Rugna Kalyan Samiti
Rugna Kalyan Samiti (Untied funds/AMG/ RKS)
Introduction-
In most developing countries, provision of basic preventive, promotive and curative services is a major concern of the Government and decision makers. With growing population and advancement in the medical technology and increasing expectation of the people especially for quality curative care, it has now become imperative to provide quality health care services through the established institutions.
Upgradation of CHCs to Indian Public Health Standards (IPHS) is a major strategic intervention under the National Rural Health Mission (NHM). The purpose is to provide sustainable quality care with accountability and peoples participation along with total transparency.
Concept-
Rogi Kalyan Samiti (Patient Welfare Committee) / Hospital Management Society is a simple yet effective management structure. This committee, which would be a registered society, acts as a group of trustees for the hospitals to manage the affairs of the hospital. It consists of members from local Panchayati Raj Institutions (PRIs), NGOs, local elected representatives and officials from Government sector who are responsible for proper functioning and management of the hospital / Community Health Centre / FRUs. RKS / HMS is free to prescribe, generate and use the funds with it as per its best judgement for smooth functioning and maintaining the quality of services.
Objective of RKS :-
- To improve the health services provided by hospital & its outreach fields.
- To monitor the process of implementation of National Health Program.
- To organize outreach services/ health camps at facilities under the jurisdiction of the health institution.
- To ensure that Government Health services are provided as per minimum requirement and to understand the response of beneficiaries regarding.
- To support hospital in terms of donation or other financial activities.
- To utilize the available fund by decentralization method.
- To do all needful procedures for patients to make available sufficient qualitative servicesrequired.
Objectives/Functions and Activities of RKS:-
- Undertake all activities to improve and expand patient related quality services and welfare activities.
- Acquiring equipment, furniture, emergency medicines for efficient running of the hospitals as per existing rules and regulations.
- To ensure subsidized food, medicines and quality drinking water to the patients and their relatives.
- Improve boarding and lodging arrangements for patients and there attendant.
- To put a management structure in place that could fulfill the objective of community participation.
- The main objective of RKS is to decentralize the hospital functioning by delegating the financial powers to the head of the institutions.
- The Executive Committee will guide and control the activities as per the policy formulated by RKS Governing Body .
- Composition of GB and EC as per GR :-
| Sr No. | Level of Committee | Committee Members | Government Body | Executive Committee |
|---|---|---|---|---|
| 1 | District Hospital Committee | Chairman | Collector | Civil Surgeon |
| Co-Chairman | CEO, ZP | Nil | ||
| Member Secretary | Civil Surgeon/Hospital incharge | Senior Medical Officer/RMO(Clinical) | ||
| 2 | Sub-District Hospital/Rural Hospital | Chairman | CEO/Local MLA | M.S |
| Co-Chairman | Chairperson of Panchayat Samiti | NIL | ||
| Member Secretary | M.S | Medical Officer | ||
| 3 | Primary Health Center | Chairman | Z.P. Members for Jurisdiction of PHC | Block Health Officer |
| Member Secretary | In-Charge Medical Officer of the PHC | Medical Officer of the PHC | ||
| 4 | JASC SC | Chairman | Sarpanch Gram Panchayat | |
| Member Secretary | CHO (SC) |
- Frequency of Meetings :-
| Sr No. | Level of Committee | Meetings |
|---|---|---|
| 1 | Governing Body Meeting – | (Per Year 2 Meeting), Month of June & January |
| 2 | Executive Committee – | Once in every two Month. |
| 3 | Jan Arogya Samiti (JAS) – | At least once every month on a fixed day. |
- Institutes wise Norms for Untied fund :-
| Sr No. | Institute | Institute No. | RKS Fund | Annual Fund | Untied Fund | Total |
|---|---|---|---|---|---|---|
| 1 | DH(23),RRC(6),GH(2), MH(4) |
35 | 5.00 | 0.00 | 5.00 | 10.00 |
| 2 | TB(4),LH(3),Ortho(1), Generic Care(1) |
9 | 5.00 | 0.00 | 0.00 | 5.00 |
| 3 | Sub District Hospital(43) (100+)/ Women Hospital (19) (100+) | 62 | 2.00 | 2.00 | 1.00 | 5.00 |
| 4 | Sub District 64) (50-60)+ Women Hospital(3) (50-60) | 67 | 1.00 | 1.00 | 0.50 | 2.50 |
| 5 | Rural Hospital | 373 | 1.00 | 1.00 | 0.50 | 2.50 |
| 6 | Primary Health Center | 1911 | 1.00 | 0.50 | 0.25 | 1.75 |
| 7 | AB-HWC Sub Center | 9886 | 0.00 | 0.00< | 0.50 | 0.50 |
| 8 | Non- HWC Sub Center | 866 | 0.00 | 0.00 | 0.20 | 0.20 |
| 9 | VHNSC | 39883 | 0.10 Per Institute | 0.10 Per Institute | 0.10 Per Institute | 0.10 |
| 10 | Own Building PHUs | 640 | 0.45 Per Institute | 0.45 Per Institute | 0.45 Per Institute | 0.45 |
| 11 | Rented Building PHUs | 131 | 0.20 Per Institute | 0.20 Per Institute | 0.20 Per Institute | 0.20 |
| 12 | NUHM (UPHC) | 385 | 1.75 Per Institute | 1.75 Per Institute | 1.75 Per Institute | 1.75 |
| 13 | NUHM (UCHC) | 27 | 2.50 Per Institute | 2.50 Per Institute | 2.50 Per Institute | 2.50 |
- Roll and Responsibilities of RKS Members
- Review of OPD & IPD Performance of the Hospitals in the last Month.
- Service delivery targets for the next Month.
- Review of outreach services.
- Report submission of Monitoring committee.
- Uses of RKS, AMG, and UF Fund are as Follows:-
RKS Fund is utilized for:-
- Purchase of retail medicines for poor & Needy patients.
- Laboratory tests outside hospital
- Providing referral services to Poor Patients.
- Provision clothes to poor patients and pregnant women/newborn.
- Provision of Drinking water facility to patients
- Sitting arrangement in waiting room for patients
- Install Solar power when hot water is available for in patients
- Miner Repairs and Maintenance for Kitchen / Hospice.
- Arranging food for poor patients.
- Purchase of essential equipment if not available in the Hospital
- Other innovative schemes.
AMG Fund is utilized for:-
- Cleaning and Maintaining a toilets of hospitals.
- Repairs & maintenance of Septic tack.
- Proper disposable of sewerage by repairing & drainage
- Cleaning the drinking water tank, and fixing water supply line.
- Repair the wash Basins.
- Provision of basins for hand washing.
- Cleanliness of washrooms, by making necessary repairs to the building.
- Repairs of furniture / doors/ windows (Furniture works)
- Destruction of mosquito breeding sits
- Keeping premises clean.
UF Fund is utilized for:-
- Purchase of medicine which is urgently required & if not available
- Purchase of furniture/ curtains/ mattresses.
- Provide referral services to the patients in case of emergency.
- Purchase of lab materials.
- Implementation of Innovative schemes to enhance the quality for the hospitals
- Purchase of Furniture/ Curtains/ beds/ dressing Materials etc.
- Spending for Xeroxing and Stationary
Some Important
- RKS is a registered body under Society Registration Act 1860 & Mumbai public trust Act 1950.
- Delegated powers to RKS & District Health Societies to plan and implement activities as per their needs.
- Planning and monitoring process of RKS should be through Governing body & Executive committee decisions
- RKS can raise money through Donations & Bank Interest.
- RKS is expected to facilitate better service delivery in the institutions.
- Any change in the membership of Governing and Executive Committee members could be done only with the prior approval of Charity Commissioner‘s Office.
- Annual Maintenance Grants are distributed for maintenance of physical Infrastructure of health institutions.
- GOI has directed to use the Annual Maintenance grants in that institute which are Functional in their own building.
- Major part of the Annual Maintenance grant should be spent to do minor repairs and strengthening of the building and doing cleanliness activities.
- Untied funds have been provided to the institutions up to Village health nutrition sanitation& water supply Committees, Sub Centers, PHCs, CHCs, and PHU to promote local health action.
- Necessity of Untied Fund has been felt mainly due to unavailability of funds for undertaking any innovative need based activity.
JAN AAROGYA SAMITI
- GOI Guidelines committee at the Sub Center level and Primary Health Center for AB-HWC.
- Guidelines have been sent for implementation at district level.
- G.R. Published by GOM dated on 23 Nov, 2022 Regarding the establishment & implementation of Ayushman Bharat Yojana Jan Arogya Samittee in Sub Centers and Primary Health Centers under National Health Mission.
Village Health Nutrition Sanitation Committee
Objective of the VHNSC
- To provide an institutional mechanism of the community to be unformatted of health
programmers and government initiatives and to participate in the planning and implementation
of these programmers, leading to better outcomes. - To provide platform for convergent action on social determinants and all public service direct
to indirect related to health - To provide an institutional mechanism for the community to voice health needs
- To empower panchayats with the with the understanding and mechanisms required for them to
play their role. - To provide support and facilitation to the community health workers.
Activities and Out Come of VHSNC
- Monthly Meeting
- Accounting for the untied village fund
- Management of untied village Health fund
- Record Maintenance
- Monitoring and facilitating access to essential public services
- Organizing local collective action for health promotion
- Facilitating service delivery in the village
- Community of Heath care facilities
- Village Health Planning
VHNSC Fund is utilized for:-
- Preparation of Village Health Plan
- Organization of Village Health & Nutrition Day
- Gram-Sabha organized for health issues
- Purchases for Organizing Village health day
- Nutritional schemes for malnourished children
- Transporting pregnant women for delivery if not available for government vehicle
- Transporting other patients for treatment
- Organization of Health Awareness activities
- Purchase of TCL for safe water supply (in Kilo)
- Repairs of water supply scheme
Uses of RKS, AMG, and UF & VHNSC Fund are as Follows:-
Purchase of medicine to poor patients, laboratory test, Referral transportation for poor patients, Food facility for patients, Cloths to patients/ newborn for delivery patients, purchase of essential equipment if not available in the Hospital, Repairs & maintenance of hospital building & quarters, Repairs & maintenance of water supply & drainage, Repairs of furniture / doors/ windows/ instrument / equipment/ delivery table etc. Purchase of dressing material (bandage/ cotton), Transport of women in labor, other innovative schemes, Minor Civil works, Maintenance of computers & other office equipment & other maintenance expenses.
Program Related GR/ Circular:-
- Constitution of Rugna Kalyan Samiti- (Hospital Management Committee) GR No. NRHM 2005/ 744/ CR -426/ PH-6 Date- 30 th December, 2005
- Corrigendum No. NRHM 2008/ 744/ CR-426/PH-6 Date- 4 th May 2006
- Government addendum No. NRHM 2005/ 744/ CR-426 / PH6, Date- 9 th January 2007
- Constitution of Rugna Kalyan Samiti- ( Hospital Management Committee) In Primary Health Centers GR No. NRHM 2005/ 744/ CR -426/ PH-6 Date- 31 st January, 2007
- RKS Involvement in MLA/ MLS Letter No.RAGRAA 2008/PRK 90/Arogya-7A, dated 1st July, 2008
- RKS Chairperson in GB Block Development Officer- Corrigendum No. NRHM 2007/ CR NO. 44/ PH7A, Date – 28 July 2009.
- RKS Revised Structure GB (Hospital Management Committee) Government Decision No. NHM 1120/Pro.No. 78/Arogya-7, dated 26th August, 2020
- User Charges deposit to RKS Account in Institute level Government Decision No. NHM 1120/ Pro.No. 83 / Arogya- 7, dated 28 July, 2021
- JAS implementation and of AB-HWC Sub Center and Primary Health Center GR Dated on 23 Nov, 2022
Beneficiary:
Citizen
Benefits:
As above
How To Apply
Online