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KERALA PIP PRESENTATION 2008-09

This presentation from the NPCC Meeting in Kerala on 18/03/08 outlines the standardization of healthcare institutions. It covers the setup of sub-centers in urban and rural areas, PHCs, CHCs, and hospitals. The essence of the Primary Health Care Improvement Plan focuses on preventive measures, capacity building, and establishing referral systems. It also expands to include addressing second-generation health issues, improving health indicators, and enhancing nursing education. Financials and objectives of the Reproductive and Child Health Program are detailed, along with proposed activities for maternal, child, and family health in the upcoming year.

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KERALA PIP PRESENTATION 2008-09

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  1. KERALA PIP PRESENTATION 2008-09 NPCC MEETING 18/03/08

  2. STANDARDISATION OF INSTITUTIONS Sub Centres : For every 5 wards, one sub centre which will have one ANM, one JHI and 5 ASHAs. (Urban Health Centres in Urban areas to be set up.) PHC : For every Panchayat, one PHC. There are 999 Panchayats and we have 829 PHCs and 115 Block PHCs. Plus Rural Dispensaries and Government Dispensaries. CHCs: One Block Panchayat should have a CHC (30-100 beds) with FRU facilities. One Taluk / Government Hospital (100 – 150 beds) District / General Hospital (500 – 700 beds)

  3. ESSENCE OF OUR PIP • Promoting preventive and promotive aspects of Primary Health care in the community • Strengthening Training program and Capacity Building • Establishing Health Management Information System • Establishing referral system of protocol – Strengthening the 3rd tier and activating the 2nd tier • Strengthening Nursing Education Department • Improving Health Indicators • Putting up a system of referral transport • Launching special programs for NCDs linked with ASHA / LW

  4. ESSENCE OF OUR PIP • Piloting remedial measures for 2nd Generation problems like • Pain & Palliation. • Malignancies. • Geriatric care. • Suicides. • Mental Health Programs etc. • Tackling Re-emergence of Infectious Diseases • Combined BCC strategy • Optimizing use of all systems of medicine • Convergence of activities of Health Determinants

  5. RCH II Program Objectives and Strategies

  6. RCH II Program Objectives and Strategies

  7. RCH II Objectives achieved by the State

  8. RCH II Objectives achieved by the State

  9. RCH II Objectives achieved by the State

  10. RCH II Objectives achieved by the State

  11. RCH II Objectives achieved by the State

  12. Financials of Reproductive and Child Health Program – IIBase Flexible Pool Funds (Rs.in Crores)

  13. MNGO Funds under RCH – II (Rs.in Crores)

  14. Financials of Additionalities under NRHM/Mission Flexible Pool Mission Flexible Pool Funds(Rs.in Crores)

  15. Financials of Immunization (including PPI) (Rupees in crores)

  16. Financials of funds received from Department of AYUSH (Rupees in crores)

  17. Financials of funds receivedfrom Department of AYUSH for Ayurveda Medical Education (Rupees in crores)

  18. Financials of funds received control of Chickungunya

  19. Statement of Expenditure

  20. Value of Utilization Certificates furnished for core activities • Base Flexible Funds under RCH – II: Out of Rs 67.40 Crores from 2005-06 to 2007-08, UC for Rs 32.19 Crores has been furnished • Mission Flexible Pool: Out of Rs 69.40 Crores from 2005-06 to 2007-08, UC for Rs 40.18 Crores has been furnished • Total Value Rs 72.37 Crores • For tied releases such as Drugs etc separate UCs are furnished

  21. PIP – 2008-09 Base Flexible Pool – RCH II

  22. ALLOCATION DETAILS( in crores)

  23. BASE FLEXIBLE POOL BUDGET ESTIMATE FOR 2008-09 (Rs in lakhs)

  24. BASE FLEXIBLE POOL BUDGET ESTIMATE FOR 2008-09 (Rs in lakhs)

  25. BASE FLEXIBLE POOL BUDGET ESTIMATE FOR 2008-09 (Rs in lakhs)

  26. PIP 2008-09 Mission Flexible Pool

  27. MISSION FLEXIBLE POOL BUDGET ESTIMATE FOR 2008-09 (Rs in lakhs)

  28. BUDGET ESTIMATE FOR 2008-09 (Rs in lakhs)

  29. Activities required to be supported through NRHM

  30. Activities required to be supported through NRHM

  31. Activities required to be supported through NRHM

  32. NATIONAL DISESASE CONTROL PROGRAMS AND CONVERGENCE ESTIMATE FOR 2008-09 (Rs in lakhs)

  33. RCH – II Activities proposed 2008-09 • Maternal Health • Janani Suraksha Yojana • 30 FRUs to be operationalize • 24 X 7 services in 30 Block PHCs • Strengthening the W & C Hospitals • Ward Health & Nutrition Day • RCH Camps • Non recurring cost of mobile phones at SC (proposed but not implemented during 07.08) • Providing specialists in CHCs and selected institutions • ASHA/Link Worker – Implementing activities through ASHA, providing Drug Kits, Training for ASHA

  34. RCH – II Activities proposed 2008-09 • Child Health • Establishment of sick new born care in selected W & C Hospitals • Providing Iron supplement, Zinc, Vitamin A supplementation • Strategy for providing ORS • BCC activities for promotion of breastfeeding mainly through ASHA, ANM etc. • IMNCI Training – facilitators trg, follow up trg, trg for MO & health workers (GOI to help State in conducting TOT) and IMNCI implementation • Providing specialists in CHCs and selected institutions

  35. RCH – II Activities proposed 2008-09 • Family Planning • NSV camps, NSV Training for MO • Male & Female Sterilization services on fixed days • Compensation for Sterilization • Accreditation of private hospitals for FP activities – PPP approach • BCC activities for spacing methods • IUD camps, compensation for IUD, IUD training • Laparo, Minilap training • Workshops on standards & Quality Assurance • Procurement of equipments

  36. RCH – II Activities proposed 2008-09 • Urban RCH • Providing RCH services to entire urban area with special focus on Urban Slums • Hiring ANM in Urban areas • Provision of Drugs • Revamping PP Unit • Providing specialists and para medical staff (to the bare minimum) in institutions where facilities are available, staff are not available

  37. RCH – II Activities proposed 2008-09 • Tribal RCH • Specific Action Plan for Tribal Areas • Tribal Medical Camps, Medical Camps in CHCs • Adolescent Health Education Class • Development of Ambedkar Memorial Tribal Hospital as CHC and making it into an institutions with Education, Training and Treatment centre for chronic and incurable diseases in Wayanad dist. • Sickle Cell Anemia project for tribals in Wayanad and Palakkad Districts

  38. RCH – II Activities proposed 2008-09 • Vulnerable Groups • Coastal Health Programs – Camps, augmentation of services in selected health institutions in coastal areas • Innovations • Action Plan on Female Foeticide Prevention • NGO program • Program on Gender Equity

  39. RCH – II Activities proposed 2008-09 • Monitoring & Evaluation • Implementation of Health Information Systems Project in remaining 13 districts (pilot in Trivandrum in 07-08) • Collection of all Data through HISP • Training for all Health Workers on HISP (completed for Trivandrum) • Data collection through Block Coordinators • Data Analysis, Data Triangulation • Research Studies • Household surveys • Quality Assurance Committees formed in all districts

  40. RCH – II Activities proposed 2008-09 • Monitoring & Evaluation • Logistics Management • Ensuring MIS requirement for various activities without duplication • State to report data in integrated MIES format on completion of computerisation of health institutions (State now providing Computers in all health institutions throughout Kerala now)

  41. RCH – II Activities proposed 2008-09 • Training • State has prepared a comprehensive training with specific impetus on trainings in MH, CH & FP activities. • Trainings to ASHA / LW • Trainings to PRIs • BCC Trainings • Trainings to Health staff

  42. RCH – II Activities proposed 2008-09 • BCC/IEC • Specific activities inbuilt in all interventions • Capacity building of BCC professionals • Training for Health Workers • Emphasis on quality and standards, BCC and service utilization • Intra-communication process across all channels • Integrated IEC approach

  43. THANK YOU

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