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Thanks to Professor K.S. Jacob for such an excellent article.

from:  vinayak vaidya
Posted on: Nov 5, 2011 at 22:36 IST

i am working as D.P.M at district patiala in Punjab. My query is that NRHM staff may be regular one day?

from:  RAGHBIR SINGH
Posted on: Oct 23, 2011 at 18:43 IST

Thank you Mr. Jacob for such an insightful and detailed analysis. As I am reading the article NRHM "a minor success" (The Hindu 15th September,2011) I am afraid that this mission might get discontinued in the 12th Plan, which will be a huge failure on part of the government.

from:  Utkarsha
Posted on: Sep 15, 2011 at 21:03 IST

Thousands of young doctors (Especially Ayurvedic and Homeo)study and prepare entire 2-3years for P.S.C exams to get in to Govt service.But the Govt(here in Kerala)creates medical officer jobs in N.R.H.M scheme and appoints less talented and retired doctors on temporary basis.N.R.H.M temporary dispensaries are not having enough paramedical staff and other basic needs.Thus State Govt is escaping from its responsibility to establish well equipped dispensaries and appoint qualified doctors and to provide good service to the people.Dreams of the rank holders in the P.S.C rank list are also broken by N.R.H.M. I wish N.R.H.M should be terminated in next year.Hon'ble Kerala Highcourt also indicated that appointment by P.S.C shouldn't be disturbed by N.R.H.M scheme.State Govt should convert temporary N.R.H.M dispensaries as permanent and appoint doctors from P.S.C rank list

from:  K Bhat
Posted on: Sep 15, 2011 at 20:16 IST

The NRHM program is truelly a wonderful program if implemented correctly. As mentioned earlier, it is the corrupt and greedy officials working in the system who are the bugs, indulging in malpractices and demanding bribes. Everything is money driven in NRHM. It's completely rotten. The data and numbers are really doubtful. There is no transparency and accountability in the system.

from:  NN
Posted on: Aug 20, 2011 at 18:04 IST

NRHM, is really a good project for india., where its most of the population is in helm of financial problems.. The govt implements the one of the best programmes but unfortunately the corrupt officials and rotten heart persons makes the program to failure..

from:  Sayeed
Posted on: Aug 18, 2011 at 13:10 IST

Thanks to Professor K.S. Jacob for such an excellent article. Good to hear that Govt is focusing & improving public health sector specially rural side. But being a rural guy i see in many Govt Hospitals were the staffs are greedy & they don't even touch the patients unless they give some amount(crooked staffs call them as fees). I still remember the incident when i visited a Govt Hospital in Arsikere, Karnataka to see my friend, a heavily wounded guy due to an accident was not even allowed to enter the hospital until the in charge person was bribed Rs.500/-. What i meant to say is innocent people are forced or blackmailed to pay some amount here in Gov Hospitals. Even after paying, the quality of treatment is still low. Since people has to pay to get treated definitely people would prefer going private hospital where the QoS and other things are very high comparatively. Govt has to monitor on this type of corruption and prohibit such activities by taking serious action.

from:  vinay
Posted on: Aug 16, 2011 at 01:00 IST

"Improved funding for the public health sector to treat common health conditions, rather than providing private health insurance for uncommon disorders, is mandatory". It is really nice point. State government rather than introducing new insurance scheme under different name, they should improve quality of the government hospitals and primary health centre. Really people will get benefited.

from:  Siva A
Posted on: Aug 10, 2011 at 13:38 IST

I live in a very remote corner of UP.Unfortunately, while reading your article I somehow got the feeling that you sounded positive on the achievements of NRHM.NRHM is a total failure here.I live in a town of about 70,000 people and there is not a single Hospital which can cater to a person having any ailment (except for fever and cough!) Even for a small fracture we have to go to our District (Bijnor) which is 30 km from my town (and mind you there is no transport after 7PM).There is no need to even hint positivity about NRHM.It continues to be yet another way for filling the coffers of Bureaucrats and Ministers.

from:  Hasan Ali
Posted on: Aug 9, 2011 at 17:29 IST

I sincerely thank Mr Jacob for such a nice article on the salient features of NRHM and the due expectations from this scheme. However, it is painful to note that till now, NRHM funding is mostly used for building of Buildings and purchasing of equipment only. I must say these two activities are required but simultaneously best used mechanism practices should also be vigorously followed. I am afraid, till we have sufficient trained manpower to handle the High-End machinery s, most them out-lived their life and become obsolete. There should be a way to study Investment Vs Return and make the result public. It should never be allowed to be an another way to make suppliers richer and the so called target groups remain a target only.

from:  Amitabh Barooa Guwahati
Posted on: Aug 9, 2011 at 12:45 IST

Aim of government should be to focus on preventable cause of death in reducing IMR.India losses billions of dollars because of health problems of workers which could be around $ 200 billion.There is extreme politicization of rural hospital .Funds are misused and diverted .Medical education should be sensitive to the grass root level condition.There should be 6 months course after a student has cleared pgcet exam and before joining the post graduation course.This would increase the doctor:population ration in rural in India.Politics and health should be kept separate. Interdisciplinary and holistic approach can bring about a change in rural health.

from:  Dr.Sudarshan Lodha
Posted on: Aug 9, 2011 at 11:04 IST

The idea of amendment of 12th 5th five year plan to include NHRM is really imperative to maintain the health standard in India. The need of the hour is to move towards preventive measures rather than curative measures. The states which have successfully maintained the momemtum of health care delivery should release their best pratices which can be used by other sates to model. Also the income disparity based on working condition show get a top priotiy so that teh morale of NHRM staff does not gets dwindled. There should be an independent auditing mechanism on yearly basis to root out the ineffciencey in fund utilisation on earlier basis.

from:  Aditya
Posted on: Aug 9, 2011 at 10:30 IST

the article by K.S.Jacob comprehensively describes the future direction to be taken by policy makers and health care providers within the overall concept of NRHM.While NRHM ,by itself ,is one of the most ambitious and inclusive health management plans ever made in India,post independence,i have seen the project suffering from a host of reversible sicknesses. For instance one of the segments of NRHM, Public-private partnership(PPP) has not been very successful due to the inability of state authorities to come up with viable schemes in priority areas. Which may be easily adopted by private sector.There is a lot of scope for private sector here and if charted out properly,it will help lessen the burden of health care delivery on the State the success of Emergency medical response scheme (108 ambulance services in Tamilnadu) is an example.

from:  N.Kalyanasundarm
Posted on: Aug 8, 2011 at 19:40 IST

I agree with Deepak. Most of the government organization will concentrate to spend them and they don't think how best way to implement them and spend the amount. K.S.Jacob is also right increasing the funds in 12th plan will help most of the poor people. There should be regular audit how the implementation is going on and how many people have been benefited, and learn from the mistakes for better service.

from:  Chandrakanth
Posted on: Aug 8, 2011 at 16:50 IST

As has been rightly mentioned, the capitalist tendencies of profit-making are indeed a major hurdle to implementation of policies in the health delivery system. This is ingrained into the system, and it will take monumental effort to even try to put a stop to it. What I feel is the most crucial factor, is lack of transparency in the system. There is little doubt that only a fraction of the funds allocated to the NRHM are utilized for their intended purpose. There should be an independent body appointed to look into utilization of funds allocated to programmes and projects like the NHRM.

from:  Saurav
Posted on: Aug 8, 2011 at 14:48 IST

Artilce by K.S.Jacob talks about investment in health sector, that will result in health and economic development. It describes the way in which NRHM has been implemented. He calls for increased investment in health sector, while asking for devoping a moniroing and audit meachnisms on performance and health indicators which will help in course correction. On a larger aspect of health/health care the articles also hints that Health, human right, and universal health care should become operational rather than remaining as aspirations.

from:  Deepak Kumaraswamy
Posted on: Aug 8, 2011 at 11:01 IST

Brilliant Article. Prof Jacob is such a nice analyst of social issues.

from:  siddharth kaushal
Posted on: Aug 8, 2011 at 03:05 IST

Cheapest helthcare is prevention-vaccination is cheapest.

from:  Chandrakant Malani
Posted on: Aug 8, 2011 at 01:53 IST

Perhaps NRHM is the project for rural people so their health situation can improve. But how far people really faith on Govt. hospital and their hectic way of treatment. usually even poor people give their first privilege to private Doctor rather than Govt. most of Govt. Doctor are not interested to serve in rural areas and they have open their own private clinic and so it has become business of whole medical system from top to bottom.

from:  Govind kumar
Posted on: Aug 8, 2011 at 01:24 IST
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