Community Based Monitoring System for Access to Basic Minimum Services, Kerala

1
Community Based Monitoring System for Access to
Basic Minimum Services, Kerala
Access to Health Care and Basic Minimum Services
in Kerala, India

• D NarayanaSlim HaddadSmitha AravindKatia
  Mohindra

Sali, 18 June, 2004
2
Two Objectives

• Intervention Health Solidarity Scheme
• Monitoring Community Based Monitoring System

3
(No Transcript)
4
Implications of Panchayati Raj/ Municipalities as
the Third Tier of Governance in India's Federal
Structure
State
Union
Panchayat Raj
Municipality
Zylla P.
M. Corporation
Block P.
M. Council
Gram P.
Nagar P.
Gram Sabha
Ward meetings
Autonomous Councils for Tribal Areas

Source Figure 2, Mathew, G and Mathew, A (2003)
5
Salient Features of Local Governance

• Persons chosen by direct election to fill seats
• Seats shall be reserved for Scheduled
  Caste/Scheduled Tribes
• One-third the number of seats reserved for women
• Offices of chairperson shall also be reserved for
  women / SC or ST
• Plan for economic development and social justice

6
Planning and monitoring at panchayat level

• Development projects identified from Gram sabha
• Working groups formulate projects and monitor
  implementation
• Need to go beyond- to monitor impacts
• Sectoral allocation of funds
• In most of the cases equal distribution of fund
  among wards irrespective of the needs

7
Planning/Monitoring without data

• India has an elaborate statistical system
• But hardly any data available below the district
  level
• Decentralized governance calls for database at
  the local level
• Line departments carry out regular surveys
• But hardly any database at the Panchayat level

8
Community Based Monitoring System for Access to
Basic Minimum Services- Outcome

• Set of relevant information and available
  longitudinal measures through population-based
  information systems.
• Increased knowledge of characteristics of
  vulnerable populations- poor, women and tribes.
• Improved evidence-based planning and skills.
• Feedback on implemented programs

9
Distinguishing Features- Partnership Development/
Participation

• Participation as the foundation
• Steering Committee
• representatives from state/district governments,
  local govt., local NGO, research team
• discusses all issues and approaches
• Local Coordination Committee
• representatives from local government, NGO,
  womens groups, research team
• all issues placed before the committee,
  discussed, suggestions taken in

10
The need for a database in the Panchayat

• Survey of surveys showed lack of a database
• Many surveys but hardly any systematic use of
  data
• How a survey became a census
• A database built up, analysis going on

11
Interaction with the Working Groups

• Preliminary results of the census presented
  before WG members
• Encouraging response- general recognition that
  information was of great value
• The challenge of transferring the know how of
  building database and using
• Decision to set up a Resource Group (KRG)

12
The Kottathara Resource Group (KRG)

• KRG set up but met after 5 postponements and
  delay of six months.
• The meeting aiming at familiarizing the members
  with the database did not take place after two
  postponements
• Current thinking of LCC- KRG not workable

13
Interaction in Gram Sabha (Village Assembly)

• Presentation of indicators
• First time the population were exposed to such
  process
• Very well received.
• The database seen as an important input for
  planning
• Gathering information on a regular basis seen as
  very useful for local planning
• Monitoring?
• Questions repeatedly asked
• What can be done with the data?
• What is next?

14
Working Reports

• 7 Profiles
• General Profile
• Poverty Profile
• Health Profile
• Access to Basic Services
• Gender Profile
• Tribal Profile
• Financial Protection
• Sources
• Database
• Other available secondary sources

15
Project Products (reports)
16
Access to Health Care and Basic Minimum Services
in Kerala, India

• Working group meeting on CBMS
• Monitoring population needs and project impacts
  a practical example.
• Kottathara Panchayat Office
• November, 13, 2003

17
Case study

• Database
• CBMS Household survey (April, 2003)
• Data available to date wards 2, 3, 4, 5, 6.
• Indicator used for the example
• Households receiving any of the following
  benefits
• Agricultural, Widow, Old Age, Child, Disability,
  Other

18
The monitoring process

• Part 1 What is the current situation?
• How many households?
• Where are the households that are receiving
  benefits?
• Who are the households that are receiving these
  benefits?
• Part 2 What is the progress?
• Monitoring changes
• in needs, inequalities

19
Part 1 What is the current situation?
20
Households receiving benefits
21
Where are the households receiving benefits?
22
Who are the households receiving benefits?
23
Who and where?
Percentage of households receiving benefits
24
Graph. presentation
Percentage of households receiving benefits
25
(No Transcript)
26
Part 2 monitoring change
27
Monitoring progress the before after approach
28

• THANK YOU