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PIP 2008-09 NRHM

Strategies and interventions for improving maternal and child health in Chandigarh under the NRHM program, including capacity building, health check-ups, and immunization initiatives.

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PIP 2008-09 NRHM

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  1. PIP 2008-09NRHM

  2. Presented by DR.M.S.BAINS Mission Director (NRHM) cum Director Health and Family Welfare Union Territory, Chandigarh UNION TERRITORY, CHANDIGARH

  3. Chandigarh at a Glance

  4. RCH-II

  5. Goals to be achieved under 11th Five Year Plan (2007-2012) Source: 1 Estimate based on hospital data. 2 SRS Bulletin Oct.2006.

  6. Specific Strategy to achieve Monitorable Indicators • Promotion of 100% institutional delivery (Present 85%). • Incentive of Rs.300/- per case for motivating institutional delivery is being given to AWW from early registration of pregnancy till post natal care. • Rs.150/- as Transportation money for pregnant women irrespective of the mode of transportation. • Effective implementation of Janani Suraksha Yojna for vulnerable group. Contd.

  7. Creation of Life Line kits for mother and children by providing drug kits/ vouchers for mother and sick children reporting to hospitals. • Maternal and Child Death audit (verbal autopsy) to be done by School of Public Health, PGIMER • Strengthening of school health programme by medical examination at least once a year along with deworming and iron prophylaxis along with dental examination and eye screening. • Quarterly Health check-up of under-five children, nutritional surveillance, de-worming, iron and Vitamin – A prophylaxis through doctors engaged for strengthening health component under ICDS for 370 anganwaris.

  8. Improvement of Monitorable Indicators Activities: • CHC-22 and CHC-Manimajra operationalized to provide delivery of comprehensive obstetric care emergency and essential newborn care. • Engagement of Consultant Specialists / Para-Medical manpower as per IPHS will be done under NRHM. • Implementation & operation of PNDT Act under constant vigil. • BCC / IEC activities • Coordination between SACS, U.T. and RCH programme in RTI/ STI services. Contd.

  9. BUDGETOFRCH-II

  10. New Interventions under NRHM

  11. Key Strategies

  12. Capacity Building (Training) The coordination is done with the SIHFW, Panchkula, Haryana for training of the Trainers who further train the staff of U.T., Chandigarh at the Family Welfare Bureau. Capacity building is enhanced in U.T., Chandigarh by imparting training as per the Guidelines issued by GOI in respect of Doctors/ Para-Medics.

  13. Up-gradation of CHCs • Completion of up-gradation of 2 CHCs. CHC-22 and CHC-Manimajra operationalized to provide delivery of comprehensive obstetric care emergency and essential newborn care. • 24 x 7 services to be made available in respect of Maternal and Child Health. • Contractual manpower to be engaged, i.e Gynecologist, Anesthetist, Pediatrician. • Poly Clinic, Sector-45 to be up-graded as CHC as approved by Chandigarh Administration. • Reduction of load at Secondary and Territory level hospitals by providing comprehensive obstetric care 24 x 7 at all CHCs.

  14. Untied fund for Sub-Centres • Out of three new subcentres proposed during the year 2007-08 one established. The remaining two will be established during the year 2008-09. • The existing 7 number of subcentres will be re-located keeping in view the rehabilitation of urban slum/ colonies by the Chandigarh Administration. The fund allocated will be used as per the guidelines.

  15. Mobile Medical Units • Medical Mobile Units as envisaged under NRHM has been approved as per the PIP 2007-08. The funds have been released. The procurement of the said unit is in process and the same will be made functional during the year 2008-09.

  16. Health Mela • Provision of Rs.5,00,000/- has been made to organize the health mela once in a month in U.T., Chandigarh in all minority community areas/ slums/ rural during the year 2008-09.

  17. Mainstreaming of AYUSH Broad Objectives: • Promotion of Ayurvedic, Homoeopathic and integration of Yoga, Sidha and Unani system of medicine and cost effective treatment to community. • Dispelling wrong notions and giving accurate information about Ayurvedic and Homoeopathic System of Medicines. • Educating people about prevention of various life style related ailments through availability of Ayurvedic and Homoeopathic kit for minor ailments at the level of anganwaris.

  18. Present Status:

  19. ComputerizationCapacity Building • State Head Quarter is being computerized under allocation made for Rs.10.00 Lakh during the year 2007-08. • Programme Officers to be provided with Laptops. • The expenditure will be made by the RCH Programme and the same will be used for connectivity for tele-medicine.

  20. Tele-Medicine Project e-Health Initiatives • Level I Project is proposed wherein CHC-Manimajra and CHC-22 will be connected with Govt.Multi-Speciality Hospital, Sector-16 in Ist phase during the year 2008-09. • Level M Mobile Telemedicine will be incorporated to include 22 villages and 43 slums in 2nd Phase.

  21. STRENGTHENING OF IMMUNIZATION

  22. Immunization status in U.T., Chd. * Report based on Evaluation Survey conducted by PGIMER 2007

  23. Initiatives for improved coverage • The days of immunization increased from 2 days to 6 days a week at all subcentres/ centres/ poly clinics/ CHCs. • Immunization certificate has been made compulsory for seeking admission to Government/ Private Schools and for seeking new/ renewal of Ration Card. • The availability of vaccine and auto-disable syringes at all centres with a stock of 2 months in advance is ensured.

  24. State Initiative of giving Rs.200/- per child to anganwari worker on completion of immunization under UIP at one year for vulnerable section of society. • 10 doctors engaged for quarterly examination of children in 370 anganwaris in a roster form. • The doctors will ensure the complete immunization status of children.

  25. BUDGETOFSTRENTHENING OF IMMUNIZATION

  26. Contd.

  27. REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME (RNTCP)

  28. Objectives • To achieve and maintain a cure rate of at least 85% among newly detected infectious (new sputum smear positive) cases, and • To achieve and maintain detection of at least 70% of such cases in the population

  29. Summary of Proposed Budget Contd.

  30. Contd.

  31. NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP)

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