Saurabh RamBihariLal SHRIVASTAVA, Prateek Sudhakar BOBHATE

Durvesh Temel Sağlık Merkezinde Rogi Kalyan Samiti Uygulaması (2009-2010)

AMAÇ: Rogi Kalyan Samiti (RKS), Hidistan Hükümeti tarafından, hesap verebilirliği ve halkın katılımını, tam bir şeffaflık içinde sağlayan, sürdürülebilir kaliteli bakım sunmak üzere Ulusal Kırsal Sağlık Grubu altında, 2006 yılında kuruldu. Bu çalışma Durvesh Temel Sağlık Merkezindeki, 2009-2011 RKS uygulamalarını değerlendirmek üzere planlandı. YÖNTEM: Thane bölgesi bir kabile alanındaki Durvesh Temel Sağlık Merkezindeki bu araştırma kesitsel bir çalışma olarak uygulandı. Bölge Sağlık Kurumu izni çalışma öncesinde alındı. Katılıcılar Temel Sağlık Merkezindeki kamu ve özel görevliler ile kullanıcılar idi. Bilgiler üyelerle olan derinlemesine görüşmeler ile toplandı. Kullanıcılar ile görüşmeler dışında denetçi raporları, kayıtlar ve fiziki altyapı gözlemleri kullanıldı. Daha sonra Temel Sağlık Merkezi çalışanları ile RKS hakındaki görüşlerini öğrenmek üzere görüşmeler yapıldı. BULGULAR: Kamu ve özel çalışanlar rehberlere uyumlu değildi. Kişisel rollerini tanımlayamadılar. Yöneticiler kaynak kullanımı konusunda, direktifleri uygulayanlara gore daha fazla bilgiye sahiptiler. RKS toplantılarının çoğu düzensiz yapılmaktaydı ve genellikle diğer toplantılar ile birleştirilmekteydi. SONUÇ: RKS hedeflerine ulaşmakta yılda bir yapılan, sadece faturaları tahkik eden, iş kalitesi, kullanıcılarıın veya sağlık çalışanlarının görüşlerini içermeyen denetlemelerin yeterli olmamaktadır.

[Implementation of Rogi Kalyan Samiti (RKS) at Primary Health Centre Durvesh (2009 - 2010).]

AIM: - Rogi Kalyan Samiti (RKS) was started under National Rural Health Mission (NRHM) in year 2006 by Government of India to provide sustainable quality care with accountability and to ensure people's participation with total transparency. This study was planned to assess the implementation of RKS at Primary Health Centre (PHC) Durvesh in the year 2009-2010. METHOD: A Cross-sectional descriptive study was conducted at PHC Durvesh in a tribal area of Thane district. Permission of District Health Officer was taken prior to start of study. Study participants were members of governing & executive body, beneficiaries at PHC. Information was collected by in-depth interviews of members, exit interviews of the beneficiaries, assessment of audit reports & records and observation of physical infrastructure. Later on PHC staff was also interviewed to know their views regarding RKS. RESULTS: Members of the Governing and Executive body were not matching with the guidelines. They could not specify their individual roles. The signatories had better knowledge of fund expenditure in comparison to other members who solely depended on the directives of signatories. Most of the RKS meetings were irregular and were usually merged with other meetings. CONCLUSION: Assessment mechanism for the achievement of objectives of RKS was inadequate as it was done only annually, limited only up to scrutiny of bills, no assessment of quality of work, opinion of beneficiaries or health care workers was not considered.

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