Speaker A
When you come and work in Bihar, you realize that it's quite different here.
Full Transcript — Download SRT & Markdown
Speaker A
It's the third largest state in India.
Speaker A
More than 110 million people.
Speaker A
But about 89% of Bihar is rural and that is a very important factor for the implications on healthcare.
Speaker B
Health is a very complex sector in India.
Speaker B
To a very large extent, your cultural practices leads to health outcomes.
Speaker A
It became very obvious we had to do something to improve the quality of care in Bihar.
Speaker B
The challenge before us was to augment the trust in the public health system.
Speaker A
We think of the priorities of the program as three components.
Speaker A
One is the facility-level quality of care, particularly intrapartum care.
Speaker C
Hum jo labor room mein delivery karwane mein duty karte hain, kaam karte hain.
Speaker C
Season mein toh 300-350 pahunch jaati hai.
Speaker D
aapki hai na? Aapke yahan chicken pox hai.
Speaker D
Gaye the na? Pura likh ke layenge detail.
Speaker D
Copy mein nahi banana hai.
Speaker E
Aa gaya, aa gaya, aa gaya, aa gaya.
Speaker E
Aa gaya, aa gaya.
Speaker E
Aa gaya.
Speaker E
Pado niche aaiye, pado niche aaiye.
Speaker C
Amanat training ke baad jankari jo hume mila, uske anusaar se bacche ko kisi tarah se problem hota hai, punarjeevan karna padta hai.
Speaker A
Another component is the frontline workers and outreach.
Speaker F
Idhar nikal rahe hain.
Speaker F
Jaldi jaldi.
Speaker F
The ASHA (Accredited Social Health Activist) is the representative of her community and helps the community get services from the health system.
Speaker A
The Anganwadi worker runs an Anganwadi Center, which is where children come down for pre-school education as well as meals.
Speaker A
They can practically do away with paperwork.
Speaker F
Bache se.
Speaker A
And in order to support these two arms, CARE has helped the state government improve the set of health systems.
Speaker A
The primary health center becomes the hub of both facility level care as well as outreach.
Speaker G
Hum awareness phaila rahe hain, health education ka kaam hum pura kar rahe hain, ki taaki public ko jankari ho ki sarkar unko kya de rahi hai.
Speaker A
These arms of work together constitutes the work of CARE in supporting the Government of Bihar.
Speaker H
I am Mangal Pandey, Minister of Department of Health, Government of Bihar.
Speaker H
Hum swasth Bihar se samriddh Bihar ki aur badh rahe hain.
Speaker B
In 2005, 39 people were going to a public health facility in a month. Just a little over one per day.
Speaker B
Today that figure is about 10,000 people.
Speaker B
1-year-olds with completed immunization used to be 12%. Now it's about 84%.
Speaker B
Our maternal mortality rate was 312 at that time. It's down to 208.
Speaker B
The infant mortality rate used to be 61. It's 38 now.
Speaker B
I think the challenge is, how do you come together and work at the edges of government departments.
Speaker B
It's more than simply saying we have a few technological solutions, some magic bullets.
Speaker B
The model is more about, can we together learn to analyze our health situation, define our problems better, find new solutions, apply them at scale and get results.
Speaker H
Ki jaise swasth Bihar samriddh Bihar banayega.
Speaker H
Usi prakar se swasth Bharat hi samriddh Bharat bana sakta hai.
Speaker B
To be able to build systems, so even if people come in and go out, the institutional memory remains.
Speaker B
That is extremely important.
Speaker A
The experience in Bihar has taught us that, under difficult circumstances, it is possible for government programs to bring about substantial change at very large scale.
