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Long journey begins with the first step…,[object Object]
Evidence for the policy makers,[object Object],Govt needs to develop a training strategy at  all levels,[object Object],Promoting institutional deliveries should be accompanied by quality care at the facilities,[object Object],Output monitoring – Process and quality rather than target,[object Object],Managerial competence required – Financial, use of HMIS for informed decision making. Poor capacity to manage funds – need for capacity building,[object Object]
Evidence for the policy makers,[object Object],Clear HR policy required –  Job descriptions / induction / CME /Promotion  & career development,[object Object],“March 31st syndrome” –Bunching of funds,[object Object],Equity – social exclusion needs to be monitored closely,[object Object],Reduce OOP by more resources, more fairness and more efficiency,[object Object],Access is more than health financing –  there are social issues also,[object Object],Community based monitoring has made a difference,[object Object]
Questions for the researchers,[object Object],Involve the private sector proactively - for example Clinical Establishment Act,[object Object],Inputs of HR without addressing retention factors may not achieve desired results ,[object Object],Task shifting-Need to go beyond shifting technical skills to factors like accessibility and acceptability,[object Object],BRMS- To be state planned,  with clear HR policy ,[object Object]
Questions for the researchers,[object Object],Health insurance – needs to be integrated into the overall health financing system,[object Object],Purchase of health care,[object Object],How to strengthen Rogi Kalyan Samitis,[object Object],VHSC (Village health & sanitation committee) can support  local health services,[object Object],Purchase of health care,[object Object],Transparency – fraud – grievance redressal mechanisms,[object Object],Use of RTI for improving health services,[object Object]
Thank you,[object Object]

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Summary of presentation and discussion on four themes-Abraham joseph

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