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UNIVERSAL HEALTH COVERAGE

UNIVERSAL HEALTH COVERAGE. 21 st July 2016. ROAD TRAVERSED in UHC. Oct 2012 announced by GoK, the districts of Mysuru and Raichuru were identified as pilot districts for UHC. PHFI-IIPH Bengaluru is rendering ‘Technical Support’ for UHC activities in Karnataka (G.O. dated Dec 2012).

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UNIVERSAL HEALTH COVERAGE

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  1. UNIVERSAL HEALTH COVERAGE 21st July 2016.

  2. ROAD TRAVERSED in UHC. Oct 2012 announced by GoK, the districts of Mysuru and Raichuru were identified as pilot districts for UHC. PHFI-IIPH Bengaluru is rendering ‘Technical Support’ for UHC activities in Karnataka (G.O. dated Dec 2012). Activities revived in 2015 Jan ( delay due to Central & State Elections) Base-line assessments were conducted by PHFI from Feb’15 to Sept’15 State Level Dissemination workshop held on 16.09.15

  3. The objectives of UHC Pilots in Karnataka as defined in the project proposal are: • To expand the coverage for population that is currently left uncovered or is partially covered by health services through systematic mapping and prioritizations based on vulnerability and create mechanisms for gradually progressing to include the other population sub-groups. • To determine a comprehensive package of essential health services that can be guaranteed to the people of Karnataka and undertake strategic effort to provide them in an assured manner. The prioritization of services would be based on the service needs of people, availability of resources, technological considerations etc. • To widen the coverage of financial risk protection by ensuring that healthcare is financed through various schemes or prepayment mechanisms allowing pooling of funds that can be redistributed to reduce financial barriers for individuals who find it difficult to avail the unaffordable services. • To identify and select the feasible options of healthcare delivery and also understand the financial, human resources and other institutional requirements for a state

  4. The activities for UHC pilots in Karnataka were planned to be undertaken in the following phases : • Phase I: The preliminary and preparatory phase • Phase II: Situational analysis and Health Assessments • Phase III: Dissemination, sharing of options and advocacy for deciding the implementation framework for UHC • Phase IV: District Health Planning • Phase V: Implementation • Phase VI: Monitoring

  5. Activities accomplished. • Finalization of draft report in compliance to the State Level Dissemination workshop directions. • Draft Report circulated to all the Officers concerned by email on 20th Feb 2016, as no comments or opinion received, the draft report is deemed final. • The final-draft report has been disseminated to the pilot districts of Raichur and Mysuru on 3rd & 4th March 2016 and 22 & 23rd March 2016 respectively.

  6. Studies being conducted : • The Costing of Primary & Secondary Healthcare • Healthcare seeking behavior pattern & Out of Pocket expenditure on health studies are conducted by IIPH-PHFI in the two pilot districts.( to complete by July’16 and Nov’16) • Priority 25 healthcare service conditions finalized for both the districts in consultation with the district officials. • Intervention planning being planned. • Based on the ‘intervention planned’ budgetary allocations are proposed in the Sup PIP 2015-16 for which approval is received .

  7. Activities approved in the Supplementary PIP of NHM 2015-16 • Providing Individual Health Card • Placement of ‘Mid-Level Healthcare providers’ at Sub-Centre level • Incentives to JHAs for services rendered under UHC • Training of ASHAs and JHAs • Infrastructure Strengthening of Sub-Centres • Computer and IT Support • Services of a Programme Consultant/ Advisor • Independent Monitoring Cost for Performance Assistance.

  8. As approval has been accorded for a number of activities to be initiated in the pilot districts of Raichuru and Mysuru in the Supplementary PIP-NHM Karnataka, it is essential that we move ahead in the approved activities in consensus and in true to the ‘spirit of Comprehensive Public Primary Healthcare’. • Requesting your suggestions for the ‘road ahead’!

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