Slum Primary Healthcare Models involving State, Municipal and Civil Society partners: a comparison of three city-models in India
Abstract
USAID funded Health of the Urban Poor (HUP) program was implemented in India to provide design support to the Indian government for a pro-poor urban health program across India. This involved testing different primary... [ view full abstract ]
USAID funded Health of the Urban Poor (HUP) program was implemented in India to provide design support to the Indian government for a pro-poor urban health program across India. This involved testing different primary healthcare models across 238 slums in three demonstration cities of Jaipur, Pune and Bhubaneswar from 2011 to 2014, covering 357,732 populations. Jaipur was a NGO-led model, Pune was Municipal-led and Bhubaneswar was a convergence-model involving the State and the Municipal Corporation.
The objective was to compare the performance of the three city models of primary healthcare implemented over a three-year period.
Methodology included Baseline and End-line household surveys, covering the HUP intervention slums, drawing a sample of 400 slum households in each of the three cities. Both the surveys used the same quantitative survey tool and the sampling frame of listed households.
Service utilization showed marked increase in all the three cities, with Bhubaneswar showing better performance and Jaipur showing the least improvement. In Bhubaneswar institutional deliveries improved from 71.8% to 92.8% and complete immunization among children (12 to 24 months) improved from 60.8% to 85.0%. In Pune, the institutional delivery rate remained same whereas complete immunization improved from 71.1% to 81.1%; whereas in Jaipur both indicators showed marginal decline. Looking at the behavioral change, Jaipur seems to have performed better in improving the percentage of slum households practicing water purification in their homes from 29.3% to 48.5%. In Pune it improved from 37.8% to 51.6% and in Bhubaneswar from 39.0% to 44.6%.
The above comparison shows that NGO-led primary healthcare model in slums can result in comparatively better behavior change outcomes. But a convergence model where both the State and Municipal body partner to provide services is likely to result in better uptake of primary health services.
Key Words: Convergence Model; Primary Healthcare Model
Authors
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Gautam Chakraborty
(Population Foundation of India)
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Sainath Banerjee
(IPE- Global)
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Sachin Gupta
(USAID/India)
Topic Area
V. Healthcare Service 5.1 Accessibility of healthcare services and its optimization 5.2 He
Session
EFA-O-08 » Evidence for Action in Policy and Programs (08:00 - Monday, 4th April, TBA)
Paper
ICUH2016_Abstract_Gautam_Chakraborty.docx
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