Thematic Area

Public Health deals with the preventive and promotive aspect of health issues at the population-level. Though, private health institutions have a significant presence in the healthcare sector in India, the responsibility for preventive and promotive aspect of health lies largely with the government.

Being a developing nation, the inter region disparities are visible in this sector as well. Based on this, the Government of India has identified EAG and North Eastern States as areas which need more focus and support. The NE States account for only 3.8% of India’s total population but the diverse and sparse population, geographical and socio-political constraints, along with connectivity to mainland and other states hamper the implementation of various health programmes

As with other regions of the country, the major issues with healthcare delivery in NE States are lack of infrastructure and manpower. This is further accentuated by the organizational & systemic and operational & management issues. In an effort to improve the delivery of healthcare, resources from NRHM as well as NE non-lapsable pool have been utilized for the development of infrastructure and removal of implementation bottlenecks. Despite this, poor managerial and technical capacity at the State and District level continue to be hindrances in achieving the desired results.

For enabling environmental and architectural change in the health sector, newer management structures at state, district and block level in the form of State Programme Management Unit (SPMU) and District Programme Management Unit (DPMU) having managerial and financial expertise have been set up to support the implementation process for each state.

Utilization of the health services is based on a very large extent on the perceived quality of the services. Also, ensuring quality standards will bring about uniformity in the services thus reducing the inter-regional disparities. To ensure quality improvement of health facilities, all the NE States are covered under the Quality Assurance Program of the hospitals. ISO certification and quality assurance is carried out in co-ordination with all the states. Focused supportive supervision & monitoring is carried out in the high focus districts as well as the difficult, most difficult and the inaccessible areas.

The Regional Resource Center for NE States (RRC-NE) has a dedicated team headed by the Director at the Regional as well as State level to provide support to all the North East States in the following critical areas:

Situational Analyses of health indicators contributing towards overall improvement of the public healthcare system in the NE States - Functionality of Facilities, Service Delivery Outputs, Manpower Gaps etc.
Identification of key areas for improvement and facilitate the States in strategic planning based on the HMIS reports of the NE States and published survey reports - NFHS, DLHS etc.
District and State Programme Implementation Planning process.
Assist the State / District PMSUs and Health Authorities in assessing the health situation and analysis thereof as part of the planning process
Appraisal of DHAPs and SPIPs before presentations during Sub Group and NPCC Meetings
Assist the States in reworking the SPIPs in terms of incorporating observations from the Ministry and various divisions.
Realignment of District Plans in accordance to final approvals by the NPCC
Assessment of execution of various components of the DHAPs/SPIPs through Review Meetings, Field Visits & Periodic Physical Progress Reports
Undertake studies on the health issues of the northeastern region.
Regular supportive visits to the States with an objective to facilitate implementation of components of DHAPs with the objective of improving the public health care delivery system