With the targets of recognizing the importance of Health in the process of economic and social development and improving the quality of life of our citizens, the Government of India has resolved to launch the National Rural Health Mission to carry out necessary architectural correction in the basic health care delivery system. This District Health Action Plan (DHAP) is one of the key instruments to achieve NRHM goals. This plan is based on the changing healthcare requirements of the population of Samastipur district. This document has been prepared on the basis of a situation analysis. The teams engaged have made an anatomy of the coverage of poor women and children. The barriers and constraints in the service process have been identified. The focus has also been given on current availability of health care infrastructure in public/NGO/private sector, availability of wide range of providers. This DHAP has been evolved through a participatory and consultative process, wherein community and other stakeholders have participated and ascertained their specific health needs in villages, problems in accessing health services, especially poor women and children at local level. The goals of the Mission are to improve the availability of and access to quality health care by people, especially for the segments residing in rural areas e.g. The department of Health and Family Welfare and State Health Society of Bihar deserve appreciation for their dynamic leadership in managing health care sector reform programme.Which virtually may provide to us backup materials for replicating strategies. I also appreciate their decision to invite consultants (NHSRC/ PHRN) to facilitate our DHS regarding preparation the DHAP. I am thankful specially to our team members ACMO Dr.R.P.Swetanki, DIO Dr.A.K.Singh, DAM Mr. Alok Kumar,DPC Mr.Aditya Nath Jha, Epidemiologist Mr. Arif Ali Siddiqui and Data Operator Mr.Sanjeev Kumar & Mr.Hari Shanker Roy.I also thankful to Mr. Ajeet of NHSRC for the personally attention to preparation of District Health Action Plan 2011- 12. The proposed location of HSCs,APHCs,PHCs,SDHs,Referral and Sadar Hospital and its service area reorganized with the consent of ANM, AWW, Male Health Worker and participation of community has finalized in the block level meeting. I am sure that this excellent report will galvanize the leaders and administrators of the primary health care system in the district, and would enable them to go into the details of implementation based on lessons drawn from this study.
