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NRHM 2008-09 PIP Presentation to NPCC 27 th March, 2008

Jammu & Kashmir. NRHM 2008-09 PIP Presentation to NPCC 27 th March, 2008. Secretary to Government Health & Medical Education Department Govt. of J&K. Jammu & Kashmir. PROGRESS. Financial Progress Rs in lacs. Approval 2007-08. REQUST FOR ADDITIONAL FUNDS.

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NRHM 2008-09 PIP Presentation to NPCC 27 th March, 2008

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  1. Jammu & Kashmir NRHM2008-09 PIPPresentation to NPCC27th March, 2008 Secretary to Government Health & Medical Education Department Govt. of J&K

  2. Jammu & Kashmir PROGRESS

  3. Financial Progress Rs in lacs

  4. Approval 2007-08

  5. REQUST FOR ADDITIONAL FUNDS

  6. REQUST FOR ADDITIONAL FUNDS Infrastructure Development Plan • HCM, J&K had projected the demand of building up proper Health infrastructure to Hon’ble Prime Minister and on his directions, the Planning Commission provided to J & K Rs. 60.00 crore as ACA in the last quarter of 2006-07. MOHFW also released Rs. 20 crore for upgradation of District Hospitals. (Contd)

  7. REQUST FOR ADDITIONAL FUNDS Infrastructure Development Plan • Hon’ble Prime Minister set up a Task Force on Development of Jammu and Kashmir. It recommends: “It will be erroneous to use the same norm for health coverage uniformly across the country. In J&K, the low density of population, difficult terrain, militancy, poor road infrastructure and lack of public transport all add to the costs and accessibility of health care, and these variables should be factored in evaluating the adequacy of coverage.” It recommends as follows: • Increased outlays under National Rural Health Mission (NRHM) from Rs. 65 cr to Rs. 100 cr per annum ; (Contd) (Contd)

  8. REQUST FOR ADDITIONAL FUNDS • Report also recommends construction of health centre buildings with external assistance (Rs1000 cr) for PHCs/HSCs Report advises J&K "to capitalize on the funds, programme mode and expertise available under the NRHM. Any further programmes and projects in the health sector need to build on the foundation to be laid by NRHM. If J&K makes a success of NRHM, it will have put its heath sector on a virtuous circle of higher efficiency, lower costs to the poor and better outcomes…” • Rs. 1057 Cr IDP was prepared & submitted for EAP

  9. REQUST FOR ADDITIONAL FUNDS • Accordingly J&K formulated & presented an Infrastructure Development Plan (IDP), NPCC approved in principle & Rs 95.50 Cr allotted in 2007-08; • DPRs in progress and likely to be completed in 2 months. (contd)

  10. Jammu & Kashmir DISTRICT HOSPITALS (22) 200 beds IPHS Norm SUB-DISTRICT HOSPITALS (61) at Tehsil level 50 beds IPHS Norm CHCs FRUs (57) at Block level 30beds IPHS Norm Infrastructure Development Plan (NRHM) appd. PHCs(Strengthening of Existing PHCs (374) & upgradation of AD (287) - 6 beds IPHS Norm SUBCENTRES (1907 existing SC) & upgradation of MACs (346) – IPHS Norm 12

  11. REQUST FOR ADDITIONAL FUNDS Infrastructure development Works taken up

  12. Jammu & Kashmir SPIP-2008-09

  13. Jammu & Kashmir District IDHAPs through decentralized & consultative planning: • Village Level consultations & preparation of Village Health Plans • Block Level consultations & preparation of Block Health Plans • District Action Plans, through integration of Health Facility Surveys and assessments of district specific needs. State PIP : Integration of all 22 District IDHAPs form the part of the State PIP

  14. RCH 2008-09 Rs in lacs

  15. NRHM Additionalities Rs in lacs

  16. Jammu & Kashmir J&K SPECIFIC CONSTRAINTS

  17. Constraints –I : External Factors

  18. Constraints -II:External Factors

  19. Constraints:-IIIINTERNAL FACTORS

  20. Constraints:-IIIINTERNAL FACTORS

  21. Other Problems • Difficulty to engage MBBS doctors at Rs. 8000/- Per month • DCs delaying engagement of staff on contractual basis. • In far-flung/difficult hard to reach areas like Leh, Kargil, Kupwara and some parts of Uri, Doctors are not applying for contractual positions. • In some districts, “District Programme Management Support Units” got delayed due to non-availability of candidates possessing the requisite qualification as are required under the guide lines on NRHM. • Progress slow on purchase of equipments necessary to upgrade DHs /CHCs/PHCs –replicating TNMSC

  22. Jammu & Kashmir

  23. Jammu & Kashmir

  24. Jammu & Kashmir

  25. Jammu & Kashmir

  26. Jammu & Kashmir

  27. Jammu & Kashmir

  28. Jammu & Kashmir

  29. Jammu & Kashmir

  30. SPMU/DPMU Jammu & Kashmir

  31. Jammu & Kashmir DELIVERIES IN HEALTH FACILITIES

  32. Institutional Deliveries from Year 2005-06 to 2007-08

  33. Comparison of Institutional Deliveries in Tertiary Level Hospital Vs Others Hospitals

  34. Comparison of Institutional Deliveries at DHs, CHCs & PHCs As on Dec 2007

  35. Jammu & Kashmir MAISTREAMING OF AYUSH

  36. Jammu & Kashmir • ISM Doctors at PHC level in first phase • 2 ISM Doctors/ Dwasaz in DHs proposed in 2008-09 • Provision of AYUSH Drugs for PHCs/DHs • ASHA Drug Kits having AYUSH Medicine provided

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