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PIP PRESENTATION (2008-09). ASSAM. AN INSIGHT INTO ASSAM. AN INSIGHT INTO ASSAM. ADMINISTRATIVE STRUCTURE. PUBLIC HEALTH INFRASTRUCTURE. PRIVATE HEALTH INFRASTRUCTURE. HEALTH MANPOWER (Source- State Report). FUNCTIONALITY OF THE HEALTH FACILITY. PROCESS OF PLANNING.
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Growth Rate of State Government’s Budget In 2007-08 state had contributed Rs. 60 Cr as state share to NRHM . Similar trend will be followed in 2008-09
PROGRESS MADE DURING 2007-08 SPMU, DPMU, BPMU functional During the year 1385 ANMs were recruited taking the total to 4088 1160 contractual GNMs engaged and placed in the 24X7 institutions for better maternal and child care and institutional delivery. Total-2440 131 contractual MBBS doctors engaged in SD/SHC/MPHC where there were no doctors.Total-170 99 Specialists engaged in the FRUs for comprehensive obstetric care. At present total number is 117.
PROGRESS MADE DURING 2007-08 • 202 Ayurvedic Doctors engaged and placed in different health institutions. This year 11 doctors were recruited • 39 Dental (BDS) engaged . • 27 District Drugs Store Manager engaged to streamline the flow of logistic. • 461 Lab Technicians engaged in different BPHCs, MPHCs. • 500 PHC Accountants engaged in MPHCs, SDs, SHCs. • 175 Block Programme Managers (BPMs) and 230 Block Accounts Manager engaged in CHCs, BPHCs.
Activities under NRHM during 2007-08 • 10 nos of Mobile Medical Units in service. • Boat clinic operational in 5 districts on PPP model out of 7. • Radio Set to ASHA 26,513 nos distributed. • Radio Programme for ASHA has started from October 2007. • 150 nos of Ambulance procured and are in service. Another 200 already distributed • Drugs worth 10.50 crores were bought from TNMSC under NRHM in 2006-07. Another drugs worth 48.5 crores procured for the year 2007-08. • PPP with Tea Garden Hospitals/ Trust hospitals etc. • Evening OPD in District Hospital/ SDCH/CHC.
Programme wise funds received and utilized as on 31st March'2008
MAJOR ACTIVITIES UNDER RCH PIP FOR 2008-09
PART A (RCH-II) MATERNAL HEALTH Goal: To reduce maternal mortality rate to less than 300 by 2009.Objectives: To increase the antenatal coverageStrategies: To provide quality antenatal care to all pregnant womanand in inaccessible and uncovered areas. Activities :
PART A (RCH-II) MATERNAL HEALTH Objectives: To strengthen the basic obstetric care (institutional deliveries)Strategies: Increasing the access through facility strengthening, Social mobilization for institutional deliveries (JSY) and Referral of obstetric emergenciesActivities :
PART A (RCH-II) MATERNAL HEALTH Objectives: To strengthen the Comprehensive obstetric care To increasing coverage of post partum careStrategies: Operationalize the FRUs to provide CEmOC, Institutional Strengthening, Awareness of communities and PRIs, Ensure post partum care by AWW/ANM/LHV , Introducing Monitoring System MAPDA to detect maternal and perinatal death.Activities :
PART A (RCH-II) CHILD HEALTH Goal: To reduce infant mortality rate from 66 (SRS’06) to 58 by 2009.Objectives : To improve new born care by 2009Strategies:Improvement in the skills of service providers for new born care at home and institution, Referral of sick neonates who cannot be managed at home Activities :
PART A (RCH-II) CHILD HEALTH Objectives : Promote early breast-feeding and exclusive breast-feeding till 6months, To increase awareness of diarrhoea and ARI and increase the use of ORS Strategies:To increase awareness on early breastfeeding, diarrhoea & ARI, Making ORS and zinc tablets available in all the districts and Strengthen facilities at PHC, CHC, SDH and DH Activities :
PART A (RCH-II) CHILD HEALTH Objectives : To reduce prevalence of anemia (6-35 months), Vit A deficiency and death due to Measles after FloodStrategies: To prevent and treat anemia in children, Mass campaigning on Vit A and Age of the Measles vaccination will be extended upto 5 yearsActivities :
PART A (RCH-II) FAMILY PLANNING Goal:To meet the unmet need of contraceptionObjectives : To raise awareness about the advantage of contraceptives and small family Strategies:To raise awareness about the advantage of contraceptives and small family, Increase and improve the number of service delivery points to provide quality male and female sterilization (through Postpartum sterilization).Activities :
PART A (RCH-II) FAMILY PLANNINGGoal:To meet the unmet need of contraceptionObjectives : To increase the male sterilizationStrategies: To raise awareness among the community on Non Scalpel Vasectomy and InnovationActivities :
PART A (RCH-II) ADOLESCENT HEALTHGoal : To introduce a comprehensive health intiative for adolescent To ensure reproductive health & nutrition are metObjectives : To introduce a comprehensive health initiative for adolescent.Strategies: To educate and raise awareness amongst the adolescent boys and girls about human physiology, RTI, STI, HIV/AIDS, EC and safe sex.To assess service delivery by identifying institutionsActivities
PART A (RCH-II) URBAN HEALTHGoal: To improve the Health status of urban poor community by provision of quality integrated primary health care services.Objectives: To provide Integrated and sustainable system for primary health care service delivery with focus on urban poor/slums and Outreach services to be delivered at community levelStrategies:Institution strengthening and Increasing access to service delivery point including outreach area.Activities:
PART A (RCH-II) VULNERABLE GROUPGoal:To improve the health status of the vulnerable groups by providing high quality integrated NRHM services with a view to achieve the socio demographic goals.Objectives: To develop Integrated and sustainable service deliveryStrategies:To met the unmet needs of RCH services.To facilitate BPL population on health expenditureActivities
PART A (RCH-II)PUBLIC PRIVATE PARTNERSHIP (PPP) Goal: To improve the health status of the population of underserved/ uncovered area through PPP
New Initiatives for 08-09 • ASHA Mentoring Group at state and district • Implementing evening OPD at DH, SDCH, CHC and BPHC • Introducing Emergency Referral & Research Institute • Mobile/ WLL phones at SC • Developing E- Health system • Bicycle for ANMs and ASHAs • Recruiting Hospital Administrators at District Hospitals and Homeopathy doctors at MPHC and SD
New Initiatives Contd - Performance based Incentive to FRUs • Allowance to the doctors working in difficult areas • Outsourcing of CHCs to charitable/ Army hospitals/ NGOs • Sanitary toilets for tea garden workers and ASHAs
New Initiatives Contd - • Household Survey • Implementation of MMU in 31 Sub Divisions • Infrastructure Development Wing • Disaster Management preparedness • Human Resource Management • Performance Based Appraisal System for contractual staffs • Provident Fund • Accident Insurance Policy for staffs working in MMU & Boat Clinic
New Initiative – Civil Works • Construction of wards in 245 MPHCs • Addition of 19 new District Hospital to be converted to IPHS • Construction of Obstetric & Gynaecology ward in Medical College – Silchar * Dibrugarh • Addition of 500 new SC building, functioning at the rented houses. • New District Hospital at Sonapur, Kamrup (M)