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Improving Access to Healthcare Services through Leadership Development and Organisational Effectiveness: A Case study of Jharkhand state in India

Author(s): A. Kumar*1, K. Nayar2
Affiliation(s): 1Department of Rural Development, Xavier Institute of Social Service, Ranchi, 2Centre of Social Medicine and Community Health, Jawaharlal Nehru University, New Delhi, India
Keywords: Health, access, health services delivery

Health status of population is one of the significant indicators of social and economic well being. Despite the government policy, programmes, effort and planning to improve the health services and make it accessible to all, we are not able to achieve those in last 60 years knowing the challenges and problems. Recognising this, the Government of India launched National Rural Health Mission (NRHM) in 2005 to expand the coverage of public health services. It also envisaged for developing infrastructure and enhancing the capacity of its people for the expansion of health services. But despite these efforts by the government to improve the health services and make it more accessible to poor, Jharkhand as one of the poorer states in India, continue to share a number of characteristics such as high infant mortality, low immunization of children and expectant mothers, high mortality due to infectious and contagious diseases, and high maternal mortality. These coupled with poor access to healthcare facilities and high costs of treatment by households have made all achievements in health sector look insignificant in the state.


Considering the challenges in strengthening the public health services and political economic conditions, the explanation of bad performance in terms of health access and services, the paper highlights and recommend a model and mechanism focusing leadership development and organisational effectiveness to improve health services delivery and access involving civil societies, local bodies and appropriateness of Public-Private-Partnership model in strengthening access of health services.


Major factors and hindrances behind access to health services are due to lack of leadership, team building, developing systems, non existing inter-sectoral linkages between different stake holders and involvement of local bodies.

Lessons learned:

Existence of services in terms of structure will never insure its utilization to fullest unless until there is proper channel between different stake holders which can link people to these services.

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