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NATIONAL RURAL HEALTH MISSION JHARKHAND

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NATIONAL RURAL HEALTH MISSION JHARKHAND

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    2.

    3. Key Health Indicators

    4.

    5. Health Share in State Budget

    6. Percentage of Health Share in State Budget

    7. 1. MATERNAL HEALTH Mukhya Mantri Janani Shishu Swashthya Abhiyan (JSY) (Goal is to bring MMR to 100/100000 live birth by 2012 from the present 371) Target groups are 17% of total population are eligible couple and 3% of them are expected to be pregnant at any given time.) Scheme to improve IMR & MMR. Indicator by encouraging institutional delivery and child immunisation Voucher based scheme. Enrollment of confirmed pregnant women Registration 100 + ANC 400 (900 for institutional delivery) 500 (for home delivery) Rs. 600 for SAHIYYA packages) Encourage institutional delivery and child immunization. Being run by collaboration with 141 private sector facility also. 2 MOU with DVC and KGVK to be signed in addition. 24x7 services to be ensured in all PHCs with 3 doctors, 3 staff nurses skilled for delivery and transport services and New born care Upgrading all sadar and sub-divisional hospitals to the level of FRUs – with 7 specialists, blood storage facilities, caesarian delivery facility and anaesthesia

    9. MMJSSA (Mukhya Mantri Janani Shishu Swasthya Abhiyan) Constraints Start from July 06 Registration is high but institutional delivery is low Lack of adequate awareness about the programme among the potential beneficiaries

    11. 2. Child Health Goal: To bring IMR to 30 / 1000 live births by 2012 from the present 50 IMNCI Training (Integrated Management of Neo – Natal & Child Illness) – 2 Districts (Ranchi, E. Singhbhum) 3763 persons has been trained. IMNCI TOT Training (for Doctors & Staff Nurses) - 4 Districts (Bokaro, Lohardaga, Hazariabagh, Saraikela-kharsawa) 24 persons has been trained as IMNCI TOT

    13. 3. Family Planning Goal: To reduce TFR to 2.1 by 2012 from the present 3.1 in Jharkhand Target in 06 – 07 1.5 lakhs parmanent method + Tubectomy 94934 / NSV 6461 Achievement – 1.01 lakh

    19. NRHM Additionalities

    20. Challenges : Infrastructure Gaps

    21. The qualitative View Out of 3958 HSCs; only 1732 have their own structures. Out of 330 Additional PHCs only 117 have their own miniscule structure At block headquarters – 194 PHC structures 32 referral hospitals None of the facilities are as per IPHS

    22. Infrastructure Planning

    24. [2] Community ownership– Sahiyya Movement Village health committees (VHCs) formed through community empowerment: Through NGOs VHC chooses one (can choose more than one also if deems fit) woman to provided training in public health issues. Sahiya is trained and supported by the network NGO in all community and health related aspects. Health department and State Resource Center provides technical support. Sahiya works for the VHC and VHC can pay for services. Sahiya acts as a bridge between Line department and Community and convergence of programs

    25. ASHA is our SAHIYYA Total SAHIYYA to be selected : 50000 2005 – 06 1282 2006 – 07 13043 2007 – 08 22334 Total Selected : 36659 ASHA trained – 1st Module : 25000 (2096 in 06 – 07 rest in 07 – 08) ASHA trained – 2nd Module : On - going Tot for 1st & 2nd Module (State Level) : Completed BTT trained : 3392 No. of VHCs : 27022 Village Covered : 26702 Sahiyya identification by Badge, Bags, Cap, Patta : 36659 ready Sahiyya Kits Procurement : Under Process Expenditure: 2005 – 06 – 69.72 lakhs 2006 – 07 – 87.15 lakhs 2007 – 08 – 224.37 lakhs

    27. [ 3 ] Strengthening of Health Institutions Untied Fund CHCs @25000: 194 fund disbursed to district 97.00 lacs HSCs @10000: 3820 fund disbursed to district 1140 lacs Grant to HMS (RKS) District Hospital : 22 @ 5 lacs S. District Hospital : 6 @ 2 lacs CHCs : 187 @ 1 lacs PHCs : 231 @ 0.5 lacs Fund disbursed 443 lacs Annual Maintenance grant for PHCs @ Rs. 50000 each Fund disbursed 194 lacs

    33. National Disease Control Programme Blindness Control Programme National Vector Borne Disease Revised National Tuberculosis Programme Leprosy Eradication Programme

    52. Thanks

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