Scope For Facility Upgradation In
Out-Patient Department Of
Public Sector Medical College Hospitals
Sutapa Das
In order to make India's public healthcare system available and affordable to the entire country,
various government medical college hospitals (MCH) especially the out-patient departments or
OPDs are undergoing facility upgradation through Pradhan Mantri Swasthya Suraksha Yojana
(PMSSY). An efficient level of service at OPD can reduce cost, time and hassle of hospitalization.
On provider's side, it is a welcome relief for the over-burdened health infrastructure. With high
reputation in public healthcare, government MCHs of Kerala can play a pivotal role provided they
are able to create a healing environment for the patients. Hence, using indicative level of BUS
occupant survey of post occupancy evaluation, opinions of 67 patients were collected to grade 45
parameters related to healing environment of OPD areas of government MCH of Trivandrum
and Calicut. Both hospitals are about 50 years old, but the OPD in the former one has undergone
facelift recently and the latter project is in planning stage. Findings showed the benefit of flexible
facility planning to accommodate increased patient load, changing pattern of treatment procedure
or users' preference. Knowledge elicited from this research can assess success of such facility
upgradation, identify associated drawbacks and help in setting benchmark for future healthcare
facility of similar status
Facility Upgradation, Medical College Hospital, OPD, Post Occupancy Evaluation.
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Research Articles
A Public Private Partnership Model For Provision Of Housing To Urban Poor
Jyoti Trivedi and Ajit Lalaji
Public Private Partnership (PPP) is the most prominent urban housing policy that has emerged in the last decade in India. This paper investigates the potentialities of a PPP model for affordable housing to urban poor to achieve a balance between market forces and the needs of the low-income people. At the performance level, the joint sector brings together the efficiency in production, technical and marketing expertise of the private sector with the accountability and righteousness of the public sector. However, despite some reform attempts at the operational level, major bottlenecks are identified including antiquated legislation, besides high municipal taxes, stamp duties, land acquisition and incentives. Housing production under the PPP model to date is minuscule in terms of numbers. From the study it is identified that the potentialities of a PPP model for the slum housing project lies between moderate to high risk. Affordability, Policy, Incentives and Documentation are the top risk factors from developers, Government, NGO's and financial institutions' point of view. AHP-Fuzzy model was used to determine the criticality of risk factors. Empirical relations were derived to identify the weightage of each risk and for the successful implementation of PPP, on slum housing project, mitigation strategies can be applied on the top risk factors. However, given the huge housing stock deficiency, high proportion of low-income groups in the city and the slow pace of regulatory reforms, it is argued that future success is contingent upon the inclusion of low-income communities, which comprise a major portion of the population.
Analysis Of PPP Reform In Municipal Solid Waste Management Sector In India
Ganesh A. Devkar
Local governments in India have been facing challenges in effective management of Municipal Solid Waste (MSW) generated in urban areas. Recent government initiatives encourage use of the Public Private Partnership (PPP) reforms among local governments for improving MSW management. This paper describes the result of a study conducted to analyse the current experiences with the deployment of PPP reforms for MSW management. The case studies of three PPP projects in MSW sector were used for investigating the adoption and implementation of PPP reform. The case study analysis indicated that PPP reform was shaped with focus on areas such as mobilization of financial resources, skills from private sector and improved access and quality of MSW services. However, stakeholder involvement, cost recovery and environmental sustainability did not receive due importance during the design of the PPP reforms. This study contributes to the body of knowledge on PPP reforms and highlights the need to improve the institutional capacity and stakeholder cooperation for their effective utilization.
Public Private Partnerships, Reform, Local governments, Municipal Solid Waste
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Research Articles
Land-Based Instruments For Urban Infrastructure Development: The Experience Of TDR In Mumbai
Ramakrishna Nallathiga
Mumbai, one of the few largest cities in India, faces the challenge of continuing as economic powerhouse as well as maintaining the quality of life of its citizens. Civic infrastructure and its provision are important to support economic development as well as to enhance quality of life. However, with much of the land already developed in the city and with an intense competition between various land uses, the costs associated with infrastructure development (both land acquisition and construction) are large. Although the MCGM prepared a development Master plan for the period of 1981-2005 and introduced the concept of land reservations for various infrastructure services, the development of the infrastructure did not happen much due to the paucity of funds. Moreover, the conventional method of land acquisition has met severe difficulties. An alternate way is to utilise land based instruments that offer incentives for land owners and/or developers to surrender/develop land for providing urban infrastructure. Transferable Development Rights (TDR) is one such instrument that can be used to achieve urban infrastructure development while utilizing the development potential as well as value of urban land. This paper shows how the MCGM has proposed to achieve the goal of developing civic amenities in Mumbai without burdening its exchequer. It also outlines some of the issues and the reforms required in the current TDR programme to make it more effective.
Urban/Civic Infrastructure, Land-based Instruments, Development Reservations, Public Amenities, TDR
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Research Articles
Bangalore Traffic Improvement Project (B-TRAC) : Evaluation And Impact Study
Harish M., N. Ramesh Babu and T. G. Sitharam
Bangalore city is getting congested day by day due to increase in vehicular traffic. Many measures like road widening, construction of overpasses and underpasses, construction of elevated corridors etc., have been done but even then the congestion persists. One of the projects that were taken up to reduce the congestion, was Bangalore Traffic Improvement Project (B-TRAC) Project. The objective of this study is to evaluate and study the impact of B-TRAC project. The impact study involves desk research, field survey and opinion surveys. It was found out from the study that the
B-TRAC has helped in various ways. The junction improvement has helped in systematic movement of traffic and the setting up of enforcement and surveillance cameras has helped in catching traffic violators. Blackberry and printers have helped in the spot collection of fines. Traffic signs have helped in better dissemination of information and lane markings have helped in lane discipline.
Junction Improvement, Blackberry's, Strategic Operations Plan, Surveillance Camera
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Research Articles
Future Cost Projections Of Selected Green Building Components Market In India
Shagufta Sajid Mumtaaz Sayed and P. H.Sawant
The Green Building concept has gained momentum in the recent times and new findings are unfolding in the areas of both the green concept and green building components. The present paper focuses on the study of existing cost and future cost projections of green elements like Compact Fluorescent Lamp (CFL), T5 fluorescent tubes, Solar Photovoltaic Panels(SPP) , Solar Water Heater(SWH), Solar Street Lights with Light Emitting Diode Lamps ( LED) (SSL), Rain Water Harvest System(RWHS), Low Flow Faucets (LFF), Dual Flushing System (DFS), Sewage Water Reclamation Plants(SWRP), Bio-methanation Plants (BMP), Autoclave Aerated Concrete(AAC) (building envelope) for finding the Life Cycle Costing of these elements in green residential buildings. Operational Life Cycle Cost (OLCC) of these green elements are directly drawn from the existing market, prevailing rates, district scheduled rates, suppliers, consultants and contractors. The future cost can be projected from Wholesale Price Indices and Consumer Price Indices of these green elements. The Maintenance cost is projected from the Construction Cost Indices.
Green elements, Operational Life Cycle Cost, Wholesale Price Index (WPI), Construction Cost Indices (CCI) , Consumer Price Index (CPI).
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Research Articles
ICT In Real Estate Project Rating : A Suggested Method
Vijaya Desai , Hemochandra Irengbam and Abhishek Sikdar
The star ratings of buildings are offered by various organisations in India. Modern buildings offer a great deal of Information Communication Technologies (ICT). The present paper proposes a conceptual method to rate the buildings based on ICT offerings. The parameters used are based on broad areas like, security, energy utilisation, etc. The method being generic, any number of relevant parameters can be added. The method forms a basic framework for rating the ICT systems in Star rating of the Intelligent Building. The method has determined a minimum basic score that various star ratings would have. The method was tested in four different building projects in India. This methodology will help both the developers and the customer.
Information Communication Technology, Star Rating, Real Estate, Intelligent Building
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Research Articles
Critical Risk Attributes In Public Private Partnership Projects In India
Rakesh Joshi and Hariharan Subramanyan
Public Private Partnership (PPP) Infrastructure projects with long concession periods are exposed to uncertainties and need careful identification of risks. These identified risks are to be accounted during contracting to avoid the losses. A total of 50 risk attributes were identified through literature in this study. Questionnaire responses were collected from the contractors, consultants and government agencies (clients). Data collected was analyzed by principal component analysis using SPSS software. Results show that the risk attributes were reduced to 17 which could in turn be associated into 8 component factor groupings. Social acceptability , experience in PPP, market / competition, procedural delay, economical risk, construction delay and subletting risks were identified as critical factors in Indian PPP Projects. Preferences in risk allocation for critical risk attributes were investigated. Results show that some risk should be retained within private sector or shared with public sector. A risk response strategy has been discussed to help the different stakeholders of PPP projects, in mitigating these critical risks.
Challenge, Characteristic, Large-Scale, Multi Project Environment, Multi Project Management
Research & Publications Department 