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Reforms and newer initiatives are being brought into
the health sector in India
in response to the growing demands for health and diminishing resources to
meet these demands. These experiments are carried out by governments at
central and state level. However, there is a need for systemic documentation
and analysis of these processes. With a view to bridge this gap, WHO Country
Office India has been supporting
the Ministry of Health and Family Welfare to undertake review and
documentation of health sector reform initiatives in India. The first phase of
documentation has resulted in a document ‘Health Sector Reforms in India:
Initiatives from Nine States’ brought out in August 2004. The second
phase of documentation is currently in progress.
Dissemination of health sector reforms underway
across states and experience sharing is another major activity. National and
regional workshops are being held across the country with participation of
policy makers from Central and State government, representatives from
bi-lateral/multi-lateral agencies and civil society. The objective of these
workshops is to enable exchange of experience and information on health sector
reforms, to draw lessons from and draw on best practices from experiences of
States. The experience sharing workshops and subsequent work in the area has
brought out the need for greater understanding and analysis of reform
processes, its functioning and impact on access, quality, efficiency and
equity relating to financing, organization and structure if health care
systems.
With a whole gamut of reforms in health sector
taking place, one of the issues is monitoring of these processes for their
effectiveness and efficiency and evaluating them for their outcome. As part
of this intiaitive a workshop was organized to
share and learn from the monitoring and evaluation approaches adopted by
various National health programmes, few States and
bi-lateral/multi-lateral agencies.
Reports
Workshops
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