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Training of Parivar Kalyan Salahkar Samitis, Himachal Pradesh.
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Subject Area="Community participation." Objective="Community management of health services."
Details for Reform Option "Training of Parivar Kalyan Salahkar Samitis, Himachal Pradesh."
Summary

Background: Panchayat Raj Insitutions (PRIs) are the symbols of democracy at village level and are seen as instruments of development. But community leaders often do not give priority to the health needs of their community. Action: In order to involve PRIs in the provision of basic health care and undertake monitoring and supervisory activities, Parivar Kalyan Salahkar Samities (PARIKAS) or Family Welfare Advisory Societies were formed in 2001 by the Government notification at the three levels of PRI i.e. village, block and Zila. The Pradhan of the Gram Panchayat is the President of the Panchayat PARIKAS and the female health worker is the Secretary. The block PARIKAS has Chairperson of the Panchayat Samiti as the President and the Block Medical Officer as the Secretary; and the Zila PARIKAS has the Chairperson of the Zila as the President and the Chief Medical Officer as the Secretary.However it was seen that these PARIKAS were not proving very useful in their contribution so it was decided to train select members. Training was piloted in the Kangra district at the lowest level i.e. village PARIKAS in 2003 under the European Commission-supported Sector Investment Programme in the State. Six to 7 members were selected from each PARIKAS for training at block level. In addition, quarterly meetings were held and attended by the Block Medical Officer who provides input to improve their functions. Results: Since this training, the PARIKAS members’ involvement in healthcare decisions has increased.

Cost Approximate initial cost is INR18 Lakhs.
Place Training was piloted first in the Kangra district in 2003. On its successful completion training workshops were extended to the whole State.
Time Frame Approximately six months.
Advantages

Inclusive: Village level health planning with inputs from the PRIs provides a more realistic shape and gives them ownership and a commitment to fulfil the plans. Responsive: Training and empowering the PRI to understand the needs of the community is a good way to get them involved in the health concerns of their people.

Challanges

No challenges perceived.

Prerequisites

State Government Order.

Who needs to be consulted

Panchayat leaders.

Risks

Sustainability

Training only needs to be done once. Visible changes in village action plans are seen as a result.

Chances of Replication

Based on the results of the pilot experiments in the Kangra district, training had been scaled up in all the districts of Himachal Pradesh. The State plans to train approximately 15,000 PARIKAS members by June 2006.

Comments

Training panchayat members and enabling them to get involved in village micro planning according to the needs of the community is a welcome step in the process of decentralisation. The scheme also fits well with the Government of India’s National Rural Health Mission which aims to involve the PRIs in monitoring and supervising national health programmes.

Contact

Submitted By

Dr. Anuradha Davey, Research Consultant, National Institute of Medical Statistics, February 2006.

Status Active
Reference Files
Parikas GO-10.12.2001.pdf
Parikas GO-23.10.2002.pdf
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