对北阿坎德邦罗吉卡尔扬萨米提斯（Rogi Kalyan Samitis）运作情况的快速评估。

Community Medicine, UFHT Medical College, Haldwani, Uttarakhand.

Indian J Public Health. 2009 Jul-Sep;53(3):171-6.

OBJECTIVES

To study the structure and functioning of Rogi Kalyan Samitis (RKS) in community health centers of Uttarakhand state and observe the availability and utilization of funds by RKS.

METHODS

A cross-sectional study was conducted during September - December 2008 in two districts of the state. Eight community health centers (CHC), four from each district were selected by simple random sampling. In-depth interview of all member secretaries and members of RKS, 20% of in-patients and exit interview of 10% OPD patients of selected CHCs was done with interview schedules. In each CHC, two focus group discussions were conducted (one for males and one for females).

RESULTS

RKS was established in all selected CHCs, according to the guidelines issued under the NRHM. The main functions performed by the RKS included infrastructural strengthening of the CHCs, improvement in basic facilities, ensuring provision of emergency medical care, free medicines, basic laboratory and radiological investigation, transport facilities and hospital waste management. The flow of the central grant was found to be smooth. The expenditure however is below the mark in absence of predefined protocols. Only 53.30% of total funds available were utilized during the study period. Approximately three-fourth of the funds was utilized in civil work (32.70%), furniture and electrical works (28.28%) and in fuel (12.98%). More than 80% of all patients informed about availability of medicines, drinking water facilities, clean toilets and rooms in CHCs. However, most of the community members were not aware regarding the existence, objectives and the activities of RKS.

目的

研究罗吉·卡利安·萨米提斯（Rogi Kalyan Samitis，RKS）在北阿坎德邦社区卫生中心的结构和功能，并观察 RKS 资金的可用性和利用情况。

方法

本横断面研究于 2008 年 9 月至 12 月在该邦的两个区进行。采用简单随机抽样法选取了 8 个社区卫生中心（CHC），每个区各 4 个。对 RKS 的所有成员秘书和成员进行深入访谈，并对选定 CHC 的 20%住院患者和 10%门诊患者进行出院访谈，使用访谈提纲。在每个 CHC 进行了 2 次焦点小组讨论（一次针对男性，一次针对女性）。

结果

根据 NRHM 发布的指南，在所有选定的 CHC 均建立了 RKS。RKS 执行的主要职能包括加强 CHC 的基础设施、改善基本设施、确保提供紧急医疗护理、免费药品、基本实验室和放射学检查、交通设施和医院废物管理。中央赠款的流动情况良好。然而，由于缺乏预定义的协议，支出低于标准。在研究期间，仅利用了可用资金的 53.30%。大约四分之三的资金用于土建工程（32.70%）、家具和电气工程（28.28%）以及燃料（12.98%）。大约 80%的患者都被告知 CHC 提供药品、饮用水设施、清洁厕所和病房。然而，大多数社区成员并不了解 RKS 的存在、目标和活动。