Awareness, perception and practice of stakeholders about national rural health mission (NRHM)- A case of Karnataka

Expert's opined decentralization through Panchyati Raj level (PRI) can help to create greater accountability in the Indian health care system. This is because effectual and answerable governance and a better delivery of the public health services because of decentralization. In India a major step concerning policy decentralization took place in the year 1993, with the adoption of the 73rd and 74th amendments to the Constitution enacted as a reply to previous calls for improved answerability and accountability for the local self governments towards the quality health care devilry. These amendments gave more autonomy for the PRIs in India Studies done on NRHM suggested that for the improvement of the rural health care system, there is a need for an effective implementation of the health care programmes through PRIs, controlling of corruption at the managerial level, political commitment, active involvement of public, strengthening of public-private partnerships and NGOs. This paper is based on the fieldwork done in the selected districts of Karnataka focusing different stakeholders as a part of ICMR funded research project.