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Hausala Sajheedari, Uttar pradesh
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Subject Area="Public / private partnership (including NGOs)." Objective="Scope and quality of primary health centre services."
Details for Reform Option "Hausala Sajheedari, Uttar pradesh"
Summary

Background:- The state government, inviting the private health facilities and private sector surgeons to join hands with the government and complement in its efforts to stabilize the population growth, has launched a unique initiative called ‘Hausala Sajheedari’ wherein the state policy on accreditation of private health care facility and empanelling private sector qualified surgeons for family planning has been comprehensively revised and detailed guidelines issued. Hausala Sajheedari takes the help of ICT to deliver a smooth and efficient system wherein an online web-portal based interactive system has been designed and implemented under the program. GoUP has formed an apex committee called State Task Force (STF) and also established a Private Sector Partnership (PSP) cell at the state level for leadership and overall management of the program. =: Hausala Sajheedari makes engaging with the government simple and attractive for private health facilities and family planning surgeons. This web portal is a single – window solution where all the formalities can be completed quickly so that health facilities and surgeons can provide family planning services under various government schemes. =: Hausala Sajheedari is also an opportunity for health facilities and family planning surgeons to join hands with the government to work towards population stabilization in Uttar Pradesh. Action:- =: Health facilities and family planning surgeons can take a self – evaluation test at this portal to find out their eligibility. Facilities can apply for accreditation and surgeons can seek empanelment here. =: Accredited service providers can also put up the list of people to whom they have provided family planning services and claim reimbursement and compensation under government schemes. =: A private facility will be accredited for 5 years but an annual review of accreditation will be done for quality assurance by nominee/s of STF. =: Owners of health facilities approved for accreditation will be invited to sign a tripartite memorandum of understanding (MoU) between the Private Facility, the Chief Medical Officer, and SIFPSA. Surgeons who meet the eligibility criteria for providing surgical family planning services can also get empanelled with the office of the Chief Medical Officer. Empanelment becomes necessary for the surgeons to be indemnified against litigations in case of eventualities. Accredited facilities will be able to upload details of family planning services they have provided and seek reimbursement and compensation. =: PSP needs to upload details of provided services and beneficiaries on prescribed format on web, minimum 10% of the uploaded details will be physically verified randomly by the authorities and after successful verification only payment will be made. =: SIFPSA has been designated as the nodal agency at the state level to implement this program. A 4 member Private Sector Provider (PSP) cell serves as a secretariat to the State Task Force. The PSP cell, nested at SIFPSA, looks after the web portal management, problem solving and overall process oversight of the program implementation at the state level, including promotion of the program, online verification of the application, monitoring progress, and processing reimbursement of claims. (Presentation on working of web portal in pdf form is enclosed as Annexure – 5) Results:- =: 392 surgeons have been empanelled under this scheme (List enclosed as annexure – 1). =: 368 Hospitals have been empanelled under this scheme (List enclosed as annexure – 2).

Cost The portal has been developed by existing infrastructure of SIFPSA. The market cost of developing such portal is around Rs. 18 to 20 Lakhs approximately. Further, Annual data back up and Annual maintenance cost of the portal is around Rs 7 Lakhs per annum. Table of rate of reimbursement to Service Providers & Beneficiary is listed in GO dated 27.01.2015 enclosed herewith as annexure – 3.
Place The scheme is being rolled out in all District of Uttar Pradesh.
Time Frame As per the roll out plan, the initial time to set up including developing the software applications, conducting capacity building training of is 12 months.
Advantages

=: A couple seeking contraception can now gain access to family planning services in a private clinic, closer to home, and yet enjoy the benefits of government schemes. =: Private health facilities can now get accreditation by simply logging in to the web portal. Anyone seeking accreditation for his or her clinic simply has to follow the instructions given at every step. There is an audio – video tutorial as well on the home page. Facility owners can do their own evaluation against a checklist and if they meet the eligibility criteria the portal will automatically generate a letter of interest. The office of the corresponding Chief Medical Officer will also get an alert simultaneously to initiate the next step, that is, physical verification of the health facility. =: Health facilities can check their application status online. Facilities denied accreditation will be given reasons for rejection.

Challanges

Creating awareness & sense of trust among the Private Health Practitioners / Providers.

Prerequisites

=: Involvement of health officials =: Sound understanding of the State Government and GOI functioning =: Monitoring and supportive supervision mechanism

Who needs to be consulted

State Innovations in Family Planning Services Agency (SIFPSA) Om Kailash Tower, 19-A, V.S. Marg, Lucknow – 226001 Contact: 0522-2237497, 2237498 Fax: 0522-2237574

Risks

Sustainability

Programme is sustainable if timely reimbursement of the bills is done by the concern departments. Further, proper awareness programme among the private service providers as well as beneficiaries should be made to ensure active participation.

Chances of Replication

Programme can easily be replicated.

Comments

Objective:- Uttar Pradesh is committed to contributing almost 26 percent of country’s FP 2020 goal to achieve population stabilization. To fulfill this enormous task, the number of eligible couples using contraceptive needs to double in next 6 years which translates to increasing the current users of modern family planning from 1.27 crore to 2.45 crore eligible couples. Government of Uttar Pradesh clearly envisions a complementary role that the private health care providers can play alongside the public sector, to exponentially expand access to quality FP services for the potential clients to choose from, thereby increasing use of need for family planning.

Contact

E-mail: cbhi.lucknow@gmail.com Tele / Fax: 0522-2325268

Submitted By

Field Survey Unit, ROHFW, Lucknow

Status Active
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