INTEGRATION UNDER NRHM

1. INTEGRATION OF DISEASE CONTROL PROGRAMMES - ISSUESDr. P.K.Srivastava(pkmalaria@yahoo.co.in)06-09-2009NEW DELHI

2. INTEGRATION UNDER NRHM • Financial Integration • Integration for programme implementation

3. FINANCIAL INTEGRATION • Funds flow to the States/UTs was through respective Governments under centrally sponsored scheme. • States/UTs were requested to constitute the state society for smooth flow of funds of externally assisted Components. • States/UTs were requested to integrate with State Health Society under NRHM since 2007-08. • The state-wise allocation for cash & commodity assistance are communicated to NRHM. • The releases are made through NRHM & State Programme Officers are informed.

4. FINANCIAL INTEGRATION • Issues : • Fund release from State Society to District Society and to the PHCs or Sub-centres may be ensured out of balance funds available/total approved allocation in ROP. • Utilization of funds and submission of SOEs/UCs for NDCPs need to be monitored and expedited to facilitate releases.

5. Programme Implementation • States/UTs submit their PIP for Programme implementation which need to be as per pattern of assistance in different programmes • PIP should explain the physical activities and financial requirement to be met by: • GOI • State • The requirement for additional items ( not approved under the programme) need to be projected under NRHM additionality with justification.

6. Integration for Programme Implementation Convergence of delivery of prevention & control services in respect of NDCPs at various levels is desirable. • At Village Level • Monthly meetings of Village Health & Sanitation Committee serve as a platform for health education and counseling of community on Disease Control Programmes and its facilities Involvement of ASHA as • surveillance worker to inform any increase in fever • linkage between ANC services and Malaria treatment • drug distributor • counselor for morbidity management. • organizer, motivator and trainer in village level meetings/training workshops.

7. Integration for Programme Implementation Primary Health Centre level • Ensure timely treatment before case is referred to CHCs/District Hospital . • Training of health workers/volunteers on NDCPs along with other health programmes besides specialized training. • RKS to ensure services for NDCPs Community Health Centre level • Augmenting treatment of severe cases • Training of health workers/volunteers.

8. Integration for Programme Implementation District level • Ensure NDCPs Supplies to be stored at proper drug stores and its availability at different level along with other programmes . • Training of health & non health professionals on NDCPs along with other health programmes. • District, Zonal or Regional programme officers should be fully on board for district reviews/meetings

9. INTER-SECTORAL CONVERGENCE • Collaboration with civil society organizations, private sector, local self-government, non-health sector departments • LEGISLATION - Enforcement of Civic Bye lawsto prevent development of mosquitogenic conditions • Health Impact assessment of Development Projects • Utilization of NRHM flexipool for sanitation activities to bring about source reduction

10. Programme Implementation Issues • Bringing programme officers on NRHM Board • Detail monitoring by respective programmes but physical performance to link financial expenditure need to be monitored by mission. • Timely Payment of ASHAs for improved acceptance of programme activities

11. Programme Implementation Issues Advocacy of NDCPs Issues should be a built-in Component of NRHM Institutions • According priorities for approval/ financial sanctions for NDCPs as per guidelines from Technical Directorate • Support from flexi fund at local level including IEC and community involvement . Ex : Utilization of NRHM flexipool for sanitation activities to bring about source reduction

12. Thanks