Harnessing the Public Private Partnership to Promote Health Security by Improving Family Planning Services in Uttar Pradesh

Dr Shikha Srivastava, Advisor Technical ServicesPopulation Services International/India

Global Commitments : FP2020

120 Mln

48 Mln

12.4 Mln

37.7 %

61.3 %

WORLD

INDIA

UP

mCPR

mCPR Goal

for 2020

Commitment across the world

to reach to couples to satisfy their unmet need

UP accounts for 26%

of India FP2020 target to meet unmet need

Current use of Modern FP is low in UP

UP is expected to increase

23.3 % points to the mCPR by 2020

India accounts for 40% of global target to

meet unmet need

Why Family Planning Important

Over 81 Lakhs couples in UP have unmet need for contraception including 38 lacs (48%) for limiting

Source: National Family Health Survey for UP 2005-2006

Why Private SectorPublic Sector is the Dominant Choice for Long Acting FP Services

Challenges

Expensive FP Services

Not first choice

for FP Services

Low Income Group Private Facilities Public Sector

Lack of Trust

Operational Challenges

Solution- Unlock constraints between Private & Public Sector through PARTNERSHIP

&

Subsidised/Free services for low-income group at Private Facilities

PSI’s Overarching Strategy under EAQ Project

Engaging private sector providers in providing Quality Family Planning Services at scale to achieve FP2020 commitments

Increase contraceptive access through fixed day static approach & at subsidised/ free of cost in private clinics

Unlock a constrained accreditation and reimbursement process between the Government and private health providers by introducing web portal based on line systems

Reaching Urban Poor Population with informed choice for methods

and service providers.

U.P. Initiative for Strengthening partnership with Government

PSP engagement

Empanelment and accreditation certificates

Budget for PSP in NHM

Amendment to Govt. order - 143

Govt. nominated SIFPSA as

Nodal agency for sustained Pvt. Sector engagement

Revised comprehensive MoU COT model

Highlights of GO 143 on Hausala Sajheedari

State Task Force (STF)• Apex body to take policy decisions and oversee accreditation,

quality assurance of the services at private facilities and reimbursement

• PS-MOHFW as patron, ED SIFPSA is Chairperson & Director – FW is the convener of STF

Five Year Accreditation at a timeFirst time in IndiaPSP Cell at State Level

• Secretariat of STF

• Reporting to Chairperson STF

• Nested at SIFPSA Revolving AdvanceProvision for revolving advance for up to 25 sterilization cases

Hausala Sajheedari Web PortalSingle window solution for private sector providers for promotion of the Hausala Scheme, hospital accreditation, surgeon empanelment, capturing private sector MIS, processing advance and reimbursement and grievance redressal.

Hausala Sajheedari : OPPORTUNITYA Govt of UP initiative to Engage Private Health Facilities for Family Planning

Hausala Sajheedari Webportalhttp://hausalasajheedari.in

SCHEME PROMOTION

� Messages from government leadership� Information about the GO and key

features

� AV-Tutorial on processes

ACCREDITAION &EMPANELMENT

� Online Accreditation of Private Health Facility

� Online Accreditation of Clinical Outreach Team

� Online Empanelment of surgeon

ADVANCE & REIMBURSEMENT

� Online request for release of

revolving advance � Online update of FP beneficiaries

served � System generated random list of

beneficiaries for physical verification

� Online certification and approval for

payment as per physical verification report

User Friendly

Three Click Rule

Secure

AV Tutorials

Home Page Layout

Roles Defined in Web PortalHAUSALA SAJHEEDARI PORTAL

Users (Private Facility/Surgeon/COT)�

Document Verifier/State level

monitoring authority �

Physical Verification�

Chief Medical Officer (CMO)�

Divisional Officer�

State level PSP Cell�

Updates from Web Portal 1st Sep 15 – 23rd May 16

FST by Pvt. Facilities-24327

IUCD by Pvt. Facilities-

1022

2173-Total Applications

1215 - Pvt. Facilities Accreditation

22- Clinical Outreach Team

Accreditation

Way Forward- Next Steps to achieve Health Security for ALLHAUSALA SAJHEEDARI PORTAL

Linking Maternal Health with Web Portal�

Linking NCD with Web Portal �

THANK YOU