Rapid Assessment of functioning of Rogi Kalyan Samiti in Yavatmal District of Maharashtra State, India

Abstract

Aim of the present research was 1. To study the structure and functioning of RKS, 2. To study the amount of funds available and revenue generated by the RKS and utilization of funds by RKS, 3. To assess the facilitating and inhibiting factors affecting the functioning of RKS. The study was conducted in Yavatmal District, Amaravati Division in Vidarbha region of Maharashtra State. Using multistage purposive sampling design, 2 SDH, 9 RH and 18 PHCS were selected. The study subjects were RKS members (203 members), clients (5 IPD and 5 OPD patients) and beneficiaries (290 patients). A structured and pre-tested self administered questionnaire translated in local language was used for data collection from RKS members and beneficiaries. The third tool for study was onsite observations by the investigator. Data thus collected was analysed using Stata software version 12.1. RKS was constituted during 2005-2007 with governing body following issuance of government of India guidelines. Biological waste management was carried out at all 29 facilities in the study as per the guidelines from MPCB. All funds were received in time and work wise utilization was done as per the guidelines at all chosen health facilities. 41.9% at PHCs and 21.6% at SDH/RH, RKS members reported difficulties in utilization of funds, more difficulties were faced at PHC than at SDH/RH. (90.1%) RKS members are satisfied with overall functioning and activities conducted by the RKS. However, most of the community members and beneficiaries were satisfied with the provision of good quality of medicine, availability of specialist care, high referral rates and higher investigation.