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