India: Maharash Health System

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The Maharashtra Health Systems Development Project seeks to assist the local government to: 1) improve efficiency in the allocation and use of health resources; and 2) improve the performance of the health care system at the first referral level and selective coverage at the community level. There are three project components. First, the management development and institutional strengthening component will improve the institutional framework for policy development; strengthen the management and implementation capacity at the state, divisional, district, and facility levels; and develop surveillance capacity for major communicable diseases and strengthening Health Management Information System. Second, improving service quality and effectiveness at district and sub-divisional hospitals will renovate/extend district hospitals and upgrade selected community health centers (CHCs) to sub-divisional hospitals and construct training centers at four remaining district hospitals. The third component, improving access and innovative schemes, will a) renovate/extend and upgrade clinical effectiveness at 35 CHCs and enhance their outreach functions; b) improve the referral mechanisms with the primary and tertiary levels and with private health care; c) promote health services in tribal areas and for disadvantaged groups; and d) develop a superspeciality hospital as an innovative scheme for closer cooperation between the public and private sectors.