Gratitude is the predominant emotion that you come across while interacting with the beneficiaries of Ayushman Bharat. They are almost driven to tears that someone finally cares for the poor of India. This strength of emotion stems from a journey that almost always starts from abject hopelessness and ends in a brighter future.
Within one year of its operation Ayushman Bharat has emerged as a game-changer initiative for the poor. This has not only saved millions of marginalised from falling back in the abject poverty but also proved to be a model governance initiative, as per the SKOCH State of Governance 2019.
This end-to-end technology led intervention has brought revolutionary changes in the way health services are provided in the country. This is the only health insurance scheme in India which is 100 per cent paperless and cashless. There is no intermediary involved. SKOCH State of Governance report that involves comprehensive ground level assessment has proved that sporadic criticism of the scheme is mostly by vested interest. Intermediaries, fakes and poor performers are hurt the most, so obviously they are the most vocal critics of the scheme.
While Ayushman Bharat topped governance, Pradhan Mantri Ujjwala Yojana is the topper in social sector initiatives. The pace and scale of the scheme is remarkable. Nearly 8 crore households have been provided free LPG connections in just over 3 years. Nearly 95 per cent of India’s population today has access to the LPG gas connection. This figure stood at 55 per cent in 2014. The scheme has multiple health, environmental and economic impacts. Marginalised women and children have benefited the most. This scheme has also been implemented without any intermediary getting involved at any stage. Elimination of intermediaries ensured that the 100 per cent money spent from the public exchequer reaches the intended beneficiaries.
UDISE+ scheme of Ministry of HRD emerged as the top performer in e-Governance category.
Health related initiatives have propelled Gujarat to secure top spot in the SKOCH State of Governance 2019 rankings. Gujarat was ranked 5th in 2018. Maharashtra has surged from 8th position in 2018 to the second position in this year’s ranking, leaving the last year’s topper West Bengal to the third position. Haryana has regained its position in top 10 after slipping to 14th position in 2018.
SKOCH State of Governance 2019 report is released in the run-up to assembly elections in Maharashtra and Haryana. Both the states have made remarkable progress in the ranking, indicating resolve of the incumbent governments to push forward good governance agenda.
Maharashtra registered a remarkable come back this year on the back of strong performance in Municipal Governance, while Health, Police & Safety and District Administration helped Haryana secure its berth in the top 10. Haryana is ranked 9th this year from 14th position in the previous year.
SKOCH State of Governance ranking is based on study and evaluation of programmes and projects at different levels of governance. The ranking is derived from outcome-based analysis of projects and programmes shortlisted from across the country. Projects are shortlisted from entries made by the implementing agencies.
This year, around 1,200 projects from across the country were shortlisted for deeper study and evaluation by an independent jury, comprising of domain experts. The performance of each project adds to the weight in the ranking of a particular state. The weightage is derived from the outcomes and impact that each project has had on the targeted beneficiaries.
Gujarat topped this year’s ranking with 104 projects from the state making entry to the final shortlist for evaluation. Out of these 19 projects from Gujarat were found to be exceptionally impactful. With 50 projects making entry into the final shortlist for evaluation Maharashtra occupied second position. Haryana secured its position in the top 10 on the back of impactful projects. Nine projects from Haryana were shortlisted for final evaluation out of these six were found to be impactful.
Gujarat topped in a number of sectoral ranking including Health, Power, Education, e-Governance, Transport, Tourism & Culture and Governance. Maharashtra topped the sectoral ranking of Municipal Governance and Urban Development.
Gujarat government has taken a number of initiatives to improve child health services, with the objective to reduce infant mortality rate. The interventions include facility based new-born care, home based new-born care, deployment of HR, capacity building and improved referral system. It has shown good results in the form of reduction of new-born and infant mortality rate in last few years. Infant mortality rate has declined from 33 to 30 per 1,000 live births (SRS 2016) and under-5 mortality - from 39 to 33. Gujarat’s Health and Family Welfare Department has introduced Peadiatric Cancer Treatment under Rashtriya Bal Swasthya Karyakram. The programme envisages child health screening and early intervention services for children from birth to 18 years, a systemic approach of early identification of medical conditions and link to care, support and treatment.
Gujarat has introduced technology-enabled community health system called TeCHO+ with an objective to further improve coverage and quality of health services. TeCHO+ is an interactive platform to provide health services to respective beneficiaries at their door steps with two way exchange of data from community to health facility and vice versa.
Maharashtra topped the sectoral ranking in Municipal Governance. Twenty four projects from Maharashtra made to the final shortlist in the Municipal Governance category. Out of these five were in impactful category. Karnataka came second with nine entries, while Gujarat stood at third position with eight project entries. Haryana was ranked sixth in this sectoral ranking with one impactful entry.
Thane Municipal Corporation has introduced a project called DigiThane, a digital ecosystem for providing better services to the citizen. It provides G2C, B2C and C2C services to the citizens of Thane. It has registered more than 1.5 lakh households, helping them interact with the Municipality through more than 6 lakh interactions, availing municipal services and making payments online, taking part in governance through digital surveys, providing alerts regarding water, traffic, disaster etc.
Hospital Management Information System introduced by Municipal Corporation of Greater Mumbai seeks to maintain the patient information in a centralised manner, which facilitates faster access to the patient records, eliminates the data redundancies and provides accurate and reliable data. The project helps to reduce the turn around time which helps to serve more patients efficiently. A number of impressive initiatives have also been taken by Pune Municipal Corporation.
Haryana has registered a remarkable come back. The state, which had slipped from 4th position in 2017 to 14th position in 2018, has bounced back to 9th position this year. Health and Police & Safety have been the key drivers of Haryana’s rise in the SKOCH State of Governance ranking.
With an objective to promote the safety and security of women Haryana has introduced Durga Shakti App. This is a part of the “faceless governance” initiative. Under this any citizen particularly women in distress are not required to visit the police premises for reporting any illegal and unwanted incident. Any person who have access to mobile phone can register on the application and may connect with the police without any prejudice.
To deal with the growing menace of cyber crime Haryana has set up Cyber Crime Police Station in Gurugram, the city that houses head office of several MNCs. Gurugram Police has launched “Cyber Safe Campaign” for school children. Selected school children are groomed to become Cyber Ambassadors to spread awareness about cyber crime and security to the general public. GuruJal initiative of Gurugram District Administration has brought perceptible change in water conservation and supply.
Haryana’s State Health Society has introduced an initiative called ANM ON Line (ANMOL), with an objective to bring transparency, accountability and effectiveness in health service delivery. Tamil Nadu has made a remarkable jump from 17th position in 2018 to 5th position this year. Assam rose to 13th position in this year’s ranking from 27th position last year.
Tamil Nadu State Rural Livelihood Mission has developed Digital Database and Single Point Registry system in a bid to consolidate the efforts of various departments in identifying the correct beneficiaries for any scheme being implemented by the state.
The most remarkable progress in Assam was witnessed in health and sanitation sector. The state has introduced Open Defecation Free village verification system with integrated Interpersonal Communication process.
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