SATHI is one of the pioneering organizations in India, to adopt a rights-based approach to building the discourse around Right to Healthcare. From its inception, SATHI has focused on developing community-based accountability processes that lead to increased ownership of Public Health facilities by communities, and increased responsiveness of service providers.
Over the past two decades, SATHI has successfully collaborated with more than 50 civil society organisations in Maharashtra on health rights issues. Using a right based approach, it has facilitated action and policy advocacy at local, district, state and national level. SATHI has been working as the ‘State Nodal NGO’ for implementation of community-based monitoring and planning of health services, as part of national health mission, since 2008. Community- based Monitoring and Planning (CBMP) of health services in Maharashtra, India, represents an innovative participatory approach to improving accountability in health care delivery. The learnings from this can inform “communitisation” of health services in diverse contexts, as an alternative to privatization, and as a means to enhancing the “publicness” of health services. CBMP has deepened democracy, leading to increased accountability, and has created several forums and spaces for dialogue among stakeholders, and systematic data collection on health indicators. Drawing on these learnings, community-led processes like decentralised health planning and Social Audit of Public Services (Multi-sectoral)’ have emerged as innovative processes.
SATHI undertakes public health program related work in collaboration with national and international organisations such as World Health Organisation, Azim Premji Philanthropic Initiatives, American University-Accountability Research Centre, and International Budget Partnership. It has developed a wide range of resource material including training modules, booklets, leaflets, analytical documents, policy advocacy reports and flyers, for developing capacities of community for monitoring and strengthening public healthcare services.