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 National Health Mission (NHM) encompasses
its two Sub-Missions, the National Rural Health
Mission (NRHM) and the National Urban Health
Mission (NUHM). The main programmatic
components include Health system strengthening
in rural and urban areas, ReproductiveMaternal-Neonatal-Child and Adolescent Health
(RMNCH+A) and Communicable and NonCommunicable Diseases. The NHM envisages
achievement of universal access to equitable,
affordable & quality healthcare services that are
accountable and responsive to people’s needs.
This presentation was conceptualised and made by me as a part of my Summer training project work. The project was a real time activity carried out by the Public Health division of ASTRON Hospital & healthcare Consultants Pvt. Ltd.
The National Health Mission (NHM) encompasses
its two Sub-Missions, the National Rural Health
Mission (NRHM) and the National Urban Health
Mission (NUHM). The main programmatic
components include Health system strengthening
in rural and urban areas, ReproductiveMaternal-Neonatal-Child and Adolescent Health
(RMNCH+A) and Communicable and NonCommunicable Diseases. The NHM envisages
achievement of universal access to equitable,
affordable & quality healthcare services that are
accountable and responsive to people’s needs.
This presentation was conceptualised and made by me as a part of my Summer training project work. The project was a real time activity carried out by the Public Health division of ASTRON Hospital & healthcare Consultants Pvt. Ltd.
Introduction
National Health Policy 1983
National Health Policy 2002
Salient features of the Policies
Key components of the Policy
National Health Policy 2017
Summary
National health policy, as a document , it has included everything under the health spectrum. But where the policy is lagging behind? whether we are able to achieve the targets or not? These all are explained in the PPT .
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
1. nd Legislation - Presentation Transcript<br />Health Policies and legislations State Institute of Health and Family Welfare, Jaipur<br />Health Policies: India Ø National Health Policy, 1983, 2002 Ø National Population Policy, 2000 Ø National Children Policy, August 22, 1974 Ø National Policy for Persons with Disabilities, 2006 Ø National Policy on Women Empowerment, 2001 Ø National Blood Policy, 2003 Ø National Nutrition Policy, 1993 SIHFW: an ISO 9001: 2008 certified Institution 2<br />National Health Policy, 1983 1983 (After 36 yrs. of independence) A time-bound program for setting network of comprehensive primary health care services through- Ø Intermediation with ‘Health volunteers’ ØEstablishment of a well-worked out referral system ØEvenly spread specialty and super-specialty services ØPrivate-public partnership SIHFW: an ISO 9001: 2008 certified Institution 3<br />Basic Elements-NHP 1983 The basic elements and areas for action - • Nutrition • Occupational health • Preventing food • Health education adulteration • MIS • Maintaining drug quality • Medical industry • Water supply and • Health insurance sanitation • Health legislations • Environmental protection • Medical research. • Immunization • School health • MCH services SIHFW: an ISO 9001: 2008 certified Institution 4<br />Issues involved in NHP-1983 formulation • Re-orientation of Medical education • Re-structuring and Re-organizing the existing health care services • Population stabilization • Re-orientation of existing health personnel • Role of practitioners of ISM in Health care delivery SIHFW: an ISO 9001: 2008 certified Institution 5<br />NHP-2002 Realizes • Disparities and Large gap in health facilities • Shortfall of SCs/PHCs/CHCs. • Only 20% of the population seeking OPD services, and less than 45% seeking indoor treatment, in public hospitals. • Need of rural health staff exclusively for the implementation of family welfare activities SIHFW: an ISO 9001: 2008 certified Institution 6<br />• Ad-hoc deployment of doctors and nurses • ISM can increase the reach of basic health care • Need for specialists in ‘public health’ and ‘family medicine’ • Low doctor: nurse & nurse: population ratio • Urban health- neglected SIHFW: an ISO 9001: 2008 certified Institution 7<br />National Health Policy-2002 NHP-2002 to evolve a policy structure- • Which reduces the inequities in existing health services • Allows the disadvantaged sections of society a fairer access to public health services. SIHFW: an ISO 9001: 2008 certified Institution 8<br />The considerations for NHP-2002 Ø Health investment and expenditure declined Ø Disparities in public health facilities and health standards Ø The infrastructure facilities fall short. Ø Shortfall in the number of SCs/PHCs/CHCs Ø Shortage of medical personnel Ø Less population, seeking OPD & indoor treatment services, in public hospitals Ø Need for Public health specialists and Family Medicine SIHFW: an ISO 9001: 2008 certified Institution 9<br />NHP-2002 Proposes • Increase expenditure - 6% of GDP (2% as public health investment), by the year 2010. • State Governments increase 7% of the Budget by 2005 and 8% of the Budget by 2010 • Increased allocation • 55% for the Primary health • 35% for Secondary • 10% for Tertiary health SIHFW: an ISO 9001: 2008 certified Institution 10<br />• Gradual convergence of all health programs under a single field administration • To continue Vertical programs for TB, Malaria, HIV/AIDS, RCH and UIP till moderate levels of prevalence are reached. • Developing the capacity of State and District Health administration SIHFW: an ISO 9001: 2008 certified Institution 11<br />• Ensure community monitoring • More frequent in-service training of public health medical personnel, • Quality of public health services • Use of Generic drugs. • Urban health infrastructure • Mental Health Education • IEC SIHFW: an ISO 9001: 2008 certified Institution 12<br />Ø Health research Ø Private sector participation Ø Disease surveillance Ø Women health Ø Medical ethics Ø Quality standards for food and drugs Ø Environment and Occupational health Ø Synchronized implementation of NHP-2002 and NPP-2000 SIHFW: an ISO 9001: 2008 certified Institution 13<br />Objective • To achieve standard of good health • To ensure equitable access to health services • To increase the aggregate public health investment. SIHFW: an ISO 9001: 2008 certified Institution 14<br />Goals of NHP-2002 Eradicate Polio and Yaws 2005 Eliminate Leprosy 2005 i Eliminate Kala Azar 2010 Eliminate Lymphatic Filariasis 2015 Achieve Zero level growth of HIV/AIDS 2007 Reduce Mortality by 50% on account of TB, Malaria and Other 2010 Vector and Water Borne diseases Reduce Prevalence of Blindness to 0.5% 2010 Reduce IMR to 30/1000 And MMR to 100/Lakh 2010 Increase utilization of public health facilities from current Level 2010 of <20 to >75% Establish an integrated system of surveillance, National Health 2005 Accounts and Health Statistics. SIHFW: an ISO 9001: 2008 certified Institution 15<br />Policy prescriptions-NHP-2002 Ø To increase health sector expenditure Ø Strengthening of the primary health structure Ø Program implementation through autonomous bodies Ø Frequent in-service training Ø Government-funded health research Ø Prohibiting the use of proprietary drugs SIHFW: an ISO 9001: 2008 certified Institution 16<br />Ø An integrated disease control network Ø National health accounts Ø Strengthening deployment of health experts Ø User-charges Ø Contract employment Ø Setting up of Medical Grants Commission Ø Mental health services Ø IEC Ø Highest priority woman’s health. Ø Food and drug standards Ø Need to modify the existing curriculum SIHFW: an ISO 9001: 2008 certified Institution 17<br />National Population Policy-2000 SIHFW: an ISO 9001: 2008 certified Institution 18<br />Population Growth in India Ø High wanted fertility due to the high infant mortality rate (IMR) Ø Higher fertility due to unmet need for contraception Ø The large reproductive age-group cohort SIHFW: an ISO 9001: 2008 certified Institution 19<br />Projected Growth in Population (M) Year If current trend If TFR 2.1 achieved by continues 2010 Total Percent Total Percent Population Increase Population Increase 1991 846.3 - 846.3 - 1996 934.2 17.6 934.2 17.6 1997 949.9 15.7 949.0 14.8 2000 996.9 15.7 991.0 14.0 2002 1027.6 15.4 1013.0 11.0 2010 1162.3 16.8 1107.0 11.75 SIHFW: an ISO 9001: 2008 certified Institution 20<br />Population Pyramid SIHFW: an ISO 9001: 2008 certified Institution 21<br />Population Policy of India: Milestones • 1946: Bhore Committee Report • 1952: Family Planning Program • 1976: Statement of National Population Policy • 1977: Policy Statement on Family Welfare Program • 1983: National Health Policy - quot;
securing the SFN, through voluntary efforts and moving towards the goal of population stabilizationquot;
. SIHFW: an ISO 9001: 2008 certified Institution 22<br />Population Policy of India: Milestones • 1991: The National Development Council appointed a Karunakaran Committee • 1993:Swaminathan Committee appointed, 1994- report submitted • 1997: Cabinet approved the draft National Population Policy, document could not be placed in House of Parliament • 1999: Another draft finalized placed before the Cabinet; discussed & approved • 2000: National Population Policy in existence SIHFW: an ISO 9001: 2008 certified Institution 23<br />Salient features of 1976 statement Statement focused on- Ø Minimum needs program Ø Family planning Ø Raising age of marriage Ø Adoption of small family norm Ø Research in Reproductive health and contraceptive technology Ø Multi-media motivational strategy Ø Education and Economic development SIHFW: an ISO 9001: 2008 certified Institution 24<br />Suggestions for the approach Ø 8% of Central assistance linked to State Ø Monetary compensation linked with terminal methods and no. of children Ø Compulsory sterilization after 3 children Ø Rising the marriage age Ø Increasing level of female education Ø Involvement & support of voluntary organizations SIHFW: an ISO 9001: 2008 certified Institution 25<br />Ø Research in reproductive biology and contraception Ø Incentives for make Family Planning movement. Ø Promotion of multi media communication strategy Ø Inclusion of population education in education system Ø Freezing the representation of States in Parliament till 2026 SIHFW: an ISO 9001: 2008 certified Institution 26<br />National Population Policy-2000 SIHFW: an ISO 9001: 2008 certified Institution 27<br />Policy Objectives • Immediate – To address the unmet needs for contraception, health care infrastructure, health personnel – To provide integrated service delivery for basic RCH care • Medium – To bring the TFR to replacement levels by 2010 • Long term – To achieve a stable population by 2045 SIHFW: an ISO 9001: 2008 certified Institution 28<br />National Socio-Demographic Goals for 2010 Ø Address the unmet needs for - § Basic RCH services, § Supplies and infrastructure. Ø Increase school education and reduce drop outs Ø Reduce IMR& MMR. Ø Promote delayed marriage for girls, preferably after 20 years of age. Ø Contain the spread of AIDS Ø Prevent and control communicable diseases. SIHFW: an ISO 9001: 2008 certified Institution 29<br />Ø Integrate Indian Systems of Medicine (ISM) Ø Promote vigorously the small family norm Ø To make family welfare a people centered program To Achieve- Ø Universal access to health related information Ø 100% registration of births, deaths, marriage and pregnancy. Ø Universal immunization of children Ø 80% institutional deliveries and 100% deliveries by trained persons SIHFW: an ISO 9001: 2008 certified Institution 30<br />Strategic themes of NPP-2000 • Decentralized Planning and Implementation • Convergence of Service Delivery at all Levels • Empowering Women for Improved Health • Child Health and Survival • Meeting the Unmet Needs for Family Welfare Services SIHFW: an ISO 9001: 2008 certified Institution 31<br />• Under-Served Population Groups • Diverse Health Care Providers • Collaboration with NGO and Private Sector • Contraceptive Technology and Research on RCH • Mainstreaming Indian Systems of Medicine • Information, Education, and Communication<br />Structure NPP 2000 to be largely implemented and managed through PRIs in coordination with the concerned State/UT administrations. Recommended structures: Ø National Commission on Population Ø State / UT Commissions on Population Ø Coordination Cell in the Planning Commission Ø Technology Mission in the Department of Family Welfare SIHFW: an ISO 9001: 2008 certified Institution 33<br />Promotional and Motivational measures for adoption of the SFN Ø Panchayats and Zila Parishads will be rewarded for - § Performance in universalizing the small family norm § Achieving reductions in IMR, CBR and promoting literacy Ø Reward to BPL Couples § Who marry after the legal age of marriage, § Register the marriage, SIHFW: an ISO 9001: 2008 certified Institution 34<br />§ Have first child after age of 21 § Accept the SFN, § Adopt a terminal method after the birth of the second child, Ø Promotion of survival and care of the girl child, Ø Rs. 500 is awarded at the birth of the girl child Ø Maternity Benefit Scheme Ø A Family Welfare-linked Health Insurance Plan Ø Crèches and child care centers Ø A wider, affordable accessible choice of contraceptives Ø Facilities for safe abortion<br />National Policy for Children SIHFW: an ISO 9001: 2008 certified Institution 36<br />Child Welfare: Milestones Ø UN Convention on the Rights of the Child on 11th Dec., 1992 Ø The National Policy for Children Aug. 22,1974 Ø UN Millennium Summit - MDG Sep. 30, 2000 Ø National Charter for Children, Feb. 2004 Ø National Plan of Action for Children 2005 Ø The Commissions for Protection of the Child Rights Act 2005 SIHFW: an ISO 9001: 2008 certified Institution 37<br />National Children Policy, 1974 Policy Measures Ø Services before and after birth Ø Comprehensive health services Ø Nutrition services Ø Free and compulsory education till 14 years Ø Informal education to drop outs Ø Equal opportunity to weaker sections, physically challenged and delinquent children Ø Protection against neglect, cruelty and exploitation Ø No child <14 engaged in hazardous occupation SIHFW: an ISO 9001: 2008 certified Institution 38<br />National Charter for Children, 2003 • Free & compulsory education to all children (6-14) • No child <14 years - in hazardous employment • Promoting High Standards of Health and Nutrition • Assuring Basic Minimum Needs and Security • Protection from Economic Exploitation and All Forms of Abuse SIHFW: an ISO 9001: 2008 certified Institution 39<br />• Protection of the Girl Child • Empowering Adolescents • Equality - Expression, Seek and Receive Information, Association and Peaceful Assembly • Protection of Children with Disabilities • Family support – care, love, play, survival, growth, development<br />National Plan of Action for Children 2005 • Reduce IMR to < 30 by 2010. • Reduce CMR to < 31 by 2010. • Reduce MMR to <100 by 2010. • Universal equitable access and use of safe drinking water, • Improved access to sanitary means of excreta disposal by 2010. • 100% rural population to have access to basic sanitation by 2012. SIHFW: an ISO 9001: 2008 certified Institution 41<br />National Plan of Action for Children 2005 Ø Eliminate child marriages by 2010 Ø Eliminate disability due to poliomyelitis by 2007 Ø To reduce the proportion of infants infected with HIV by 20 % by 2007 and 50 % by 2010, • Ensuring ANC to 80 % • Ensure 95 % of men and women aged 15-24 have access to care, counseling ,other HIV and prevention services. SIHFW: an ISO 9001: 2008 certified Institution 42<br />National Policy for Persons with Disabilities, 2006 Ø Focus on- • Prevention of Disabilities and • Rehabilitation Measures Ø Salient features • Physical Rehabilitation • Educational Rehabilitation, vocational training and • Economic Rehabilitation Ø Special focus on women and children with disabilities SIHFW: an ISO 9001: 2008 certified Institution 43<br />National Policy for Persons with Disabilities, 2006 Ø Focus on- • Prevention of Disabilities and • Rehabilitation Measures Ø Salient features • Physical Rehabilitation • Educational Rehabilitation, vocational training and • Economic Rehabilitation Ø Special focus on women and children with disabilities SIHFW: an ISO 9001: 2008 certified Institution 44<br />National Policy for Empowerment of Women • V- FYP - shift from Women welfare to women development and empowerment • Mexico plan of Action (1975), • Nairobi forward-looking strategies (1985), • National Commission for Women (1990) • Convention on Elimination of All forms of Discrimination Against Women, 1993 • International Conference on Population and Development (ICPD), Cairo (1994) • Beijing Declaration and Platform for Action (1995) SIHFW: an ISO 9001: 2008 certified Institution 45<br />Objectives Ø Broad Objective To bring about the advancement, development and empowerment of Women SIHFW: an ISO 9001: 2008 certified Institution 46<br />Ø Specific Objectives • Creating an environment - positive economic and social policies • Enjoyment of all human rights • Equal access to ØParticipation and decision making ØHealth care ØEducation ØEmployment, remuneration ØOccupational health & safety ØSocial security ØAnd public office. SIHFW: an ISO 9001: 2008 certified Institution 47<br />• Strengthening of legal systems • Changing societal attitude & community practices by participation • Mainstreaming gender perspective. • Elimination of discrimination and all kind of violence • Building & strengthening of partnerships with civil society SIHFW: an ISO 9001: 2008 certified Institution 48<br />Policy Prescriptions • Legal-judicial system will be made more responsive and gender sensitive • Equality in power sharing and active participation in decision making • Mainstreaming a Gender Perspective in the Development Process • Economic & Social Empowerment of women SIHFW: an ISO 9001: 2008 certified Institution 49<br />Institutional Mechanisms • National and State Councils • National and State Resource Centres • Strengthen Self-Help Groups (SHGs) • Women’s Component Plan adopted in IX FYP • Channelize private sector investments • Reviewing and strengthening legal system SIHFW: an ISO 9001: 2008 certified Institution 50<br />National Nutrition Policy-1993 SIHFW: an ISO 9001: 2008 certified Institution 51<br />• It advocates a comprehensive inter- sectoral strategy- – For alleviating all the multi-faceted problems of under/malnutrition and its related deficiencies and diseases – To achieve an optimal state of nutrition for all sections of society – Special priority for women, mothers and children SIHFW: an ISO 9001: 2008 certified Institution 52<br />Intervention programmes to combat malnutrition Ø Integrated Child Development Programme-1975 Ø Special Nutrition Programme-1970-71 Ø Balwadi Nutrition Programme -1991-1992 Ø Wheat Based Supplementary Nutrition Programme-1986 Ø Mid Day Meal Programme-1962-63 Ø Nutritional Anemia Prophylaxis Programme- 1970 Ø Goiter Control Programme-1962 Ø National Diarrheal Disease Control Programme- 1981 SIHFW: an ISO 9001: 2008 certified Institution 53<br />The strategies adopted in the Ninth Plan include – Ø Screening of all pregnant women and lactating mothers for chronic energy deficiency (CED) Ø Identifying women with weight below 40 kg and providing adequate ante-natal, intra-partum and neo-natal care under the RCH programme Ø Ensuring they receive food supplementation through the Integrated Child Development Services (ICDS) Scheme. SIHFW: an ISO 9001: 2008 certified Institution 54<br />Ø Pradhan Mantri Gramodaya Yojana (PMGY) to prevent the onset of under-nutrition in the age-group 6-24 months. Ø Supplementary nutrition provided to 105 million school-going children under the National Programme of Nutritional Support to Primary Education (also popularly known as Mid-Day Meals Programme). SIHFW: an ISO 9001: 2008 certified Institution 55<br />National Blood Policy-2003 SIHFW: an ISO 9001: 2008 certified Institution 56<br />Need of Blood Policy- – For quality, safety and efficacy of blood and blood products, – Well-equipped blood centers with adequate infrastructure and trained manpower – For effective clinical use of blood, – To attain maximum safety, the requirements of good manufacturing practices and implementation of quality system SIHFW: an ISO 9001: 2008 certified Institution 57<br />Policy Aim Ø To ensure easily accessible and adequate supply of safe and quality blood and blood components Ø To collect/procure blood free from transfusion transmitted infections , which stored and transported under optimum conditions. Ø Ensure Transfusion under supervision of trained personnel Ø Total quality management approach to be ensured under the policy. SIHFW: an ISO 9001: 2008 certified Institution 58<br />To achieve the above aim, the following objectives are drawn: Ø To reiterate firmly the Govt. commitment to provide safe and adequate quantity of blood, blood components and blood products. Ø To make latest technology, adequate resources available for operating the blood transfusion services. Ø To encourage appropriate clinical use of blood and blood products. Ø To strengthen the manpower through human resource development. SIHFW: an ISO 9001: 2008 certified Institution 59<br />Ø To launch extensive awareness programmes for donor information, education, motivation, recruitment and retention in order to ensure adequate availability of safe blood. Ø To encourage Research & Development in the field of Transfusion Medicine and related technology. Ø To take adequate regulatory and legislative steps for monitoring and evaluation SIHFW: an ISO 9001: 2008 certified Institution 60<br />Health legislations in India SIHFW: an ISO 9001: 2008 certified Institution 61<br />Pre-conception and pre-natal diagnostic techniques (PCPNDT) Act Ø Made in 1994 Ø Regulates and prevents misuse of the diagnostic techniques. Ø Amended again in 2003. SIHFW: an ISO 9001: 2008 certified Institution 62<br />Aim Ø Prohibition of sex selection, Ø Regulation of pre-natal diagnostic techniques for the purposes of detecting- § Genetic abnormalities or § Metabolic disorders or § Chromosomal abnormalities or § Certain congenital malformations or § Sex-linked disorders SIHFW: an ISO 9001: 2008 certified Institution 63<br />When its becomes an offence ? Ø Service provider violating the Act. Ø Service seeker (woman compelled to undergo the test is not punishable). Ø Advertiser of these techniques. Complaints procedure Ø Written complaint to Appropriate Authority. Ø AA to act within 15 days. Ø Delayed action to be addressed through judiciary. SIHFW: an ISO 9001: 2008 certified Institution 64<br />An offence under the PCPNDT Act is cognizable, non- bailable and non- compoundable. First offence Subsequent offence Service Imprisonment (3yrs.); Imprisonment (5yrs.); provider penalty (Rs.10000); penalty (Rs.50000); registration cancelled (5 registration cancelled yrs.) (permanently.) Service Imprisonment (3 yrs.); Imprisonment (5 yrs.); seeker penalty (Rs. 50000) penalty (Rs. 100000); Advertiser Imprisonment (3 yrs.); penalty (Rs. 10000) SIHFW: an ISO 9001: 2008 certified Institution 65<br />Structure of Implementing Machinery Central Supervisory Board (CSB) State Supervisory Board (SSB) Appropriate Authority Advisory Committee State State District District Sub-district Sub-district SIHFW: an ISO 9001: 2008 certified Institution 66<br />Anti-Tobacco Act SIHFW: an ISO 9001: 2008 certified 67 Institution<br />The Tobacco Menace in India Ø 800,000 deaths every year Ø 150,000 cancers per year Ø 4.2 million heart diseases Ø 3.7 million lung diseases in every year Ø It kills more people than AIDS, alcohol, cocaine, homicide, suicide, motor vehicle crashes, and fires combined! SIHFW: an ISO 9001: 2008 certified Institution 68<br />Ø 55,000 children every day start using tobacco Ø 5 million children <15 addicted to tobacco Ø school students (10%-40%), college students (40%-70%) chew gutka & paan masala SIHFW: an ISO 9001: 2008 certified Institution 69<br />Aim of Anti-Tobacco legislation Ø Ban advertisements on tobacco products Ø Ban smoking in public places Ø Prohibit sale of cigarettes to minors. Ø Anti-tobacco health education in schools and colleges Ø Higher taxes on tobacco products Ø Health warnings on the packaging and labeling Ø Penal provisions Ø Discontinue direct and indirect subsidies and financial incentives SIHFW: an ISO 9001: 2008 certified Institution 70<br />Legislations related to Health in General Ø The Epidemic Diseases Act, 1897 Ø Indian Air Craft (Public Health) Rules, 1954 Ø The Registration of Births and Deaths Act, 1969 Ø The Persons with Disabilities (Equal Opportunity, Protection Of Rights And Full Participation) Act, 1995 Ø The Biomedical Waste (Management And Handling Rules 1998) Act SIHFW: an ISO 9001: 2008 certified Institution 71<br />Legislation related to Women Health Ø Hindu Marriage Act, 1955 Ø The Special Marriage Act, 1954 Ø Hindu Succession Act, 1956 Ø The Maternity Benefits Act, 1961 Ø The Dowry Prohibition Act, 1961 Ø Hindu Adoption and Maintenance Act, 1956 Ø The Immoral Traffic (Prevention) Act, 1956; amended in 1986 Ø MTP Act 1971(The MTP Rules, 1975) SIHFW: an ISO 9001: 2008 certified Institution 72<br />Ø The Protection of Women against Sexual Harassment At Work Place Bill, 2007 Ø Protection of Women from Domestic Violence Act,2005, (Come into Force on 26/10/2006) Ø Protection of Women from Domestic Violence Act, 2005 Ø Dowry Prohibition Act, 1961 Ø Dowry Prohibition Rules Ø National Commission for Women Act SIHFW: an ISO 9001: 2008 certified Institution 73<br />Ø The Pre-natal Diagnostic Techniques (Regulation & Prevention of misuse) Act, 1994 Rules, November 26, 1996, 2003 Ø Indecent Representation of Women Ø The Commission of Sati (Prevention) Act and rules Ø Amendment Proposed in Immoral Traffic (Prevention) Act 1956 Ø The Immoral Traffic (Prevention) Amendment Bill, 2006 SIHFW: an ISO 9001: 2008 certified Institution 74<br />Legislations related to Child Health Ø The Child Marriage Restraint Act, 1929 Ø Children Act, 1960 Ø The Juvenile Justice Act, 1986 Ø The Child Labor (Prohibition and Regulation) Act, 1986 Ø Infant Milk substitute Act, 1992 Ø The Juvenile Justice (Care and Protection of Children) Amendment Act 2006 Ø The Juvenile Justice (Care and Protection of Children) Act 2000 SIHFW: an ISO 9001: 2008 certified Institution 75<br />Ø The Juvenile Justice (Care and Protection of Children) Rules Ø The Commissions for Protection of Child Rights Act, 2005 , 2006 Ø National Commission for protection of Child Rights Rules,2006, Ø The Child Marriage Restraint Act, 1929 Ø The Prohibition of Child Marriage Act, 2006 Ø The infant Milk Substitutes, Feeding Bottles and infant Foods (Regulation of Production, Supply and Distribution) Act, 1992 , 2003 SIHFW: an ISO 9001: 2008 certified Institution 76<br />Legislations related to Environment Ø Factory Act, 1947 Ø The Atomic energy Act, 1962 Ø The Insecticides Act, 1968 Ø The Wild Life (Protection) Act 1972 Ø The Indian Forest Act, 1972 Ø The Water (Prevention and Control of Pollution) Act, 1974 77 SIHFW: an ISO 9001: 2008 certified Institution<br />Ø The Forest (Conservation) Act, 1980 Ø The Air (Prevention and Control of Pollution) Act, 1981 Ø The Environmental (Protection) Act, 1986 Ø The Motor Vehicle Act, 1988 Ø The Natural Environment Tribunal Act, 1995<br />Legislations related to Occupation Ø The Workmen’s Compensation Act, 1923 (Amended In 1984) Ø The Trade Union Act 1926 Ø The Factories Act, 1948, Ø The Employees States Insurance Act, 1948 Ø The Plantation Labor Act, 1951 Ø Mines Act, 1952 Ø Plantation Labor Act, 1951 Ø The Employee State Insurance Act, 1948 Ø The Consumer Protection Act (CPA) 1986 SIHFW: an ISO 9001: 2008 certified Institution 79<br />Ø The Factories (Amendment) Act, 1976 Ø The Dangerous Machine (Regulation) Act, 1983 Ø Legislations related to Human rights Ø The Equal Remuneration Act, 1976 Ø The Contract Labor (Regulation and Abortion) Act ,1976 Ø Indecent Representation of Women (Prohibition) Act, 1986 Ø The Commission on Sati (Prevention) Act, 1987 Ø The Minimum Wages Act, 1948 SIHFW: an ISO 9001: 2008 certified Institution 80<br />Legislations related to Medical Profession ØThe Indian Nursing Council Act 1947 ØThe Dentists Act 1948 ØThe Pharmacy Act 1948 ØThe Indian Medical Council Act, 1956 (Amended in 1964, 1993) SIHFW: an ISO 9001: 2008 certified Institution 81<br />Thank You For more details log on to www. sihfwrajasthan.com or contact : Director-SIHFW on sihfwraj@yahoo.co.in<br />