Community Medicine, RIMS&R, Saifai.
Indian J Public Health. 2009 Jul-Sep;53(3):137-42.
To seek opinion regarding the procurement and spending of untied fund provided to health centers and Village Health and Sanitation Committees (VHSCs) in selected districts in the state of Uttar Pradesh.
It was a cross sectional descriptive study conducted during September-December 2008. The multi-stage random sampling technique was adopted to select the districts, health facilities and VHSCs. The data was collected using semi structured interview schedule, Focus Group Discussions (FGDs) with ANMs for qualitative information, review of the records of health centers and VHSCs.
The concept of untied fund was perceived to be a very good one at all levels. Guideline for utilization of untied fund was either not available or if available, was not clear to concerned personnel. The decision of expenditure of untied funds of CHCs and PHCs was taken in the meeting of Rogi Kalyan Samiti (RKS), but members from other sectors such as PRI, education, revenue department etc. usually did not attend the meeting. Most of Medical Officer in charges (MOICs) were not aware regarding availability of untied fund. About 50% of ANMs were not able to expend the money due to non co-operation of Pradhan. In majority of the cases the decision regarding the utilization of untied fund was taken by ANM herself instead of VHSC meeting.
Regular update and orientation to the service providers about the untied fund and its efficient utilization, strict monitoring of utilization of untied fund at each and every level is needed.
征求有关邦德资金采购和使用的意见，邦德资金提供给北方邦选定地区的卫生中心和村卫生和环卫委员会（VHSCs）。
这是一项 2008 年 9 月至 12 月进行的横断面描述性研究。采用多阶段随机抽样技术选择地区、卫生机构和 VHSCs。使用半结构化访谈表、与 ANM 进行焦点小组讨论（FGD）收集定性信息，审查卫生中心和 VHSCs 的记录。
邦德资金的概念在各个层面都被认为是一个非常好的概念。邦德资金利用指南要么不存在，要么对有关人员来说不清楚。CHC 和 PHC 的邦德资金支出决定是在罗吉卡尔扬萨米提（RKS）会议上做出的，但来自其他部门的成员，如 PRI、教育、税务部门等，通常不参加会议。大多数负责的医疗官（MOICs）不知道是否有邦德资金。约有 50%的ANM 由于 Pradhan 的不合作而无法支出这笔钱。在大多数情况下，邦德资金的利用决定是由 ANM 本人而不是 VHSC 会议做出的。
需要定期向服务提供者更新和介绍邦德资金及其有效利用情况，并严格监测各级邦德资金的利用情况。
