Enhancing governance efficiency in health

deliverables

CIVIC Bangalore Rajarajeshwari Sowmya

Bharadwaj. D.V.Ramamurthy K.V.

Facilitate better access to services among the urban poor

Increase community participation to achieve transparency and accountability

Grievance redressal

mechanism

(To access services and

Create a community-Govt interface for

exchange)

Accountability(Job chart/MPIC)

RTI as TOOL for

Systemic Change in Health/Food Distribution

Participation platforms(Empowerment – VC’s/BoV)

Transparency(4.1.b/Public hearing)

CIVIC’s strategies

No awareness on specifics of entitlements under PDS

PDS shops functioned only two days in a month.

No inspections of the PDS shops by the food inspector.

No GRMs

Condition of PDS before intervention

Accessing complete entitlements under PDS

Grievance Redressal Mela - changed attitude of all stake holders- card holders, department & PDS shop owners.

RTI application results: Inspection by Food inspector- penalization 7 GOs on GRMs Directive of DPAR - Separate grievance cell.

Directive from Commissioner to conduct regular GRMs

Impact on PDS after intervention

No awareness on health facilitiesNo anganwadis Supreme court order in “PUCL vs. Union

of India & Ors., Civil WP No.196/2001, dated 13th December 2006”, a community can request for an anganwadi (pre-school) where there are more than 40 children in the age group of 0-6 years”.

No Visits of ANM/LHV to the areaNo health check-ups

Condition of Health services after intervention

Increased awareness on services and schemes in the communities

Regular visits by the ANM/LHV from the Sub Center, for the first time in last eight years.

Sanctioning of Anganwadis Supplementary nutrition to Children, Pregnant and Lactating women.

Pre school for children 3-6 years old Increased Bhagya Lakshmi beneficiaries

Health check-ups Employment generationCoordination between Anganwadi and Sub-Center.

Children before Sanctioning of Anganwadi

Children after Sanctioning of Anganwadi

info@civicspace.in