Nirogi Haryan Yojna

1. Mukhya Mantri Swasthya Sarvekshan
Yojna (MMSSY)
Presenter
Dr Roopak Saini
PG Student
Moderator
Dr. Diksha Choudhary
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2. • Why NIROGI name is preferred over MMSSY!!!?
• Nirogi = Disease free
• Is Nirogi name justified in this programme??
• Similar named programme - Nirogi Rajasthan yojana
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3. • Launched on November 29, 2022 from Kurukshetra by
Hon'ble President of India Smt Droupadi Murmu and Hon’ble
Chief Minister of Haryana
• “NIROGI Haryana” was conceived after a budget
announcement of Hon’ble Chief Minister Haryana in 2022
where it was announced that all the citizens of the state should
have a comprehensive health check-up done at least once in 2
years.
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4. • Comprehensive health check ups of Antyodaya population to
detect disease burden in the State and identify epidemiological
case mixes in the target population
• Formulation of policies to address the gaps in current health
programmes to benefit population at large.
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6. • Comprehensive basic health check-up of families having income
less than Rs 1.8 lakhs (Antyodaya families) will be carried out free
of cost at least once in 2 years to be covered in phase 1 and later
on whole population shall be covered.
• Haryana is the first state in India to conduct large scale
comprehensive health check-ups of 1,21,54,119 beneficiaries
belonging to 30,59,566 Antyodaya families.
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7. Cont...
• For ease of the process, the population is categorized into 6
different age groups.
• In addition to general physical and systemic examination,
about 25 different tests will be conducted according to agewise
category
• Comprehensive health check-up is being conducted by trained
health staff and doctors in various health institutions
• There is provision of separate queue for registration and
examination of Antyodaya beneficiaries at health institutions.
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8. • Any beneficiary, if found to be suffering from an ailment during the
screening process, shall be provided with free evaluation and
treatment by medical specialists.
• To maximize the reach of Antyodaya population screening, children
are being examined at Schools and Anganwadis. The beneficiaries
are also being examined at Industrial areas/construction
sites/slums/high risk areas
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9.  Health Department:- Nodal Department/Overall
responsibility
 Medical Education & Research & AYUSH: Will provide
support and help for the effective and smooth functioning
 WCD (Women & Child Development) & Education department:
Help in screening and mobilization of population
 Panchayati Raj Institutions & Urban Local Bodies:
Mobilization and ensure follow up visits
 Self Help Groups/NGOs/Volunteers: Will provide human
resource and help in screening and mobilization 9

10. 1. Registration
2. Anthropometry
3. Recording of vitals
4. History taking
5. Physical examination
6. Systemic examination.
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11. .
7. Investigations
8. Prescription
9. Drug Distribution
10. To provide disease specific IEC (Information, Education Communication)
11. Linkage with National health Programs and follow up
12. Referral to higher centre if required 11

12. • The comprehensive health checkup will be carried out at all
the DCHs/SDHs/CHCs/PHCs/UPHCs/HWCs & Medical
colleges
District Number of
Families
Number of
Members
Name of sites
Hisar 2,13,279 8,27,698 DCH Hisar
SDH Barwala
SDH Narnaund
SDH Hansi
SDH Adampur
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* Data is as per CRID (Citizen Resource Information Department)

13. 1. Physical area/Layout
• Registration/Reception with Computer, Printer
• Waiting area (category wise)
• Physical examination area with BP apparatus & other
equipments
• Sample collection area
• IEC brochures/display
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14. 2. Manpower
• Medical Officer/Dental Surgeon/CHO
• Staff Nurse
• Lab technician (phlebotomists)
• Pharmacist for dispensing medicine
• ASHA, ANMs & Anganwadi workers
• Class IV/Sweeper
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15. 3. Biomedical Equipment
• BP Apparatus
• Weighing machine
• Sample collection kits
• Tongue depressors
• Measuring tape & torch
• Mid-arm circumference tape
• Height scale
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16. 3. Biomedical Equipment Cont...
• Urine analyzer
• Test reagents
• Hematology analyzer
• Biochemistry auto-analyzer
• Snellen’s chart
• Ishihara chart
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17. Designation Roles & Responsibility
Civil Surgeon Overall supervision and monitoring of scheme.
Dy. Civil Surgeon Ensure availability of Funds and support DNO-MMSSY
District Nodal Officer
(DNO)
Capacity building & Training of all stake holders, IEC,
Implementation of activities, Availability of Logistics,
Reporting and Monitoring & evaluation.
Senior Medical Officer Micro Planning, Trainings, IEC, Implementation of activities,
Availability of Logistics, Reporting
Medical Officer I/c
HWC-PHC
Micro Planning, Trainings, IEC, Implementation of activities,
Availability of Logistics, Reporting
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18. Designation Roles & Responsibility
Medical officer /
Ayush MO/ CHO
History taking, Physical & Systemic Examination,
Provisional Diagnosis, Ordering Investigation, Provide
programme specific IEC, Advise for follow up
Lab Officer/ LT Collection, Recording & Transportation of Samples
Staff Nurse Anthropometry and Vitals
ASHA/ ANM/
AWW
Invitation for Health Check-up Camp, Mobilization, Follow
up & Handing over test reports
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19. • The data of the antyodaya families will be provided to
anganwadi workers & ASHA workers for contacting the
households along with the microplan.
• They will fill up a slip and hand it over to the household for
visiting the designated healthcare facility for checkup.
• The identified population is categorized into six category age
groups for the purpose of the checkup.
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21. • An incentive of Rs 10 per family will be provided to ASHA
worker
• Distribute the report to respective persons
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23. • The reports of investigations will be shared through the application
with the Specialists/Medical Officer and the written copies will be
given to ASHA workers for handing over to the concerned patient
at a later stage.
• Normal Results: hard copies handed over to ASHA to
distribute the same to respective persons
• Abnormal Results: ASHA is communicated regarding the
further action plan of persons after analysis by the screening
doctor
• Soft copy of reports will be available in e-Upchaar web
portal
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24. Station 1
Registration
Station 2
Anthropometry
& vitals
Station 3a
History
taking
Station 3b
Physical
examination
Station 3c
Systemic
examination,
prescription
Station 4
Sample
collection
Station 5
Pharmacy
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28. • The health teams will be trained in a cascade manner
• Officials from stakeholder departments will be oriented at block
& district levels
• The trainings will include filling up of age related formats
devised for each age group and training of sample taking,
packing, labeling, storage & transportation for the staff at HWCs,
PHCs, UPHCs
• A group of master trainers from all the districts will be created to
train the staff at grass-root level
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29.  The main equipment required will be auto-analyzers and hematology cell
counters for conduction of lab tests. The estimated cost is about Rs. 25 crore.
 Another amount of Rs. 8.0 lakhs be sanctioned for each district for additional
requirement
+ VI
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31. Report of NIROGI Haryana (from November 29 to September 19,2023)
Name
of
District
Number of
Healthcare
facilities
Cat I
(0-6
months)
Cat II
(6
months
-5
years)
Cat III
(5-18
years)
Cat IV
(18-40
years)
Cat V
(40-60
years)
Cat VI
(Abov
e 60
years)
Total
Hisar 6 187 9708 41479 51077 25751 9511 137713
Till 31
Aug.
23
MAMC,
Agroha
35 99 401 423 245 1203
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* Total mandatory test done at MAMC, Agroha :-
(Hisar 3946 + Fatehbad 512) 4458 +3912= 8370

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39. • This is a good initiative to screen out approximately all BPL
healthy individuals.
• Diagnosis of disease on very early stage, initiating early
treatment and thus preventing disability.
• Strong political commitment.
• Specialist care and treatment were ever required.
• Focusing on occupational hazards.
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40. • Duplication of already running health programmes
• Deficiency of manpower and already over burdened health
workers.
• There is no specific guideline for transport facility.
• Issues regarding network and Nirogi portal crash.
• Proper screening might not be done at peripheral level due to
unavailability of basic medical instruments and testing kits.
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41. • Awareness and counselling regarding other health related
programs.
• Community participation by involving ASHA, AWW and
NGO’s
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42. • Health care workers were already over burdened, they may
modify data for the ease.
• Antyodaya family are mostly daily wager so there would be
non availability of family during work hours.
• A difficult task to motivate a healthy individuals.
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44. THANK YOU
A Special Thanks to
Dr. Seema Sharma
Professor
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