District Health Action Plan - STATE HEALTH SOCIETY-----BIHAR

District Health Action Plan
The decentralized development is one of major component of state and national programmes.
Under NRHM, there is well defined structure and process of adopted decentralized
developmental process. The preparation of district health action plan is one of all the stages
of decentralized health action plan development. The District Health Action Plan integrates
the various interrelated components of health to facilitate access to services and ensure
quality of care. These different components are as detailed below:
� Resources: health manpower, logistics and supplies, community resources and
financial resources, voluntary sector health resources.
� Access to services: public and private services as well as informal health care
services; levels of integration of services within public health system.
� Utilization of services: outcomes, continuity of care, factors responsible for possible
low utilization of public health system.
� Quality of care: technical competence, interpersonal communication, and client
satisfaction, client participation in management, accountability and redress
mechanisms.
� Community: needs, perceptions and economic capacities, PRI involvement in health,
existing community organizations and modes of involvement in health.
� Socio-epidemiological situation: local morbidity profile, major communicable
diseases and transmission patterns, health needs of special social groups (e.g.
Adivasis, migrants, very remote hamlets)
Under NRHM, there is focus on adopting a synergistic approach as a key strategy for
community based planning by relating health and diseases to other determinants of good
health such as safe drinking water, hygiene and sanitation. Implicit in this approach is the
need for situation analysis, stakeholder involvement in action planning, community
mobilization, inter-sectoral convergence, partnerships with NGO and the private sector, and
increased local monitoring. The planning process demands stocktaking, followed by planning
of actions by involving programme functionaries and community representatives at district
level.
Objectives of the District Health Action Plan
The aim of the present study is to prepare DHAP based on the broad objective of the NRHM.
Specific objectives of the process are:
� To identify critical health issues and concerns with special focus on vulnerable
/disadvantage groups and isolated areas and attain consensus on feasible solutions.
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