Abstract of Dissertation

Agency : Kala Azar, Qualitative Study, Bihar, Coordination, Public and Private Sector

Objective : 1) To analyze the inputs of major stakeholders working for Kala- Azar in the district. 2) To study the roles of major stakeholders in the project. 3) To understand the relationship and co-ordination between major stakeholders working for elimination of kala-azar

Background : Inter-sectoral convergence is an important factor in reducing the cases of kala-azar and in achieving the goal of eliminating the disease. Although convergence between nutrition and health has long been recognized as a barrier to improving health conditions in India, actual convergence has been limited and somewhat ineffectual. Some factors underlying limited convergence include a lack of coordination among multiple and diverse stakeholders; complexity of the technical issue; determinants of disease that lie outside technical domains; and the view, based on an experiential understanding among implementers, that convergent action is an almost insurmountable barrier.

Methodology : In depth interview schedule was prepared separately for district staff and field workers including MOIC present in block levels the interviews were carried out with those convinced for the interview.

Findings : It came out from the study that public sector requires continuous support from the private sector in order to achieve the goal of eliminating kala-azar from Begusarai district. There is an increase in coverage of IRS and reduction in prevalence rate of the disease and increase in number of cases being treated in the facility.

Recommendations : Conclusion: The study aimed to understand the inter sectoral convergence and its effect on the beneficiaries and interaction between the public and private sector. As is evident from the results and the discussions, that private sector and its support is essential for the success of the program. It is also clear that private sector plays a pivotal role in identifying new cases and registering them in government facility for proper treatment. It is true that government machinery cannot follow each and every patient so the role of private sector and NGO becomes more critical in tracking those cases. Similarly their support is required in providing proper health care and basic handling support to the government not only in detection, registration and treatment but also in proper surveillance and monitoring