This rapid growth in urban population in India has outpaced the provision of affordable housing and environmental and health infrastructure and has led to proliferation of slums and squatter settlements in cities. It is understood that the health of the urban poor is significantly worse than the rest of the urban population and is often comparable to the health conditions in rural areas. The National Urban Health Mission (NUHM) was recently launched to address health concerns of urban poor through strengthening of the existing capacity of health service delivery.
The United States Agency for International Development (USAID) funded Health of the Urban Poor (HUP) Project is providing technical assistance to the Ministry of Health and Family Welfare for implementation of the NUHM. The project envisaged development of a responsive, functional and sustainable urban health system that provides need based affordable and accessible quality health care and improved sanitation and hygiene for the urban poor. UMC prepared the model city health plans for Pune, Jaipur and Bhubaneswar as part of the HUP project. These model health plans will provide a reference for health departments of other cities to prepare detailed planning reports (DPRs) for their cities.
UMC prepared these plans in a consultative manner by engaging with various stakeholders, understanding the health needs of the urban poor and assessing the existing health facilities. The plan making exercise included listing and mapping of slums and other vulnerable groups to identify key areas of intervention, morbidity profiling of the city, stakeholder analysis and review of institutional arrangements in urban health service delivery, assessment of public health facilities including staffing, infrastructure & equipment, assessment of health seeking behavior among urban poor and developing the strategy action plan to extend better health service to urban poor and urban health budget.