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  1. fnukad 23 o 24 es 2014 jkT;Lrjh; fu;kstulHkkEkk-iz/kkulfpo] lkoZ- vkjksX; foHkkx]ea_kky;]eqacbZ-;kaps v/;{krs[kkyhek- vfHk;kulapkyd],u,p,e oek- lapkydvkjksX; lsoklapkyuky; eqacbZ;kapsmifLFkrhrlknjhdj.k Jh- lrh'kyks[kaMs eq[; dk;Zdkjhvf/kdkjh MkW- ih-,l-iokj milapkydvkjksX; lsok MkW- jkepanzgadkjs ftYgkvkjksX; vf/kdkjh

  2. ek- MkW- iz'kkarukjuojs] rRdkyhueqq[; dk;Zdkjhvf/kdkjh] ftYgkifj"kn] lkaxyh;kaP;kladYiusrqu

  3. Innovative Schemes to Improve the Reproductive Health Indicators' with special reference to RCH services in Sangli District

  4. ukfoU;iw.kZ;kstuk 1- Matrutava Sanvardhan Din

  5. AIM To increase efficiency and utilization rate of Maternal and Child health services to improve the overall health status of mother and child as well as strengthening of the public health institutions.

  6. OBJECTIVES • To increase institutional delivery in government hospital • Promotion of safe motherhood and child survival. • To increase the utilization rate of Maternal and Child health services. • To improve the overall quality of the health institutions .

  7. Innovative Programs: 1. MATRUTAVA SANVARDHAN DIN 2. EMPLOYEE CARD SYSTEM 3. SPECIFIC JOB CHART ALLOCATION 4. PHC RANKING SYSTEM

  8. 1.MATRUTAVA SANVARDHAN DIN An initiative to attract the pregnant women towards PHC and promote various group activities with a view to increase the utilizationof the maternal and child care services

  9. Here, all the pregnant women were gathered and an assessment of their health status, preparation for a safe delivery, familiarity about the pregnancy, diet and hygiene counseling is also done so as to motivate and boost their confidence levels. • The assessment of the pregnant women is already being carried out at the primary health centers and sub centers. • These activities are better organized with the help of the ‘Maternal Health Day’.

  10. OBJECTIVES OF MATRUTAVA SANVARDHAN DIN 1) To promote, protect and maintain the health of the mother 2) To sensitize the family planning needs. 3) To sensitize on importance of breastfeeding and immunization 4) Early detection of high risk pregnancies and prompt medical intervention

  11. OBJECTIVES OF MATRUTAVA SANVARDHAN DIN 5) Counseling on diet, personal hygiene, danger signs of pregnancy. 6) Provision to make at least four ANC checkups. 7) Provision of a Gynecologist for high risk pregnancies

  12. COMPONENTS OF PROGRAM • Maternal health day should be arranged at the Primary health center. • A gynecologist is made available for the high-risk mothers. • A lecture/seminar is arranged on this day, for that will aid for awareness of the pregnant mothers regarding diet, counseling, “garb sanskar” etc. • All the women should be given their health cards (with basic information such as name, village, address etc.) • We can make the pregnant mothers listen to feedback of one of the satisfied beneficiaries.

  13. Video clips, slide show etc. • Short movies like ShyamchiAai,Breast crawl etc. • Cultural activities- Haldi-kumkum • Counseling - diet & health • Child care and personal hygiene • Organize cultural and traditional activities

  14. ekr=Ro lao/kZulksgGk

  15. ADMINISTRATIVE INTERVENTION

  16. 2. EMPLOYEE CARD SYSTEM • To improve the quality of services and • For effective implementation of various programs and schemes • To motivate the employees viz. MOs, ANMs, ASHAs • Performance based evaluation. • Card issued by Head of department to the employee.

  17. CARD RANKING SYSTEM • GREEN CARD- • Excellent/ outstanding performance • 2. YELLOW CARD- • Average performance. • 3. RED CARD- • Poor or below average performance • 4. BLACK CARD- • Zero performance ,unsatisfactory work,3or more show cause notices

  18. ACTIVITIES AFTER ISSUEING CARD GREEN CARD- Appreciation letter/Certificate YELLOW CARD- Warning and /or show cause notice RED CARD- Show cause notice and Strict action BLACK CARD- Show cause notice and strict action with departmental inquiry

  19. 3. JOB CHART • Specific job responsibilities assigned to achieve the targets • within span of time • Job assigned as per the qualifications and job responsibilities • of employee.

  20. 4. PHC RANKING SYSTEM Technical indicator Physical / Financial indicator

  21. EVALUATION OF PRIMARY HEALTH CARE SYSTEM • 100 marks evaluation based on – • Technical targets given to PHC and its achievements • Various components of health care services • Monthly and progressive report • .

  22. PHC RANKING – PHYSICAL /FININCIAL CRITERIA

  23. PHC RANKING – PHYSICAL /FININCIAL CRITERIA

  24. PHC RANKING – PHYSICAL /FININCIAL CRITERIA

  25. Health Outcomes…

  26. Vital Indicators of Sangli District

  27. YEAR WISE DISTRIBUTION OF DELIVERIES

  28. YEAR WISE DISTRIBUTION OF DELIVERIES IN PRIVATE AND GOVERNMENT INSTITUTION

  29. YEAR WISE DISTRIBUTION OF DELIVERY POINTS

  30. YEAR WISE DISTRIBUTION OF OPD AND IPD IN PHC 697901 2013-2014

  31. CARD WISE DISTRIBUTION OF PHCS BASED ON TECHNICAL CRITERIA 2013-14

  32. CARD WISE DISTRIBUTION OF PHCS BASED ON PHYSICAL/FINANCIAL CRITERIA

  33. CARD WISE DISTRIBUTION OF ANMS

  34. These Innovative Schemes introduced at the Sangli District showed a major improvement in the reproductive health indicators. • This improvement was achieved without any additional resources , but by merely administrative interventions. • This model concept was presented by DHO, Sangli district at the PUNE PUBLIC HEALTH CONFERENCE (PPHC)-2014 held at Yashada, hosted by School of Health Sciences, Pune University and in Collaboration with IPHA and IAPSM. • It was highly appreciated and a scientific publication for the same is under the process.

  35. ukfoU;iw.kZ ;kstuk Green ECO Healthy ek-lfr'kyks[kaMs eqq[; dk;Zdkjhvf/kdkjh] ftYgkifj"kn] lkaxyh Green ,clean & ECO Health Institutes

  36. Green ,clean & ECO Health Institutes

  37. 5-egkRek xka/khjk"V!h; xzkeh.kjkstxkjgeh ;kstuk o={k ykxoM o o={k lao/kZudj.ks- • egkRekxka/khjk"V!h; xzkeh.kjkstxkjgeh ;kstukvarxZr o={k • ykxoMdk;Zdzeke/;s jksioukpslaxksiu] • ns[kHkkyo laj{k.kvarxZreksfge • ftYg;krhy 14 xzkeh.k$miftYgkjQX.kky;s] • 59 izk-vk-dsanzs o 320 midsanzkapklekos'k • izR;sdlaLFkse/;s 200 o={k ykxoM o laxksiu • jksioukpslaxksiu] ns[kHkky o laj{k.kkdjhrkdqVwackpsxVfuoMdjQuR;kapsdMwulao/kZu o laxksiudj.ks- Green ,clean & ECO Health Institutes

  38. 6-LoPN lqanjvkjksX; laLFkk 1- vkjksX; laLFkkapsizos'kOnkjrsijlnkjki;Zarphfu;fervakrjckg; LoPNrkdj.ks- 2- vkjksX; laLFkkae/khyokij.;kl ;ksX; ulysyslkghR; (mnk- dkWV] xk|k] csMf'kVl] pknjh b-) psfuysZ[kudj.ks- 3- vkjksX; laLFkkae/;s liQkbZ o /kqykbZlsok jkcfo.ks- xjtsuqlkjda_kkVhrRokojliQkbZ o /kqykbZlsokmiyC/k dj.ks- Green ,clean & ECO Health Institutes

  39. 6-LoPN lqanjvkjksX; laLFkk 4- izkIrvuqnkukrwuvkjksX; laLFkkae/;s ufoudkWVxk|k] csMf'kVlpknjh b- miyC/k dj.ks- 5-vkjksX; laLFkkfuVusVD;k] LoPN o vkd"kZdjkgrhyv'kkBso.ks- 6- ,u-vkj-,p-,e-dMhy mi vfHk;ark o dfu"BvfHk;ark ;kauhloZvkjksX; laLFkkaukHksVhnsowulkrfnolkrfdjdksG o eksB;kLojQikP;knqjQLrhaph (nqjQLrh]fo|qrfo"k;ddkes) oxZokjhdj.ks- Green ,clean & ECO Health Institutes

  40. 6-LoPN lqanjvkjksX; laLFkk 7- fdjdksGLojQikP;knqjQLrhizk-vk-dsanzLrjkoj o eksB;kLojQikP;knqjQLrh 'kklu] ,u-vkj-,p-,e-]ftYgkfu;kstulferh b- fu/khrwudj.ks- Green ,clean & ECO Health Institutes

  41. 7-ukfoU;iw.kZ ;kstuk i;kZoj.klarqyhr le=/n xzke ;kstuk izk-vk-dsanz o midsanzkrlkSjmtsZpkokij Green ,clean & ECO Health Institutes

  42. 7-i;kZoj.k larqyhr le=/n xzke ;kstuk • izR;sdvkjksX; laLFkse/;s lkSjmtsZpkokijdj.ks- • i;kZoj.klarqyhr le=/n xzke • ;kstusvarxZrlu 14&15 e/;s • ftYg;krhy 333 xzkeiapk;rh • ik_kBjysY;kvkgsr- Green ,clean & ECO Health Institutes

  43. 7-i;kZoj.k larqyhr le=/n xzke ;kstuk • eqyHkwrlks;hlqfo/kk o HkkaMoyh xqaro.kqd varxZrizk-vk-dsanz • o midsanzke/;s lkSjmtkZmidj.ksclfo.ks ;kstusvarxZr 12 • vkjksX; laLFkse/;s midj.ksclfoyhvkgsr- • i;kZoj.klao/kZuklenrgksowufotfcykr • 50 VDdsdikr>kkyhvkgs- • v[kaMhrfo|qriqjoBk >kkysusf'krlk[kGh • [kaMhr >kkyhukgh- moZjhrvkjksX; • laLFkse/;s lkSjmtkZmidj.ks clfo.ksr ;s.kkj- Green ,clean & ECO Health Institutes

  44. 8-CORPORATE SOCIAL RESPONSIBILITY (CSR) Scheme 1- LkkaxyhftYg;ke/;s cWadvkWiQbaMh;k ;k yhMcWdsP;kleUo;kus o ek- ftYgkf/kdkjh o ek- eq[; dk;Zdkjhvf/kdkjh ;kaP;kekxZn'kZukuqlkj o R;kaPksla;qDrLok{kjhus ftYg;krhyloZcWadkuk ys[khvkns'khrdjQulferh fu;kstukphlHkk 15 esjksth vk;ksthrdsyhgksrhs- Green ,clean & ECO Health Institutes

  45. 8-CORPORATE SOCIAL RESPONSIBILITY (CSR) Scheme 2- cWadsP;kusVizkiQhV e/khy 1 rs 2 VDdsjdesrquvk;yWaaM] ckx cxhpk] fBcdflapu] ygkueqykaukeuksjatukphlk/k.ks] brj lkoZtfudmidzedj.ksIndustry Act Publicationuqlkj statutaryvkgs- 3- mijksDr ;kstusekiQZRkvkjksX; laLFkkapslq'kksHkhdj.k gks.ksl enr gks.kkj vkgs- Green ,clean & ECO Health Institutes

  46. CORPORATE SOCIAL RESPONSIBILITY (CSR) Scheme Green ,clean & ECO Health Institutes

  47. Green ,clean & ECO Health Institutes

  48. 9-jktekrk fttkmQ y[kirhdU;kdY;k.k ;kstuk mn@h"V %& 1-eqyhaph ?kVrh la[;k fyaxxq.kksRrjizek.kkckcrtutkx=rhdj.ks- 2-dk;Z{ks_kkrhylkljok'khaueqyhaP;ktUekpsLokxr 21 o"kZeqnrhpscprizek.ki_knsowudj.ks- 3-eqyhyk yksdoxZ.khrwuvkfFkZdlaj{k.kns.ks- Green ,clean & ECO Health Institutes

  49. 10-jktekrk fttkmQ y[kirhdU;kdY;k.k ;kstuk • ykHkkFkhZ • dk;Z{k_kkrhy o dk;Z{ks_kkckgsjhytUe >kkysY;kloZeqyh-(lnjpkykHkkFkhZekgsjoklhuulkok) • cprizek.ki_kkP;kvVh • eqyhpktUedk;Z{ks_kkrhyvlkok- • 21 o"kZeqnrhpscprizek.ki_k- • cprizek.ki_kjk"V!h;d=r cWadspsvlkos- Green ,clean & ECO Health Institutes