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District Monitoring Programme. Presentation on NRHM, Assam. Dated 20 th November, 2012. National Rural Health Mission, Assam Department of Health & Family Welfare Govt. of Assam. NRHM, A paradigm shift Promoting equity and excellence for ‘ Health for All’. The Mission:
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District Monitoring Programme Presentation on NRHM, Assam Dated 20th November, 2012 National Rural Health Mission, AssamDepartment of Health & Family WelfareGovt. of Assam
NRHM, A paradigm shift Promoting equity and excellence for ‘ Health for All’ The Mission: Providing affordable, accessible, equitable quality healthcare especially for those residing in rural areas, the poor, women and children Focus Areas and priorities: Improving the health status of pregnant women and children especially in rural areas Stabilizing population by promoting family planning Restructuring public health governance through community and PRI involvement, addressing resource shortages in terms of providing additional required manpower and increase public spending in healthcare
NRHM, A paradigm shift Promoting equity and excellence for ‘ Health for All’; cont. • Objective of the Mission: • Reduction in Infant Mortality Rate (IMR) and Maternal Mortality Ratio (MMR) • Universal access to public health services. • Prevention and control of communicable and non-communicable diseases, including locally endemic diseases • Access to integrated comprehensive primary healthcare • Population stabilization, gender and demographic balance. • Revitalize local health traditions and mainstream AYUSH • Promotion of healthy life styles
Trend of Maternal Mortality Ratio (MMR) in Assam Total 99 point drop of MMR during NRHM period which is the highest drop in the country during NRHM period
Improve coverage, accessibility and quality of antenatal care (ANC)
Improve coverage, accessibility and quality of antenatal care (ANC)
Mamoni – Cash assistance to pregnant women @Rs 1000/- in two installments during 2nd and 3rd ANC. To provide nutritional support to pregnant women (under Assam BikashYojana)
Village Health & Nutrition Day (VHND). One VHND organized in each village every month. To provide Antenatal care, post natal care, routine immunization and counseling services to pregnant women, infant, children and adolescent
Operationalization of 24X7 PHC with New Born Care Corner (NBCC). To conduct round the clock normal delivery
Operationalization of FRU (First Referral Unit) - To facilitate round the clock C-section, assisted and normal delivery with Blood Storage/ Blood Bank facility
Delivery at Sub Centre by Rural Health Practitioner (RHP). To facilitate normal delivery in the village level (Sub Centre)
JananiSurkashaYojana (JSY). Cash assistance to Mother (@Rs 1,400/- for women from Rural area and Rs. 1,000/- from Urban area) & ASHA Incentive to promote Institutional Delivery
Mamata Kit – Baby kit provided if Mother stay for 48 hrs after delivery To ensure 48 hrs stay of Mother & baby after delivery to ensure post natal care (PNC)
Supplementary Nutrition (Mother Horlicks). To provide supplementary Nutrition to Mother after Delivery
Operationalisation of Newborn Stabilization Unit (NBSU) • Operationalization of Special Care Newborn Unit (SCNU)
Sterilization. Permanent method of limiting for population stabilization in order to reduce Total Fertility Rate (TFR)
Involvement of ASHA • Adolescent Clinic.
Untied, Maintenance and RKS fund to HospitalsFor smooth running of the hospitals, Untied, Maintenance and RKS fund is provided to each health facility.
Construction of New Health Facility. - To meet up the gap of Health Facility as per populations norms
Construction of New Health Facility. - To meet up the gap of Health Facility as per populations norms
Construction of Doctors’ and Nurses’ quarter. To ensure residential facility of Doctor, Nurse and paramedical staff in order to operationalize 24X7 facility
Health Manpower position. To ensure services to the rural people
Mobile Medical Unit (MMU) - Hospital on wheel. To provide health care services to remote areas
Boat Clinic - Hospital on boat.To provide health care services to riverine and char areas
Sanjeevani – Village Health Outreach Programme. To provide health care service at the door step of the rural people
Mritunjoy – 108 Emergency Management Services. To provide emergency services at the golden hour
NCD Screening Programme. To screen adult population (more than 30 years of age) to detect and timely referral for non communicable diseases like Hypertension, Diabetics etc (Implemented in Barpeta, Dibrugarh, Jorhat, Kamrup Metro, Kamrup Rural, Lakhimpur, Morigaon, Nagaon, Nalbari, Sivasagar, Sonitpur & Tinsukia)
“Majoni” – Social assistance to all the girl child born in the family up to second order is given a fixed deposit of Rs. 5,000/- for 18 years – an initiative by Govt. of Assam. To promote girl child
“Morom” - The Morom scheme provides financial support to indoor patients of Government Health InstitutionsIndoor patients admitted to a Hospital will receive Rs. 75/- per day for Medical College, Rs. 50/- per day for District Hospital and Rs. 30/- per day for SDCH/ CHC/ PHC.For supplementary nutrition and compensation for wage loss during hospitalisation and post hospital expenses
PPP with Tea Garden Hospital. To provide healthcare services to Tea Garden areas
THANK YOU NRHM, ASSAM