community monitoring in barwani
TRANSCRIPT
Direct Monitoring at PATI, Community Health Center in Madhya Pradesh
Presentation bySant Kumar, SATHI
at International People's Health University course on Health and EquitySeptember 2009, Bangalore
Barwani
- One needle used to inject upto 10-15 patients
- People asked to purchase medicines from outside instead of providing them with free medicines from the CHC.
- Doctors of the CHC asking patients to come to their private clinic for consultation
Deficiencies Observed in CHC, Pati
- Doctors not coming on time to the CHC in working hours, leaving within an hour or so.
- Health staff in the CHC demanding money for service.
- Ambulance not given to the people in case of emergencies
Repeated protests to improve health services in the Pati had yielded minimum results. People decided to organize ‘direct monitoring’. Main actors involved were
‘Direct Monitoring’ of Services in Pati Block CHC
Villagers
Jagrut Adivasi Dalit SanghtanVillage Health Committees
Technical Support by
SATHI-Nodal NGO
Collaborative efforts of these actor help strengthen the programme
Direct Monitoring involved 50-200 persons camping in theCHC premises continuously forfour days (19th to 22nd May,2008).
How was Direct Monitoring Done?
People’s direct monitoring
Groups of villagers directly observed
Services along with VHC membersand ASHAs present
Doctors were present outside who rechecked
patients who went to the CHC
People wereprovided
information about health rights
Villagers had direct dialogue with
doctors of CHC regarding
poor services offered
Villagers divided themselves into groups and observed services
If deficiencies were found, announced on mike, people went and questioned the doctors present
.
How was Direct Monitoring Done?
Doctors were present outside the CHC who examined the patients and if any mistakes were discovered they were send back to the CHC to demand rectification
How was Direct Monitoring Done?
- Health Staff demanded no charges for services offered.
- No medicines were prescribed from the stores. - Doctors stopped calling patients for private consultation to their homes.
Results of ‘Direct Monitoring’- Doctors started coming on time and
staying for the entire day.
- Ambulance services were made available to Patients for the first time.
- Separate needles began to be used fo
each patient.
When People Assert For
Their Health Rights.
Struggle continued at District Hospital, BARWANI…………….
- On 27th May 08, around thousand people demonstrated outside the District Hospital, to demand the improvement in Health Services.
Struggle for Right to Health Care has not stopped here….It continues ……………