Rural Health Care Services Outreach Program (HRSA)

2020 ◽  
Vol 44 (22) ◽  
pp. 7-7
Keyword(s):  
Health Care ◽  
Rural Health ◽  
Rural Health Care ◽  
Health Care Services ◽  
Outreach Program ◽  
Care Services

Improvised model for BoP healthcare in India: lessons from NRHM

2015 ◽  
Vol 9 (3) ◽  
pp. 259-280 ◽  
Author(s):  
Prabhat K. Dwivedi
Keyword(s):  
Health Care ◽  
Health Status ◽  
Rural Health ◽  
Health Care Services ◽  
Health Indicators ◽  
Public Health Care ◽  
Care Model ◽  
Content Type ◽  
Care Services ◽  
Health Care Model

Purpose – The purpose of this paper is to develop an improvised sustainable health-care model by integrating best practices, innovations and new dimensions to the present public health-care system – National Rural Health Mission (NRHM) – for improving the health status of the bottom of pyramid (BoP) in India. Design/methodology/approach – The contribution of NRHM in ensuring the availability of health-care services and improving health indicators has been assessed. Some unique proven models of excellent health-care services and innovations have also been considered in designing an improvised health-care model. The empirical context takes the use of case study research methodology. The data have been extracted from various relevant papers, reports and websites. Findings – Despite substantial augmentation in health infrastructure and human resources, increased local engagement and technology integration, the progress in health indicators during the NRHM has not been fairly better than that before. The present paper provides an improvised model that integrates all the potential stakeholders such as Government, Private health-care services providers, pharmaceutical and insurance companies and BoP community itself to ensuring 5As rather than 4As (Prahalad, 2004) in rural health care. Research limitations/implications – This study has relied mainly upon the secondary sources of data and some published case studies. The model is a hypothetical framework designed exclusively for rural setups of India. Practical implications – The study shows the ways and invites all the stakeholders to come forward and build hybrid partnerships not only to develop society but also to develop sustainable BoP markets and earn profits. Originality/value – The paper brings forth the aspects of achievements and limitations of NRHM in improving BoP health status, and it develops an improvised model to achieve the BoP-health objectives.

scholarly journals Working conditions and interventions of health extension workers in the rural areas of South-Western Ethiopia

2020 ◽  
Vol 7 (1) ◽  
pp. 1-8
Author(s):  
Gudina Yadeta Abetu ◽  
Adamu Amanu
Keyword(s):  
Health Care ◽  
Rural Health ◽  
Working Conditions ◽  
Rural Areas ◽  
Health Care Services ◽  
Research Approach ◽  
Health Extension Workers ◽  
Care Services ◽  
Effective Interventions ◽  
Western Ethiopia

This study examined the working conditions and interventions of health extension workers in the two selected rural kebeles found in Sarbo District, South-Western Ethiopia. The qualitative research approach utilized owing to the nature of the study in which four health extension workers interviewed in-depth and key informant interviews used as methods. Data were analyzed and interpreted by using qualitative methods of data analysis with triangulation in the thematic method. The study indicated that low payment, poor transportations, unsafe working conditions, and less supportive top management were among the issues that impede interventions and working conditions of health extension workers in the study areas. Furthermore, it further leads to poor delivery of primary health care services. This calls for the designing of effective interventions to improve rural health care services by creating favorable working conditions for rural health extension workers.

scholarly journals Horizontal inequity in the utilisation of Continuum of Maternal Health care Services (CMHS) in India: an investigation of ten years of National Rural Health Mission (NRHM)

2022 ◽  
Vol 21 (1) ◽  
Author(s):  
Sumirtha Gandhi ◽  
Umakant Dash ◽  
M. Suresh Babu
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Focus Group ◽  
Rural Health ◽  
Health Care Services ◽  
Decomposition Analysis ◽  
Maternal Health Care ◽  
National Rural Health Mission ◽  
Care Services ◽  
Maternal Health Care Services

Abstract Background Continuum of Maternal Health Care Services (CMHS) has garnered attention in recent times and reducing socio-economic disparity and geographical variations in its utilisation becomes crucial from an egalitarian perspective. In this study, we estimate inequity in the utilisation of CMHS in India between 2005 and 06 and 2015-16. Methods We used two rounds of National Family Health Survey (NFHS) - 2005-06 and 2015-16 encompassing a sample size of 34,560 and 178,857 pregnant women respectively. The magnitude of horizontal inequities (HI) in the utilisation of CMHS was captured by adopting the Erreygers Corrected Concentration indices method. Need-based standardisation was conducted to disentangle the variations in the utilisation of CMHS across different wealth quintiles and state groups.  Further, a decomposition analysis was undertaken to enumerate the contribution of legitimate and illegitimate factors towards health inequity. Results The study indicates that the pro-rich inequity in the utilisation of CMHS has increased by around 2 percentage points since the implementation of National Rural Health Mission (NRHM), where illegitimate factors are dominant. Decomposition analysis reveals that the contribution of access related barriers plummeted in the considered period of time. The results also indicate that mother’s education and access to media continue to remain major contributors of pro-rich inequity in India. Considering, regional variations, it is found that the percentage of pro-rich inequity in high focus group states increased by around 3% between 2005 and 06 and 2015-16. The performance of southern states of India is commendable. Conclusions Our study concludes that there exists a pro-rich inequity in the utilisation of CMHS with marked variations across state boundaries. The pro-rich inequity in India has increased between 2005 and 06 and high focus group states suffered predominantly. Decentralisation of healthcare policies and  granting greater power to the states might lead to equitable distribution of CMHS.

The Occupational Therapy Northern Outreach Program: A Description

1986 ◽  
Vol 53 (4) ◽  
pp. 223-228 ◽  
Author(s):  
Michelle Quintyn
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Health Care Services ◽  
Outreach Program ◽  
Northern Ontario ◽  
Joint Project ◽  
Formal Evaluation ◽  
Care Services ◽  
Therapy Services ◽  
The University

The Northern Outreach Program is a joint project of the University of Western Ontario and the Ontario Ministry of Health. This program strives to develop health care services in northern Ontario. One aspect of this program is directed specifically towards the development of occupational therapy services. This paper provides a description of the structure of the Northern Outreach program, program objectives and approaches towards meeting the objectives. Although limited formal evaluation of the program has been completed some results will be described.

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