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Last modified at 23/08/2016 16:34 by hfwkhsdrp

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KARNATAKA HEALTH SYSTEM DEVELOPMENT & REFORM PROJECT


INTRODUCTION:


The Karnataka Health System Development & Reform Project (KHSDRP) is a World Bank-assisted project aims to increase utilization of curative preventive and Public health services particularly in underserved areas and among vulnerable groups to accelerate achievement of the health related Millennium Development Goals. Keeping in view the positive contributions of the project in enhancing health outcomes (reducing maternal & child mortality and communicable diseases) and understanding the need to sustain/continue the innovative programs an extension of the project is given till March 2016 (original closing date31.03.2012),with additional financing of US$ 70.00 million (Rs 374.50 Crores). Additional financing effected from 22.01.2013.

OBJECTIVE:

Increase utilization of essential health services, improve health service delivery and public-private collaboration for the benefit of underserved and vulnerable groups in Karnataka. 

KHSDRP is a part of the overall system improvement programme integrated with NHM activities. KHSDRP is being used as an instrument to undertake reforms within the Health sector and to finance:
(i) Activities that cannot be easily done through other mechanisms,
(ii) Activities that benefit from technical engagement with the Bank,
(iii) Evaluations to validate such activities, and 
(iv) To facilitate pilot programs which if successful, could be scaled-up using Government funds.

THE PROJECT HAS TWO WINDOWS OF FINANCING VIZ. PROJECT FINANCE & PROGRAM FINANCE:

(i)   PROGRAM FINANCE:

Program Finance is an incentive funding to the Government of Karnataka for increased spending on health & family welfare programs and thereby, promotes the cause of universal health & improved availability of health care to all, particularly to the weaker & deprived sections of society. The IDA share of credit is to be availed on the basis of the incremental expenditure by the Government of Karnataka on the ongoing State sector schemes related to primary health care subject to achievement of the agreed reform milestones. Credit under this scheme is fully used up. 

(ii)   PROJECT FINANCE:
Project Finance involves implementation of agreed components and State Project Monitoring Unit (SPMU) is directly responsible for implementation of the Project Finance components and achieving the physical and financial goals/targets. Successful initiatives started under the Project includes running of Mobile Health Clinics, Citizen Help Desks, Sourcing-in-specialists, Health Care Waste Management of health facilities, Quality Assurance Program including accreditation of Pilot Hospitals, training and Capacity Building of Health Personnel, support to Vajpayee Arogya Shree Programme to benefit poor households requiring tertiary care intervention etc., New activities planned to support Road Safety and Emergency Health Services, and Prevention & Control of Non-Communicable Diseases etc.​

COMPONENTS UNDER KHSDRP:

Part A :
i. ORGANIZATION DEVELOPMENT: 
Objective: to strengthen the planning and management functions of the Department of Health and Family Welfare (DoHFW)
Activities Accomplished:
Cells created to Strengthen DoHFW's Institutional Capacity:

  •    Health Care Waste Management Cell
  •     Health Finance & Accounts Cell
  •     Public-Private Partnership Cell
  •     IEC Cell
  •     Quality Assurance Cell
  •     Road safety Cell
  •      NCD Cell

Institutional Reforms:

  •  Medical Manual for Medical Officers developed and disseminated.
  • Model Public Health Act drafted and is under consultation in the Dept. of H & FW. 
  • Report on Formation of Public Health Cadre towards reorganization of Health Department, submitted to the DoHFW. 
  • District Project Monitoring Units have been created in each district. 
  • Standard Treatment Guidelines developed and disseminated.

Activities Accomplished:

  • Training conducted for 20875 Health personnel on Attitudinal Change and Managerial Capacity Building.
  • Deputed 145 Health Officials to International training and courses for acquiring higher qualifications and knowledge.
  • Deputed 59 Officers for Hospital Management course at Asian Institute of Technology, Bangkok, Thailand. 
  • Deputed 21 Officers for International Executive Short Courses from the year 2008-14 at Harvard School of Public Health, Boston, USA.
  • In-service personnel have been deputed for various trainings & workshops conducted by institutions as ASCI, ESCI, IIHMR, AIIMS etc.





​QUALITY ASSURANCE


 


​Part B : 

i. (a). Service Improvement Challenge Fund (SICF) 
 Civil Works taken up under SICF : 

  • 332 Works taken up.
  •  35 Primary Health Centers constructed.
  •  152 ANM sub Centers constructed.
  •  09 ANM Training Centers Constructed.
  •  13 Drug Ware Houses Constructed.
  •  48 Repairs and Renovation works of Taluka Hospitals, CHCs, PHCs.
  •  18 Repairs and Renovation of ANM Training Centers.
  •  03 Repairs and Renovation of Regional Family Welfare Training Centers.
  •  50 Renovation & Expansion of Model 24X7 PHCs completed. 
  •  04 State Food Laboratory Constructed.​​
  • 42 Nos of HPLC systems, 7 Nos UV Spectro-Photometer, 7 Water Purification Systems, 15 Dissolution Test Apparatus provided to Drug Controller Department.
  • 1133 nos. of Computers, Printers and UPS provided to PHCs. Description: http://localhost/hfws/system/images/blue-dot.jpg 
  • Equipments and Furniture to State Food Lab and Regional Food Labs are provided.
  •  Equipment to 13 newly constructed Drug Ware House provided.


​TRAINING PROGRAMME​


ii. QUALITY ASSURANCE:
Objective : To improve the quality of Health Care Service Delivery in Public health Care Facilities.

  • District Quality Assurance Group constituted in 30 Districts of the State to assess the PHCs services half yearly.
  •  Orientation workshop conducted for 293 Medical officers of 30 districts for Quality Assurance.
  •  Identified 17 District Hospitals for NABH Accreditation.​
  • Workshop on NABH standards conducted for the Doctors and staff of the identified 17 District Hospitals.
  • Repair and Renovations taken up to meet NABH standards in:
        i. K C General Hospital Bengaluru
        ii. District Hospital, Tumkur
        iii. District Hospital, Vijayapura (Bijapura)
        iv. District Hospital, Bagalkote 
    Total Expenditure for 2007 to 2012 : Rs. 19.46 crore.


​​​CIVIL WORKS