Ministry of Health and Family Welfare Government of India. Concurrent Evaluation of National Rural Health Mission. Karnataka

Size: px
Start display at page:

Download "Ministry of Health and Family Welfare Government of India. Concurrent Evaluation of National Rural Health Mission. Karnataka"

Transcription

1 Ministry of Health and Family Welfare Government of India Concurrent Evaluation of National Rural Health Mission 2009 Karnataka INTERTIOL INSTITUTE FOR POPULATION SCIENCES (Deemed University) MUMBAI - 88

2 INTERTIOL INSTITUTE FOR POPULATION SCIENCES Vision: "To position IIPS as a premier teaching and research institution in population sciences responsive to emerging national and global needs based on values of inclusion, sensitivity and rights protection." Mission: "The institute will strive to be a centre of excellence on population, health and development issues through high quality education, teaching and research. This will be achieved by (a) creating competent professionals, (b) generation and dissemination scientific knowledge and evidence, (c) collaboration and exchange of knowledge, and (d) advocacy and awareness."

3 Ministry of Health and Family Welfare Government of India Concurrent Evaluation of National Rural Health Mission 2009 Karnataka INTERTIOL INSTITUTE FOR POPULATION SCIENCES (Deemed University) MUMBAI 88 JUNE, 2011

4 Suggested citation: International Institute for Population Sciences (IIPS), Concurrent Evaluation of National Rural Health Mission (NRHM), Karnataka, 2009: Mumbai: IIPS. For additional information. please feel free to contact: Director/Project Coordinator (CE-NRHM) International Institute for Population Sciences Govandi Station Road, Deonar Mumbai (India) Telephone: /5, , Fax: , Website: Additional Director General (Stat.) Ministry of Health and Family Welfare Government of India Nirman Bhawan, New Delhi Telephone: Fax: Chief Director (Stat.) Ministry of Health and Family Welfare Government of India Nirman Bhawan, New Delhi Telephone: Fax: Website:

5 CONTRIBUTORS Manoj Alagarajan Johnson Thangaraj Diana Picardo

6 IMPORTANT INSTRUCTIONS TO READERS This report is based on a sample of selected districts from Karnataka. A combined figure for Karnataka is simply the unweighted average of the information obtained from selected districts. As such, the combined figures may not be representative of the state but provide situation of selected districts only. Readers are advised to take note if comparing with other survey results for the state of Karnataka. It is also very important to keep in mind that the information collected to compute various indicators refer to different time periods. For examples, information related to any birth occurred after January 1, 2006 was collected. However, the information on place of delivery, delivery assisted by health personnel, and JSY beneficiaries were collected only for the last birth that occurred after January1, The indicators presented in the report are expressed in terms of numbers, averages or percentages. The details of the selection of districts, sampling of health facilities and households are available in this reports. The survey instruments used to collect information are also enclosed in a CD along with this report.

7 CONTENTS List of Tables Abbreviations Acknowledgement Executive Summary Page ix xiv xvi xviii CHAPTER 1: INTRODUCTION 1.1 Objectives of NRHM Concurrent Evaluation of NRHM Survey design and methodology Survey instruments Recruitment, training and fieldwork Data processing, validation and quality assurance Chapter scheme. 7 CHAPTER 2: HOUSEHOLD RESPONSE TO NRHM: KNOWLEDGE, PRACTICE AND HEALTH SEEKING BEHAVIOUR 2.1 Household characteristics Water, sanitation and waste disposal Awareness of NRHM activities Health seeking behavior 10 CHAPTER 3: WOMEN'S RESPONSE TO NRHM 3.1 Profile of the eligible women Utilization of maternal and child health services Birth weight of the child Place of delivery Antenatal, natal and postnatal care received by the women for the most recent birth Immunization among Children Breastfeeding practices Awareness of women about hygiene and health related matters Awareness of family planning Knowledge about HIV/AIDS Awareness of ICTC and PPTCT centers Awareness of ASHA and services received Awareness of women about VHSCs Awareness of women about VHNDs Awareness of women About NPT kit v

8 CHAPTER 4: JANI SURAKSHA YOJA (JSY) 4.1 Woman's awareness and source of awareness of the JSY scheme Caste profile of the JSY beneficiaries Motivator for registering under JSY scheme Place of registration Health workers registered under JSY scheme Timing of registration under JSY scheme Availability of JSY Card Problems faced in the registration Advice received from the ASHA/ANM/HW during Pregnancy/Antenatal Period Place of delivery Profile of the institutional deliveries under JSY Motivation for institutional delivery Types of help received by the beneficiaries for institutional delivery Mode of payment for JSY money Timing of receipt of JSY money Difficulty faced in getting the Incentive money Purpose for which incentive money used.. 69 CHAPTER 5: COMMUNITISATION OF SERVICES 5.1: Rogi Kalyan Samiti (RKS) Rogi Kalyan Samities in the CHCs has been registered and notified Fund generation and utilisation by Rogi Kalyan Samiti in CHCs and PHCs Awareness and utilisation of untied fund at Health Sub- Centre Knowledge on Rogi Kalyan Samiti by households : Role of Accredited Social Health Activist (ASHA) Profile of ASHA Training undergone by ASHA ASHA's Awareness about breastfeeding, Diarrhoea, Acute Respiratory Infections, and Major Features of NRHM Medical Items/Kits Available with ASHA and whether those Items/Kits were Used by ASHA Activities performed by ASHA Incentives received, difficulties faced, and support required to effectively Implement NRHM. 99 vi

9 5.3: Gram Panchayat (GP) Profile of Gram Panchayats and Distance from the Health Facility Establishment of Village Health and Sanitation Committee and Preparation of Village Health Plan Problems faced by Village Health and Sanitation Committees and Diseases Prevalent in the Villages Problems and support required in implementation of NRHM 114 CHAPTER 6: HEALTH SUB- CENTRES (HSCs) AND FUNCTIONING OF ANMs A. State of the health-sub centres 6.1 Characteristics of the Health Sub-Centres Infrastructure and amenities Ante Natal Care (ANC) services and immunization Delivery and other related facilities Registers availability and modes of maintenance B. Characteristics and skill-building of ANMS 6.6 Background Characteristics of the ANMs. 126 C. Performance of ANMS at the facility and in the community 6.7 Untied Funds and Implementation of Programmes Awareness about Important Activities under NRHM Ante Natal Care (ANC) and Post Natal Care Services, including Immunization ANC Services Deliveries and Immunizations/Supplements Administered Women's health: high-risk pregnancies, Diseases/Illness managed ANMs' interaction with other health functionaries CHAPTER 7: PHYSICAL INFRASTRUCTURE AND HUMAN RESOURCES CHAPTER 7.1: DISTRICT HOSPITAL Physical infrastructure at surveyed District Hospitals Human resources in surveyed District Hospitals Training of human resources in surveyed District Hospitals Average monthly service outcome at surveyed District Hospitals Maintenance of records and Health Management Information System in surveyed District Hospitals vii

10 CHAPTER 7.2: COMMUNITY HEALTH CENTRE Population served and accessibility to the Community Health Centres by public transport Physical infrastructure at surveyed Community Health Centres Human resources in surveyed Community Health Centres Human resources training in Community Health Centres Service outcome at Community Health Centres Maintenance of hospital records and Health Management Information System at Community Health Centres CHAPTER 7.3: PRIMARY HEALTH CENTRE Population served and accessibility to the Primary Health Centres by public transport Physical infrastructure at surveyed Primary Health Centres Human resources in surveyed Primary Health Centres Human resources training in Primary Health Centres Service outcome at Primary Health Centres Maintenance of hospital records and Health Management Information System at Primary Health Centres. 167 CHAPTER 8: CLIENTS' RESPONSE TO NRHM 8.1 Response of In-Patients Response of Out-patients Appendix A Nodal Agency staff involved in Concurrent Evaluation of NRHM 191 Appendix B Technical advisory committee for Concurrent Evaluation of NRHM viii

11 LIST OF TABLES AND FIGURES Table 2.1 Percent distribution of households by selected characteristics.. 13 Table 2.2 Percent distribution of households by household amenities and assets.. 14 Table 2.3 Percent distribution of households according to household sanitation practices and waste disposal.. 16 Table 2.4 Percent distribution of household respondent according to their knowledge about health personnel 17 Table 2.5 Percentage of households aware about various NRHM activities.. 18 Table 2.6 Percentage of households reported being aware about ASHA by background characteristics. 19 Table 2.7 Percentage of households reported being aware about JSY by background characteristics. 20 Table 2.8 Percentage of households according to knowledge of selected diseases 21 Table 2.9 Percentage of households according to use of different type of medicines 22 Table 2.10 Percentage of households by facilitated in blindness control program.. 24 Table 2.11 Percentage of households using mosquito net and practices for malaria prevention for pregnant woman.. 25 Table 2.12 Percentage of households reporting any member suffered or currently suffering from tuberculosis and treatment taken 27 Table 2.13 Percent distribution of households reported any member suffered or currently suffering from leprosy and treatment taken 28 Table 3.1 Profile of the surveyed eligible by selected background characteristics 43 Table 3.2 Percent distribution of currently married women aged who had births during the reference period (January, 2006 to survey date) by number of live births, survival status and sex ratio of the children born 44 Table 3.3 Children born during the reference period (January, 2006 to survey date) and were alive at the time of survey by whether their birth weight was taken, timing of birth weight and reason for not taking birth weight among those who were not weighed. 45 Table 3.4 Place of delivery and type of assistance for home deliveries for all births during the reference period 46 Table 3.5 Percentage of currently married women aged who had received at least one TT injection during pregnancy, advice on post natal care, family planning, place of delivery and type of assistance at the time of delivery in case of home delivery for the most recent birth Table 3.6 Immunization status of the all children born during the reference period and reason for non-immunization or partial immunization Table 3.7 Percentage of children aged months among children born during last three years preceding the survey by immunization status.. 49 Table 3.8 Among the youngest surviving child born during the reference period, percentage ever breastfed, percent distribution by timing of initiation of breastfeeding, and by duration of exclusive breastfeeding. 50 Table 3.9 Percentage of currently married women aged years by awareness about hygiene and health related matters. 51 Table 3.10 Percent distribution of currently married women aged by knowledge of methods of family planning 52 ix

12 Table 3.11 Table 3.12 Table 3.13 Table 3.14 Table 3.15 Table 3.16 Concurrent Evaluation of NRHM Percent distribution of currently married women aged years by knowledge about various aspects of HIV/AIDS. 53 Percentage of currently married women aged years who have heard of HIV/AIDS by knowledge about ICTC, PPTCT centres and whether they have undergone HIV Test Percentage of currently married women aged years by knowledge about ASHA. 55 Percentage of currently married women aged years by knowledge about Village Health Sanitation Committee (VHSC).. 56 Percentage of currently married women aged years by knowledge about Village Health and Nutrition Days (VHND). 57 Percentage of currently married women aged years by knowledge about Nischay Pregnancy Test (NPT) kit. 58 Table 4.1 Percent distribution of currently married women aged who are aware of Janani Suraksha Yojana (JSY) scheme and source of information on JSY Table 4.2 Out of those women who had given at least one live birth since January 2006, percentage of women who are JSY beneficiaries by social category. 71 Table 4.3 Percentage of JSY beneficiaries by motivator for registering under JSY, place of registration and health worker who registered Table 4.4 Percentage distribution of the JSY beneficiaries by timing of registration and availability of JSY card.. 73 Table 4.5 Percentage of JSY beneficiaries who received advice from ANM/ASHA/Health Worker during pregnancy/ante natal period and place of delivery 74 Table 4.5a Percentage of JSY beneficiaries delivering at home by reasons for preferring for home delivery. 75 Table 4.6 Profile of the Institutional deliveries under JSY scheme Table 4.6a Difficulties faced in reaching the health facility for Institutional deliveries for the JSY beneficiaries.. 77 Table 4.7 Percentage of women who delivered in Institution/facility by problems faced in reaching the facility and the person who motivated them to go for institution for delivery.. 78 Table 4.8 Percentage of JSY beneficiaries who delivered in a health institution/facility by type of help received from the ASHA/ANM/VHSC and others 79 Table 4.9 Percentage of JSY beneficiaries by type of payment for incentive money, timing of receipt of incentive money, person who gave her the incentive money, difficulties faced in getting the incentive money 80 Table 4.10 Percentage of JSY beneficiaries by purpose for which incentive money was used. 81 Table Availability and functioning of Rogi Kalyan Samiti (RKS) among surveyed CHCs Table Source of availability and utility of funds generated by Rogi Kalyan Samiti (RKS) at surveyed CHC. 86 Table Source of funds generated by Rogi Kalyan Samiti (RKS) at surveyed PHC. 87 Table Number of ANMs reporting utilisation of untied fund and related issues under NRHM in the surveyed Health Sub-Centres.. 88 Table Grants received and spent by the surveyed Health Sub-Centres 89 Table Percentage distribution of households having knowledge of Rogi Kalyan Samiti (RKS) 90 x

13 Table Percent distribution of ASHA by selected background characteristics Table Percent distribution of ASHA by type of house and percentage of ASHA residing in households having basic amenities and using mosquito nets Table Percent distribution of ASHA by population served, distance travelled and time taken to reach the farthest village, and percentage of ASHA reporting about the person/authority that nominated/recommended/appointed her as ASHA Table Percentage of ASHA who had undergone ASHA training, topics covered in the training, duration, place and usefulness of last training, and undergone training on use of Nishchay Pregnancy Test kit (NPT) kit. 104 Table Percent distribution of ASHA by awareness about initiation of breastfeeding and exclusive breast feeding, and percentage of ASHA who were aware about important steps for prevention of diarrhoea, symptoms of pneumonia/aris, and major features of NRHM 105 Table Percentage of ASHA who received items and kits, and percentage of ASHA reporting availability of other items and medicines with them at the time of survey Table Percentage of ASHA reporting the source from where they received NPT kit and follow-up measure taken after use of NPT kit, and percent distribution of ASHA by number of NPT kits used and whether women are usually able to interpret NPT results Table Percentage of ASHA by the activities performed and percentage of ASHA by help that she provides to improve sanitation in her communities Table Percent distribution of ASHA by her performance against selected activities under JSY and family planning during October to December Table Percent distribution of ASHA by her performance against selected activities under vector born disease control programme and number of meetings, including village health and nutrition day 110 Table Incentives received by ASHA under various programmes under NRHM Table Percentage of ASHA reporting various difficulties faced in implementing NRHM and support that they require to effectively implement various programmes under NRHM. 112 Table Profile of the Gram Panchayat Table Distance from Gram Panchayat village to nearest health facilities 117 Table Number of Gram Panchayats reported Village Health and Sanitation Committee (VHSC) and preparing village plan 118 Table Number of Gram Panchayat facing major problems and common diseases as reported by Village Health and Sanitation Committee and Gram Panchayat functionaries Table Number of Gram Panchayat facing problem in implementing of NRHM and Support Required 120 Table Number of Gram Panchayat Acknowledging NRHM for Improvement in Health Facility Table 6.1 Number of Health Sub-Centres by selected characteristics, population covered, accessibility, transport available and other health facilities nearby Health Sub- Centres Table 6.2 Number of Health Sub-Centres with selected physical characteristics and facilities, overall human resources and cleanliness of the buildings xi

14 Table 6.3 Number of Health Sub-Centres by selected environmental risk, sanitation and health related amenities, including waste management Table 6.4 Number of Health Sub-Centres with selected communication amenities, including mode of payment of bills and having stand-by generators. 135 Table 6.5 Number of Health Sub-Centres performing selected ANC services performed in nine months prior to the survey Table 6.6 Number of Health Sub-Centres equipped with delivery facilities, including cold chain Table 6.7 Number of Health Sub-Centres by type of records/registers maintained and availability at the time of survey Table 6.8 Number of ANMs by selected characteristics 139 Table 6.9 Number of ANMs trained on selected family planning methods, ante-natal services, RTI/STIs and immunizations Table 6.10 Number of ANMs aware about NRHM, implementation and reporting the impact on their status as ANM Table 6.11 Ante Natal Care (ANC), Deliveries and Post Natal Care (PNC) services performed by ANM 143 Table 6.12 Average number of women with illnesses, delivery and complicated cases managed by ANMs. 144 Table 6.13 Number of ANMs/HSCs by activities related to ICDS and ASHA Table Number of surveyed district hospitals with physical infrastructure Table Number of human resources in surveyed district hospital Table Number of surveyed district hospital having human resources trained by type of training Table Average monthly service outcomes at surveyed district hospital Table Number of surveyed district hospitals by maintenance of records and health management information system (HMIS) Table Average population served and accessibility to the surveyed CHCs by public transport Table Number of surveyed CHCs with physical infrastructure 160 Table Number of surveyed CHCs with human resources. 161 Table Number of surveyed CHCs having human resources trained by type of training 162 Table Average service outcomes per CHC Table Number of surveyed CHCs by record maintenance/pre-printed cards Table Average population served and accessibility to the surveyed PHC by public transport Table Number and percentage of surveyed PHCs with physical infrastructure Table Number of surveyed PHCs with human resources. 171 Table Number of surveyed PHCs having human resources trained by type of training Table Average monthly service outcomes per PHC from 1st April -31st December Table Number and percentage of surveyed PHCs with record maintenance/pre-printed cards 174 Table 8.1 Background characteristics of in-patients 177 Table 8.2 Percentage of in-patients with ailment for which admission is sought in Health Institutions Table 8.3 Percentage of in-patients using different modes of transport to reach Health Institutions xii

15 Table 8.4 Percentage of in-patients by duration of stay in Health Institutions Table 8.5 Percentage of In-Patients reporting about behaviour of doctor and paramedical staff. 181 Table 8.6 Percentage of in-patients reporting cleanliness of health facilities 182 Table 8.7 Percentage of in-patients reporting satisfaction with treatment & reasons for not satisfaction in Health Institutions Table 8.8 Percentage of in-patients reporting services available in Health Institutions. 184 Table 8.9 Background characteristics of the out-patients Table 8.10 Percentage of out-patients with ailment for which you visited Health Institutions Table 8.11 Percentage of out-patients using different modes of transport to reach Health Institutions Table 8.12 Number of visits made for current illness Table 8.13 Percentage of out-patients reporting about the behaviour of doctor and paramedical staff 189 Table 8.14 Percentage of out-patients reported satisfaction with treatment 190 Figure 1.1 Sampling Frame of Concurrent Evaluation of NRHM... 3 xiii

16 ABBREVIATIONS ANC ANM AIDS APL ARI ASHA AWC AWW AYUSH BCG BEE BP BPL CHC CSPro DBCS DH DOTS DPT EAG ECG ECP EMOC FRU FP GDMO GDP GP HH HPS HIV HMIS HSC ICU IEC IFA ICTC IMNCI Antenatal Care Auxiliary Nurse Midwife Acquired Immunodeficiency Syndrome Above Poverty Line Acute Respiratory Infection Accredited Social Health Activist Anganwadi Centre Anganwadi Worker Ayurveda, Yoga, Unani, Siddha and Homeopathy Bacillus Calmette-Guerin Block Extension Educator Blood Pressure Below Poverty Line Community Health Centre Census and Survey Processing System District Blindness Control Society District Hospital Directly Observed Treatment Short-Course Diphtheria Pertussis Tetanus Empowered Action Group Electro Cardiogram Emergency Contraceptive Pill Emergency Obstetric Care First Referral Unit Family Planning General Duty Medical Officer Gross Domestic Product Gram Panchayat Households High Performing State Human Immunodeficiency Virus Health Management Information System Health Sub-Centre Intensive Care Unit Information, Education and Communication Iron and Folic Acid Integrated Counseling and Testing Centre Integrated Management of Neonatal and Child Infections xiv

17 ABBREVIATIONS IPD IPHS IUD JSY LHV LPG LPS MCH MDT MHW MPW MO MTP NBCC NGO NPT kit NRHM NSV OBC OPD OPV ORS OT PHC PNC PPH PPTCT PRI RH RKS RMP RTI SC SDH SBA SHG ST STI TAC TB TFR TT UNFPA UNICEF UT VHND VHSC VIP WHO In-Patient Department Indian Public Health Standard Intra Uterine Device Janani Suraksha Yojana Lady Health Visitor Liquefied Petroleum Gas Low Performing State Maternal and Child Health Multi-Drug Therapy Male Health Worker Multi Purpose Worker Medical Officer Medical Termination of Pregnancy New Born Care Corner Non-Government Organization Nishchay Pregnancy Test kit National Rural Health Mission Non Scalpel Vasectomy Other Backward Classes Out-Patient Department Oral Polio Vaccine Oral Re-hydration Salt Operation Theatre Primary Health Centre Post Natal Care Post Partum Hemorrhage Prevention of Parent to Child Transmission Panchayati Raj Institution Rural Hospital Rogi Kalyan Samiti Registered Medical Practitioner Reproductive Tract Infection Scheduled Caste Sub Divisional Hospital Skill Birth Attendance Self Help Group Scheduled Tribe Sexually Transmitted Infection Technical Advisory Committee Tuberculosis Total Fertility Rate Tetanus Toxoid United Nations Population Fund United Nations Children s Fund Union Territory Village Health and Nutrition Days Village Health and Sanitation Committee Ventilation Improved Pit World Health Organization xv

18 Acknowledgement The Concurrent Evaluation of National Rural Health Mission, conducted during May to August 2009, was a nationwide survey funded by the Union Ministry of Health and Family Welfare. This report is based on the completed work in 7 districts of Karnataka. We are very grateful to the Ministry of Health & Family Welfare, Government of India for designating the International Institute for Population Sciences (IIPS) as the Nodal agency for the Concurrent Evaluation of NRHM Project and providing an opportunity to work closely with the health and programme officials. In particular, we are thankful to Mr. K. Chandramouli, Secretary, Ministry of Health and Family Welfare, Govt. of India for his support and encouragement. We would also like to thank Mr. Naresh Dayal, Ms. K. Sujatha Rao, former Secretaries -Ministry of Health and Family Welfare, Government of India and Mr. P. K. Pradhan, Special Secretary & Mission Director (NRHM) for their suggestions and support. Our special thanks to Smt. Madhu Bala, the Additional Director General, Dr. Rattan Chand, the Chief Director, Mr. Pravin Srivastava, Deputy Director General, Mr. Rajesh Bhatia, Director, Mr. Biswajit Das, Director, Dr. S.C. Agrawal, Assistant Director and Mr. S. K. Kapoor, Investigator -Statistics Division, Ministry of Health and Family Welfare, Government of India for their active involvement and suggestions. We are grateful to Mr. S.K Das, Dr. V.K. Malholtra, former Additional Director Generals, Ms. Rashmi Verma, former Deputy Director- Statistics Division, Ministry of Health and Family Welfare, Govt. of India for their co-operation and support at the initial stage of this work. We acknowledge the contribution of the Field Agency for their involvement in data collection in the project. Our thanks are due to the members of Technical Advisory Committee (TAC) of Concurrent Evaluation NRHM and especially to its Chairman, Dr. P. M. Kulkarni, Professor, Jawaharlal Nehru University, New Delhi. We gratefully acknowledge the immense contributions of Concurrent Evaluation NRHM project team at IIPS in developing survey instruments, training of field staff, monitoring field work, data processing, preparation of state level fact sheets, and drafting the state level report. Finally, our heartfelt thanks to state and district level health officials and respondents for extending their co-operation by providing us valuable information without which the project would not have been successfully completed. Co-odirnators/Contributors Concurrent Evaluation of NRHM xvi

19 xvii

20 EXECUTIVE SUMMARY The objective of the Concurrent Evaluation of NRHM is to assess the reach of NRHM activities to the rural communities. The concurrent evaluation was carried out in the state of Karnataka. In this report, we provide key findings on the household and women s response to NRHM including Janani Suraksha Yojana (JSY), and outcomes of the core strategies of NRHM like communitisation of services and innovations at community level. It also presents functioning of ANMs, ASHA and the status of physical infrastructure and human resources at the health facility levels. Household response A total of 8,319 households were covered in the state of Karnataka. A little lower than half of the respondent households were other backward classes (OBCs), 26 percent belonged to scheduled castes and 10 percent belonged to scheduled tribes. About 44 percent of the respondents had no education. About 54 percent of respondents reported knowing only about ANMs and 39 percent knowing about both ANMs and Male health worker. A little above 3/4th of the respondents were aware about JSY. On the other hand awareness on both RKS and VHSC was very low and reported by only 3 and 18 percent of the respondents respectively. At household level allopathic system of medicine was generally used (99 percent). Only 3 percent and less of the households reported use of homeopathy, siddha and ayurvedic system of medicine. About 71 percent of the households reported availing services from private clinics when needed followed by PHCs (48 percent), CHCs (30 percent), DH/sub-divisional hospitals (23 percent), and HSCs (12 percent). About 74 percent reported going to private clinics followed by 39 percent to district hospital, 34 percent to PHC, 28 percent each to subdivisional hospital and CHC for treating serious ailments. At household level, the awareness on Malaria was reasonably high with 68 percent of respondents reported to have knowledge about Malaria, followed by Dengu (17 percent), Kala-Azar (3 percent), Filariasis (1 percent) and Japanese Encephalitis (less than percent). About onef-fifth of the households reported that any member of their households had high fever lasting for more than one month. However, almost all of them had got treated for the high fever and the preferred place for treatment was private clinics (70 percent), followed by PHCs (41 percent), CHCs/RHs (29 percent), and DH/Sub-divisional hospitals (25-26 percent). About half of the households reported that none of their members had used xviii

GUIDELINES ON ACCREDITED SOCIAL HEALTH ACTIVITISTS (ASHA)

GUIDELINES ON ACCREDITED SOCIAL HEALTH ACTIVITISTS (ASHA) GUIDELINES ON Annex 1 ACCREDITED SOCIAL HEALTH ACTIVITISTS (ASHA) 1. BACKGROUND The Government of India has decided to launch a National Rural Health Mission (NRHM) to address the health needs of rural

More information

District Level Household and Facility Survey 2007 08

District Level Household and Facility Survey 2007 08 DLHS-3 Ministry of Health and Family Welfare Government of India District Level Household and Facility Survey 2007 08 International Institute for Population Sciences (Deemed University) Mumbai INTERNATIONAL

More information

Section 1: The ASHA: Activities, Skills, Outcomes 1. Section 2: Role of the ASHA Facilitator 9

Section 1: The ASHA: Activities, Skills, Outcomes 1. Section 2: Role of the ASHA Facilitator 9 Contents Introduction v Section 1: The ASHA: Activities, Skills, Outcomes 1 Section 2: Role of the ASHA Facilitator 9 Section 3: Supportive Supervision and Skills for the ASHA Facilitator 17 Section 4:

More information

NATIONAL RURAL HEALTH MISSION- FREQUENTLY ASKED QUESTIONS. 2. What is the coverage of the National Rural Health Mission (NRHM)?

NATIONAL RURAL HEALTH MISSION- FREQUENTLY ASKED QUESTIONS. 2. What is the coverage of the National Rural Health Mission (NRHM)? NATIONAL RURAL HEALTH MISSION- FREQUENTLY ASKED QUESTIONS I. Profile, Components, and Strategies 1. Why a National Rural Health Mission? The National Common Minimum Programme spells out the commitment

More information

INCREASING COMPLETE IMMUNIZATION IN RURAL UTTAR PRADESH

INCREASING COMPLETE IMMUNIZATION IN RURAL UTTAR PRADESH INCREASING COMPLETE IMMUNIZATION IN RURAL UTTAR PRADESH The Government of India has recommended that a child must be vaccinated against six vaccine-preventable diseases (polio, tuberculosis [TB], diphtheria,

More information

Conclusion & Suggestion

Conclusion & Suggestion 9 Conclusion & Suggestion State governments has designed and implemented many maternal health interventions in a very good way but due to lack of proper monitoring expected results have not been achieved.

More information

MEDICAL AND PUBLIC HEALTH

MEDICAL AND PUBLIC HEALTH Introduction MEDICAL AND PUBLIC HEALTH The Health Care in the Union Territory of Puducherry has been delivered through a network of 8 major Hospital, 4 CHCs, 39 PHCs, 77 Sub-Centres, 14 ESI Dispensaries

More information

SUMMARY TABLE OF FINDINGS Sudan Household Health Survey (SHHS) and Millennium Development Goals (MDG) indicators, Sudan, 2006

SUMMARY TABLE OF FINDINGS Sudan Household Health Survey (SHHS) and Millennium Development Goals (MDG) indicators, Sudan, 2006 SUMMARY TABLE OF FINDINGS Sudan Household Health Survey (SHHS) and Millennium Development Goals (MDG) indicators, Sudan, 2006 Topic CHILD MORTALITY Child mortality SHHS indicator number MDG indicator number

More information

PRIVATE MEDICAL PRACTITIONERS ASSOCIATION

PRIVATE MEDICAL PRACTITIONERS ASSOCIATION PRIVATE MEDICAL PRACTITIONERS ASSOCIATION AN INTRODUCTION AND HISTORY A non governmental representative body. Representative body of millions of experienced doctors. Giving their services in deep rural

More information

USER MANUAL for Data Entry & Verification

USER MANUAL for Data Entry & Verification USER MANUAL for Data Entry & Verification Dated : 09-Jan-2012 Developed by NIC- Health Informatics Division in collaboration with NIC Gujarat. Contact e-mail id : helpdesk-mcts@lsmgr.nic.in 1 About the

More information

MATERNAL AND CHILD HEALTH

MATERNAL AND CHILD HEALTH MATERNAL AND CHILD HEALTH 9 George Kichamu, Jones N. Abisi, and Lydia Karimurio This chapter presents findings from key areas in maternal and child health namely, antenatal, postnatal and delivery care,

More information

POOR QUALITY CONTROL OF THE FIRST CONTACT POINT OF COMMUNITY: FINDINGS OF CROSS-SECTIONAL STUDY ON SUBCENTRES IN DISTRICT JHANSI

POOR QUALITY CONTROL OF THE FIRST CONTACT POINT OF COMMUNITY: FINDINGS OF CROSS-SECTIONAL STUDY ON SUBCENTRES IN DISTRICT JHANSI ORIGINAL PAPER POOR QUALITY CONTROL OF THE FIRST CONTACT POINT OF COMMUNITY: FINDINGS OF CROSS-SECTIONAL STUDY ON SUBCENTRES IN DISTRICT JHANSI Geetu Singh 1, Bhakt Prakash Mathur 2, Shobha Chaturvedi

More information

This document is developed by Swasti, Health Resource Centre as a product of the People for Health Project.

This document is developed by Swasti, Health Resource Centre as a product of the People for Health Project. Developed by Acknowlegement This document is developed by Swasti, Health Resource Centre as a product of the People for Health Project. This study has given us a better understanding of the human resource

More information

Outsourcing of diagnostic services in public health facilities in Chhattisgarh. A critique by Jan Swasthya Abhiyan Chhattisgarh

Outsourcing of diagnostic services in public health facilities in Chhattisgarh. A critique by Jan Swasthya Abhiyan Chhattisgarh Outsourcing of diagnostic services in public health facilities in Chhattisgarh A critique by Jan Swasthya Abhiyan Chhattisgarh The Chhattisgarh State Government has taken out a Request For Proposal (RFP)

More information

Welcome to Angkor Hospital for Children, Siem Reap, Cambodia. SOM SOPHAL Director of Nursing Angkor Hospital for Children

Welcome to Angkor Hospital for Children, Siem Reap, Cambodia. SOM SOPHAL Director of Nursing Angkor Hospital for Children Welcome to Angkor Hospital for Children, Siem Reap, Cambodia SOM SOPHAL Director of Nursing Angkor Hospital for Children Contents: 1. Cambodian mapping 2. Background/recent history 3. Health care system

More information

Ministry of Health & Family Welfare. Operational Plan for Mother and Child Tracking System

Ministry of Health & Family Welfare. Operational Plan for Mother and Child Tracking System DRAFT Ministry of Health & Family Welfare Operational Plan for Mother and Child Tracking System A. Objective It has been decided to have a name-based tracking system (being put in place by Government of

More information

Infant Mortality and Maternal Mortality in Lao PDR

Infant Mortality and Maternal Mortality in Lao PDR Infant Mortality and Maternal Mortality in Lao PDR Presented by: Dr Somchith Akkhavong Deputy Director Department of Hygiene and Prevention Ministry of Health, Vientiane Capital Lao PDR GFMER - WHO - UNFPA

More information

IV Semester M.B.A. (Part Time) Degree Examination, July 2009 (2006 Scheme) MANAGEMENT INFORMATION SYSTEM

IV Semester M.B.A. (Part Time) Degree Examination, July 2009 (2006 Scheme) MANAGEMENT INFORMATION SYSTEM *3726* (Pages : 7) 3726 Reg. No. :... Name :... IV Semester M.B.A. (Part Time) Degree Examination, July 2009 (2006 Scheme) MANAGEMENT INFORMATION SYSTEM Time : 3 Hours Max. Marks : 60 PART A Write short

More information

Retaining skilled health Human Resources for Rural and Remote areas. a mapping of efforts under NRHM and ongoing studies in this area:

Retaining skilled health Human Resources for Rural and Remote areas. a mapping of efforts under NRHM and ongoing studies in this area: Retaining skilled health Human Resources for Rural and Remote areas a mapping of efforts under NRHM and ongoing studies in this area: The NATIONAL RURAL HEALTH MISSION paradigm shift Health is a state

More information

THE INDIA NEWBORN ACTION PLAN

THE INDIA NEWBORN ACTION PLAN THE INDIA NEWBORN ACTION PLAN THE INDIA NEWBORN ACTION PLAN Current Situation Vision & Goals Guiding principles Strategic Intervention Packages Milestones Way Forward CAUSES OF NEONATAL DEATHS : INDIA

More information

BEHAVIOR CHANGE COMMUNICATION AS AN INTERVENTION TO IMPROVE FAMILY HEALTH OUTCOMES

BEHAVIOR CHANGE COMMUNICATION AS AN INTERVENTION TO IMPROVE FAMILY HEALTH OUTCOMES BEHAVIOR CHANGE COMMUNICATION AS AN INTERVENTION TO IMPROVE FAMILY HEALTH OUTCOMES GARY L. DARMSTADT AND USHA KIRAN TARIGOPULA Low coverage of life-saving preventive health interventions stemming from

More information

HIV/AIDS: General Information & Testing in the Emergency Department

HIV/AIDS: General Information & Testing in the Emergency Department What Is HIV? HIV/AIDS: General Information & Testing in the Emergency Department HIV is the common name for the Human Immunodeficiency Virus. HIV is a retrovirus. This means it can enter the body s own

More information

HIV/AIDS Tool Kit. B. HIV/AIDS Questionnaire for Health Care Providers and Staff

HIV/AIDS Tool Kit. B. HIV/AIDS Questionnaire for Health Care Providers and Staff 8 HIV/AIDS Tool Kit B. HIV/AIDS Questionnaire for Health Care Providers and Staff FOR STAFF USE ONLY: SURVEY ID # HIV/AIDS KAP Questionnaire for Health Care Providers and Staff Introduction The goal of

More information

MATARA. Geographic location 4 (2006-07) Distribution of population by wealth quintiles (%), 2006-07 27.3 21.4 12.9 23.7 14.8. Source: DHS 2006-07

MATARA. Geographic location 4 (2006-07) Distribution of population by wealth quintiles (%), 2006-07 27.3 21.4 12.9 23.7 14.8. Source: DHS 2006-07 Ministry of Health MATARA DEMOGRAPHICS Total population 822, (28) L and area (Sq. Km) 1,27 (26) under-five (%) 9.2 (26-7) 1 Females in reproductive age group (%) 2 5.1 (26-7) 1 Estimated housing units

More information

cambodia Maternal, Newborn AND Child Health and Nutrition

cambodia Maternal, Newborn AND Child Health and Nutrition cambodia Maternal, Newborn AND Child Health and Nutrition situation Between 2000 and 2010, Cambodia has made significant progress in improving the health of its children. The infant mortality rate has

More information

MATERNAL AND CHILD HEALTH 9

MATERNAL AND CHILD HEALTH 9 MATERNAL AND CHILD HEALTH 9 Ann Phoya and Sophie Kang oma This chapter presents the 2004 MDHS findings on maternal and child health in Malawi. Topics discussed include the utilisation maternal and child

More information

Study Team. Bella Patel Uttekar Nayan Kumar Vasant Uttekar Jashoda Sharma Shweta Shahane

Study Team. Bella Patel Uttekar Nayan Kumar Vasant Uttekar Jashoda Sharma Shweta Shahane Study Team Bella Patel Uttekar Nayan Kumar Vasant Uttekar Jashoda Sharma Shweta Shahane PREFACE JSY, Janani Suraksha Yojana, is an integral component of the National Rural Health Mission, launched in April

More information

FAQs HIV & AIDS. What is HIV? A virus that reduces the effectiveness of your immune system, meaning you are less protected against disease.

FAQs HIV & AIDS. What is HIV? A virus that reduces the effectiveness of your immune system, meaning you are less protected against disease. HIV & AIDS What is HIV? A virus that reduces the effectiveness of your immune system, meaning you are less protected against disease. What does HIV stand for? Human Immunodeficiency Virus Where did HIV

More information

MICRO PLANNING FOR IMMUNIZATION ACTIVITIES. Health Managers Modules for Immunizaion

MICRO PLANNING FOR IMMUNIZATION ACTIVITIES. Health Managers Modules for Immunizaion MICRO PLANNING FOR IMMUNIZATION ACTIVITIES Health Managers Modules for Immunizaion Module 2: Micro Planning Foreword for Immunization Activities 3 The Universal Immunization Program, launched in 1985

More information

The Union of Myanmar. The State Peace and Development Council. The Law Relating to Private Health Care Services

The Union of Myanmar. The State Peace and Development Council. The Law Relating to Private Health Care Services The Union of Myanmar The State Peace and Development Council The Law Relating to Private Health Care Services ( The State Peace and Development Council Law No. 5/2007 ) The 4th Waning Day of Hnaung Tahu,

More information

Zambia Demographic and Health Survey 2013-14

Zambia Demographic and Health Survey 2013-14 Zambia Demographic and Health Survey 2013-14 Preliminary Report Central Statistical Office Lusaka, Zambia Ministry of Health Lusaka, Zambia Tropical Diseases Research Centre Ndola, Zambia University Teaching

More information

SRI LANKA SRI LANKA 187

SRI LANKA SRI LANKA 187 SRI LANKA 187 List of Country Indicators Selected Demographic Indicators Selected demographic indicators Child Mortality and Nutritional Status Neonatal, infant and under-five mortality rates: trends Distribution

More information

Guidelines for setting up of Block Resource Centres (BRCs) for National Rural Drinking Water Programme (NRDWP) and Total Sanitation Campaign (TSC)

Guidelines for setting up of Block Resource Centres (BRCs) for National Rural Drinking Water Programme (NRDWP) and Total Sanitation Campaign (TSC) Guidelines for setting up of Block Resource Centres (BRCs) for National Rural Drinking Water Programme (NRDWP) and Total Sanitation Campaign (TSC) 1. Introduction: With the coming into effect of the National

More information

AMEX International Healthcare Plan Benefits schedule

AMEX International Healthcare Plan Benefits schedule Quality health plans & benefits Healthier living Financial well-being Intelligent solutions AMEX International Healthcare Plan Benefits schedule Effective 1 April 2015 46.06.933.1-EUAM D (4/15) Your flexible

More information

KATHARINE HOUSE HOSPICE JOB DESCRIPTION. Advanced Nurse Practitioner (Independent Prescriber)

KATHARINE HOUSE HOSPICE JOB DESCRIPTION. Advanced Nurse Practitioner (Independent Prescriber) KATHARINE HOUSE HOSPICE JOB DESCRIPTION Advanced Nurse Practitioner (Independent Prescriber) Post Holder: Area of Work: Responsible to: Vacant Day Therapies Director of Nursing Services Mission To offer

More information

CARE AND TREATMENT FOR PREVENTION OF MOTHER-TO-CHILD TRANSMISSION OF HIV

CARE AND TREATMENT FOR PREVENTION OF MOTHER-TO-CHILD TRANSMISSION OF HIV MINISTRY OF HEALTH PROCEDURE OF CARE AND TREATMENT FOR PREVENTION OF MOTHER-TO-CHILD TRANSMISSION OF HIV HA NOI, 2007 1 TABLE OF CONTENTS Decision on the Issuance of the Procedure of Care and Treatment

More information

Madhya Pradesh Health Sector Reform Strategy (HSRS) (2006-12)

Madhya Pradesh Health Sector Reform Strategy (HSRS) (2006-12) Annex 1 Madhya Pradesh Health Sector Reform Strategy (HSRS) (2006-12) Flag C 1.0 Introduction MP is one of the poorer states of the country with more than 37% of its population (22 million) living below

More information

Michigan Medicaid. Fee-For-Service. Handbook

Michigan Medicaid. Fee-For-Service. Handbook Michigan Medicaid Fee-For-Service Handbook Table of Contents Introduction Getting Care Services Michigan Medicaid Covers Non-Emergency Transportation Services Emergency Room Care Dental Pharmacy Paying

More information

Classification of Health Expenditures by Function

Classification of Health Expenditures by Function Health Budget Tracking System Classification of Health Expenditures by Function RTI 5875-001-003 Prepared for Data for Decision Making Project United States Agency for International Development DPI-5991-A-00-1052-00

More information

The Healthy Michigan Plan Handbook

The Healthy Michigan Plan Handbook The Healthy Michigan Plan Handbook Introduction The Healthy Michigan Plan is a health care program through the Michigan Department of Community Health (MDCH). The Healthy Michigan Plan provides health

More information

Brief Overview of MIRA Channel (Women Mobile Lifeline Channel)

Brief Overview of MIRA Channel (Women Mobile Lifeline Channel) Brief Overview of MIRA Channel (Women Mobile Lifeline Channel) MIRA Channel or Women Mobile Lifeline Channel - is an integrated mobile phone channel to provide healthcare information and services to rural

More information

Master of Hospital Administration (MHA) Syllabus

Master of Hospital Administration (MHA) Syllabus Master of Hospital Administration (MHA) Syllabus Paper I Principles and Practice of Hospital Management and Administration Principles and practice of Management; Functions of Management; Management Techniques

More information

This is one of a series of flipcharts on these topics : Ante Natal Care, Post Natal Care, Child Health, Child Nutrition, Family Spacing, HIV&AIDS, Tuberculosis, Malaria Tuberculosis About the flipchart

More information

Improving mental health care through ehealth-grand Challenges Canada Grant

Improving mental health care through ehealth-grand Challenges Canada Grant Improving mental health care for young adults in Badakshan Province of Afghanistan using ehealth Survey Questionnaire for Facility based Health Providers To be conducted with Health Providers in both Intervention

More information

Baseline Study Summary: ReMiND - Reducing Maternal and Newborn Deaths

Baseline Study Summary: ReMiND - Reducing Maternal and Newborn Deaths Baseline Study Summary: ReMiND - Reducing Maternal and Newborn Deaths Kaushambi District, Uttar Pradesh, India December 2012- January 2013 Copyright 2013 Catholic Relief Services For any commercial reproduction,

More information

Make sure you have health cover for your family. Allianz Global Assistance OSHC offers three types of policies:

Make sure you have health cover for your family. Allianz Global Assistance OSHC offers three types of policies: Overseas Student Health Cover Pregnancy Fact Sheet This fact sheet aims to help you understand the Australian healthcare system when having a baby. During your pregnancy Make sure you have health cover

More information

Make sure you have health cover for your family. Allianz Global Assistance OSHC offers three types of policies:

Make sure you have health cover for your family. Allianz Global Assistance OSHC offers three types of policies: Overseas Student Health Cover Pregnancy Fact Sheet This fact sheet aims to help you understand the Australian healthcare system when having a baby. During your pregnancy Make sure you have health cover

More information

The Healthy Michigan Plan Handbook

The Healthy Michigan Plan Handbook The Healthy Michigan Plan Handbook Introduction The Healthy Michigan Plan is a health care program through the Michigan Department of Community Health (MDCH). Eligibility for this program will be determined

More information

APPENDIX - 2 STRUCTURED QUESTIONNAIRE FOR PRINCIPAL OF GENERAL NURSING SCHOOLS

APPENDIX - 2 STRUCTURED QUESTIONNAIRE FOR PRINCIPAL OF GENERAL NURSING SCHOOLS APPENDIX - 2 STRUCTURED QUESTIONNAIRE FOR PRINCIPAL OF GENERAL NURSING SCHOOLS For Data Collection on Implementation of General Nursing & Midwifery Course Revised Syllabus of INC You are requested to provide

More information

This document is developed by Swasti, Health Resource Centre as a product of the People for Health Project.

This document is developed by Swasti, Health Resource Centre as a product of the People for Health Project. Developed by Acknowlegement This document is developed by Swasti, Health Resource Centre as a product of the People for Health Project. This study has given us a better understanding of the human resource

More information

Karnataka Private Medical Establishments Act. 2007

Karnataka Private Medical Establishments Act. 2007 Karnataka Private Medical Establishments Act. 2007 Dr. S. B. N.PRAKASH Former district and sessions judge, Now the professor of Law. National Law school of India University. Bangalore. What the law stated

More information

The practice of medicine comprises prevention, diagnosis and treatment of disease.

The practice of medicine comprises prevention, diagnosis and treatment of disease. English for Medical Students aktualizované texty o systému zdravotnictví ve Velké Británii MUDr Sylva Dolenská Lesson 16 Hospital Care The practice of medicine comprises prevention, diagnosis and treatment

More information

Pakistan Demographic and Health Survey 2006-07

Pakistan Demographic and Health Survey 2006-07 Education Most Pakistani Women Lack Any Education Only one in three ever-married women ages 15-49 in Pakistan has any education. Most women never learn how to read. The new Demographic and Health Survey

More information

COST OF HEALTH CARE- A STUDY OF UNORGANISED LABOUR IN DELHI. K.S.Nair*

COST OF HEALTH CARE- A STUDY OF UNORGANISED LABOUR IN DELHI. K.S.Nair* Health and Population -Perspectives and Issues: 24 (2): 88-98, 2001 COST OF HEALTH CARE- A STUDY OF UNORGANISED LABOUR IN DELHI K.S.Nair* ABSTRACT The study attempts to estimate the economic burden of

More information

Children in Egypt 2014 A STATISTICAL DIGEST

Children in Egypt 2014 A STATISTICAL DIGEST Children in Egypt 2014 A STATISTICAL DIGEST CHAPTER 4 IMMUNIZATION AND HEALTH Children in Egypt 2014 is a statistical digest produced by UNICEF Egypt to present updated and quality data on major dimensions

More information

Guidelines of the School Health Programme

Guidelines of the School Health Programme Guidelines of the School Health Programme 1 Brief on the Programme: Introduction: School Health program is a program for school health service under National Rural Health Mission, which has been necessitated

More information

Make sure you have health cover for your family. Allianz Global Assistance OVHC offers three types of policies:

Make sure you have health cover for your family. Allianz Global Assistance OVHC offers three types of policies: Overseas Visitors Health Cover Pregnancy Fact Sheet This fact sheet aims to help you understand the Australian healthcare system when having a baby. During your pregnancy Make sure you have health cover

More information

Care for children infected and those affected by HIV/AIDS. A training manual for CommunityHealth workers

Care for children infected and those affected by HIV/AIDS. A training manual for CommunityHealth workers Care for children infected and those affected by HIV/AIDS A training manual for CommunityHealth workers Published by Save the Children UK P.O. Box 1124 Kampala Uganda Tel: +256 41 258815/344796 Fax: +256

More information

ORAL HEALTH CARE DELIVERY SYSTEMS IN INDIA: AN OVERVIEW

ORAL HEALTH CARE DELIVERY SYSTEMS IN INDIA: AN OVERVIEW ORAL HEALTH CARE DELIVERY SYSTEMS IN INDIA: AN OVERVIEW *Kumar Sumit 1, Sandeep Kumar 2, Ashrita Saran 1 and Felita Sharal Dias 3 1 Department of Public Health, Manipal University 2 Department of Public

More information

Kenya. Demographic and Health Survey 2008-09

Kenya. Demographic and Health Survey 2008-09 Kenya Demographic and Health Survey 2008-09 KENYA DEMOGRAPHIC AND HEALTH SURVEY 2008-09 Kenya National Bureau of Statistics Nairobi, Kenya National AIDS Control Council Nairobi, Kenya National AIDS/STD

More information

Health Security for All

Health Security for All Health Security for All A joint partnership between Government of Jharkhand and ILO Sub Regional Office for South Asia, New Delhi Dr. Shivendu Ministry of Health, Family Welfare, Medical Education and

More information

Safe & Unsafe. abortion

Safe & Unsafe. abortion Safe & Unsafe Facts About abortion WHAT IS THE DIFFERENCE BETWEEN UNSAFE AND SAFE ABORTION? What is unsafe abortion? Unsafe abortion is a procedure for terminating an unplanned pregnancy either by a person

More information

HIV/AIDS Tool Kit. D. Answer Key for the HIV/AIDS Questionnaire for Health Care Providers and Staff

HIV/AIDS Tool Kit. D. Answer Key for the HIV/AIDS Questionnaire for Health Care Providers and Staff 8 HIV/AIDS Tool Kit D. Answer Key for the HIV/AIDS Questionnaire for Health Care Providers and Staff Answer Key. HIV/AIDS KAP Questionnaire for Health Answer Key Legend Care Providers and Staff Each survey

More information

Pregnancy Child Tracking and Health Services Management System (PCTS) Gap Analysis

Pregnancy Child Tracking and Health Services Management System (PCTS) Gap Analysis Pregnancy Child Tracking and Health Services Management System (PCTS) Gap Analysis Rajasthan Model Districts Health Project Columbia Global Centers South Asia (Mumbai) Earth Institute, Columbia University

More information

ROLE OF MEDICAL COLLEGES in NRHM

ROLE OF MEDICAL COLLEGES in NRHM ROLE OF MEDICAL COLLEGES in NRHM PROF. DEOKI NANDAN Doctor Honoris Causa-Odessa State Medical University, MD, FAMS, FIAPSM, FIPHA, FISCD DIRECTOR (director.nihfw@nic.in, dnandan51@yahoo.com, www.nihfw.org)

More information

COUNTRY REPORT: CAMBODIA Sophal Oum, MD, MTH, DrPH, Deputy Director-General for Health

COUNTRY REPORT: CAMBODIA Sophal Oum, MD, MTH, DrPH, Deputy Director-General for Health COUNTRY REPORT: CAMBODIA Sophal Oum, MD, MTH, DrPH, Deputy Director-General for Health I. ESTABLISHED PROFESSIONAL QUALIFICATIONS IN HEALTH, 2003 Sector Medical Service, Nursing, First Aid Medical Service

More information

FINANCE (PAY CELL) DEPARTMENT G.O. Ms. No. 236, DATED: 1 ST JUNE, 2009 ( Vaikasi--18, Thiruvalluvar Aandu 2040)

FINANCE (PAY CELL) DEPARTMENT G.O. Ms. No. 236, DATED: 1 ST JUNE, 2009 ( Vaikasi--18, Thiruvalluvar Aandu 2040) GOVERNMENT OF TAMIL NADU 2009 MANUSCRIPT SERIES FINANCE (PAY CELL) DEPARTMENT G.O. Ms. No. 236, DATED 1 ST JUNE, 2009 ( Vaikasi--18, Thiruvalluvar Aandu 2040) OFFICIAL COMMITTEE, 2009 Recommendations of

More information

TUBERCULOSIS (TB) SCREENING GUIDELINES FOR RESIDENTIAL FACILITIES AND DRUG

TUBERCULOSIS (TB) SCREENING GUIDELINES FOR RESIDENTIAL FACILITIES AND DRUG TUBERCULOSIS (TB) SCREENING GUIDELINES FOR RESIDENTIAL FACILITIES AND DRUG Tx CENTERS Tuberculosis Control Program Health and Human Services Agency San Diego County INTRODUCTION Reducing TB disease requires

More information

Module 7 Expanded Programme of Immunization (EPI)

Module 7 Expanded Programme of Immunization (EPI) Module 7 Expanded Programme of Immunization (EPI) (including Vitamin A, Tetanus Toxoid and Growth Monitoring) CONTENTS 7.1 What are the tools used for data collection?....................................2

More information

Home Health Education Programme Thatta - Pakistan

Home Health Education Programme Thatta - Pakistan Home Health Education Programme Thatta - Pakistan Programme Update July 2014-April 2015 Supported by: Association of Medical Doctors of Asia (AMDA) Funded by: Chigasaki -Chuo Rotary Club (CCRC)-Japan Implemented

More information

What do I do when I am pregnant in Ireland?

What do I do when I am pregnant in Ireland? What do I do when I am pregnant in Ireland? Produced by Health Information and Advocacy Centre in partnership with Ethnic Minority Health Forum Researched and written by Sarah Duku: Resource and Information

More information

GP & Community Nursing Services

GP & Community Nursing Services GP & Community Nursing Services What do these services comprise? General Medical Practitioners (GP) A GP is your local personal NHS doctor. If you are ill or worried about your health or the health of

More information

Afghanistan May 2008

Afghanistan May 2008 USAID Country Health Statistical Report Afghanistan May 2008 Table of Contents 1. About the Report 2. Country Profile I. Statistical Overview Demographic Indicators Socioeconomic Indicators Family Planning

More information

Preventable mortality and morbidity of children under 5 years of age as a human rights concern

Preventable mortality and morbidity of children under 5 years of age as a human rights concern Preventable mortality and morbidity of children under 5 years of age as a human rights concern 1. Has your government developed a national policy/strategy/action plan aimed at reducing mortality and morbidity

More information

Since achieving independence from Great Britain in 1963, Kenya has worked to improve its healthcare system.

Since achieving independence from Great Britain in 1963, Kenya has worked to improve its healthcare system. Medical Management Plan Kenya OVERVIEW Company Mission Our mission is to encourage young people to volunteer for worthwhile work in developing countries. We expect that doing this kind of voluntary work

More information

P1+tTOI ~, -;:ffl R~ - 110108

P1+tTOI ~, -;:ffl R~ - 110108 Anuradha Gupta, IA Joint Secretary (!~- Telefax: 23062157.f1t.~ E-mail: anuradha-gu r ~ '(Hcph! ~~ ~ qrcw< cp

More information

- % of participation - % of compliance. % trained Number of identified personnel per intervention

- % of participation - % of compliance. % trained Number of identified personnel per intervention Fighting Disease, Fighting Poverty, Giving Hope KEY OBJECTIVE 1 : HUMAN RESOURCE MANAGEMENT KEY RESULT AREA : HUMAN RESOURCE ACTIVITIES OUTPUT KEY ACTIVITIES INDICATOR TARGET RESOURCE/ENABLERS Have adequate

More information

BASIC INFORMATION ABOUT HIV, HEPATITIS B and C, and TUBERCULOSIS Adapted from the CDC

BASIC INFORMATION ABOUT HIV, HEPATITIS B and C, and TUBERCULOSIS Adapted from the CDC BASIC INFORMATION ABOUT HIV, HEPATITIS B and C, and TUBERCULOSIS Adapted from the CDC HIV What are HIV and AIDS? HIV stands for Human Immunodeficiency Virus. This is the virus that causes AIDS. HIV is

More information

PAKISTAN. Socio-Economic Differences in Health, Nutrition, and Population

PAKISTAN. Socio-Economic Differences in Health, Nutrition, and Population C o u n t r y R e p o r t s o n H NP a n d P o v e r t y Socio-Economic Differences in Health, Nutrition, and Population PAKISTAN About this series... This series is produced by the Health, Nutrition,

More information

Healthy Michigan MEMBER HANDBOOK

Healthy Michigan MEMBER HANDBOOK Healthy Michigan MEMBER HANDBOOK 2014 The new name for Healthy 1 TABLE OF CONTENTS WELCOME TO HARBOR HEALTH PLAN.... 2 Who Is Harbor Health Plan?...3 How Do I Reach Member Services?...3 Is There A Website?....

More information

Guyana 2009 Guyana Demographic and Health Survey Demographic and Health Survey 2009

Guyana 2009 Guyana Demographic and Health Survey Demographic and Health Survey 2009 Guyana Demographic and Health Survey 2009 Guyana Demographic and Health Survey 2009 Ministry of Health Georgetown, Guyana Bureau of Statistics Georgetown, Guyana ICF Macro (Technical Assistance) October

More information

UGANDA HEALTH CARE SYSTEM

UGANDA HEALTH CARE SYSTEM UGANDA HEALTH CARE SYSTEM Community and Home based Rehabilitation Course Julius Kamwesiga KI May 2011 Objectives 1. Define a Health System 2. Describe how Ugandan Health care System is organized 3. Outline

More information

PREFERRED CARE. All covered expenses, including prescription drugs, accumulate toward both the preferred and non-preferred Payment Limit.

PREFERRED CARE. All covered expenses, including prescription drugs, accumulate toward both the preferred and non-preferred Payment Limit. PLAN FEATURES Deductible (per plan year) $300 Individual $300 Individual None Family None Family All covered expenses, excluding prescription drugs, accumulate toward both the preferred and non-preferred

More information

VACANCY ANNOUNCEMENTS

VACANCY ANNOUNCEMENTS VACANCY ANNOUNCEMENTS The Maternal and Child Survival Program (MCSP) is a USAID funded project assisting the Ministry of Health and Social welfare (MOH) to improve the effectiveness of the Ministry and

More information

Providing health care

Providing health care 82 CHAPTER 10 Providing health care In any community, people become ill and require access to health care facilities and treatment. The problem may be physical, such as diarrhoea, fever or injury, or mental,

More information

NHI: a gateway to better health for all

NHI: a gateway to better health for all NHI: a gateway to better health for all TABLE OF CONTENTS The Patient's rights NHI Interim Extension of Services Why NHI? NHI Commitment to YOU Your Commitment to NHI How Do I Become a Member How Do I

More information

Health plans about you, Family health plans you can trust. yourlife & yourfamily Table of Benefits. IntegraGlobal. Healthcare you deserve

Health plans about you, Family health plans you can trust. yourlife & yourfamily Table of Benefits. IntegraGlobal. Healthcare you deserve Health plans about you, Family health plans you can trust. IntegraGlobal Important Contact Information for your Integra Global Health Plan For help in understanding your benefits, questions and general

More information

Illinois Early Intervention System Overview Online Training Outline

Illinois Early Intervention System Overview Online Training Outline Illinois Early Intervention System Overview Online Training Outline I. System Overview Demonstration provides tips on how to navigate the online modules II. Early Intervention at a Glance (approximately

More information

Public health functions to be exercised by NHS England. Variation to the 2013-14 agreement

Public health functions to be exercised by NHS England. Variation to the 2013-14 agreement Public health functions to be exercised by NHS England Variation to the 2013-14 agreement April 2013 You may re-use the text of this document (not including logos) free of charge in any format or medium,

More information

Service Availability and Readiness Assessment (SARA)

Service Availability and Readiness Assessment (SARA) Service Availability and Readiness Assessment () A methodology for measuring health systems strengthening 1 Why Measuring health services availability and readiness: More demand for accountability and

More information

COUNTRY PROFILE: TANZANIA TANZANIA COMMUNITY HEALTH PROGRAMS DECEMBER 2013

COUNTRY PROFILE: TANZANIA TANZANIA COMMUNITY HEALTH PROGRAMS DECEMBER 2013 COUNTRY PROFILE: TANZANIA DECEMBER 2013 Advancing Partners & Communities Advancing Partners & Communities (APC) is a five-year cooperative agreement funded by the U.S. Agency for International Development

More information

Sexual Health and Sexually Transmitted Infections Prevention and Control Protocol, 2013 (Revised)

Sexual Health and Sexually Transmitted Infections Prevention and Control Protocol, 2013 (Revised) Sexual Health and Sexually Transmitted Infections Prevention and Control Protocol, 2013 (Revised) Preamble The Ontario Public Health Standards (OPHS) are published by the Minister of Health and Long- Term

More information

Moving towards Universal Health Coverage in India

Moving towards Universal Health Coverage in India 1 of 5 2/11/2013 5:00 PM February 11, 2013 SectionsSpecialsServices Home Videos Archives Contributors' Checklist Contact Us Healthcare Sourcing Search... Moving towards Universal Health Coverage in India

More information

Important Issues on Ageing in India Recommendations To Planning Commission- Will social improvements for elderly grow by 8 %?

Important Issues on Ageing in India Recommendations To Planning Commission- Will social improvements for elderly grow by 8 %? Important Issues on Ageing in India Recommendations To Planning Commission- Will social improvements for elderly grow by 8 %? HELPAGE INDIA Comparative Demographic Facts 25 21 21 20 % 15 10 8 12 India

More information

Guidelines for Disposal of Bio-medical Waste Generated during Universal Immunisation Programme (UIP)

Guidelines for Disposal of Bio-medical Waste Generated during Universal Immunisation Programme (UIP) Guidelines for Disposal of Bio-medical Waste Generated during Universal Immunisation Programme (UIP) (November 2004) CENTRAL POLLUTION CONTROL BOARD DELHI 110 032 1 Contents Page No. 1. Introduction 2

More information

ORGANIZATIONS. Organization Programmatic Areas of Focus Notes Interviewed? Yes. Averting Maternal Death and Disability (AMDD)

ORGANIZATIONS. Organization Programmatic Areas of Focus Notes Interviewed? Yes. Averting Maternal Death and Disability (AMDD) Averting Maternal Death and Disability (AMDD) Bixby Center for Global Reproductive Health (UCSF) Global advocacy, human rights, strengthening health systems (conducting needs assessments for EmOC, strengthening

More information

Introduction. Definition

Introduction. Definition DIRECTIVES FOR PRIVATE AMBULATORY SURGICAL CENTRES PROVIDING AMBULATORY SURGERY: REGULATION 4(1) OF THE PRIVATE HOSPITALS AND MEDICAL CLINICS REGULATIONS [CAP 248, Rg 1] I Introduction 1 These directives

More information

TB CARE EARLY DETECTION AND PREVENTION OF TUBERCULOSIS (TB) IN CHILDREN. Risk factors in children acquiring TB:

TB CARE EARLY DETECTION AND PREVENTION OF TUBERCULOSIS (TB) IN CHILDREN. Risk factors in children acquiring TB: EARLY DETECTION AND PREVENTION OF TUBERCULOSIS (TB) IN CHILDREN Risk factors in children acquiring TB: Children living in the same household as a lung TB patient (especially children under 5) Children

More information

Specialised care for your baby

Specialised care for your baby Specialised care for your baby Summary Neonatal Intensive Care Units (NICUs) provide care for babies who need special treatment for critical illnesses in the first few weeks and months of life. Special

More information

TOP 25 ABORTION STATISTICS IN AMERICA

TOP 25 ABORTION STATISTICS IN AMERICA TOP 25 ABORTION STATISTICS IN AMERICA 2015 Care Net. All rights reserved. 2015 Care Net. Facts On Abortion. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system,

More information