This document provides guidelines for implementing performance-based incentives (PBIs) for health workers in India's 184 high priority districts. It aims to motivate health workers to improve performance and retain staff in remote areas. The PBIs are designed to maximize outputs and outcomes for key maternal and child health interventions. Implementing PBIs is intended to address issues like absenteeism and lack of performance monitoring. The guidelines were developed through discussions between various departments of India's health ministry with support from partners like the Bill and Melinda Gates Foundation. PBIs focus on critical services like emergency obstetric and newborn care to reduce maternal and infant mortality, especially in underserved areas. States are encouraged to use the framework but tailor incentives to local
RMNCH+A strategy: Reproductive, Maternal, neonatal, child and Adolescent Health Gaurav Kamboj
This document provides an overview of the RMNCH+A strategy in India. It discusses the historical background and goals of reducing maternal and child mortality. The key challenges include operating the different components vertically and strengthening adolescent health. Major causes of maternal and child deaths in India are hemorrhage, sepsis, abortion for mothers and pneumonia, preterm birth and sepsis for under-5 children. The strategy aims to address these across various life stages through interventions like adolescent nutrition programs, skilled birth attendance, emergency obstetric care, and postnatal care for mothers and newborns. It also discusses strengthening the health system to deliver comprehensive RMNCH+A services and monitoring progress.
2. Handbook on Improving Maternal and Child HealthDr. Rajesh Singh
The document provides a handbook on improving maternal and child health in India through the RMNCH+A approach. It summarizes the key activities and interventions across the continuum of care from adolescence to motherhood to childhood. The goal is to reduce mortality and improve health outcomes for women and children by prioritizing high burden districts and vulnerable populations. The handbook serves as a guide for program managers to plan, implement, and monitor new and existing RMNCH+A programs and interventions.
This document outlines India's strategic approach to reproductive, maternal, newborn, child and adolescent health (RMNCH+A). It recognizes that these areas are interlinked and cannot be addressed in isolation. The approach aims to provide integrated services across the lifecycle from adolescence through pregnancy and childbirth. It emphasizes establishing continuity of care between community and health facilities to improve outcomes and achieve national health goals and Millennium Development Goals 4 and 5 on maternal and child health.
The document outlines key strategies for improving maternal health in India, including using the Mother and Child Tracking System (MCTS) to ensure early registration of pregnancy and full antenatal care, detecting and line listing high-risk pregnancies like severely anemic mothers to ensure management, and equipping delivery points with facilities for basic and comprehensive obstetric and newborn care available 24/7. It also discusses reviews of maternal, perinatal and child deaths to understand gaps in health services and strategies to strengthen health infrastructure for maternal and newborn care.
RMNCH + A MCH Program Dr Girish .B Associate Professor, CIMS, ChamarajanagarDr Girish B
This document outlines the RMNCH+A program in India, which aims to improve reproductive, maternal, newborn, child, and adolescent health. It discusses the historical background of maternal and child health programs in India. The key aspects of the RMNCH+A approach include focusing on the continuum of care across the lifespan, priority districts, and addressing interventions related to adolescent health, antenatal and delivery care, postnatal care, newborn and child health, immunization, and family planning. The goals are to reduce infant mortality, maternal mortality, and total fertility rate by 2017.
The document discusses India's RMNCH+A (Reproductive, Maternal, Newborn, Child Health Plus Adolescent) approach, which aims to provide integrated health services across different life stages through a continuum of care. Key aspects of the approach include reducing mortality and malnutrition, increasing immunization coverage, and strengthening service delivery through community health workers. Progress is monitored using indicators tracked in scorecards that measure coverage of important interventions like antenatal care, institutional deliveries, postnatal checks, and child nutrition. The approach emphasizes addressing the needs of vulnerable groups like adolescent mothers through new initiatives for maternal and newborn care, child health, family planning and adolescent health.
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 discusses India's RMNCH+A (Reproductive, Maternal, Newborn, Child Health + Adolescence) strategy. It outlines the history and evolution of family welfare programs in India. The current goals are to reduce infant mortality, maternal mortality, and total fertility rate by 2017. The strategy focuses on providing a continuum of care through various levels of the health system across different life stages. Key interventions include reproductive health services, antenatal care, skilled birth attendance, postnatal care, and improving health systems and monitoring. The strategy aims to strengthen primary healthcare and community participation to improve maternal and child health outcomes across India.
RMNCH+A strategy: Reproductive, Maternal, neonatal, child and Adolescent Health Gaurav Kamboj
This document provides an overview of the RMNCH+A strategy in India. It discusses the historical background and goals of reducing maternal and child mortality. The key challenges include operating the different components vertically and strengthening adolescent health. Major causes of maternal and child deaths in India are hemorrhage, sepsis, abortion for mothers and pneumonia, preterm birth and sepsis for under-5 children. The strategy aims to address these across various life stages through interventions like adolescent nutrition programs, skilled birth attendance, emergency obstetric care, and postnatal care for mothers and newborns. It also discusses strengthening the health system to deliver comprehensive RMNCH+A services and monitoring progress.
2. Handbook on Improving Maternal and Child HealthDr. Rajesh Singh
The document provides a handbook on improving maternal and child health in India through the RMNCH+A approach. It summarizes the key activities and interventions across the continuum of care from adolescence to motherhood to childhood. The goal is to reduce mortality and improve health outcomes for women and children by prioritizing high burden districts and vulnerable populations. The handbook serves as a guide for program managers to plan, implement, and monitor new and existing RMNCH+A programs and interventions.
This document outlines India's strategic approach to reproductive, maternal, newborn, child and adolescent health (RMNCH+A). It recognizes that these areas are interlinked and cannot be addressed in isolation. The approach aims to provide integrated services across the lifecycle from adolescence through pregnancy and childbirth. It emphasizes establishing continuity of care between community and health facilities to improve outcomes and achieve national health goals and Millennium Development Goals 4 and 5 on maternal and child health.
The document outlines key strategies for improving maternal health in India, including using the Mother and Child Tracking System (MCTS) to ensure early registration of pregnancy and full antenatal care, detecting and line listing high-risk pregnancies like severely anemic mothers to ensure management, and equipping delivery points with facilities for basic and comprehensive obstetric and newborn care available 24/7. It also discusses reviews of maternal, perinatal and child deaths to understand gaps in health services and strategies to strengthen health infrastructure for maternal and newborn care.
RMNCH + A MCH Program Dr Girish .B Associate Professor, CIMS, ChamarajanagarDr Girish B
This document outlines the RMNCH+A program in India, which aims to improve reproductive, maternal, newborn, child, and adolescent health. It discusses the historical background of maternal and child health programs in India. The key aspects of the RMNCH+A approach include focusing on the continuum of care across the lifespan, priority districts, and addressing interventions related to adolescent health, antenatal and delivery care, postnatal care, newborn and child health, immunization, and family planning. The goals are to reduce infant mortality, maternal mortality, and total fertility rate by 2017.
The document discusses India's RMNCH+A (Reproductive, Maternal, Newborn, Child Health Plus Adolescent) approach, which aims to provide integrated health services across different life stages through a continuum of care. Key aspects of the approach include reducing mortality and malnutrition, increasing immunization coverage, and strengthening service delivery through community health workers. Progress is monitored using indicators tracked in scorecards that measure coverage of important interventions like antenatal care, institutional deliveries, postnatal checks, and child nutrition. The approach emphasizes addressing the needs of vulnerable groups like adolescent mothers through new initiatives for maternal and newborn care, child health, family planning and adolescent health.
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 discusses India's RMNCH+A (Reproductive, Maternal, Newborn, Child Health + Adolescence) strategy. It outlines the history and evolution of family welfare programs in India. The current goals are to reduce infant mortality, maternal mortality, and total fertility rate by 2017. The strategy focuses on providing a continuum of care through various levels of the health system across different life stages. Key interventions include reproductive health services, antenatal care, skilled birth attendance, postnatal care, and improving health systems and monitoring. The strategy aims to strengthen primary healthcare and community participation to improve maternal and child health outcomes across India.
This document outlines the RMNCH+A framework in India, which aims to improve reproductive, maternal, newborn, child and adolescent health through an integrated approach. It discusses the problem statement, goals and targets, strategic interventions across the lifecycle from adolescence to reproductive years. These include adolescent health services, antenatal care, skilled birth attendance, essential newborn care, immunization, and family planning. The framework also covers health system strengthening, program management, priority actions in vulnerable areas, and partnerships to support RMNCH+A service delivery in India.
The RMNCH+A program in India aims to improve maternal and child health outcomes through a comprehensive strategy across the life cycle based on a continuum of care model. Key goals include reducing infant mortality to 25 per 1000 live births, maternal mortality to 100 per 100,000 live births, and total fertility rate to 2.1 by 2017. The program focuses on reproductive health, maternal health, newborn care, child health, and adolescent care through various high-impact interventions delivered at different levels of care from community to facilities. A key aspect of RMNCH+A is linking interventions between different life stages like reproductive health, family planning, and maternal, child and adolescent health.
This document provides demographic and health statistics for the state of Andhra Pradesh, India. It includes data on population, births, mortality rates, fertility rates, maternal and child health indicators, nutrition levels, and disparities in coverage. The statistics show that while coverage of services has improved, inequities persist across gender, residence, and wealth quintiles. Disparities in coverage of services like antenatal care, institutional delivery, and vaccination need to be addressed to improve reproductive, maternal, newborn, child and adolescent health in the state.
The document summarizes the Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A) programme in India. It defines RMNCH+A as linking maternal and child survival to other health components like family planning and adolescent health. The goals of the program are to reduce infant mortality, maternal mortality, and total fertility rates by 2017. It outlines strategic interventions across different life stages from adolescence to childhood. These interventions are delivered through the health system and cross-cutting programs. The document provides examples of high-impact interventions for reproductive, maternal, newborn, child, and adolescent health. Finally, it notes new aspects of the RMNCH+A program including interlinkages between interventions
High impact interventions in rmnch+a(mch) for itcSudha Goel
1) The document outlines India's RMNCH+A (Reproductive, Maternal, Newborn, Child Health + Adolescence) strategy, which takes a comprehensive, life cycle approach to improving maternal and child health outcomes.
2) It describes 25 high-impact interventions across 5 thematic areas (maternal health, newborn care, child health, family planning and nutrition) that are implemented at the community and facility levels as part of the "continuum of care".
3) The goals of the strategy are to reduce India's infant mortality rate, maternal mortality ratio, and total fertility rate by 2017 through improved coverage and quality of these priority interventions.
Reproductive, Maternal, Newborn, Child and Adolescent Health RMNCHAKailash Nagar
This document outlines India's strategic approach to reproductive, maternal, newborn, child, and adolescent health called RMNCH+A. It was launched in 2013 to be at the heart of India's National Health Mission. The goals are to reduce infant mortality to 25 per 1000 live births, maternal mortality to 100 per 100,000 live births, and total fertility rate to 2.1 by 2017. It identifies 184 high priority districts and outlines coverage targets and interventions across the lifespan from adolescence to reproductive years. Key interventions include antenatal care, institutional deliveries, postnatal care, newborn care, child nutrition, immunization, and family planning.
The document summarizes recent advances in Reproductive, Maternal, Newborn, Child Plus Adolescent Health (RMNCH+A) in India. It discusses programs and policies across various components of RMNCH+A including pregnancy and childbirth, newborn and child health, and reproductive health and family planning. Key initiatives highlighted include Janani Suraksha Yojana, Janani Shishu Suraksha Karyakram, and Rashtriya Bal Swasthya Karyakram.
The document summarizes Nepal's family planning program. The main objectives are to improve health outcomes for mothers and children by increasing access to quality family planning services, especially for rural and marginalized groups. Key activities include providing various contraceptive methods through both institutions and mobile clinics. While contraceptive use and access have increased over time, challenges remain such as high unmet need and an overreliance on emergency contraception and abortion. Recommendations focus on strengthening access to long-acting reversible contraceptives and services for adolescents.
Swot analysis of safe motherhood program of Nepalsirjana Tiwari
The document provides an overview of Nepal's Safe Motherhood and Newborn Health Program, including its goals, strategies, activities and management. Some key points:
- The program aims to reduce maternal and neonatal morbidity and mortality through preventative activities and addressing factors that cause death during pregnancy, childbirth and postpartum.
- Major strategies include promoting birth preparedness, the Aama program to promote antenatal checkups and institutional delivery, and expanding emergency obstetric services.
- Key activities include distribution of birth preparedness packages, rural ultrasound programs, expansion of birthing centers and emergency obstetric care sites, and training of skilled birth attendants.
- The program is managed through planning
Public private partnership in safemotherhood program in NepalBidhya Basnet
The document discusses public private partnerships in Nepal's Safemotherhood program. It provides definitions of key terms, describes the status and activities of the program, and outlines various PPP models used. The program aims to reduce maternal and neonatal mortality by improving access to antenatal care, skilled birth attendance, emergency obstetric care, and postnatal care. It partners with various organizations to implement activities like community mobilization, ultrasound programs, and expanding emergency referral services. However, partnerships face limitations like unclear policies, weak coordination, and a lack of regulatory frameworks and research on the private health sector.
RMNCH+A approach has been launched in 2013 and it essentially looks to address the major causes of mortality among women and children as well as the delays in accessing and utilizing health care and services. The RMNCH+A strategic approach has been developed to provide an understanding of ‘continuum of care’ to ensure equal focus on various life stages.
The RMNCH+A appropriately directs the States to focus their efforts on the most vulnerable population and disadvantaged groups in the country. It also emphasizes on the need to reinforce efforts in those poor performing districts that have already been identified as the high focus districts.
This document summarizes the child health program in Nepal. It discusses the main medical causes of infant mortality and morbidity, including low birth weight, respiratory infections, diarrhea, and malnutrition. It then outlines Nepal's national immunization program, which aims to increase vaccination coverage and prevent diseases like polio, measles, and tetanus. The program is guided by national health strategies and goals to reduce child mortality and morbidity from vaccine-preventable illnesses. Key activities discussed include vaccinator training, polio campaigns, and integrated disease surveillance.
The document summarizes India's National Newborn Action Plan and Rewa District Newborn Action Plan. It provides statistics on neonatal, infant and under-5 mortality in India from 1990-2012, showing a 44-59% reduction. The Rewa District plan aims to reduce the neonatal mortality rate from 47 to under 10 per 1000 live births by focusing on interventions around labor/childbirth, newborn care, sick newborn care, and coordination across sectors like health, education and women/child development. Key commitments include training health workers, establishing developmental clinics, and implementing a community awareness campaign.
The document discusses the evolution of reproductive, maternal, newborn, child and adolescent health (RMNCH+A) programs in India from the 1950s to present. It outlines the key historical programs and approaches, including the shift from a family planning focus to a more integrated reproductive health approach. The current RMNCH+A strategy aims to reduce maternal and child mortality by emphasizing continuum of care across the lifecycle through high impact interventions at various levels of the health system.
The Reproductive and Child Health (RCH) program was launched in India in 1997 with the goal of reducing infant and maternal mortality rates and achieving population stabilization. RCH Phase I focused on promoting maternal and child health through interventions like family planning, maternal care, child survival, and prevention of diseases. RCH Phase II, launched in 2005, expanded the goals and components of the program. It aimed to further reduce infant and maternal mortality as well as increase immunization coverage, especially in rural areas through strategies like strengthening health infrastructure and focusing on high-priority states. The components of RCH Phase II included population stabilization, maternal health, newborn and child health, adolescent health, and control of diseases. Monitoring and evaluation was emphasized
The document outlines Nepal's Safe Motherhood Programme which aims to reduce maternal and neonatal morbidity and mortality through various strategies and activities. The major strategies include promoting birth preparedness, expanding 24-hour birthing facilities, and emergency obstetric care services. Key activities involve community-level maternal and newborn interventions, expanding service delivery sites, emergency referral funds, and programs to provide free delivery services and newborn supplies. The goals are to address delays in seeking and receiving care and improve access to institutional deliveries and emergency obstetric services.
Unit 3.2 national safe motherhood policy 1998chetraj pandit
The 1998 Safe Motherhood Policy in Nepal aimed to reduce maternal mortality and morbidity. Its objectives were to increase access, availability, and utilization of maternal health services; strengthen the capacity of maternal healthcare providers; strengthen referral services for maternity care; raise public awareness of maternal health and safe motherhood; and improve the legal and socioeconomic status of women. The strategies included promoting inter-sectoral collaboration, strengthening and expanding delivery services by skilled birth attendants and emergency obstetric care at all levels, supporting activities to raise the status of women, and promoting research on safe motherhood.
The document discusses the Rashtriya Kishor Swasthya Karyakram (RKSK) or National Adolescent Health Programme in India. It was launched in 2014 to promote the health and well-being of adolescents aged 10-19. The program aims to improve nutrition, sexual and reproductive health, mental health, prevent injuries and violence, address substance misuse, and conditions for non-communicable diseases. It utilizes community-based interventions like peer education, adolescent health days, and iron supplementation, as well as facility-based adolescent friendly health clinics. The program also focuses on convergence between the health sector and other departments to promote adolescent health.
Guidebook for Enhancing Performance of Multi Purpose Workers Nishant NHSRCNishant Parashar
This document provides guidelines for enhancing the performance of Multi-Purpose Workers (Female) or MPW(F), who provide primary healthcare services at Sub Centers in India. It includes a prototype weekly work plan that outlines the activities MPW(F)s should carry out at the Sub Center, during Village Health and Nutrition Days (VHNDs), and on field/home visits. It also provides checklists for monitoring activities and assessing MPW(F) performance. The goal is to help MPW(F)s better organize their work and help supervisors evaluate individual performance, with the overall aims of improving healthcare delivery and outcomes at the Sub Center level.
This document provides key performance and quality indicators for monitoring high impact interventions under India's Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A) strategy. It begins with introductions by senior officials at the Ministry of Health and Family Welfare emphasizing the importance of these indicators for measuring progress and improving service delivery quality. The document then lists the indicators under each of the 5 areas of the strategy: reproductive health, maternal health, newborn health, child health, and adolescent health. It aims to help program managers at all levels accelerate progress, especially in India's 184 high priority districts.
A new group of healthcare professionals who are not doctors are called community health officers CHOs . As a part of Comprehensive Primary Health Care, CHOs will be vital in providing an increased range of essential services. They are expected to direct the primary care staff at the Sub Centre, Health and Wellness Center, offer ambulatory care and clinical management to the neighborhood, and act as a crucial coordination link to guarantee the continuum of car. Mr. Saneesh CM | Dr. S. Victor Devasirvadam "Community Health Officer (CHO): An Overview" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-1 , February 2023, URL: https://www.ijtsrd.com/papers/ijtsrd53840.pdf Paper URL: https://www.ijtsrd.com/medicine/nursing/53840/community-health-officer-cho-an-overview/mr-saneesh-cm
This document outlines the RMNCH+A framework in India, which aims to improve reproductive, maternal, newborn, child and adolescent health through an integrated approach. It discusses the problem statement, goals and targets, strategic interventions across the lifecycle from adolescence to reproductive years. These include adolescent health services, antenatal care, skilled birth attendance, essential newborn care, immunization, and family planning. The framework also covers health system strengthening, program management, priority actions in vulnerable areas, and partnerships to support RMNCH+A service delivery in India.
The RMNCH+A program in India aims to improve maternal and child health outcomes through a comprehensive strategy across the life cycle based on a continuum of care model. Key goals include reducing infant mortality to 25 per 1000 live births, maternal mortality to 100 per 100,000 live births, and total fertility rate to 2.1 by 2017. The program focuses on reproductive health, maternal health, newborn care, child health, and adolescent care through various high-impact interventions delivered at different levels of care from community to facilities. A key aspect of RMNCH+A is linking interventions between different life stages like reproductive health, family planning, and maternal, child and adolescent health.
This document provides demographic and health statistics for the state of Andhra Pradesh, India. It includes data on population, births, mortality rates, fertility rates, maternal and child health indicators, nutrition levels, and disparities in coverage. The statistics show that while coverage of services has improved, inequities persist across gender, residence, and wealth quintiles. Disparities in coverage of services like antenatal care, institutional delivery, and vaccination need to be addressed to improve reproductive, maternal, newborn, child and adolescent health in the state.
The document summarizes the Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A) programme in India. It defines RMNCH+A as linking maternal and child survival to other health components like family planning and adolescent health. The goals of the program are to reduce infant mortality, maternal mortality, and total fertility rates by 2017. It outlines strategic interventions across different life stages from adolescence to childhood. These interventions are delivered through the health system and cross-cutting programs. The document provides examples of high-impact interventions for reproductive, maternal, newborn, child, and adolescent health. Finally, it notes new aspects of the RMNCH+A program including interlinkages between interventions
High impact interventions in rmnch+a(mch) for itcSudha Goel
1) The document outlines India's RMNCH+A (Reproductive, Maternal, Newborn, Child Health + Adolescence) strategy, which takes a comprehensive, life cycle approach to improving maternal and child health outcomes.
2) It describes 25 high-impact interventions across 5 thematic areas (maternal health, newborn care, child health, family planning and nutrition) that are implemented at the community and facility levels as part of the "continuum of care".
3) The goals of the strategy are to reduce India's infant mortality rate, maternal mortality ratio, and total fertility rate by 2017 through improved coverage and quality of these priority interventions.
Reproductive, Maternal, Newborn, Child and Adolescent Health RMNCHAKailash Nagar
This document outlines India's strategic approach to reproductive, maternal, newborn, child, and adolescent health called RMNCH+A. It was launched in 2013 to be at the heart of India's National Health Mission. The goals are to reduce infant mortality to 25 per 1000 live births, maternal mortality to 100 per 100,000 live births, and total fertility rate to 2.1 by 2017. It identifies 184 high priority districts and outlines coverage targets and interventions across the lifespan from adolescence to reproductive years. Key interventions include antenatal care, institutional deliveries, postnatal care, newborn care, child nutrition, immunization, and family planning.
The document summarizes recent advances in Reproductive, Maternal, Newborn, Child Plus Adolescent Health (RMNCH+A) in India. It discusses programs and policies across various components of RMNCH+A including pregnancy and childbirth, newborn and child health, and reproductive health and family planning. Key initiatives highlighted include Janani Suraksha Yojana, Janani Shishu Suraksha Karyakram, and Rashtriya Bal Swasthya Karyakram.
The document summarizes Nepal's family planning program. The main objectives are to improve health outcomes for mothers and children by increasing access to quality family planning services, especially for rural and marginalized groups. Key activities include providing various contraceptive methods through both institutions and mobile clinics. While contraceptive use and access have increased over time, challenges remain such as high unmet need and an overreliance on emergency contraception and abortion. Recommendations focus on strengthening access to long-acting reversible contraceptives and services for adolescents.
Swot analysis of safe motherhood program of Nepalsirjana Tiwari
The document provides an overview of Nepal's Safe Motherhood and Newborn Health Program, including its goals, strategies, activities and management. Some key points:
- The program aims to reduce maternal and neonatal morbidity and mortality through preventative activities and addressing factors that cause death during pregnancy, childbirth and postpartum.
- Major strategies include promoting birth preparedness, the Aama program to promote antenatal checkups and institutional delivery, and expanding emergency obstetric services.
- Key activities include distribution of birth preparedness packages, rural ultrasound programs, expansion of birthing centers and emergency obstetric care sites, and training of skilled birth attendants.
- The program is managed through planning
Public private partnership in safemotherhood program in NepalBidhya Basnet
The document discusses public private partnerships in Nepal's Safemotherhood program. It provides definitions of key terms, describes the status and activities of the program, and outlines various PPP models used. The program aims to reduce maternal and neonatal mortality by improving access to antenatal care, skilled birth attendance, emergency obstetric care, and postnatal care. It partners with various organizations to implement activities like community mobilization, ultrasound programs, and expanding emergency referral services. However, partnerships face limitations like unclear policies, weak coordination, and a lack of regulatory frameworks and research on the private health sector.
RMNCH+A approach has been launched in 2013 and it essentially looks to address the major causes of mortality among women and children as well as the delays in accessing and utilizing health care and services. The RMNCH+A strategic approach has been developed to provide an understanding of ‘continuum of care’ to ensure equal focus on various life stages.
The RMNCH+A appropriately directs the States to focus their efforts on the most vulnerable population and disadvantaged groups in the country. It also emphasizes on the need to reinforce efforts in those poor performing districts that have already been identified as the high focus districts.
This document summarizes the child health program in Nepal. It discusses the main medical causes of infant mortality and morbidity, including low birth weight, respiratory infections, diarrhea, and malnutrition. It then outlines Nepal's national immunization program, which aims to increase vaccination coverage and prevent diseases like polio, measles, and tetanus. The program is guided by national health strategies and goals to reduce child mortality and morbidity from vaccine-preventable illnesses. Key activities discussed include vaccinator training, polio campaigns, and integrated disease surveillance.
The document summarizes India's National Newborn Action Plan and Rewa District Newborn Action Plan. It provides statistics on neonatal, infant and under-5 mortality in India from 1990-2012, showing a 44-59% reduction. The Rewa District plan aims to reduce the neonatal mortality rate from 47 to under 10 per 1000 live births by focusing on interventions around labor/childbirth, newborn care, sick newborn care, and coordination across sectors like health, education and women/child development. Key commitments include training health workers, establishing developmental clinics, and implementing a community awareness campaign.
The document discusses the evolution of reproductive, maternal, newborn, child and adolescent health (RMNCH+A) programs in India from the 1950s to present. It outlines the key historical programs and approaches, including the shift from a family planning focus to a more integrated reproductive health approach. The current RMNCH+A strategy aims to reduce maternal and child mortality by emphasizing continuum of care across the lifecycle through high impact interventions at various levels of the health system.
The Reproductive and Child Health (RCH) program was launched in India in 1997 with the goal of reducing infant and maternal mortality rates and achieving population stabilization. RCH Phase I focused on promoting maternal and child health through interventions like family planning, maternal care, child survival, and prevention of diseases. RCH Phase II, launched in 2005, expanded the goals and components of the program. It aimed to further reduce infant and maternal mortality as well as increase immunization coverage, especially in rural areas through strategies like strengthening health infrastructure and focusing on high-priority states. The components of RCH Phase II included population stabilization, maternal health, newborn and child health, adolescent health, and control of diseases. Monitoring and evaluation was emphasized
The document outlines Nepal's Safe Motherhood Programme which aims to reduce maternal and neonatal morbidity and mortality through various strategies and activities. The major strategies include promoting birth preparedness, expanding 24-hour birthing facilities, and emergency obstetric care services. Key activities involve community-level maternal and newborn interventions, expanding service delivery sites, emergency referral funds, and programs to provide free delivery services and newborn supplies. The goals are to address delays in seeking and receiving care and improve access to institutional deliveries and emergency obstetric services.
Unit 3.2 national safe motherhood policy 1998chetraj pandit
The 1998 Safe Motherhood Policy in Nepal aimed to reduce maternal mortality and morbidity. Its objectives were to increase access, availability, and utilization of maternal health services; strengthen the capacity of maternal healthcare providers; strengthen referral services for maternity care; raise public awareness of maternal health and safe motherhood; and improve the legal and socioeconomic status of women. The strategies included promoting inter-sectoral collaboration, strengthening and expanding delivery services by skilled birth attendants and emergency obstetric care at all levels, supporting activities to raise the status of women, and promoting research on safe motherhood.
The document discusses the Rashtriya Kishor Swasthya Karyakram (RKSK) or National Adolescent Health Programme in India. It was launched in 2014 to promote the health and well-being of adolescents aged 10-19. The program aims to improve nutrition, sexual and reproductive health, mental health, prevent injuries and violence, address substance misuse, and conditions for non-communicable diseases. It utilizes community-based interventions like peer education, adolescent health days, and iron supplementation, as well as facility-based adolescent friendly health clinics. The program also focuses on convergence between the health sector and other departments to promote adolescent health.
Guidebook for Enhancing Performance of Multi Purpose Workers Nishant NHSRCNishant Parashar
This document provides guidelines for enhancing the performance of Multi-Purpose Workers (Female) or MPW(F), who provide primary healthcare services at Sub Centers in India. It includes a prototype weekly work plan that outlines the activities MPW(F)s should carry out at the Sub Center, during Village Health and Nutrition Days (VHNDs), and on field/home visits. It also provides checklists for monitoring activities and assessing MPW(F) performance. The goal is to help MPW(F)s better organize their work and help supervisors evaluate individual performance, with the overall aims of improving healthcare delivery and outcomes at the Sub Center level.
This document provides key performance and quality indicators for monitoring high impact interventions under India's Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A) strategy. It begins with introductions by senior officials at the Ministry of Health and Family Welfare emphasizing the importance of these indicators for measuring progress and improving service delivery quality. The document then lists the indicators under each of the 5 areas of the strategy: reproductive health, maternal health, newborn health, child health, and adolescent health. It aims to help program managers at all levels accelerate progress, especially in India's 184 high priority districts.
A new group of healthcare professionals who are not doctors are called community health officers CHOs . As a part of Comprehensive Primary Health Care, CHOs will be vital in providing an increased range of essential services. They are expected to direct the primary care staff at the Sub Centre, Health and Wellness Center, offer ambulatory care and clinical management to the neighborhood, and act as a crucial coordination link to guarantee the continuum of car. Mr. Saneesh CM | Dr. S. Victor Devasirvadam "Community Health Officer (CHO): An Overview" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-1 , February 2023, URL: https://www.ijtsrd.com/papers/ijtsrd53840.pdf Paper URL: https://www.ijtsrd.com/medicine/nursing/53840/community-health-officer-cho-an-overview/mr-saneesh-cm
This document summarizes a post-training follow-up assessment conducted in Kenya in 2013. The assessment aimed to evaluate how health workers applied knowledge and skills from trainings funded by USAID into their work, and identify any barriers. A total of 282 health workers who received training in 2012 were interviewed. The assessment found that after training, the number of health workers offering services increased, as did the daily number of patients seen. Supervisors also reported improvements in quality of services delivered. However, health workers still faced challenges like lack of supplies and staff rotations. The report provides recommendations to address challenges and better support health workers after training.
The document provides guidelines for human resource development procedures within the Ministry of Health in Kenya. It establishes several bodies responsible for coordinating training at the national and county levels, including the Authorized Officer, the Department of Human Resource Management and Development, and the Ministerial Human Resource Management Advisory Committee at the national level. The guidelines outline the composition and functions of these bodies, and provide standard operating procedures for key areas of human resource development such as planning and approval of training, bonding and scholarships, and monitoring and evaluation.
This document provides guidelines for Indian Public Health Standards (IPHS) for district hospitals with 101 to 500 beds. It outlines the objectives, services, physical infrastructure requirements, manpower, equipment, and other essential components that a district hospital should provide and strive towards. Key points include:
- District hospitals should provide comprehensive secondary healthcare, be prepared for emergencies, and offer skill-based training.
- Services are categorized as essential (minimum) or desirable, and include specialty care, newborn care, and services for safety, infection control, and communicable diseases.
- Infrastructure, manpower, and equipment are projected based on expected patient load. Quality assurance, waste management, and safety protocols are incorporated
The document provides guidelines for Indian Public Health Standards (IPHS) for district hospitals with 101 to 500 beds. Key points include:
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Running head EMPLOYEE RECRUITMENT AND RETENTION1EMPLOYE.docxjeanettehully
Running head: EMPLOYEE RECRUITMENT AND RETENTION
1
EMPLOYEE RECRUITMENT AND RETENTION
4
Employee Recruitment and Retention
Name:
Institution:
Date:
The contemporary healthcare sector faces many dynamics that present challenges and opportunities. Advancement in technology, globalization, and competition in the industry are among the components that have significantly altered the manner providers engage in their daily activities. Again, the calls for better and quality services provision have led to innovation-led approaches. Another important challenge facing the sector is the shortage of clinical staff. The report looks into the recruitment and retention challenges in the health sector. In particular, the discussion will evaluate the situation at Chatuge Regional Hospital in North Georgia. The facility is over 54 years old – currently offering emergency, trauma, and heart services. There is a great need for regular training and motivation of clinical staff to foster efficiency and productivity in the provision of health services.
Chatuge Hospital, like other facilities, experience challenges in recruitment and retention of experienced health professionals. Hospital administrators should continuously work on initiatives such as talent development and motivation to ensure the retention of staff and the provision of quality services. Recruitment and retention of health professionals remain a significant concern in the quest to ensure patient satisfaction and access to quality services. The trend has seen most hospitals experience high staff turnover and operational costs. Leadership strategies in an organization impact the productivity, motivation, and retention of staff (Kroezen et al., 2015). Hospital administrators need to work on elaborate human resources initiatives that capture needs and interests. The issues highlighted are essential in not only improving service provision but also enhance the satisfaction and retention of clinical staff.
Several challenges hamper the process of the improvement of the health facilities and professionals. Inadequate remuneration of the nurses erodes the image of the nursing profession. In the years gone, most people respected the nursing field due to the professionalism exuded by the personnel. However, the remuneration factor erodes the image of the profession in that the nurses earn low wages while they invest significantly in training and performance of their respective jobs (Kroezen et al., 2015). The nurses get de-motivated when working in a less conducive environment. Also, the challenges highlighted above have effects on patient safety and satisfaction. The issue undermines the reputation of a health facility; thereby, leading to low-level sustainability of the business. Healthcare care providers need to take steps that will lead to the formulation of strategies that appreciates diversity and universality in the healthcare sector.
The facility needs to train the clinical staff on the basic ...
This document summarizes a study on health workforce retention initiatives in Ethiopia. It finds that:
1) There are policies and strategic plans for retention at the national and sub-national levels, though implementation varies. Financial incentives like professional allowances are common, though eligibility varies by region and facility.
2) Common financial incentives include professional allowances for specialists, general practitioners, midwives, and others. Rates vary significantly between regions and facilities. Positional allowances are also used but eligibility differs in each location.
3) Non-financial incentives are also used but to a lesser extent. Overall there is variation in retention schemes between locations within the country. The report recommends standardizing and regularly updating policies
The document proposes a policy to establish universal primary healthcare in India through a decentralized community-based model. Key aspects include:
1) Developing area-specific 2-year health plans at the sub-district level to address priority health issues like malaria, with involvement from medical officers, staff, and community stakeholders.
2) Establishing incentives for community participation in health as well as career growth for medical professionals involved in implementing plans.
3) Mobilizing resources from various sources including government budgets, private partnerships, and financing institutions to strengthen infrastructure and ensure accessibility of healthcare for all.
The model aims to improve health outcomes through inter-sectoral coordination and making primary healthcare systems proactive and sustainable.
1. lR;eso t;rs
Maternal Health Division
Ministry of Health & Family Welfare
Government of India
With Support from
other RCH Divisions 2014
RMNCH+A: Illustrative
Performance Based Incentives for
High Priority Districts (HPDs)
2.
3. i
Preface
High burden of maternal and infant mortality reflects poor development of any society. The
Government of India is committed to reduce this burden, both under MDGs and National
Health Mission (NHM). Several initiatives both at community & facility level have been taken
to accelerate its decline. However the challenge remains in providing the desired services
in geographically isolated, inaccessible and remote areas particularly where the vulnerable
population reside.
Unless there is equity and accessibility in service delivery, we will not be able to reach the
most vulnerable and poor people. Our available human resource and health services are more
polarized to urban than rural areas. One of the main hindrance is the non willingness of
nurses, doctors and specialists to work in the rural and inaccessible areas.
In view of this, the Programme Divisions of this Ministry has worked with the Development
Partners and other stakeholders in preparing suggestive performance based incentives for the
High Priority Districts to motivate and retain critical manpower in these districts. This is an
approach to reach all geographical areas with an intention to accelerate the functioning of
health facilities with priority focus in HPDs. It is my belief that this guideline would be useful
in operationalizing the services and also access to the poor and vulnerable.
(Anuradha Gupta)
AS& MD (NHM)
06.05.2014
4. ii
National Rural Health Mission has contributed to strengthening of health systems including
additional Human Resources for Health (HRH) to provide essential and emergency medical
services. However, there is general view that the services have not improved commensurate
with the increase in HR. One important way to improve productivity and efficiency is to
monitor the performance of service providers, create incentives for them to render high
quantity and quality of desirable services and recognise and reward high performing service
providers. This has been a weakness of large part of our public health delivery system
that there is rather poor performance monitoring and poor accountability towards outputs/
outcomes of the service providers.
It is felt that paying Performance Based Incentives (PBIs) besides the normal salary to the
service providers or their team should lead to significant improvement in output and health
outcomes. The improvement is most urgent in the High Priority Districts (HPDs) and it is
therefore proposed to first implement these PBIs in the HPDs. To help improve the service
delivery, we have designed the PBls so that they should not only help attract critical health
manpower for working in such districts but also retain them and motivate them to perform.
The PBIs have been designed for individual service providers as also for the team, depending
upon whether the individual alone or the team can reasonably ensure the desired outputs/
outcomes. The PBIs require performance particularly on those activities/ interventions which
are most critical to improving outcomes and also indicates the mechanism to measure them.
I am confident, that this document will facilitate the process of improving performance
to achieve the set goals and targets for the different thematic areas under the program by
monitoring and incentivising the performance and recognising the outstanding performers. I
expect all states to use the PBIs particularly in the HPDs.
(Manoj jhalani)
FOREWORD
4th
June 2014
5. iii
Performance Based Incentives (PBIs) for 184 High Priority Districts have been developed by
the Ministry of Health & Family Welfare, Government of India to motivate service providers
to improve their performance particularly those posted at the more peripheral health facilities
(Sub- Centre and Primary Health Centres).
Under the National Health Mission, incentives to service providers for sewing in difficult,
remote and underserved areas and linked to benchmarks of performance have been allowed
based on the State proposals in their annual plans.
However, there has been a felt need for providing guidelines to the States for proposing and
administering these incentives to individual and to teams of service providers.
The Performance Based Incentives have been designed to maximise outputs and outcomes
on key RMNCH+A interventions particularly for critical activities like Emergency Obstetric
Care including C-section and Sick New-Born care which are instrumental in saving many
lives in the labour rooms and special new-born care units.
I am confident that the policymakers and programme managers will make optimal use of
this document to improve performance of service providers and hence the quality of service
delivery at the health facilities particularly in the High Priority Districts.
(Dr Rakesh Kumar)
05.06.2014
Foreword
6. iv
AcknowledgEment
There is a wide gap between the demand and availability of healthcare services and this gap is widening
because our facilities at and below sub district level remain either non-functional or not optimally utilized.
The fact remains that out of total health facilities only about 10% of them are functional when a minimum
performance benchmarking was applied to choose functional health facility which has been designated
as delivery points.
During review and interactions with the state, non-availability of HR, absenteeism, giving equal pay
to both performer and non-performer are identified as some of the demotivating factors resulting in a
situation where our service providers do not want to go to a facility at or below sub-district level.
In view of above challenges, Performance Based Incentives (PBI) for High Priority Districts has been
prepared as a suggestive guideline to improve service delivery and encourage the service providers for
better performance particularly those working at Sub-centres and Primary Health Centres. The PBI also
encourages delivery of critical services such as C-section and saving lives in critical areas such as in
labour rooms, SNCUs etc. This will greatly help in improving accessibility of quality health care in India.
The illustrative framework on performance based incentives is a result of series of discussions and
guidance given by Ms. Anuradha Gupta, Additional Secretary and Mission Director, National Health
Mission, Ministry of Health and Family Welfare, Mr. Manoj Jhalani, Joint Secretary (Policy) and
Dr Rakesh Kumar, Joint Secretary (RCH), National Health Mission.
The contribution of all technical divisions under RCH is highly appreciated. The concentrated effort
rendered by BMGF particularly Dr. Devendra Khandait, Senior Program Officer and the team of experts
at JSI, particularly, Dr. Rajesh Singh, Senior Technical Advisor, Dr. Sebanti Ghosh and Dr. Sudhir
Maknikar, National RMNCH+A Experts were important and has resulted in framing the guidelines after
several revisions of the draft.
I also thank my colleagues Dr. Manisha Malhotra and Dr. Dinesh Baswal and senior consultants
Dr. Pushkar Kumar, Dr. Rajeev Agarwal and Dr. Ravinder Kaur for their valuable inputs and support.
It is expected that the operationalization of 5×5 matrix under RMNCH+A will get boosted with the
implementation of PBI particularly in remote and hilly areas. However, this is flagged that any incentive
should be proposed on the basis of need assessment and not as universal approach even in HPDs.
I sincerely believe this will help and guide the Mission Directors, Program Managers and Service
Providers to focus their attention on performance based indicators for different thematic areas of the
RMNCH+A strategy for desired health outcomes in the coming years.
(Dr. Himanshu Bhushan)
7. RMNCH+A: Illustrative Performance Based Incentives for High Priority Districts (HPDs) v
List of Contributors
1. Ms. Anuradha Gupta, AS&MD (NHM), MoHFW
2. Mr. Manoj Jhalani, JS (Policy), MoHFW
3. Dr. Rakesh Kumar, JS (RCH), MoHFW
4. Dr. Himanshu Bhushan, DC (MH I/C), MoHFW
5. Dr. Manisha Malhotra, DC (MH), MoHFW
6. Dr. Dinesh Baswal, DC (MH), MoHFW
7. Dr. Ajay Khera, DC (CH & Imm I/C), MoHFW
8. Dr. S.K. Sikdar, DC (FP I/C), MoHFW
9. Dr. Haldar, DC (Immunization),MoHFW
10. Dr. P.K. Prabhakar, DC (CH), MoHFW
11. Dr. Sila Deb, DC (CH), MoHFW
12. Dr. Sushma Dureja, DC (AH), MoHFW
13. Dr Devendra Khandait, SPO, BMGF
14. Dr. Rajesh Singh, Senior Technical Adviser, JSI
15. Dr. Sudhir Maknikar, National RMNCH+A Expert, JSI
16. Dr. Sebanti Ghosh, National RMNCH+A Expert, JSI
17. Mr. Niraj Agrawal, Knowledge Management Specialist, JSI
18. Dr. Pushkar Kumar, Lead Consultant, MH, MoHFW
19. Dr. Rajeev Agarwal, Sr. Consultant, MH, MoHFW
20. Dr. Ravinder Kaur, Sr. Consultant, MH, MoHFW
8. RMNCH+A: Illustrative Performance Based Incentives for High Priority Districts (HPDs)vi
List of Abbreviations
ANC Ante Natal Care
ANM Auxiliary Nurse Midwife
AWW Anganwadi Worker
BOH Bad Obstetric History
CHC Community Health Centre
DH District Hospital
EAG Empowered Action Group
EmOC Emergency Obstetric Care
FRU First Referral Unit
GoI Government of India
HMIS Health Management Information System
HPD High Priority District
LSAS Life Saving Anaesthesia Skills
MCTFC Maternal and Child Tracking Facilitation Centre
MCTS Mother and Child Tracking System
MNH Maternal and Neonatal Health
MO Medical Officer
MoHFW Ministry of Health and Family Welfare
NE North East
NHM National Health Mission
OBGYN Obstetrician and Gynaecologist
PBI Performance Based Incentive
PHC Primary Health Centre
PPIUCD Postpartum Intra Uterine Contraceptive Device
RMNCH+A Reproductive, Maternal, Neonatal, Child and Adolescent Health
SBA Skill Birth Attendant
SDH Sub District Hospital
SNCU Special Newborn Care Unit
9. RMNCH+A: Illustrative Performance Based Incentives for High Priority Districts (HPDs) 1
RMNCH+A:
Illustrative Performance Based Incentives for
the 184 High Priority Districts (Hpds)
Introduction
Since the launch of National Rural Health Mission in 2005, there has been a steady but definitive surge in the
demand for services at public health facilities. Within a few years this demand has increased manifold not only
in terms of institutional deliveries but also in Out-Patient Department (OPD) and In-Patient Department (IPD)
services. While assessing the utilisation of health facilities, it has been observed that the demand for health
services has increased at the district and sub-district level, however, at the facilities below sub-district level the
availability and utilization of essential health services is still sub-optimal.
National Health Mission (NHM) is committed to provide accessible, affordable and quality health care to all,
especially the vulnerable and unreached sections of society. Accordingly, ‘reaching those that need it most’ is
the topmost priority under the Reproductive, Maternal, Newborn, Child Health and Adolescent (RMNCH+A)
strategic approach which provides a commitment for continuum of care under NHM.
Government of India (GoI) has identified 184 high priority districts (HPDs) with relatively weak performance
indicators within each state, based on a composite index. These are the districts located in geographical regions
where reproductive, maternal and child morbidity and mortality are high and there is a need for focused planning
to maintain equity and improving access for vulnerable and poor sections of the society. Despite availability of
infrastructure and equipment, one of the gaps assessed in these districts is lack of trained and motivated service
providers at health facilities.
Under the Mission, a provision has been made for allocation of 30% additional funding to each HPD within the
overall state resource envelope. The higher financial allocation for HPDs allows the districts a greater flexibility
to upgrade infrastructure, provide essential drugs and commodities, provide essential amenities for clients and
creatively design performance based incentives for human resources to attract and retain skilled manpower.
In this context, the GoI suggests a framework for providing Performance Based Incentives (PBI) for health service
providers. These would include individual service providers as well as teams of providers giving critical services
at various level of facilities. These additional incentives will not only help in retaining the manpower but also
motivate them to perform better in HPDs. This will further aid in achieving targets and goals under the RMNCH+A
strategy.
Objectives of the PBI scheme
The following are the objectives of the PBI scheme:
• To improve provision and utilization of RMNCH+A services offered to the population;
• To motivate and retain existing health personnel, particularly Auxiliary Nurse Midwife (ANM) and staff
nurses in peripheral areas;
• To increase equity, accessibility and quality of care at the health facility level; and
• To organize health services efficiently.
Monitoring and verification
While implementing any financial scheme it is critical to develop a robust monitoring and verification process.
Verification processes for the PBI scheme would ensure that the reported data accurately reflects the actual
performance both by detecting and correcting misreporting. It is pertinent to note here that these verification
10. RMNCH+A: Illustrative Performance Based Incentives for High Priority Districts (HPDs)2
processes are dynamic and would evolve over time as the scheme moves up in scale and the behaviour of PBI
recipient (such as, service providers, facility teams) change in response to the introduction of financial incentives
and services improve to an optimal level.
The Ministry of Health and Family Welfare (MoHFW), GoI is setting in place strong verification mechanisms to
detect inconsistencies that may result from inaccuracies in data entry and record keeping and/or from improper
implementation by monitoring and evaluation teams. Hence, it is strongly recommended that the state and
district program managers be cautious about imprecise classification of cases, and incorrect use of data collection
tools. The platform of monthly meetings should be used for orienting the supervisors and service providers about
the PBIs and providing clarity on assessing the performance based on the different indicators.
Zero tolerance for irregularities
All states should closely monitor the incentives paid against the performance assessed. High transparency in
both verification procedures and sub-sequent communication of the results is also an important feature of the
verification system.
Any instances of irregularities should not be tolerated particularly in the following areas:
• Excessive provision of unnecessary or potentially harmful services to earn incentives
• Providing false information
• Compromising the quality of care and services
• Denial of services to the eligible beneficiaries
Quality assurance
The PBI scheme makes a large part of the performance-based payments conditional on the progress of indicators
that capture the number of services delivered. The scheme may, for example, reward the providers on the
number of Postpartum Intra Uterine Contraceptive Devices (PPIUCD) inserted, or the number of deliveries
attended at home. While these indicators are relatively easy to measure and verify through facility records,
Health Management Information System (HMIS) and Mother and Child Tracking System (MCTS), they do not
provide insights on the quality of care provided. As much as possible, the PBI should be linked with the quality
of services rendered in comparison with the clinical treatment guidelines or quality standards, such as safe birth
checklist, Maternal and Neonatal Health (MNH) toolkit, infection prevention guidelines etc. This will represent a
unique approach to promote better quality in RMNCH+A services.
Level of verification
Block and district level supervisors will conduct monthly, quarterly, and annual verification of the PBI results
through facility records, HMIS, MCTS, etc. Verification of the results can be done at two levels: at the level of PBI
recipients (do reported numbers reflectthedatain the facilityregisters?) and randomly atthe levelof beneficiaries
(is the data in the registers valid, i.e., have reported services indeed been provided to the beneficiaries?). At
the provider level, it would be easy to verify the results through their records. It is a challenging process to
verify the PBI indicators at the community level. However, this can be explored through the Maternal and Child
Tracking Facilitation Centre (MCTFC) by community client interview done randomly on quarterly basis. The GoI
also suggests block monitoring visit as an additional verification method necessary to extract indicators from
other sources that may not be included in the national HMIS and MCTS databases.
Leveraging technology for the PBI
GoI will explore and develop m-Health software or a web portal that will contain PBI results and outcomes,
financial data, and verification reports. Information and communication technologies (ICT) can be utilized for
data collection as well as for monitoring and evaluation of the PBI activities.
The detailed explanation for each PBI is provided in following pages in a tabular form:
23. lR;eso t;rs
Maternal Health Division
Ministry of Health & Family Welfare
Government of India
With Support from
other RCH Divisions 2014
RMNCH+A: Illustrative
Performance Based Incentives for
High Priority Districts (HPDs)