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DISTRICT HEALTH DEPARTMENT ZILLA PARISHAD ALIBAG RAIGAD. BEST PRACTICES. Maternal And Child Health Programme. MAHER GHAR YOJANA. Aims:- To Reduce Percentage of Home Deliveries in 3 block viz Karjat , Khalapur , Sudhagad Pali . Action Plan:-
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MAHER GHAR YOJANA Aims:- To Reduce Percentage of Home Deliveries in 3 block viz Karjat, Khalapur, SudhagadPali. Action Plan:- We have reduce percentage of home deliveries in these 3 blocks by by taking following action. • We take frequently block level meeting in the selected 3 blocks • We included all health worker LHV, ANM, HA, MPW, ASHA and Aganwadi Workers, we also seek the help Adolescent Girls and Local Political Leaders . • In Block level meeting we calculated the expected number of deliveries in that month at every PHCs/Subcenters, we also listed the expected place of deliveries • Our Health workers continuously follows the ANC Mothers in there Visit and Counseled/Insisted her for institutional delivery. • LHV at PHC take review of ANM Regarding deliveries weekly. • District level officer also take review of home deliveries in their visit • DRCHO took review of LHV about Home deliveries in their PHCs
Special Immunization Session in the High risk Areas • In Panvel block due to rapid urbanization of he city, construction sites,Brickling area and Urban Slums is increasing ,were the migrant population is high, Such areas are Categorized it as HIGH RISK AREAS. • One of such huge construction site Known as ShirkeConstructions,under PHC NERE,BlockPanvel were we started immunizationSessionasthe beneficiaries (mother as well as 0-5yrs children) are more,here we also deal with Counselling of Mother reardingDiet, Anc Care, Immunization, Danger Signals In ANC Mothers and Childrens.
Immunization Session for Shirke Constructions–Kharghar,(Under PHC-Nere,Tal.Panvel,Dist-Raigad)
Pulse Polio Programme In Raigad Dist Panvel,Uran,Karjat,Khalapur these areas are categorized as High Risk Ares By Govt of India, as it is near to Mumbai due to which number of migrant people are more.In such we conducted 5 SNIDs(Sub National Immunization Drive) and 2 NIDs(National Immunization Drive) were we contributed to Polio Free INDIA.
Factors responsible for occurrence of Leptospirosis • Heavy rainfall • Soil pH • Agricultural Practices • Close Association of • humans with domestic animals
Reasons for resurgence of Leptospirosis A typical rural setting conducive for Leptospirosis transmission – Kutcha residence in agriculture field A typical rural Kutcha human habitation – ‘people living closely with domestic animals’ – a cause of spread of Leptospirosis
Reasons for resurgence of Leptospirosiscontd Unplanned development All developmental projects are not referred for environmental impact assessment
Action taken for control of epidemic • Daily House to House surveillance done by teams of Health Wrokers • and suspected fever patients treated and serious patients refered to • Civil Hospital, Alibag. • All Grampanhcyats instructed to take sanitation measures in villages by • written letter by Medical Officer, PHC. • * Daily Reporting of Fever Cases and Monitoring . • Health education • Keep Personal Hygiene. • Wash hands and legs after working in farms. • Use safe water for drinking. • Keep Cleanliness in villages. • Do not work or go outside without Shoes or Chappals.
Action taken for control of epidemic • Health Camps taken in affected villages. • Health Camps taken in Block Pen,Alibag,Roha. • Visits of Experts Team • Expert team including Microbilogist and Physicians from B.J.Medical College, Pune visited the affected area in Gadab PHC. • Clinical Experts team including Epidemiologist, Physicians and Surgeons from Thane. • Pilot Project For Leptospirosis on 2011.
Action taken for control of epidemic • Serum samples collected and send for examination of Lepto. to • BJ Medical , Pune. • Serum samples collected and send for examination of Dengue to NIV Pune. • Due to early referral and admission death rate is decreased. • One lacs pamphlets of information on Lepto. circulated in community. • Also appeal given by DHO for prevention of Lepto. • Published in local news papers.
ShrafalyaYojana(Early Detection, Safe motherhood) • Aims & Objectives :- • 1) 100 % ANC registration at six weeks. • 2) Supplementation of Doxinet plus tablet if hypermesis is there otherwise providing folic acid tablet for ANC mothers. • 3) To give early advice about MTP.
Action Plan • 1) Surveillance and line listing of mothers in the reproductive age group between 19 to 49. • 2) Taking date of monthly period of these mothers by ASHAs. • 3) Doing 1st UPT if monthly period extend up to 7 to 10 days. If this UPT comes positive then registration of it to the ANM of SC in that area through phone. And if the test is negative then again doing UPT after 15 days. If the test is positive registration of it to the ANM of SC in that area through phone. And if negative advice to consult to the Medical Officer. • 4) By the observation of palms grading as severe anemia, anemia and normal and advice accordingly. • 5) Advice to Conduct to medical officer if the PV bleeding is more the 3-5 days during meustrual period. • Information on copper T, Condoms, Contraceptive pills and family planning can be given on the same day.
