Rogi
Kalyan Samiti are the registered
societies constituted in the hospitals as an innovative mechanism to involve
the peoples representatives in the management of the hospital with a view to
improve its functioning through levying user charges.
Traditionally, in a welfare State the delivery of health care to general
population has been within the domain of public sector. Health care institutions
at the districts and sub-district level have been funded by the Government. It
has been estimated that 5 percent of the GDF is spent on the health care. Of
this more than three-quarters are financed by the private sector, which is
mostly out-of-pocket. This large out-of-pocket expenditure on health care exists
even though the role of the government in financing and providing almost free
health care has been emphasized since the time of independence. A large
population, challenges of infectious and communicable diseases on one hand and
life style diseases like cancer, AIDS, and coronary diseases on the other hand,
and improving medical technology are some of the factors which contribute to
increased costs of financing health care However, the availability of funds has
been grossly inadequate when compared to the requirement.
Over the
years, people developed a mindset that welfare of the common masses was solely
the responsibility of Government and it is the Government which is expected to
provide the finances without people being required to make any contribution in
this regard. Growing population stretched the facilities in Health institutions
run by the Government to limits, where policy makers and the people were drawn
together to think in terms of joint ventures to deliver better Health Care.
During
the last few decades, there have been isolated efforts at involving the people
in augmenting physical infrastructure in Government Health institutions. These
efforts, however, were based on personal commitment and initiative. Given the
short tenures of Government Officials, these initiatives could not be sustained.
Therefore, a debate had been put on board to crystallize the idea of a system
of sustainable Public-Private partnership for improved Health Care in the
Government sector and implemented as Rogi Kalyan Samiti by Govt. order. Instead
of assuming a zero-sum relationship between Government involvement and private
co-operative efforts, some social capital theorists argue about the possibility
of 'state-society synergy'. They hold the view
that an active government and mobilized communities can enhance each other's
developmental efforts. In the construction of synergy, micro level social
capital has an important place. The Government of Madhya Pradesh has effectively
drawn on this micro level social capital to construct this state society
synergy. The Rogi Kalyan samiti scheme in the Health department is an example of
how this synergy can be harnessed at the micro level.
OBJECTIVES:-
The Rogi
Kalyan samiti (RKS) have two basic attributes:
(A) Simplicity
(B) Flexibility .
Their basic structure is as follows: -
The Rogi
Kalyan samiti are registered societies and have been set up in all medical
colleges, district hospitals, Civil Hospitals, and community health centres,
Primary Health Centres, have people's
representatives, health functionaries, local district officials, leading members
of the community, representatives of the Indian Medical Association, members of
the urban local bodies and Panchayat Raj institutions as well as leading donors
as their members.
Constitution of Rogi Kalyan Samiti :-
Rogi Kalyan Samiti have been set up at
various levels of hospital.
-
District
hospital
-
Civil
Hospital
-
Community
Health Center
-
Primary
Health Center
|
Institution
|
No. |
Constituted |
|
District Hospital |
48 |
48 |
|
Civil Hospital |
57 |
57 |
|
CHC |
227 |
227 |
|
PHC |
1194 |
830 |
Rogi
Kalyan Samiti at each level has two bodies for its effective functioning:
1-
General body &
2-
Executive body.
District Hospital
General Body
