NATIONAL RURAL HEALTH MISSION

 
Public Private Partnership
 
STRENGTHENING OF PUBLIC INSTITUTIONS FOR HEALTH DELIVERY
Collaboration Policy for Health
 
 

1. Vision

To provide an environment wherein the government and voluntary organisation in Rajasthan work jointly as partners for a common goal of improving people’s health and nurture Voluntary Organisations in Health Sector.

2. Objectives

  1. To provide an environment where voluntary agencies and government develop effective partnership to address health related issues with particular focus on poor and marginalized sections of the society.
  2. To develop Voluntary Organisations as effective partners.
  3. To involve voluntary agencies in policymaking, designing, implementing and monitoring programmes.
  4. To bring in better transparency and facilitate redressal of operational problems in GO-NGO partnership.

3. Role of Voluntary Organisations
At the Community level:

  1. Health Education & Behaviour Change Communication
  2. Mobilisation (for camps/outreach services on RCH, Immunisation, etc.)
  3. Referrals (identification of high-risk cases and transporting them to appropriate institution along with documentation)

At the Facility level:

  1. Management (contracting-out) of selected services within the government health facility (clinical and/or non-clinical services).
  2. Assistance to the existing government health institution (like patient counselling, transportation within the facility, manning enquiry, assistance in admission/discharge, assistance to attendants, etc.).
  3. Taking over the management and operation of non-operational government health institutions.

At the Institutional level:

  1. Networking among stakeholders
  2. Facilitating integration of vertical programmes (health and other related programmes) at the operational level.
  3. Institution building (of micro-planning & monitoring structures like local health committees).
  4. Capacity building (of fellow voluntary institutions, selected persons from the community through trainings, workshops, etc.)

At the Policy level:

  1. Advocacy (with the community as well as the administration/government)
  2. Research (documentation of best practices, generating and maintaining database of relevant health indicators, etc.).
  3. Undertaking pilot innovations with provision of rolling-out at a later stage.
  4. Monitoring and feedback of various programmes being executed in their respective area of operation.

3. A Options of GO-NGO partnership

  1. Assistance in existing package of government health services (strengthening outreach activities, referral system from the field, IEC, etc.)
    · NGOs subordinate to government health system, need supportive supervision
    · Technical capacity of NGO competency need not be very high
    · Essential competency of NGO includes Community Mobilisation, Survey/Research, etc.
  2. Filling gaps in existing package of services (contracting out of non-functional services/institutions)
    · NGO need high technical and managerial capacity
    · Subordinate to government health services, need supportive supervision.
  3. Enhancing the package of services (piloting innovative models)
    · NGO needs innovativeness and vision
    · Need relative autonomy, Government to facilitate instead of controlling
    · Need greater emphasis on long-term sustainability.
  4. Capacity Building (Individual as well as Institutional)
    · NGO need HRD and OD (Organisation Development) skills
    · Government needs clarity on expected quality of deliverables (impact)
    · Close supervision needed.
  5. Networking
    · NGO to be politically and culturally sensitive
    · Needs close and cordial functional relationship between the NGO and the administration
    . Selection Criterions & Procedures for selecting VOs as partners.

Government will proactively seek partnership with voluntary organisations in health sector. To promote healthy collaboration and entrance of credible organisations in the sector, it is important that there be a transparent and defined mechanism which assess the credibility and capacity of organisations and at the same time lays down procedures for partnering with NGOs.

  • To partner with the government, the NGOs will have to go through the process of accreditation.
  • The accreditation will be valid for three years. If the organisation has been accredited in the past three years and it reapplies within this period for second project, then it need not go through the entire procedure.
  • Agencies like SCOVA, ARAVALI, etc. having the evaluation capacity, may carry out the accreditation of the NGOs with the recommendation of the health department.
  • The applicant would pay Rs. 1500 on account of cost of accreditation.
  • Once the organisation has been accredited a list will be prepared and displayed on website and will be in public domain.

Following framework will be used to accredit the NGOs:
4. A Essential Qualifications

  1. The organisation is registered under the Societies Act/Trust Act/Section 25 of Indian Companies Act.
  2. The organisation has a minimum experience of 3 years.
  3. The organisation has been getting its accounts regularly audited.
  4. The organisation has at least 2 full-time staff members.
  5. The Organisation Head/Secretary has never been convicted by any Court of Law.
  6. The organisation has not been blacklisted presently by CAPART/ CSWB/any other government department.
  7. The organisation should not have more than two close relatives in the board.

4.B Measurement of Credibility (50 points)
S. No. Credibility Parameter Practices to be observed along with respective score Maximum Score
1. Governance/ Management · Meetings of Governing Board held regularly, as per bylaws (5)· The organisation’s activities are in accordance with its vision, mission and goals (5)· There is an annual plan and budget, which is approved by the board (5)· Decision making in the organisation is democratic and participatory (5) 20
2. Reputation and Rapport · In the Community (5)· Among local elected representatives including PRIs (3)· Health department and local Administration (2) 10
3. Organisational Systems · Role clarity of staff (3)· Complete and well maintained financial records and statements (4)· Audited accounts report available for last 2 years (3)· Annual report published and available (3)· Perspective Plan prepared (3)· The organisation has transparent policy and procedure for staff appointment and removal (4) 20

60% and above scoring in credibility criteria will be termed as credible organisation. The organisation, which scores less than 60% could be provided inputs to enhance their credibility if they so desire.
4.C Measurement of Capacity (50 points)
S. No. Capacity Parameter Practices to be observed along with respective score Maximum Score
1. Human Resource · Total number of full-time staff (1 points for every staff, maximum 5 points)· Professionals (2 points for Doctor/Public Health expert, 1 for other professional, maximum 5 points)· Total experience of all staff put together in years (1 point for every 5 years, maximum 2 points)· 1 point for every female in the full time staff (maximum 3 points) 15
2. Financial Strength · Minimum turnover of Rs. 2 lakhs annually (1 point for every 1 lakh, maximum 5 points) 5
3. Activity Profile Reach within community (6)· Number of villages covered (1 point for every 5 villages covered, maximum 3 points)· Number of village/community level institutions established (1 point for every 5 institutions established, maximum 3 points)Local Working (4)· Working in same district where project/programme is to be implemented (4); Working in other district but in Rajasthan (3); Proven track record of working outside Rajasthan (2)Projects handled (10)· Projects executed, including current projects (1 point for survey projects, 2 points for intervention projects*, maximum 5 points)· Quality of work, based upon timeliness and letters of appreciation, negative scoring for letters of condemnation (maximum 5 points) 20
4. Infrastructure · Office infrastructure – computer, printer, audio-visual equipment, office vehicle, etc. 5
5. Networking & Liaisoning · Member of a recognised network (1 points if member, 2 if leading agency of the network)· Member of a government committee (1 points)· Experience of working with government department (1 points for working with any department, 2 for working with health department) 5
* Training/Capacity Building projects will be considered as intervention projects.The organisation scoring 50% and above will be eligible to partner with government in their programmes. Organisations scoring 35%-50% would be considered for capacity building.
For Research Organisations, parameter under “Projects handled” will be of 16 points instead of 10, with 8 maximum points for each of the sub-parameters; and the parameter “Reach within community” will be deleted.Apart form Credibility and Capacity; the Evaluators will also identify the core competencies of the organisation from the competencies mentioned below:

  1. Community Mobilisation
  2. Institution Building (including forming local institutions, networks and operationalising them)
  3. Capacity Building/Training
  4. Service Delivery
  5. Survey/Research

An organisation can have more than one competency. The identification of the competencies would be helpful in considering the NGO for partnership under appropriate projects/programmes.

SNo
MOU details
Executed between
Execution date
Remarks
1.
Rashtriya Swasthya Bima Yojna Government of Rajasthan and ICICI Lombard General Insurance Company Ltd.
15.05.08
2.
Emergency Management and Research Institute (EMRI) Government of Rajasthan and Emergency Management and Research Institute (EMRI), Secundrabad
23.05.08
3.
Urban - RCH Concerned district CM&HOs and registered NGO
-
4.
Mobile Medical Units Concerned district CM&HOs and registered NGO
-
5.
Social Marketing of Sanitary Napkins Government of Rajasthan and M/s Procter & Gamble Hygiene & Healthcare Ltd.
13.06.08
6.
Cleanliness and Maintenance of 100 Community Health Centers (CHCs) Government of Rajasthan and M/s Sulabh International Social Service Organisation, Jaipur
08.09.08
7.
Swasthya Bima Yojna Government of Rajasthan and ICICI Lombard General Insurance Company Ltd.
12.09.08
Guidelines, List of District Hospitals, Claim Form-SBY, Process flow at Hospital, Form of BPL patient Service Register, Contacts
8.
PIP's
-
-
2007-08, 2008-09
9.
Mobile Medical Units Concerned district CM&HOs and registered NGO
24.12.09