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DISTRICT HEALTH & FAMILY WELFARE OFFICE

NEW INTERVENTIONS UNDER NRHM

SL.NO

Activities

Processes

1

Visioning workshops for District and Block Level mission Teams

Activity taken up under BCC action plan

2

Orientation of members of PRIs/ community leaders on Village Health and Sanitation Committees, NGOs

Activity taken up under NRHM additional ties & SICF unit of KHSDRP

3

Untied grants to Village Health and Sanitation Committees- Every village with a population of up to 1500 to get an annual untied grant of up to Rs.10,000, for a total of 1198 Village Health and Sanitation Committees as revolving fund.

Already VH & SCs have been formed in 1126 Villages as per the norms. The untied grant to be used for household surveys, health camps, sanitation drives,
Capacity building programme is planned for all the members of 1198 VHSCs.

4

Selection and training of Community health Worker (ASHA)

By May 2009 900 ASHAs undergoing training will be functioning in the field and The process of selection of ASHA in the remaining taluka will be completed during 2009-2010. Training is also scheduled to be completed for all 1746 selected ASHAs is planned for 2009-10.

5

Performance related incentives for ASHA is planned for those already working in the field.  Disbursement as per performance norms.

Wherever scheme of ASHA / Link worker is being implemented as per the guidelines.

6

Madilu: The scheme has improved institutional deliveries. From April to December 2008, 3641  kits have been distributed to the beneficiaries. 

Post natal kits to BPL mothers for delivery in govt. hospitals.

7

Prasuthi Araike

 Cash incentive of Rs.2000/- to BPL during ANC  period
under State sector

8

Thayi Bhagya under KHSDRP

Out sourcing of deliveries to private institutions in the district will be implemented in 2009-10.

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Untied fund & Maintenace grants for SCs for local health activity- Rs 10,000/ each

Total – 333

10

Untied fund for PHCs for local health activity- Rs 25,000/ PHC and AMG Rs.0.05 lakhs & ARS grants of Rs. 1 lakh for each PHC

Total – 77

11

Untied funds for 1 ANM TCs  to improve and towards maintenance of the institutions

Rs. 1 lakh for an institution

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ARS grants for the following hospital have been planned in order to strengthen the MCH services.
1. District Hospital
2. Dandeli General Hospital
3. GH Pandit Hospital Sirsi

Rs.1.00 lakh for hospitals located at taluka places & Rs. 5 lakh for each institution located at district HQ.

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Untied funds to District to incentives good performs VHSCs SCs, PHCs, FRUs or take up District innovation for better health out come

Rs 5000/VHSC and Rs 5000/SC/Tq.Rs50000 for 1 PHC and Rs1 Lakh for 1 FRU/Dist.

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Rogi Kalyan Samitis for CHCs Rs. 1 Lakh

10

15

Rogi Kalyan Samitis for DH Rs. 5 Lakh

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Untied funds to District to incentives good performs VHSCs SCs, PHCs, FRUs or take up District innovation for better health out come

Rs.2lakhs for each taluk (11 laluks) from KHSDRP funds.

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The Emergency Care Service "Arogya Kavacha” scheme was launched in the district by the Hon'ble Health Minister on 16th of Febuburary-2008. A PPP model is a joint venture with EMRI.                                                                                 

It is planned to press into service 15 Ambulances by April -2010
As on today 3 Ambulances are functioning in the district.

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


Rural area Mothers package(BPL and SC/ST)

Home delivery per case for first2 live births

Rs 500 per case

Institutional delivery per case for first 2 live births

Rs 700 per case

LSCS in Private Hospitals

Rs 1500 per case

  Urban areas


Urban area Mothers package(BPL and SC/ST)

Home delivery per case for first2 live births

Rs 500 per case

Institutional delivery per case for first 2 live births

Rs 600 per case

LSCS in Private Hospitals

Rs 1500

 

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.

 

3. MOBILE MEDICAL UNIT
Access to health care and equitable distribution of health services are the fundamental requirements for achieving Millennium Development Goals and the goals set under the National Rural Health Mission (NRHM) launched by the Government of India in April 2005, and Karnataka Health System Development & Reform Project.  Many areas in the District predominantly tribal and hilly areas, lack basic health care infrastructure limiting access to health services to vulnerable at present. Taking the primary health care to the doorsteps is the principle behind this initiative and is intended to reach underserved areas. 
MOBILE MEDICAL UNITS IN THE FIELD
12 

 

 

 

 

34 

 

 

56 

 

 

4. Accredited Social Health Activist ASHA:

7

Government of India has launched National Rural Health Mission to address the needs of the rural population, especially the vulnerable section of the society. The Sub Center is the most peripheral level of contact with the community under the public health infrastructure. This caters to a population norm of 5,000, but is effectively serving a much larger population at the sub center level; the ANM is heavily over worked which impact the outreach services in the rural areas.
            Currently anganwadi workers (AWW) under the integrated child Development scheme (ICDS) are engaged in organizing supplementary nutrition program and other supportive activates the very nature of her job responsibilities dose not allow her to take up the responsibility of change agent on health in a village thus a new band of community functionaries named as Accredited social Health Activist (ASHA) is proposed to fill this void.
ASHA will be the first port of call for any health related demands of village people in general and deprived section of the population especially women and children in particular who find it difficult access health services.
5.Family Welfare Programme

 

         The statistics of total sterilization operations for Uttara Kannada show that, there is moderate progress in vasectomy (NSV) achievement, during 2008-09. While the total number of all sterilization operations stands at 0.05 lakhs upto December 2008 for a target of 0.20 lakhs upto March 2009. Total number of NSV done is 03.00 for the same period for a target of 333 (one case per Sub centre). The percentage of male participation in the family Welfare programme as regards to total sterilization operations (Tubectomy, Laparoscopic Operations and Vasectomy), is only 0.1%.( DLHS -3)

Programme objectives:

(a)

Improve management performance by statewide implementation of policy change referred to as the "participatory planning approach,"' and institutional strengthening for timely, coordinated utilization of project resources;

(b)

Improve quality, coverage by Fixed Day Static approach and effectiveness of existing FW services;

(c)

Progressively expand the scope and content of existing FW services to include more elements of a defined package of essential reproductive and child health (RCH) services;

(d)

In selected disadvantaged districts and cities, increase access by strengthening FW infrastructure while improving its quality.

 

Break up of the compensation package

Vasectomy(ALL)
Rs

Tubectomy
(BPL+SC/ST only) Rs

Tubectomy
(NonBPL+Non SC/ST only)i.e.APL Rs

Acceptor

1,100

600

250

Motivator

200

150

150

Drugs and dressings

50

100

100

Surgeon charges

100

75

75

Anaesthetists

0

25

25

Staff nurse

15

15

15

OT Technician/helper

15

15

15

Refreshment

10

10

10

Camp management

10

10

10

Total

1500

1000

650

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.
91011

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. 

Soaps and Detergents Kit

 12

Cotton Diaper

 

Flannel Bed Sheet

 

Child Bed sheet

 131415

Sanitary pads for mothers

 

Abdominal Belt

 

Rubber Sheets

 161718

Jabla

 

Sweater, Socks and Cap

 

Towel

 

Bed Sheet

 

Jamakhana

 

Checks Bed Sheet

 192021           
Beneficiaries:

  • 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.                     

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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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Contact: -

Designation: Dist. Health & F.W. Officer

Address: Dist. Health & F.W. Office,

Uttara Kannada, Karwar.

Phone: 08382-226339

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