Samagra is conducting a 6-month diagnosis & design exercise in Gujarat and Odisha with the aim of improving accessibility, quality and speed of care in the public healthcare facilities. This is part of the “Tribal Health Collaborative'' formed by Bill & Melinda Gates Foundation and Piramal Foundation to improve health outcomes of tribal and other marginalised communities. This diagnosis and design exercise is being undertaken in Assam, Gujarat, Jharkhand, Madhya Pradesh, Odisha and Rajasthan. These six states have a relatively higher tribal population in the country. The end objective of the programme is to create a roadmap for transforming the public healthcare service delivery system in these six states using a state-driven systemic approach.
To identify key areas of intervention, the team is using the “Means, Motives and Opportunities” (MMO) approach which is based on the philosophy that a system can deliver on its intended outcomes only if each actor in the system has the required means, motives and opportunities to perform her role well. With a focus on the MMO of all key actors in the primary, secondary and tertiary health facilities of the government (District Hospitals/Sub-district Hospitals/Community Health Centres/Primary Health Centres/Sub-Health Centres), the team will do a detailed diagnosis of the health facilities in both states across 9 key areas. Recommended in the Indian Public Health Standard guidelines, these include Expanded service delivery, Continuum of care, Community engagement, Infrastructure, Meds and Diagnostics, HR Management, Robust IT systems, Partnerships and Financing reforms.
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