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TRIPURA

TRIPURA. Best Practices: Solar powered health facilities & ASHA programme. Best Practices/ Innovations. Health goes green in Tripura with up to 90% of health facilities powered through solar: U ninterrupted power supply maintained primarily through on-grid systems

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TRIPURA

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  1. TRIPURA

  2. Best Practices: Solar powered health facilities & ASHA programme

  3. Best Practices/ Innovations • Health goes green in Tripura with up to 90% of health facilities powered through solar: • Uninterrupted power supply maintained primarily through on-grid systems • Well-functioning ASHA programme: • Excellent training process: ASHAs are tested basis a quiz designed by the District ASHA Programme Manager with the highest quiz score receiving an annual award • 10-point performance measurement system is well-implemented with identification of low/poor performing ASHAs • 10% of the seats for MPW (Females) have been reserved for ASHAs having at least 5 years of service and with necessary educational and other requirements

  4. Major Findings • Healthcare infrastructure and scheme implementation needs improvement: • Non-functional NBSUs and NRCs in districts visited • Upgrade ambulances/MMUs to ALS/BLS status • Weak biomedical equipment maintenance • Quality and availability of health services needs strengthening: • Poor implementation of Free Drugs and Diagnostics scheme; frequent stock-outs and high out of pocket expenditure observed • Poor implementation of RMNCH services: entire package of lab tests and services not available during ANC checkups; significant unmet need for Comprehensive Abortion Care services observed • In adequate staff knowledge on Quality Assurance mechanisms; absence of SOPs in wards and labour rooms; poor adherence to BMW management protocols

  5. Major Findings • Disease control programmes need greater focus: • CD programmes: DOTS services not being provided to all patients at PHCs/SCs; Limited/No screening of TB patients for diabetes; Delayed detection of leprosy cases due to insufficient skills and knowledge of medical personnel • NCD programmes: non functional NCD clinics; infrequent cancer screening; poor monitoring and low visibility (IEC/BCC) of programmes on tobacco control, oral health and prevention of deafness • Unsatisfactory fund management systems with untimely transfer of funds from the treasury to SHS and further to the district level • Weak HR systems in place: • Deployment of specialists concentrated at district level, limited access to specialized services in interior areas • Inadequate skill assessment systems during recruitment and in service; pre-service and in-service training needs development • Limited visibility and circulation of vacancy adverts with low response timelines

  6. Action Taken

  7. Current scenario

  8. Recommendations & follow-up actions..

  9. Recommendations & follow-up actions..

  10. Recommendations & follow-up actions..

  11. Recommendations & follow-up actions..

  12. Achievements 2016-17….. • Bio-medical equipment maintenance rolled out covering all health facilities (Except GBP Hospital). • Tele radiology service implemented in 20 Health Institutions. • National Free Dialysis service started in 02 DH & likely to be functional in 03 DH more within 1 month • 05 UPHC operationalized and 80 MahilaArogyaSamities are in place & trained. • ‘Swachh Bharat Mission’ : Kayakalp initiated in all health facilities and 11 hospitals in 08 Districts awarded. • 03 Mobile Blood Vans procured & are on Road.

  13. Plan for next 6 months… • Contract awarded for CT Scan in 03 District Hospitals. Likely to be operational by August 17 end. • 04 SNCU in 4 District Hospitals, 4 NBSU in 4 SDHs are functional. 02 NRC in High Priority areas will be functional within next 02 month. • Process initiated for out sourcing for Emergency Response Services with 17 ALS & 3 BLS by converging Referral transport fund of JSSK. • HRMIS implementation is in process with help from NIC • EDSS under implementation in collaboration with AIIMS & PHFI in 40 health facilities • Population based screening for NCDs & 03 common cancers in 02 Districts

  14. PFMS Status in % (Percentage)

  15. Thank You

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