Community health Nursing is the synthesis of nursing and public health practice applied to promote and protect the health of population. It combines all the basic elements of professional, clinical nursing with public health and community practice.

1. Mr. Kuldeep Vyas
HOD Community Health Nurisng
Smt. Dakuben Saremalji Sancheti Nurisng Institute
1Kuldeep Vyas M.Sc. CHN

2. 1. Towards a Healthy India :-
 Institution of National Importance Status conferred to cluster
of Ayurveda Institution (Institute of Teaching & Research) in
Ayurveda Jamnagar.
 Amendment in Medical Termination of Pregnancy Bill, 2020
increased the limit of Pregnancy termination from 20 week to 24
week to expend access of women from safe & legal abortion
services.
 NCIM’ Bill 2019 & National Commission for Homeopathy
Bill 2019 amended ensuring availability of adequate and quality
medical professionals across the country.
 Assisted Reproductive Technology Regulation Bill, 2020 for
setting up National Board
 To monitor medical procedures used to assist people to achieve
pregnancy.
 Provide stringent punishment those practicing sex selection,
sale of human embryos or gametes & such unlawful practices.
2Kuldeep Vyas M.Sc. CHN

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2. Ayushman Bharat: Focus on Preventive, Promotive Health
 Health & Wellness Ambassadors at each school.
 Teachers as Health and wellness Ambassadors.
 Students as Health & Wellness messengers
 Health & Wellness Calendar – 39 days for health
promotion activities.
 Convergence with :-
 Fit India – age appropriate fitness protocols.
 “Sahi Bhojan Behtar Jeevan” Eat Right India –
Food safety magic boxes in PHC.
Kuldeep Vyas M.Sc. CHN

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3.1. Ayushman Bharat – PMJAY Reaching one & AlL (1/2)
 12.46 Crores Scheme card Provides to
beneficiaries
 21,583 Hospital empanelled under the
Scheme
 Over 1 Crore hospital admission (70.9
lakhs since June 1st 2019)
 Total value of treatment provided – Rs.
13,560.72 Crore.
Kuldeep Vyas M.Sc. CHN

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3.2. Ayushman Bharat – PMJAY Reaching one & AlL (2/2)
 Over 1.05 lakh hospiatl admissions authorised
under portability of services.
 National call center 14555 was set up by
National Health Authority on 24th August 2018.
 Total 20 Lakh inbound and 70 lakh outbound
call since June 1st , 2019.
 Robust IT platform with Anti-Fraud
Mechanism – both preventive & detective etc.
Kuldeep Vyas M.Sc. CHN

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4. Ayushman Bharat – providing holistic healthcare
 Continuum of care – Primary care (AB-HWCs)
to Tertiary care (PMJAY)
 Health & Wellness Centers (AB-HWCs) – to
provide comprehensive primary health care
closer to community
 40,644 AB-HWCs operational
 Total foot fall – 15.79 crores (8.56 crore women)
 Screening done for :-
Kuldeep Vyas M.Sc. CHN

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5.1. Health related steps taken so far for covid containment (1/3)
 Proactive, Pre-emptive and graded response:
 Advisories as per evolving situation
 Technical guidance for Quarantine, Surveillance,
Containment, Testing and Treatment, Hospital
infection prevention etc.
 Strengthened testing capacity (> 1 lakh tests per day)
 Expanding infrastructure – COVID Dedicated
Hospitals.
 1054 Dedicate COVID Hospitals: 1.81 lakhs beds
 2681 Dedicated COVID Health Care Centre: 1050
lakh beds.
 7292 COVID Care Centers – 6062 lakh beds.
 Total of 9.96 lakh dedicated beds as on 29.05.2020.
Kuldeep Vyas M.Sc. CHN

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5.2. Health related steps taken so far for covid containment (2/3)
 Ensuring logistics – supplies of essential items
 PPEs (51 lakh, more than 300 suppliers identified), N95
mask (87 lakh, 7 suppliers), HCQ tablets (11.08 Cr. 2
suppliers)
 Comprehensive Guidance on non-COVID essential services
such as blood collection/transfusion, dialysis, chemotherapy,
Deliveries.
 Financial arrangements:
 India COVID-19 Emergency response Package – Rs. 15,000
Cr.
 Rs. 4113 Cr. Released to states, Rs. 6175 Cr. For essential
items, Rs. 2200 Cr. For testing labs and kits.
 Untied funds to Districts for handling emergency
requirements.
 Insurance cover of Rs. 50 lakh per person for health
professional under Pradhan mantri Garib Kalyan Yojna
Kuldeep Vyas M.Sc. CHN

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5.3. Health related steps taken so far for covid containment (3/3)
Leveraging IT –
 Roll out of e-Sanjeevani Tele-Consultation Services.
 MCI Guidelines issued.
 Training and capacity building: Virtual learning
modules – iGOT platform.
 Arogya Setu for Surveillance.
Leagal framwork –
 Invoking Disaster management Act as per situational
needs.
 Amendment in Epidemic Diseases Act to protect
healthcare service personnel and property.
 1075 help line activated – 24.50 lakh calls attended.
Kuldeep Vyas M.Sc. CHN

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6. Ban on e-cigarettes
 India is one of the few countries that has
banned e-cigarettes through a
separate legislation.
 A pre-emptive measure to protect a
whole generation of children and youth
from nicotine addiction.
Kuldeep Vyas M.Sc. CHN

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7. Surakshit matritva aashwasan (SUMAN)
 Surakshit Matritva Aashwasan (SUMAN)
launched on 10th October 2019.
 Aims to end all preventable maternal &
newborn deaths and morbidities and provide
a positive birthing experience.
 To provide assured, dignified, respectful &
quality healthcare, at no cost and zero
tolerance for denial of services for every
women and newborn visiting the public
health facility.
Kuldeep Vyas M.Sc. CHN

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8.1. Improving child health (1/2)
 Full Immunization Coverage (FIC) in 2019-20 –
91.16%
 Expansion of Rotavirus Vaccine (RVV) to the
entire country: to reduce mortality & morbidity
caused by Rotavirus diarrhea – one of the 100
days priority agenda.
 Intensified Mission Indradhanush (IMI) 2.0 –
 To reach the unreached and partially
vaccinated children in 381 districts across
29 States/Uts
 37.09 lakh children and 7.41 lakh pregnant
women vaccinated.
Kuldeep Vyas M.Sc. CHN

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8.2. Improving child health (2/2)
 Social Awareness and Actions to Neutralize
Pneumonia Successfully (SAANS)
 SAANS was launched on 16th November 2019 to
accelerate action to reduce death due to
childhood pneumonia.
 Rashtriya bal Swasthya Karyakram (RBSK)
 12.7 Crore children (0-18 Year age) were
screened
 1.27 Crere children were identified with
any of 4 Ds (Defect at Birth, Deficiencies,
Diseases and Developmental Delays.)
 65.0 lakh children available services at
secondary/ tertiary care facilities.
Kuldeep Vyas M.Sc. CHN

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9.1. Tb harega desh jeetega (1/2)
 Commitment at highest level to End TB by
2025.
 24 lakh cases detected in 2019 – gap between
estimated and detected cases reduced from 10
lakh cases to 2.9 lakh cases.
 Molecular diagnostic in all districts – 1180
CBNAAT and 1869 TRUNAT machines – Also
contributing to COVID-19 testing.
 Active case finding – 27.4 crore vulnerble
population screened for TB.
 JEET (Joint Effort for Elimination of TB)
initiative for private sectors engagement in 173
cities and 348 district.
Kuldeep Vyas M.Sc. CHN

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9.2. Tb harega desh jeetega (2/2)
Community engagement –
 State and District TB Forums in all districts.
 More than 4 lakh TB treatment supportrs
Nikshay Poshan Yojana – Supplementary
nutrition to TB patients.
 Rs. 469 Crore disbursed via DBT to 30.4 lakh
TB patients in 2019.
Kuldeep Vyas M.Sc. CHN

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10. Enhancing access to quality healthcare services
Increasing availability of doctors – 157 new
medical colleges planned
 72 approved in 2019-20
 Preference to Aspirational Districts.
 Impact: Improved access to tertiary care and
expansion of medical edication in
Provision of quality medical education –
 A Landmark legislation, the National Medical
Commission (NMC) Act passed by parliament in
August 2019.
Kuldeep Vyas M.Sc. CHN

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