EVALUATION OF URBAN PRIMARY HEALTH CENTRES OPERATING UNDER THE PUBLIC-PRIVATE PARTNERSHIP MODEL IN THE STATE OF UTTARAKHAND

Abstract

Introduction: The National Urban Health Mission (NUHM) was launched to improve the health status of the urban poor. Due to limited public resources, the Indian government expanded healthcare in urban areas through public-private partnerships. This study assessed the performance of urban primary health centres (UPHCs) functional within the Public-Private Partnership healthcare delivery model.

Methodology- We evaluated 27 UPHCs facilities based on the following indicators- infrastructure as per IPHS / NUHM guidelines, human resources position as per norm, accessibility, utilization of services, client satisfaction, outreach activities, and comparative assessment between UPHCs under different zonal NGOs.

Results- All evaluated UPHCs operated in buildings the public partner rented. A few infrastructure elements, like a cold chain room, AYUSH facility, generator room, and a separate office, were absent in all UPHCS. Human resources were inadequate; the positions of the 2nd Medical Officers in all centres and LHV in 81.5% of centres were found vacant. Most community members were aware of ANC (56.6%), PNC (51.1%), Immunization (65.9%), and Non- Communicable Diseases (Hypertension, Diabetes) (63.6%) services provided at the UPHCs. The availability of drugs at most UPHCs was not as per the demand placed. The irregular flow of funds restricted the smooth functioning of UPHCs.

Conclusion- The study revealed that most community members preferred UPHCs for their health needs. The main challenges that deferred the functioning of the UPHCs were the irregular flow of funds, lack of human resources, and lack of required drugs.