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首页> 外文期刊>South East Asia Journal of Public Health >Local governance system for management of public health facilities: Functioning of Rogi Kalyan Samiti in North Eastern States of India
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Local governance system for management of public health facilities: Functioning of Rogi Kalyan Samiti in North Eastern States of India

机译：公共卫生设施管理的地方治理系统：Rogi Kalyan Samiti在印度东北州的运作

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In India, the National Rural Health Mission envisaged of having committees with civil society representation at all publicly financed hospitals known as Rogi Kalyan Samiti (RKS), with mandate to enhance governance in hospitals. There are limited evidences about functioning of these committees in many states, especially in North Eastern (NE) states. This paper analyses the perspective of RKS members and relate to changing community- health system structure for improved governance. The study was conducted in three states Manipur, Meghalaya, and Tripura of NE Region of India. Using stratified sampling design, 14 RKS/facilities were selected from Manipur, 15 from Meghalaya and 11 from Tripura. Two key informants (mainly, president/secretary of RKS) were interviewed using a semi-structured pre-tested questionnaire in local language. The major areas of RKS operationalization identified include; constitution, finance management and activities related to health systems strengthening. RKS was constituted during 2006-07 with governing body following issuance of government of India guidelines. The funds (grants and User Fee) were utilized for purchase of furniture, bio-medical waste management etc. The governing body meetings focused mainly on ensuring services; in Tripura 72% of RKS had regular meetings and have shown improvement in functioning of facilities.Formation of RKS model paved way to a new beginning for strengthening health system with involvement of local leaders, civil society to improve governance. The functioning is derived by availability of resources, capacity of committee members and the bureaucratic process. Revision in functioning of RKS model is essential towards self-sustainability and bridge between community-health systems.South East Asia Journal of Public Health Vol.4(2) 2014: 16-22
机译：在印度，国家农村卫生特派团设想在所有名为Rogi Kalyan Samiti（RKS）的公立医院中设有由民间社会代表组成的委员会，其任务是加强医院的治理。在许多州，特别是在东北（NE）州，有关这些委员会运作的证据有限。本文分析了RKS成员的观点，并与改变社区-卫生系统的结构以改善治理有关。这项研究在印度东北地区的三个州Manipur，Meghalaya和Tripura进行。使用分层抽样设计，从Manipur选择了14个RKS /设施，从Meghalaya选择了15个，从Tripura选择了11个。使用半结构的预先测试过的本地语言问卷，采访了两名主要的信息提供者（主要是RKS总裁/秘书）。确定的RKS运作的主要领域包括;宪法，财务管理以及与卫生系统有关的活动。 RKS在印度政府准则发布后于2006-07年由理事机构组成。资金（赠款和使用费）用于购买家具，生物医学废物管理等。理事机构会议主要集中在确保服务方面;在Tripura，72％的RKS举行了例行会议，并显示设施的功能得到了改善。RKS模式的形成为在地方领导人，民间社会的参与下改善卫生系统，加强卫生系统的新起点铺平了道路。职能是由资源的可获得性，委员会成员的能力和官僚主义的过程所决定的。修订RKS模型的功能对于实现自我可持续性以及在社区卫生系统之间架起桥梁至关重要。东南亚公共卫生杂志Vol.4（2）2014：16-22

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