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SURAJYA GOALS

Providing solutions that are –
• Simple
• Easily achievable
• Universally acceptable
• No cost or low cost
• High impact

Service School Local
Healthcare Local Courts Agriculture
Guarantee Education Governments

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SERVICE GUARANTEE ACT
STATUS:
AP Government enacted a law and applied it to services related
to ease of doing business.

WHAT NEEDS TO BE DONE:
• Apply it to all fee-based services.
• Strengthen back office for delivery.
• Fee for delivery may be enhanced where needed.
• Monthly reports – public authority wise.
• Real-time delivery – integrated with core dashboard.
• Assign overall supervision to Lokayukta.

Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments

Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments . 3 SCHOOL EDUCATION AIM: Quality outcomes with no burden on parents.000 teachers in government schools. • Total annual spending = Rs.000-60. • 38 lakh students in government schools. • 50% primary schools have <30 children. STATUS: • 220. 50. • Poor students migrating to private schools.000/child. • Outcomes appallingly bad.

4 SCHOOL EDUCATION Case of East Godavari • Misallocation of Resources in Government Schools TYPE OF SCHOOLS NUMBER OF STUDENTS NUMBER OF SCHOOLS 0-5 47 6-10 174 11-15 272 16-20 284 Unviable Schools 21-25 412 25-30 322 30-60 883 Total 2394 60-100 533 101-150 225 Viable Schools >151 92 Total 850 Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments .

3665610 3500000 3100000 Gross Enrollment 3000000 2400000 2500000 1988589 2000000 1500000 1000000 500000 0 2008-09 2015-16 Government Private Source: UDISE Surveys of the respective years. GoI. there is a net migration of over 5 lakh children from government schools to private schools from classes I to VIII. 5 SCHOOL EDUCATION Enrollment Trends Decline in the enrollment in the Public Schools and Increase in the enrollment in 4000000 Private Schools (classes I-VIII). Finding: From 2008-2016. Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments .

7 2016 41.0 58.2 76.4 77.1 Children in standard V who can read Std II text 2014 31.8 2012 46.0 65.8 Year Government Schools Private Schools 2016 38.4 60.8 Year Government Schools Private Schools 2014 57.8 2010 58.3 67.9 Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments .8 62.9 65.8 66.2 2010 68.0 58.0 80.8 2016 52. Children in Standard III who can do subtraction Year Government Schools Private Schools 2010 38.4 57.6 2012 65.9 Children in Standard VIII who can do division 2012 64.5 Sources: ASER Reports. 2007-2016. 6 SCHOOL EDUCATION ASER Outcomes (Rural) Annual Survey of Education Report (ASER) reveals the poor learning outcomes. 2014 53.

7 SCHOOL EDUCATION WHAT NEEDS TO BE DONE: • All schools with fewer than 60 students should be consolidated. • State Testing Board for evaluation and random testing. • SAT type test for 5th. • CCE to be fully institutionalised. • No school (except in remote tribal areas) with fewer than 60 children. Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments . and 10th classes. e- learning. • Ensure integrity of examinations/evauluation. • Redeploying 5% of the teachers for inspection and monitoring. 7th.

let funds follow children. • Strictly monitor and enforce quality in private schools by random testing. • Out of 30 lakh children in private schools. 5000- 10.000/year. • Most of these parents are poor.000/year.5% of Children in AP are in Private Schools. 2016-17. 10. • Quality of education in most private schools is poor. • Reimburse school fee in quality schools charging less than Rs. Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments . • Where standards are met. 8 SCHOOL EDUCATION Public Private Partnership STATUS: • 43. Sources: AP Socio-economic survey. and schools are charging about Rs. in 2015-16 (classes I-VIII). about 15 lakh will benefit.

by Private Number of in Government Student.40.000 17 4400 10 440 10000 4. Teachers Salary of not filling Expenditu students States schools Teacher per year* Teacher per vacancies re per additionally (2015-16:I-VIII) Ratio year* (in Rs.a is 3%. 9 SCHOOL EDUCATION Funds Follow Students FUNDING TO GRADUALLY SHIFT FROM TEACHERS TO STUDENTS Total Teachers Retiring Average Savings. Assuming retirement percentage p.000 Pradesh *Source:UDISE Flash Statistics(2015-16). The other 15 lakh students can be effectively reimbursed with no additional expenses. • Over a period of 4 years. student funded per (in Rs. Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments . lakhs) crores) (in Rs) year (a) (b=2% of a) (c) (d=b*c) (e) (f=d/e) Andhra 2. 15 lakh students can be covered.20. • Out of the 30 lakh students enrolled in private schools we can assume 50% of them do not need state assistance in terms of expenditure on education.

3. 10 HEALTHCARE Significant Accomplishments 1. • Established 103 labs for to provide 60 services. District Hospitals. Outsourcing of Sanitation Services • In Area Hospitals. and Teaching Hospitals. Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments . Centralized drug supply • For all government healthcare facilities. Free essential diagnostic services • Under NTR Vaidhya Pariksha. 2.

2017” . Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments . . 11 Clinical Establishments Act. .Tailored for the needs of our state.Drafted in consultation with various key stakeholders in the AP. • FDR has drafted a more suitable legislation – “The Andhra Pradesh Informed Choice of Clinical Establishments Bill.Allows AP to retain its legislative competence on regulating healthcare establishments. 2010 (CEA) • Andhra Pradesh wisely refrained from adopting the CEA.

5-8 Cr Average annual spending per • Parvathipuram Area Hospital used as example PHC = Rs. 300-400 Cr Average annual spend per high College school = Rs. 5 Cr Government High School • Estimated value of services provided = Rs. 12 TYPICAL GOVERNMENT HEALTHCARE FACILITIES Underfunded.3-1.4 Cr plains areas = about 60. 1. 70 lakhs/year PHC • Chilakaluripet CHC used as example Average population served in CHC • Government expenditure/year = Rs. 1500-2000 outpatients/day • Government expenditure/year = Rs. 50 Cr Average population served per Teaching • Government expenditure/year = Rs. 70 lakhs • Patient load = 200-220 inpatients/day (100 beds Area Hospital authorized).000 • Estimated value of services provided = Rs. but Great Return on Investment PHC • Government expenditure/year = Rs. 1.520 Hospital and • Estimated value of services = Rs.60-70 Cr high school = 11.8 Cr Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments .

13 3 MAIN CHALLENGES Overcrowded Weak & Underpaid Primary Care Underfunded Healthcare System Government Personnel Hospitals Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments .

14 2 SOLUTIONS Establish Increase Primary Healthcare Care Expenditure Networks Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments .

etc. 33. 12. lab Contract ANMs Rs. 16. Better infrastructure and more beds where health insurance needed Senior residents Rs.) maternity leave or 3. Higher wages for healthcare personnel (doctors. etc. no equipment. 3 lakhs/bed for 2 CURRENT WAGES years for government health facilities can exponentially increase the value of services provided. but 4. Contract nurses Rs. Increased pharmaceutical supply (based on compulsory service) delayed for months or need) years Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments .000/month.000/month recruitment) • Funding would go towards: 1. no maternity leave or nurses. 45. Blood banks (based on need) (specialist doctors on remuneration often 5. 15 SOLUTION 1 Increase Government Health Expenditure • Per year funding increase of Rs.000/month. ANMs. Better equipment (X-ray machines.000/month.) health insurance 2. Specialist doctor (at Rs.

Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments . SERVICES PROVIDED • People register their families with one of the doctor of their Family care and outpatient care choice in the network.000 population. • Network doctors will be remunerated on per capita basis for MCH care (except deliveries) their registered persons (Rs. 16 SOLUTION 2 Strengthen Primary Care Services • Establish Primary Care Networks In 500 Towns: • Network of 10 doctors to provide primary care for 70. 400/capita/year). Hospital recordkeeping • Population can seek care from government hospitals only on referral. Monitor NCDs 1500 families registered/doctor or 6000 persons/doctor Rs.000- 100. except in case of emergencies. Dispensing drugs supplied by • Contracted doctors to establish a clinic and hire support staff government to assist in care delivery. 2 lakhs/month Simple lab tests • 1 month onboarding training on family care for doctors. 24 lakhs/year or Rs.

400 * 3 Cr CARE • Per capita payment of Rs.000 beds in government hospitals in AP TOTAL Rs. 100 Cr FOR HOSPITAL Increase in per bed expenditure = Rs. 3 lakhs * 20000 CARE • Phased increase by Rs.000 Cr Rs. Increasing in healthcare expenditure by Rs. 17 HEALTHCARE Additional Funding Required FOR PRIMARY Primary Care Networks = Rs. 2. 1. 3 lakhs/year over the next 2 years = Rs. 2.000 crores is merely 0. 2. 100 Cr Increasing wages for existing primary care staff = Rs. 400/year = Rs.000 crores/year would significantly improve care and patient satisfaction.200 Cr • Assuming 3 crore registered population Additional expenditure on pharmaceuticals = Rs. Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments . 600 Cr/year • Approximately 20.27% of the GSDP.

• However.000 population in urban areas will ensure accessible. stalking.) and urban population. • A draft bill is available. Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments . 33 crores for setting up rural courts and improving judicial infrastructure. no courts have been set up in AP yet. affordable. • In March 2017. STATUS: • Gram Nyayalayas Act enacted in 2009 by Parliament. and one per every 50. speedy justice. etc. especially in crimes related to women. WHAT NEEDS TO BE DONE: • Local courts law to be amended to cover minor offences against women (eve teasing. Govt of AP released Rs. • One local court constituted for every mandal. 18 LOCAL COURTS With Emphasis on Women’s Safety AIM: • Local Courts or “Gram Nyayalayas” can provide speedy relief and justice with summary procedures in simple cases at low cost.

250 Median farmer income in AP is below the national average. 19. Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments . 19 AGRICULTURAL CRISIS National Average = Rs.

57 16.71 60. GoI.1 97.67.265.) (in Rupees) 2013-14 43.23 15.8 2016-17 33.24 67.5 1.57 19.4 55.17 20.645.87 25.52 27.00 61.5 2014-15 35.760 2015-16 29.12 lakh crores ($19 billion). 1.47 65. Our surplus in agricultural trade has fallen by >Rs.68 Sources: Ministry of Commerce.07 55. Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments .393. 20 AGRICULTURAL TRADE Imports Rising and Exports Falling US Dollar Exports Imports Trade Surplus Trade Surplus Year Average ($ bn) ($ bn) ($ bn) (in Crore Rs.70 8.63 8. Centre for Monitoring Indian Economy.

7 mn Tonnes in 2017-18. August 10. OIL SEEDS Domestic Production Import of Edible Oils BENEFITS: Year Oil Seeds (in Edible Oil Quantity (in Value (Cr) • Price can be maintained MMT) (MMT) MMT) • Domestic production will rise 2013-14 32.524 is given to farmers with that revenue.860 imports 2015-16 25.5 17.8 25. Finger on the Pulse: Dal Pinches for Farmers”. 21 AGRICULTURE Case for Import Duties and Farmers’ Bonus Large imports without protection to domestic producers has led to price crash.6 12. 382/quintal can be transferred.000 • Govt. 2017. then a sum of Rs.51 6.2 3.30 5.4 6. 2016-17. ”Weak Govt. RESULT: PULSES • Black gram price has crashed from Domestic Imports Value of Imports Rs. there will be no need for 2014-15 27. 2017. The Indian Express. Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments . “India’s Edible Oil Ouput to Hit All-time High of 7.000 fiscal pressure.4000/quintal Year Production (MMT) (MMT) (Crores) now.750 • In three years.20 70.05 15.792 2014-15 17.062 WHAT NEEDS TO BE DONE: 2015-16 16. Sources: Annual report.” Business Standard. 2013-14 19.62 60. Department of Agriculture.74 7.6 28. Economic Survey.1 4.17 14.11 11.16.691 • If 30-40% duty is imposed on imports and bonus 2016-17 22.52 7.42 62.82 14. 2016-17. can transfer bonus to farmers with no 2016-17 32.000/quintal in 2016 to Rs.59 65. September 21.3 5.

7 lakh tonne. Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments .1055 godowns with 7.98 lakh • Private Capacity – 5.5 lakh tonnes • Additional Requirement – 5 lakh tonnes Cold Storages • The Current Capacity in Andhra Pradesh is 15. farmers can avoid distress sale and wait for cyclical upturn. 22 AGRICULTURAL CRISIS Need for Storage and Pledge Loans Warehousing • APSWC godown capacity – 6 lakh tonnes • AMCs . Pledge Loans: • If credit is guaranteed on stored produce.

Benefits of Retail Chains • Market chain compressed • Farmers will get 70% of consumer price • Boost to logistics and value addition • Consumer price will be moderate • Price volatility eliminated • Employment generation • India can leverage our strengths and capture global markets Source: FICCI . 23 AGRICULTURE The Menace of Middlemen Retail chains should be welcomed and encouraged on a large scale. Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments .Role of Food Processing Industry AP has the golden opportunity to become the procurement center for the whole country and an exports center to the world. Feeding a Billion.

enterprise. 24 Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments . 2016-17.06 hectares in 2010-11. 24 AGRICULTURAL REFORMS Land Ceiling & Investments • Average size of landholding in AP is declining – From an average of 1. Source: Andhra Pradesh Socio-economic Survey. and technology. WHAT NEEDS TO BE DONE: • A comprehensive overhaul of land laws to allow scale. • The current land ceilings vary from 10-18 acres for irrigated lands with two crops to 35-54 acres for dry lands. • Need for infusion of investments that can bring technology. management. • Current tenancy laws and land ceilings laws act as a deterrent for corporate investments and building scale. capital.13 hectares in 2005-06 to 1. and market access.

25 AGRICULTURAL REFORMS Dryland Farming And MNREGS • Predominance of drylands in Andhra Pradesh • Net Sown Area (NSA) is 61. Government of Andhra Pradesh. • Utilizing NREGA exclusively for Watershed management activities • Rain water harvesting (digging farm ponds on a massive scale) • Ground water recharge • Soil conservation Source: Agriculture Dashboard (2016-17).13 lakh ha • Net irrigated area is 29. Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments .27 lakh ha • Over 50% of the Net Sown Area lacks irrigation and is rainfed.

• Can lead to corruption due to certification required for getting fertiliser. Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments . • Fertilizer usage varies with individual’s land holding and cropping pattern. 26 AGRICULTURAL REFORMS Fertiliser Subsidy • Direct Benefit Transfer (DBT) in Fertiliser distribution may not be feasible because – • Land records are not updated.

735 Cr. • Transfers to States = Rs.85.56.5% of total Budget Gram Panchayats 8/person/year • 67% of total Non-Debt Receipts • 71% of Revenue Receipts Mandal Parishads 16/person/year State to Local Bodies: • Andhra Pradesh Budget 2017-18 is 1.000 Rupees • Transfers to PRIs by the state is mere 32 Rupees.46. which Urban Local Bodies 12/person/year is 0. which are given a mere 12 Rupees. 10.1% of total expenditure per capita. Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments . devolved to the Transfers to PRIs. Rupees • 50. which Zilla Parishads 8/person/year means the Expenditure Per Capita is 30. It is even lesser Source: 3rd State Finance Commission Recommendations for ULBs.999 Cr. ULBs in state governments. 27 LOCAL GOVERNMENTS Devolution Union to States: • Union Budget (2017-18) = 21.075 Cr.

Service Guarantee School Education Healthcare Local Courts Agriculture Local Governments . and quality of life to promote local job creation. • Special emphasis on small towns infrastructure. education. healthcare. 28 LOCAL GOVERNMENT WHAT NEEDS TO BE DONE: • Devolving 1000 Rupees per head would involve the transfer of - 1460 Crore per annum for Urban Areas 3470 Crore per annum for Rural Areas • Transfer responsibilities and reduce expenditure of various departments at State level correspondingly.