GOVERNMENT PROGRAMME FOR WOMEN S HEALTH IN INDIA

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1 GOVERNMENT PROGRAMME FOR WOMEN S HEALTH IN INDIA SDPP BSOG CME 2017 Presented by: Dr. Rashmi N, BMCRI July 7,

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3 NATIONAL HEALTH MISSION MAJOR MILE STONES 1992-child survival and safe motherhood program RCH I RCH II National Rural Health Mission 2013-RMNCH + A Strategy 2014-India New born Action Plan

4 GOALS 1 Reduce MMR to 1 in Reduce IMR to 25 / Reduce TFR to Prevention and reduction of anaemia in age 15 to 19 years to 28 % 5 Prevention and reduction of mortality and morbidity from communicable and non-communicable diseases and injuries

5 Under NHM initiatives taken to reduce MMR are Promotion of institutional deliveries through Janani Suraksha Yojana Capacity building of health care providers in basic and comprehensive obstetric care Operationalisation of subcentres, phcs, chcs and district hospitals for providing 24 *7basic comprehensive obstetric care services Main web based tracking of pregnant women to ensure antenatal, intranatal and postnatal care.

6 Recent new initiatives: Rashtriya Bal Swasthya Karyakram Rastriya Kishore Swasthya Karyakram Weekly Iron and Folic acid Supplimentation Program

7 ANC, INC and PNC including iron and folic acid supplementation to pregnant and lactating mother Health and nutrition education to promote dietary diversification and to include iron and folic rich food Janani suraksha shishu karyakram to provide absolutely free services for delivery including caesarean sections, lab facilities, food,transport from home to institution and drop back home 184 high priority districts have been prioritized under RMNCH +A to improve MCH.

8 Universal immunization programme Mother and child tracking system Bala Svastya karyakram

9 Various international agencies like WHO,UNICEF, UNFPA,WORLD BANK and other foreign agencies like DANIDA, SIDA, NORAD, USAID have been providing technical and material assistance in the implementation of these programs.

10 NRHM April 5 th Improve rural health care delivery system 18 states Bihar,Jharkand,madhyapradesh,Chattisgarh Uttarpradesh,Uttaranchal,Orissa Rajasthan, Assam,Arunachal pradesh,manipur,meghalaya,mizoram,nagaland,sikkim and Tripura,Himachal pradesh,jammu and Kashmir.

11 NRHM

12 NRHM AIM To provide accessible, affordable, accountable, effective and reliable primary health care and bridging gap in rural health care through creation of Accredited Social Health Activist (ASHA) Promotion of healthy lifestyle Main stream AYUSH Reduction in IMR,MMR Access to public health services Goals of NRHM Prevention & Control of communicable & NCDs Population stabilization Integrated comprehensive Primary healthcare

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15 NUHM

16 REPRODUCTIVE AND CHILD HEALTH

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22 DRUGS AND EQUIPMENT KITS At sub-centre level Drug kit A Drug kit B Mid - wifery kit Sub-centre equipment kit

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24 EQUIPMENT KIT At PHC level PHC equipment kit Normal delivery kit Equipment for assisted vaccum delivery Equipment for assisted forceps delivery Standard surgical set for minor procedures(episiotomy stitching etc) Equipment for manual aspiration Equipment for newborn care and neonatal resuscitation IUCD insertion kit Equipment and reagents for essential laboratory services

25 EQUIPMENT KITS At CHC level-equipment kits from kit E to kit P

26 RCH SERVICES Essential new born care Oral hydration therapy ( ) Prevention and control of vitamin A deficiency in children

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28 FUNCTIONAL FRU 24hr delivery services Emergency obstetric care caesarian section Newborn care Family planning services Safe abortion services Treatment of STI /RTI Blood storage facility Essential lab services Referral services

29 FIRST REFERRAL UNIT THERE ARE THREE CRUCIAL DETERMINANTS OF FACILITY FOR FRU Availability of surgical interventions Newborn care Blood storage facilities for 24 hrs

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42 STATE HEALTH PROGRAMMES HEALTH PROGRAMS UNDER STATE GOVT FOR WOMEN ARE: PRASUTHI ARAIKE: PREGNANT WOMEN GET MONETARY BENEFIT OF 1000RS TO AVAIL NUTRITIOUS DIET PNC: 400 RS in urban areas 300 Rs in rural areas THAYI BHAGAYA: Free delivery benefits available in seven backward districts in both government and government aided private institutions for bpl card holders

43 STATE HEALTH PROGRAMMES THAYI BHAGYA PLUS: 1000 Rs monetary benefit given to pregnants who delivers in private aided hospitals MADILU KIT: Women get bed sheets, sanitary pads, sweaters, soap box etc post delivery in government hospitals for bpl card holders

44 MADILU KIT

45 MATERNAL MORTALITY RATIO(MMR) per live births

46 REFERENCES 1. TEXTBOOK PREVENTIVE AND SOCIAL MEDICINE K.PARK -23 rd EDITION 2. TEXT BOOK OF NATIONAL HEALTH PROGRAM OF INDIA J.KIHORE 11 th EDITION 3. Agarwal S et al., Need for dedicated focus on urban health within National Rural Health Mission. Ind. J Public Health 2005; 49(3) Govt. of India National Rural Health mission( ). Ministry of Health and Family Welfare Govt. of India. 5. Govt. of India. Accredited Social Health Activist (ASHA) guidelines. Ministry of Health and Family Welfare Govt. of India. 6. WHO. Opportunities of Global health initiatives with health system action agenda. Geneva( WHO )