VARIOUS OTHER SCHEMES UNDER NRHM
1. Janani Suraksha Yojana
The goals of this Yojana are a reduction in maternal mortality rate and infant mortality rate as well as to increase the institutional deliveries in the BPL and SC/ST families.
It will target the pregnant women belonging to the below poverty line households in the age group 19years and above and up to first 2 live births.
Certification:
a) The BPL card would be the instrument of identification of the beneficiaries.
b)  If the BPL card is not issued a certification of the BPL status by the grama panchayat where the income is less than Rs 17,000/ per annum.
Features:   The scales of assistance under modified JSY would be as follows it has been modified so as to incorporate within it the cash benefit available under National Maternity Benefit Scheme

  Urban areas

2. Prasooti Araike - Care for the pregnant
Prasooti Araike scheme was introduced in the district for the benefit of pregnant women belonging to below poverty line SC and ST families. This has now been extended to all below poverty line pregnant women of all the districts.
The benefits and conditions of the scheme are as follows

1. The pregnant women have to register their names with the Junior Female Health Assistant of the area. The beneficiaries will get Rs. 1000 during the second trimester ante natal checkup (ie. between 4th and 6th month) and Rs. 1000 after delivery within 48 hours totaling Rs. 2000 paid through bearer cheque.
2. During every ANC checkup, the Medical Officer of the Health Centre/Hospital puts the signature, date and seal on the ANC card.
3. An information booklet on the dietary requirements for the pregnant woman has to be provided by IEC wing, to each of them.
4. This facility is extended to all pregnant women belonging to below poverty line families
5. The benefit is limited to the first two deliveries. The Junior Female Health Assistant has to record the ANC registration number along with noting whether it is first or second delivery.

6.Madilu (Post natal care kit for BPL & SC/ST women in the state)
Objectives:
To reduce the MMR and IMR and to improve institutional deliveries, Government of Karnataka has launched a new programme on Maternal Health called “MADILU” on 1st October 2007.

Th aim of the Madilu programme is to provide a Post-natal kit to the delivered mother which contains the components for mother and the new born baby like bedspreads, soaps and detergents etc.  Mosquito nets are supplied only to the Malaria endemic districts. 

• BPL & SC/ST mothers
• Who deliver in Government Institutions
• Restricted to first two live births.

7. Specialists camps at Taluka and District Hospitals:

Health camps are planned at every taluk hospital and at district hospitals every month to provide quality health care for the rural population who need checkups by specialists are made available at the hospitals. The dates would be pre planned and the taluka camp precedes district camps. The patients who need more specialized treatment will be referred to districts hospitals. Telemedicine facilities will be made available at the camps. (esp. district camps)

8. SUVARNA AROGYA CHAITANYA SCHOOL HEALTH PROGRAMME

High lights of the Programme:

• Health checkup for all students studying in 1st standard to 10th standard.
• Detected cases of diseases to be treated free of cost in PHCs, Taluk Hospitals and District Hospitals.

9. REACHING THE POOR:

The State has strong commitment to improve the health status of its population, particularly the poor and vulnerable groups including women, children and those belonging to SC / ST and nomadic groups. Karnataka has 4.55% STs and 16.20 % SCs of the total population. ANM in tribal areas are given special allowance and expense of ANMs appointed in tribal areas by an NGO is reimbursed.

10. MAIN STREAMING OF AYUSH

AYUSH and traditional healers would be brought into the purview of the health care delivery system.

• AYUSH doctors are appointed in single doctor PHCs of most backward Talukas (39), and more backward Talukas (40)
• 477 doctors are working on contract basis. (2005-06 –nil, 2006-07 – 207, 2007-08 - 417 )
• Co-location of Ayush dispensaries -91
• Rs. 45 lakhs worth of Ayush drugs have been supplied to Ayush doctors during 2007-08.

Disease Control Programmes

1. INTEGRATED DISEASES SURVEILLANCE PROJECT (IDSP)
Project Objectives

To establish a decentralized state based system of surveillance for communicable and non-communicable diseases, so that timely and effective public health actions can be initiated in response to health challenges in the country at the state and national level.
To improve the efficiency of the existing surveillance activities of disease control programs and facilitate sharing of relevant information with the health administration, community and other stakeholders so as to detect disease trends over time and evaluate control strategies.
Specific Objectives

• To integrate and decentralize surveillance activities.
• To establish systems for data collection, reporting, analysis and feedback using Information Technology.
• To improve laboratory support for disease surveillance.
• To develop human resources for disease surveillance and action;
• To involve all stakeholders including private sector and communities in surveillance.

Project Activities

Up gradation of Laboratories

• Renovation & Furnishing of labs.
• Supply of Lab Equipments.
• Lab. Material and Supplies.

Information Technology and Communication

• Computer Hardware & Office Equipments
• Software for surveillance.

Human Resources & Development

• Consultant/ Contract Staff.
• Training.
• Information, Education & Communication.

Operational Activities & Response Monitoring & Evaluation

Diseases covered under IDSP

Regular Surveillance

• Malaria.
• Acute Diarrhoeal Disease (Cholera)
• Typhoid.
• Tuberculosis.
• Measles.
• Polio.
• Road Traffic Accidents (Linkup with Police computers)
• Plague.
• Meningoencephalitis/ Respiratory Distress, Hemorrhagic fevers, other undiagnosed conditions.

Sentinel Surveillance

• HIV/HBV, HCV.

Other Conditions

• Water Quality, Flurosis.
• Outdoor Air Quality (Large Urban Centres)

Regular periodic survey

• Anthropometry, Physical Activity Blood Pressure, Tobacco, Nutrition, Blindness.

2. NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP)

The National Vector Borne Disease Control Programme is an umbrella which includes the Programmes for prevention and control of Vector Borne Diseases viz., Malaria, Filaria, JE, Dengue/DHF, Chikungunya & Kala-Azar.  The Programme is implemented as per the National Policy of Government of India, Directorate of NVBDCP, and Delhi.

MALARIA:

Malaria – a mosquito borne disease – continues to pose a serious Public Health problem in the State. 

Main Objectives of the programme are:

•    to prevent deaths due to malaria,
• to bring down the malaria morbidity to the lowest level,
• to maintain the gains achieved,
• To encourage community participation in malaria control.

The major regulatory functions/strategies under the programme are:

• Early Detection and Prompt Treatment (EDPT):

a)    Surveillance and Case detection,
b)    Examination and Treatment
c)    Functioning of Fever Treatment Depots, Drug Distribution Centres and Malaria     
Clinics

• INTEGRATED VECTOR MANAGEMENT (IVM):

• Indoor Residual Insecticide Spray Operation,
• Biological methods of Vector Control using larvivorus fish
• Use of Insecticide Treated Bed Nets
• Environmental management & Minor Engineering methods for source reduction

• ENTOMOLOGICAL SURVEILLANCE

• Vector Prevalence
• Bionomics of Vector Species
• Resistance Status to conventional Insecticides

• EPIDEMIC PREPAREDNESS AND RAPID RESPONSE:

• Formation of District Epidemiological Control Team
• Provision of a Vehicle for mobility
• Intensification of Surveillance and Treatment activities
• Establishment of Field Laboratory
• Emergency Vector Control measures

• INFORMATION, EDUCATION AND COMMUNICATION ACTIVITIES (IEC)

• Health Education activities through  Mass Media , Electronic Media, Print Media
• Inter-Sectoral Co-ordination
• Behavioural Change Communication and Social Mobilization
• Inclusion of Health related sectors, Private NGOs – Private Public Partnerships

• CAPACITY BUILDING:

• Training activities for different Medical and Para-medical categories.

• MONITORING AND EVALUATION:

a) Management information using Web-based system.

3. NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)

• Introduction

      Leprosy is a public health problem and also a social problem in the State. National Leprosy Elimination Programme (NLEP) was conceived as a Control Programme and was launched in 1954-55. Its main thrust was early detection, sustained and regular treatment of all patients with ‘Dapsone’. This had some limitations like; treatment was long leading to irregular treatment and development of drug resistance.
 Main Objectives:

• Early detection through self reporting and treatment completion through intensified IEC activities.

2.    Prevention of deformities by early detection and prompt treatment.
3.   Disseminate correct information about the disease and removing, misconception by means of Health Education for the Community, Family and Individual.
4.   Delivery of quality services to Leprosy Affected Persons (LAP).
5.   Further reduction in prevalence rate.
6.   Providing rehabilitation services to cured leprosy patients.
4. NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS (NBCP)

PREAMBLE:  

Blindness is a major public Health problem of our country with an estimated 12.00 million (120.00 lakhs) blind persons. To tackle this problem National Programme for Control of Blindness was launched with the aim to reduce prevalence rate of blindness from 1.4 to 0.3% by the turn of 2012.
Encouraging Eye Ball Collection for Keratoplasty among the blind so as to give them vision is one of the important activities of National Programme for Control of Blindness.
Cataract is the dominant cause for Blindness accounting for nearly 2/3rd of the Blind population. Timely intervention through cataract operations restores Eye Sight for the cataract affected patients. Through Grant-in-Aid to NGO Sector they are encouraged to perform free cataract operations for the patients irrespective of social or economic status.
 DISTRICT BLINDNESS CONTROL SOCIETIES (DBCS):
The DBCS functions at the district level as per the guidance of the KSBCS .The National Blindness Control Programmes are implemented and coordinated at the district level as many NGOs are actively involved in implementing various activities.  District Blindness Control Societies have been established in all the districts. The DBCS functions with the Deputy Commissioner/Chief Executive Officer of Zilla Parishad as the Chairman and the District Leprosy Officer and  incharge  District Programme Manager as  the Member Secretary. The following are the functions of DBCS.

• Periodically assess the magnitude of the problems of blindness in the District & to monitor and to report
• To motivate voluntary organizations in arranging Eye Camps, providing  free spectacles to the poor patients who under goes  cataract surgery   and school children identified with Refractive Error under School Eye Screening Programme
• Grant in Aid  to voluntary organization for free eye camps
• Maintenance of Village Blind Register
• Maintenance of proper accounts and furnishing UCs and SOE to KSBCS from time to time.                     

Contact: -
Designation: Dist. Health & F.W. Officer
Address: Dist. Health & F.W. Office,
Uttara Kannada, Karwar.  Phone: 08382-226339/222351
Email Id:- dhoukannada@gmail.com
Websites:- www.karhfw.gov.in

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