Community Medicine, Gandhi Medical College, Bhopal.
Indian J Public Health. 2009 Jul-Sep;53(3):151-6.
To study the functioning of District Programme Management Units in the delivery of health services in various districts of Madhya Pradesh.
A cross-sectional descriptive study was conducted in seven districts of Madhya Pradesh selected randomly. The study subjects were Chief Medical and Health Officers, programme managers, assistant managers and data officers at state and district levels. Datawas collected from the respondents in a pre-designed, pre-tested in-depth interview schedule.
Around 70% of districts submitted their Programme Implementation Plan (PIP) on time, 30% were unable to do so because of inadequate staff and frequent changing of the reporting format. The District Programme Managers (DPMs) were not satisfied with their fixed salary. But they were satisfied with their job. In some districts the space available for the functioning of District Programme Management Unit (DPMU) are rather too small.
Standardized uniform formats and guidelines should be made available to all DPMUs at the beginning of planning process. A comprehensive pre-service training for the DPMU staff including practical sessions, field exposure on district health planning, financial management, technical and administrative issues needs to be ensured.
研究邦区规划管理单位在中央邦不同地区提供卫生服务的运作情况。
在中央邦随机选择了七个邦区进行横断面描述性研究。研究对象为邦和区一级的首席医疗和卫生官员、规划管理人员、助理管理人员和数据官员。通过预先设计、预先测试的深入访谈表从受访者那里收集数据。
约 70%的邦区按时提交了方案执行计划(PIP)，30%的邦区由于工作人员不足和报告格式频繁变化而无法按时提交。邦区规划经理(DPM)对其固定工资不满意。但他们对自己的工作感到满意。在一些邦区，邦区规划管理股(DPMU)的运作空间相当小。
应在规划过程开始时向所有 DPMU 提供标准化统一格式和准则。需要为 DPMU 工作人员提供全面的岗前培训，包括实践课程、实地参与邦级卫生规划、财务管理、技术和行政问题。
