Studies and Workshops
Studies Conducted:
- Social Assessment of Beneficiaries Study
- Informal private health sector study
- Burden of diseases study
- Rational use of drugs study
- Electronic Mapping of health facilities study (Public and Private)
- Facility survey study (all public hospitals in secondary care sector)
- Tribal development Plan
- Public Private Partnership
- Financial Management Study (sponsored by World Bank)
State level Workshops conducted:
NGOs involved in Tribal Health Care activities
Public Private Partnerships first consultative workshop
Non Communicable diseases (sponsored jointly by World Bank and Government of Tamil Nadu)
Workshop on Bio Medical Waste Management
State level work shop and inauguration of CEmONC services and birth companion scheme.
Studies envisaged:
Quality of care - hospital utilization and patient satisfaction survey at state level through private consultants
Non Communicable Diseases ( NCD ) – especially Cardio Vascular Disease including Hypertension – Study on Risk factors
Social Assessment of Beneficiaries Study
The social assessment of beneficiaries study was undertaken by a team from Christian Medical College , Vellore . The study highlighted the health seeking behavior of the public, the facilities available in public sector and the satisfaction level of the patients as well as the role and method of traditional healers, quality of care in private health care facilities, levels of satisfaction and constraints of vulnerable groups in accessing health care facilities. It has also highlighted the gender differentials in health seeking behavior.
Informal Private Health Sector Study
This study was confined to the districts of Dharmapuri, Theni, Dindigul and Kanyakumari. There is no particular logic in the selection of these districts except that the first three are poorer districts with lower health status while the last one has the distinction of having a high literacy rate and better health status. The practitioners from alternative systems of medicine representing Ayurvedic, Homeopathic,Siddha and Unani medicines were considered for this study. In addition, practitioners with no recognition to practice any of the above mentioned systems were also included under this study. The study focused on the prevalence of informal private sector providers practicing in all parts of the state with varying degrees of questionable quality and cross practice. Some of the informal sector providers are eager to participate in government health programmes.
Burden of diseases
A study on burden of diseases was conducted by Christian Medical College Vellore to find out the causes of mortality and morbidity .The study was based on the following documents
- Medical Certification of Cause of Death (MCCD)
- Reports on comprehensive health camps conducted through out Tamil Nadu ( 96 lakhs patients ) during 2000- 01
- Reports on the speciality camps conducted ( 7,98,442 patients ) during 2002-03
- Other reports available with DPH&PM
The essential drugs programme of the government of Tamil Nadu executed through TNMSC focused among other things on rational selection and use of drugs in government health facilities. A study on the extent of rational use of drugs in PHCs and FRUs in the state was conducted during 2003. The study had taken up both outpatient and inpatient treatment and was conducted through exit interviews of a scientifically selected sample of 7040 out patients and case sheets of 463 inpatients , supplemented with a perusal of the out patients prescription slips and drugs issued to the out patients. These provided the data base for the study. The patient contacts were established at 56 FRUs and 56 PHCs dispersed over Tamil Nadu . The study revealed the good and certain deficiencies in the rational use of drugs by the doctors in the PHC’s and FRU’s
Mapping of Health Facilities ( Public and Private )
The mapping exercise was undertaken for all healthcare facilities throughout Tamil Nadu . The out-patients attending all government hospitals and inpatient attending the hospital for one month were interviewed and the report analysed . The availability of private and public health care providers in the area was accounted for.
Facility Survey ( All public hospitals in secondary care sector )
A comprehensive facility survey was carried out in all secondary care hospitals in Tamil Nadu numbering 270 to find out the infrastructure facilities especially the buildings , equipments, human resources, vehicles and performance of the hospitals. The survey revealed in detail the infrastructure especially the civil works , water supply ,drainage and sanitation system, electrical works and repair status of the equipments ,vehicle and performance of the hospitals. The facility survey is being followed up to decide on the civil work needs , equipment supply and man power needs which will be provided by the project.
Tribal Health
A study on the tribal health has been instituted through a specialist in tribal health. The tribal population is around 53 lakhs. They are spread in the districts of Nilgiris , Coimbatore , Dharmapuri , Salem , Namakkal, Trichy , Dindigul Cuddalore and Vellore . No specific health plan for the tribals has been designed and implemented so far except for some out- reach camps and grant to some NGOs working in those areas.
Public- Private Partnership
In Tamil Nadu, many of the National programmes like Family welfare programme , Blindness Control programme ,Aids control programme and Immunisation Programmes are all carried out with active participation of the private sector health care providers. The private sector is growing at a fast pace and it is roughly estimated that around 80% of the first contact for out patients and 50 % of inpatient services are in the private sector. Hence it is imperative that various modalities of partnership among government , for–profit private sector and voluntary sector health care providers and institutions be explored to harness both public and private resources for meeting health sectors goals . A consultant is being nominated to study and recommend the PPP policy of the government and the action plan.
Financial Management Study ( Sponsored by World Bank )
The financial management study report recommends certain functional enhancements in areas like
- Budget
- Fund flow
- Accounting
- Management
- Audit – Internal and External
- Review Mechanism
- Computerisation
- Finance Integrated Management Information System
- Accountability of the institutions and individuals
- Performance Monitoring System
- Human Resource Management
- Revision of Job Descriptions
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