Success-Stories-on-Health-Sector

oDisHa
strEngtHEning tHE DiagnostiC sErviCEs aCross tHE statE
ProblEm statEmEnt
The percentage of pregnant women receiving free
diagnostic services under JSSK in the year 2013-
14 has increased to 62% as compared to 20% in the year
2011-12 as per the State JSSK report. H&FW Department,
government of Odisha has reiterated its commitment
to provide quality, accessible, affordable diagnostic
services to its entire population. For meeting these
objectives ‘Strengthening Diagnostic Services’ is one of
the key interventions. Since the JSSK Scheme is limited to
pregnant mothers and infants only, a large section of other
beneficiaries has been left-out. Therefore, considering the
disease burden in the State and demand of the community,
the diagnostic services at the facilities are proposed to be
strengthened under this initiative.
ProgrammE DEsCriPtion
Even though various models are used for strengthening
the Lab services, the State of Odisha has focused on
the System Strengthening model for improvement
of diagnostic services across the State. The
advantages of System strengthening initiative are
Sustainable, Cost-effectiveness and Wide coverage in
rural areas.
Modality of Implementation
For achieving improvement in the availability of
diagnostic services, it is proposed to strengthen the
laboratories at DH and CHC levels by transforming them
into “integrated labs” where all the diagnostic-related
services are intended to be provided as one-stop. Services
through integrated labs will be provided till CHC level
whereas below the CHC level more focus will be given
on kit-based tests. The activities for establishment of
integrated labs are planned to be done in three different
levels which are listed below:
Level 1: Seeking approvals for all the necessary plans
prepared for integrated labs.
Level 2: Providing the infrastructure (manpower,
equipment) for the functionality of the programme
as per the design approved through Pooling
of Resources and Automation of equipment
instruments.
Level 3: Full scale Implementation across the State.
ProgrammE outComEs
The intervention is under various stages of implementation
and its full impact is yet to be assessed.
sCalabilitY
• The State intents to prepare Standard Operating
Procedures (SOP) with focus on quality control
and biomedical waste management, focus on
primary healthcare-based diagnostic services
through the use of rapid testing kits at PHCs and SCs.
The State has proposed to provide round-the-clock
services with also appropriate iT-enabled reporting
systems.
ConClusions/lEssons lEarnt
H&FW department of the State intends investing
more resources to provide impetus to ensure quality
laboratory services despite issues and challenges related
to deployment and availability of skilled manpower,
interrupted power supply, and supply of equipment.
In the coming years, it is expected that by putting
adequate resources, stronger quality and regulatory
mechanisms, usage of IT and putting the right structures
in place, diagnostic services will be implemented
effectively.
Contact
State Programme Manager
Email: spmnrhmorissa@gmail.com
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