Eleventh Five Year Plan

78 Eleventh Five Year Planlabelling, following actions will be undertaken duringthe Eleventh Five Year Plan:• Creating Food Safety Authority for speedy enforcementof safety standards.• Ensuring implementation of Capacity BuildingProject with the objective to enhance capacitiesin laboratories, awareness of food safety, andhygiene.• Strengthening State labs, capacity building, foodportal, comprehensive and informative/analyticaldatabase.• Rationalizing protocol for establishment of labsfor food safety.• Implementing the Food Safety and StandardsAct, 2006.Decentralized GovernanceROLE OF PRIs3.1.76 PRIs have the mandate to manage the primaryhealth system. Communitiza-tion through ownershipby PRIs is necessary for an efficient and effective healthsystem. Implementation of the NRHM will have tobe closely watched to ensure that the involvementof Panchayats is total and complete. The various tiersof PRIs will decide the local priorities and also supervisefunctioning of health facilities, functionaries,and functions through their participation in variouscommittees.3.1.77 Since one-third of elected members at the localbodies are women, this is an opportunity to promote agender-sensitive, multi-sectoral agenda for populationstabilization with the help of village level health committees.All this will remain rhetoric until the electedwomen are trained and empowered. Under the NRHM,ASHAs are envisaged to be selected by and be accountableto the village Panchayats. Involvement of PRIs willalso be necessary to improve the coverage and qualityof registration of births, deaths, marriages, and pregnanciesin all States.3.1.78 During the Eleventh Five Year Plan, decentralizationof resources to Panchayats or local representativebodies will be implemented in a phased mannerto make decentralized planning a living reality.ROLE OF CIVIL SOCIETY3.1.79 Community Based Health Partnership is thekey to sustaining health action even with limitedresources. This can take many forms, through thePRIs, community-based and NGOs, and of peopleparticipating at all levels of health interventions.This cannot be achieved only by giving financialand administrative powers to the Panchayats, it needsactive participation of the people for local action.Partnership with community groups (through youth,mahila mandals, SHGs, and Gram Sabhas) is necessaryfor local solutions to local problems. In thisregard, successful communitization of health servicesin Nagaland should be studied and replicated (Box3.1.9).3.1.80 The NRHM envisages community participationsuch as described above. Under the frameworkfor implementation, the Mission tries to ensure thatmore than 70% of the resources are spent throughbodies that are managed by peoples’ organizationsand at least 10% of the resources are spent throughgrants-in-aids to NGOs. The mechanism of untiedfunds at the local level is meant to give them a littleflexibility. During the Eleventh Five Year Plan, effortswill be made to promote various community-basedinitiatives.Affecting Convergence3.1.81 Clean drinking water is vital as unsafe waterincreases the risk of diseases and malnutrition. Waterborneinfections hamper absorption of food even whenintake is sufficient. Rural water supply is beset withthe problem of sustainability, maintenance, and waterquality. Though more than 95% coverage was achievedprior to Bharat Nirman, out of the 14.22 lakh habitationsin the country about 1.66 lakh have slipped backto a position where people do not have adequate waterto drink and have to walk more than 2 km to fetchpotable water. Similarly, about 1.86 lakh habitationsare dependent on contaminated water supply, whichleads to various health problems.3.1.82 Lack of sanitation is directly responsible for severalwaterborne diseases. Rural sanitation coverage was1% in the 1980s. With the launch of the Central RuralSanitation Programme in 1986, the coverage improved