Yadda sa hannun al'umma ke tasiri kan Ofishin Jakadancin Kiwon Lafiya na Ƙasa (NHM) 

An ƙaddamar da shi a cikin 2005, NRHM yana tabbatar da haɗin gwiwar al'umma don samar da tsarin kiwon lafiya ingantacce, tushen buƙatu da lissafi. An kafa haɗin gwiwar al'umma tun daga matakin ƙauye har zuwa matakin ƙasa. Kwamitin kula da tsaftar muhalli da abinci na kauye (VHSNCs) a kauyen kudaden shiga, matakin cibiyoyin kiwon lafiyar jama'a Rogi Kalyan Samitis da ayyukan kula da lafiya a matakin gundumomi, jiha, da kasa an kafa su. Wadannan cibiyoyi suna tabbatar da halartar zaɓaɓɓun wakilai, ƙungiyoyin jama'a, fitattun mutane da ƙungiyoyin gida tare da jami'an kiwon lafiya da wakilan ma'aikatun gwamnati masu ruwa da tsaki wajen yanke shawara da amfani da kudaden. Bugu da ƙari, tare da ƙaddamar da Ofishin Jakadancin Kiwon Lafiya na Birane na Ƙasa a cikin 2013, an tabbatar da haɗin gwiwar al'umma a cikin yankunan karkara ta hanyar Mahila Arogya Samitis. Tare da sauye-sauye zuwa cikakkiyar kulawar kiwon lafiya a cikin 2017, Jan Arogya Samitis an kafa shi a fiye da 1,60,000 Ayushman Arogya Mandirs (Cibiyoyin Kiwon Lafiya da Lafiya) a ƙananan cibiyoyin kiwon lafiya da matakin cibiyoyin kiwon lafiya na farko.

Wannan kyakkyawan tsari ne idan duk cibiyoyi a kowane mataki suna aiki. Abin takaici, ba haka lamarin yake ba. Babbar matsalar da ke tattare da wadannan cibiyoyi na al’umma shi ne yadda al’ummar yankin da zababbun wakilan da ake yi wa wadannan ayyuka ba su san da wanzuwarsu ba. Na biyu, an sami karancin albarkatu da iyakoki da gwamnatocin jahohi ke da su don gina ma’aikata da kuma raya wadannan cibiyoyi. Abu na uku, ayyukan waɗannan cibiyoyi kuma sun dogara ne akan haƙƙin ma'ana na sassan masu ruwa da tsaki kamar ICDS, PHED, Ilimi da sauransu. A mafi yawan wurare, waɗannan tsoffin membobin ofishin ba su san kasancewar membobinsu ba kuma ko da sun sani, ba sa fahimtar rawar da suke takawa don cika aikin waɗannan hukumomin. Na hudu, kudaden da aka ware ga wadannan cibiyoyi ko dai ba a bayar da su akai-akai ba ko kuma an jinkirta su ko kuma an bayar da kasa da adadin da aka ba su. 

Na biyu^th Ofishin Jakadancin na gama-gari yana lura da rashin kyawun ayyuka na waɗannan dandali na al'umma tare da ƙarancin wayar da kan membobin game da ayyukansu da ayyukansu, rashin isassun asusu da rashin isassun kudade da amfani da rashin horar da membobin a yawancin jihohi. 15^th CRM yana ba da shawarar jihohi " don ba da fifikon ƙarfafa dandamali na tushen al'umma ta hanyar haɓaka shigarsu da shiga cikin tsarin kiwon lafiya, wanda zai buƙaci isasshiyar daidaitawa, horo da hanyoyin yin tarurruka na yau da kullun da sa ido.“A wuraren da wadannan cibiyoyi ke da karfin gwiwa kuma manyan shugabanni suka taka rawar gani, asibitocin gwamnati sun canza, Panchayats sun ware albarkatun daga kudaden kansu don inganta ayyukan kiwon lafiya bisa bukatun gida kuma sun yi tasiri ga alamun kiwon lafiya na gida. 

A ganina na zuwa daga gwaninta na yin aiki tare da waɗannan cibiyoyi na al'umma - cikakkiyar hanya wacce dole ne ta kasance - (a) rarraba albarkatu don hanyoyin gudanarwa masu zaman kansu don horarwa da gina ƙarfin waɗannan cibiyoyi na akalla shekaru biyar a kan ci gaba. ; (b) tabbatar da isassun kudade na yau da kullun don sanya waɗannan cibiyoyi su yi aiki; da (c) gina dabarun jagoranci na sakatarorin membobi na wadannan dandali na al'umma don tabbatar da kyakkyawan shugabanci da aiki mai inganci. 

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References:

1. Ofishin Jakadancin Kiwon Lafiya na Ƙauye na Ƙasa-Tsarin aiwatarwa, MoHFW, GoI- Akwai a https://nhm.gov.in/WriteReadData/l892s/nrhm-framework-latest.pdf
2. Ofishin Jakadancin Kiwon Lafiya na Birane na ƙasa-Tsarin aiwatarwa, MoHFW, GoI- Akwai a https://nhm.gov.in/images/pdf/NUHM/Implementation_Framework_NUHM.pdf
3. Farfado da Bege da Gane Haƙƙoƙi: Rahoto kan kashi na farko na sa ido kan al'umma a ƙarƙashin NRHM- Akwai a https://www.nrhmcommunityaction.org/wp-content/uploads/2017/06/A_report_on_the_First_phase_of_Community_Monitoring.pdf
4. 15^th Rahoton Ofishin Jakadancin Review na gama-gari- Akwai a https://nhsrcindia.org/sites/default/files/2024-01/15th%20CRM%20Report%20-2022.pdf
5. Ƙididdigar gaggawa: Rogi Kalyan Samiti (RKS) & Kwamitin Kula da Lafiya na Ƙauye (VHSNC) a Uttar Pradesh; Ƙungiyar Shawara kan Ayyukan Al'umma, Gidauniyar Yawan Jama'a ta Indiya. Akwai a https://www.nrhmcommunityaction.org/wp-content/uploads/2016/11/Report-on-Rapid-Assessment-of-RKS-and-VHSNC-in-Uttar-Pradesh.pdf
6. Ƙimar VHSNCs a Manipur, Meghalaya da Tripura- Regional Resource Center for North Eastern States, Guwahati, Government of India-. Akwai a https://www.rrcnes.gov.in/study_report/Compiled_VHSC%20Report_Final.pdf

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