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Present Strengths and Future Plans
Discussion with B&M Gates Foundation
April29, 2008
Urban Health Resource Centre, India
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UHRC Vision & Mission
Vision
An urban India where every resident enjoys
optimal health and well-being, realizes her/his
full potential and contributes to the nations
growth and development
Mission
To bring about sustainable improvement in thehealth of the urban poor by influencing policies
and programmers and empowering the
community.
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Influencing National and StatePolicy and Program and
other Stakeholders
National and State
Level Technical
Assistance
U.P., M.P., Bihar, UA,
Jharkhand, Rajasthan,
Maharashtra
Research,
Knowledge
Management
and AdvocacyUH Conference
Symposia
Publications and Reports
Website
City TA cum
Demonstration
& Learning
ProgramsINDORE
AGRA
Meerut, Delhi
Development of a viable, capable, independent organization
UHRC Program ApproachEmerging Area:
Training,
Education
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Current Policy Scenario
GOI has taken a decision to soon launch a National UH
Mission with an allocation of about 8,600 crores (2.15 bUSD) over 4 years
Keen interest from States for initiating programs for urban
poor
JNNURM (BSUP) and IHSDP are two large programs forimproving basic services to the urban poor
ICDS programme is also speedily expanding reach in
urban slums
74th Constitutional amendment stresses on greater roleof Urban Local Bodies in health and related matters
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Key Strengths/Accomplishments
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UHRC provides technical support for design and roll-out ofNUHM
Joint MOHFW-UHRC visits to States
Evidences and programme documentation informed NUHMstrategies
Alluded to as Nodal Technical Agency for Urban Health for GOI
UHRC acted as secretariat for National Urban Health Task Force(2006) at the directive from the Prime Ministers office. Task Forcerecommend NUHM
Frequent questions in National Parliament (Jan 07-April 08) onhealth and well being of the urban poor, some quoting UHRCsevidence. UHRC assisting MOHFW in responding to questions
Urban Health Guidelines issued by Govt of India, Feb 2004
Supported design of urban component of RCH II
Facilitated sample urban health proposals of four cities
Current UHRC Role in National Policy
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City programs serve as demonstration and learning sites
Inequity and social exclusion addressed by inclusion of unlisted/ hidden slums in city health plans
Tools to identify & map unlisted and vulnerable slums, facilitiesdeveloped
Strategies for empowering slum communities for healthimprovement demonstrated
Study tours by government, non-government program managers(100 officers representing programs of >20 cities)
Program managers, leaders from demonstration and learningsites share experiences at State and National levels
Program research conducted and used for hygiene improvement,immunization tracking and exclusion related research.
City Programs Provide Learning for Policy, Program, Research
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Research, Knowledge Management and Advocacy
National and state level urban poor specific data
informed policy and programmes
Repository of Urban Health Literature
Collaboration with academic/professional
resulted in greater attention to the issue Comprehensive urban health website attracts
60,000 hits per month
Enhanced attention on the issue throughconference, workshop, symposia & media
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Mr. Prassana Hota, Secretary to the Ministry of Health and Family Welfare, Govt. of India,
acknowledged the role of UHRC in furthering the urban health agenda in a message to
UHRC website :
Technical assistance given to the GOI and State Governments has
provided the right momentum for formulating policies and programmes
for improving health of the urban poor.. I am confident that UHRC will
continue its technical assistance efforts and its crusade for furthering
urban health with dedication, commitment and a collaborative spirit.
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Long Term Plan for Next 10 years
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Developing Policy Guidelines [e.g. Training of USHAs
(Slum-level Volunteers) for different aspects]
Data and Research support for better informed policy
and programmes
Technical Assistance for Convergence with otherprogrammes for increased efficiency of resources
Develop model methodology and instrument for city
level baseline surveys
Guidelines for spatial mapping of slums for city level
planning
Policy Support and Tech Assistance for NUHM
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Envisaged Policy Advocacy Role for JNNURM and ICDS
Advocate for greater JNNURM (BSUP) investment
on water, sanitation and hygiene.
Foster greater convergence at different levels
with health.
Advocate with ICDS,BSUP and IHSDP to reach all
urban poor habitations including unlisted slums
Advocate for stronger synergies at community
level
Advocate for greater role and capacity of Urban
Local Bodies in view of 74th Amendment.
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Support Implementation of NUHM
Development of PIPs
Capacity Building through workshops/study tours.
Support in Developing UH Division / Cell
Catalytic Inputs for operationalizing mandatedstrategies
Support evolving operational convergence
mechanisms
Development of Curriculum for Training of USHAs.
Research and Data support
Envisaged TA Role at State Level for NUHM
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Capacity building through hands-on support for city level
planning and implementing NUHM strategies
Assistance in establishing City Project Management Units
Technical Assistance to operationalize convergence
mechanisms
Demonstration and learning of deployment and training
of USHA
Technical Support to evaluate program approaches
including water, sanitation and hygiene.
City Programs serve as demonstration and learning sites
Envisaged TA Role at City Level for NUHM
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Envisaged focus of Demonstration & Learning Programs
Computerized /technology based HMIS
GIS to show health data in select area
Use of communication tech. (cell phone, PCO)
for expanding reach and effective referral
Model for Smart Card for PPP with doctors orprivate hospitals
Community level health system to negotiate
with public and private providers for RH services
Ward based planning and implementation with
focus on improving urban governance
Community Health Insurance
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Long-term Business/sustainability plan:
Broaden donor base
National
International
Corporate Houses
Build Corpus fund Arogya basti fund
Purchase/build UHRC offices
Establish Urban Health Training Institute
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Broadening scope over time
Geographical
South East Asia Urban Health Resource Centre
International Conference on Urban Health in Developing
Countries with an MNCRH focus
Asia UH Network
Technical Expand breadth of the UHRC programme responsiveness
beyond MNCHN services
Research, Knowledge Management and advocacy
Expand and strengthen website: add UH DevelopingCountries portal; UH-Asia/SEA portal
Collaborative State of UH Reports for SEA countries
Articles series with developing country focus
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Training and Education
Training programs, Courses, modules for State/Dist/NGO
officers; collaboration with TERI
Educational function on Urban Health
Summer/field placements of Masters and PhD students,
from Indian and International Universities
15 month UH Internship for young PG pass-outs
Providing field site and mentoring to PhD students for
their dissertation
Classes at Indian and International (JHU, GWU, SIT-Vermont) universities
Exchange programme with leading universities
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Management System
Decision making/institutional structure:
Core Team, sub-committees
Governing Board
Advisory Board
Financial management system:
Concurrent audit
Annual/statutory audit
Financial Policy in place
Regular efforts on Institutional sustainability plan
Grants and Contract mechanism in place
HR System (Ernst & Young)
Recruitment system
Performance Management system
Resource Mobilization Team
Staff capacity building policy in place
Admin policies in place
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Accountable,
Effective
Urban Health
System Long Lever of :a) Commitment , Motivation
b) Knowledge, Experience
c) Proximity to problems
d) Accountability, responsibility
Socially
Committed,
passionate
Development
Professionals
with, CivilSociety, Govt.,
slum
communities
With Hope and Confidence
A small body of determined spirits fired by anunquenchable faith in their mission, can alter thecourse of history
- Mohandas Karamchand Gandhi
www uhrc in
http://www.uhrc.in/http://www.uhrc.in/