Management capacity assessment for national health programmes: a study of RCH programme in India
Abstract
Purpose – This paper aims to focus on the management capacity assessment of the Reproductive
and Child Health (RCH) program at the state level.
Design/methodology/approach – Based on an extensive literature survey, and discussions with
senior officers in charge of RCH program at the central and state level, the authors have developed a
conceptual framework for management capacity assessment. Central to their framework are a few
determinants of management capacity, a set of indicators to estimate these determinants, and a
management capacity assessment tool to be administered by each state. A pilot survey of the
management tool in a few states helped the authors to refine each instrument and finalize the same. A
suitable management structure is suggested for effective management of the RCH program based on
the population in each state.
Findings – The assessment brought out the need to strengthen the planning and monitoring of RCH
activities, HR management practices, and inter-departmental coordination.
Practical implications – The Ministry of Health and Family Welfare, Government of India has
accepted the management tool and asked each state to administer it. The recommended management
structure is used as a guideline by each state to identify the capacity gaps and take necessary steps to
augment its management capacity.
Originality/value – The authors’ framework to assess the management capacity of RCH program is
very comprehensive, the management tool is easy to administer, and assessment of capacity gaps can
be made quickly.
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