Vulnerability Mapping and Assessment for Urban Health

Programme Description

The Vulnerability Mapping and Assessment explores the degree of vulnerability, health issues, health needs, health-seeking behavior and barriers faced by poor and marginalized communities in urban areas. The sequential mixed methods research design consists of both quantitative and qualitative assessments. A quantitative survey was conducted which includes two assessments -household/ individual level and ward level assessment. Qualitatively PGIMER, Chandigarh conducted Focus Group Discussions (FGDs) of vulnerable groups purposively selected.

The assessment at household level identified key factors driving an individual/household towards ill-health. Health status of the urban households is highly attributed to occupational vulnerability, social and residential vulnerability. This gives planners and service providers to devise a vulnerability reduction/ mitigation plan as per the needs of the local communities and to provide an opportunity to incorporate the necessary reforms in health policies. Vulnerability and its sub-dimensions varied by district.

Programme Outcomes

As a result State level policies and programmes has been tailored to the specific needs of the Districts. Based on these recommendations following steps were taken:

1. Urban Slum are prioritised and classified as Most Vulnerable, Highly Vulnerable and vulnerable.
2. To strengthen the basic infrastructure facilities, Bi-annual meetings with members of urban local bodies are being conducted under each U-PHC to resolve the issues at local level. Kayakalp programme has been implemented, 45 U-PHCs have been awarded for Kayakalp in FY 2019-20.
3. To increase awareness among community regarding provision of healthcare facilities, Documentary and TV Commercials are being regularly telecasted on various radio and TV channels, public announcements are being made at various bus stands, NUHM Branding on bus panels on 100 Haryana Roadways buses and advertisements in various cinema halls of Haryana also been planned.
4. To increase immunization coverage in urban slums, canopies provided to ANMs and e-rickshaw project has been implemented in Haryana which is GPS –enabled with provision of miking to broadcast health related messages.

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