health delivery system
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GLOBAL AND NATIONAL COMMITMENTS AND EXISTING HEALTH CARE DELIVERY SYSTEM IN INDIA
HLFPPT
Millennium Development Goals
1. Eradicate extreme poverty and hunger.2. Achieve universal primary education.3. Promote gender equality and empower
women.4. Reduce child mortality.5. Improve maternal health.6. Combat HIV/ AIDS, malaria and other
diseases.7. Ensure environmental sustainability and8. Develop a global partnership for development
National Rural Health Mission 2005-2012
Reduce the infant mortality rate (IMR) and the maternal mortality ratio (MMR)
To have universal access to public health services Prevent and control both communicable and non-
communicable diseases, including locally endemic diseases To have access to integrated comprehensive primary
healthcare Create population stabilization, as well as gender and
demographic balance Revitalize local health traditions and mainstream AYUSH Finally, to promote healthy life styles
NRHM
ASHA 1 per 1000 Performance based incentive VHND once a month – organised by
ASHA with AWW
Three tier system Level Type of Facility Population
Primary Level: Sub-Centre (SC)- ANM, MPW
Primary Health Centre (PHC) – MO
3,000-5,000 20,000-30,000
Secondary Level: Community Health Centre (CHC)/ Block level Primary Health Centre (BPHC)
District Hospital (DH)
80,000-1,20,000Or entire district
Tertiary Level (specialized system)
Specialist Hospitals Regional/ Central
Institutes /Teaching Hospitals
ICDS
Anganwadi centres 1 Anganwadi worker per 1000 population Children upto six years, pregnant and
lactating women Supplementary nutrition, growth
monitoring, health education
Delhi State Health Schemes
MAMTA
Scheme which aims at universalizing Institutional deliveries
partnership with willing and eligible Pvt Nursing Homes.
Under the scheme for every delivery conducted in the Nursing home , a fixed package ( 4000/-) from the office of the CDMO .
The scheme is being implemented at the district level through the District Health Society .
MOU is signed between the IDHS and the Nursing homes .
Monitoring and payments to be made from DPMU under supervision of the CDMO. Funds / Guidelines / norms flow from the State Health Society to the IDHSs .
MAMTA
The scheme is for women more than 19 years , belonging to BPL/ SC/ST and for first two living children.
BPL Ration Card / SC / ST certificate or Income proof (< 24,200 /- per year).Residence proof.
Janani Suraksha Yojana
A GOI scheme under RCH ( Delhi State Health Mission) scheme
provides financial assistance to the pregnant women of BPL / SC /ST category for helping with the postnatal expenses . (700/- for rural and 600/- for urban areas.)
Being implemented in all major hospitals of the State.
RCH is the nodal person for the implementation. Funds distributed to Districts and from there to
the hospitals.
Janani Suraksha Yojana
BPL / SC / ST >19 yrs. For first two living children
BPL Ration card / SC / ST Certificate or a certificate of income less than 24,200/- per year by the area councillor/ corporator.
INTEGRATED CHILD DEVELOPMENT SERVICE
(ICDS) SCHEME
Launched on 2nd October, 1975 (5th Five year Plan) in pursuance of the National Policy
For Children started in 33 experimental blocks Success of the scheme led to its expansion to 2996
projects by the end of March 1994. Now the goal is universalization of ICDS throughout
the country.
Beneficiaries
1. Children below 6 years
2. Pregnant and lactating women
3. Women in the age group of 15-44 years
4. Adolescent girls in selected blocks
Package of services provided by ICDS
1. Supplementary nutrition, Vitamin-A, Iron and Folic Acid,
2. Immunization
3. Health check-ups
4. Referral services
5. Treatment of minor illnesses
6. Nutrition and health education to women
7. Pre-school education of children in the age group of 3-6 years, and
8. Convergence of other supportive services like water supply, sanitation, etc.
RSBY
For BPL families Hospitalization coverage of upto Rs 30,000 Pre-existing conditions are covered and no age limit Beneficiaries are needed to pay Rs. 30 as registration fees Government pays the premium upto Rs. 750 per family Cashless and paperless transaction 75% by central government and rest 25% by state
government Free OPD consultation Free food Transportation allowance of Rs 100 at the time of discharge Medicines for 5 days post hospitalization
Ladli scheme
Girls born after 2008 Girls entering class 1, 6, 9, passing 10th
and entering 12th
Annual family income less than 1 lac Limited till 2 girls Within 1 year of birth and 90 days of
school admission Rs 35000 deposited in installments, which
increases to 1 lac till 18 years of age
Kishori Shakti Yojana
• Key component of ICDS scheme which aims at empowerment of adolescent girls.
• Adolescent girls who are unmarried and belong to families below the poverty line and school drop-outs are attached to the local Anganwadi Centres for six-months of learning and training activities
Kishori Shakti Yojana
The objectives of the Scheme are as follows: - improve the nutritional and health status of girls in the
age group of 11-18 years Non-formal education Home-based and vocational skills Awareness of health, hygiene, nutrition and family welfare,
home management and child care, and to take all measure as to facilitate their marrying only after attaining the age of 18 years
IFA supplementation and deworming Life education courses Legal literacy Supplementary nutrition ion some blocks
Rajiv Gandhi Scheme for Empowerment of Adolescent Girls: SABLA
Ministry of Women & Child DevelopmentGovernment of India
THE SCHEME : SABLA
Nature of Scheme : Centrally Sponsored
Target Group : 11-18 years Adolescent Girls(AGs)
Major Components : Nutrition Non nutrition services for empowerment of AGs
For nutrition : 11-14 out of school, 15-18 all girls For non nutrition : Focus on out of school girls
SABLA : OBJECTIVES
• Improve their nutrition and health status.
• Upgrade their life skills, home-based skills and vocational skills
• Promote awareness about health, hygiene, nutrition, Adolescent Reproductive and Sexual Health (ARSH) and family and child care.
• Preparing for availing of Public Services such as Health Services, Post Office, Bank, Police Station, Government offices, etc.
• Mainstream out of school AGs into formal/non formal education
• To enable the AGs for self development and empowerment
SABLA: Services
•Nutrition Provision (600 calories and 18-20 gram of protein)•IFA supplementation •Nutrition & Health Education •Counseling/Guidance on family welfare, ARSH*, child care practices and home management •Life Skill Education and accessing public services (also includes efforts to mainstream into formal/non formal education •Vocational training (for girls aged 16 and above) using existing infrastructure of other Ministries /Departments:NSDP