Success-Stories-on-Health-Sector
Success-Stories-on-Health-Sector
Success-Stories-on-Health-Sector
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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