The document discusses India's family planning program and delivery system. It provides details on:
1) The program's implementation at various levels from central to village level, describing the roles of different administrative bodies and health facilities.
2) Key strategies of the program including home delivery of contraceptives, ensuring birth spacing, and pregnancy testing kits.
3) Initiatives to increase access like Mission Parivar Vikas and expansion of contraceptive choices. Sterilization services are being provided through a fixed day static approach.
4) Incentive schemes and insurance covers to promote family planning methods. Public-private partnerships are also utilized.
5) National Population Policy 2000 aims to achieve replacement level fertility
Sumar Program's Universal Coverage: Achievements & New Goals Towards 2020RBFHealth
A presentation by Martín Sabignoso of Argentina's Ministry of Health delivered at the RBF Health Seminar, QOn the Road to Effective Universal Health Coverage: What’s New in Argentina’s Use of Performance Incentives? on June 11, 2015.
The document discusses the National Rural Health Mission (NRHM) in India. It outlines the goals of NRHM which include reducing infant and maternal mortality, increasing access to public health services, and controlling communicable and non-communicable diseases. It describes the expected outcomes by target years, components of NRHM, major stakeholders like ASHA workers, and the plan of action involving community health centers. It also summarizes innovations in rural healthcare delivery in Assam state, India including boat clinics, mobile medical units, and public-private partnerships.
Population control and related population control programmePinki Barman
India was the first major nation to adopt population control policies in 1952 in response to its rapidly growing population. However, over 60 years later the population continues to grow faster than other parts of the world. The document discusses India's population growth challenges and the various national programs and policies implemented over time to promote family planning and control population growth, including establishing family planning as a national program in 1952, developing various social and healthcare initiatives, implementing legislation around abortion and sex determination, and developing community-based approaches through workers like ASHAs.
Neonatal Health in Nepal _ Saroj Rimal.pptxsarojrimal7
The document describes about the History, trends and programs to improves the neonatal health of nepal. It will helps to know and understand the current programs and what was done before for the health of neonates and childrens in nepal. Mostly used for Public health, Nursing and Medical students. The document is developed on 2023 so, the policies and programs after 2023 was not encorporated in this document.
The document provides an overview of the traditional healthcare systems in India known as AYUSH (Ayurveda, Yoga, Unani, Siddha, Sowa Rigpa, and Homeopathy). It discusses the Ministry of AYUSH which was established in 2014 to oversee these traditional medicine sectors. Some key points covered include:
- The six traditional medicine systems recognized in India.
- Statistics on AYUSH practitioners, teaching institutions, intake and facilities across India.
- National policies and acts that provide legal support to AYUSH.
- Major initiatives taken by the Ministry of AYUSH such as new legislations, inclusion in WHO programs, and international cooperation.
The document discusses the National Rural Health Mission in India and provides details on its goals, approaches, institutional framework, and state-level initiatives. The NRHM aims to provide universal access to equitable, affordable and quality health care through community involvement, capacity building, flexible financing, and human resource management. It outlines the proposed structure from village to block to district levels. It also summarizes administrative actions and strategies to strengthen manpower and decentralize implementation across various Indian states.
The document discusses the National Rural Health Mission in India and provides details on its goals, approaches, institutional framework, and state-level initiatives. The NRHM aims to provide universal access to equitable, affordable and quality health care through community involvement, capacity building, flexible financing, and human resource management. It outlines the proposed structure from village to block to district levels. It also summarizes administrative actions and strategies to strengthen manpower and decentralize the system.
This document discusses the National Health Mission (NHM) in India, which includes the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM). Key points include:
- NHM was approved in 2013 and aims to provide universal access to public health services and reduce maternal and child mortality.
- NRHM was launched in 2005 and focuses on improving health indicators in rural and underserved areas. NUHM aims to improve health of urban populations, especially slum dwellers.
- Initiatives under NHM include the ASHA program, strengthening primary health centers, rogi kalyan samitis, and programs focused on reproductive health, immunization, and control of communicable/non-communic
Sumar Program's Universal Coverage: Achievements & New Goals Towards 2020RBFHealth
A presentation by Martín Sabignoso of Argentina's Ministry of Health delivered at the RBF Health Seminar, QOn the Road to Effective Universal Health Coverage: What’s New in Argentina’s Use of Performance Incentives? on June 11, 2015.
The document discusses the National Rural Health Mission (NRHM) in India. It outlines the goals of NRHM which include reducing infant and maternal mortality, increasing access to public health services, and controlling communicable and non-communicable diseases. It describes the expected outcomes by target years, components of NRHM, major stakeholders like ASHA workers, and the plan of action involving community health centers. It also summarizes innovations in rural healthcare delivery in Assam state, India including boat clinics, mobile medical units, and public-private partnerships.
Population control and related population control programmePinki Barman
India was the first major nation to adopt population control policies in 1952 in response to its rapidly growing population. However, over 60 years later the population continues to grow faster than other parts of the world. The document discusses India's population growth challenges and the various national programs and policies implemented over time to promote family planning and control population growth, including establishing family planning as a national program in 1952, developing various social and healthcare initiatives, implementing legislation around abortion and sex determination, and developing community-based approaches through workers like ASHAs.
Neonatal Health in Nepal _ Saroj Rimal.pptxsarojrimal7
The document describes about the History, trends and programs to improves the neonatal health of nepal. It will helps to know and understand the current programs and what was done before for the health of neonates and childrens in nepal. Mostly used for Public health, Nursing and Medical students. The document is developed on 2023 so, the policies and programs after 2023 was not encorporated in this document.
The document provides an overview of the traditional healthcare systems in India known as AYUSH (Ayurveda, Yoga, Unani, Siddha, Sowa Rigpa, and Homeopathy). It discusses the Ministry of AYUSH which was established in 2014 to oversee these traditional medicine sectors. Some key points covered include:
- The six traditional medicine systems recognized in India.
- Statistics on AYUSH practitioners, teaching institutions, intake and facilities across India.
- National policies and acts that provide legal support to AYUSH.
- Major initiatives taken by the Ministry of AYUSH such as new legislations, inclusion in WHO programs, and international cooperation.
The document discusses the National Rural Health Mission in India and provides details on its goals, approaches, institutional framework, and state-level initiatives. The NRHM aims to provide universal access to equitable, affordable and quality health care through community involvement, capacity building, flexible financing, and human resource management. It outlines the proposed structure from village to block to district levels. It also summarizes administrative actions and strategies to strengthen manpower and decentralize implementation across various Indian states.
The document discusses the National Rural Health Mission in India and provides details on its goals, approaches, institutional framework, and state-level initiatives. The NRHM aims to provide universal access to equitable, affordable and quality health care through community involvement, capacity building, flexible financing, and human resource management. It outlines the proposed structure from village to block to district levels. It also summarizes administrative actions and strategies to strengthen manpower and decentralize the system.
This document discusses the National Health Mission (NHM) in India, which includes the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM). Key points include:
- NHM was approved in 2013 and aims to provide universal access to public health services and reduce maternal and child mortality.
- NRHM was launched in 2005 and focuses on improving health indicators in rural and underserved areas. NUHM aims to improve health of urban populations, especially slum dwellers.
- Initiatives under NHM include the ASHA program, strengthening primary health centers, rogi kalyan samitis, and programs focused on reproductive health, immunization, and control of communicable/non-communic
This document provides an introduction to Health and Wellness Centers (HWCs) under Ayushman Bharat, India's flagship public health initiative to achieve universal health coverage. It discusses the current health challenges in India, the need to strengthen primary healthcare services, and the two components of Ayushman Bharat - upgrading primary health centers to HWCs and the Pradhan Mantri Jan Arogya Yojana health insurance scheme. HWCs aim to deliver comprehensive primary care beyond maternal and child health services. The key elements of HWCs include an expanded service package, multidisciplinary teams, community outreach, and using digital tools and telehealth to ensure continuum of care.
The document describes the Nirogi Haryana comprehensive health screening program launched in Haryana, India. The program aims to conduct free basic health checkups of low-income families (Antyodaya families) at least once every two years to detect diseases early. Over 1.2 crore beneficiaries from 3 million Antyodaya families will receive checkups covering physical exams, 25 common tests by age group. Abnormal results will receive free specialist treatment. The program aims to address gaps in health through early detection and treatment to benefit the population. It is being implemented through government health facilities and involves health workers for outreach and follow-up.
The document provides an overview of AYUSH (traditional healthcare systems in India) under the Ministry of AYUSH. It discusses the six recognized traditional medicine systems - Ayurveda, Unani, Siddha, Sowa Rigpa, Homeopathy, and Yoga & Naturopathy. It outlines the central and state level organizational structure of the Ministry of AYUSH and provides statistics on AYUSH practitioners, institutions, intake and facilities across India. It also summarizes several initiatives taken by the Ministry of AYUSH to promote AYUSH nationally and globally.
The document provides an overview of AYUSH (traditional healthcare systems in India) under the Ministry of AYUSH. It discusses the six recognized traditional medicine systems - Ayurveda, Unani, Siddha, Sowa Rigpa, Homeopathy, and Yoga & Naturopathy. It outlines the central and state level organizational structure in India to promote AYUSH. Statistics on AYUSH practitioners, institutions, intake and facilities are also presented. Major initiatives to promote AYUSH nationally and globally include new legislations, international collaborations, and globalization efforts.
This presentation provides an overview of family planning, including its history and definition. It discusses global trends in contraceptive use and unmet need for family planning. Specific data on South Asia and Nepal is presented regarding population growth trends, total fertility rates, and contraceptive prevalence over time. The major activities of Nepal's family planning program are outlined. The presentation concludes with an overview of various contraceptive methods and a discussion of a potential new reversible male contraceptive method called RISUG.
The document outlines India's National Population Policy from 2000. It discusses the history and goals of population policies in India. The key objectives of the 2000 policy are to address unmet needs for family planning services, achieve replacement level fertility by 2010, and achieve a stable population by 2045 through intersectoral strategies. The policy aims to improve health, education, gender equity, and access to services to influence population stabilization. It emphasizes decentralization and convergence of relevant social sectors at local levels of implementation.
The document discusses international perspectives and national strategies, policies, and components of safe motherhood. It provides an overview of safe motherhood initiatives launched globally in 1987 and commitments made at international conferences to reduce maternal mortality. Key components of Nepal's National Safe Motherhood Programme include family planning, antenatal care, obstetric care, postnatal care, and programs to address issues like HIV/AIDS. The document outlines policies, strategies, current activities, and achievements of Nepal's efforts to promote maternal health.
The document summarizes India's family planning program. It provides population figures for Indian states and shows that Uttar Pradesh has the largest population at 19.96 Cr. The national program aims to stabilize population growth by 2045 through addressing unmet need and lowering the total fertility rate (TFR) to replacement level. It highlights initiatives to increase modern contraceptive usage, address high-risk births, expand contraceptive choices, and promote quality sterilization and IUCD services. The family planning program utilizes schemes like ASHA and compensation for acceptors and providers. It also establishes quality assurance structures like state and district indemnity subcommittees to address issues.
The document outlines the goals and strategies of India's Reproductive, Maternal, Newborn, Child PLUS Adolescent Health (RMNCH+A) program. The goals include increasing coverage of key interventions like facility births, antenatal care, immunizations, and reducing issues like anemia and malnutrition. The program aims to provide continuum of care across the life stages of reproduction, pregnancy, childbirth, newborn, child, and adolescent. It focuses on community and facility-based interventions like immunization drives, nutrition programs, reproductive healthcare, and strengthening health systems. Key challenges include addressing adolescent health and improving implementation through use of data and timely payments.
The document summarizes Nepal's Safe Motherhood program, which aims to reduce maternal and neonatal mortality. It outlines the program's goals and pillars, including initiatives to address the three delays in seeking, reaching, and receiving care. Key activities include expanding 24/7 birthing facilities, emergency transport funds, ultrasound programs, and training community health workers. The program provides incentives for institutional deliveries, antenatal care, and newborn care through the Aama program.
Operational guidelines for maternal newborn healthAjay Halder
The document provides operational guidelines on maternal and newborn health in India. It outlines the principles that (1) every woman should have access to a skilled birth attendant for safe delivery, (2) efforts should be made for institutional delivery to manage potential complications, and (3) postnatal care for mothers and newborns up to 42 days is critical. The guidelines specify service packages, quality standards, and human resource and infrastructure requirements to reduce maternal and newborn mortality based on international best practices and the Indian context. Districts are to use these guidelines to develop outcome-based plans and monitor progress towards national health goals.
The document summarizes India's family planning program. It provides population figures for Indian states and shows that Uttar Pradesh has the largest population at 19.96 Cr. The national program aims to stabilize population growth by 2045 through addressing unmet need and lowering the total fertility rate (TFR) to replacement level. It highlights initiatives to increase modern contraceptive usage, address high-risk births, expand contraceptive choices, promote quality sterilization services, and generate demand for family planning. The family planning program provides various temporary and permanent contraceptive methods and aims to improve access through schemes like Mission Parivar Vikas.
The document discusses Nepal's National Safe Motherhood Programme, which aims to reduce maternal and neonatal mortality. It does this by addressing the three key delays that can impact obstetric emergencies - delay in seeking care, reaching care, and receiving care. The programme promotes birth preparedness, encourages institutional deliveries, and expands emergency obstetric services. It has made progress through policies, training more skilled birth attendants, and revising plans like the Safe Motherhood and Neonatal Health Long Term Plan. The Aama Programme provides cash incentives for institutional deliveries and antenatal care to increase utilization of maternal health services. Evaluations found the incentives increased institutional delivery rates, though issues like false reporting need to be addressed
ayushmann bharat by Government of India under Modi governmentTusharBansal425676
The document discusses Ayushman Bharat - Health and Wellness Centres (AB-HWCs) and provides information on:
1. AB-HWCs aim to provide comprehensive primary healthcare through an integrated approach and move towards universal health coverage.
2. Key issues discussed include assigning populations to AB-HWCs, strengthening infrastructure, addressing human resource gaps, expanding services, and financial planning.
3. States are encouraged to develop a vision document by December 2019 to comprehensively plan AB-HWC implementation.
In Pakistan, community health workers known as Lady Health Workers and Community Midwives provide 29 out of 38 recommended nutrition services across different life stages according to government policies. These services include counseling on breastfeeding, complementary feeding, and micronutrient supplementation. However, policies do not always specify the exact services community health workers are expected to perform. While community health workers play an important role in nutrition, their responsibilities may need to be prioritized to avoid overburdening them.
In Pakistan, community health workers known as Lady Health Workers and Community Midwives provide 29 out of 38 recommended nutrition services across different life stages according to government policies. These services include counseling on breastfeeding, complementary feeding, and micronutrient supplementation as well as assessing and supporting nutrition interventions. However, policies do not always specify all actions community health workers are expected to perform or reflect actual practices. The data provided are meant to inform efforts to strengthen community nutrition programs and support for community health workers.
In Pakistan, community health workers known as Lady Health Workers and Community Midwives provide 29 out of 38 recommended nutrition services across different life stages according to government policies. These services include counseling on breastfeeding, complementary feeding, and micronutrient supplementation. However, policies do not always specify the exact services community health workers are expected to perform. While community health workers play an important role in nutrition, their responsibilities may need to be prioritized to avoid overburdening them.
The document discusses the six pillars of safe motherhood: 1) family planning, 2) antenatal care, 3) obstetric care, 4) postnatal care, 5) post-abortion care, and 6) STD/HIV control. It also outlines Nepal's National Safe Motherhood and Newborn Health Long Term Plan from 2006-2017 which aims to reduce maternal and neonatal mortality rates. The strategies of the plan include promoting intersectoral collaboration, supporting research, empowering women, and expanding access to skilled birth attendants and emergency obstetric care services at all levels.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
This document provides an introduction to Health and Wellness Centers (HWCs) under Ayushman Bharat, India's flagship public health initiative to achieve universal health coverage. It discusses the current health challenges in India, the need to strengthen primary healthcare services, and the two components of Ayushman Bharat - upgrading primary health centers to HWCs and the Pradhan Mantri Jan Arogya Yojana health insurance scheme. HWCs aim to deliver comprehensive primary care beyond maternal and child health services. The key elements of HWCs include an expanded service package, multidisciplinary teams, community outreach, and using digital tools and telehealth to ensure continuum of care.
The document describes the Nirogi Haryana comprehensive health screening program launched in Haryana, India. The program aims to conduct free basic health checkups of low-income families (Antyodaya families) at least once every two years to detect diseases early. Over 1.2 crore beneficiaries from 3 million Antyodaya families will receive checkups covering physical exams, 25 common tests by age group. Abnormal results will receive free specialist treatment. The program aims to address gaps in health through early detection and treatment to benefit the population. It is being implemented through government health facilities and involves health workers for outreach and follow-up.
The document provides an overview of AYUSH (traditional healthcare systems in India) under the Ministry of AYUSH. It discusses the six recognized traditional medicine systems - Ayurveda, Unani, Siddha, Sowa Rigpa, Homeopathy, and Yoga & Naturopathy. It outlines the central and state level organizational structure of the Ministry of AYUSH and provides statistics on AYUSH practitioners, institutions, intake and facilities across India. It also summarizes several initiatives taken by the Ministry of AYUSH to promote AYUSH nationally and globally.
The document provides an overview of AYUSH (traditional healthcare systems in India) under the Ministry of AYUSH. It discusses the six recognized traditional medicine systems - Ayurveda, Unani, Siddha, Sowa Rigpa, Homeopathy, and Yoga & Naturopathy. It outlines the central and state level organizational structure in India to promote AYUSH. Statistics on AYUSH practitioners, institutions, intake and facilities are also presented. Major initiatives to promote AYUSH nationally and globally include new legislations, international collaborations, and globalization efforts.
This presentation provides an overview of family planning, including its history and definition. It discusses global trends in contraceptive use and unmet need for family planning. Specific data on South Asia and Nepal is presented regarding population growth trends, total fertility rates, and contraceptive prevalence over time. The major activities of Nepal's family planning program are outlined. The presentation concludes with an overview of various contraceptive methods and a discussion of a potential new reversible male contraceptive method called RISUG.
The document outlines India's National Population Policy from 2000. It discusses the history and goals of population policies in India. The key objectives of the 2000 policy are to address unmet needs for family planning services, achieve replacement level fertility by 2010, and achieve a stable population by 2045 through intersectoral strategies. The policy aims to improve health, education, gender equity, and access to services to influence population stabilization. It emphasizes decentralization and convergence of relevant social sectors at local levels of implementation.
The document discusses international perspectives and national strategies, policies, and components of safe motherhood. It provides an overview of safe motherhood initiatives launched globally in 1987 and commitments made at international conferences to reduce maternal mortality. Key components of Nepal's National Safe Motherhood Programme include family planning, antenatal care, obstetric care, postnatal care, and programs to address issues like HIV/AIDS. The document outlines policies, strategies, current activities, and achievements of Nepal's efforts to promote maternal health.
The document summarizes India's family planning program. It provides population figures for Indian states and shows that Uttar Pradesh has the largest population at 19.96 Cr. The national program aims to stabilize population growth by 2045 through addressing unmet need and lowering the total fertility rate (TFR) to replacement level. It highlights initiatives to increase modern contraceptive usage, address high-risk births, expand contraceptive choices, and promote quality sterilization and IUCD services. The family planning program utilizes schemes like ASHA and compensation for acceptors and providers. It also establishes quality assurance structures like state and district indemnity subcommittees to address issues.
The document outlines the goals and strategies of India's Reproductive, Maternal, Newborn, Child PLUS Adolescent Health (RMNCH+A) program. The goals include increasing coverage of key interventions like facility births, antenatal care, immunizations, and reducing issues like anemia and malnutrition. The program aims to provide continuum of care across the life stages of reproduction, pregnancy, childbirth, newborn, child, and adolescent. It focuses on community and facility-based interventions like immunization drives, nutrition programs, reproductive healthcare, and strengthening health systems. Key challenges include addressing adolescent health and improving implementation through use of data and timely payments.
The document summarizes Nepal's Safe Motherhood program, which aims to reduce maternal and neonatal mortality. It outlines the program's goals and pillars, including initiatives to address the three delays in seeking, reaching, and receiving care. Key activities include expanding 24/7 birthing facilities, emergency transport funds, ultrasound programs, and training community health workers. The program provides incentives for institutional deliveries, antenatal care, and newborn care through the Aama program.
Operational guidelines for maternal newborn healthAjay Halder
The document provides operational guidelines on maternal and newborn health in India. It outlines the principles that (1) every woman should have access to a skilled birth attendant for safe delivery, (2) efforts should be made for institutional delivery to manage potential complications, and (3) postnatal care for mothers and newborns up to 42 days is critical. The guidelines specify service packages, quality standards, and human resource and infrastructure requirements to reduce maternal and newborn mortality based on international best practices and the Indian context. Districts are to use these guidelines to develop outcome-based plans and monitor progress towards national health goals.
The document summarizes India's family planning program. It provides population figures for Indian states and shows that Uttar Pradesh has the largest population at 19.96 Cr. The national program aims to stabilize population growth by 2045 through addressing unmet need and lowering the total fertility rate (TFR) to replacement level. It highlights initiatives to increase modern contraceptive usage, address high-risk births, expand contraceptive choices, promote quality sterilization services, and generate demand for family planning. The family planning program provides various temporary and permanent contraceptive methods and aims to improve access through schemes like Mission Parivar Vikas.
The document discusses Nepal's National Safe Motherhood Programme, which aims to reduce maternal and neonatal mortality. It does this by addressing the three key delays that can impact obstetric emergencies - delay in seeking care, reaching care, and receiving care. The programme promotes birth preparedness, encourages institutional deliveries, and expands emergency obstetric services. It has made progress through policies, training more skilled birth attendants, and revising plans like the Safe Motherhood and Neonatal Health Long Term Plan. The Aama Programme provides cash incentives for institutional deliveries and antenatal care to increase utilization of maternal health services. Evaluations found the incentives increased institutional delivery rates, though issues like false reporting need to be addressed
ayushmann bharat by Government of India under Modi governmentTusharBansal425676
The document discusses Ayushman Bharat - Health and Wellness Centres (AB-HWCs) and provides information on:
1. AB-HWCs aim to provide comprehensive primary healthcare through an integrated approach and move towards universal health coverage.
2. Key issues discussed include assigning populations to AB-HWCs, strengthening infrastructure, addressing human resource gaps, expanding services, and financial planning.
3. States are encouraged to develop a vision document by December 2019 to comprehensively plan AB-HWC implementation.
In Pakistan, community health workers known as Lady Health Workers and Community Midwives provide 29 out of 38 recommended nutrition services across different life stages according to government policies. These services include counseling on breastfeeding, complementary feeding, and micronutrient supplementation. However, policies do not always specify the exact services community health workers are expected to perform. While community health workers play an important role in nutrition, their responsibilities may need to be prioritized to avoid overburdening them.
In Pakistan, community health workers known as Lady Health Workers and Community Midwives provide 29 out of 38 recommended nutrition services across different life stages according to government policies. These services include counseling on breastfeeding, complementary feeding, and micronutrient supplementation as well as assessing and supporting nutrition interventions. However, policies do not always specify all actions community health workers are expected to perform or reflect actual practices. The data provided are meant to inform efforts to strengthen community nutrition programs and support for community health workers.
In Pakistan, community health workers known as Lady Health Workers and Community Midwives provide 29 out of 38 recommended nutrition services across different life stages according to government policies. These services include counseling on breastfeeding, complementary feeding, and micronutrient supplementation. However, policies do not always specify the exact services community health workers are expected to perform. While community health workers play an important role in nutrition, their responsibilities may need to be prioritized to avoid overburdening them.
The document discusses the six pillars of safe motherhood: 1) family planning, 2) antenatal care, 3) obstetric care, 4) postnatal care, 5) post-abortion care, and 6) STD/HIV control. It also outlines Nepal's National Safe Motherhood and Newborn Health Long Term Plan from 2006-2017 which aims to reduce maternal and neonatal mortality rates. The strategies of the plan include promoting intersectoral collaboration, supporting research, empowering women, and expanding access to skilled birth attendants and emergency obstetric care services at all levels.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
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04.12.2022 FPP.pptx
1. Family Planning- Contd.
06-04-2023 DEPT. OF COMMUNITY MEDICINE 1
M O D E R ATO R S - D R . D E E P T H I . M . K A D E A N G A D I D R . FA R Z A N A B E G A U M
A S S O C I AT E P R O F E S S O R A S S I S TA N T P R O F E S S O R
D E P T. O F C O M M U N I T Y M E D I C I N E D E P T. O F O B S T E T R I C S & G Y N E C .
Presenter: Dr. Mohamed Aarif N
3. Apply to sexually active fecund Women and Men – measurement limited to
married women
Poses challenge to family planning programme
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5. Unmet need India
NFHS-5
Karnataka
NFHS-5
Belaum
NFHS-5
Total unmet need
for limiting birth
Urban- 8.4%
Rural- 9.9%
Total- 9.4%
NFHS 4 – 12.9%
7.3%
5.9%
6.5%
NFHS 4 – 10.4%
5.5%
10.3%
Unmet need for
spacing
4% 3.8% 2.1%
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6. High focus states
States
Unmet Need NFHS 5 NFHS 4
Total Spacing Total
Uttar Pradesh 12.9% 4.8% 18.1 %
Bihar 13.6% 6.1% 21.2%
Rajasthan 7.6% 3.7% 12.3%
Madhya Pradesh 7.7% 3.9% 12.1%
Chhattisgarh 8.3% 3.4% 11.1%
Jharkhand 11.5% 4.8% 18.4%
Assam 11% 4.1% 14.2
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7. Higher in rural areas than urban areas.
Varies by women’s education and religion.
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8. Demand satisfied
Demand satisfied =
The need satisfied by
modern methods
Total demand of the
community
Includes the cohort using modern contraceptive and traditional method and having unmet need for contraception.
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11. Delivery system
At the centre
At the state
At the district
At the
community
health centre
centre
At the phc
At the village
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12. At the central level
Dept of family welfare
Special
secretary
Joint
secretaries
Advisor -
Additional
secretary
Secretary to GOI
in the MoHFW
National Institute of
Health and Family
Welfare
Education and
training services
Research Evaluation
Apex technical
institute
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13. Central Family Welfare
Council
• All the State
Health Ministers
• To review the
implementation
of the programme
Population Advisory
Council
• Union health
minister,
members of
Parliament and
persons from the
field
• Think tank – to
analyse and
advise
• Headed by PM of
India
• Periodic review of
the progress
Cabinet sub-committee
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14. At the State level
State government – administration and implementation
• Part of State Family Welfare
directorate.
• 25 Bureaus are functioning
State Family Welfare
Bureau
• Maintain liaison with state gov
and give technical assistance in
implementation
Regional Office for
Health and Family
Welfare
• To co-ordinate between state
and central gov.
Family Welfare Cell
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15. At the District level
District Family Welfare
Bureau
Administrative
division
- District Family
Welfare Officer
Mass Education and
Media division
-Mass Education and
Media Officer
Evaluation
division
- Statistical officer
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16. 1083 Urban Family Welfare
Centres
Type I
- Population between
10000-25000
Type II
- Population between
25000-50000
Type III
- Population above
50000
2 paramedical staff in type I & II
6 persons including medical officer in type III
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17. If >50000 – divided into sectors
Type A,B,C – Hospital for referral and supervisory services
Type D – Hospital for sterilization, MTP and referral
871 Urban Health
Post
Type A
- Population
<5000
Type B
- Population
between 5000 –
10000
Type C
- Population
between 10000
– 25000
Type D
-Population
between 25000 –
50000
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18. At Community Health Centre
Maintained by state gov
4 medical specialist and 21 paramedical staffs
• Surgeon, physician, gynaecologist and paediatrician
30 in-door beds, 1 OT, X-ray, labour room, laboratory – referral centre 4
PHCs
Full range of family planning services – laparoscopic and safe abortion services.
As of 2018 - 5624 CHCs functioning in the country.
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19. At PHC level
Rural Family Welfare centres – PHC with medical officer
As of 2018- 25743 PHCs supported by 1,58,417 subcentres
Provide “Essential health care including “ including family planning care
MO trained to provide MTP and sterilization services
IUDs insertion is intensified
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20. At the village level
The Village Health
Guides
• One for each village /
1000 population
• Provides supplies
Condom/OCPs
• 3.23 L guides in
position
Trained Dais
• 1 / 1000 population
• Conduct safe
deliveries in rural
• FP counsellors &
motivators.
ASHA
• 9.15 L so far
• Provided with drug
kits.
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21. Milestones Of Family Welfare Programme
- National Family
Planning Program
by GoI 1952
- First of its kind
- Extension
education approach
- Expansion of
facilities
- Small family norm
- Dept of FP IN MoH
- Introduction of
IUCDs & condom
1951-1956
1961 - 1966
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22. - FP services under
PHCs
- All India Hospital
Post Partum
Program
- MTP Act in 1971
- Campaign for male
sterilization
- Renaming to
Family Welfare
- Community
involvement
- Child marriage
restraint Act 1978
- National health
policy 1983
- Strengthening
MCH and Family
welfare
1969 - 1974
1974 - 1979
1980 - 1985
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23. - Various Programes
under MCH
- Child Survival And
Safe Motherhood
(CSSM)
- ICPD , Cairo, 1994
- Target free
approach
- Review of CSSM
- Reproductive Child
Health
- National
Population Policy
2000
1985 - 1990
1992 - 1997
1997 - 2002
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24. - RCH II with few
modification after
evaluating RCH I
- National Rural
Health Mission -
NRHM
- National Urban
Health Plan + NRHM
=National Health
Mission
- National Urban
Health Mission
2013 + NRHM
- RMNCH + A
- INAP 2014
- National health
policy 2017
2002 - 2007
2007 - 2012
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25. Key Strategies
Home Delivery of Contraceptives (HDC):
ASHA to deliver contraceptives at the doorstep.
launched in 233 pilot districts of 17 States on 11 July 2011 - expanded to the
entire country from 17th December 2012.
ASHA is charging a nominal amount from beneficiaries for her effort to deliver
contraceptives at doorstep
i.e. Re. 1 for a pack of 3 condoms, Re. 1 for a cycle of OCPs and Rs. 2 for a pack of one
tablet of ECP.
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26. Ensuring Spacing at Birth (ESB)
- Services of ASHAs - counselling
◦ newly married couples to ensure spacing of 2 years after marriage
◦ couples with 1 child to have spacing of 3 years after the birth of 1st child.
◦ The scheme is operational in 18 States (EAG, North Eastern and Gujarat and
Haryana).
- ASHA would be paid following incentives under the scheme:
- Rs. 500/- to ASHA for delaying first child birth by 2 years after marriage;
- Rs. 500/- to ASHA for ensuring spacing of 3 years after the birth of 1st child
- Rs. 1000/- in case the couple opts for a permanent limiting method up to 2 children
only.
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27. Pregnancy Testing Kit
Nishchay: Home based Pregnancy Test Kits (PTKs) was
launched under NRHM in 2008 across the country
Anchored with the Family Planning Division on 24th
January, 2012.
The PTKs are being made available at subcenters and
to the ASHAs
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28. Mission Parivar Vikas (MPV)
Mission Parivar Vikas (MPV) - launched in 2016
For increasing access to contraceptives and family planning services
In 146 high fertility districts of seven high focus States (Uttar Pradesh, Bihar,
Rajasthan, Madhya Pradesh, Chhattisgarh, Jharkhand and Assam) having TFR of 3 and
above
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29. Key Strategic Initiatives have been undertaken in MPV Districts
Delivering assured
services
• Injectable
contraceptives
• Augmentation of
PPIUCD & PAIUCD
• Augmentation of
sterilization
• Condom boxes
Enhanced service delivery
• Building additional
capacity/HR
• Mobile out reach teams
Ensuring commodity
security
• Family planning logistics
management
information system [FP-
LMIS]
• Web /mobile based app
to manage supply chain
& to regulate the flow of
commodities to the end
user
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30. Promotional schemes
• New contraceptives
available at subcentre
level
• Nayi Pehal Kit : a family
planning kit to
newlywed couple
through ASHA.
• 2019-2020 – 4,26,632
• 2020-2021- 28,281
• Saas Bahu Sammelans
: communication btw
married women and
their mother in law
• To discuss freely about
FP & reproductive health
• 2020-2021: 15,611
conducted
• Sarthi : mobile van
offering information and
services at doorstep
• 2020-21: 1.26
beneficiaries, 19.57 L
condoms, 3.62 L oral pill
in MPV districts.
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31. Other Initiatives
More emphasis on spacing like IUCD
◦ - Training of state level trainers completed
◦ - Training service provider at sub centre level is under way
New method of IUCD ( post partum IUCD 2010 and post abortion IUCD)
2019-20: 25.45 L PPIUCD & 91,660 PAIUCD
2020-21: 15.55 L PPIUCD & 43,138 PAIUCD
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32. Newer intervention to improve access
Expansion of basket of choice
- Antara – injectable DMPA- INTRODUCED
- POP- Under piloting process
- Chhaya - Centchroman - under programming.
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33. Sterilization:
“FIXED DAY STATIC Services” (FDS) approach.
Frequency of services
- District hospital – twice a week
- Sub-district hospital – weekly
- CHC/BLOCK PHC – fortnightly
- 24x7 PHC / PHC - monthly
Objectives
• Shift from camp approach to
regular routine services
• To make health facilities self
sufficient
• Avail sterilization to client on any
date at their health facility
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37. National family planning indemnity scheme
Payment of claims after sterilization in the event of death/ failure/complication/
indemnity cover to doctor/ health facility
Increments:
State gov employees – sterilization after 2 children : 2 increment; one after 3
children .
Central gov employee – one increment & special leave
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38. Family welfare linked health insurance scheme
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40. National
Population
Policy 2000
First formed in April 1976
“Target free approach in family planning services”
Provision of informed and voluntary choice to the people to
avail reproductive health care services.
Aims at TFR = replacement level.
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National population policy 2000
41. Components of NPP 2000
Women education and empowerment
Child survival and health
Unmet needs for family welfare services
Health care for under served population
Adolescent health & education
Increased participation of men in planned parenthood
Collaborations with NGOs
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42. SWOC Analysis - Strengths
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Affordable
Accessible
Client-
centered
care
Effective
communica
tion
Attained
replacement
level fertility
Community
need
assessment
approach
Technological
support
Integration
of
programmes
43. Weakness
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Lack of
Private
contribution
More unmet
needs in
Rural than
Urban
Lack of
Involvement
of male
Unmet need
for emergency
contraceptives
Social
challenges-
discrimination
in fair
distribution
Pregnancy among
Adolescent and
unmarried
women
44. Opportunities
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Man-
power and
resources
LMO at PHCs
Building
private
public
partnership
Involvement
of male
Adolescent and
unmarried
women -
emergency
contraceptives
Training of
staffs – IUCD &
Sterilization
45. Challenges
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Need for
emergency
contraceptives
Paternalistic
bias
Failure of
contraception
Social factors- religion, politics,
caste, belief and culture
*Gender preference
Private
public
partnership
46. Evaluation of family planning
Evaluation
of
impact
Need
Plans
perfor
mance
effects
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47. Reference
Park’s Textbook of Preventive and Social Medicine, 26th Ed.
Reference manual for oral contraceptive pills, Family planning division, MoHFW.pdf
J. Kishore’s NATIONAL HEALTH PROGRAMS OF INDIA 13TH Edition.
NFHS :http://rchiips.org/nfhs/
HMIS: https://hmis.nhp.gov.in/
Annual report 2020- 2021 -Department of Health & Family Welfare Ministry of Health & Family
Welfare Government of India Nirman Bhawan, New Delhi – 110011.
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