Ravina Patel

There are two types of physical infrastructure: service Infrastructure and social Infrastructure. Service infrastructure include water treatment and supply, waste water collection and disposal, solid waste management, storm water drainage and management, electricity, gas supply, transportation and so on related to services needed in urban areas as usual. Social infrastructure means not offer social services but provision of school, hospital, community hall and public utility buildings.
Improving public health is very important and for that Central government provide fund and State government, local bodies develop project for health care. By 2004-05, public spending on healthcare was about 0.9 % of the GDP, ranking India 171 among 175 nations on healthcare spend. Planning commission‘s target to increase it from 1% to 2-3% and it is mention in 11th five-year plan. Public Private Partnership is a good way for providing facilities. PPP means a mutual agreement between Government and private sector for providing services.

From 1990‘s UK have successfully provided Social Infrastructure on the basis of PPP model. Countries like New Zealand and Australia also follow this path and make policies for it. India has only 1.1% projects for health care out of all projects which runs on a basis of PPP models. Gujarat included in top five states of India which having good policy framework for PPP in sectors like water, road, port under GIDB. Some projects of general hospitals and primary healthcare centre have been developing by Gujarat State Government on a basis of Rogi Kalyan Samiti. There is no any policy or PPP mechanism for urban local bodies who want to do a project with PPP model for primary health care centres or hospitals at town or city level.

In the initial phase of dissertation work literature study, Analysis of Surat city profile in the context of healthcare facilities has been carried out. Land parcel management for the healthcare facility and proposal of health centres carry out in mid-stage of the dissertation. Analysis of reservation in T.P.Schemes proposal of new urban healthcare centre, and prepare PPP mechanism with the selection process of a private entity is done for primary healthcare service. Future scope of work will prepare PPP framework for secondary and tertiary level healthcare facilities.

Urbanisation refers to the concentrated human settlements in discrete areas as a result of the transformation of productive or non-productive land into diversified use such as residential, commercial, industrial, transportation, public purpose and so on. India (NIUA) claims to have the World’s second largest urban population which is predicted to cross 600 million by the year 2031. Among the states in India, Gujarat emerged as one of the advanced federations in terms of economic activities, education and other such aspects related to promoting urbanisation. In the South region of Gujarat state, the Surat city is developing on the banks of Tapi River. The city was declared as the “fastest growing city” in Asia during 2001, and the city registered a decadal growth rate of 85.09% during 1991-2001. Recently, in 2011 the city crossed a total population of 4.46 million with a decadal growth rate of 55.29%. The city had merely 1.02 million population in year 1981. It shows the tapping of available potential opportunities resulting in migration from across the country that increased urban population 4.5 times in three decades. Projections depict the rise of the population to 10 million in next three decades leveraging city status as a Metropolitan. The urbanisation brings challenges along with opportunities. The paper discusses on urban health and care facilities. Better health for the urban population results in reduced infant mortality (average rate of 18.02 since 2001 till 2013) as well as affects maternal mortality (average rate of 0.43 for the duration). Reduction in deaths is ensured by means of availing a variety of facilities including pocket level actions, as well as city-wide services. It seeks attention from the authority to avail all such infrastructure (social) and services (health and care) to be available with maximum possible accessibility by the citizens. The Surat Municipal Corporation (SMC) is one of the oldest urban local body (established in 1852 AD). It is by constitutional provisions and the GTPUD Act; 1976 is responsible to make assessments of the social infrastructure requirement. It also needs to make planning arrangements as well as to look after the implementation. In absentia of information regarding planning approach to allocating such facilities motivated the authors to carry out a study in the area. The study aims to identify the demand-supply and gaps underlying in the sector using population projections by AIM and IIM tools. It also includes recommendations to carry out detailed planning and allocation prioritisation of facilities at different zones (through TPS mechanism of land plot reservation). Initial assessment till 2011 revealed that four out of total seven zones are not meeting with the requirements based on prevailing URDPFI guidelines.