Panchayati Raj and Rural Health Care Delivery System in Karnataka
| Author | D. C. Nanjunda |
| DOI | 10.1177/0019556120906587 |
| Published date | 01 March 2020 |
| Date | 01 March 2020 |
| Subject Matter | Articles |
Panchayati Raj and
Rural Health Care
Delivery System in
Karnataka
D. C. Nanjunda1
Abstract
It is commonly opined that decentralisation through Panchayati Raj Institutions
(PRIs) can help in creating greater accountability in the Indian healthcare system.
Health decentralisation is specially meant for peoples’ participation, increased
transparency and a higher degree of accountability to provide comprehensive
and quality health services at the grassroots level. The National Rural Health
Mission (NRHM) visualises the provision of decentralised healthcare at the grass-
roots level. However, this scheme has some lacunas in reaching the needy, espe-
cially in the rural parts of India because of an ineffective and non-participatory
role of PRIs in decision making. This has been ascribed to a malfunction in creat-
ing healthcare awareness and making the procedures complicated and chaotic for
the local Panchayats.
The article is based on the Indian Council of Medical Research-funded study
in the state of Karnataka. It seeks to find out how PRIs are managing the public
healthcare system and its success and failure through a qualitative study. The
study has shown that some amount of caution is needed in devolving requisite
powers to the PRIs within the NRHM. The coordination between Public Health
Institute officials and those of PRIs is completely absent and most of the PRI
members do not even know about various health schemes.
Article
Indian Journal of Public
Administration
66(1) 97–109, 2020
© 2020 IIPA
Reprints and permissions:
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DOI: 10.1177/0019556120906587
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1 Centre for the Study of Social Exclusion and Inclusive Policy, University of Mysore, Karnataka, India.
Corresponding author:
D. C. Nanjunda, Centre for the Study of Social Exclusion and Inclusive Policy, University of Mysore,
Mysore 06, Karnataka, India.
E-mail: anthroedit@ymail.com
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