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Sunday, 2 February 2014

What are the reasons for problems in implementation of health schemes

Recently the Sample Registration System report released by Registrar General of India mentioned that Under-5 IMR of India is currently 42 per 1000 which is a great disparity from the goal of 30 by 2015. There are various reasons behind the slow implementation of the myriad health schemes undergoing currently. These are:
1.Different levels of prevalent IMR in different states. Ex-73 in UP, 37 in Tamil Nadu
2. Different level of infrastructure and skilled human resources in different states.
3. Since Public Health is a state subject fund allocation and prioritization is different in different states.
4. Lack of accountability and responsibility in the implementation chain of these schemes.
These problems are not permanent and can be rooted out by proper and wullful implementation. Nevertheless specific measures can also be followed like  prioritization of low performing states for fund allocation like tribal and LWE states, incentives and appraisal for successful implementation and utilisation of funds.

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