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Health sector reform initiatives in Gujarat

Health sector reform initiatives in Gujarat. Dr Amarjit Singh Principal Secretary (FW) & Commissioner Health, Medical Services & Medical Education Gujarat. Structural. Pre reform model. Integrated structure. Department of Health & Family Welfare: Govt. of Gujarat. Other Initiatives.

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Health sector reform initiatives in Gujarat

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  1. Health sector reform initiatives in Gujarat Dr Amarjit Singh Principal Secretary (FW) & Commissioner Health, Medical Services & Medical Education Gujarat

  2. Structural

  3. Pre reform model

  4. Integrated structure

  5. Department of Health & Family Welfare: Govt. of Gujarat

  6. Other Initiatives • DPCs • AHAs • Using ISM professionals • Mentoring • TCS • HMIS • Autonomy • Capacity building • Governance • Communitisation

  7. Clear goals

  8. Our Goals • Reduce maternal and child mortality • Address adverse sex ratio • Stabilize population • Effectively implement National Health Programmes and address locally endemic diseases like leptospirosis, sickle cell anemia and thalesemia • Provide state of the art health and medical education relevant to local needs • Work with the citizens to make the health system more equitable, accessible, accountable, transparent, and cost-effective to enhance overall satisfaction with health services • Provide an environment in which the health teams blossom fully to lead a fulfilling life and effectively achieve the above goals • Develop public health capacities and systems, to effectively address determinants of good health such as potable water, sanitation, nutrition and healthy environment as well as to promote healthy life styles

  9. Reducing Maternal and child mortality Chiranjeevi

  10. MMR Over Time

  11. Health care facilities available

  12. Availability of OBGYs in CHCs

  13. Bonus - saving neonates

  14. SERVICE PACKAGE

  15. Gynecologist involvement in Chiranjeevi

  16. Chiranjeevi Yojana Report June -08 Ending (20 Districts)

  17. Chiranjeevi Yojana Report June -08 Ending (20 Districts)

  18. Chiranjeevi State 2007-08 & 2008-09

  19. Outcome of Chiranjeevi Scheme: Mothers & New Born babies saved • Normal Deliveries: 175805 • C-Section: 12414 (6.17%) • Complicated Deliveries: 13092 (6.50%) • Private specialist enrolled: 872/2000

  20. Institutional deliveries trend

  21. Extended Chiranjeevi andBal Sakha

  22. Our Goals • Reduce maternal and child mortality • Address adverse sex ratio • Stabilize population • Effectively implement National Health Programmes and address locally endemic diseases like leptospirosis, sickle cell anemia and thalesemia • Provide state of the art health and medical education relevant to local needs • Work with the citizens to make the health system more equitable, accessible, accountable, transparent, and cost-effective to enhance overall satisfaction with health services • Provide an environment in which the health teams blossom fully to lead a fulfilling life and effectively achieve the above goals • Develop public health capacities and systems, to effectively address determinants of good health such as potable water, sanitation, nutrition and healthy environment as well as to promote healthy life styles

  23. Mass Media Takes keen Interest

  24. Political commitment on the floor of the house.

  25. Sex ratio at birth as per CRS records

  26. 4 Districts showing deterioration in sex ratio State average: 870 (2006)

  27. Our Goals • Reduce maternal and child mortality • Address adverse sex ratio • Stabilize population • Effectively implement National Health Programmes and address locally endemic diseases like leptospirosis, sickle cell anemia and thalesemia • Provide state of the art health and medical education relevant to local needs • Work with the citizens to make the health system more equitable, accessible, accountable, transparent, and cost-effective to enhance overall satisfaction with health services • Provide an environment in which the health teams blossom fully to lead a fulfilling life and effectively achieve the above goals • Develop public health capacities and systems, to effectively address determinants of good health such as potable water, sanitation, nutrition and healthy environment as well as to promote healthy life styles

  28. Special Initiatives for NSV

  29. Crude birth rate

  30. Our Goals • Reduce maternal and child mortality • Address adverse sex ratio • Stabilize population • Effectively implement National Health Programmes and address locally endemic diseases like leptospirosis, sickle cell anemia and thalesemia • Provide state of the art health and medical education relevant to local needs • Work with the citizens to make the health system more equitable, accessible, accountable, transparent, and cost-effective to enhance overall satisfaction with health services • Provide an environment in which the health teams blossom fully to lead a fulfilling life and effectively achieve the above goals • Develop public health capacities and systems, to effectively address determinants of good health such as potable water, sanitation, nutrition and healthy environment as well as to promote healthy life styles

  31. Effective Implementation of national health programmes in PPP • Working with IMA • Outsourcing CD4 testing • MNGOs, SNGOs and FNGOs • Working with Rotary and Lions • GIA institutions • Outsourcing staff • Working with private OBGYs

  32. Cure Rate Vs Case Detection Rate (3Q06/3Q07)

  33. Cataract Surgical Rate (CSR) (2003-08)

  34. NLEP – Gujarat Endemicity as on May.08 P.R. > 5 3 - 5 2 - 3 1 - 2 < 1 P.R.-0.78 PM Dahod 2.36 1.80 Vadodara 1.31 Bharuch Narmada 2.80 1.91 Surat 1.50 Dang Navsari 3.49 2.58 Valsad 2.81

  35. Specialist services under school health programme

  36. Route Map through Satellite based monitoring system Max. distance Desert Start

  37. Curative services through MHUs Retrospective Status Satellite based Monitoring System implemented

  38. Our Goals • Reduce maternal and child mortality • Address adverse sex ratio • Stabilize population • Effectively implement National Health Programmes and address locally endemic diseases like leptospirosis, sickle cell anemia and thalesemia • Provide state of the art health and medical education relevant to local needs • Work with the citizens to make the health system more equitable, accessible, accountable, transparent, and cost-effective to enhance overall satisfaction with health services • Provide an environment in which the health teams blossom fully to lead a fulfilling life and effectively achieve the above goals • Develop public health capacities and systems, to effectively address determinants of good health such as potable water, sanitation, nutrition and healthy environment as well as to promote healthy life styles

  39. PPP in ME • Medical colleges in PPP with Bombay hospital; United phosphorous; Narayan Rudalaya and Fortis • Setting up of PHFI Gujarat • Nursing colleges • Outsourcing staff; security; laundry • Outsourcing diagnostics • Outsourcing lab work

  40. MOU s SIGNED VIBRANT GUJARAT

  41. Our Goals • Reduce maternal and child mortality • Address adverse sex ratio • Stabilize population • Effectively implement National Health Programmes and address locally endemic diseases like leptospirosis, sickle cell anemia and thalesemia • Provide state of the art health and medical education relevant to local needs • Work with the citizens to make the health system more equitable, accessible, accountable, transparent, and cost-effective to enhance overall satisfaction with health services • Provide an environment in which the health teams blossom fully to lead a fulfilling life and effectively achieve the above goals • Develop public health capacities and systems, to effectively address determinants of good health such as potable water, sanitation, nutrition and healthy environment as well as to promote healthy life styles

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