Date- 29 March 2014
Location- A.N. Sinha Institute of Social Studies, Patna
A One Day State level, multi stakeholder consultation on Rashtriya Swasthya Beema Yojna (RSBY) scheme was organized by PACS at the A.N. Sinha Institute of Social Studies, Patna on 29th March 2014.
The objective of the consultation was to discuss the community participation strategies for increasing the uptake of services in RSBY, through the strong and vibrant network of civil society groups directly working with the community under the PACS Programme.
Sri Sanjay Kumar, Secretary, Labor and Welfare Department, Government of Bihar, was the chief guest of the event. Among the other distinguished guests were Sri Rajpal, PACS; Ms. Arti Verma, Programme office Bihar; Ms. Yogita, PACS; Dr. Shakeel Ur Rahman, ED-CHARM; Mr. Arman Suhail, State Nodal Officer, RSBY campaign Bihar; representatives of the empanelled hospitals from different districts, representatives of CSO partners and CBO members.
On this occasion, Mr. Sanjay Kumar appreciated the work done by PACS. He assured to extend all official support to flourish the Engagement strategy done by PACS and its partners for creating a community ownership of RSBY. Further, Mr. Kumar mentioned that SNA will be strengthened and would be made more responsible to cope with the stakeholders. Also a proposal at the Government level can be made to increase the amount of RSBY up to one lakh, by deducting the amount from other health schemes of the government.
Earlier, at the starting of the Consultation, Mr. Arman Suhail, on behalf of PACS, welcomed all the participants and briefed about the RSBY project running in the PACS districts of Bihar. The CBO members and CSO staffs, presented their feedback and experiences in the field. It was followed by a presentation on their intervention in RSBY by the respective CSO Partners.
Ms. Arti Verma presented the detailed reflections on PACS. It’s a UK Government’s DFID programme to work with the civil society in India. It’s spread across the seven poorest states of India. The programme engages on livelihood, health, nutrition and entitlement schemes as a strategy to bridge the gap between schemes and the communities. Speaking on RSBY in PACS, Ms. Arti stated that the ‘out of pocket’ expenses on health was one of the key factors contributing to poverty. Hence, RSBY emerges as a promising opportunity for the vulnerable groups to access health care services through insurance coverage and a range of treatment options. RSBY being a demand driven scheme, community participation and outreach is significant in making it successful. RSBY provides an opportunity for the civil society and communities to engage proactively in the implementation and monitoring of the scheme.
Discussing upon the strategies, Ms. Arti mentioned that to ensure RSBY reaches out to the poorest and most vulnerable, the following points are necessary:
- Increase utilization of the full benefits of the scheme,
- Creation of capacity involvement and ownership of the community towards the scheme,
- Accountability and monitoring of services and community feedback,
- Establishing service efficiency, enhancing mechanism linked to the community and individual users.
Discussing on the demand side approach, Ms. Arti, necessitated the Building capacities of the civil society groups, community based groups/ stakeholders, extensive awareness and campaign drives. As a supply side approach, she emphasized upon the Sensitization of the service providers, consultative processes and advocacy with the State and District Administration.
Ms. Arti demanded, the participation of PACSs representative in the Block and District level workshops, where the planning of the enrollment period and process are done and a road map was prepared. To ensure PACS participation, she demanded SNA to issue a letter to the relevant officials. Besides, support and participation in organizing the orientation workshops for hospitals, it needs to support in organizing the smart card holders’ exposure visit to Hospitals. Also, membership of a PACS representative on the District Grievance Redressal Committees and Participation in DGRCs were the other prominent demands kept before Mr. Sanjay Kumar. Earlier, FAQ on RSBY in Urdu was prepared by PACS and was released by Mr. Sanjay Kumar.