Decentralized District Action Plans (DAPs) in Uttar Pradesh

Author: Aradhana Johri
Description

To achieve the objective of providing reproductive health services according to the needs of the community, decentralized planning is a must. In UP, the district is considered a viable unit with enough resources wherein decentralization of the programme can take place and district specific action plans can be developed. A bottom up approach has been adopted to prepare DAPs, which is a departure from the earlier top down approach.

To begin with, the PERFORM survey was conducted at district level to collect baseline information on RCH indicators. The survey results provided useful information on issues related to programme management. The information was disseminated to district and block level stakeholders with the help of audio-visuals and print material. Following this workshops were conducted at district level to set the objectives and to identify district specific strategies. The DAPs were drawn up with detailed interventions and activities based on the discussions in the workshop.

This participatory approach instilled ownership of the programme at all levels among the providers. To ensure effective implementation of the plans, district level societies with representatives from private and public sectors were registered and the project management units were established in each of the districts selected for district action plans. Each of the district action plans has benchmark indicators to measure performance. These benchmarks cover both processes and performance. The flow of financial resources is closely tied up with performance indicators. After the first year of implementation of the DAPs in six districts, the sterilization performance in these districts was 12.9 percent higher than the state average increase.

Presented / Published

Paper presented at a workshop on Population Policy for Uttar Pradesh : Identification of Issues, March 2-4, 2000 Lucknow

Key Words: Decentralization, District Action Plans, Uttar Pradesh