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

village and block level consultations provided vital information to guide the district & block
health action plan. The consultations endeavored to reach a consensus on constraints at
community level and engender feasible solutions/intervention strategies. Priorities were set
based on discussions on both demand and supply side concerns in the blocks. Furthermore, a
district level workshop was conducted to share findings of the village and block level process
with a larger stakeholder group, and to finalize a strategic action plan.
During district level consultations involving a range of stakeholders from different levels,
strategies have been formulated to achieve identified district plan objectives. For effective
implementation, specific activities have been identified for each strategy and a time frame
assigned for each activity.
To make the system more accountable, the District Health Action Plan proposes close
monitoring and evaluation with continuous integration at each level (village, block and
district). This will not only ensure streamlining of strategies but also check for effective
collaboration of services related to immunization and institutional delivery, AYUSH
infrastructure, supply of drugs, up gradation of PHCs to CHCs as per IPHS, utilization of
untied funds, and outreach services through operationalization of the mobile medical units.
The PRIs, RKSs, Quality Assurance Committees at the District level, District Health
Missions, are to be the eventual monitors of the outcomes.
NRHM will facilitate transfer of funds, functions and functionaries to PRIs and also the
greater engagement of RKS, hospital development committees or user groups. Improved
management through capacity development is also planned. Innovations in human resource
management constitute a major challenge in making health services available to the rural
population. Thus, NRHM aims at the availability of locally resident health workers, multiskill
training of health workers and doctors, and integration with the private sector for
optimal use of human resources.
Core strategies of the Mission include decentralized public health management. This will be
realized by implementation of District Health Action Plan (DHAP), which will be the
principal instrument for planning, implementation and monitoring, and which will be
formulated through a participatory and bottom-up planning process. DHAP enable village,
block, and district levels to identify the gaps and constraints in order to improve services with
regard to access, demand and quality of health care. NRHM-DHAP is anticipated to form the
cornerstone of all strategies and activities in the district.
9 | P a g e D i s t r i c t H e a l t h A c t i o n P l a n 2 0 1 2 - 1 3 D H S , S a r a n