Karnataka Health Sector Development and Reform (KHSDRP) Program

Client: The World Bank

Duration: July – December 2008

The KHSDRP’s main objective was to increase utilisation of essential health services (curative, preventive and public health), particularly in underserved areas and among vulnerable groups, to accelerate achievement of the health-related MDGs. Essential services are broadly those which are relevant to producing improvements in maternal and child health outcomes and reduction of communicable diseases, prioritised in the health-related Millennium Development Goals. They include non-curative public health services, immunisation, safe-deliveries, pre and post-partum care, prevention and treatment of diarrhea, Acute Respiratory Infections (ARIs), and prevention and treatment of major communicable diseases.

Changing the culture of the DoHFW (and the public health system generally) to be results orientated, was identified as an important element of the reform process and recognised as a major undertaking. It needed sustained effort all through the project period and beyond. It required effective leadership skill and sustained efforts from key drivers of change. The transition would be heavily dependent on accelerating the learning of key officials in new ways of working and approaches to work. It was recognised that considerable capacity building of various types would be required to enable DoHFW to implement the planned reform program under the KHSDRP.

MannionDaniels, formerly YozuMannion, was requested to provide a consultant to prepare and support an organisation development plan, to be implemented through the Karnataka Health Sector Development and Reform Program. These capacity building services focussed on evidence-based decentralised planning and leadership development, in reaction to a lack of quality-control mechanisms to regulate and enhance both private and public providers.

The objective of the capacity building program was to encourage new ways of working throughout the DoHFW, in order to create a results-orientated work culture both in the Department and throughout the health system.

India, SRHR and MNCH, Strengthening Health and Social Systems, What We Do, Where We Work