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Schemes of Ministry of HEALTH AND FAMILY WELFARE

Schemes of Ministry of HEALTH AND FAMILY WELFARE

Introduction

  • Initially the Ministry of Health and Family Welfare had two Departments, Each of these Departments was headed by the Secretary to the Government of India:-
    • Department of Health & Family Welfare
    • Department of Health Research
  • On August 7, 2014, Department of AIDS Control has been merged with Department of Health & Family Welfare and now be known as National AIDS Control Organization (NACO). In 2018, Department of AYUSH was made Ministry of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy (AYUSH) with focused attention on development of education and research in Ayurveda, Yoga & naturopathy, Unani, Siddha and Homoeopathy systems.
  • Now Ministry of Health and Family Welfare comprises the following two departments, each of which is headed by a Secretary to the Government of India:-
    • Directorate General of Health Services (DGHS) is attached office of the Department of Health & Family Welfare and has subordinate offices spread all over the country.
    • The DGHS renders technical advice on all Medical and Public Health matters and is involved in the implementation of various Health Services.

National Health Mission (NHM)

  • The National Rural Health Mission (NRHM) was launched by the Prime Minister on 12th April 2005, to provide accessible, affordable and quality health care to the rural population, especially the vulnerable groups.
  • A special focus has been given to the Empowered Action Group (EAG) States. The States of North-East, J&K and Himachal Pradesh are also considered.
  • This is to ensure that the necessary attention is delivered wherever needed.
  • The essence of NRHM is a health delivery system that functions independently, is community-owned and decentralized. The mission also aims to deliver a constant support to those who contribute to the social determinants of health. Basic objectives to implement NRHM are:
    • Reduction in infant mortality rate and maternal mortality rate
    • Prevention and control of communicable and non-communicable diseases
    • Ensuring population stabilization
    • Upgrading AYUSH(Ayurvedic Yoga Unani Siddh and Homoeopath) for promotion of a healthy lifestyle.

Janani Suraksha Yojana | Schemes of Ministry of HEALTH AND FAMILY WELFARE

  • Janani Suraksha Yojana was launched in April 2005 by modifying the National Maternity Benefit Scheme (NMBS). The NMBS came into effect in August 1995 as one of the components of the National Social Assistance Programme (NSAP).
  • Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the National Health Mission (NHM).
  • Focus on  Low Performing States : The scheme focuses on the poor pregnant woman with special dispensation for States having low institutional delivery rates namely the States of Uttar Pradesh, Uttaranchal, Bihar, Jharkhand, Madhya Pradesh, Chhattisgarh, Assam, Rajasthan, Orissa and Jammu and Kashmir. While these States have been named as Low Performing States (LPS), the remaining States have been named as High performing States (HPS).
  • Exclusion criteria of age of mother as 19 years or above and up to two children only for home and institutional deliveries under the JSY have been removed and eligible mothers are entitled to JSY benefit regardless of any age and any number of children.
  • The scheme also provides performance based incentives to women health volunteers known as ASHA (Accredited Social Health Activist) for promoting institutional delivery among pregnant women. Under this initiative, eligible pregnant women are entitled to get JSY benefit directly into their bank accounts.
  • BPL pregnant women, who prefer to deliver at home, are entitled to a cash assistance of Rs 500 per delivery regardless of age of women and the number of children.

Janani Shishu Suraksha Karyakram

  • JSSK was launched by Government of India in the year 2011. The scheme is to benefit pregnant women who access Government health facilities for their delivery. Moreover it will motivate those who still choose to deliver at their homes to opt for institutional deliveries.
  • Free Entitlements for pregnant women:
    • Free and cashless delivery,Free C-Section, Free drugs and consumables,Free diagnostics,Free diet during stay in the health institutions,Free provision of blood,Exemption from user charges,Free transport from home to health institutions etc.
  • Free Entitlements for Sick newborns till 30 days after birth.This has now been expanded to cover sick infants:
    • Free treatment, Free drugs and consumables, Free diagnostics,Free provision of blood, Exemption from user charges,Free Transport from Home to Health Institutions, Free Transport between facilities in case of referral and Free drop Back from Institutions to home.
  • Periodic reviews and field visits are undertaken at various levels to assess the implementation of Janani Shishu Suraksha Karyakram (JSSK) by the States.
  • Independent reviews: Since the launch of JSSK, Nine Common Review Missions (CRMs) have been undertaken.

Mother’s Absolute  affection (MAA)

  • MAA – “Mother’s Absolute Affection” is a nationwide programme of the Ministry of Health and Family Welfare in an attempt to bring undiluted focus on promotion of breastfeeding and provision of counselling services for supporting breastfeeding through health systems.
  • The programme has been named ‘MAA’ to signify the support a lactating mother requires from family members and at health facilities to breastfeed successfully.
  • It seeks to create an enabling environment to ensure that mothers, husbands and families receive adequate information and support for promotion of breastfeeding.
  • The programme has been named ‘MAA’ to signify the support a lactating mother requires from family members and at health facilities to breastfeed successfully
  • The chief components of the Programme are
    • Community awareness generation,
    • Strengthening inter personal communication through ASHA,
    • Skilled support for breastfeeding at Delivery points in Public health facilities, and
    • Monitoring and Award/recognition

Rashtriya Kishor Swasthya Karyakram

  • Rashtriya Kishor Swasthya Karyakram (RKSK) was launched by the Ministry of Health and Family Welfare (MoHFW) in 2014.
  • It intends to ensure holistic development of the adolescent population.
  • The programme focuses on reaching out all adolescents including Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ).
  • The RKSK programme defines an adolescent as a person within 10-19 years of age, in urban and rural areas, includes both girls and boys, married and unmarried, poor and affluent, whether they are in school or out of school.
  • The six thematic areas of RKSK as well as that of the strategy are nutrition, sexual reproductive health, substance misuse, non – communicable diseases, mental health and injuries and violence.
  • To guide the implementation of this programme, MoHFW in collaboration with the United Nations Population Fund (UNFPA) has developed a National Adolescent Health Strategy.
  • The programme envisages a paradigm shift from the clinic-based services to the promotion and prevention and reaching adolescents in their own environment, such as in schools, families and communities.

Rashtriya Bal Swasthya Karyakram (RBSK) | Schemes of Ministry of HEALTH AND FAMILY WELFARE

  • Launched in 2013 under the National Health Mission (NHM), RBSK is focused on preventing disease and disability in children.
  • This initiative is aimed at screening children from 0 to 18 years for 4Ds – Defects at birth, Diseases, Deficiencies and Development Delays including Disabilities.
  • Children diagnosed with illnesses shall receive follow up including surgeries at tertiary level, free of cost under NHM.

Pradhan Mantri Surakshit Matritva Abhiyan

  • The national programme aims to provide pregnant ladies free ante-natal services (ANC) and required treatment for free on 9th of every month.
  • Objectives of the scheme are
    • Provide healthy life to the pregnant women.
    • Lowering the maternity mortality rate.
    • Making pregnant women aware of their health issues and diseases.
    • Making sure safe delivery and healthy life of the baby.
    • The scheme is applicable only for the pregnant women in their pregnancy period of 3 to 6 months.
    • It will provide all kinds of medical check-ups completely free to pregnant women.
  • These check-ups will take place at the medical centres, government and private hospitals and private clinics across the country.
  • These free of cost tests will include blood pressure, sugar level, weight, haemoglobin test, blood test and screening.
  • Women will be marked differently using different colour stickers based on their health problems so that doctors can easily detect the problem.
  • Different colour stickers will be Red Sticker for Serious patients, Blue Sticker for High blood pressure and Yellow Sticker for Other diseases.

Mission Parivar Vikas

  • The Union Minister for Health and Family launched Mission Parivar Vikas on World Population Day (11th of July 2017) for better family planning services. The mission was launched with an objective to provide easy accessibility to high quality family planning alternatives based on reliable services, information and supplies with rights based framework.
  • The main objective of ‘Mission Parivas Vikas’ is to accelerate access to high quality family planning choices based on information, reliable services and supplies within a rights-based framework.
  • Improve access to contraceptives through delivering assured services, dovetailing with new promotional schemes, ensuring commodity security.
  • It will also ensure building capacity (service providers), creating an enabling environment along with close monitoring and implementation.

Laqshya- Labour Room Quality Improvement Initiative | Schemes of Ministry of HEALTH AND FAMILY WELFARE

  • It’s a multipronged approach focused at Intrapartum and immediate postpartum period.
  • Aim: To reduce preventable maternal and newborn mortality, morbidity and stillbirths associated with the care around delivery in Labour room and Maternity Operation Theatre and ensure respectful maternity care.
  • Objectives:
    • To reduce maternal and newborn mortality & morbidity due to hemorrhage, retained placenta, preterm, preeclampsia and eclampsia, obstructed labour, puerperal sepsis, newborn asphyxia, and newborn sepsis, etc.
    • To improve Quality of care during the delivery and immediate postpartum care, stabilization of complications and ensure timely referrals, and enable an effective two-way follow-up system.
    • To enhance satisfaction of beneficiaries visiting the health facilities and provide Respectful Maternity Care (RMC) to all pregnant women attending the public health facilities.

Surakshit Matritva Aashwasan (SUMAN) initiative

  • It aims to provide dignified and quality health care at no cost to every woman and newborn visiting a public health facility.
  • Under the scheme, the beneficiaries visiting public health facilities are entitled to several free services.
  • These include at least four ante natal check-ups that also includes one checkup during the 1st trimester, at least one checkup under Pradhan Mantri Surakshit Matritva Abhiyan, Iron Folic Acid supplementation, Tetanus diphtheria injection.
  • Under this programme, Pregnant women, mothers up to 6 months after delivery, and all sick newborns will be able to avail free healthcare benefits. Which include:
    • At least four antenatal check-ups
    • One checkup during the 1st trimester
    • At least one checkup under Pradhan Mantri Surakshit Matritva Abhiyan
    • Iron Folic Acid supplementation
    • Tetanus Diphtheria injection and
  • Other components of comprehensive ANC package and six home-based newborn care visits
  • Under the initiative, there will be zero expense access to the identification and management of complications during and after the pregnancy.
  • The government will also provide free transport from home to health institutions.
  • There will be assured referral services with the scope of reaching health facility within one hour of any critical case emergency and Drop back from institution to home after due discharge (minimum 48 hrs).
  • Under the scheme, the pregnant women will have a zero expense delivery and C-section facility in case of complications at public health facilities

Mission Indradhanush | Schemes of Ministry of HEALTH AND FAMILY WELFARE

  • The aim is to fully immunize more than 89 lakh children who are either unvaccinated or partially vaccinated under UIP.
  • It targets children under 2 years of age and pregnant women for immunization.
  • It provides vaccination against 12 Vaccine-Preventable Diseases (VPD) i.e. diphtheria, Whooping cough, tetanus, polio, tuberculosis, hepatitis B, meningitis and pneumonia, Haemophilus influenza type B infections, Japanese encephalitis (JE), rotavirus vaccine, pneumococcal conjugate vaccine (PCV) and measles-rubella (MR).
  • However, Vaccination against Japanese Encephalitis and Haemophilus influenzae type B is being provided in selected districts of the country.
  • It is a nationwide initiative with a special focus on 201 high focus districts. These districts accounted for nearly 50% of the total partially vaccinated or unvaccinated children in the country.
  • The rate of increase in full immunization coverage increased to 6.7% per year through the first two phases of ‘Mission Indradhanush’.

Universal Immunization Programme

  • Immunization Programme in India was introduced in 1978 as ‘Expanded Programme of Immunization (EPI) by the Ministry of Health and Family Welfare.
  • In 1985, the Programme was modified as ‘Universal Immunization Programme (UIP)’. The stated objectives of the Programme include:
    • Rapidly increasing immunization coverage,
    • Improving the quality of services,
    • Establishing a reliable cold chain system to the health facility level,
    • Introducing a district-wise system for monitoring of performance,
    • Achieving self-sufficiency in vaccine production.
  • UIP prevents mortality and morbidity in children and pregnant women against 12 vaccine-preventable diseases. But in the past, it was seen that the increase in immunization coverage had slowed down and it increased at the rate of 1% per year between 2009 and 2013.
  • To accelerate the coverage, Mission Indradhanush was envisaged and implemented since 2015 to rapidly increase the full immunization coverage to 90%.

EVIN (Electronic Vaccine Intelligence Network)

  • It is an indigenously developed technology system that digitizes vaccine stocks and monitors the temperature of the cold chain through a smartphone application.
  • Objective: It is aimed at strengthening immunization supply chain systems across the country.
  • eVIN aims to support the Government of India’s Universal Immunization Programme by providing real-time information on vaccine stocks and flows, and storage temperatures across all cold chain points in these states.
  • Implemented by: It is being implemented under the National Health Mission (NHM) by the Ministry of Health and Family Welfare in partnership with the United Nations Development Programme (UNDP).
  • The integrated solution combines:
    • Technology : Online real-time information on vaccine stocks and storage temperature to facilitate evidence-based decision-making.
    • Governance: Systemizing record keeping, upgrading logistics and encouraging good practices to ensure efficient vaccine logistics management.
    • Human Resources: To empower the state cold chain network by building the capacities of handlers and managers at each stage of vaccine supply.

Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) | Schemes of Ministry of HEALTH AND FAMILY WELFARE

  • Ayushman Bharat is a flagship initiative that attempts to move away from the sectoral and segmented approach of service delivery to a comprehensive need-based health care service.
  • It has been launched by the government with an aim to move towards a provision of universal healthcare in the country. Quality healthcare is the one which is affordable and inclusive.
  • It holds the providers accountable for cost and quality and it translates into a reduction in disease burden.
  • Ayushman Bharat adopts a two-pronged approach:
    • Firstly, the creation of health and wellness centres to bring health care closer to homes.
    • Secondly, the formulation of a Pradhan Mantri Jan Arogya Yojana (PMJAY) to protect poor and vulnerable families against financial risk arising out of catastrophic health episodes.

National Deworming Initiative (National Deworming Day)

  • Every year February 10 and August 10 are observed as the National Deworming Days (NDD).
  • The objective of the National Deworming Day is at eradicating intestinal worms also known as Soil-Transmitted Helminths (STH), among preschool and school-age children (enrolled and non-enrolled) between the ages of 1-19 years through the platform of schools and anganwadi centers in order to improve their overall health, nutritional status, access to education and quality of life, reads the operational guidelines issued for NDD by the Ministry of Health and Family Welfare.
  • The deworming activity is carried out in all government and government aided schools and anganwadi centers.
  • On this day, Albendazole tablet (deworming drug) is administered to children. The day is followed by a Mop-Up Day (MUD) with the intent of deworming children who missed the dose on the NDD.
  • According to the government data, in the first round of deworming, 8.9 crore children (1-19 years) were covered. With each round, the coverage of NDD has increased and in February 2019, the programme reached out to 22.12 crore children.

National Viral Hepatitis Control Program

  • The program objective is to reduce morbidity and mortality due to viral hepatitis.
  • Establish National program management unit at the Centre which will act as the hepatitis cell within the National Health Mission.
    • Establish State program management unit which will also be the state coordination unit in the first year and will act as the hepatitis cell within existing state health governance structure i.e. state health society.
    • Upgrade and strengthen the existing laboratories in the state to perform the requisite diagnostic functions for testing of viral hepatitis. Free drugs and diagnosis for Hepatitis B and C will be provided under the programme.
  • Establish 665 testing centres in the public sector that can offer access to quality assured testing and diagnosis of hepatitis over 3 years.
    • Establish at least 100 treatment sites in the public sector that can offer access to quality assured management of Viral Hepatitis with focus on treatment of Hepatitis C over 3 years. It aims to treat a minimum of 3 lakh hepatitis C cases over a period of three years.

Rashtriya Arogya Nidhi (RAN)  | Schemes of Ministry of HEALTH AND FAMILY WELFARE

  • RAN has been registered under the Societies Registration Act 1860.
  • Financial Assistance is given as a ‘one-time grant’.
  • Assistance in RAN is not directly provided to the Patient but is given to the Superintendent of the hospital in which treatment is being taken. Assistance admissible for treatment in Government Hospital only.
  • It is operationalized through 4 windows – revolving fund, direct financial assistance, State Illness Assistance Fund and Health Minister’s Cancer Patient Fund.
  • Scheme for financial assistance for patients suffering from specified rare diseases has also been included under RAN.
  • Intended beneficiary: Patients, living below poverty line who are suffering from major life threatening diseases.
  • Not included: Government servants and their families and Families covered under Ayushman Bharat scheme

Intensified Diarrhea Control Fortnight (IDCF)

  • The Union Ministry of Health and Family Welfare launched the Intensified Diarrhoea Control Fortnight (IDCF) to intensify efforts to reduce child deaths due to diarrhoea.
  • Through this initiative, the Health Ministry aims to mobilize health personnel, State Governments and other stakeholders to prioritize investment in control of diarrhoea.
  • The Intensified Diarrhoea Control Fortnight (IDCF) aims to create mass awareness about the most effective and low-cost diarrhoea treatment that is a combination of Oral Rehydration Salt (ORS) solution and Zinc tablets.
  • ORS-Zinc Corners will be set-up at health care facilities and non-health facilities such as Schools and Anganwadi centres.
  • Nearly 12 crore under 5-children will be covered during the program across the country.
  • ASHA worker would undertake distribution of ORS packets to households with under-five children in her village.
  • Frontline workers will hold demonstration of ORS preparation, along with counselling on feeding during diarrhoea and hygiene and sanitation.

Integrated Diseases Surveillance Program (IDSP)

  • It seeks to set up a Central Disease Surveillance Unit and a State Surveillance Unit in each State where data is collected and analyzed
  • An early warning system has been put into place in order to take timely preventive steps.
  • Under IDSP data is collected on epidemic prone diseases on weekly basis.
  • Whenever there is a rising trend of illnesses in any area, it is investigated by the Rapid Response Teams (RRT) to diagnose and control the outbreak.
  • The program covers both communicable as well as non-communicable diseases and there is focus on inter sectoral coordination for zoonotic diseases.
  • IDSP as a segment of IHIP (Integrated Health Information Platform) intends to receive person-level data from health facilities across all States and Union Territories on all health events.

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