Health Delivery System


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Health Delivery System

  2. 2. Millennium DevelopmentGoals1. 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
  3. 3. 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
  4. 4. NRHM ASHA 1 per 1000 Performance based incentive VHND once a month – organised by ASHA with AWW
  5. 5. Three tier systemLevel Type of Facility PopulationPrimary Level:  Sub-Centre (SC)- ANM,  3,000-5,000 MPW  20,000-30,000  Primary Health Centre (PHC) – MOSecondary Level:  Community Health 80,000-1,20,000 Centre (CHC)/ Block Or entire district level Primary Health Centre (BPHC)  District Hospital (DH)Tertiary Level (specialized  Specialist Hospitalssystem)  Regional/ Central Institutes /Teaching Hospitals
  6. 6. ICDS Anganwadi centres 1 Anganwadi worker per 1000 population Children upto six years, pregnant and lactating women Supplementary nutrition, growth monitoring, health education
  7. 7. Delhi State Health Schemes
  8. 8. 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 /
  9. 9. 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.
  10. 10. 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.
  11. 11. 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.
  12. 12. INTEGRATED CHILD DEVELOPMENTSERVICE (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.
  13. 13. Beneficiaries1. Children below 6 years2. Pregnant and lactating women3. Women in the age group of 15-44 years4. Adolescent girls in selected blocks
  14. 14. Package of services provided by ICDS1. Supplementary nutrition, Vitamin-A, Iron and Folic Acid,2. Immunization3. Health check-ups4. Referral services5. Treatment of minor illnesses6. Nutrition and health education to women7. Pre-school education of children in the age group of 3- 6 years, and8. Convergence of other supportive services like water supply, sanitation, etc.
  15. 15. 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
  16. 16. 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
  17. 17. 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
  18. 18. Kishori Shakti YojanaThe 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
  19. 19. Rajiv Gandhi Scheme forEmpowerment of Adolescent Girls: SABLAMinistry of Women & Child Development Government of India
  20. 20. 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
  21. 21. 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
  22. 22. SABLA: Services•Nutrition Provision (600 calories and 18-20 gram ofprotein)•IFA supplementation•Nutrition & Health Education•Counseling/Guidance on family welfare, ARSH*, child carepractices and home management•Life Skill Education and accessing public services (alsoincludes efforts to mainstream into formal/non formaleducation•Vocational training (for girls aged 16 and above) usingexisting infrastructure of other Ministries/Departments:NSDP