Urban Health

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Background

Urbanization trends over the past decade show that while the overall urban population is growing at about 3% annually, slum population is growing almost twice as rapidly at 5 to 6%. It has also been noted that health indicators for the urban poor are far lower than urban average data denotes. With increasing urbanization and growth of slums, providing quality primary health services to the urban poor has become a priority for the state government. The state government has already emphasized urban health issues in the annual action plan of NRHM under RCH since 2009-10. Urban Health has been identified as a major thrust area under NRHM since last 2 years.

The state government has identified the cities of Haridwar & Haldwani in 2009-10 and Dehradun & Roorkee in 2010-11 for improving the public health service delivery systems along with community mobilization activities within the RCH Programme under NRHM.

Objective and Strategies :

To provide integrated and sustainable system for primary health care delivery with focus on urban poor living in slums and other health vulnerable groups in cities.

To enhance capacities among city stakeholders to plan and implement urban health programs.

To strengthen linkages between communities and primary level health facilities and referral system from primary to secondary facilities.

To improve health status of the urban poor through increased coverage of key reproductive child health services and adoption of healthy behavior.

Key Strategies :

Involve the NGOs/Private Sector in the provision of primary health care services and also part of the referral system.

Provide affordable and integrated health services to vulnerable poor.

Promote and strengthen capacities in communities to demand services.

Promote convergence of efforts among public sector and private sector stakeholders to improve health of the urban poor.

Service Delivery Model :

Urban Health programme is being implemented in Public-Private Partnership (PPP) mode. This partnership is providing a model for urban health programm under the NRHM and will focus on:

Improving health service coverage through establishment of Urban Health Centres in the proximity of slums and through regularized outreach camps;

Strengthening community-provider linkages through community mobilization and demand generation for primary reproductive and child health services;

Identify and build capacities of ASHA (women residing in slums) who would mobilize people in their communities, contact them on one-to-one level and through group meetings, build the information base there and help in being a link between the facilities and the people. In the current financial year the urban health centers are being running in the district.