkim

3 rd CRM Visit to Sikkim. De-briefing 22 nd Dec’09 Vigyan Bhawan. 3 RD C.R.M. TEAM MEMBERS. NAME OF THE HEALTH FACILITIES VISITED. POSITIVE FINDINGS. Infrastructure- considerable improvement in physical structure & equipments FRUs are being functionalized Labor rooms at Sub-centers

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3 rd CRM Visit to Sikkim

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  1. 3rd CRM Visit to Sikkim De-briefing 22nd Dec’09 VigyanBhawan

  2. 3RD C.R.M. TEAM MEMBERS

  3. NAME OF THE HEALTH FACILITIES VISITED

  4. POSITIVE FINDINGS • Infrastructure- considerable improvement in physical structure & equipments • FRUs are being functionalized • Labor rooms at Sub-centers • HR • Some specialists at district hospitals, MO.s at PHCs have been posted. • Sub-centers have 1 female & 1 male Health Worker supported by 2 attendants (one S/C for 1300-1500 population) • ASHAs have been selected & trained upto 5th Module

  5. POSITIVE FINDINGS • Service delivery • Deliveries are being conducted at Sub-centers • Immunization sessions are being planned and held at health facilities & outreach sessions • All activities pertaining to National Disease Control Programmes are being carried out. • ASHAs provided with drug kits • Institutional mechanisms • VHSC s, RKS & Sub-center committees in place with regular meetings & fund utilization for untied & other funds • SPMU, DPMU & BMU are operational • Concurrent audit has started & audit report for 2008-09 has been received at centre • E-banking facility in the State upto district level is in place

  6. CONCERNS • Delegation of powers has not yet disseminated to districts • No synchronization of district action plans & SPIP- district & blocks are yet to receive the final approved action plan • Civil works & tender processes often take a long time • Operation Theatres still require strengthening in terms of staff & equipments

  7. CONCERNS • Fund flow need to be streamlined • SHS are allocating funds to districts activity-wise rather than as flexible pool • RKS money not reaching the District Hospital & PHCs; user fees are also being deposited to the states

  8. RECOMMENDATIONS • Decentralized planning to ensure district priorities are reflected in the State PIP • Administrative & fiscal functions need to be devolved to the district level • Fund flow need to be streamlined, ensure timely release of RKS funds to the DH & PHCs • State must start settlement of pending advances for civil works at the earliest.

  9. RECOMMENDATIONS • Mechanism for feedback to the districts need to be institutionalized- Regular review meetings with State & district level officers should be conducted • Inter-sectoral co-operation models should be developed in areas of hygiene, sanitation, besides education • Skill based trainings & multi-skill trainings need to be expedited • State specific problems need to be identified and solutions provided • Home deliveries for low risk women by SBAs in difficult areas & severe weather conditions • Adequate compensation for travel to ASHAs

  10. If you care at all, You’ll get some results If you care enough, You’ll get incredible results -Jim Rohn Thanks

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