STATE HEALTH SYS II

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The objectives of the Second State Health Systems Development Project are to assist the governments of Karnataka, Punjab and West Bengal to: 1) improve efficiency in the allocation and use of health resources through policy and institutional development; and 2) improve the performance of the health care system through improvements in the quality, effectiveness and coverage of health services at the first referral level and selective coverage at the primary level to better serve the neediest sections of society. The ultimate goal of the project will be to improve the health status of the people, especially the poor, by reducing mortality, morbidity and disability. The project consists of three main components: 1) management development and institutional strengthening, which include: (a) improvement of the institutional framework for policy development; (b) strengthening of management and implementation capacity; and (c) development of surveillance capacity for major communicable diseases; 2) improvement of service quality, access and effectiveness at district, subdivisional and community/rural hospitals involving: (a) renovation and extension of district, subdivisional and community/rural hospitals; (b) upgrading of the effectiveness of clinical and support services and quality of services; and (c) improvement of the referral system; and 3) improvement of access to primary health care in remote and underdeveloped areas, which consists of: (a) upgrading of primary health centers in the Sunderban area of West Bengal; and (b) increase in the access to primary care services among scheduled castes/scheduled tribes population in Karnataka.