CAN EMPOWERING COMMUNITY PLATFORM - MAHILA AROGYA SAMITIS (MAS) UNDER NATIONAL URBAN HEALTH MISSION: STRENGTHEN THE DELIVERY OF PRIMARY HEALTHCARE SERVICES IN URBAN SLUMS?

Main Article Content

Sudipta Basa
Madhulekha Bhattacharya
Ved Pal
V.K. Tiwari

Keywords

Mahila Arogya Samitis, primary healthcare, urban slums, NUHM

Abstract

The Astana Declaration was passed in 2018, forty years after Alma Ata, to provide a new momentum for strengthening Primary Healthcare (PHC) and to speed up the progress towards the Sustainable Development Goals (SDGs). One of the three pillars of PHC endorsed in Astana declaration was community empowerment. The strategies to strengthen community participation in health vary greatly. Unlike the rural areas the challenges are very different in urban areas. The healthcare services do not reach all urban poor settlements, especially the hidden pockets of urban poor and those that are not part of official lists. The weak linkage between slum communities and healthcare providers is a growing barrier to improve the health of the urban poor. The National Urban Health Mission launched in 2013, provides community platform in form of Mahila Arogya Samitis (MAS) to promote community participation in health activities in slum areas. In this article we present the need of empowering the MAS through simple interventions to address the healthcare needs of urban vulnerable population in slum areas.

Abstract 250 | pdf Downloads 269

References

1. Government of India. National Health Policy 2017. New Delhi: Ministry of Health and Family Welfare, Government of India; 2017. Available from:
https://www.nhp.gov.in/nhpfiles/national_health_po licy_2017.pdf.)
2. Basa S, Gupta B. Community clinics - An effective avenue for delivering primary healthcare services to urban vulnerable population under NUHM during COVID era and beyond. Int J Community Med Public Health 2021;8:1003-7.
3. Agarwal S, A. Satyavada A, Patra P, & Kumar R. Strengthening functional community– provider linkages: Lessons from the Indore urban health programme, July 2008, Global Public Health 3(3):308-325.
4. National Management Information System (NMIS), Executive
summary,MoHFW(www.nhm.gov.in/NewUpdate-2022-23/NHM-MIS/March-2023/Executive Summary.pdf). [Last accessed on 2022 Jun 05]
5. Ministry of Health and Family Welfare, Government of India. National Urban Health Mission- Framework for implementation; May 2013. Available from
: http://www.nhm.gov.in/images/pdf/NUHM/Implementation_Framework_NUHM.pdf. [Last accessed on 2022 Jun 05]
6. Induction Module for Mahila Arogya Samiti, MoHFW, GoI, 2014-15. Available from: https://nhm.gov.in.
7. Guidelines for ASHA and MAS in the urban context, MoHFW, GoI, 2014.Available fromhttps://nhm.gov.in/images/pdf/NUHM/Guidelines_for_Asha_and_MAS_in_Urban_Conte xt.pdf)
8. 10th Common Review Mission Report 2016, NHM, MoHFW, GoI. Available from: https://nhm.gov.in.
9. 11th Common Review Mission Report 2017, NHM, MoHFW, GoI. Available from: https://nhm.gov.in.
10. 12th Common Review Mission Report 2018, NHM, MoHFW, GoI. Available from: https://nhm.gov.in.
11. 13th Common Review Mission Report 2019, NHM, MoHFW,GoI. Available from: ttps://nhm.gov.in.
12. Prem Kumar SG, Bhattacharya Shubhrakanti and Kurian Elizabeth.: Effective engagement of community health workers in primary eye care in India. Community Eye Health 2018,31(102):S13-S14).
13. D.O.letter from JS(UH) in regard to "Probability & Possibility of linkages between MAS constituted under NUHM and self-help groups under the NULM",September,2016.https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1159&lid=161 ).
14. Narasimha BC, Anand P, Ravish KS, Navya SS, Ranganath TS. Int J Community Med Public Health. 2016;3(8):2026-28.
15. Hazra A, Atmavilas Y, Hay K, Saggurti N, Verma RK, Ahmad J et al. Effects of health behaviour change intervention through women’s self-help groups on maternal and newborn health practices and related inequalities in rural India: A quasi- experimentalstudy.EclinicalMedicine2020;18:100198.Availablefrom:http://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(19)30193-2/fulltext.
16. Technical Resource Group (NUHM) Report, 2014, NHSRC, MoHFW. Available from https://nhsrcindia.org/)
17. Lahariya C. More, better, faster &sustained: Strengthen primary health care to advance universal health coverage. Indian Journal of Medical Research 2019;149:433-36.
18. United Nation SDG 3: Good Health and Wellbeing. Available from http//in.one.un.org/page/sustainable-development-goals/sdg-3-2.
19. Urban Health in Developing Countries. Agarwal S, Srivastava A, Kumar S. Urban health in developing countries. In: Gibbons MC, Bali R, Wickramasinghe N, Eds. Perspectives of Knowledge Management in Urban Health. Springer, 2010:6194.
20. WHO, Urban Health. Available from (http://www.who.int/news-room/factsheets/detail/urban- health) [Last accessed on 2022 Apr 05]