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.
• 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
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
• Improving health service coverage through
establishment of Urban Health Centres in the
proximity of slums and through regularized
• Strengthening community-provider linkages
through community mobilization and demand
generation for primary reproductive and child
• 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.