1 / 17

National Rural Health Mission

National Rural Health Mission. Monitoring & Evaluation. Where we are …(1). Population Projections. Demographic scenario. Where we are …(2). Some Bare Facts. Funds not a constraint. Parameters of Health Care. Awareness Available Accessible Affordable Quality

johnerogers
Download Presentation

National Rural Health Mission

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. National Rural Health Mission Monitoring & Evaluation

  2. Where we are …(1)

  3. Population Projections

  4. Demographic scenario

  5. Where we are …(2)

  6. Some Bare Facts

  7. Funds not a constraint

  8. Parameters of Health Care • Awareness • Available • Accessible • Affordable • Quality • Performance vs agreed standards 8

  9. Monitoring Outcomes of NRHM • Right to Health • An inalienable right of all citizens • Incorporate in monitoring framework of Mission • Preparation of Household Specific Health Cards • Record of births, deaths, illness, disease, health expenditure • Age/sex profile of household • Means of livelihood, food availability, • Food habits, alcohol consumption etc • Availability of health facility/providers Through ASHA/AWW etc

  10. Monitoring Outcomes of NRHM (cont’d) • Preparation of Habitation/Village Health Register • Periodic Health Facility Survey at SC, PHC, CHC, DHQ • Facilities available • Service Guarantees • Formation of Health Monitoring & Planning Committees at PHC, Block, District and State Level • Regular Monitoring of Activities at each level • Inputs for planning for local level, IDHAP, SPIP etc

  11. Monitoring Outcomes of NRHM (cont’d) • Sharing of data at all levels – full transparency • Display of agreed service guarantees at health facilities • Sample household and facility surveys by external agencies/NGOs • Public Reporting of household & health facility findings

  12. MIES System Model in NRHM/RCH II Program Planning & Service Delivery MIES Validation Monitoring MIES Quality Assessment Evaluation 12

  13. Agreed Indicators … (1) 13 Process Indicators – 6 monthly review % of ANM positions filled % of states and districts having full time program manager for RCH with financial and administrative powers delegated % of sampled state and district program managers aware of their responsibilities % of sampled state and district program managers whose performance was reviewed during the past six months % of districts not having at least one month stocks of Measles vaccine, Oral Contraceptive Pills and Gloves 13

  14. Agreed Indicators … (2) 13 Process Indicators – 6 monthly review (cont’d) % of districts reporting quarterly financial performance in time % of district plans with specific activities to reach vulnerable communities % of sampled districts that were able to implement M&E triangulation involving communities % of sampled outreach sessions where guidelines for AD syringe use and safe disposal are followed % of sampled FRUs following agreed infection control and health care waste disposal procedures % of 24 hrs PHCs conducting minimum of 10 deliveries/month % of upgraded FRUs offering 24 hr. emergency obstetric care services % of sampled health facilities offering RTI/STI facilities as per agreed protocols 14

  15. Agreed Indicators … (3) Output Indicators from Mid & End-line Surveys The states are to set levels of achievement based on their own assessments. 1. Contraceptive prevalence rate 2. % eligible couples using any spacing method for more than 6 months 3. % of women delivered during past one year who received 100 IFA tablets 4. % deliveries conducted by skilled providers (doctors, nurses or ANMs) 5. % of 24 hrs PHCs conducting minimum of 10 deliveries/month 6. % of upgraded FRUs offering 24 hr. emergency obstetric care services 7. % of 12-23 months children fully immunized 8. % of mothers and newborn children visited within 2 weeks of delivery by a trained community level health provider/AWW or health staff (ANM/Nurse/Doctor) 9. % of children suffering from diarrhoea during past 2 weeks received Oral Re-hydration Solution 10. Polio free status achieved since Details of numerator and denominator and sources of information given in Appendix IV of National PIP 15

  16. Plan for Monitoring & Evaluation (M&E) • As an integral component in the State PIP and IDHAP • Plan for • Household, facility surveys • Resource mapping • Community Monitoring • External/NGO evaluation • IT interventions • H/W, S/W, Networking, Web-site • Training of manpower on IT – medical, paramedical also • MIS data • Maintain District and Sub-district MIS data for evaluation • Regular flow on New Format • On Public Domain • Disseminate data with analysis to all stakeholders (up & down stream) • Encourage Feedback • Reinforce with recognition/reward • Budget for M&E in the PIPs

  17. Thank You

More Related