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PROGRAMME IMPLEMENTATION PLAN MIZORAM 2008 - 2009

PROGRAMME IMPLEMENTATION PLAN MIZORAM 2008 - 2009. Dr. N. Pallai Mission Director Mizoram State Health Society (SPMSU). Area : 21,081 Sq.Km Pop. : 8,88,573 Districts : 9 Blocks : 27 Villages : 817. BASIC INDICATORS OF MIZORAM. REPRODUCTIVE & CHILD HEALTH -II.

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PROGRAMME IMPLEMENTATION PLAN MIZORAM 2008 - 2009

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  1. PROGRAMME IMPLEMENTATION PLANMIZORAM 2008 - 2009 Dr. N. Pallai Mission Director Mizoram State Health Society (SPMSU)

  2. Area : 21,081 Sq.Km Pop. : 8,88,573 Districts : 9 Blocks : 27 Villages : 817

  3. BASIC INDICATORS OF MIZORAM

  4. REPRODUCTIVE & CHILD HEALTH -II RCH - IIPart ‘A’ of NRHM

  5. SITUATION ANALYSIS

  6. SITUATION ANALYSIS (contd..)

  7. SITUATION ANALYSIS (contd…)

  8. REPRODUCTIVE & CHILD HEALTH - II 1. MATERNAL HEALTH Goal – To reduce MMR from 163 (RBD 2004 - 05) to <100 by 2010 Objectives : • To increase full ANC from 57.8% (NFHS-3) to 100% by 2010 • To reduce Aneamia with pregnancy from 50% NFHS-3 to 20% by 2009 Strategies : • To provide ANC & PNC to all activities • Daily ANC in FRU/CHC/32-24x7 PHCs • VHND in 1592 ANC every month • Early registration of pregnant women • Provision of IFA tablets • Mobility support to MO and ANM for visiting hard to reach areas every month • Provide nutritional counselling to pregnant women through ASHA/AWW/ANM

  9. REPRODUCTIVE & CHILD HEALTH - II Objectives : Increase institutional deliveries from 64.6% NFHS-3 to 75.1% by 2009 Strategies & Activities • Operationalization of 4 CHC as FRU • Construction of birth waiting room in all PHC • EMoc and Ansthesia training for MO • SBA training for S/N and ANM • Continue JSY Scheme as per GOI guideline

  10. REPRODUCTIVE & CHILD HEALTH - II 2. RTI/STI SERVICES Objectives : To promote RTI/STI services to decrease the prevalence of RTI/STI among women Strategies : Operationalize services for diagnosis and treatment at CHC. District Hospital etc. Activities : 108 nos of Lab. Technician are already trained RTI Taining to 56 MO IEC/BCC activities among eligible couples

  11. REPRODUCTIVE & CHILD HEALTH - II • 3. CHILD HEALTH • Goal : • To reduce infant Mortality rate from 34 (NFHS- 3) to 25 by 2009. • Objective : • To improve facility/home based new born care • To promote of use of ORS for Diarrhoea & treatment of ARI • Strengthening of facilities of Health Institution • To increase fully immunised children from 46.4% (NFHS-3) to 65% by 2009 • Strategies : • Referral Transportation of sick neonates • Capacity building of service providers • Strengthening of Routine Immunization • Holding of Immunization week • Promote & improve IEC/BCC activities • Strengthening of facilities at Health institution

  12. REPRODUCTIVE & CHILD HEALTH - II cont.. Child Health Activities : • Referral transportation for sick sick children • Proposed to implement pre services IMNCI activities in 4 institutions • IMNCI training for 180 ANMs and for 20 MOs SBA training for 20 SN and 29 ANM • Ensure sufficient supply of ORS and zinc tablets & IFA for children in the school and distribution through AWW/ASHA • Home visit motivate the target groups Ensure additional 3 visits of low birth weight babies by ANM/ASHA/LHV

  13. REPRODUCTIVE & CHILD HEALTH - II • 4. FAMILY PLANNING • Objectives • To reduce unmet need – spacing methods from 12.4% (NFHS-3) to 10% and terminal method from 5% (NFHS-3) to 4 by 2009 • To increase CPR from 59.9%(NFHS-3) to 62% by 2009 • To increase male participation in Family Planning • Strategies : • Quality Assurance • IUD services in accredited private centre • Sterilization camp • BCC/IEC to Increase Male participation • Activities : • IEC/BCC activities with special focus on male participation and fixed day at Civil Hospital for male sterilization • Training for IUD insertion for 5 nos MO and 48 nos ANMs • Female Sterilization services on fixed day at 41 Health institution – 32 nos (24x7) PHC and 9 CHCsProvide female sterilization camp • Mobility support to Laparoscope/TT surgeon team • Empanel providers at private institution

  14. REPRODUCTIVE & CHILD HEALTH - II • 5. ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH (ARSH) • Goal : • To promote the health of reproductive age group • Objective : • IEC/BCC amongst Adolescent • To reduce adolescent marriage/pregnancy • Improve/Promote health facilities for adolescent • To decrease anaemia and Iodine deficiency • Strategies : • Promote effective IEC activities • Training for service providers • Reduce the prevalence of anaemia • Activities : • IEC/BCC activities • 3 days training for 50 nos. of MO, 5 days training for ANMs • One day Orientation training for 500 nos of ASHA and 45 VHSC • Appointment of Councilors

  15. REPRODUCTIVE & CHILD HEALTH - II • 6. HMIS/ME • Goal & Objective • To improve the quality of reports and monitoring at all levels • Strategies & Activities • Quarterly review meeting at State & District level and bi- monthly review meeting at PHC level • Timely submission of reports using prescribe formats • Regular feedback on monthly performance report • Field supervision from State & District Hqrs. • Appraisal and reward system develop • Procurement of Computers at State & District level

  16. REPRODUCTIVE & CHILD HEALTH - II • 7. BCC/IEC • Goal & Objective • To promote health seeking behavior at household level • Change & behaviour among service providers • Increase awareness of scheme and services • Utilization among the communities Activities : • Engagement of IEC/BCC consultant • Continuous Spot Advertisement • Erection of hoarding, printing of IEC materials, sponsorship, wall writing • Group meeting with NGO leaders

  17. REPRODUCTIVE & CHILD HEALTH - II RELEASED, EXPENDITURE AND PROPOSED BUDGET Deficit Budget of Rs. 28 lakhs. No separate Fund is released for JSY etc.

  18. BUDGET SUMMARY OF RCH – II 2008 -2009

  19. BUDGET SUMMARY OF RCH – II 2008 -2009

  20. ADDITIONALITIES Part ‘B’ of NRHM

  21. A S H A ACTIVITIES UNDER NRHM Achievement : 943 ASHA selected and in place Training completed for 943 ASHA upto Module IV Drug Kits yet to be provided Activity proposed for 2008-09 Target Selection and Training of 38 ASHA : 38 ASHA Periodic continuous training (Quarterly) : 12 days for 943 ASHA already in place Provision of Drug Kits to 943+38 = 981 ASHA : 981 ASHA Quarterly Review Meeting of ASHA mentoring group : 12 meetings ASHA Facilitator for every five Village @ Rs.2000/ pm : 170 Facilitator Quarterly performance base Award for ASHA : Awards at PHC level Apron and Identity Card for ASHA : 981 ASHA

  22. ACTIVITIES UNDER NRHM

  23. ACTIVITIES UNDER NRHM

  24. ACTIVITIES UNDER NRHM

  25. ACTIVITIES UNDER NRHM

  26. ACTIVITIES UNDER NRHM Total Mission Flexi Pool : Rs. 5096 lakhs Total Budget for Civil Works : Rs. 1528.1 lakhs (29.9%)

  27. ACTIVITIES UNDER NRHM PROCUREMENT PLAN Drugs • Drugs will be procured through TNMSC at the approved rate as follows - • Rs. 18135 for Sub Centre • Rs. 3 lakhs for PHC • Rs. 10 lakhs for CHC & SDH • Rs. 20 lakhs for District Hospital Equipments & Furniture : • Facility survey has been conducted and critical gaps identified • Equipments and furniture for 130 S/C already constructed will be done as per Facility Survey report and IPHS guidelines • Equipments and furniture for 32 (24x7) PHC will be undertaken as per Facility Survey Report and IPHS guidelines • Equipments and furniture for 9 CHC will be procured as per Facility Survey Report and IPHS guidelines

  28. ACTIVITIES UNDER NRHM ROGI KALYAN SAMITI (RKS) • Achievement : • RKS established and registered and provided seed money to - • 8 District Hospital • 1 Sub District Hospital • 9 CHC, 57 PHC

  29. ACTIVITIES UNDER NRHM HUMAN RESOURCE • Current Status • 230 2nd ANM • 10 AYUSH Doctor at District Hospital • 66 Accountants at CHC & PHC • 20 Medical Officer • 5 Specialist manpower at CHC • Proposal : • Continue engagement of the above manpower • Contractual engagement of 60 Staff Nurse at Sub Centre • Contractual engagement of 5 Specialized manpower at CHC • Budget : • Rs. 2.6 crores for Remuneration of the above manpower • Rs. 0.378 crore for Contractual engagement of 60 Staff Nurse for 9 months • Rs. 0.15 crore for Remuneration of 5 Specialized manpower for 12 months

  30. WORKSHOP & CAPACITY BUILDING ACTIVITIES UNDER NRHM

  31. ACTIVITIES UNDER NRHM MOBILE MEDICAL UNIT • Current Status : • Rs. 649 lakhs received for 9 Units in 2006-07 • Rs. 632.2 lakhs utilized • Unspend balance Rs. 16.8 lakhs • All MMU in operation Total budget required during 2008-09 : Rs. 134.4 lakhs

  32. ACTIVITIES UNDER NRHM RURAL POSTING INCENTIVE • 36 Areas identified as hard posting place • Incentives for hard area posting proposed as – • Rs. 2500/- per month for Staff Nurse • Rs. 3000/- per month for Medical Officer

  33. ACTIVITIES UNDER NRHM COMPUTERISATION OF PHC, DISTRICT & STATE Present situation - • Data entry done manually at all levels, compilation of data is very time consuming • PHC level data not available at State, S/C level data not available at District • Hence, computerization of PHC, District and State is proposed for better data compilation and analysis

  34. ACTIVITIES UNDER NRHM OTHER ACTIVITIES

  35. FINANCIAL STATUS STATEMENT

  36. BUDGET SUMMARY FOR NRHM MIZORAM 2008-09

  37. Staff Quarter at PHC

  38. Staff Quarter at CHC

  39. IPD at CHC

  40. Delivery Table at CHC

  41. Thank You

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