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Medical Officers empowered to authorise minor maintenance to Community Health Centres and Block Primary Health Centres, Orissa
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Subject Area="Infrastructure and Equipment." Objective="Maintenance of health facilities."
Details for Reform Option "Medical Officers empowered to authorise minor maintenance to Community Health Centres and Block Primary Health Centres, Orissa"
Summary

Background: Lack of minor and routine maintenance of health centres because the work had to be done by the engineering section of the Rural Development Department (RDD) – often situated many miles away. The RDD was unable to cope with both the distance and the numbers (4000 plus) of health facilities it had to maintain in the state. Action: The Medical Officer (MO) in charge was given INR 10,000 per year to carry out maintenance and minor repairs of Community Health Centre (CHC) and Primary Health Centre (PHC) buildings. Basic accounting and book keeping training was provided to keep track of spending. After a review of the initial project, MOs were also given training on how to efficiently use these funds and prioritise maintenance needs. The Department of Health and Family Welfare, Government of Orissa, introduced this as a minor maintenance scheme as part of its maintenance policy reform strategy in 1997-98.

Cost No cost implications.
Place One hundred CHCs and Block PHCs in Orissa since financial year 1997/98, planned to increase by 100 each year.
Time Frame Two years.
Advantages

Speed: Pressing repairs can be carried out without too much delay. Visibility: Noticeable improvement in the quality of facilities.

Challanges

Increased workload: Increased burden of responsibility on MOs. Accounting: Necessity to account for funds correctly and need for MOs to be properly trained in accounting. Corruption: Possible misuse of funds.

Prerequisites

Training of MOs in general management. Prompt passing of bills for payment. Guidelines for use of funds and accounting. Ongoing management support at district level.

Who needs to be consulted

District Health & Family Welfare Agencies, State Government, heads of facilities, Rural Development Department, CHC / PHC MOs.

Risks

None identified.

Sustainability

Has been extended to cover 600 institutions in the state (August 2004). Similar scheme being undertaken in Gujarat (See PROD link).

Chances of Replication

Has been extended to cover 600 institutions in the state (August 2004). Similar scheme being undertaken in Gujarat (See PROD link).

Comments

None.

Contact

Submitted By

Dr. Matthew Jowett, Former Programme Adviser, European Commission Techincal Assistance Office, New Delhi. July 2002.

Status Active
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