Chapter-I Background - Regional Resource Centre for North Eastern ...

Lessons learnt:-
1. The HRD policy has been changed and decentralized down to District Health Society level
for technical staff. The decentralization would facilitate recruitment and posting of manpower as per
the local need. ToR of all categories of staff and recruitment norms along with appraisal norms have
been forwarded to the District Health Societies.
However, due to non-availability of doctors at the district and sub-district levels, the
recruitment of MOs and Specialists will be undertaken centrally at the Mission Directorate.
2. The PPP for running PHCs by NGOs has been a success intervention. The monthly reports
shows that the performance has been very good and quality health care services are delivered.
Therefore, the PPP model may be continued and may be replicated to some more PHCs or even to
CHCs.GoI may consider continuation and if acceptable similar model may be replicated to CHCs even
though it takes away major chunk of RCH funding. External evaluation by RRC- NE has been
completed and the report is evaluated.
3. It has been experienced during the last year that intimation regarding conduct of multi
skilling training for MOs is often received by the State belatedly. It is therefore suggested that such
trainings may be intimated at least 20 days earlier so that necessary arrangements can be done well in
advance.
4. It has further been experienced that training programmes are conducted by the Ministry of
Health & Family Welfare, Govt. of India at different places at the Central level which are often not in
congruence with the training plan enshrined in the State PIP. It amounts to execution of training plan
framed by the Ministry and not the one proposed by the State in its PIP. This may be clarified.
5. Based on the experience of the last three years of NRHM period, it is strongly felt that
adequate training needs to be imparted to the current SPMSU & DPMSU staff to enhance their
technical skills.
6. The implementation of JSY scheme during the last year was severely hampered due to lack of
fund for the purpose. While other states were provided specific fund for JSY, Arunachal Pradesh was
asked to meet the expenses from RCH-II flexible pool fund which was not sufficient even for recurring
programme management expenses and other approved technical activities.
7. The State’s population being highly dispersed far and wide in inaccessible areas with
linguistic and ethnic diversity of the people having different socio-economic backgrounds, it was
focused on developing district wise and community and tribe specific activities which can be adaptable
by the tribal people.
8. Due to shortage of IEC personnel in the districts, IEC activities could not be implemented as
desired in the peripheral level. Therefore, additional manpower in the districts will be required to
implement the IEC activities and to translate the objectives into reality.
9. Lack of awareness regarding different health care services were the continuing problems
among the people in the state. Therefore, IEC activities have been implemented through various print
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