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NATIONAL RURAL HEALTH MISSION FOR HON’BLE HEALTH MINISTER 13 TH DECEMBER 2008. PRESENTATION. NATIONAL RURAL HEALTH MISSION (2005-2012). NRHM launched by Hon’ble Prime Minister on 12/4/2005. As of now to conclude in 2012.

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slide1

NATIONAL RURAL HEALTH MISSION

FOR

HON’BLE HEALTH MINISTER

13TH DECEMBER 2008

PRESENTATION

national rural health mission 2005 2012
NATIONAL RURAL HEALTH MISSION (2005-2012)
  • NRHM launched by Hon’ble Prime Minister on 12/4/2005. As of now to conclude in 2012.
  • Aimed to ensure affordable, quality health care to the poorest house holds in remotest areas.
  • Special focus on 18 low performing States which have weak public health indicators and weak infrastructure.
  • Punjab is among the nine high performing States- Punjab, Haryana, Gujarat, Maharashtra, Karnataka, Kerala, Tamil Nadu, Andhra Pradesh, West Bengal.
historical prospective
HISTORICAL PROSPECTIVE
  • RCH-II (2005-2010) aimed at reducing IMR and MMR was already in progress.
  • Programme for control of various diseases were already in progress for the last more than 15-20 years.
  • Government felt the need to integrate all ongoing health programme into one programme and consolidate the work being done by other departments.
  • NRHM encompasses –
    • RCH – II including immunization
    • All individual disease control programme
    • Flexi-pool as per requirement of the State
    • Convergence with other departments like AYUSH, Water Supply and Sanitation, Nutrition, Woman and Child Development, Rural Development and Panchayats
  • NRHM can be summarized as : Reducing IMR and MMR through institutional deliveries, involvement of Panchayati Raj institutions and convergence with other departments.
slide4

NRHM OBJECTIVES

  • Universalized access to quality health care especially to rural poor with focus on women and children.
  • Reduced Infant Mortality Rate and Maternal Mortality Rate.
  • Ensuring population stabilization & gender equity.
  • Prevention and control of communicable and non-communicable diseases.
  • Access to integrated comprehensive primary health care.
  • Mainstream AYUSH- Integration of AYUSH with mainstream health institutions .
  • Promotion of Healthy life style.
  • Emphasis on potable drinking water, hygiene, sanitation and nutrition.
slide5
System strengthening

Infrastructure development

Monitoring through computerisation

Improved financial management &

Human Resource

Public Private Partnership

Telemedicine

Mobile Medical Units

Intra & inter sectoral convergence

24-Hour- delivery services

Emergency Obstetric Services

Specialist Services – On call/contract

Immunization strengthening

IMNCI

Adolescent health

Family welfare services

KEY COMPONENTS OF NRHM

Community PartnershipVillage level planning ASHAVillage Health & Nutrition DaysVillage Health & Sanitation CommitteesIncreased involvement of PRIs

Improved services

Accessibility, Approachability and Quality

nrhm strategies
NRHM STRATEGIES
  • Decentralization of the process of health planning and management from Village to District level.
  • Involvement of PRIs and Village Health & Sanitation Committees.
  • Up-gradation of existing health institutions from Sub Centres to District Hospitals as per Indian Public Health Standards (IPHS).
  • Flexible financing- untied funds for filling up the gaps in infrastructure and other related activities.
  • Manpower requirement- recruitment of doctors, and paramedical staff in relation to Woman & Child Health.
  • Improved management through capacity building- provision of computers, computer operators, establishment of State, District and Block Programme Management Units (PMUs).
  • Integration of AYUSH with the mainstream health institutions including recruitment of Ayurvedic/Homeopathy doctors at PHC and CHC level.
  • Intersectoral Convergence with Nutrition, water and sanitation programmes.
  • Promotion of Public Private Partnership for achieving public health goals.
slide7

NRHM – ILLUSTRATIVE STRUCTURE

Health Manager

BLOCK LEVEL HEALTH OFFICE –--------------- Accountant

Store Keeper

Accredit private providers for public health goals

100,000 Population

100 Villages

BLOCK

LEVEL

HOSPITAL

Strengthen Ambulance/

transport Services

Increase availability of Nurses

Provide Telephones

Encourage fixed day clinics

Ambulance

Telephone

Obstetric/Surgical Medical

Emergencies 24 X 7

Round the Clock Services;

30-40 Villages

CLUSTER OF GPs – PHC LEVEL

3 Staff Nurses; 1 LHV for 4-5 SHCs;

Ambulance/hired vehicle; Fixed Day MCH/Immunization

Clinics; Telephone; MO i/c; Ayush Doctor;

Emergencies that can be handled by Nurses – 24 X 7;

Round the Clock Services; Drugs; TB / Malaria etc. tests

5-6 Villages

GRAM PANCHAYAT – SUB HEALTH CENTRE LEVEL

Skill up-gradation of educated RMPs / 2 ANMs, 1 male MPW FOR 5-6 Villages;

Telephone Link; MCH/Immunization Days; Drugs; MCH Clinic

VILLAGE LEVEL – ASHA, AWW, VH & SC

ASHAs, AWWs in every village; Village Health & Nutrition Day

Drug Kit, Referral chains

slide8

NRHM FIVE COMPONENTS

(PART- A)

RCH AND RELATED ACTIVITIES

(RCH FLEXI POOL)

(PART- B)

INITIATIVES UNDER NRHM OTHER THAN RCH

(MISSION FLEXI POOL)

(PART- C)

IMMUNIZATION STRENGTHENING PROGRAMME

(PART- D)

NATIONAL DISEASE CONTROL PROGRAMMES

(PART- E)

INTER SECTORAL CONVERGENCE SCHEMES

institutional arrangemets under nrhm
INSTITUTIONAL ARRANGEMETS UNDER NRHM

STATE LEVEL

  • State Health Mission chaired by Hon’ble Chief Minister.
  • State Health Society chaired by Chief Secretary.
  • Merger of all vertical societies into State Health Society.
  • Signing of MoU with GoI.
  • State Level Planning and Monitoring Committee headed by Hon’ble Health Minister
institutional arrangemets under nrhm10
INSTITUTIONAL ARRANGEMETS UNDER NRHM

DISTRICT LEVEL

  • District Health Mission chaired by Chairman Zila Parishad.
  • District Health Society chaired by Deputy Commissioner.
  • District Planning and Monitoring Committee headed by Zila Parishad Chairman.
  • Rogi Kalyan Samities in District/Sub Divisional Hospitals.
  • Merger of all vertical societies into District Health Society.
contd institutional arrangemets under nrhm
..contd.. INSTITUTIONAL ARRANGEMETS UNDER NRHM

BLOCK LEVEL

    • Block Planning and Monitoring Committees at Block PHC.
    • PHC Planning and Monitoring Committees at PHC level.
    • Rogi Kalyan Samities for CHCs

VILLAGE LEVEL

  • Village Health & Sanitation Committees in each village.
  • Accredited Social Health Activist (ASHA) for every 1000 population.
slide16

NRHM

BUDGET

OVER THE YEARS

slide17

PROGRAMME IMPLEMENTATION PLAN

  • NRHM is a centrally sponsored scheme. For Year 2005-06 and 2006-07, GoI contribution was 100%, & from Year 2007-08, GoI contribution is 85% and state contribution is 15%.
  • Every year State Health allocation to increase at least 10% of the previous year.
  • State Govt. is required to prepare a Programme Implementation Plan (SPIP). It is discussed with Ministry of Health, GoI and then approved by it.
  • After approval of SPIP the funds are released by GoI and the Sate Govt.
  • Minor changes in PIP can be made and major changes are allowed only with the approval of GoI.
state obligations under nrhm
STATE OBLIGATIONS UNDER NRHM

State signed MoU with Govt. of India in December 2005 for implementation of NRHM

work done mch 24x7 phcs
WORK DONE– MCH – 24x7 PHCs

75 PHCs upgraded to 24x7 PHCs in 2007-08 and 26 PHCs in 2008-09 for 24 hrs. delivery.

24x7 PHC – 1 MO (F) and 3 Staff Nurses on contract basis.

Out of 101 MO(F), 60 posts filled up leaving 41 posts vacant.

34 Staff Nurses yet to be appointed.

Posts advertised. Last date 20/12/2008

Generator set provided at 75 and for remaining 26 in process.

Labour room etc. constructed

work done mch frus
WORK DONE – MCH - FRUs

50 CHCs in 2007-08 and 10 in 2008-09 upgraded to FirstReferral Units (FRUs). Facility for a complicated delivery including blood transfusion.

1 Gynaecologist, 1 Paediatrics and 5 Staff Nurses to be appointed.

So far 21 Gynaecologist, 22 Paediatrics in position and advertisement for remaining 39 and 38 given. Last date 20/12/2008.

Advertisement for remaining Staff Nurses 13 given.

Through rationalization of posting of Gynaecologist, 21 regular Gynaecologists posted in the FRUs i.e. 42 FRUs are having Gynaecologist and only 18 are without Gynaecologist.

work done 24 x7 phcs and frus
WORK DONE – 24 x7 PHCs and FRUs
  • Signages for these 101 and 60 institutions being developed. Tender floated
  • On line monitoring of performance of these institutions through PEC, work given.
  • Biometric based on-line attendance system. Tender already received.
work done mmus
WORK DONE - MMUs

20 MMUs deployed in districts. 4 districts – Amritsar, Jalandhar, Ludhiana and Mohali not provided with MMUs. 4 districts Faridkot, Bathinda, Mansa and Barnala have one additional MMUs.

Cost of each MMU Rs. 36.00 lacks. Full Bus chassis used for MMUs. Has the facility of ECG, X-Ray and Lab.

1 MO(F), 1 MO(M), 1 Radiographer, 1 Lab Technician, 1 Staff Nurse, 1 Pharmacist (Regular) and 1 Driver and 1 Helper provided.

12 posts of MO(F) and 10 MO(M) vacant. Advertisement given.

Instruction issued for free treatment and medicine (Rs. 7500 per month) issued.

Tenders for GPS enabled tracking system invited and last date 15/12/2008.

Decision regarding MMUs for the remaining 4 districts yet to be taken.

work done vhscs
WORK DONE - VHSCs
  • NRHM implementation planned within the frame work of PRIs at different levels.
  • Village Health & Sanitation Committees formed in coordination with PRIs at each village level.The committee consists of ideally 11 member under the chair of Sarpanch/Panchayat Member and ANM or AWW as Member Secretary with 50% representation of women and due representation from weaker sections.
  • 11418 VHSCs formed and remaining 1161 yet to be formed.
  • Committee provided with annual grant of Rs 10,000/- to be used as untied grant to meet village level public health activities. Funds already released to VHSCs (Total – Rs. 11.31 Cr. In 2007-08)
  • Headed by Panch / Sarpanch.
slide28
WORK DONE - ASHA
  • 15400 ASHAs selected in the State, 2356 yet to be selected
  • ASHA - a female health activist in the community to create awareness on health and mobilize the community for utilization of the existing health services.
  • One ASHA to cover 1000 population.
  • ASHA to be a woman resident of the village-Married/Widow/Divorced preferably in the age group of 25 to 45 years with the formal education up to eighth class.
  • Selection of ASHA to be made by the District Health Society under the supervision of Deputy Commissioner, and Civil Surgeon to be as District Nodal Officer.
  • SMO at block level to be the Block Nodal Officer.
  • Performance based incentive money of Rs. 3.96 crore has already been released to District Health Societies for ASHAs for the year 2008-09 & Rs. 1.3 crore in 2007-08.
work done training of ashas
WORK DONE - TRAINING OF ASHAs
  • Training of ASHAs in Module 1 is scheduled to be conducted during the current financial year.
  • Training at the State Level for District Trainer completed in July 2008.
  • Training at the District Level for Block Level Trainers completed in August 2008.
  • Training at the Block Level for ASHAs to be taken up now. ASHA books have been translated and are under print.
  • Training of ASHA for 6 districts being given to NGO. Matter under process
  • Tenders for ASHA kit have been received and would be made available by 31/12/2008.
work done recruitment
WORK DONE – RECRUITMENT
  • No recruitment done in 2005-06, 2006-07.
  • Fresh recruitment at the State Level made in November 2007 and State Programme Management Unit set up.
  • Fresh recruitment of doctors and nurses started in March 2008.
  • Great emphasis given on recruitment of Staff in the Hospitals and Sub-Centres.
  • 3 recruitment drives launched – July 2008, October 2008 and December 2008. Recruitment has been made a monthly features.
  • All vacant posts of ANMs for last 5-6 years at Sub-Centres (514) filled up under 2211 scheme. 2nd ANM provided at 954 bigger Sub-Centers.
  • For Gynaecologist and MO(F), advertisement given for increased pay packages. Basic pay increased from 15,000/- and 20,000/- to 20,000/- and 25,000/-.
work done recruitment31
WORK DONE – RECRUITMENT
  • Letter written to Civil Surgeons on 8/12/2008 for identifying remote/extremely remote areas. We will give the regular and contractual lady doctor special incentive during 2009-10.
  • Recruitment at 4 levels –
    • State Programme Management Unit
    • District Programme Management Unit
    • Block Programme Management Unit
    • Doctors, Nurses, ANMs etc. in the Health Institutions
  • 1 Medical Officer appointed in PHCs in the Malwa Districts of the State where there was no doctors. Against 95 posts, 59 posts filled up. Remaining posts advertised. We should try to provide at least one doctor in each PHC in the PIP 2009-10.
slide32

RECRUITMENT -

STATE PROGRAMME MANAGEMENT UNIT

slide35

RECRUITMENT -

DISTRICT PROGRAMME MANAGEMENT UNITS

slide36

RECRUITMENT -

BLOCK PROGRAMME MANAGEMENT UNITS

slide39

RECRUITMENT -

Mobile Medical Unit (MMU)

work done school health
WORK DONE - SCHOOL HEALTH

32,64,926 of students are in Primary and Secondary level

Special Campaigns under School Health Programme held

13th August (held in slum areas of key districts) 12356 person examined

14th August (held in CHCs and SDHs) 110888 school children examined

2nd October (held in CHCs, SDHs, & DHs) Eye checkup camps under which free spectacles distributed to school children

Requirement of Drugs :-

IFA Tablets-

Pediatric with2 0 mg elementary iron 7 Crore Tabs

Adult with60 mg elementary iron 60mg 3 Crore Tabs

Deworming Tablets 32.64 lakh Tabs

Procured and distributed

work done school health42
WORK DONE - SCHOOL HEALTH

Free Treatment of School Students for CHD & RHD

Decision taken on 4/11/2008 for free treatment of students (upto +2 level) studying in Govt. & Govt. aided schools suffering from Congenital Heart Disease (CHD) and Rheumatic Heart Disease (RHD) in PGI Chandigarh. So far 16 students referred to PGI and Rs. 10.00 lacks deposited.

Directions given to heads of PHCs, CHCs and dispensaries to diagnose school students suffering from RHD and CHD and refer to PGI.

Work of examination of School Children – not so systematic. Students cards are under print and would be supplied to the Schools.

Civil Surgeons have been directed to fix the target and show achievement alongwith certificates from the School Headmaster that the health team has visited the school and examined the children.

slide43

WORK DONE - COMMUNITY MONITORING & PLANNING COMMITTEES

  • To involve the community in the decision making and monitoring of initiatives and ongoing health programmes, Health Monitoring & Planning Committees are being constituted at Village, PHC, Block, District and State level with the following objectives
    • provide systematic info about community needs
    • provide feedback according to
          • locally developed yardsticks
          • key indicators.
    • increase involvement and participation of community
    • Validate sector wide data from other sources
    • Triangulation
work done sex ratio
WORK DONE – SEX RATIO

Survey for sex ratio commissioned in September 2008. Report likely to be received by 28/2/2009.

slide45

STATE

PROGRAMME IMPLEMENTATION PLAN

2008-09

slide47

PIP 2008-2009

  • GoI contribution Rs. 180 Cr., GoP contribution Rs. 30 Cr.
  • Previous funds available – GoI- Rs. 31.41 Cr.; GoP – Rs. 7.05 Cr. = TOTAL – Rs. 38.43Cr.
  • TOTAL FUNDS AVAILABLE FOR 2008-09 Rs. 210 Cr. + Rs. 38 Cr.= Rs. 248 Cr.
slide49

..contd.. PART A

  • Digitization of Civil Registration Systems (CRS). RFP under preparation. Under e-Governance Project of the State on pilot basis CRS is being implemented in district Kapurthala & Nawanshahar. Work has been allotted to WIPRO. Work allotment for digitization of CRS for whole Punjab is under process.
  • Sex Ratio Survey. The work has been allotted to AMS, Luckhnow. First inception report of the survey submitted.
  • City Specific GIS mapping for Urban Health Mission for three cities i.e. Amritsar, Jalandhar and Ludhiana which was assigned to Punjab Engineering College, Chandigarh has been completed
  • To ensure dissemination of information relating to NRHM to field level functionaries and to ensure immediate reporting, steps have been taken to finalize website of the NRHM. The work will be completed by the end of this month.
slide51

..contd.. PART B

Extension of New Institutions

  • 40 New Sub Centre's is to be constructed at a cost of Rs. 2.5 crore.
  • One new CHC to be constructed at Zirakpur at a cost of Rs. 2.5 crore
  • Up-gradation of Institutions
  • 77 Sub Centres to be renovated at a cost of Rs. 1.00 Lakh each
  • 10 PHCs to be repaired / renovated at cost of rs. 60.00 Lakh.
  • PHC at Adampur and Rural Hospital Morinda to be completely renovated.
  • Following Sub Divisional Hospitals to be upgraded with an outlay of Rs.6.00 Crore
    • Batala (50 to 80 beds) ... Rs. 1.5 crore
    • Patti (50 to 80 beds) ... Rs. 1.5 crore
    • Nabha (100 to 130 beds) ……… Rs. 1.5 crore
    • Pathankot (100 to 130 beds) …… Rs. 1.5 crore
slide52

..contd.. PART B

  • Equipment and furniture worth Rs.6.50 Crore to be provided in CHCs as per IPHS Norms
  • Equipment and furniture worth Rs.1.83 Crore to be provided in the PHCs as per IPHS norms
  • Drugs and consumables as per following details to be given:
  • - CHCs … Rs. 3.60 Crore
  • - PHCs … Rs.4.84 Crore
  • - SHCs … Rs.6.00 Crore
  • Following District Hospitals to be upgraded
    • Mohali (70 to 120 beds) … Rs. 3.00 Crore
    • Mata Kaushalya Hospital Patiala … Rs.2.00 Crore

(154 to 250 beds)

    • Gurdaspur (100 to 150 beds) … Rs.2.50 Crore
    • Ludhiana (addition of 30 beds burnh Unit)… Rs. 1.00 Crore
    • Bathinda (Renovation) ... Rs.0.50 Crore
slide54

PART D-

NATIONAL DISEASE CONTROL PROGRAMME

Rs. In lakhs

slide55

PART E-

INTERSECTORAL CONVERGENCE

Rs. In lakhs

  • Appointment of one Ayurveda MO & one Homeopathy MO in 121 PHCs & 112 CHCs respectively.
  • 99 Ayurveda MOs already recruited. 22 MOs of reserved categories (9 SC, 1 FF, 2 Sports, 3 Handicapped, 6 Exn, 1 General)
  • Written test & Counseling for appointment of 112 Homeopathy MOs done. Appointment letters being issued
slide56

DRINKING WATER SUPPLY

There are numerous schemes for providing clean drinking water in rural and urban areas :

Under JNNURM, UIDSSMT and BSUP high priority has been given to providing drinking water supply. The total allocation for current year is Rs. 350 crore.

Under Municipal Development Fund a sum of Rs. 1 crore is to be spent in various towns.

For Rural Areas, there are various schemes – Accelerated Rural Water Supply Scheme (Rs. 110 crore), NABARD (Rs. 70 crore), World Bank (Rs. 132 crore), Rajiv Gandhi National Drinking Water Mission (Rs. 10 crore), RO Process (Rs. 25 crore) for clean drinking water.

Under SSA, funds can be provided for drinking water in elementary schools in the State.

slide57
Sewerage works will be executed in urban areas under JNNURM and JBIC Projects.

For Rural Areas there is a State Government schemes for providing individual toilets (Rs. 5 crore).

Under Total Sanitation Programme of GoI we have Rs. 77 crore project for providing toilets in schools, Aanganwadi Centers, Community toilets and individual toilets.

Under World Bank Project, there is a provision for laying underground sewer in 1000 villages and cleaning of village ponds.

For cleaning of village ponds we have a State Scheme (Rs. 5 crore). NREGA funds can also be used for this purpose in all the districts without any limit.

SANITATION

schools water toilets
SCHOOLS – WATER & TOILETS
  • Schools not having Water & Toilet facilities have been identified by a survey.
  • 480 Schools are without drinking water facilities Water & Sanitation Department would provide these facilities from their regular schemes like ARWSP.
  • 4447 schools are without Toilet facilities Water & Sanitation Department has been asked to prepare estimates.
  • Funds to the extent Rs. 40000.00 per school will be provided from Total Sanitation Campaign (TSC) & above Rs. 40000.00 from 12th Finance Commission of Rural Development Department.
slide59
Under ICDS Programme (50:50) the State Government will be spending Rs. 55 crore in 2008-09.

Under KishoriShaktiYojana (Nutrition for adolescent girls) will spent Rs. 2.50 crore through Woman and Child Development.

Under these 2 programmes a total of 13.52 lakh children and mothers were provided nutrition.

NUTRITION

slide60
The Village Health & Sanitation Committees has been constituted in all the villages. These committees are headed by Sarpanch/ Panches.

The new Panches and Sarpanches have been inducted in the already constituted VHSCs and the Health Department would thereafter coordinate these 3 programmes – Water Supply, Sanitation and Nutrition at block level.

The Agriculture Department would also be involved.

VILLAGE HEALTH COMMITTES

slide61
We are holding regular meetings with WSS, Rural Development, Woman and Child Development Departments.

We are going to constitute Coordination Committees with these departments for greater synergy.

COORDINATION WITH OTHER DEPARTMENTS

national urban health mission
GoI proposes to launch NUHM from 2008-09 to 2011-12 (4 years). Current year allocation is likely to be Rs. 1012 crore and Punjab would get about Rs. 25 crore.

The target population would be urban poor living in slum areas, homeless poor and construction workers.

3 towns - Amritsar, Jalandhar and Ludhiana will be taken up from 2008-09 and the remaining 10 towns – Patiala, Abohar, Batala, Bathinda, Moga, Malerkotla, Khanna, Pathankot, Hoshiarpur and Mohali from 2009-10.

The programmes aims at upgradation of Primary Urban Health Centers in terms of infrastructure and man power. Urban Social Health Activist (USHA) will be provided for every 1000 population.

Private hospitals would be empanelled in case there are no government institutions in the slum areas.

There would be a separate Health Insurance Scheme for Urban Slum Poor's and they would be free to seek treatment from Government and Private referral hospitals.

State has already initiated the process for GIS mapping of the urban slums (notified & non notified) and health facilities (Private & public) in three cities, work has been allotted to Punjab Engineering College Chandigarh. The work will be completed in the first week of September 08.

NATIONAL URBAN HEALTH MISSION
emergency response service in the state
240 Ambulances equipped with medical facilities and medical technicians to be deployed.

60 ambulances will have advance life saving equipment (cardiac care, highway trauma care, EmOC)

180 ambulances will have basic life saving equipment (EmOC, highway trauma etc.).

Patient to be shifted to nearest centre through the ambulance positioned with trained medical technician and expert driver.

Capital cost of the ambulances will be Rs.29 crore and for establishing IT infrastructure and Emergency Response Centre the capital cost will be Rs. 12 crore. Total initial cost will be Rs. 41 crore. Recurring cost will be Rs. 25 cr. per annum

Emergency Call Centre with a common three digit toll free number.

Tenders have been received and work is being allotted.

EMERGENCY RESPONSE SERVICE IN THE STATE
other initiatives
OTHER INITIATIVES

Web Site of Punjab NRHM – www.pbnrhm.org prepared and hosted

Service particulars of MOs – Service particulars with complete details including postings computerized and placed on the website for final checkup by Civil Surgeons. It would be easy to determine the status of postings, transfers and vacancies in the health institutions. Would be ready by 25/12/2008.

Administrative Maps – Maps being developed with the help of Punjab Remote Sensing Agency at Ludhiana. All details received except from District Gurdaspur, Jalandhar and Mohali. These maps are necessary for depiction of information on GIS, Tracking of MMUs and EMRI Ambulances.

Pregnancy Tracking – Pilot project being developed for Mohali and Ropar district for online registration of pregnancies. Tender for allotment of work being invited.

Mobiles phones for ANMs – Continuous contacts and information.

Special incentives for Remote and Extremely Remote Areas to MO(F) and Gynecologist.

monitoring and status 31 10 2008
MONITORING AND STATUS (31/10/2008)

Institutional Deliveries

Annual pregnancies – 4,80,000

Deliveries in health department institutions in 2007-08 – 25269

Total institutional deliveries – About 52%

Performance upto October 2008 (Health Department Institutions) –

2007-08 2008-09

25269 31357

Increase of 24.10%

4 Excel Sheets

slide67

INSTITUTIONAL DELIVERIES

1992-93

1997-98

2005-06

INSTITUTIONAL DELIVERIES

Year 2007-08 & 2008-09 (Up to October 08)

slide68

Trend of Institutional Deliveries – Month wise

(Health Department Institutions)

24%

slide69

District wise Institutional Deliveries-

2007-08 & 2008-09 (till Oct 08)

slide70

Institutional Deliveries- District Hospitals

2007-08 & 2008-09 (till Oct 08)

slide72

Institutional Deliveries- FRUs

2007-08 & 2008-09 (till Oct 08)

slide73

Institutional Deliveries- 24x7 PHCs

2007-08 & 2008-09 (till Oct 08)

janani suraksha yojna
JANANI SURAKSHA YOJNA
  • Cash assistance scheme for BPL and SCs/STs mothers (age 19 and above upto 2 living children) on birth in Public or Private accredited health units.
        • Rural area Rs.700/-
        • Urban area Rs. 600/-
        • Non Institutional delivery Rs.500/-
    • Rs.1500/- to be provided for hiring the services of specialists to carry out the caesarean in a Govt. Institution
  • 2007-08 – 29256 beneficiaries covered against the target of 90,000 per annum.
  • 2008-09 – Till October 19,949 beneficiaries covered constituting 22.17% of the annual target. It should have been 60% at the end of October
slide76

JSY Performance

District wise Beneficiaries covered (till Oct 08)

utilization of funds
UTILIZATION OF FUNDS

As per GOI condition funds upto 2006-07 to be utilized and UC sent for further release of GOI funds during 2008-09.

Similarly funds upto 2007-08 to be utilized for release of funds during 2009-10.

UCs to be sent for 2006-07.

Utilization during 2008-09 Rs. 68.29 cr. was given to districts and various agencies.

ranking of the districts
Ranking of the districts

To achieve more and to strengthen the NRHM programme the districts have been ranked on performance basis on different health parameters

Ranking of the districts-