government is paying increasing attention to integrated health,
maternity and childcare in rural areas. An increasing number
of coming health workers and doctors are being sent to rural
health centers. Economically poorer sections of our population
are very much dependent on the government health-infrastructure,
which requires massive augmentation, what we need is to care
in all its dimensions. The need is to strengthen the entire
primary healthcare system.
Despite infrastructural bottlenecks, Purba Medinipur holds
a significant place in the state vis-à-vis health states.
In a combined rank of blocks in consideration of estimated
Birth Rate and female literacy rate in W.B., Purba Medinipur
blocks occupy front ranking positions. Considering the fact
that population served per bed in rural Purba Medinipur is
6034 persons and urban Purba Medinipur is 199. It can be said
that despite various problems, the government health mechanism
has served well the district.
In line with the initiatives taken by the state government,
it is imperative to remove identified constraints and inadequacies
of the health system with respect to manpower, infrastructure
and availability of financial resources. Women, Children and
the poor are the focus groups that need to be addressed by
the state’s health system and efforts are directed in
ensuring wide coverage. Broadly such efforts are based on
the following principles: -
(a) Meeting the needs of the district
population by making the health delivery system more pro-poor,
gender sensitive and client friendly and by responding to
the high burden of preventable diseases among the poor, women,
socially disadvantaged groups such as S.C.s, S.T.s and minorities.
(b) Focus on efficiency and improving efforts by emphasizing
quality and accountability of health services in the Government
health system as well as private sector.
(c) Promote decentralization of decision-making and collaboration
with the Panchayati Raj institutions, urban local bodies and
civil society organizations as well as develop inter-sector
collaboration with other governments. Much emphasis for improvement
in nutrition, education, water and sanitation programs has
been laid as well as integration of the various health programs
and mainstreaming of activities within the different branches
of the health system.
The basic approach centers around improving stewardship and
management in the government health system is critical for
the success of the reforms in health sector. Improving leadership,
accountability, efficiency and effectiveness at all levels
of the health system will synergistically add to the gains
made in the health sector.