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Review Meeting with State’s Health Secretaries, Mission Directors & Directors of Health Services

Review Meeting with State’s Health Secretaries, Mission Directors & Directors of Health Services. 11 th & 12 th Sept. 2012 --- AS & MD (NRHM). Key Challenges . HIGHLIGHTS of PIP 2012-13. JANANI SHISHU SURAKSHA KARYAKRAM.

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Review Meeting with State’s Health Secretaries, Mission Directors & Directors of Health Services

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  1. Review Meeting with State’s Health Secretaries, Mission Directors & Directors of Health Services 11th& 12th Sept. 2012 --- AS & MD (NRHM)

  2. Key Challenges

  3. HIGHLIGHTS of PIP 2012-13

  4. JANANI SHISHU SURAKSHA KARYAKRAM • An evaluation by NHSRC shows several gaps in implementation including non-availability of drugs • Way forward is to ensure wide publicity, public grievance redressal mechanism and earnest implementation. • Nation-wide IEC campaign on JSSK on the anvil.

  5. Maternal & Child Health Wings - Over 19,000 Additional Bed Capacity – A Step toward Strengthening Delivery Points

  6. Plugging the Gaps in Infrastructure

  7. Augmentation of Human Resources

  8. Drugs & Equipments…

  9. 341 New MMUs 2820 New Ambulances

  10. School Health Programme • Universal Screening to focus on 3 Ds: • Disease • Deficiency • Disability

  11. Addressing Adolescent Health

  12. Task Still Incomplete: Cushion Available with States

  13. Measuring Progress

  14. Revisiting Key Conditionalities - An Opportunity for Incentives

  15. Revisiting Key Conditionalities

  16. Mandatory Disclosures For Example:

  17. Reviews on conditionalities to Commence from October 2012…..

  18. State Ranking On 16 ‘Dashboard’ Indicators’ Click here to view selected state specific scoring details

  19. Gearing Up For 2013-14

  20. Fund Absorption Capacity • Quantum Jump in Funding anticipated from 2013-14 onwards • Absorptive capacity needs to be enhanced. • The challenge is of augmenting capacity • To Build • To Procure • To Staff • To Manage

  21. Some Areas of Focus:1. Plugging gaps in Infrastructure • Address the shortfall of Sub centres, PHCs & CHCs based on Census 2011 • Adding infrastructure in high case load facilities e.g. 100/50/30 bedded MCH wings • Adding infrastructure for training institutions for nurses & allied health professionals • Adding Drug Warehouses to strengthen the supply chain

  22. 2. Augmentation of Human Resources • Strengthen Sub Centre as first port of call - 2 ANMs - 1 MPHW - 1 Community Health Officer - 1 LT cum drug dispenser • HR augmentation at PHC/ CHC/ SDH/DH based on case load with special attention to nurses & allied health professionals • Adding AYUSH doctors & using them for National Health Programmes & public health functions (including monitoring, supervision, SHP etc) • Planning for HR development – creating new training capacities

  23. 3. Ambulances & Patient Transport • Universal penetration to be ensured • Response time not to exceed 30 minutes • Backward linkages for patient transport to be strengthened • Provision for well-integrated Basic and Advanced level patient transport ambulances

  24. 4. Ensuring Availability of Free Drugs Ensuring universal access to free generic medicines in government health facilities including Govt. Medical Colleges, IPD & OPD through…

  25. 5. Strengthening District Hospitals & Community Health Centres District Hospitals • For providing advanced multispecialty care • To function as District knowledge centre for pre-service and in service education • To be upgraded as teaching hospitals particularly in underserved areas • Use district knowledge centres to act as resource centres for planning, epidemiology and data analysis Community Health Centres • Ensuring functionality of CHC • Adding beds/ HR etc as per case loads • Strengthening CHCs as a hub for holistic programme management

  26. 6. Moving Towards Universal Health Coverage • JSSK – A Major Leap • Way forward: • Expanding the gamut of guaranteed services. e.g. • Coverage of ante natal and post natal complications • Children upto five years of age • Essential Health Package (EHP) covering RCH, communicable/ non -communicable diseases, injuries & trauma care etc. at primary & secondary level to start with • System building to realize this ambitious agenda

  27. Planning for 2013-14

  28. Merger of RCH & Mission Flexible Pools

  29. Merger of National Disease Control Programmes

  30. PIPs…… States to formulate a Perspective Plan for remaining three years of the 12th Plan period after the 12th Plan strategy is finalized by the Planning Commission

  31. Tentative Timelines

  32. We now have more money for health but …..do we have more health for money?

  33. Example – Scoring for an indicator +4 +3 +2 +1 -1 -2 -3 -4 Back

  34. +3 +4 +2 -1 +1 -2 -3 -4 Back

  35. Click here for the main presentation +1 +2 +3 +4 -1 -2 -3 -4 Back

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