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INNOVATION IN HEALTH HUMAN RESOURSE MANAGEMENT - CHHATTISGARH
Tripartite partnership between UNICEF, National Health Mission and EKAM Foundation for Operationalization of SNCUs
57 54 51 48 47 46
39 38 37 34 31 31
36 33
26 25 25 24
0
15
30
45
60
2008 2009 2010 2011 2012 2013
Infant Mortality Trend - CG
IMR NMR E-NMR
Introduction
5 out of 13 SNCU and 10 out of 46 NBSU were
operational in the state
Lack of specialists and Staff Nurses.
Not willing to join in the difficult areas (where
the need is maximum)
Delay in procurement of equipment.
No establish mechanism for maintenance of the
installed equipment.
Problem Statement
Materials & Methods
•Inventory / Equipment Audit (Baseline)
•Baseline Report and Recommendations
•Repair and improve the uptime.
Equipment
Maintenance
•Recruitment of Staff
•Training and capacity building
•Improved quality performance
SNCU HR
(Staff Nurse)
•Training for the newly appointed staff
•Continuous skill building through
Supportive supervision
Staff
Training and
Quality of
Care
Results
Conclusions
Acknowledgements
Equipment
to perform
in Optimum
conditions
Adequate
Staff to
handle
patients
HUMAN
RESOURCE
Need
for staff
Sourcing
of Nurses
Selection Recruit Monitor Train Retain Payroll
EQUIPMENT
Survey on
Equip
conditions
Equipment
Audit
Repair &
Maintenanc
e
Periodic
checks
Handle
emergency
problems
Improved
quality
performanc
es
Integrated application model – UNICEF, NHM and EKAM Partnership
SNCU
SN
Placed
SNCU
SN
Placed
Ambikapur DH 11 Koriya DH 11
Bilaspur DH 11 Mahasamund DH 11
Dhamtari DH 11 Raigarh DH 11
Durg DH 11 Raipur MC 11
Jagdalpur MC 11 Raipur DH 11
Kawardha DH 11 Rajnandgaon DH 11
Korba DH 11 Grand total 143
SNCU BED REQUIRMENT
Average number of live births (Public
Health Inst.) in last 2 years 2012-14 (A)
450000
No. of live births requiring special care
B = (15% x A)
67500
No. of bed days required (assuming an
average stay of 7 days) C = (B x 7)
472500
No. of special care beds required D =
C/365
1295
Available beds in the SNCU - 2013
SNCU Beds
Raipur MC SNCU 20
Durg DH SNCU 18
Raigarh DH SNCU 12
Rajnandgaon DH SNCU 12
Dhamtari DH SNCU 12
TOTAL BEDS 74
Total 13 SNCUs were approved but only 5 were
operational till 2014.
HR Gaps – 70% gaps in Staff Nurses and 80% in
Pediatrician.
Chhattisgarh is home to 6
lakhs infants. Of every ten
infant deaths, five happens
to be during 1st week of
life SRS (2013).
These deaths are preventable.
Saving neonatal lives in the first week requires
improved coverage and quality care at facilities.
Adopted strategies are:
Skilled care in labor and delivery
Essential Newborn Care
Special care of LBW and sick neonates
The present initiative, a partnership between
Government, UNICEF and EKAM Foundation aimed
to implement a facility based newborn care initiative
through operationalization of all 13 SNCUs in the
state and ensuring quality of care for sick infants
during the early days of life.
Directorate of Health Services and NHM
EKAM Foundation
UNICEF Raipur Office
UNICEF entered into a tripartite agreement between NHM and
EKAM Foundation (Chennai) for operationalization and
strengthening of SNCUs in the State.
Under the agreement NHM requested and funded EKAM
Foundation for outsourcing the HR of SNCUs . The agreement
administration cost and salary of the SNCU human resource were
approved and payed by NHM PIP 2014-15.
Objective of the Partnership
 Provide quality care to neonates admitted within SNCUs in
Chhattisgarh by filling the gaps in human resources
 Improve the quality, maintenance of SNCU equipment and
monitoring of their functioning.
Progress of the Partnership – SNCU Operationalization
Equipment Status – Oct 2014 Staff Nurses Engaged through EKAMEquipment Status – June 2015
Reinforcement of service delivery and innovations in health
human resources is a key to bring changes in facility based care
for ensuring maternal and new-born health. Presence of expertise
in specialized field like health human resource management
always given an edge and comparative advantage increases the
quality of care.
This partnership is one of the successful mechanisms for
operationalization of SNCU.
To reduce the shortfall state has already initiated the recruitment
of Staff Nurses and Medical Officers through HR agency and they
have been posted in the tribal and LWE affected districts of the
state with differential salary package considering the difficulty of
the location and non-availability of the staff. Through different
agency total 290 staff nurses are recruited and positioned at
District Hospitals and CHCs of 10 districts.
With this partnership total thirteen (13) SNCU made operational in
the state and thus ensuring facility based new-born care in these
districts. Moreover these units are also serving as referral units for
the adjacent district for sick new-born.
New-born Admission in the SNCUs
2014 2015
695 632 620
1285
1400 1371
1231
1430 1460 1387 1410
0
300
600
900
1200
1500
Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15
Working
50%
Not
Working
37%
Not
Installed
13%
Working
92%
Not
Working
8%
Not
Installed
0%