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INDIA. B.Sc., M.B.B.S., D.P.H., D.I.H.,PGCH&FW(NIHFW). INDIAN RAILWAY MEDICAL SERVICE. Post Graduate student in Community Medicine(M.D) Department of Community Medicine / SRMC & RI (DU ). MAJOR CAUSES OF M.M.R. DIRECT CAUSES HEMORRHAGE – 29.6%
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B.Sc., M.B.B.S., D.P.H., D.I.H.,PGCH&FW(NIHFW)
INDIAN RAILWAY MEDICAL SERVICE
Post Graduate student in Community Medicine(M.D)
Department of Community Medicine / SRMC & RI (DU )
· Reduction of Maternal Morbidity and Mortality (MMR)
· Reduction of Infant Morbidity and Mortality (IMR)
· Reduction of Under 5 Morbidity and Mortality (U5MR)
· Promotion of adolescent health
· Control of reproductive tract infections and sexually transmitted infections.
COMPLICATIONS DURING ANTE-NATAL, INTRA NATAL, AND POST NATAL PERIOD & WHERE TO REFER
VISIONTo bring about outcomes as envisioned in the
1. Millennium Development Goals
2. The National Population Policy 2000 (NPP 2000)Goals
3. The Tenth Plan Goals
4. The National Health Policy 2002
5. and Vision 2020 India
a) 260 Primary Health Centres are proposed to be taken up for improving access to Essential Obstetric and New Born Care services round the clock in TN. All CHC, & 50% PHCs to be made functional for 24 hrs delivery services,& 2000 FRU are proposed
b) Improving quality of antenatal, neonatal and postnatal care by providing increased number of antenatal checkups, fixed day antenatal clinics, linking visits of neonates with postnatal care, empowering the VHNs in performing obstetric first aid and newborn care.
c) Improvement of the referral networking systems by establishing emergency help line.
d) Regular conduct of blood donation camps for the continued availability of blood in the blood banks.
e) Universalizing the concept of birth companionship during the process of labour in all health facilities conducting deliveries.
f) Operationalisation of maternal death audit to address the issues that have led to maternal deaths.
a. Reduction of new-born deaths, infant deaths and child deaths by providing continuous health care and strengthening of new-born care infrastructure facilities.
b. Organizing counselling sessions for the mothers.
c. Implementing integrated management of neonatal and childhood illness as a pilot initiative in selected districts in Tamil Nadu.
d. Operationalising infant death/stillbirth verbal autopsy.
e. Addressing the issue of female infanticide and foeticide.
a) Focusing adolescents as receivers and providers of knowledge and function as link volunteers in the community.
b) Utilising the services of trained adolescents for propagating Indian System of Medicines.
c) Broadcasting and Telecasting of programme by AIR/TV focusing adolescent, gender and health related subjects.
d) Formation of co-ordination committee at the district level and monitoring committee at the State level for overseeing the AIR/TV programme.
a)While sustaining the ongoing family welfare interventions in all districts, 19 districts with Higher order births will be targeted for intensified interventions.
b) Social marketing programme for condom and other health commodities, promotion of IUD insertions, familiarizing the concept of one-stop Family Welfare Centre.
c) Increasing access to safe abortion services by popularising manual vacuum aspiration (MVA) technique.
d) Establishment of one-stop family welfare services at Comprehensive Emergency Obstetric and New Born Care (CEMONC) Centres.
e) Popularizing No Scalpel Vasectomy.
5. Reproductive tract infections / Sexually transmitted infections / Cancer control.
a) Establishment of Reproductive Tract Infection / Sexually Transmitted Infection, early Cancer detection clinics .
b) Strengthening RCH outreach services.
c) RTI/STD clinic in selected 70 primary health centers
a) Construction of HSC buildings where HSCs are currently functioning in rented premises
b) Rebuilding HSCs which are unfit for occupation.
c) Taking up of repairs/renovation and provision of water supply/electrical works to PHCs/HSCs.
d) Need-based supply of equipment/furniture to the HSCs and PHCs as per the standard list including gas connections.
e) Provision of Cell phones to HSCs where large number of deliveries take place.
f) Provision of telephones to PHCs
a) Skill upgradation training with focus on improving/upgrading the skills of health care providers.
b) Integrated skill training for peripheral health functionaries such as VHNs, SHNs, medical officers and health inspectors.
c) Improving managerial and communication skills of health staff.
a) Social mobilisation activity against female infanticide and foeticide by preventive counselling.
b) Formation of HSC, Block, District level committees for saving female babies.
c) Conducting of Kalaipayanam (travelling street theatre) to promote social mobilization and to improve health care among the target population
d) Telecasting of TV serials, Radio broadcasts, wall paintings, hoardings and glow signs for popularizing health and reproductive health messages in important places.
Introduction of IT-enabled HMIS for planning and monitoring health services at the State/District /Block levels
STRENGTHENING OF TEACHING INSTITUTIONS
Strengthening the facilities at teaching institutions for providing optimum obstetric, family welfare, neonatal child health services.
ESTABLISHING URBAN HEALTH POSTS
To provide an integrated and sustainable system for primary health care service delivery catering to the requirements of urban slum population and other vulnerable groups
The health care expenditure in India currently stands at 6.1% of GDP. The private out of pocket expenditure being 4.7% of Gross Domestic Product (GDP). The total government expenditure on family welfare has shown an increasing trend from 4.9 billion in fifth plan (1974-79) to Rs. 271.25 billion in the tenth plan (2002-07)