FRUs: SWOT Analysis on management issues of FRUS on Secondary data collected under RHSDP from CHCs

FRUs:

SWOT Analysis on management issues of FRUS on Secondary data collected under RHSDP from CHCs

Strenghts
Renovated large number of health facilities
Well established bureaucracy for monitoring even at Block Level
Regular supply of medicines and hospital supplies
Most of the FRUS have vehicles or connected with 108 Services or mobile clinics
RHSDP has established referral System in health sector
Flexibility to hire services of specialists under NRHM
FRU In charges financially empowered to take timely decision out of flaxy fund under MRS pooled through NRHM
Weakness
Some the FRUs function for few hours
Doctors are not residing at HQS
Shortage of subject specialists, non availability of skill mix for round the clock duties, shortage of back up staff for specialists.
Training requirement for skill development teamwork and motivation
Poor linking between supply of equipment and medicine, manpower, monitoring and feed back mechanism
Quality of service delivery is not up to mark
Delegated staff for FRU working is not at facilities.
Most of the staff works for the targets of FW work
Laboratory. Technicians are in shortage or unable to support system during emergencies
Transfers and posting at FRUs is not inter- FRUs
Opportunities

More funding for strengthening of FRUs under RHSDP and NRHM
Communication and transportation has improved in rural areas still it requires attention while selecting FRUs..
National AIDS control Program is providing safe blood bank services as well as coming up private blood banks in the state.
Flexibility of hiring of specialist under NRHM
FRUs can be selected on PPP models. Model Contract Documents have been developed by RHSDP

Threats:

Key threats are of barriers of access to health care: Economic barrier, social or the cultural barrier, information barrier
Problem of retaining manpower with system and designated staff for FRUs.
Poverty and high female illiteracy