The MoPH, Donors and the NGOs Partnership and its Impact on Maternal and Child Health in Afghanistan
Nadera Hayat Burhani, MD, Specialized in Ob/Gyn, MPH, MPPM (Fellow, Melbourne University)
Melbourne
7May 2015
Rebuilding Health Systems in Afghanistan, and Providing Health Services in a ...Nadera Hayat Burhani
This document provides an overview of rebuilding health systems and providing health services in Afghanistan's fragile context. It discusses Afghanistan's country profile, achievements toward health-related Millennium Development Goals, key stakeholders involved in the health sector, and innovations and best practices. It describes Afghanistan's Basic Package of Health Services and Essential Package of Hospital Services, which were developed to standardize and expand service coverage nationwide. The document also addresses national emergency response capabilities, disease surveillance systems, lessons learned, and ongoing challenges in Afghanistan's health sector.
Program, plan, policy, strategies and SWOT analysis of COPD in Nepal DeepakPandey315
This document discusses current policies, strategies and programs for the prevention, protection and control of chronic obstructive pulmonary disease (COPD) in Nepal. It finds that COPD is a major cause of death and hospitalization. Key risk factors include tobacco use, indoor air pollution from solid fuels, and outdoor air pollution. National policies aim to control tobacco, promote smokeless stoves, and reduce vehicular emissions. The WHO's MPOWER strategies and PEN package are implemented. Opportunities exist in multisectoral coordination, but stronger tobacco control and monitoring of air pollution are still needed.
Mathias presentation Kabarole District Perform to Scale progectMtMt37
1) Kabarole district in Uganda was working to reduce fresh stillbirths from 17.7 per 1000 births to 12 per 1000 births by June 2020 through their MSI workplan.
2) Their HR/HS strategies included increasing ANC attendance, strengthening emergency obstetric care, improving coordination, and strengthening performance management.
3) As of August 2020, they had made progress implementing activities like community sensitization, health worker training, and support supervision, but further implementation was affected by the COVID-19 pandemic. They reflected on lessons learned and requested to extend their implementation timeframe.
National Health Policy 2011 and Navarro’s “What is a National Health Policy?” Sanjana zaman
The document summarizes the National Health Policy of Bangladesh from 2011 regarding developing and managing human capital in the health sector. It analyzes how well the policy incorporates Navarro's determinants for addressing the problem of shortages and lack of skills among medical professionals. While the policy incorporates socioeconomic and health service determinants, it does not fully address lifestyle determinants or empowering strategies to improve manpower skills, according to the evaluation.
Implementation of bphsphc afghanistan experience august 2019Najibullah Safi
The document discusses Afghanistan's experience implementing the Basic Package of Health Services (BPHS) and Essential Package of Hospital Services (EPHS) through contracting non-governmental organizations (NGOs) since 2003. Key points include:
1) NGOs deliver health services in 31 of 34 provinces through competitive bidding managed by the Ministry of Public Health. Services are financed through international donors.
2) The BPHS defines 7 elements of primary health care including maternal and newborn care, child health and immunization, public nutrition, communicable disease treatment and control, mental health, disability and rehabilitation, and essential drug supply.
3) Health indicators like immunization rates and access to maternal health
Primary Health Care Outreach clinics were initiated in 1994 to improve access to basic health services in communities. These clinics are run by auxiliary nurse midwives and paramedics from health posts and primary health care centers. Services provided at the clinics include antenatal and postnatal care, family planning, child health services, and health education. While over 1.5 million clinic visits were conducted annually, not all planned clinics were functional due to issues. Recommendations include resolving problems to ensure all primary health care outreach clinics are operational.
The document summarizes progress made towards implementing the Action Plan for Sexual and Reproductive Health in Europe. It outlines three main goals of enabling informed decisions about SRH, ensuring highest attainable SRH standards, and guaranteeing universal SRH access. Half of member states require sexuality education in schools, but capacity building for teachers is still needed. Almost all member states provide free antenatal care, but improving quality and reducing mortality is a priority. Over half of member states allow contraceptive access without parental consent for adolescents under 18, but availability and access remain challenging. Assessments of SRH in relation to universal health coverage have been completed in 6 countries with 6 more planned in 2020 to advance the goals.
Management of diabetes in malaysia, istanbul 2013[final]Feisul Mustapha
1) Diabetes is a growing problem in Malaysia, with prevalence increasing from 11.6% in 2006 to 15.2% currently, straining the healthcare system.
2) The Ministry of Health of Malaysia has implemented a National Strategic Plan for Non-Communicable Diseases from 2010-2014 to strengthen prevention, clinical management, and control of diabetes and obesity at both the national and community levels.
3) However, challenges remain in providing quality care for increasing diabetes patients, addressing undiagnosed cases, empowering patients, and coordinating multi-sectoral policies and regulations across government ministries.
Rebuilding Health Systems in Afghanistan, and Providing Health Services in a ...Nadera Hayat Burhani
This document provides an overview of rebuilding health systems and providing health services in Afghanistan's fragile context. It discusses Afghanistan's country profile, achievements toward health-related Millennium Development Goals, key stakeholders involved in the health sector, and innovations and best practices. It describes Afghanistan's Basic Package of Health Services and Essential Package of Hospital Services, which were developed to standardize and expand service coverage nationwide. The document also addresses national emergency response capabilities, disease surveillance systems, lessons learned, and ongoing challenges in Afghanistan's health sector.
Program, plan, policy, strategies and SWOT analysis of COPD in Nepal DeepakPandey315
This document discusses current policies, strategies and programs for the prevention, protection and control of chronic obstructive pulmonary disease (COPD) in Nepal. It finds that COPD is a major cause of death and hospitalization. Key risk factors include tobacco use, indoor air pollution from solid fuels, and outdoor air pollution. National policies aim to control tobacco, promote smokeless stoves, and reduce vehicular emissions. The WHO's MPOWER strategies and PEN package are implemented. Opportunities exist in multisectoral coordination, but stronger tobacco control and monitoring of air pollution are still needed.
Mathias presentation Kabarole District Perform to Scale progectMtMt37
1) Kabarole district in Uganda was working to reduce fresh stillbirths from 17.7 per 1000 births to 12 per 1000 births by June 2020 through their MSI workplan.
2) Their HR/HS strategies included increasing ANC attendance, strengthening emergency obstetric care, improving coordination, and strengthening performance management.
3) As of August 2020, they had made progress implementing activities like community sensitization, health worker training, and support supervision, but further implementation was affected by the COVID-19 pandemic. They reflected on lessons learned and requested to extend their implementation timeframe.
National Health Policy 2011 and Navarro’s “What is a National Health Policy?” Sanjana zaman
The document summarizes the National Health Policy of Bangladesh from 2011 regarding developing and managing human capital in the health sector. It analyzes how well the policy incorporates Navarro's determinants for addressing the problem of shortages and lack of skills among medical professionals. While the policy incorporates socioeconomic and health service determinants, it does not fully address lifestyle determinants or empowering strategies to improve manpower skills, according to the evaluation.
Implementation of bphsphc afghanistan experience august 2019Najibullah Safi
The document discusses Afghanistan's experience implementing the Basic Package of Health Services (BPHS) and Essential Package of Hospital Services (EPHS) through contracting non-governmental organizations (NGOs) since 2003. Key points include:
1) NGOs deliver health services in 31 of 34 provinces through competitive bidding managed by the Ministry of Public Health. Services are financed through international donors.
2) The BPHS defines 7 elements of primary health care including maternal and newborn care, child health and immunization, public nutrition, communicable disease treatment and control, mental health, disability and rehabilitation, and essential drug supply.
3) Health indicators like immunization rates and access to maternal health
Primary Health Care Outreach clinics were initiated in 1994 to improve access to basic health services in communities. These clinics are run by auxiliary nurse midwives and paramedics from health posts and primary health care centers. Services provided at the clinics include antenatal and postnatal care, family planning, child health services, and health education. While over 1.5 million clinic visits were conducted annually, not all planned clinics were functional due to issues. Recommendations include resolving problems to ensure all primary health care outreach clinics are operational.
The document summarizes progress made towards implementing the Action Plan for Sexual and Reproductive Health in Europe. It outlines three main goals of enabling informed decisions about SRH, ensuring highest attainable SRH standards, and guaranteeing universal SRH access. Half of member states require sexuality education in schools, but capacity building for teachers is still needed. Almost all member states provide free antenatal care, but improving quality and reducing mortality is a priority. Over half of member states allow contraceptive access without parental consent for adolescents under 18, but availability and access remain challenging. Assessments of SRH in relation to universal health coverage have been completed in 6 countries with 6 more planned in 2020 to advance the goals.
Management of diabetes in malaysia, istanbul 2013[final]Feisul Mustapha
1) Diabetes is a growing problem in Malaysia, with prevalence increasing from 11.6% in 2006 to 15.2% currently, straining the healthcare system.
2) The Ministry of Health of Malaysia has implemented a National Strategic Plan for Non-Communicable Diseases from 2010-2014 to strengthen prevention, clinical management, and control of diabetes and obesity at both the national and community levels.
3) However, challenges remain in providing quality care for increasing diabetes patients, addressing undiagnosed cases, empowering patients, and coordinating multi-sectoral policies and regulations across government ministries.
Delivering for nutrition 2021_conference summaryPOSHAN
The document summarizes the proceedings of the "Delivering for Nutrition in South Asia" conference, which discussed the impact of COVID-19 on nutrition in South Asia. Key points from the conference include:
- COVID-19 significantly impacted nutrition outcomes and determinants like healthcare access and dietary diversity.
- Nutrition services were widely disrupted but also adapted through telehealth and technology. Frontline health workers played a critical role.
- Food security was impacted but social safety nets helped address needs, though challenges with eligibility and choices remained.
- Moving forward, further research is needed along with follow-up policy actions and regional collaboration on lessons learned from COVID-19.
Jennifer Weiss presented on addressing maternal mortality in Malawi through maternal death audits. Maternal death reviews began in 2003 at district hospitals in Malawi and were expanded in 2013 to a more robust Maternal Death Surveillance and Response system. This system identifies and notifies facilities of maternal deaths to determine causes and how they may have been prevented. Facility-level audits in Nkhotakota District found that referrals from health centers, lack of clinician training, and laboratory capacity needed improvement. Community-level audits also began but faced challenges in discussing deaths due to tradition; education was needed to explain how audits could reduce mortality. Further integration of community and facility audits with follow-up actions was recommended
The Positive Impact of Public Health Midwives for Nations Wellbeing through P...ijtsrd
1. Public Health Midwives (PHMs) have played an important role in Sri Lanka's primary healthcare system for over a century, providing maternal and child health services, especially in rural areas where access to healthcare is limited.
2. The study finds that PHMs' performance management in Sri Lanka is inadequately implemented, with deficiencies in setting performance goals and standards, performance reviews, career growth opportunities, and compensation.
3. By strengthening PHM training programs and increasing their numbers through expanded public funding, Sri Lanka can better maintain essential rural healthcare workers and improve national health outcomes like reduced maternal and child mortality.
Milestones of Communicable disease Program in Nepal Public Health
The document outlines several key milestones and programs related to communicable disease control in Nepal, including:
- Malaria control efforts beginning in 1954 with eradication programs launched in 1958 and control programs in 1978. Current plans aim for malaria elimination by 2025.
- TB control adopting DOTS in 1995 and expanding nationwide by 2001 along with collaboration with HIV/TB programs from 2009-present.
- Leprosy control with MDT introduction in 1982, integration into general services by 1987, and national elimination declared in 2009 with sustained elimination since.
- Visceral leishmaniasis elimination beginning mass drug administration in 2003 across endemic districts with elimination phases from 2005-2015 and ongoing consolidation since.
The Nepal Health Sector Strategy (NHSS) 2015-2020 provides strategic guidance for the health sector over five years. Its goal is to improve health status through accountable and equitable health services. NHSS outlines nine outcomes, including rebuilding health systems and improving quality of care. It identifies key outputs needed to achieve each outcome, along with interventions, indicators, targets, data sources, and timelines to monitor progress in strengthening Nepal's health sector.
The National Health Policy of 1983 aimed to provide comprehensive primary health care services through a network of health centers with referrals and specialty services. It focused on nutrition, health education, and maintaining drug quality. The 2002 policy realized disparities in health facilities and sought to reduce inequities and allow disadvantaged groups fairer access to services. It proposed increasing health expenditure to 6% of GDP to improve infrastructure and address shortfalls. The National Population Policy of 2000 aimed to bring fertility rates to replacement levels by 2010 through addressing unmet needs, increasing education, and promoting the small family norm.
The Maternal and Child Survival Program (MCSP) is USAID's flagship $500 million, 5-year program aimed at ending preventable child and maternal deaths in 24 priority countries. MCSP works across the continuum of care from household to hospital on technical areas like maternal and newborn health, child health and immunization, family planning, nutrition, and more. It focuses on cross-cutting issues like quality, innovation, gender, and health systems strengthening. The program's goal is to support countries in increasing coverage of reproductive, maternal, newborn and child health interventions and closing innovation gaps to improve health outcomes for vulnerable populations.
Data and evidence to address India's nutrition challenge: POSHAN's State Poli...POSHAN
Presented at 'Strengthening National, State and District-level Actions for Nutrition: Insights from the National Family Health Survey Data' on 13th December, 2017 at IIC, New Delhi.
Visit the POSHAN website for more: www.poshan.ifpri.info
The document provides demographic and economic statistics for Taiwan. It notes that Taiwan has a population of 23.54 million with a GDP per capita of $22,384. It has an aging population, with 13.2% of residents being 65 or older. Taiwan implemented a single-payer National Health Insurance program in 1995 that now covers 99.9% of residents. It also developed an electronic health records system accessible via health cards and online portals. Taiwan faces challenges from its growing elderly population and is working to enhance long-term care, including developing community-based services and a trained long-term care workforce.
The document discusses South Africa's PMTCT (prevention of mother-to-child transmission) programme. It notes that around 300,000 mothers need treatment each year, with transmission rates currently around 11% and a goal of reducing to 5% by 2011. Coverage of testing and treatment through public primary health facilities has reached 95%. Key players in PMTCT implementation include the government, donors, civil society organizations, and the private sector.
The document discusses improving health equity globally. It notes that 40% of the world's population lacks hand hygiene facilities and over 90% of people breathe polluted air. COVID-19 exacerbated inequities as the poor faced greater job/food insecurity and service disruptions. WHO works to improve equity by addressing social determinants of health like economic status, promoting gender equity, and monitoring progress to identify and close health gaps between populations.
Tele-monitoring continuity of adolescents and women’s nutrition services in e...POSHAN
This document discusses a study that used tele-monitoring to understand how a multi-sectoral maternal and adolescent nutrition program in India called Swabhimaan was impacted by COVID-19 lockdowns and adapted its services. Community health workers under the program continued providing home visits and nutrition services for at-risk groups, though group meetings and counseling sessions were halted during lockdowns. The study collected data over two rounds from 158 village organizations across 4 states to understand continuity of community actions and government nutrition services. Key findings showed adaptations made by women's groups to continue delivering services, and that tele-monitoring provided insights on continuity of the community-led program and capacity building needs.
NCD Planning: Current Stats and Opportunities for StrokeFeisul Mustapha
The document discusses non-communicable diseases (NCDs) planning in Malaysia and opportunities for stroke prevention. It summarizes the 2014 UN General Assembly outcome document on NCDs which outlines national commitments and global assignments between 2014-2018. These include setting national NCD targets and developing multisectoral policies and plans. It also discusses Malaysia's national strategic plan for NCDs from 2010-2014 and efforts to strengthen chronic disease management at the primary care level through multidisciplinary care teams and clinical practice guidelines. Availability of essential medicines for NCDs and lessons learned from working with other sectors are also covered.
Developing Ministry Capacity and Partnerships for Sustainability and Scale MO...CORE Group
This document summarizes a USAID-funded maternal and child survival project in rural Ghana and discusses partnerships for sustainability and scale. [1] It found high rates of maternal and child mortality at baseline due to poor uptake of health services and low government capacity. [2] The project partnered closely with Ghana Health Services at multiple levels to jointly implement activities, monitor outcomes, and strengthen local systems. [3] This led to significant improvements in maternal and child health indicators, as well as mechanisms to sustain and expand the work to additional districts in Ghana.
Intergenerational benefits of India’s national school feeding programPOSHAN
Suman Chakrabarti, Samuel P. Scott, Harold Alderman, Purnima Menon, Daniel O. Gilligan
Poverty Health and Nutrition Division, International Food Policy Research Institute
The document discusses the National Rural Health Mission (NRHM) of India. It was launched in 2005 to provide healthcare to rural areas. Key aspects include:
1. The mission aims to reduce maternal and child mortality and make healthcare accessible through community health workers like ASHAs.
2. It focuses on strengthening primary healthcare and aims to upgrade all subcenters, PHCs, and CHCs.
3. Key components include ASHA workers, improving rural health infrastructure, disease control programs, and expanding health insurance.
The goal is to universally improve access to healthcare and reduce inequities between urban and rural populations.
National health programs are one of the measures taken by the government of India to improve the health status of the people.National health Programs useful to controlling or eradicating diseases which cause considerable morbidity and mortality in India
which are either centrally sponsored
Delivering for nutrition 2021_conference summaryPOSHAN
The document summarizes the proceedings of the "Delivering for Nutrition in South Asia" conference, which discussed the impact of COVID-19 on nutrition in South Asia. Key points from the conference include:
- COVID-19 significantly impacted nutrition outcomes and determinants like healthcare access and dietary diversity.
- Nutrition services were widely disrupted but also adapted through telehealth and technology. Frontline health workers played a critical role.
- Food security was impacted but social safety nets helped address needs, though challenges with eligibility and choices remained.
- Moving forward, further research is needed along with follow-up policy actions and regional collaboration on lessons learned from COVID-19.
Jennifer Weiss presented on addressing maternal mortality in Malawi through maternal death audits. Maternal death reviews began in 2003 at district hospitals in Malawi and were expanded in 2013 to a more robust Maternal Death Surveillance and Response system. This system identifies and notifies facilities of maternal deaths to determine causes and how they may have been prevented. Facility-level audits in Nkhotakota District found that referrals from health centers, lack of clinician training, and laboratory capacity needed improvement. Community-level audits also began but faced challenges in discussing deaths due to tradition; education was needed to explain how audits could reduce mortality. Further integration of community and facility audits with follow-up actions was recommended
The Positive Impact of Public Health Midwives for Nations Wellbeing through P...ijtsrd
1. Public Health Midwives (PHMs) have played an important role in Sri Lanka's primary healthcare system for over a century, providing maternal and child health services, especially in rural areas where access to healthcare is limited.
2. The study finds that PHMs' performance management in Sri Lanka is inadequately implemented, with deficiencies in setting performance goals and standards, performance reviews, career growth opportunities, and compensation.
3. By strengthening PHM training programs and increasing their numbers through expanded public funding, Sri Lanka can better maintain essential rural healthcare workers and improve national health outcomes like reduced maternal and child mortality.
Milestones of Communicable disease Program in Nepal Public Health
The document outlines several key milestones and programs related to communicable disease control in Nepal, including:
- Malaria control efforts beginning in 1954 with eradication programs launched in 1958 and control programs in 1978. Current plans aim for malaria elimination by 2025.
- TB control adopting DOTS in 1995 and expanding nationwide by 2001 along with collaboration with HIV/TB programs from 2009-present.
- Leprosy control with MDT introduction in 1982, integration into general services by 1987, and national elimination declared in 2009 with sustained elimination since.
- Visceral leishmaniasis elimination beginning mass drug administration in 2003 across endemic districts with elimination phases from 2005-2015 and ongoing consolidation since.
The Nepal Health Sector Strategy (NHSS) 2015-2020 provides strategic guidance for the health sector over five years. Its goal is to improve health status through accountable and equitable health services. NHSS outlines nine outcomes, including rebuilding health systems and improving quality of care. It identifies key outputs needed to achieve each outcome, along with interventions, indicators, targets, data sources, and timelines to monitor progress in strengthening Nepal's health sector.
The National Health Policy of 1983 aimed to provide comprehensive primary health care services through a network of health centers with referrals and specialty services. It focused on nutrition, health education, and maintaining drug quality. The 2002 policy realized disparities in health facilities and sought to reduce inequities and allow disadvantaged groups fairer access to services. It proposed increasing health expenditure to 6% of GDP to improve infrastructure and address shortfalls. The National Population Policy of 2000 aimed to bring fertility rates to replacement levels by 2010 through addressing unmet needs, increasing education, and promoting the small family norm.
The Maternal and Child Survival Program (MCSP) is USAID's flagship $500 million, 5-year program aimed at ending preventable child and maternal deaths in 24 priority countries. MCSP works across the continuum of care from household to hospital on technical areas like maternal and newborn health, child health and immunization, family planning, nutrition, and more. It focuses on cross-cutting issues like quality, innovation, gender, and health systems strengthening. The program's goal is to support countries in increasing coverage of reproductive, maternal, newborn and child health interventions and closing innovation gaps to improve health outcomes for vulnerable populations.
Data and evidence to address India's nutrition challenge: POSHAN's State Poli...POSHAN
Presented at 'Strengthening National, State and District-level Actions for Nutrition: Insights from the National Family Health Survey Data' on 13th December, 2017 at IIC, New Delhi.
Visit the POSHAN website for more: www.poshan.ifpri.info
The document provides demographic and economic statistics for Taiwan. It notes that Taiwan has a population of 23.54 million with a GDP per capita of $22,384. It has an aging population, with 13.2% of residents being 65 or older. Taiwan implemented a single-payer National Health Insurance program in 1995 that now covers 99.9% of residents. It also developed an electronic health records system accessible via health cards and online portals. Taiwan faces challenges from its growing elderly population and is working to enhance long-term care, including developing community-based services and a trained long-term care workforce.
The document discusses South Africa's PMTCT (prevention of mother-to-child transmission) programme. It notes that around 300,000 mothers need treatment each year, with transmission rates currently around 11% and a goal of reducing to 5% by 2011. Coverage of testing and treatment through public primary health facilities has reached 95%. Key players in PMTCT implementation include the government, donors, civil society organizations, and the private sector.
The document discusses improving health equity globally. It notes that 40% of the world's population lacks hand hygiene facilities and over 90% of people breathe polluted air. COVID-19 exacerbated inequities as the poor faced greater job/food insecurity and service disruptions. WHO works to improve equity by addressing social determinants of health like economic status, promoting gender equity, and monitoring progress to identify and close health gaps between populations.
Tele-monitoring continuity of adolescents and women’s nutrition services in e...POSHAN
This document discusses a study that used tele-monitoring to understand how a multi-sectoral maternal and adolescent nutrition program in India called Swabhimaan was impacted by COVID-19 lockdowns and adapted its services. Community health workers under the program continued providing home visits and nutrition services for at-risk groups, though group meetings and counseling sessions were halted during lockdowns. The study collected data over two rounds from 158 village organizations across 4 states to understand continuity of community actions and government nutrition services. Key findings showed adaptations made by women's groups to continue delivering services, and that tele-monitoring provided insights on continuity of the community-led program and capacity building needs.
NCD Planning: Current Stats and Opportunities for StrokeFeisul Mustapha
The document discusses non-communicable diseases (NCDs) planning in Malaysia and opportunities for stroke prevention. It summarizes the 2014 UN General Assembly outcome document on NCDs which outlines national commitments and global assignments between 2014-2018. These include setting national NCD targets and developing multisectoral policies and plans. It also discusses Malaysia's national strategic plan for NCDs from 2010-2014 and efforts to strengthen chronic disease management at the primary care level through multidisciplinary care teams and clinical practice guidelines. Availability of essential medicines for NCDs and lessons learned from working with other sectors are also covered.
Developing Ministry Capacity and Partnerships for Sustainability and Scale MO...CORE Group
This document summarizes a USAID-funded maternal and child survival project in rural Ghana and discusses partnerships for sustainability and scale. [1] It found high rates of maternal and child mortality at baseline due to poor uptake of health services and low government capacity. [2] The project partnered closely with Ghana Health Services at multiple levels to jointly implement activities, monitor outcomes, and strengthen local systems. [3] This led to significant improvements in maternal and child health indicators, as well as mechanisms to sustain and expand the work to additional districts in Ghana.
Intergenerational benefits of India’s national school feeding programPOSHAN
Suman Chakrabarti, Samuel P. Scott, Harold Alderman, Purnima Menon, Daniel O. Gilligan
Poverty Health and Nutrition Division, International Food Policy Research Institute
The document discusses the National Rural Health Mission (NRHM) of India. It was launched in 2005 to provide healthcare to rural areas. Key aspects include:
1. The mission aims to reduce maternal and child mortality and make healthcare accessible through community health workers like ASHAs.
2. It focuses on strengthening primary healthcare and aims to upgrade all subcenters, PHCs, and CHCs.
3. Key components include ASHA workers, improving rural health infrastructure, disease control programs, and expanding health insurance.
The goal is to universally improve access to healthcare and reduce inequities between urban and rural populations.
National health programs are one of the measures taken by the government of India to improve the health status of the people.National health Programs useful to controlling or eradicating diseases which cause considerable morbidity and mortality in India
which are either centrally sponsored
This document discusses geriatrics and geriatric care. It begins with definitions of geriatrics, geriatric nursing, and gerontology. The objectives of geriatric care are then outlined as maintenance of health, detection of early disease, and prevention of deterioration. General principles of geriatric care are listed, focusing on individualized care, independence, and comfort. Biological aging processes are described for various body systems. Theories of aging are explained. Geriatric health assessment approaches are introduced. Community support and responsibilities of nurses are outlined.
The document provides an overview of India's national health policy and healthcare system. It discusses the history of health planning in India from the pre-independence period to the present, outlining various committees and policies that have shaped the system. The healthcare system in India has a public sector comprising primary health centers, hospitals at various levels, and health insurance schemes, as well as a large private sector. The national health policy aims to improve health services and outcomes through setting priorities and strategic directions.
The document discusses maternal and child health programmes. It begins by noting that mothers and children make up a large vulnerable group, comprising over half the population in developing countries like India. The current strategy is to provide integrated essential health care services to mothers and children. It then discusses various maternal and child health services including antenatal care, intranatal care, postnatal care, and neonatal care. The objectives of these services are to reduce mortality and morbidity for mothers, newborns, and children. Key aspects of care discussed include nutrition, immunizations, health education, and family planning.
Elder abuse refers to the mistreatment and exploitation of older adults. It can include physical, emotional, sexual, or financial abuse, as well as neglect by caregivers or others in a trusting relationship.
The document discusses the maternal and child health programme in India. It outlines that MCH programmes aim to improve nutrition, ensure healthy births, and prevent disease among mothers and children. The key activities of MCH programmes are providing medical services from prenatal to postnatal care as well as pediatric care. Community health nurses play an important role in direct care of mothers and children, managing MCH services, and providing health education. The goals of the MCH programme are to reduce maternal, infant, and child mortality and morbidity rates.
The document outlines several national health programs in India focused on improving child health. Key programs discussed include:
1. The Reproductive and Child Health Program which aims to reduce infant, child, and maternal mortality rates.
2. The Universal Immunization Program which aims to achieve 100% immunization coverage of various diseases.
3. The Integrated Child Development Services scheme which provides supplementary nutrition, immunization, health checkups and education to children under 6.
4. Several national nutritional programs focused on reducing anemia, iodine deficiency disorders, and providing midday meals.
NGOs play an important role in rural development by filling gaps left by governments and helping communities through activities like literacy programs, healthcare, marketing local products, and advocacy. They work at the grassroots level on specific issues and projects, but sometimes lack coordination, transparency, and long-term funding. Effective NGOs collaborate with governments and local institutions to advance community interests through community involvement, tailored development programs, and holding stakeholders accountable.
Non Governmental Organizations (NGOs) in IndiaPuneeth Kamath
Non-governmental organizations (NGOs) are non-profit groups organized on a local, national, or international level. They are task-oriented and focus on issues like human rights, the environment, health, poverty eradication, and more. NGOs are classified based on their level of operation from community-based to international levels, and by their orientation ranging from charitable to empowering. In India, NGOs play important roles in entrepreneurship development, providing services like training, counseling, infrastructure development, and technical assistance. Several examples of prominent Indian NGOs active in entrepreneurship and other domains are described briefly in the document.
This document presents a 5-year strategic health plan for Apati from 2018-2022. The key points are:
1. The plan aims to improve basic healthcare access and quality as well as lower maternal and child mortality rates.
2. Apati has a population of over 44 million people with high density in central regions. Health resources are concentrated in urban areas.
3. Objectives include strengthening the health system, improving quality of care, increasing equitable access and utilization, and decentralizing planning and resources.
4. Key targets by 2022 are reducing the maternal mortality ratio to 110 deaths per 100,000 births and infant mortality rate to 20 deaths per 1,000 births.
The document discusses India's primary health care system and proposes a model of Comprehensive Primary Health Care (CPHC) to achieve Universal Health Coverage. It outlines key challenges faced by the current primary health care system such as understaffing, supply issues, and over-reliance on private sector. The proposed CPHC model involves establishing "Health and Wellness Centers" at village level which will provide expanded services including management of non-communicable diseases. It emphasizes strengthening human resources, ensuring drug and diagnostic access, use of ICT, continuity of care, and community engagement to achieve the vision of comprehensive and affordable primary health care for all.
This document outlines key aspects of comprehensive primary health care (CPHC) in India to achieve universal health coverage. It discusses the evolution of primary health care from 1946 to present day initiatives. The proposed CPHC model includes establishing health and wellness centers, a national health protection scheme, and addressing human resources, continuity of care, access to drugs/diagnostics, and community linkages through a strengthened primary health care system. The document highlights achievements but also ongoing challenges to equitable access and improving health outcomes across India.
Nepal Health Sector Program Implementation Plan II (NHSP-IP2)Dip Narayan Thakur
The document summarizes Nepal's Health Sector Implementation Plan II (NHSP-IP II). NHSP-IP II aimed to strengthen Nepal's health system from 2010-2015 by improving access, equity, and utilization of essential health services. It reviewed achievements and shortcomings of NHSP-IP I and outlined NHSP-IP II's vision, goals, strategies, and financing plans. Key points included reducing morbidity and mortality through accessible, affordable, quality care; addressing sustainability issues in health financing; and achieving greater efficiency through health systems strengthening. Progress was made in areas like immunization and maternal health, but challenges remained around nutrition, non-communicable diseases, and equity gaps.
1. The document summarizes Nepal's Health Sector Implementation Plan 2 (NHSP-IP 2), which aimed to strengthen Nepal's health system from 2010-2015 by improving access, equity, and quality of essential health services.
2. Key goals of NHSP-IP 2 included reducing morbidity and mortality from common health problems by ensuring accessible, affordable, quality health care services.
3. The plan outlined strategies, programs and services, roles of non-state actors, and approaches to structure, financing, research and monitoring of Nepal's health system.
4. While progress was made in areas like immunization and reducing child and maternal mortality, challenges remained such as disparities in access, sustainability of financing
Key elements of NHM, Important learnings, Challenges Desired InterventionsDr. Heera Lal IAS
This document provides an overview of the key elements, achievements, and challenges of the National Health Mission (NHM) in India. It discusses how NHM has strengthened India's public health system and led to important health improvements, but that challenges remain. Key interventions and priorities for the road ahead are also outlined.
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.
Evolution of National Family Planning Programme (NFPP) and National Populatio...Dr Kumaravel
This presentation discuss the evolution of India's National Family Planning Program and National Population Policy 2000, significant impact of 1994 Cairo conference on country's Reproductive health approach.
Impact of SHI for the poor on FBD in the Philippineskarlopparedes
1) The document discusses a study examining the impact of extending social health insurance (SHI) to the poor in the Philippines on facility-based deliveries.
2) The study uses data from the Philippines' National Demographic and Health Surveys conducted before (2008) and after (2013) the implementation of the country's Universal Health Coverage policy in 2011, which expanded SHI coverage to the poor.
3) A differences-in-differences analysis is conducted using a linear probability model to determine the effect of SHI sponsorship on facility-based deliveries, while controlling for individual and community characteristics.
The document provides an overview of India's National Health Mission (NHM), which includes the National Rural Health Mission and National Urban Health Mission. The vision of NHM is universal access to equitable, affordable, and quality healthcare. Key goals include reducing maternal and infant mortality rates. The document outlines the governance structure of NHM at the national, state, and district levels. It also describes the major components and initiatives of NHM, including health systems strengthening, reproductive and child health programs, and national disease control programs. Implementation of NHM has increased healthcare infrastructure, utilization, and achieved several of its targets.
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.
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 outlines several national health programs in India focused on improving child health. Key programs discussed include the Reproductive and Child Health Program (RCH), Universal Immunization Program, Integrated Child Development Services (ICDS), School Health Program, and various nutritional programs. RCH aims to reduce infant/child mortality and promote family planning. ICDS provides childcare, nutrition, health checkups and education. The School Health Program addresses students' physical and mental health through screening, immunization, and health promotion. Nutritional programs target anemia, vitamin A deficiency, and iodine deficiency.
This document outlines several national health policies and objectives in India, including the National Health Policy, National Policy on AYUSH, and National Population Policy. It provides definitions of policy and health policy. The objectives of the policies are to improve health status and outcomes, increase access to primary healthcare services, and strengthen the health system. Some specific goals mentioned are reducing mortality rates, increasing utilization of public health facilities, expanding health infrastructure and the community health workforce.
The document discusses maternal health and efforts to improve it. It notes that while maternal mortality has declined globally in recent decades, it remains high in many developing countries. It outlines several indicators of maternal health in India that have improved between 2005-06 and 2014-15, such as antenatal care and institutional births. However, maternal mortality still varies greatly between states. The document proposes strengthening maternal health through expanding programs that provide antenatal, delivery and postnatal care, especially in rural areas, as well as improving infrastructure and monitoring systems.
Integrating Family Planning Into CSHGP and MCH Programsjehill3
The document discusses integrating family planning into maternal and child health programs. It provides historical context and examples of how flexible funds have supported family planning integration. Specific strategies discussed include community-based distribution of contraceptives, increasing postpartum family planning access, mobile family planning services, birth spacing messaging, and integrating abortion prevention and post-abortion care.
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.
1) The document discusses utilization of maternal health services in seven Empowered Action Group (EAG) states in India based on data from the National Rural Health Mission.
2) It finds variation in utilization of services like tetanus injections, institutional delivery, and postnatal care across EAG states, with some states performing better than others.
3) The role of Accredited Social Health Activists (ASHAs) in promoting utilization of maternal health services is also examined based on their assigned responsibilities related to pregnancy and delivery.
Mother-to-child transmission of HIV (MTCT) is the main route by which infants acquire HIV infection globally. In 2010, children living with HIV in Nigeria contributed 15.3% to the 370,000 infected children worldwide, thus, the region with the highest number of unprotected childhood infection. This accounts for about 90% of HIV infection in children below 15 years of age.Most children below 15 years living with HIV contract diseases through MTCT (FMoH, 2010)
Overall incidence of MTCT without intervention is 20%-45% distributed over
-Antenatal period
-Labour & Delivery
-Breastfeeding
Without intervention,
About 30% of infants of HIV infected mothers will be infected during pregnancy and delivery
An additional 5-20% will also be infected through breastfeeding practices.
Similar to Dr-nadera-hayat-burhani-presentation (20)
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Comprehensive Rainy Season Advisory: Safety and Preparedness Tips.pdfDr Rachana Gujar
The "Comprehensive Rainy Season Advisory: Safety and Preparedness Tips" offers essential guidance for navigating rainy weather conditions. It covers strategies for staying safe during storms, flood prevention measures, and advice on preparing for inclement weather. This advisory aims to ensure individuals are equipped with the knowledge and resources to handle the challenges of the rainy season effectively, emphasizing safety, preparedness, and resilience.
Gemma Wean- Nutritional solution for Artemiasmuskaan0008
GEMMA Wean is a high end larval co-feeding and weaning diet aimed at Artemia optimisation and is fortified with a high level of proteins and phospholipids. GEMMA Wean provides the early weaned juveniles with dedicated fish nutrition and is an ideal follow on from GEMMA Micro or Artemia.
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The South Beach Coffee Java Diet is a variation of the popular South Beach Diet, which was developed by cardiologist Dr. Arthur Agatston. The original South Beach Diet focuses on consuming lean proteins, healthy fats, and low-glycemic index carbohydrates. The South Beach Coffee Java Diet adds the element of coffee, specifically caffeine, to enhance weight loss and improve energy levels.
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PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
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The best massage spa Ajman is Chandrima Spa Ajman, which was founded in 2023 and is exclusively for men 24 hours a day. As of right now, our parent firm has been providing massage services to over 50,000+ clients in Ajman for the past 10 years. It has about 8+ branches. This demonstrates that Chandrima Spa Ajman is among the most reasonably priced spas in Ajman and the ideal place to unwind and rejuvenate. We provide a wide range of Spa massage treatments, including Indian, Pakistani, Kerala, Malayali, and body-to-body massages. Numerous massage techniques are available, including deep tissue, Swedish, Thai, Russian, and hot stone massages. Our massage therapists produce genuinely unique treatments that generate a revitalized sense of inner serenely by fusing modern techniques, the cleanest natural substances, and traditional holistic therapists.
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
Hypertension and it's role of physiotherapy in it.Vishal kr Thakur
This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
Hypertension and it's role of physiotherapy in it.
Dr-nadera-hayat-burhani-presentation
1. Hayat Burhani, Nadera, MD, MPH, MPPM (Fellow, Melbourne University)
Melbourne
7May 2015
Can Aid be delivered effectively in insecure contexts?
The MoPH, Donors and the NGOs Partnership and its Impact on
Maternal and Child Health in Afghanistan
2. Outline:
Health sector Key information
Health system Pyramid
strategies for health services
BPHS, success and challenges
3. Total Population (CSO) 27.5 Million
Population Growth (AMS ) 2.4%
Women of Child Bearing Age(15-49) 5.5million
Literacy Rate (General Population) 29 – 38%
Women Literacy Rate 14%
4. Indicators 2002
Maternal Mortality Ratio 1600
Under five Mortality Rate 257
Infant mortality rate per 165
Life expectancy rate 42
Number of midwives 462
Coverage of Primary Health Care (1h walk
from Health Facilities)
5%
Health Situation in 2002
5. National objectives
• To reduce maternal and newborn mortality
• To reduce under 5y mortality and improve child health
• To reduce the incidence of
communicable diseases
• To prevent and reduce malnutrition
• To develop the health system
6.
7. The MoPH Strategies for provision of health services and Number of
Health facilities per year.
Basic Package of Health Services
Supported by donors agencies
Implemented by NGOs and SM
Essential Package of Hospital Services
Supported by Core budget
Implemented by the MoPH
Tertiary Services
Supported by government budget 496
1112
1281
1237
1420
1667
1803
1987
2016
2047
2160 2286
0
500
1000
1500
2000
2500
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
9. Success and Achievements
Increased access from 8% to 57% from 2003 to 2013
Defined all PHC service in a single package and provided
opportunity to holistic implementation
Through contract out of service delivery MoPH focused on
stewardship role
BPHS is a pro-rural concept and responded to health need of most
essential interventions for mother, child, under-served and hard to
reach population
10. The establishment of 34 Community Midwifery
programs, trained, 3334
The establishment of Community Nursing Programs
started 2011, 360 graduated and 994 under training
Training of 28837 Community Health Workers
Continue
11. Indicators 2010 (AMS)
Maternal Mortality Ratio 327
Under five Mortality Rate 97
Infant mortality rate per 77
Life expectancy rate 64
Number of midwives 3334
Coverage of Primary Health Care (1h walk
from Health Facilities)
57%
Key National Indicators in 2010
12. Improve the quality of health service at all levels with intention to
improve the health outcomes
Expansion of service to marginalized population (left out from BPHS,
Nomades, IDPs, and highly mobile population)
Enhance the health services to under-served components of the
package (mental health, disability, essential drugs)
Financial and programmatic sustainability of services in long term
and defining an exit strategy for BPHS
Having special package to security compromised area in Afghanistan
Challenges