CRM-III Issues and initiatives

1. CRM-IIIIssues and initiatives National Rural Health Mission Chhattisgarh

2. Issues and initiatives • Human resources • Facilities & services • Monitoring • utilization of services • Coverage • utilization of funds • Community aspects

3. Issues and initiatives – Human resources • Doctors - • 240 appointed (approximately 50 PHCs still without doctor). • Re-appropriation of specialists doctors done • Every district hospital now has all specialists • 28 CHCs now have 4 specialists – functional FRUs • Numbers will increase after certification of EmOCs and LSAS trained Mos. • Rural Medical Assistants – 858 appointed, 1 in each PHC and CHC

4. Issues and initiatives – Human resources • Nurses – 251 appointed, ANMs – 500 appointed • Training – Req • ANM capacity from 430 to 1270 5000 • MPW capacity from 180 to 800 2500 • GNT capacity from 240 to 600 3000 • BSc Nursing from 100 to 1000 • Recruitment of all managerial and support staff (SPMU, DPMU & BPMU) completed.

5. Issues and initiatives – Human resources • Chhattisgarh Rural Medical Corps- • Implemented in 31 difficult and 67 most difficult blocks. • Institutions- • District hospitals - 5 Hardest , 3 Hard • CHCs - 67 Hardest , 31 Hard • PHCs - 472 Hardest - • Manpower …….. back

6. Issues and initiatives – Facilities & services • RSBY in all districts – equity, resources for hospitals. • Facility mapping done. New req 313 SHCs, 65 PHCs. • Streamlining procurement and logistics • CGMSC to be created. • Ready for PROMIS • EMRS • Mahtari express – JSY referral transport. • New born care – • TOT for Navjat shishu raksha karyakram completed • HBNC launched in 18 blocks on pilot basis

7. Issues and initiatives - Monitoring • Line Listing of beneficiaries - • Village wise register - designed and distributed. • Training to be completed by 31st Dec09 • Listing of beneficiaries from 1st January 2010 • Offline software at PHC level - developed. • Data entry will start from 27th January 2010. • Daily on-line reporting of all districts hospitals and CHCs started • HMIS - Facility wise data entry at block level to be started in January 2010 • Traditional system of inspections revived

8. Issues and initiatives – Community issues • Swasth Panchayat Yojana (SPY)– • GP wise health status data compiled on 10 indicators • Data shared with RD, WCD and PHED, also hosted on website • Sensitization of PRIs – (Village registers) • Lists of beneficiaries to be read out in gram sabha • GP health reports to be made available (SPY) • Restructuring of VHSC – • Convergence with VHSC in TSC • A lady panch to be president of VHSC • 13th training of Mitanin – focus on BCC • Mitanin divas and passbook to start in January 2010.

9. SUGGESTION • National level Collector’s conference • Awards for best districts at the national level • Rope in positive energies of district collectors

10. Thank you National Rural Health Mission Chhattisgarh

11. NRHM Chhattisgarh Special initiatives. • Chhattisgarh Medical Services Corporations • Emergency Medical Response Service • Medical establishment protection Act. • Chhattisgarh Clinical establishment and nursing home Act. • Ayurved Gram

21. Thanks