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Success-Stories-on-Health-Sector

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DElHi<br />

DEFining & DoCumEnting anm arEas (gnCtD & mCD)<br />

in urban sCEnario<br />

ProblEm statEmEnt<br />

It must be remembered that in rural States there are well<br />

defined villages and defined areas are being looked<br />

after by a particular PHC and an anM. On the other hand,<br />

in urban States/mega cities, lacs of populati<strong>on</strong>, especially<br />

the vulnerable segments, stretch in c<strong>on</strong>tinuity without<br />

definiti<strong>on</strong> and documentati<strong>on</strong> of areas of resp<strong>on</strong>sibility of<br />

existing primary health care facilities.<br />

The delineati<strong>on</strong> for each center/each field functi<strong>on</strong>ary is<br />

a must for:<br />

1. Ensuring universal coverage of each and every corner<br />

of the State.<br />

2. Removing/minimizing the catchment area overlaps<br />

between centers bel<strong>on</strong>ging to same/different<br />

agencies.<br />

3. Ensuring accountability of the health center/MO/<br />

ANM/ASHA for the promotive and preventive care<br />

to all residents in the catchment area.<br />

4. Defining facility specific benchmarks/expected<br />

outputs and thus facilitate meaningful evaluati<strong>on</strong>.<br />

5. Planning of resources – manpower/logistics for each<br />

center as per the requirements and thus prevent<br />

wastage.<br />

6. Facilitywise needbased deployment of staff &<br />

Facilitywise performance audit as the staff/expected<br />

workload and actual achievements shall be available<br />

objectively.<br />

7. Building Functi<strong>on</strong>al Referral linkages with higher<br />

centers.<br />

8. Provide usable data regarding slums/J J Clusters/<br />

resettlement col<strong>on</strong>ies/village and the <strong>Health</strong> centers<br />

to which they are attached thus providing areas for<br />

targeted interventi<strong>on</strong>s for this vulnerable segment.<br />

9. addressing the multiplicity of the health care<br />

providers.<br />

ProgrammE DEsCriPti<strong>on</strong><br />

State has mapped 160 lac populati<strong>on</strong> demographically<br />

and geospatially to the existing health facilities using<br />

the polling stati<strong>on</strong>s as the basic unit of distributi<strong>on</strong>.<br />

This informati<strong>on</strong> is available <strong>on</strong> the web based portal<br />

giving the demographic/geographical descripti<strong>on</strong> of the<br />

populati<strong>on</strong>. The geospatial maps are also available.<br />

Descripti<strong>on</strong> of individual anM areas in terms of<br />

populati<strong>on</strong>/geographical localizati<strong>on</strong> is shown above.<br />

The mapping has been d<strong>on</strong>e for facilities bel<strong>on</strong>ging to the<br />

government of nCT of Delhi and the three Municipal<br />

Corporati<strong>on</strong>s of Delhi. The same informati<strong>on</strong> has also been<br />

mapped <strong>on</strong> the geospatial map which can be accessed <strong>on</strong><br />

website.<br />

156 | Making a Difference : good, Replicable and innovative Practices

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