Monday, January 16, 2012

Health schemes for mom and child show results

The recently launched Janani Suraksha-Shishu Karyakram (JSSK), and mother and child tracking system (MCTS) adopted by the State has begun to show results. Both schemes are aimed at minimizing the infant mortality rate (IMR) and maternal mortality rate (MMR) under National Rural Health Mission (NRHM). Although the central government schemes are implemented by the public health system department of the state.

The JSSK is not a replacement of existing Janani Surakasha Yojna (JSY) that promote institutional deliveries. It is a further arrangement with much broader scope. Under JSY, the benefit was limited to the mother and it is only those who live below the poverty line and SC / ST categories. But JSSK covers every mother and child regardless of income and caste status.

The main advantage of JSSK is that instead of providing any financial support scheme allows free delivery (including caesarean section a) and care to all expectant mother up to 42 days after delivery and free care for the baby for 30 days.

Dr. Manohar Pawar, deputy director of health services (DDHS), Nagpur circle covering Nagpur, Wardha, Gondia, Bhandara, Gadchiroli districts Chandrpaur and told TOI that the scheme very attractive for both rural and urban women, as it allowed not just free diagnosis, studies complimentary therapy, medication and meals during the hospitalization period but also free pick and drop facilities to the patient.

"The pick and drop facility is available round the clock via a call center. Anyone interested in using it to call 102 at district level hospital," said Dr. Pawar. Of course, the vehicle is made available, even at the primary health center as the information passed to the nearest Delivery Center, which could be a PHC, a sub-center or district hospital. We get very good response from patients. If a patient does not use the department vehicle or ambulance, is a fixed fare refunded to the patient, "says Dr. Pawar.

Since Nagpur does not have a district hospital has Daga Memorial Hospital has been chosen. The hospital still does not have the 102-number. "You'll have to call 2729332 for now. The process of moving 102 Number from Nagpur Municipal Corporation (NMC), ambulance service to Daga hospital is on," says Dr. Vaishali Khedikar, hospital superintendent. Actually received Daga two vehicles on Thursday itself.

The second scheme, MCTS, is a relatively mature one, but has just now become popular.As of now, it is limited to only rural areas but will soon be extended to the cities too. The process of training of the staff has already begun. DDHS office claims to have registered an increase in institutional deliveries from 65% in 2005, when the NRHM began to 98% now.

MCTS covering the mother from the day she reports to the registration of pregnancy to 30 days for children and 42 days for mom. This system has computer records of every mother and child, and the data are updated daily across the country. The changes are visible every day at NRHM website (sub-head nrhm-MCTC).

Comprehensive data, including name, address, phone numbers, ANM and Asha workers who treat patients and follow up records maintained for each patient. Immunization of the baby is also maintained. Highest authorities in the health sector can keep watch on employee .



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