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NRHM Programme Implementation Plan 2008-09 HARYANA

NRHM Programme Implementation Plan 2008-09 HARYANA. Mrs Navraj Sandhu Commissioner & Secretary Health Haryana. HEALTH INDICATORS. SECTION 1 PROGRESS ON NRHM TIMELINES. PROGRESS ON NRHM TIMELINES. PROGRESS ON NRHM TIMELINES. PROGRESS ON NRHM TIMELINES. PROGRESS ON NRHM TIMELINES.

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NRHM Programme Implementation Plan 2008-09 HARYANA

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  1. NRHMProgramme Implementation Plan2008-09HARYANA Mrs Navraj Sandhu Commissioner & Secretary Health Haryana

  2. HEALTH INDICATORS

  3. SECTION 1 PROGRESS ON NRHM TIMELINES

  4. PROGRESS ON NRHM TIMELINES

  5. PROGRESS ON NRHM TIMELINES

  6. PROGRESS ON NRHM TIMELINES

  7. PROGRESS ON NRHM TIMELINES

  8. PROGRESS ON NRHM TIMELINES

  9. PROGRESS ON NRHM TIMELINES

  10. PROGRESS ON NRHM TIMELINES

  11. PROGRESS ON NRHM TIMELINES

  12. INCREASE IN CASE LOAD ON HEALTH SYSTEM

  13. SECTION 2 KEY STRATEGIES

  14. KEY HEALTH MANAGEMENT STRATEGIES • HUMAN RESOURCE POLICY • INFRASTRUCTURE POLICY • HEALTHCARE SERVICE DELIVERY POLICY • COMMUNITY PARTICIPATION POLICY • MONITORING & EVALUATION POLICY • FINANCIAL MANAGEMENT POLICY • PROGRAMME STRATEGIES

  15. HUMAN RESOURCE MANAGEMENT • Filling existing vacancies • Increasing no. of posts under state Budget • Creating posts for specialist – 45% of carder • Skill up-gradation & training – on key focus areas • Performance based hike/incentive for contractual staff • Attractive remuneration for doctors/ specialist under state budget • Incentive for rural postings – additional NPA & compulsory 2 years

  16. HUMAN RESOURCE MANAGEMENT • Placement policy based on skill/ training • Specialist doctors in PPP mode – call/case basis & fixed-day approach- gynae, paediatric & anaesthetist • Extend hiring other specialists by IPHS facilities on fixed day approach • IPHS standards by 2010 – by combination of regular + contractual hiring

  17. INFRASTRUCTURE STATUS • Present Infrastructure : • 50 Hospitals 84 CHC 421 PHC 2465 SC • State Contribution on capital • 2006-07:Rs14cr 2007-08:Rs15.75 2008-09:Rs19 • Infrastructure Policy: Rationalization of infra structure on 2001 census • Gaps: 41 CHCs, 82 PHCs, 573 Sub-centres • Funds required to fill gap 500 Cr

  18. INFRASTRUCTURE CREATED FROM STATE BUDGET

  19. INFRASTRUCTURE MANAGEMENT IPHS PLAN • All new construction as per IPHS • All existing health facilities to up-graded to IPHS in phased manner by 2012 • Phase I: • 160 PHCs 24x7 • 40 FRUs • 40 CHC IPHS • 3 District Hospital IPHS (by 2010) • 4 Sub-Divisional Hospital (by 2010)

  20. INFRASTRUCTURE MANAGEMENT PLAN 2008-09 -- Phase I

  21. SERVICE GUARANTEES PLAN 2008-09 • Facility survey for 100% health facilities • Developing Service Guarantee Plan • Drugs & equipment as per protocols at • 100% FRU • 100% 24X7 PHC • 100% New Construction • 100% IPHS up-graded facilities • Drugs & equipment as per protocols implementation at all health facilities • Introducing Quality Assurance Management in Healthcare at DH, Sub-DH & IPHS up-graded CHC • 100% utilization of Untied Funds – CHC, PHC & S/C

  22. STRENGTHENING REFERRAL TRANSPORT SYSTEM PLAN 2008-09

  23. MONITORING & EVALUATION • Strengthening M&E • Strengthening HMIS, developing software & reporting formats • Review Meetings • Monthly State & District level meeting • Monthly respective programme review meetings • Physical Verification • Baseline Surveys • Deliverable based monitoring • Outcome evaluation surveys & studies • Sample checks by State & District teams • Community Monitoring

  24. HEALTH MANAGEMENT INFORMATION SYSTEM • Integrated HMIS Cell at State Level • With specialist from Health Economics, Public Health, IT, Statistics and Demography • HMIS Cell at field level • District MIS Officer • Information Assistant at CHC & PHC • Developing integrated HMIS formats & software • Capacity building on integrated HMIS – District Programme Officers, SMOs, MOs, ANMs • External evaluation on HMIS reporting & Programmes • Checklist-based Field Visits

  25. RE-STRUCTURING PROGRAMME MANAGEMENT • Establishing of specialized units • Programme Planning • Programme Implementation • Programme Monitoring • Financial Management • Revising ToRs based of SMPU & DPMU • Setting-up State Health Resource Centre

  26. FINANCIAL MANAGEMENT • Fund Flow Mechanism • E-banking system upto district levels • Strengthening Reporting System • Double entry system operationalised • Computerization of accounts in all districts (Tally software) • Training • Trainings up CHC level • Monitoring • Concurrent Audit & Statutory Audit

  27. BUILDING PUBLIC PRIVATE PARTNERSHIP • Empanelling Doctors • Empanelling private doctors under Vikalp, Janani Suvidha, FP service, Blindness Control & specialist on call/case & fixed day basis • Telemedicine • Extending telemedicine (presently at CHC Gohana with Sri GangaRam Hospital, New Delhi) • Referral Transport • Strengthening referral through partnerships on successful Mewat model on call centre approach • Mainstreaming Voluntary Sector (NGOs) • Increasing outreach services through partnership

  28. SECTION 3 PROGRAMMATIC ACHIEVEMENTS & STRATEGY

  29. MATERNAL HEALTH – SITUATION ANALYSIS

  30. MATERNAL HEALTH – STRATEGY

  31. ANC REGISTRATION & INSTITUTIONAL DELIVERY TREND

  32. CHILD HEALTH – SITUATION ANALYSIS

  33. CHILD HEALTH – STRATEGY

  34. FAMILY PLANNING – SITUATION ANALYSIS

  35. FAMILY PLANNING – STRATEGY

  36. ADOLESCENT HEALTH – STRATEGY

  37. IMPROVING SEX RATIO– STRATEGY

  38. RNTCP– STRATEGY

  39. BLINDNES CONTROL– STRATEGY

  40. NVBDCP– STRATEGY

  41. IDSP– STRATEGY

  42. SECTION 1 BUDGET & EXPENDITURE

  43. BUDGET

  44. RCH BUDGET SUMMARY 2008-09

  45. RCH BUDGET SUMMARY 2008-09

  46. RCH BUDGET SUMMARY 2008-09

  47. ADDITIONALITIES UNDER NRHMPART B

  48. STRENGTHENING ROUTINE IMMUNISATION PART C

  49. DISEASE CONTROL PROGRAMME PART D

  50. INTER-SECTORAL CONVERGENCE PART E

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