Assisted Tamil Nadu Area Health Care Project - Phase III
DANIDA Tamil Nadu Area Health Care Project is a centrally sponsored
externally aided project. The phase III currently in progress was
implemented since 24-12-1996, covers the districts of Dharmapuri,
Thanjavur, Nagapattinam and Thiruvarur for most of the activities,
extends some of the activities to the old districts of Salem, Namakkal,
Cuddalore & Villupuram and supports some state level activities like
training, drug supply logistics etc. at a total outlay of Rs.59.10
crores (including direct funding of Rs.6.00 crores). The overall
objective of this project is to improve the health and family welfare
status of the rural population in the project area, especially of the
weaker sections. With a view to improving and strengthening the
facilities for the delivery of health and family welfare services in an
integrated manner in accordance with the National Health Policy, DANIDA
is one of the bilateral donors in the Health Sector in providing
financial assistance to the Government of Tamil Nadu. The funding is on
reimbursement basis with 85% share by DANIDA, 5% by Government of India
and 10% by Government of Tamil Nadu.
on the recommendation of the Mid Term Review (MTR), the project outlay
was revised to Rs.70.76 crores including direct funding Rs.7.89 crore
and extended the project period upto 31.12.2002. Further to fully
achieve the objectives of the phasing out plan recommended in the MTR,
the State Project Coordinating Committee(SPCC) meeting held on
26.08.2002 has agreed to extend the project period by one year upto
31.12.2003 with no extra cost. Accordingly the GOI/RDE has extended the
project period till 31.12.2003.
The project is implemented through a Project Directorate set up at
Chennai headed by the Project Director at state level. It coordinates
with health and other departments such as Directorate of Public Health
and Preventive Medicine, Directorate of Family Welfare, Tamil Nadu
Medical Services Corporation etc. in the implementation after the
proposals are approved by the State Project Coordination Committee /
Empowered Committee. At district level, District Management Cells
consisting of minimum supportive staff are created to assist the Deputy
Directors of health services of the project districts in the
implementation of project activities. The project activities are
monitored by the State Project Monitoring Committee at State level and
the District Project Monitoring Committee at District level.
and Progress during Phase III:
Improving Awareness (IEC):
Improved Technical Knowledge & Skills of Service Providers
Health Services Mangement:
Improvement of Medical Supplies:
as per the decision of the State Project Coordination Committee meeting
held on 22.01.2003, the savings in various GOs will be utilized properly
for software components after getting approval from the State Project
Proposed Activities for 2001 and 2002:
In addition to the above activities, the project is now in the process of obtaining the new estimated cost escalated budget of Rs 70.70 crores and extends the project period till December 2002, for which the approval of the Government of Tamilnadu and Government of India is awaited. After obtaining the cost escalated budget, proposals for the following activities will be placed before SPCC/EC:
1. The District Training Teams, which are functioning in the old, and new project districts will be extended to the entire state with Training of Trainers, uniform stipend, fees, etc. like RTIs.
2. The HMIS will be streamlined by covering the function of Health Inspector's, PHCs and FRUs
3. Extension of the scheme for VHN's on moped driving and moped loan from the project districts to the entire state.
4. Training of PHC staff on Rational Drug use and printing and supply of manual on Primary Medical Care for VHN's and Drug Logistics Management for Pharmacists.
5. Strengthening the construction wing of TNMSC.
6. Corpus fund establishment for preventive maintenance of Health Subcentres.
7. Convergences of all IEC activities through self help groups in the villages in close collaboration with Tamilnadu Women Development Corporation, Department of Public Health and Preventive Medicine, Department of Family Welfare and Social Welfare Departments.
1. Danida supported National Leprosy Eradication Programme (DANLEP)
The project contributes to the implementation and qualitative development of the National Leprosy Eradication Programme (NLEP) through rendering support at district-, state - and central levels. Having satisfactorily achieved its objectives, second phase of the project came to an end in 1998. The main objective of the present third phase is the development of strategies and means for integrating the "vertical" anti-leprosy activities into the ordinary primary health sector. This integration is succeeding in three states: Orissa, Madhya Pradesh and Chattisgarh. In Tamil Nadu integration is being prepared. The project supports development of medical supply systems, development of training curricula for health staff, development of a disease surveillance system and of new methods for the prevention handicaps as a result of leprosy. Finally, the project gives support to the active participation of the population in detection of new leprosy-cases. The project co-operates closely with state governments on developing methods for using the "Geographical Information System" (GIS) as a tool for planning within the health sector.
2. Danida supported Revised National Tuberculosis Control Programme (RNTCP)
The project, which is in its first phase, supports the GOI with the implementation of the RNTCP in 14 - predominantly tribal - districts in Orissa. In the project districts an information campaign and methods for improved diagnosis and treatment of TB-patients are developed. A disease surveillance system and a medicinal supply system are being developed for the whole state. Experiences from the project - both at district- and state-level - will be exploited for the continuous improvement of the national TB-program. Further, this programme receives support by training of staff placed at central level and by establishing operational research capacity. A second phase of the project is under preparation; it is expected to start 2002.
3. Danida supported National Blindness Control Program (DANPCB)
The overall objective of the present third phase of the project (started 1997), is to bring about decrease in the prevalence of blindness and sight-reduction through rendering support to the National Program for Control of Blindness at district-, state - and central levels. In particular the project focuses on reaching the women and the poor rural population and to inform about the importance of offering proper professional treatment of eye-diseases and sight deficiencies through a well-functioning eye-health care service. The programme has initiated an investigation of eye-patients' "disease-behaviour", and has described the obstacles patients have to pass before they finally turn to the public eye-health care service. A comprehensive, phased registration of blind persons has been done; this registration will subsequently be the basis for prioritisation of patients for surgical treatment. Training of eye-surgeons and -assistants has started according to plans. Problems concerning the establishing of a National Eye Care Resource Center have so far remained unsolved.