A Study on Effectiveness of Panchayati Raj Institutions in Health Care System in the State of Kerala Dr. Jacob John Kerala Development Society (KDS-Delhi) 811-A, Jaina Tower I, District Centre, Janakpuri, New Delhi -110058 Ph :+91-11-41815051/+91-11-9811204487 Email :
[email protected],
[email protected] Website : www.kdsonline.org, www.nrlg.org Sponsored by Planning Commission Government of India November 2012 Preface The imperative role of Panchayati Raj Institutions (PRIs) in the context of dual responsibilities and controls in public health care system has made a positive impact on rural health scenario of Kerala. The present study has brought out successful experiences of PRIs in Kerala for the consideration of other Indian states in the formulation of action plan for strengthening public health delivery system. For instance, Hospital Management Committee (HMC) under the leadership of the elected head of the concerned local government plays a vital role in the management of a public health institution in Kerala. While the chairperson of HMC is elected head of the local government, Medical Officer of the respective Public Health Institution is its convener. HMC is a democratically constituted body that provides a platform for elected representatives and officials of PRIs/ Municipalities and health officials to work jointly for the efficient functioning of PHIs. This experience can be shared with some of the Indian States where Rogi Kalyan Samities are not functioning as democratically run system. Similarly, there is a good scope for mobilizing local resources for the implementation of public health projects under the initiatives of Panchayati Raj Institutions in Indian States.