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guJarat<br />

innovati<strong>on</strong>s unDer nuhM in surat<br />

urban health anD cliMate resilience centre (a Public health<br />

observatory), surat<br />

enhancing accessibility to<br />

sPecialists’ health anD MeDical care<br />

at PriMary health care centres care<br />

ProbleM stateMent<br />

Climate change is a global phenomen<strong>on</strong> & it presents<br />

the greatest threat to human health in the 21st<br />

century. Climate change currently c<strong>on</strong>tributes heavily<br />

to the global burden of disease and premature deaths<br />

and there shall be an increase in the frequency of cardiorespiratory<br />

diseases due to increases in ground level<br />

oz<strong>on</strong>e. We cannot eliminate changes due to climate, but<br />

we can mitigate the risk with collective efforts.<br />

PrograMMe DescriPti<strong>on</strong><br />

The idea is to generate city-based scientific evidence <strong>on</strong><br />

the links between climate change and health, assess local<br />

vulnerability to climate impacts and c<strong>on</strong>tribute to making<br />

urban settings prepared for and resilient to climate<br />

induced risks/diseases, emergencies and disasters.<br />

Urban health and Climate Resilience Center (UHCRC)<br />

was launched in March 2013 by the Asian Cities Climate<br />

Change Resilience Network (ACCCRN) and supported<br />

by Rockefeller foundati<strong>on</strong> through Surat City Climate<br />

Trust in which Surat Municipal Corporati<strong>on</strong> is a main<br />

stakeholder.<br />

UHCRC thrives to become the knowledge hub in the<br />

subject of Urban <strong>Health</strong> and Climate Change Resilience<br />

& aims include piloting assistance Programmes for city<br />

authorities in India and bey<strong>on</strong>d to improve urban health<br />

services.<br />

PrograMMe outcoMes<br />

1. A nati<strong>on</strong>al workshop was organized <strong>on</strong> developing<br />

vulnerability tools and indicators for climate change<br />

and urban health.<br />

2 Urban Service M<strong>on</strong>itoring System (UrSMS) is <strong>on</strong>e of<br />

the seven projects selected as Project to Watch from 40<br />

projects scrutinized by United Nati<strong>on</strong>s Global Pulse.<br />

3. Six Arogya Samvad (Community <strong>Health</strong> Dialogue<br />

Forum) were organized to know the community<br />

percepti<strong>on</strong> <strong>on</strong> climate change and health vulnerability.<br />

iMPleMenting Partners<br />

Surat Municipal Corporati<strong>on</strong>.<br />

evaluati<strong>on</strong><br />

Due in this year by internati<strong>on</strong>al agency.<br />

financial investMent<br />

UHCRC is developed under the seed m<strong>on</strong>ey (INR.<br />

16561,625) by ACCCRN for 3 years and has an excellent<br />

potential of sustainability.<br />

scalability<br />

keeping in view the achievements of UHCRC, yes it has<br />

a great potential for scaling up.<br />

c<strong>on</strong>clusi<strong>on</strong>s/less<strong>on</strong>s learnt<br />

Evidence based research is <strong>on</strong>e of the key areas of<br />

the Centre with the missi<strong>on</strong> of “<strong>Health</strong>ier Citizens in<br />

<strong>Health</strong>ier Cities”.<br />

C<strong>on</strong>tact<br />

Deputy Commissi<strong>on</strong>er <strong>Health</strong> and Hospital, Surat<br />

Municipal Corporati<strong>on</strong><br />

Email: desaihs@yahoo.com<br />

ProbleM stateMent<br />

Surat, <strong>on</strong>e of the rapidly growing city with highest<br />

migrati<strong>on</strong> rate in the country. 10% of city populati<strong>on</strong><br />

is in slums and 40% of city area is slum. Surat Municipal<br />

Corporati<strong>on</strong> has initiated several need based initiatives at<br />

its cost.<br />

Patients attending UPHC OPD need referral services and<br />

the most in need of such care are likely to drop out for<br />

referral. To minimize drop-out rate of patients in need<br />

of C<strong>on</strong>sultants care a Public Private initiative has been<br />

statrted.<br />

PrograMMe DescriPti<strong>on</strong><br />

C<strong>on</strong>sultants services was initiated as pilot as early in the<br />

year 1978, which is enhanced since 2005 and there is a<br />

sustained l<strong>on</strong>g term planning to further.<br />

Private c<strong>on</strong>sultants (Physician, Obstetrician, Paediatricians,<br />

Anaesthetists, Dermatologists, Ophthalmologist) are<br />

invited to join as h<strong>on</strong>orary c<strong>on</strong>sultants to provide fix day<br />

fix site services at at 22 UPHCs selected <strong>on</strong> the base of OPD<br />

load and populati<strong>on</strong> characteristics.<br />

96 | MAkING A Difference : Good, Replicable and Innovative Practices

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