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Health Policy Issues and Health Programmes in ... - Amazon S3

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Access to <strong>Health</strong> Services <strong>in</strong> Uttaranchalpopulation reside <strong>in</strong> small villages that are hard to reach. Hence, when the client reaches thefacility, it is important that the facility is adequately staffed as per the norms <strong>and</strong> that the staff istra<strong>in</strong>ed to provide quality services both at the facility <strong>and</strong> for outreach care.In order to <strong>in</strong>crease accessibility <strong>and</strong> improve performance, the follow<strong>in</strong>g actions have to betaken.1. Develop geographical mapp<strong>in</strong>g of all the <strong>in</strong>accessible <strong>and</strong> remote areas <strong>in</strong> the state.2. Underst<strong>and</strong> community behaviour <strong>and</strong> priorities.3. Evolve area-specific strategies.4. Adopt a multi-pronged approach by tapp<strong>in</strong>g the potential of other government departments<strong>and</strong> the private sector. The <strong>Health</strong> Department should take the lead <strong>in</strong> this effort.5. Develop strong referral l<strong>in</strong>kages between various partners with<strong>in</strong> <strong>and</strong> outside thegovernment system, community leaders, <strong>and</strong> ANMs.6. Provide supportive supervision <strong>and</strong> effective monitor<strong>in</strong>g of performance.156

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