State Health Resource

Centre
Chhattisgarh
June 2015

Background
SHRC, Chhattisgarh established in
2002 to assist the newly formed
state in community processes and
health system strengthening
SHRC started as Government-Civil
Society collaboration
Registered as a Society in 2004
SHRC Governing Board has 3
representatives from Government
and rest 14 are civil society/public

Health Department

ED SHRC

SPC Community Process (ASHA)

42 Mitanin Support Structure
8 Urban Team, 2 Swasth Panchayat team
IT and Data entry

(SPC) Mitanin Kalyan Kosh

20 MKK (partly State Budget)
SPC Health System Strengthening
10 PC, PA, Cells AYUSH, Quality Assessment
10 Administration and HR
10 Accounts
Total >100 contractual staf

Funding 2014-15
NRHM SHRC 1.0
NHM ASHA Resource Centre 1.8
NHM MKK 2.8
NHM Urban trainings 5.5
State Budget 13
Other funds including UNICEF 0.9
EC SPP (projects closed Dec 2014)

Health System
Strengthening Key Areas

District Health Planning

Urban Health Programme
Work on Drug policy
Standard Treatment Guidelines
Hospital Quality
Monitoring of programmes
Operations Research

Positioning of SHRC
Support to the State National Health
Mission ( NHM)- Planning, District
Plans
Providing Technical Assistance
Studies
Policy
Implementing Mitanin training,
Mitanin supervision

District Health Planning

Initiated in 2005 when SHRC
facilitated preparation of District
Health Plans in 6 districts
Support to districts continued for
several years
Fast track capacity building
programme on District planning
300 Doctors/Managers trained in
collaboration with PHRS and NHSRC
Current ongoing support in tribal

Urban Health Programme

SHRC helped the department in
design of Urban health programme in
2011-12
SHRC fostered the initial launch and
then helped in creation of state and
city programme units
Conducted baseline survey, mapping
of cities, programme planning, social
mobilisation
SHRC continues to facilitate

Recent Technical Assistance,

Training, Studies

CRMC and Retention Study

Essential Drug List 2013
JDS (RKS) Training
Generic drug availability Study
19th Round Mitanin training
Community Based Monitoring 2014
National Programme Training (MO, AYUSH)
Pharmacopoeia 2015
Standard Treatment Guidelines
Malaria Manual, conference and dissemination
Nutrition and Health conference

Drugs and STGs

Support in creation of EDL for state
and its 3 revisions
Support in preparing Drug Formulary
and its recent revision
Fostered formation of state Medical
Services Corporation for procurement
Support in preparation of STGs and
their recent revision
Separate STG formulated for Malaria
in 2014

Support to AYUSH
Continuous support to AYUSH
directorate for last 7 years through a
AYUSH cell
Integrating AYUSH in ASHA training
Training of AYUSH Officers
Formulation of Ayurved Gram
scheme and its assessment

Hospital Quality
Helped in training on Biomedical
waste management
Support in Hospital Quality ranking
Support in formulating Rogi Kalyan
Samitis (known as Jeevan Deep
Samiti in Chhattisgarh)
Training of RKS in 2013-14
Assessment of Diagnostics and
training

Capacity Building support

Training and mentoring support for
Rural Medical Assistants
Training of Lab Technicians in
collaboration with AIIMS
Fostered setting-up of SIHFW in
Chhattisgarh
Created modules for training nurses,
MOs, laboratory technicians
Support for Training of RMNCHA
consultants

Strengthening Health HR
Support in formation of Rural Medical
Assistant (RMA) cadre (using 3 year
diploma pass-outs)
Study on Workforce Management
Formulation of Chhattisgarh Medical
Service Corps (CRMC) scheme, its
evaluation and suggestions for
strengthening implementation
Draft for creation of Public Health
Cadre, HR Policy (Transfers and

Data Analysis, Monitoring

and Research
Field Monitoring of 102 service
(Referral Transport for JSSK), MMU
scheme
Assessment of 104 Health
Information service
Study of sub-centres and PHCs to
find out reasons for not conducting
deliveries
Cause analysis of deaths through
community reported data

27/08/15

Policy and other areas

Support in Formulation of state Act
on Regulation of Nursing Homes and
Medical Establishments and
preparation of its rules
Support in revision of Admission rules
for Nursing, PG
Draft strategy for Malaria, Hepatitis E
Day to Day support to Directorate
and NHM as per need

Community Processes
Helped in design of Mitanin
Programme
Curriculum development for
Mitanin
Continuous capacity building
support for Mitanin including drug
kit
Campaigns through Mitanin and
VHSNC on TB, Leprosy, Malaria,
Diarrhea, Hepatitis E

Partners

Jan Swasthya Sahyog, Ganiyari, Bilaspur

CMC Vellore
NHSRC
RK Mission, Narayanpur
Shaheed Hospital, Dalli Rajhara, Balod District
CF Shore, Rajnandgaon

Technical Assistance in Chattisgarh

Expectations from SHRC

Develop Guidelines/ protocols/ training material
Study processes, gap analysis,
Develop policies- RMA, Nursing, Laboratory,
Pharmacy, Rehabilitation, staff retention, OD
Plan UHC and CPHC
Strengthening needs of SHRC
Visits by Experts
Data Analytics training
Training on Protocol development
Research Methodology training
Training on Policy analysis

Support
Chattisgarh and SHRC intend to work
on real decentralized planning as
proposed in Niti Aayog
Expectations from NHSRC- data
analytics, joint studies, exchange of
staff at SPC, PC, PA levels, field visits

Concerns
Need to Strengthen District planning
Delays in fund release under NHM
Need to keep up with inflation (10%
per year over initial)