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Innovative Schemes to Improve the Reproductive Health Indicators' with special reference to RCH services in Sangli District
ukfoU;iw.kZ;kstuk 1- Matrutava Sanvardhan Din
AIM To increase efficiency and utilization rate of Maternal and Child health services to improve the overall health status of mother and child as well as strengthening of the public health institutions.
OBJECTIVES • To increase institutional delivery in government hospital • Promotion of safe motherhood and child survival. • To increase the utilization rate of Maternal and Child health services. • To improve the overall quality of the health institutions .
Innovative Programs: 1. MATRUTAVA SANVARDHAN DIN 2. EMPLOYEE CARD SYSTEM 3. SPECIFIC JOB CHART ALLOCATION 4. PHC RANKING SYSTEM
1.MATRUTAVA SANVARDHAN DIN An initiative to attract the pregnant women towards PHC and promote various group activities with a view to increase the utilizationof the maternal and child care services
Here, all the pregnant women were gathered and an assessment of their health status, preparation for a safe delivery, familiarity about the pregnancy, diet and hygiene counseling is also done so as to motivate and boost their confidence levels. • The assessment of the pregnant women is already being carried out at the primary health centers and sub centers. • These activities are better organized with the help of the ‘Maternal Health Day’.
OBJECTIVES OF MATRUTAVA SANVARDHAN DIN 1) To promote, protect and maintain the health of the mother 2) To sensitize the family planning needs. 3) To sensitize on importance of breastfeeding and immunization 4) Early detection of high risk pregnancies and prompt medical intervention
OBJECTIVES OF MATRUTAVA SANVARDHAN DIN 5) Counseling on diet, personal hygiene, danger signs of pregnancy. 6) Provision to make at least four ANC checkups. 7) Provision of a Gynecologist for high risk pregnancies
COMPONENTS OF PROGRAM • Maternal health day should be arranged at the Primary health center. • A gynecologist is made available for the high-risk mothers. • A lecture/seminar is arranged on this day, for that will aid for awareness of the pregnant mothers regarding diet, counseling, “garb sanskar” etc. • All the women should be given their health cards (with basic information such as name, village, address etc.) • We can make the pregnant mothers listen to feedback of one of the satisfied beneficiaries.
Video clips, slide show etc. • Short movies like ShyamchiAai,Breast crawl etc. • Cultural activities- Haldi-kumkum • Counseling - diet & health • Child care and personal hygiene • Organize cultural and traditional activities
2. EMPLOYEE CARD SYSTEM • To improve the quality of services and • For effective implementation of various programs and schemes • To motivate the employees viz. MOs, ANMs, ASHAs • Performance based evaluation. • Card issued by Head of department to the employee.
CARD RANKING SYSTEM • GREEN CARD- • Excellent/ outstanding performance • 2. YELLOW CARD- • Average performance. • 3. RED CARD- • Poor or below average performance • 4. BLACK CARD- • Zero performance ,unsatisfactory work,3or more show cause notices
ACTIVITIES AFTER ISSUEING CARD GREEN CARD- Appreciation letter/Certificate YELLOW CARD- Warning and /or show cause notice RED CARD- Show cause notice and Strict action BLACK CARD- Show cause notice and strict action with departmental inquiry
3. JOB CHART • Specific job responsibilities assigned to achieve the targets • within span of time • Job assigned as per the qualifications and job responsibilities • of employee.
4. PHC RANKING SYSTEM Technical indicator Physical / Financial indicator
EVALUATION OF PRIMARY HEALTH CARE SYSTEM • 100 marks evaluation based on – • Technical targets given to PHC and its achievements • Various components of health care services • Monthly and progressive report • .
YEAR WISE DISTRIBUTION OF DELIVERIES IN PRIVATE AND GOVERNMENT INSTITUTION
YEAR WISE DISTRIBUTION OF OPD AND IPD IN PHC 697901 2013-2014
CARD WISE DISTRIBUTION OF PHCS BASED ON TECHNICAL CRITERIA 2013-14
CARD WISE DISTRIBUTION OF PHCS BASED ON PHYSICAL/FINANCIAL CRITERIA
These Innovative Schemes introduced at the Sangli District showed a major improvement in the reproductive health indicators. • This improvement was achieved without any additional resources , but by merely administrative interventions. • This model concept was presented by DHO, Sangli district at the PUNE PUBLIC HEALTH CONFERENCE (PPHC)-2014 held at Yashada, hosted by School of Health Sciences, Pune University and in Collaboration with IPHA and IAPSM. • It was highly appreciated and a scientific publication for the same is under the process.
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