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  1. 1
    368365

    Republic of India - Health, nutrition and population technical assistance to North East States (India).

    Mullen PM

    Washington, D.C., World Bank, 2015 Jun 16. 9 p.

    The eight states in India’s North-East region are connected to the rest of the country by a narrow corridor and (until recently) were classified by the Indian government as special category states. This non-lending technical assistance (NLTA) was requested by the governments of Nagaland and Meghalaya, stemming from previous engagements with the World Bank Group - the state human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) program (supported by International Development Association (IDA) financing) in the case of Nagaland, and International Finance Corporation (IFC) advisory services for private sector involvement in government health insurance program and investment in medical education in the case of Meghalaya. Both state governments show commitment to improving health and nutrition services and outcomes and look to the World Bank to provide support. The state governments requested the Bank for technical assistance in specific areas for which other sources of support, particularly the national health mission, were not available, and improvements in which held the potential to leverage the effectiveness of existing government financing. The development objective of this activity is to support development of health system strategies, policies, and management systems in North East states.
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  2. 2
    072823

    The hospital in rural and urban districts. Report of a WHO Study Group on the Functions of Hospitals at the First Referral Level.

    World Health Organization [WHO]. Study Group on the Functions of Hospitals at the First Referral Level

    WORLD HEALTH ORGANIZATION TECHNICAL REPORT SERIES. 1992; (819):i-vii, 1-74.

    In 1992, the WHO Study Group on the Functions of Hospitals at the First Referral Level compiled a report on the functions of the hospital in rural and urban districts. It advocates that the 1st referral level hospital should be integrated into the district health care system, which is administered by a district health council. This approach strengthens primary health care and uses hospital resources to promote health. The most pressing need for this approach to work is changing people's attitudes and motivation. Various obstacles invariably slow this integration process such as resistance by central and local government officials and inadequate funding. The district hospital should help people to find health rather than just cure disease. Further it must accept the fact that it is not the center of the health system. This means a redistribution of both finance and effort. Governments need to improve the decentralization process to facilitate integration. The study group proposes a step by step methodology to integrate the health system. The 1st step is creating a district health council with representatives from the district health office, the hospital, other sectors of the health care system, and the community. The council determines the community diagnosis including population trends, patterns of morbidity and mortality, and disease and risk distribution by age and location. It also needs to review health services in the district. The council can divide these services into preventive, promotional, curative, rehabilitative, and organizational services. It also must reassess distribution of resources including people, buildings, equipment, and materials. The council must draft a plan and deliberate on implementing the plan. Once the council has taken these steps, it can then implement, monitor, and evaluate the plan and its results.
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