000			01956nam a22001577a 4500
999			_c513982 _d513982
008			200924b ||||| |||| 00| 0 eng d
100			_aNanjunda, D.C. _917977
245			_aPanchayati raj and rural health care delivery system in Karnataka
260			_aIndian Journal of Public Administration
300			_a66(1), Mar, 2020: p.97-109
520			_aIt is commonly opined that decentralisation through Panchayati Raj Institutions (PRIs) can help in creating greater accountability in the Indian healthcare system. Health decentralisation is specially meant for peoples’ participation, increased transparency and a higher degree of accountability to provide comprehensive and quality health services at the grassroots level. The National Rural Health Mission (NRHM) visualises the provision of decentralised healthcare at the grassroots level. However, this scheme has some lacunas in reaching the needy, especially in the rural parts of India because of an ineffective and non-participatory role of PRIs in decision making. This has been ascribed to a malfunction in creating healthcare awareness and making the procedures complicated and chaotic for the local Panchayats. The article is based on the Indian Council of Medical Research-funded study in the state of Karnataka. It seeks to find out how PRIs are managing the public healthcare system and its success and failure through a qualitative study. The study has shown that some amount of caution is needed in devolving requisite powers to the PRIs within the NRHM. The coordination between Public Health Institute officials and those of PRIs is completely absent and most of the PRI members do not even know about various health schemes.- Reproduced
650			_aPanchayati raj institutions, Public health institutes, Capacity building, National Rural Health Mission _917978
773			_aIndian Journal of Public Administration
906			_aPANCHAYATS - INDIA - KARNATAKA
942			_cAR