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Nrhm Additionalities (Part –B) FINAL NNaattiioonnaall RRuurraall HHeeaalltthh MMiissssiioonn State Action Plan Uttar Pradesh (2008 - 2009) Department of Family Welfare Uttar Pradesh Contents Preface 1. UTTAR PRADESH – PROFILE ........................................................................ 1 2. LESSONS LEARNT ........................................................................................ 4 3. PROCESS OF PLAN PREPARATION............................................................. 6 4. GOALS & OBJECTIVES ................................................................................. 7 5. RCH II PROGRAMME OBJECTIVES & STRATEGIES .................................. 18 1. MATERNAL HEALTH ............................................................................. 18 2. CHILD HEALTH INTERVENTIONS ........................................................ 30 3. FAMILY PLANNING ............................................................................... 48 4. ADOLESCENT HEALTH ........................................................................ 58 5. URBAN RCH .......................................................................................... 62 6. INFRASTRUCTURE AND EQUIPMENT ................................................ 71 7. HUMAN RESOURCES ........................................................................... 72 8. INSTITUTIONAL STRENGTHENING..................................................... 76 9. TRAINING .............................................................................................. 82 10. PUBLIC PRIVATE PARTNERSHIPS (PPP) ........................................... 94 11. PCPNDT & SEX RATIO ......................................................................... 98 12. BEHAVIOUR CHANGE COMMUNICATION (BCC) ............................. 101 13. MONITORING & EVALUATION ........................................................... 116 14. PROCUREMENT ................................................................................. 119 15. PROGRAMME MANAGEMENT ........................................................... 121 16 ADDITIONAL COMPONENTS ............................................................. 134 6. BUDGET SUMMARY (PART A - RCH FLEXIPOOL).................................... 135 7. BUDGET DETAILS (PART A - RCH FLEXIPOOL) ....................................... 138 8. WORK PLAN (PART A - RCH II) ................................................................. 165 9. DISTRICT-WISE ALLOCATION (PART - A) ................................................ 181 10. NRHM ADDITIONALITIES (PART –B) ....................................................... 185 1. ASHA SCHEME ................................................................................... 185 2. VILLAGE HEALTH INDEX REGISTER (VHIR) .................................... 191 3. PRE SERVICE TRAINING ................................................................... 192 4. STRENGTHENING OF NURSES TRAINING....................................... 196 5. STRENGTHENING OF CHCs & DWHs TO IPHS NORMS .................. 196 6. UNTIED GRANT TO HEALTH FACILITIES .......................................... 199 7. ANNUAL MAINTENANCE GRANT (AMG) ........................................... 199 8. ANNUAL ASSISTANCE TO ROGI KALYAN SAMITIS (RKS) .............. 200 9. CAPACITY BUILDING OF ROGI KALYAN SAMITIS (RKS) ................. 200 10. CAPACITY BUILDING OF VILLAGE HEALTH & SANITATION COMMITTEES ..................................................................................... 202 11. CONSTRUCTION OF NEW SUB-CENTRES ....................................... 202 12. DRUG WAREHOUSES AT DISTRICT LEVEL ..................................... 203 13. PROVISION OF BACK-UP POWER AT 24 HR. FACILITIES ............... 203 14. PURCHASE OF GENERATOR SETS .................................................. 203 15. SAAS BAHU SAMMELAN .................................................................... 204 16. SCREENING & VACCINATION OF PREGNANT WOMEN AT RISK OF HEPATITIS A, B, C & E ......................................................... 205 17. MOBILE MEDICAL UNITS ................................................................... 205 18. REFERRAL TRANSPORT SERVICES FOR MOTHER AND CHILD CARE ........................................................................................ 205 19. INCENTIVE PACKAGE ........................................................................ 206 20. SWASTHYA PURASKAAR YOJANA ................................................... 208 21. RCH MELA AT DISTRICT & BLOCK LEVELS ..................................... 213 22. ESTABLISHING CLOSED USER GROUP (CUG) NETWORK ............ 213 23. ESTABLISHING CONCURRENT AUDIT SYSTEM FOR NRHM ......... 213 24. STRENGTHENING OF MIS ................................................................. 214 25. DISTRICT INNOVATIONS ................................................................... 214 26. DISTRICT ACTION PLANS (DAPS) ..................................................... 215 27. RASHTRIYA AROGYA NIDHI (RAN) ................................................... 215 28. NRHM HELPLINE ................................................................................ 218 29. TELEMEDICINE PROJECT ................................................................. 218 30. ESTABLISHMENT OF ONCOLOGY UNIT AT BALRAMPUR HOSPITAL .................................................................... 222 31. COMMUNITY MONITORING ACTIVITIES ........................................... 222 32. PILOT FOR NUTRITION COMPONENT UNDER RNTCP ................... 222 33. PILOT FOR TREATMENT OF MDR CASES UNDER RNTCP ............. 223 34. RI COMPONENT ................................................................................. 223 35. PROGRAMME MANAGEMENT ........................................................... 223 11. BUDGET SUMMARY (PART B – MISSION FLEXIPOOL) ........................... 224 12. RCH II (PART C) RI COMPONENT - UIP PLAN ........................................ 227 A. ROUTINE IMMUNISATION PROGRAMME ......................................... 227 B. PULSE POLIO IMMUNIZATION PROGRAMME .................................. 240 13. NATIONAL DISEASE CONTROL PROGRAMMES (PART D) ................... 247 1. NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS ............. 247 2. REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME ... 255 3. NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME .. 276 4. NATIONAL LEPROSY ERADICATION PROGRAMME ....................... 297 5. INTEGRATED DISEASE SURVEILLANCE PROJECT ........................ 320 6. NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME ..................................................................................... 338 7. NATIONAL PROGRAMME FOR PREVENTION AND CONTROL OF DEAFNESS .................................................................................... 342 14. BUDGET SUMMARY (PARTS A to D) ....................................................... 351 15. INTERSECTORAL CONVERGENCE (PART E) ........................................ 353 Annexures Self Appraisal of State PIP List of Functional FRUs Preface The National Rural Health Mission is being implemented in the State with an aim to reduce infant mortality rate & maternal mortality ratio, ensuring population stabilization, prevention & control of communicable & non-communicable diseases and mainstreaming AYUSH for promotion of healthy life style. Over 1.25 lac ASHAs, one of the key functionaries at the grassroot level, have been selected and imparted the first round of training. Integrated training on 2nd to 4th modules is in progress. Further, this year, an ASHA support system is proposed to be put in place to facilitate in her functioning. The Comprehensive Child Survival Programme (CCSP) for bringing about reduction in infant and child mortality rates has been rolled out in 17 districts and is expected to bring good results. Further, the introduction of the Janani Suraksha Scheme (JSY) for promoting safe motherhood will go a long way in improving the proportion of institutional deliveries and reducing maternal mortality in the state. A scheme for promoting institutional deliveries through public-private partnership is also proposed to be implemented in the State. A number of new innovations have been incorporated in this year’s plan, such as, safe motherhood meetings, Saas Bahu Sammelans, pilots for addressing undernutrition and many more. Emphasis will also be laid on operationalising FRUs and deployment of manpower. A State level human resource development group is proposed to be constituted for rationalising posting of manpower within the districts and preparation of a training calendar. Quality of services will also be strictly monitored by placing State Quality Monitors at the division level, who would visit various districts in the division to monitor service quality. Other components, such as, improvement of health infrastructure, access to services, maternal health, child health, adolescent health, family planning, RTI/STI, involvement of NGOs, demand generation and capacity building would also continue. The process for establishment of programme management units at State, Division District and Block levels has been initiated and I am confident that the proposed strategies will be implemented effectively thereby resulting in reduction of the mortality and morbidity rates and stabilizing the population growth of the state. March 03, 2008 Nita Chowdhury Principal Secretary (Medical Health & Family Welfare) Government of Uttar Pradesh 1. UTTAR PRADESH – PROFILE Demographic Profile Uttar Pradesh,
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