Decentralized planning and implementation of the RCH programme at the district level has been one of SIFPSA's successful interventions. District Action Plans (DAPs), being executed in ten districts in U.P. cover a population of 2.45 crore. Experience in these districts has shown that decentralization has led to:
Five new DAPs were formulated after a series of workshops held from February 14 – 23, 2001 in Jhansi, Mirzapur, Moradabad, Shahjahanpur & Sitapur districts. The workshops followed a standard schedule of presentations on the district scenario and setting objectives for the next three years through participatory group work. Strategies to be adopted in each district were also evolved after group discussions. There was substantial representation and active participation from both, the field level - Medical Officers in Charge (MOICs), Dy. CMOs and NGOs as well as the decision makers – the Chief Medical Officer (CMO), Chief Development Officer (CDO), the District Magistrate and the Commissioner. This resulted in formulation of practical, need-based strategies and achievable goals for each district.
Successful strategies in the existing DAPs are being replicated in the new districts as well. New strategies like a measles vaccination campaign and an IEC campaign for sterilization would be common to all districts. However, district specific strategies have also been planned based on the local strengths and needs in each district. These are:
The population covered by the five new DAPs will be 1.20 crore. Total population covered by fifteen DAPs will thus increase to 3.65 crore. As this has proved to be a successful intervention, rapid up-scaling of the DAPs to all 70 districts in the state is in the offing.