The National Rural Health Mission aims to provide universal access to equitable, affordable, and quality healthcare in rural India. It was launched in 2005 to correct inequities in health systems and increase spending on healthcare. Key strategies include strengthening primary healthcare through community health workers called ASHAs, improving infrastructure like primary health centers and community health centers, implementing district-level health plans, and increasing involvement of local governments. The mission seeks to reduce mortality rates and expand access to services while integrating traditional medicine. It is monitored through strengthened health information systems and evaluations.
This ppt gives you the details about the NRHM scheme. The SWOT analysis has been done which helps you to know the strength and weakness part of the NRHM program.
BY: Dr.Pavithra R (M.H.A)
India, evolved a NATIONAL HEALTH POLICY in 1983 till 2002. The policy stress on PREVENTIVE, PUBLIC HEALTH AND REHABILITATION ASPECTS OF HEALTHCARE. It also focus on need of establishing primary health care to reach in the remote area of the country.
This ppt gives you the details about the NRHM scheme. The SWOT analysis has been done which helps you to know the strength and weakness part of the NRHM program.
BY: Dr.Pavithra R (M.H.A)
India, evolved a NATIONAL HEALTH POLICY in 1983 till 2002. The policy stress on PREVENTIVE, PUBLIC HEALTH AND REHABILITATION ASPECTS OF HEALTHCARE. It also focus on need of establishing primary health care to reach in the remote area of the country.
The orderly process defining national Health problems, identifying the unmeet needs, surveying the resources to meet them, and establishing the priority goals to accomplish the purpose of proposed Programme.
Minimum Need's Programme, Presented By Mohammed Haroon Rashid Haroon Rashid
Subject - Community Health Nursing II, Topic - Minimum Need's Programme, Presented By Mohammed Haroon Rashid, Basic B.Sc Nursing 4th year in Florence College Of Nursing
An initiative of Ministry of Health & Family Welfare to leverage information technology for ensuring delivery of full spectrum of healthcare and immunization services to pregnant women and children up to 5 years of age.
The orderly process defining national Health problems, identifying the unmeet needs, surveying the resources to meet them, and establishing the priority goals to accomplish the purpose of proposed Programme.
Minimum Need's Programme, Presented By Mohammed Haroon Rashid Haroon Rashid
Subject - Community Health Nursing II, Topic - Minimum Need's Programme, Presented By Mohammed Haroon Rashid, Basic B.Sc Nursing 4th year in Florence College Of Nursing
An initiative of Ministry of Health & Family Welfare to leverage information technology for ensuring delivery of full spectrum of healthcare and immunization services to pregnant women and children up to 5 years of age.
AIDS and its vengeance saw a back seat after we achieved the zero level of growth for it. But worries regarding the people living with AIDS are still on and we need to take care of these segments in an integrated manner
This presentation deals with advent of NRHM, backdrop of public health scenario prior to NRHM & discusses in details vision & core strategy of NRHM. It focuses on different schemes related to maternal & child health under NRHM with special reference to Maharashtra.
this ppt show about the national rural health mission and about the benefit of health program run by the govt. of India to improve the health facilities among the people to get the maximum benefit from the health policies.
it is a term used to refers to several kidney disease (both kidney) characterized by inflammation either of the glomeruli or of the small blood vessels in the kidney. but not all the disease necessarily have an inflammatory component.
It occurs due to repeated episodes of acute nephritic syndrome, nephrosclerosis and hyperlipidemia.
A curriculum Plan is the advance arrangement of learning opportunities for a particular population of learners.
Curriculum guide is a written curriculum.
Curriculum Planning is the process whereby the arrangement of curriculum plans or learning opportunities are created.
Master rotation plan is the overall plan of rotation of all students in a particular educational institution, showing the placement of the students belonging to total programme (4 years in B.Sc.(N) and 3 years in GNM) includes both theory and practice denoting the study block, partial block, placement of student in clinical blocks, team nursing, examinations, vacation, co-curricular activities etc.
Curriculum Evaluation is the process of collecting data on a programme to determine its value or worth with the aim of deciding whether to adopt, reject, or revise the programme.
Indian citizens possessing foreign nursing qualification are examined individually & after examination the syllabi and conformation from concerned foreign authorities, the nurses are granted approval for registration in India with the recommendation of equivalence committee under Section 11(2)(a) INC Act. 1947.
A model is a three-dimensional representation of a person or thing or of a proposed structure, typically on a smaller scale than the original:"a model of St. Paul's Cathedral“
A Model is a pattern of something to be made or reproduced and means of transferring a relationship `or process from its real (actual) setting to one which it can be more conveniently studied.
Curriculum development is a process in which participants at many levels make decisions about the purposes of learning, teaching- learning situation.
It is the process of gathering, setting, selecting, balancing and synthesizing relevant information from many sources in order to design the goals of curriculum.
Let’s examine what happens in each step of the curriculum development/revision cycle. This cycle is a dynamic system that helps each school re-vitalize and replenish what is taught to its students.
Determinants of curriculum are the factors that affect the process of assessing needs, formulating objectives and developing instructional opportunities and evaluations.
The term philosophy is derived from the Greek word Philein meaning to love, to strive after or search for and from the word Sophia which means wisdom.
Therefore, Philosophy is the search for wisdom by philosophers.
Teachers use curricula when trying to see what to teach to students and when, as well as what the rubrics should be, what kind of worksheets and teacher worksheets they should make, among other things.
It is actually up to the teachers themselves how these rubrics should be made, how these worksheets should be made and taught; it's all up to the teachers.
Perception (from the Latin perceptio) is the organization, identification, and interpretation of sensory information in order to represent and understand the presented information, or the environment.
The somatoform disorders are a group of psychological disorders in which a patient experiences physical symptoms that are inconsistent with or cannot be fully explained by any underlying general medical or neurologic condition. Medically unexplained physical symptoms account for as many as 50% of new medical outpatient visits. [1] Physical symptoms or painful complaints of unknown etiology are fairly common in pediatric populations. [2] Many healthy young children express emotional distress in terms of physical pain, such as stomachaches or headaches, but these complaints are usually transient and do not effect the child's overall functioning. The somatoform disorders represent the severe end of a continuum of somatic symptoms.
Somatization in children consists of the persistent experience and complaints of somatic distress that cannot be fully explained by a medical diagnosis. They can be represented by a wide spectrum of severity, ranging from mild self-limited symptoms, such as stomachache and headache, to chronic disabling symptoms, such as seizures and paralysis. These psychological disorders are often difficult to approach and complex to understand. It is important to note that these symptoms are not intentionally produced or under voluntary control.
In somatoform disorders, somatic symptoms become the focus of children and their families. They generally interfere with school, home life, and peer relationships. These youngsters are more likely to be considered sickly or health impaired by parents and caretakers, to be absent from school, and to perform poorly in academics. Somatization is often associated temporarily with psychosocial stress and can persist even after the acute stressor has resolved, resulting in the belief by the child and his or her family that the correct medical diagnosis has not yet been found. Thus, patients and families may continue to seek repeated medical treatment after being informed that no acute physical illness has been found and that the symptoms cannot be fully explained by a general medical condition. When somatization occurs in the context of a physical illness, it is identified by symptoms that go beyond the expected pathophysiology of the physical illness.
Recurrent complaints often present as diagnostic and treatment dilemmas to the primary care practitioner (PCP) who is trying to make sense of these symptoms. The PCP may feel poorly prepared and/or may have little time to assess or treat the somatic concerns. While the more disabling somatic complaints are more likely to be referred to a mental health professional, these youngsters presenting with these disabling physical symptoms bridge both medical and psychological domains and present a puzzling quandary for professionals from either field if working with them alone. [3] The nature of these symptoms requires an integrated medical and psychiatric treatment approach to successfully decrease the impairment caused by these disorders.
Schizophrenia is a mental disorder that usually appears in late adolescence or early adulthood. Characterized by delusions, hallucinations, and other cognitive difficulties, schizophrenia can often be a lifelong struggle. In this article, we will cover the causes, symptoms, and treatment of schizophrenia
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
2. NRHM
• N – newer initiatives
• R – rural poor population
• H – holistic health package
• M – monitoring mechanism
3. About NHRM
• Inaugurated on April 12, 2005
• Increase spending on health from 0.9% of GDP
to 2-3% of GDP
• Correct the deficiencies of the health system
• Focus on 18 states – northern and eastern
• Goal is good decentralized healthcare
• Intended for 2005 – 2012
4. AIMS OF NRHM
• Universal access to equitable, affordable and
quality health care.
• Bridging the gap in rural health care through
creation of a cadre of Accredited Social Health
Activist(AYUSH)
• Reduction of child and maternal mortality
• Population Stabilization including gender and
demographic balance
5. Goals
• Reduction in Infant Mortality Rate (IMR) and
Maternal Mortality Rate (MMR)
• Universal access to public health services such
as Women’s health, child health, water,
sanitation & hygiene, immunization, and
Nutrition.
• Prevention and control of communicable and
non-communicable diseases, including locally
endemic diseases
6. Contd.
• Access to integrated comprehensive primary
healthcare
• Population stabilization, gender and
demographic balance.
• Revitalize local health traditions and
mainstream AYUSH
• Promotion of healthy life styles
7. Core Strategies
1. Train and enhance capacity of Panchayat Raj
institutions to own, control and manage
public health services.
2. Promote access to improved health care at
household level through the female health
activist.
3. Health plan for each village through village
health committee of the Panchayat.
8. Contd.
4. Strengthening sub center through a fund to enable local
planning and action and more MPW’s.
5. Strengthening existing PHC’s and CHC’c.
6. Preparation and implementation of an intersectoral district
health plan prepared by the district health mission .
7. Strengthening capacities for data collection, assessment
and review for evidence based planning, monitoring and
supervision.
8. Developing capacities for preventive health care at all levels
by promoting healthy life styles, reduction in tobacco
consumption, alcohol etc.
9. Supplementary strategies
1. Regulation of private sector to ensure
availability of quality service to citizens at
reasonable cost.
2. Mainstreaming AYUSH – revitalizing local health
traditions.
3. Reorienting medical education to support rural
health issues including regulation of Medical
care and Medical Ethics.
4. Effective and viable risk pooling and social
health insurance to provide health security to
the poor by ensuring accessible, affordable,
accountable and good quality hospital care.
10. Components of NRHM
1. ASHA
- Resident of the village, a woman (M/W/D)
between 25-45 years, with formal education
up to 8th class, having communication skills
and leadership qualities.
- One ASHA per 1000 population.
- Around 1,00,000 ASHA’s are already
selected.
11. ASHA
- Chosen by the Panchayat to act as the
interface between the community and the
public health system.
- Bridge between the ANM and the village.
- Honorary volunteer, receiving performance
based compensation .
12. Responsibility of ASHA
- To create awareness among the community
regarding nutrition, basic sanitation, hygienic
practices, healthy living.
- Counsel women on birth preparedness,
importance of safe delivery, breast feeding,
complementary feeding, immunization,
contraception, STDs
13. Contd.
- Encourage the community to get involved in
health related services.
- Escort/ accompany pregnant women, children
requiring treatment and admissions to the
nearest PHC’s.
- Primary medical care for minor ailment such
as diarrhea, fevers
- Provider of DOTS.
14. Components of NRHM .
STRENGTHENING SUB-CENTRES
• Each sub-centre will have a Fund for local action of Rs.
10,000 per annum. This Fund will be deposited in a joint
Bank Account of the ANM & Sarpanch and operated by
the ANM, in consultation with the Village Health
Committee.
• Supply of essential drugs, both allopathic and AYUSH, to
the Sub-centers.
• In case of additional Outlays, Multipurpose Workers
(Male)/Additional ANMs wherever needed, sanction of
new Sub-centers as per 2001 population norm, and
upgrading existing Sub-centers, including buildings for
Sub-centers functioning in rented premises will be
considered
15. Components of NRHM contd.
STRENGTHENING PRIMARY HEALTH CENTRES
• Mission aims at Strengthening PHC for quality preventive,
promotive, curative, supervisory and outreach services, through:
– Adequate and regular supply of essential quality drugs and
equipment including Supply of Auto Disabled Syringes for
immunization) to PHCs
– Provision of 24 hour service in 50% PHCs by addressing
shortage of doctors, especially in high focus States
Observance of Standard treatment guidelines & protocols.
– Intensification of ongoing communicable disease control
programs, new programs for control of non communicable
diseases, up gradation of 100% PHCs for 24 hours referral
service, and provision of 2nd doctor at PHC level (I male, 1
female) would be undertaken on the basis of felt need.
16. Components contd.
STRENGTHENING CHCs FOR FIRST REFERRAL CARE
– Operationalizing 3222 existing Community Health Centers (30-
50 beds) as 24 Hour First Referral Units, including posting of
anesthetists.
– Codification of new Indian Public Health Standards, setting
norms for infrastructure, staff, equipment, management etc. for
CHCs.
– Promotion of Stakeholder Committees (Rogi Kalyan Samitis) for
hospital management.
– Developing standards of services and costs in hospital care
– In case of additional Outlays, creation of new Community Health
Centres(30-50 beds) to meet the population norm as per Census
2001, and bearing their recurring costs for the Mission period
could be considered
17. Components contd.
DISTRICT HEALTH PLAN
It would be an amalgamation through:
• Village Health Plans, State and National priorities for
Health, Water Supply, Sanitation and Nutrition.
• Health Plans would form the core unit of action
proposed in areas like water supply, sanitation, hygiene
and nutrition. Implementing. Departments would
integrate into District Health Mission for monitoring.
• District becomes core unit of planning, budgeting and
implementation.
18. Contd.
• Concept of “funneling” funds to district for
effective integration of programs
• All vertical Health and Family Welfare
Programmes at District and state level merge into
one common “District Health Mission” at the
District level and the “State Health Mission” at
the state level
• Provision of Project Management Unit for all
districts, through contractual engagement of
MBA, Inter Charter/Inter Cost and Data Entry
Operator, for improved program management
19. Components contd.
CONVERGING SANITATION AND HYGIENE UNDER
NRHM
• Total Sanitation Campaign (TSC) is presently implemented in
350 districts, and is proposed to cover all districts in 10th Plan.
• Components of TSC include IEC activities, rural sanitary marts,
individual household toilets, women sanitary complex, and
School Sanitation Program.
• Similar to the DHM, the TSC is also implemented through
Panchayati Raj Institutions (PRIs).
• The District Health Mission would guide activities of sanitation
at district level, and promote joint IEC for public health,
sanitation and hygiene, through Village Health & Sanitation
Committee, and promote household toilets and School
Sanitation Program ASHA would be incentivized for promoting
household toilets by the Mission.
20. Components contd.
STRENGTHENING DISEASE CONTROL
PROGRAMMES
– National Disease Control Program for Malari a, TB, Kala
Azar, Filaria, Blindness & Iodine Deficiency and Integrated
Disease Surveillance Program shall be integrated under the
Mission, for improved program delivery.
– New Initiatives would be launched for control of Non
Communicable Diseases.
– Disease surveillance system at village level would be
strengthened.
– Supply of generic drugs (both AYUSH & Allopathic) for
common ailment at village, SC, PHC/CHC level.
– Provision of a mobile medical unit at District level for
improved Outreach services.
21. Components contd.
PUBLIC-PRIVATE PARTNERSHIP FOR PUBLIC
HEALTH GOALS, INCLUDING REGULATION OF
PRIVATE SECTOR
• Since almost 75% of health services are being
currently provided by the private sector, there is a
need to refine regulation.
• Regulation to be transparent and accountable.
22. Contd.
• District Institutional Mechanism for Mission must
have representation of private sector
• Need to develop guidelines for Public-Private
Partnership (PPP) in health sector. Identifying areas
of partnership, which are need based, thematic
and geographic.
• Public sector to play the lead role in defining the
framework and sustaining the partnership
• Management plan for PPP initiatives: at
District/State and National levels
23. Components contd.
REORIENTING HEALTH/MEDICAL EDUCATION TO
SUPPORT RURAL HEALTH ISSUES
• While district and tertiary hospitals are necessarily
located in urban Centres, they form an integral part of
the referral care chain serving the needs of the rural
people.
• Medical and Para-medical education facilities need to be
created in states, based on need assessment.
• Suggestion for Commission for Excellence in Health Care
(Medical Grants Commission), National Institution for
Public Health Management etc.
• Task Group to improve guidelines/details
24. Role of Panchayati Raj
Institutions
The Mission envisages the following roles for PRIs:
• States to indicate in their MOU the commitment for
devolution of funds, functionaries and programmes
for health, to PRIs.
• The District Health Mission to be led by the Zila
Parishad. The DHM will control, guide and manage all
public health institutions in the district, Sub-centers,
PHCs and CHCs.
• ASHAs would be selected by and be accountable to
the Village Panchayat.
25. contd.
· The Village Health Committee of the Panchayat
would prepare the Village Health Plan, and
promote inter- sectoral integration
· Each sub-centre will have an Untied Fund for local
action of Rs. 10,000 per annum. This Fund will be
deposited in a joint Bank Account of the ANM &
Sarpanch and operated by the ANM, in
consultation with the Village Health Committee.
· PRI involvement in Rogi Kalyan Samitis for good
hospital management.
· Provision of training to members of PRIs.
28. Monitoring and Evaluation
· Health MIS to be developed upto CHC level, and web-enabled
for citizen scrutiny
· Sub-centres to report on performance to Panchayats, Hospitals
to Rogi Kalyan Samitis and District Health Mission to Zila
Parishad
· The District Health Mission to monitor compliance to Citizen’s
Charter at CHC level
· Annual District Reports on People’s Health (to be prepared by
Govt/NGO collaboration)
· State and National Reports on People’s Health to be tabled in
Assemblies, Parliament
· External evaluation/social audit through professional
bodies/NGOs
· Mid Course reviews and appropriate correction