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Recognizing the need for
evidence based information about and assessment of various initiatives
undertaken as part of the health sector reform process in India, the Ministry of Health & Family
Welfare, Government of India, in collaboration with the WHO Country Office, India has undertaken a review and
documentation of health sector reform initiatives in India. The
various methodologies employed included conducting a mailed survey to
document reform initiatives underway in various states, compiling relevant
information and data through secondary literature review, conducting an
experience sharing national level, in depth documentation of experiences in
select States through state visits and interviews with state officials,
representatives from bi-lateral and multi-lateral agencies, NGOs etc. With a
view to document, reform initiatives at the centre, interviews were held with
select programme
officials, key individuals and representatives from select bi-lateral and
multi-lateral agencies.
As part of the first phase of
this activity, reform initiatives underway in nine States, namely Gujarat, Himachal
Pradesh, Karnataka, Madhya Pradesh, Orissa, Punjab,
Rajasthan,
Tripura
and Uttaranchal
have been compiled into a document. This document, Health Sector Reforms in India: Initiatives from Nine States was
brought out in 2004.
Experiences from States of
Andhra Pradesh, Chhattisgarh, Goa, Haryana, Kerala, Nagaland, Tamil Nadu and West Bengal have been compiled in a second document,
titled Health Sector Reforms in India
: Initiatives from States II, brought out in 2007.
Both these documents contain
information related to genesis, content, process and outcome of health sector
reforms across these states. Initiatives in areas such as financing (user
fees, health insurance), changes in health system organization, delivery and
management (decentralization, contracting out of select services,
public-private partnerships), re-organization and re-structuring of existing
government health care system as well as reforms related to human resources
have been outlined.
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