The National Urban Health Mission (NUHM) was launched in Karnataka State from Janauary-2014. The State has established Bangalore City Health and Family Welfare Society® to serve as a managerial, planning and technical unit to BBMP for successful implementation of NUHM.
NUHM envisages to meet health care needs of the urban population with the focus on urban poor, by making available to them essential primary health care services and reducing their out of pocket expenses for treatment. This will be achieved by strengthening the existing health care service delivery system, targeting the people living in slums and converging with various schemes relating to wider determinants of health like drinking water, sanitation, school education, etc. implemented by the Ministries of Urban Development, Housing & Urban Poverty Alleviation, Human Resource Development and Women & Child Development.
To meet the health service demands of the increasing population in quality and quantity and to effectively address health concerns of the urban poor, the Ministry of Health and Family Welfare, Government of India had proposed to launch the National Urban Health Mission (NUHM) for the duration of the 11th Five Year Plan (2008-2012).
In view of the proposed mission, the Bruhat Bangalore Mahanagara Palike (BBMP) felt the need to upgrade facilities available at its urban health centres and community health centres. Convergence with other schemes- Geographic Information System(GIS) based physical mapping of the slums being undertaken can be useful City programme implementation under NUHM.
There was need to review the existing urban health infrastructure and identify the gaps between the existing and proposed health infrastructure; a detailed report which would concentrate on required physical resources for the project and upgradation of the urban health facilities in the entire NUHM under BBMP jurisdiction. There was requirement for a detailed report that would give details of the manpower required in development as per the project, a sample design of the urban health centers, community health centers and sub centers and in depth knowledge on the measures to improve quality of health infrastructure like health information systems.
The BBMP health staff collected the required data on the existing urban health infrastructure and data regarding spatial distribution of health facilities and slums across BBMP. The health staff visited existing UHCs and CHCs to understand their functioning and understand the requirements for upgrading facilities. These collected details were later transferred to a GIS environment to analyze the accessibility of health facilities by slum dwellers. This assisted in locating newer health facilities as proposed under the NUHM.