This document outlines several public health challenges in India, including serving territorial areas that are hilly, seasonal, or urban slums. It also notes socio-economic challenges such as migrant families, male baby preference, and deprivation of the girl child. Additionally, it discusses medical challenges including unethical practices, urban preference among medical graduates, and lack of trained manpower in rural areas. The document concludes by listing several areas of focus for improving public health facilities and services, including human resources, anemia management, newborn care, community involvement, and planning/monitoring efforts.

1. Public Health Policies and Governance Issues Health - NRHM E.P.H.P. Dtd:11.12.2010 By Selva Kumar.S., I.A.S. Mission Director

2. C H A L L E N G E S Territorial dimensions H illy areas. D ifficult areas. S easonal inaccessible areas. U rban slums.

3. C H A L L E N G E S … Cont. Socio-Economic dimensions M igrant families. M ale baby preference. H igh cost private care. D eprivation of the girl child.

4. C H A L L E N G E S … Cont. Medical dimensions U nethical practices. U rban preference by medical graduates. N on-availability of trained manpower in the rural area D octors centered strategies and interventions

5. C H A L L E N G E S … Cont. Ethnic dimensions T ribal population. T ribal influences. M inorities.

6. Facility preparedness in all its dimensions Human resource in Rural area Residential manpower Specialist human resource Anemia & its management Identification of complications & timely referral New born care Sustained community involvement Demand generation schemes Core banking & financial management Planning , monitoring evaluation and re-planning

7. Pregnancy tracking N-BITS Iron sucrose for anemia Iron capsules for anemia Ayurvedic formulations for anemia