Hausala Sajhedari

Problem Statement

As part of the global FP2020 commitment, Uttar Pradesh (UP) in India is expected to contribute over 12.4 million new Family Planning (FP) users, which is 10% of the global commitment.

Programme Description

GoUP rolled out Hausala Sajheedari, a web-enabled e-governance digital platform’ in UP that addresses the entire value chain from online application for accreditation, verifications, approvals, online MOU, maintaining digital data of FP beneficiaries by the accredited private providers, to submission of online claim and online reimbursement of claims using PFMS systems of GoI.

The portal provides real-time information through a simple dashboard for quick stock taking and review of progress and grievances. The model has a robust verification process, which mandates physical verification of the facility to assess infrastructure and assures that mandatory norms defined by the FP sub Committee of DQAC are met with. Mandatory physical verification of 10% FP clients by team from DPMU and CMO before approving claims.

Programme Outcomes

More than 7 lakh additional users of FP services from accredited private sector hospitals in UP. In FY2018-19 there is 21% female sterilization performed as compared to 1% in FY 2014-15. Similarly the male sterilization contribution by private sector under the programme is 18% to the overall male sterilization numbers reported by the state in the HMIS in FY2018-19 which was almost 0% in FY 2014-15. 39% clients served were from SC/ST community whereas 54% of the FP clients were from BPL category.

Financial Implication

A strategic purchase model with zero CapEx and the cost of reimbursement is also fixed and decided by NHM-GOI. This model demonstrates responsible use of public money towards providing the quality family planning services to the marginalized section.

Scalability

The programme has already been scaled in all 75 districts and well positioned in playing a complementary role in shouldering responsibility with the government in providing free/low cost family planning services to poor population. Government of Odisha and MP are in the process of replicating similar PPP model. 

Source : We Care Coffee Table Book - Good, Replicable and Innovative Practices 2019