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Public Private Partnership in Primary Health Service Delivery Implemented By NYSASDRI and Govt. of Orissa Supported by European Commission and Interact Worldwide, UK Plot No. 138, Flat No. 301, Narayani VIP Enclave, VIP Area, IRC Village, Bhubaneswar - 751015, Orissa, India Phone : 0674-2555662, Tel/Fax : 0674 - 0674-2553885, Email : [email protected], Website : www.nysasdri.org

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Page 1: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

Public Private Partnershipin

Primary Health Service Delivery

Implemented ByNYSASDRI and Govt. of Orissa

Supported byEuropean Commission and Interact Worldwide, UK

Plot No. 138, Flat No. 301, Narayani VIP Enclave, VIP Area, IRC Village, Bhubaneswar - 751015, Orissa, IndiaPhone : 0674-2555662, Tel/Fax : 0674 - 0674-2553885, Email : [email protected], Website : www.nysasdri.org

Page 2: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

Public Private Partnership Initiatives in PHC(N) ManagementNYSASDRI & Health Dept., Govt. of Orissa's joint management of two PHCs(N) under Public Private

Partnership modus at

* Atta village of Sukinda Block, Jajpur district

* At Khankira village of Gondia Block, Dhenkanal District

After a rigorous groundwork of policy advancement for Govt’s hand over of PHC(N) to NGO

NYSASDRI,MoUs were signed btween Jajpur & Dhenkanal district administrations on 28th

October2005 & 1st Jan2006 respectively.

Services were commenced from 2nd Jan2006 at Atta & 6th Feb2006 at Khankira.

PHCs (N) runs through Hospital Management Committees representing members from Block CHC,

PHC (N) team and other community leaders.

Govt. shares infrastructure, existing human resources & monitoring of PHC (N) activities.

NYSASDRI shares essential renovation of building, equipments, medicines, man power where ever

was the vacancies & other logistics

Page 3: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPPPHC(N) ATTA

Photograph (Dt24/8/04) of second building of PHC(N) Atta which wasconstructed by support of MP LAD scheme.

Photograph of second building of PHC(N) Atta (taken on dated07.02.2006)

Page 4: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

Photograph (taken on dated 17.10.2005) of the first building of PHC(N)Atta which was constructed by Govt. of Orissa.

Photograph (taken on dated 21.10.2006) of the first building of PHC(N)Atta.

PHC(N) ATTA

Page 5: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

Photograph (taken on dated 17.10.2005) of the door and window inthe entrance of first building of PHC(N) Atta which was constructed byGovt. of Orissa.

Photograph (taken on dated 21.10.2006) of the the door and windowin the entrance of first building of PHC(N) Atta which was repaired byNYSASDRI.

PHC(N) ATTA

Page 6: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

TOILET &URINALS

In between the two buildings (Ist building, old one, which was con-structed by GOI & 2nd building, new one by the MPLAD fund ) toiletand urinals are constructed. (Photo on Dt17/4/07). Following renova-tions were made.

• White washing, wall paintings• Two urinals with one latrine• Renovation of old building with 3 iron doors and 4 windows, plaster-

ing of floor of two small rooms• Electrification with stabilizer

• WLL telephone connection

Earlier toilet & urinals were not constructed. Following items werefound available in PHC(N) at the time of take over.Steel beds-6Mattresses-9Bed sheets-12Pillow-5Table-2Chair-4Steel cabinet-3Ceiling fans-5Iron rack-1wooden chair-1Bench-1Microscope-1Dressing drum-2saline stand-2Basin stand-2Thermometer-8Bucket-1Operation Exam -2Other surgical items* Detail list is recorded in PHC(N) Stock Book

PHC(N) ATTA

Page 7: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

IEC Materials and display of HMC Members list and function of HMC,Patients waiting place,suggestion box etc(Dt12/4/07)

Earlier the IEC materials, Display of HMC list, its function, sugges-tion box etc were not available in the corridor.

PHC(N) ATTA

Page 8: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

A view of the medicine dispensing room -Electrification of building,refrigerator, are seen (Dt12/4/07). Pharmacist, Sweeper & Seniormanagement staff of NYSASDRI are seen.

Photograph of interior is not available.

During take over availble infrastructure of equipments, medicines &other assets had been verified. Detail list is available in PHC(N) stockbook.

PHC(N) ATTA

Auto clave non electric-1Personal weighing scale-1Delivery Table SS Top-1Examination Table Spl SS Top-1

Revolving stool-2Instrument Trolley-1Refrigerator-1Thermometer-1

Page 9: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

A view of Diagnostic instruments, OPD register and medicines arekept in packets for instant dispensing to patients. In the absence ofMO pharmacist makes diagnosis, prescription & medicinedispensing.

Photo of interior is not available.

PHC(N) ATTA

Page 10: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

View of the counter for pathological tests. The unit is present in thefirst building of PHC(N).

Earlier the unit was not established and the building was abandoned.

PHC(N) ATTA

Page 11: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

Stock of medicines from project supply.

Actual photographs could not be available.

PHC(N) ATTA

Page 12: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

Malaria slide analysisGovt. supplied Micro-scope is kept under thecustody of Govt. pharma-cist.

Govt Pharmacist (who was trained on MP slide test) was regularlyabsent hence this examination was not regularly functional.

PHC(N) ATTA

Page 13: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

An exterior view of Doctor’s chamber.

Earlier Dr’s sitting place was differentiated. when ever he had attendedwas sitting in medicine dispensing room.

PHC(N) ATTA

Page 14: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

A view of dressing room. Autoclave, dressing rack etc are procuredfrom project.

Almost the room was closed & unutilised.

PHC(N) ATTA

Page 15: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

A view of patient’s observation ward. where generally immunisation,staff meeting, HMC meetings are convened. In the photo first meetingof RKS is convened by CHC MO I/C Sukinda( In the center of table, inhis right seated is MO(PHC(N) Atta & in right prospective chairper-son of RKS, the member of Zilla Parishad.

Photo graph of that time period is not available.

PHC(N) ATTA

Page 16: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

Health camp at Banza village. Male & female health workers of Haripursub center are involved in immunisation. (Dt17.12.2005)

Matching photo graph of such event is not available.

PHC(N) ATTA

Page 17: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPPPHC(N) KHANKIRA

Photograph of PHC(N) Khankira (Dt22/8/04) Photograph of PHC(N) Khankira (1st-On Dt Feb’06 & 2nd- On Dec06)

1

2

Page 18: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

A view of OPD-Dr Santi Bhusan Panda MO (sitted in center, adjacent towindow) is engrossed in diagnosis , while pharmacist Mr GajananSatpathy is dispensing medicines. At the time of photo graphs shootedpartition of Dr’s chamber and fabrication of doors & window work wasgoing on . (Dt9th Feb06).Following renovations were made.

White washing, wall paintings, display of board, One urinal in PHC(N)campus, Renovation of building with 5 iron doors & 6 windows, Partition in the big hall, Electrification with stabilizer, Application forWLL telephone, Renovation of staff quarter with plastering, electrifica-tion, one toilet, one bath room, water storage tank etc, Fencing withplants and iron gate in entrance

PHC(N) was remaining closed in maximum days of month as MOpost was vacant.

PHC(N) KHANKIRA

Page 19: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

Health camp by the PHC(N) team at village Gothataila, a tribal village.Dr. BC samal makes check up of the children in Child DevelopmentCenter & Mr. Pranay Biswal, Pharmacist & Mr Chitta Ranjan Rout,Laboratory Technician assist in recording patients particulars & medi-cine dispensing. Ms. Jessica Drinkwater an Intern of medical sciencefrom UK also was placed weeklong period for an exposure of pri-mary health care in developing countries.

Such activities were not carried out at that period by PHC(N) team.

PHC(N) KHANKIRA

Page 20: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

A view of the drip insertion to a patient with Malaria. Dr. Samal makesthe check up prior to discharge. Following equipments were procured.

Auto clave non electric-1Steel Basin with stand & wheel-1Kidney Tray 8”-1Personal weighing scale-1Delivery Table SS Top-1Examination Table Spl SS Top-1Instrument Trolley SS Top- 1Revolving stool- 2Saline stand-1In door Bed-1Thermometer clinical-1Urinal (Gents)-PlasticTongue lip depressor-1Steel Tray & cover-1

Such photo is not available.

During take over availble infrastructure of equipments, medicines &other assets had been verified. In brief following items were found inthe health center.Steel Almirah-2Almirah with glass door-1Tables-3Wooden chairs-2Plastic chairs-4Minor surgical items of forceps, scissors etc.

PHC(N) KHANKIRA

Bed pan-1Stethoscope-1BP Set (Mercury)-1Dental dissecting set-1Ear Speculum-3Dilator-1Steel Tray-2Microscope-1Vaginal speculum-1Rubber cathedar- 2 setsThread-1 rollGloves- 2 pairsRexin coated mattress-2Refrigerator-1Other items for office stationery

Page 21: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

A view of Hospital Management Committee meeting. Members arediscussing the performance of PHC(N) during the month. Meeting isheld in the corridor a place of patiennt’s waiting (Dt9/2/06)

Such photo is not available.

PHC(N) KHANKIRA

Page 22: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

A view of Health camp at PHC(N) Khankira, Specialists of OG,pediatrics, opthalmology & general medicine had been deputed fromCHC Sriramchandrapur & KEHRC, Dhenkanal. (Dt27/12/06)

Not such photo is available.

PHC(N) KHANKIRA

Page 23: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

A view of Dr’s chamber in PHC(N) Khankira. Dr. B.C.Samal, MO isexplaining the performance of PHC(N) to some over sea visitors.

Photo graph is not available.

PHC(N) KHANKIRA

Page 24: Public Private Partnership in Primary Health Service Delivery · Public Private Partnership Initiatives in PHC(N) Management NYSASDRI & Health Dept., Govt. of Orissa's joint management

BEFORE PHC(N) TAKEN OVER BY NYSASDRI AFTER PHC(N) TAKEN OVER BY NYSASDRI UNDER PPP

1)

2)

View of Health camp organised at PHC(N) Khankira premises. Topone displays a stall of immunisation & poster exhibition .ANM of subcenter Laulai (in the center) is present.

Such photo of Health camp is not available.

PHC(N) KHANKIRA