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Meeting the Needs of People

Puducherry State Health Mission. UT of Puducherry. Meeting the Needs of People. PIP Proposal 2008 - 09. Socio Economic Profile. Current Status & Targets. Newer Initiatives for 2008-09. Screening of Adol. boys & girls for BMI, Juvenile diabetes and anemia.

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Meeting the Needs of People

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  1. PuducherryState Health Mission UT of Puducherry Meeting the Needs of People PIP Proposal 2008 - 09

  2. Socio Economic Profile

  3. Current Status & Targets

  4. Newer Initiatives for 2008-09 • Screening of Adol. boys & girls for BMI, Juvenile diabetes and anemia. • Adol. Clinic in all sub centres on fixed day schedule. • Sanitary Napkins to rural adol. Girls • Urban slums health and nutrition day (monthly) • School health programme for Primary students 5-9 yrs • Dental Health services in CHCs • Rural incentives for MOs, Staff Nurses & ANMs

  5. RCH - II Maternal Health Referral Transport Transportation of pregnant women & children during emergency from the villages to CHC/District Hospitals by Indian Red Cross Society. Amount required - Rs. 14.40 Lakhs Providing Telephone for 77 Sub centers Amount required - Rs. 2.77 Lakhs

  6. Village Health & Nutrition Days 92 revenue villages and 97 urban slums in the UT VHND being conducted every month on 3rd Tuesdays in the AW Centres. Urban Slum Health Camps are also conducted on the same day with the help of AWW & ANMs Monthly RCH camps organized in every PHCs

  7. JSY JSY scheme is successfully implemented in UT of Puducherry since 2006 No. of JSY beneficiaries & fund utilized 2006-07 - 2288 Rs. 15,29,300/- 2007-08 - 3552 Rs. 23,39,700/- (upto Jan 2008) 2008-09 - 4500 Rs. 30.50 Lakhs (estimated)

  8. Home Deliveries (1999-2006) Upto Jan 2008

  9. Child Health Proposed to conduct Health examination of Students 5-9 years by a team of Medical Officer, Staff Nurse & Lab Assistant. Health examination and Drugs & Supplies - Rs. 8.72

  10. Child Health - Indicators

  11. Male Sterilisation 0.9 Male Sterilisation 0.5 Condom 4.8 1.9 Condom 5.2 IUD Female Sterilisation 2.8 IUD 3.5 Female Sterilisation OP 0.6 OP Traditional 48.5 34.3 Traditional 5.7 7.3 Family Planning Current users of Family Planning methods India Puducherry

  12. Sterilization performance in UT YearNo. of sterilization performance 2005-06 10213 2006-07 10483 2007-08 8757 (upto Jan 2008) Sterilization Compensation requirement for 2008-09 BPL cases 650 X 6000 = 39 Lakhs APL cases 300 X 3000 = 9 Lakhs Propose to utilize the existing CSS Fund

  13. Birth Order - Districts 1st order & 2nd order 3rd order & above Puducherry Karaikal Mahe Yanam UT India Puducherry Karaikal Mahe Yanam UT India

  14. ARSH Starting of Adolescent Clinic in the sub centres once in a week. - Rs. 2 Lakhs Adolescent Health team : Health examination of Students 10-19 years screening for BMI, Juvenile Diabetes, & Anemia among adolescent boys & girls - Rs. 16.69 Lakhs Mobility / POL expenses - Rs. 2. Lakhs Amount required - Rs. 20.69 Lakhs

  15. Vulnerable Groups As a newer initiative it is proposed to give sanitary napkins to the girls belonging to rural BPL adol. Girls n the adolescent health clinic. Total No. of adol. Girls in UT - 70000 Rural adol. Girls (34%) - 25160 Requirement of sanitary napkins – 24000 x 12 months x 15 Rs. = 43.20 Lakhs Out of this amount 12.69 will be borne by the state health mission & the remaining from the state funds.

  16. RCH Trainings – Proposed (2008-09)

  17. Summary Budget

  18. Mission Flexipool Procurement Proposed to purchase of anti-rabies vaccine, anti-snake venom, insulin & anti-D for CHCs and PHCs - 42.40 Lakhs Purchase of dental materials for CHCs - 3 Lakhs Rural incentives for staff staying in the Quarters/villages Doctors @Rs.5000/- per month 24 rural centers x 5000 x 12 = 14.40 Lakhs Staff Nurses @Rs.2000/- per month 24 rural centers x 2000 x 12 = 5.76 Lakhs ANMs @ Rs.1000/- per month 24 rural centers x 1000 x 12 = 2.88 Lakhs Total 23.04 Lakhs

  19. Summary Budget

  20. Summary Budget

  21. Summary Budget

  22. Immunisation- Rs. 35.8 Lakhs • Immunisation strengthening Program • - Routine Immunisation - Rs. 35.8 Lakhs • Disease Control Programmes- Rs. 355.26 Lakhs • 1.TB Control - Rs. 51.89 Lakhs • 2. Vector Borne Disease Control - Rs. 83.67 Lakhs • 3. Blindness Control - Rs. 129.15 Lakhs • 4. Leprosy Eradication - Rs. 12.32 Lakhs • 5. IDSP - Rs. 70.13 Lakhs • AYUSH - Rs. 1294.56 Lakhs • 1. AYUSH Mainstreaming - Rs. 1294.56 Lakhs TOTAL - Rs. 2436.18 Lakhs

  23. COMPLAINCE TO THE APPRAISAL CRITERIA Annex-2 B. RCH – II Programme Management 1. Has the State PIP spelt out the programme management arrangements already in place and additional steps to be taken? District of Puducherry & Karaikal are functioning with the Deputy Director who are incharge of RCH-II Programme for the past 4 years. The other 2 districts of Mahe & Yanam are also functioning with Deputy Director who are incharge of RCH-II Programme.

  24. B. RCH – II Programme Management 2. Steps to ensure that RCH-II is high priority for the District Collector It is ensured that RCH-II is high priority for the District Collector, who are also the chairman for the respective District Health Mission.

  25. B. RCH – II Programme Management 6. Capacity building of programme management staff at state and district levels It is proposed is give pre induction training for new recruits of SPMU & DPMU staffs in 2008-09.

  26. B. RCH – II Programme Management 8. Steps to ensure systems for holistic, monitoring (outcomes, activities, costs) against the state PIP including variance analyis The quarterly physical targets & budget allocation for activities are being prepared. Quarterly budget of 2008-09 is furnished in the PIP (page no. 121)

  27. C. Institutional Strategies Rural allowances for Medical Officers and other Staffs 2. Incentive for postings in less developed districts, transfer and posting policies, improved supervision The Rural incentives of Rs. 5000/- is proposed for Medical Officers, Rs. 2000/- for Staff Nurse and Rs.1000/- for ANMs/LHV for the Staffs residing in the rural areas.

  28. C. Institutional Strategies 4. Improved logistics/management of drugs and medical supplies UT of Puducherry is having a centralized purchase system, Chief of Government Pharmacy is incharge for procurement and supply of drugs & supplies to all the medical institutions. All the WHO approved essential drugs are procured and 6 months stock is ensured. The District Medical Officers procure their drugs & medical supplies from the above mentioned source. In case of emergency the CMOs are empowered to procure these items.

  29. Desirable Criteria 6. Provision for MoU with districts Will be addressed in future 9. Referral transport arrangements Transportation of pregnant women & children during emergency from the villages to CHC/District Hospitals by Indian Red Cross Society/ Charitable organisation in all the 4 districts. Amount required - Rs. 14.40 Lakhs

  30. Desirable Criteria 11. BCC Strategy BCC activities are undertaken to promote exclusive breast feeding, anemia and under weight children through MSS meetings, nutrition competition, through AIR, TV media and pamphlets.

  31. D. Technical Strategies 6. Quality Strategies All the health institutions in the UT follow standard protocol for treatment of ailments. And all the PHCs and CHCs are functioning as per the IPHS standard.

  32. D. Technical Strategies 7. Quality assurance for private sector facilities All the privatehealth institutions are licened to work as per the Public health Act of UT of Puducherry and being monitored by the Department of Healh & Family Welfare.

  33. F. Cost / Budget 1. Does the budget follow the prescribed formats? Detailed budget in the prescribed format annexure 3c (page 120), 3d(page 121) and 3e(page 123) are furnished in the PIP 3. RCH Flexiblepool

  34. F. Cost / Budget Fund requirements for JSY Expenditure booked as on 29.02.2008 - 23.5 Advances released - 6.71 Total - 30.21 Fund released by GoI - 9 Add. Requirement - 21.21 In lakhs

  35. thank you

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