Social
Assessment Study for Karnataka Health Systems Development
Project
Page
9 of 10
Strategies for tribal groups (forest based)
¢ Strengthening of Mobile Health Units
¢ Tribal ANMs
¢ Training of Traditional Birth Attendants (TBAs) or Dais
¢ Health Insurance
¢ Involvement of Traditional Healers and Private practitioners
¢ Performance Based Incentives
Strategies
for Improving Nutritional Status of pregnant Women and Children
¢ Supplementary food to pregnant women and Children
¢ Functional Co-ordination between Health and Women and
Child development department
Operations
Research studies to improve the implementation of project
¢ Evaluation of NGOs involved in the project activities.
¢ Assessing effectiveness of various IEC strategies.
¢ Assessing utilization and effectiveness of mobile clinics.
¢ Developing strategies to involve PRIs, SHG in health care
activities.
¢ Acceptability and effectiveness of Village Health Volunteers.
¢ Assessing utilisation of special government schemes.
¢ Assessing the quality of emergency obstetric services
at referral centers.
Prerequisites
for effective implementation of VCHP
The major problem with the health care delivery system in
the state is of vacant positions of field staff in most
of the institutions. Large number of doctors has been recruited
during the last five years who are not adequately public
health oriented. The existing staff has a low morale and
poor motivation due to issues related to their promotions,
postings and working conditions. There is shortage of regular
funds for the routine repairs and maintenance of the building,
furniture and equipment. The monitoring and supervision
is probably the weakest component in the health sector.
Hence the following prerequisites have been specified for
the success of the plan:
