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   >> ROGI KALYAN SAMITI (RKS) | HOME |  
 

INTRODUCTION

In most developing countries, provision of basic preventive, promotive and curative services is a major concern of the Government and decision makers. With growing population and advancement in the medical technology and increasing expectation of the people especially for quality curative care, it has now become imperative to provide quality health care services through the established institutions. In public Sector 15,393 allopathic hospitals (Health Information of India 2003) are functioning. In the rural areas, the secondary level care is being provided through 3222 CHCs (Bulletin on Rural Health Statistics in India 2005) with 30 beds each with specialist services of physicians, pediatricians, 0 & G specialists, and surgeons being made available. However, these services have not been successful in gaining the faith and confidence of the people because of lack of specialists, facilities and accountability, along with the paucity of resources and non-involvement of the community.

            Up-gradation of CHCs to Indian Public Health Standards (IPHS) is a major strategic intervention under the National Rural Health Mission (NRHM). The purpose is to provide sustainable quality care with accountability and people's.participation along with total transparency. However, there is a general apprehension that this may not be possible unless a system is evolved for ensuring a degree of permanency and sustainability. This requires the development of a proper management structure which may be called as Rogi Kalyan Samiti (RKS)/ Patient Welfare Committee / Hospital Management Society (HMS). We have some experience of these Rogi Kalyan Samities functioning in some of the States like Madhya Pradesh with good results and feasibility of replication. The project in Madhya Pradesh was started on a pilot basis and it has now been adopted in over 450 institutions across the State and has proved equally successful in extremely backward tribal and rural areas, which
proves its re-plicability cutting across the regions. To take the concept across sections of the community, local representatives and political regime, the project concept has to be simple, appealing and easy to replicate across the State.

 

PREAMBLE

Rogi Kalyan Samiti / Patient Welfare Committee / Hospital Management Committee is a simple yet effective management structure formed to facilitate and streamline the developmental activities with an objective to provide sustainable quality care with accountability and people's participation along with total transparency in utilization of funds placed at its disposal.

The Societies, a registered society shall act as a group of trustees for the hospital to manage the affairs of the hospital. It shall consist of members from the local Village Council Institutions, NGO's, local elected representatives and officials from Government sector who would be responsible for proper functioning and management of the Civil Hospitals, District Hospitals, CHC/ PHC. RKS is free to prescribe, generate and use its funds as per its best judgment for smooth Functioning and for maintaining the quality of services.

 

BASIC STRUCTURE

            The suggested composition of RKS / HMS is as follows:

RKS / HMS is a registered society set up in all Civil Hospital Aizawl, Civil Hospital Lunglei, Districts Hospitals & Sub-divisional hospitals CHC /PHC. It may consist of the following members: -

 

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Deputy Commissioner - Chairman

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Medical Superintendent - Member Secretary

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People's representatives - MLA / MP

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Health officials (including an Ayush doctor)

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Local district officials

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Leading members of the community

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Local CHC/ FRU in-charge

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Representatives of the Indian Medical Association

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Members of the local bodies and Panchayati Raj representative

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Leading donors

 

The RKS/HMS will not function as a Government agency, but as an NGO as far as functioning is concerned. It may utilize all Government assets and services to impose user charges and shall be free to determine the quantum of charges on the basis of local circumstances. It may also raise funds additionally through donations, loans from financial institutions, grants from government as well as other donor agencies. Moreover, funds received by the RKS / HMS will not be deposited in the State exchequer but will be available to be spent by the Executive Committee constituted by the RKS/HMS. Private organizations offering high tech services like pathology, MRI, CAT SCAN, Sonography etc. could be permitted to set up their units within the hospital premises in return for providing their services at a rate fixed by the RKS/ HMS.

 

NEED FOR DEVOLUTION OF RESPONSIBILITY:

Participation of local staff along with representatives of local population is considered of prime importance to improve accountability and keep pace with rapidly growing service requirements. It is also necessary to evolve a suitable framework within which the existing staff and local population along with administration can establish such a motivated performing asset. The new body or the apex entity has to be responsible for the singular aspect of provision of services to all classes of the society. The right of independence for performance and management has to be provided in order to boost performance.

 

FRAMEWORK FOR RKS / HMS:

OBJECTIVE OF THE RKS

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Ensure compliance to minimal standard for facility, hospital care and protocols of treatment as issued by the Government.

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Ensure accountability of the public health providers to the community.

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Introduce transparency with regard to management of funds.

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Upgrade and modernize the health services provided by the hospital and any associated outreach services.

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Supervise the implementation of National Health Programmes at the hospital and other health institutions that may be placed under its administrative jurisdiction.

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Organize outreach services/health camps at facilities under the jurisdiction of the hospital.

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Display "Citizen's Charter" in the health facility and ensure its compliance through operationalisation of a Grievance Redressal Mechanism.

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Generate resources locally through donations, user fees and other means.

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Establish affiliations with private institutions to upgrade services. Undertake construction and expansion in the hospital building

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Ensure optimal use of hospital land as per government guidelines.

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Improve participation of the society in the running of the hospital.

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Ensure scientific disposal of hospital waste.

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Ensure proper training for doctors and staff.

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Ensure subsidized food, medicines, drinking water and cleanliness to the patients and their attendants.

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Ensure proper use, timely maintenance and repair of hospital building, equipment and machinery.

 

FUNCTIONS & ACTIVITIES OF THE RKS:

To achieve the above objectives, the society shall direct its resources for undertaking the following activities/initiatives:
 

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Identifying the problems faced by the patients in CHC/FRU/PHC.

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Acquiring equipment, furniture and ambulance for the hospital. (Through purchase, donation, rental or any other means, including loans from banks)

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Expanding the hospital building in consultation with and subject to any guidelines that may be laid down by the state government.

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Making arrangement for the maintenance of the hospital building (including residential buildings) vehicles and equipment available with the hospital.

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Ensure disposal of unserviceable articles (unusable equipment/furniture) through condemnation and auction, whose cumulative cost should not exceed Rs.5000/-, the proceeds of which shall be deposited in the savings bank account of the RKS.

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Improving boarding / lodging arrangements for the patients and their attendants.

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Entering into partnership arrangement with the private sector (including individuals) for the improvement of support services such as cleaning services, laundry services, diagnostic facilities and ambulatory services, canteen facilities etc.

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Developing /leasing out vacant land in the premises of the hospital for commercial purposes with a view to improve financial position of the society.

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Encouraging community participation in the maintenance and upkeep of the hospital.

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Promotion measures for resource conservation through adoption of wards by
institutions or individuals; and

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Adopting sustainable and environmental friendly measures for the day to day
management of the hospital, e.g. scientific hospital waste disposal system, solar lighting systems, solar refrigeration systems, water harvesting and water recharging systems etc.

 

MEMBERSHIP:

The various categories of membership of the RKS are as follows:

i.

Ex-officio members.

ii.

Nominated members.

iii.

Co-opted members.

iv.

Associate members

v.

Institutional members

Ex-officio Members:

The ex-officio members would be the representatives of the people and the officers from the various line departments of the government.

Nominated members:

A maximum of 5 eminent persons from the district/block can be nominated as members to the Rogi Kalyan Samiti, provided that the persons nominated fulfils the eligibility criteria enumerated in Section 4. These members can be nominated by the District Collector/ CDMO/ Chairperson in consultation with the Co-chairperson and Member Secretary of the Governing Body for a duration of two years from the date of nomination.

Co-opted members:

A maximum of 5 eminent persons from the district/block can be nominated as members to the Rogi Kalyan Samiti, provided that the persons nominated fulfils the eligibility criteria enumerated in Section 4. These members can be co-opted by the Executive Committee in consultation with the Chairperson of the Governing Body for a duration of one year from the date of nomination.

Associate Members:

An individual who makes a one time donation of a specified amount (e.g. Rs, 5000/- or as may be determined by the District Health Society), may be made eligible to become a Member of the Governing Body of the Society.

Institutional Member:

Any institution, which donates a specified amount (e.g. Rs.50,000/-or more or as may be determined by the District Health Society or adopts a ward of the hospital and bears the cost of its maintenance, may be made eligible to nominate a person from the institution as a member of the Governing Body of the society.

ELIGIBILITY OF MEMBERSHIP:

A person can be the member of the society subject to the approval of the Executive Committee, irrespective of caste, class, creed and sex who have an interest & aptitude in health and development activities. The criteria for membership are as follows:

i.

Indian nationals.

ii.

Not less than 18 years of age.

iii.

Not a convict or under trial.

iv.

Not bankrupt.

v.

Mentally sound.

vi.

Committed to adhere to rules and regulations of the society.

 

 

 

 
 

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