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Health Management

From over 15 years UMC has been advocating for better access to sanitation and safe waster as this directly impacts the quality of life in urban settlements. Most important component of urban life is health of its citizens as that drives the economic growth of a city.

We actively engage with government, stakeholders, institutions as well as the community and use a variety of tools and methods to capture the views of service providers and seekers and identify issues in service delivery. UMC also carries out facility assessments to evaluate existing health facilities in terms of staffing, infrastructure and maintenance. UMC also helps in mapping the services on a GIS platform to identify priority areas. 

HEALTH MANAGEMENT PROJECTS

 

City health plan (CHP) for Ahmedabad prepared under NUHM Model City Health Plans for Pune, Jaipur, and Bhubaneswar Detailed Project Report on Urban Health Sector under NUHM for AMC Mainstreaming HIV-AIDs Programs with City-City Partnership between Visakhapatnam - Andhra Pradesh and Ahmedabad - Gujarat
City Health Plan (CHP) for Ahmedabad Prepared Under NUHM

 

Client: Ahmedabad Municipal Corporation (AMC)

Duration: August 2013

Location: Ahmedabad


The Government of India launched the National Urban Health Mission (NUHM) as a part of the 12th five-year plan to address health concerns of the urban poor. NUHM aims to facilitate equitable access to primary health care by strengthening existing health delivery systems. In this context, Ahmedabad Municipal Corporation (AMC) applied for funding under NUHM to upgrade its existing health facilities, augment staff, extend health services to newly merged peri-urban areas and develop an effective framework for community mobilization and health outreach services. 

UMC provided technical assistance to the AMC health department in preparing the Program Implementation Plan PIP for Ahmedabad city to access the NUHM funding. The city health plan prioritizes extending health services to the urban poor in the city.  The CHP comprised existing situation analysis including documenting existing health scenarios and review of existing health facilities and services, key issues in healthcare service delivery, and strategies for strengthening the urban health system in Ahmedabad, improvements in institutional structure, and proposed budget.

UMC provided the followed assistance to AMC’s Health Department:

null Listing and mapping of urban poor concentrations in the city through  GIS
null Review of health indicators and morbidity data
null Spatial mapping of disease incidence in the city
null Assessment of environmental conditions in select slums
null Assessment of existing institutional structures in health
null Assessment of AMC owned health facilities

Preparation of  program implementation plan report included:

null Improvements in the Institutional Structure of Ahmedabad Health Society
null Required infrastructure up-gradation of urban health centers and maternity homes
null Strategy for staff augmentation
null Recommendations for community mobilization and outreach
null Establishing disease surveillance and health data management system


Related Resource Documents 

For more information contact us at info@umcasia.org 

Model City Health Plans for Pune, Jaipur, and Bhubaneswar

 

Client: Population Foundation of India

Duration: August 2012- December 2012

Location: Pune, Jaipur, Bhubaneswar

Rapid growth in the urban population in India has outpaced the provision of affordable housing and environmental and health infrastructure and has led to the 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 launched to address the health concerns of the urban poor through the strengthening of the existing capacity of health service delivery.  

The United States Agency for International Development (USAID) funded the Health of the Urban Poor (HUP) Project provided technical assistance to the Ministry of Health and Family Welfare for implementation of the NUHM. The project envisaged the 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 which will provide a reference for health departments of other cities to prepare detailed planning reports (DPRs) for their cities.

UMC prepared the health 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 strategic action plan to extend better health service to urban poor and urban health budget.

Related Resource Documents 

For more information contact us at info@umcasia.org 

Detailed Project Report on Urban Health Sector under NUHM for AMC

 

Client: Ahmedabad Municipal Corporation (AMC)

Duration: July 2008- September 2008

Location: Ahmedabad

 

To meet the health service demands of the population in quality and quantity and to effectively address health concerns of the urban poor, the Ministry of Health and Family Welfare, Government of India proposed to launch the National Urban Health Mission (NUHM). The Mission’s duration was to be the period of the 11th Five Year Plan (2008-2012). Ahmedabad Municipal Corporation  (AMC) felt a need to upgrade its facilities available at its urban health centres and to provide second-tier facilities like community health centres. The newly merged areas and some of AMC’s earlier wards required additional sub-centres to help the Corporation effectively provide health outreach services to its population. 

UMC provided the followed assistance to AMC’s Health Department:

  • Review of existing urban health infrastructure and identify gaps between existing and proposed health infrastructure
  • Prepare detailed report including a) Required physical resources for upgrading urban health facilities in the entire AMC jurisdiction, b) Required manpower, Sample design of urban health centres, community health centres and sub-centres;  Measures to improve quality of health infrastructures like health information systems, training provision to health officials and financial resources.

UMC worked for hands-on with AMC health staff to identify required data on the existing urban health infrastructure and to collect data regarding the spatial distribution of health facilities and slums across Ahmedabad. 

UMC staff also visited AMC’s existing UHCs and CHCs to understand their functioning and to understand the requirements for upgrading facilities. 

UMC developed a methodology which involved meetings and interviews with health staff including medical officers, pharmacists, lab technicians, multi-purpose workers (MPW) etc. Separate SWOT analysis was conducted with medical health workers and with pharmacists, lab.

UMC with the assistance of AMC staff identified slum pockets and communities on the base map of Ahmedabad and also marked existing health facilities provided by the AMC. These maps were later transferred to a GIS environment to analyse the accessibility of health facilities by slum dwellers. This assisted in locating newer health facilities as proposed under the NUHM.

Related Resource Documents 

For more information contact us at info@umcasia.org 

Mainstreaming HIV-AIDs Programs with City-City Partnership between Visakhapatnam (Andhra Pradesh) and Ahmedabad (Gujarat)

 

Client: USAID & Family Health International (FHI) Delhi

Location: Visakhapatnam

Duration: June 2006 

UMC’s flagship campaign under its Urban Health Initiatives is the HIV/AIDS response program. Under this program, the cities of Ahmedabad and Visakhapatnam joined hands to bring about a positive change in HIV/AIDS prevention. With the funding from the USAID and Family Health International (FHI), with support from UMC, Ahmedabad helped Visakhapatnam integrate, mainstream, and implement strategies within its City Development Strategies. UMC’s efforts included, with Theater Media Centre’s (TMC) help, documenting case studies of city governments undertaking HIV/AIDS prevention strategies. City governments were involved by facilitating their access to the new measures taken on the front. As the partnership progressed, the link between the two cities grew stronger. The cities continued their partnership against HIV/AIDS even after the stipulated partnership period. UMC provided support to enhance the capacities of Visakhapatnam to integrate, mainstream, and implement HIV/AIDS programs within the City Development Strategy.

UMC documented case studies of city governments undertaking HIV/AIDS prevention programs. It helped the city government council’s access to experiences and learning. It also helped strengthen the partnership and the capacity of Visakhapatnam Municipal Corporation. UMC facilitated dialogue between cities, mainly through the following methodology.

Documenting case studies of city governments undertaking HIV/AIDS prevention programs 

  • UMC conducted a rapid assessment of about 15 cities to do a preliminary listing of initiatives that city governments have undertaken towards HIV/AIDS prevention.
  • A detailed case study documentation of select 5-10 interventions from across 4 cities. 
  • UMC prepared video documentation of pre-selected initiatives to be screened at the “experience sharing” workshop and distributed to Indian city government leaders.

Identifying and facilitating sharing and transfer of learning to city government councils

  • UMC conducted a dissemination workshop at Visakhapatnam to share the documented case studies with concerned stakeholders including city government, state government, hospital, NGO officials who were involved in implementing the interventions. 
  • UMC organized a study tour of selected officials from Visakhapatnam to selected case study sites. This helped Vishakhapatnam officials to identify case studies for replication in their own city. 
  • A pilot exchange program between Learner City Visakhapatnam with Host City Ahmedabad demonstrated successful HIV/AIDS prevention programs. The program bridged ongoing interventions among stakeholders and achieved better multi-stakeholder coordination. 

Strengthening the capacity of Vishakhapatnam Municipal Corporation to develop HIV/AIDS program 

  • The partnered cities entered into an agreement to provide specific short-term technical assistance. 
  • A task force consisting of key stakeholders, senior urban planners, and task managers was set up in Vishakhapatnam. Exchange visits took place from the Learner City to the Host City and vice-versa to work on specific areas that could be implemented within specific deadlines. 
  • UMC focused on opportunities to complement and supplement ongoing intervention programs providing training and assistance to NGOs and local governments in these states. These partnerships built the capacity of the Learner City to design and initiate relevant HIV/AIDS programs and to find mechanisms of funding the same.

The cities have committed to continue their partnership aiming towards more sustainable interventions against HIV/AIDS. UMC’s program highlights that city government officials can help people fight stigma and facilitate an open community discussion about the real/immediate impacts of HIV/AIDS as they have direct access to mechanisms/ vehicles, infrastructure, and mandate to deliver prevention programs. 

With support from AMC, UMC, Ahmedabad AIDS Control Society, Vishakhapatnam launched the Vishakhapatnam AIDS Control Society (VACS) on June 13, 2006. The setting up of the Vishakhapatnam AIDS Control Society (VACS) was the first time ever in India that an AIDS control society was launched with the initiative of a city government.

Related Resource Documents 

For more information contact us at info@umcasia.org 

 

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