Challenges Faced by Female Front-Line Workers
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Maternal Health 8
MATERNAL HEALTH 8 Maternal and child health has remained an integral part of the Family Welfare Programme of India since the time of the First and Second Five-Year Plans (1951-56 and 1956- 61) when the Government of India took steps to strengthen maternal and child health services. As part of the Minimum Needs Programme initiated during the Fifth Five-Year Plan (1974-79), maternal health, child health, and nutrition services were integrated with family planning services. In 1992-93, the Child Survival and Safe Motherhood Programme continued the process of integration by bringing together several key child survival interventions with safe motherhood and family planning activities (Ministry of Health and Family Welfare, 1992). In 1996, safe motherhood and child health services were incorporated into the Reproductive and Child Health Programme (RCH). The National Population Policy adopted by the Government of India in 2000 reiterates the government’s commitment to safe motherhood programmes within the wider context of reproductive health (Ministry of Health and Family Welfare, 2000). Several of the national sociodemographic goals for 2010 specified by the policy pertain to safe motherhood. For 2010, the goals are that 80 percent of all deliveries should take place in institutions, 100 percent of deliveries should be attended by trained personnel, and the maternal mortality ratio should be reduced to a level below 100 per 100,000 live births. To improve the availability of and access to quality health care, especially for those residing in rural areas, the poor, women, and children, the government recently launched the National Rural Health Mission for the 2005-2012 period. -
MIGRATION of NURSING and MIDWIFERY WORKFORCE in the STATE of KERALA This Report Was Prepared by Researchers from Oxford Policy Management (Krishna D
CASE STUDY | INDIA FROM BRAIN DRAIN TO BRAIN GAIN MIGRATION OF NURSING AND MIDWIFERY WORKFORCE IN THE STATE OF KERALA This report was prepared by researchers from Oxford Policy Management (Krishna D. Rao, Aarushi Bhatnagar, Radhika Arora, Swati Srivastava, Udit Ranjan), the Centre for Development Studies, Trivandrum (S. Irudaya Rajan, Sunitha Syam), the Health Systems Research India Initiative (Arun Nair, S.J. Sini Thomas), and the WHO Country Office for India (Tomas Zapata). Please address all correspondence to Krishna D. Rao ([email protected]) and Aarushi Bhatnagar ([email protected]) © WHO, all rights reserved November 2017 Contents Acknowledgements .......................................................3 6. Discussion ....................................... 29 Abbreviations ...............................................................4 6.1 Production, stock and migration of nurses ....... 29 6.1.1 Production ...................................... 29 Executive summary ........................................................5 6.1.2 Stock .............................................. 30 1. Background ........................................ 7 6.1.3 Migration ........................................ 31 6.2 Factors influencing migration patterns ............ 33 1.1 Kerala state ..................................................9 6.2.1 Endogenous push and pull factors ....... 33 1.2 Migration of health workers........................... 10 6.2.2 Exogenous push and pull factors .........34 2. Objectives ....................................... -
2017 STATE of YOUTH VOLUNTEERING in INDIA 2017: State of Youth Volunteering in India
2017 STATE OF YOUTH VOLUNTEERING IN INDIA 2017: State Of Youth Volunteering In India STATE OF YOUTH VOLUNTEERING IN INDIA _________________ 2017 1 2017: State Of Youth Volunteering In India 2 2017: State Of Youth Volunteering In India TABLE OF CONTENTS LIST OF FIGURES LIST OF BOXES LIST OF CASE STUDIES OvervieW 14 1. YOUTH VOLUNTEERISM IN INDIA 22 Evolution of volunteerism in India 23 Defining youth volunteerism in India 26 Manifestations of volunteering by youth in India 29 Discourses around youth volunteering in current times 33 Measuring youth volunteering in India 34 Conclusion 36 2. ECOSYSTEM SURROUNDING YOUTH VOLUNTEERING IN INDIA 38 Government 40 Civil Society 53 Private Sector 62 Conclusion 64 3. YOUTH PERCEPTIONS ON VOLUNTEERING IN INDIA 66 Profile of respondents 67 Nature of volunteering 69 Volunteer motivations 71 Modes of communication about volunteering opportunities 79 Perceived barriers to volunteering and challenges faced 80 Perceptions of impact created on community and self 81 Conclusion 84 4. IMPACT OF YOUTH VOLUNTEERING initiatives IN INDIA 86 Volunteerism and education 87 Health and well-being 90 Gender equality and justice 93 Hunger 96 Water and sanitation 98 Climate change and disaster relief 100 Social entrepreneurship 103 Social inclusion 105 Peace, justice and strong institutions 108 Conclusion 111 5. CONCLUSION: Way FORWARD 114 ACKNOWLEDGMENTS 127 3 2017: State Of Youth Volunteering In India LIST OF FIGURES FIGURE 1: Ecosystem - youth volunteering 40 FIGURE 2: Age group 67 FIGURE 3: Educational qualification -
Impact of an Integrated Nutrition and Health Programme on Neonatal
Impact of an integrated nutrition and health programme on neonatal mortality in rural northern India Abdullah H Baqui,a Emma K Williams,a Amanda M Rosecrans,a Praween K Agrawal,a Saifuddin Ahmed,b Gary L Darmstadt,a Vishwajeet Kumar,a Usha Kiran,c Dharmendra Panwar,c Ramesh C Ahuja,d Vinod K Srivastava,d Robert E Black a & Manthuram Santosham a Objective To assess the impact of the newborn health component of a large-scale community-based integrated nutrition and health programme. Methods Using a quasi-experimental design, we evaluated a programme facilitated by a nongovernmental organization that was implemented by the Indian government within existing infrastructure in two rural districts of Uttar Pradesh, northern India. Mothers who had given birth in the 2 years preceding the surveys were interviewed during the baseline (n = 14 952) and endline (n = 13 826) surveys. The primary outcome measure was reduction of neonatal mortality. Findings In the intervention district, the frequency of home visits by community-based workers increased during both antenatal (from 16% to 56%) and postnatal (from 3% to 39%) periods, as did frequency of maternal and newborn care practices. In the comparison district, no improvement in home visits was observed and the only notable behaviour change was that women had saved money for emergency medical treatment. Neonatal mortality rates remained unchanged in both districts when only an antenatal visit was received. However, neonates who received a postnatal home visit within 28 days of birth had 34% lower neonatal mortality (35.7 deaths per 1000 live births, 95% confidence interval, CI: 29.2–42.1) than those who received no postnatal visit (53.8 deaths per 1000 live births, 95% CI: 48.9–58.8), after adjusting for sociodemographic variables. -
Public-Private Partnerships for Health Care in Punjab
- 1 - CASI WORKING PAPER SERIES Number 11-02 09/2011 PUBLIC-PRIVATE PARTNERSHIPS FOR HEALTH CARE IN PUNJAB NIRVIKAR SINGH Professor of Economics University of California, Santa Cruz CENTER FOR THE ADVANCED STUDY OF INDIA University of Pennsylvania 3600 Market Street, Suite 560 Philadelphia, PA 19104 http://casi.ssc.upenn.edu This project was made possible through the generous support of the Nand & Jeet Khemka Foundation © Copyright 2011 Nirvikar Singh and CASI CENTER FOR THE ADVANCED STUDY OF INDIA © Copyright 2011 Nirvikar Singh and the Center for the Advanced Study of India - 2 - Public-Private Partnerships for Health Care in Punjab NIRVIKAR SINGH CASI Working Paper Series No. 11-02 September 2011 This research was supported by a grant from the Nand and Jeet Khemka Foundation to the Center for Advanced Study of India at the University of Pennsylvania. I am grateful to Devesh Kapur, Nitya Mohan Khemka, Don Mohanlal, Satish Chopra, T. S. Manko, Satinder Singh Sahni and Abhijit Visaria for helpful discussions, comments and guidance. Abhijit Visaria, in particular, played a significant role by doing preliminary and follow-up interviews, some of which I have drawn on in my report, and providing insights and detailed comments on an earlier draft. None of these individuals or organizations is responsible for the opinions expressed here. I am also grateful to numerous individuals throughout India who were extraordinarily generous with their time and insights. I have listed them separately in an Appendix. While I have drawn on these discussions, the views expressed are mine, so I have generally not made individual attributions of statements, and the same disclaimer applies with respect to responsibility for opinions expressed here. -
Guidelines for ASHA and Mahila Arogya Samiti in the Urban Context
Guidelines for ASHA and Mahila Arogya Samiti in the Urban Context NATIONAL URBAN HEALTH MISSION National Urban Health Mission: Guidelines for ASHA and Mahila Arogya Samiti in the Urban Context 1 Keshav Desiraju Hkkjr ljdkj Secretary LokLF;~ ,oa ifjokj't't"!CI5I't dY;k.k foHkkx Tel.:e6~lCr 23061863~ Fax: 23061252 m~ LokLF;~~ qRql'<,oa't't"!CI5I't ifjokjCI5<>'l11 dY;k.k01 flt~ ea=kky; E-mail : [email protected] CI5<>'l1jOj e6~lCr~ ~ m~m~ ~fuekZ.k~qRql'< qRql,<Hkou] CI5<>'l11ubZ fnYyh01 flt~ &.q~ 110011 [email protected] ~Ol ~. Government of India ~ KESHAV DESIRAJU m~ ~ qRql,<o:nf CI5<>'l1jOj~ .q~- 110011 DepartmentGovernment of Healthof India and Family Welfare KESHAVSecretaryDESIRAJU ~Ol ~. o:nf ~ - 110011 DepartmentMinistryof ofHealth Healthand andFamily FamilyWelfare Welfare SecretaryTel. : 23061863 Fax: 23061252 Government of India E-mail: [email protected] Department Ministry ofofNirmanHealthHealth Bhawan,andand FamilyFamily New DelhiWelfareWelfare - 110011 Tel. : 23061863 Fax: 23061252 [email protected] Nirman Shawan, New Delhi- 110011 E-mail: [email protected] Ministry of Health and Family Welfare [email protected] Nirman Shawan, New Delhi- 110011 Message PREFACEMessage Message The launch of the National Urban Health Mission marks an important milestone The National Rural Health Mission (NRHM) Strives to Provide Quality Health care to all in the country’s march towards Universal Health Coverage. The underlying principle The citizenslaunch of thethe Nationalcountry Urbanin an equitableHealth Mission manner.marks The an12thimportant five yearmilestone plan has re-affirmed of the NUHM framework is that activities will be designed so that the health needs of in theThecountry'slaunchGovernmentofmarchthe Nationaltowards of India’sUrbanUniversal commitmentHealthHealthMission – “AllCoverage. -
Care of Newborn in the Community and at Home
OPEN Journal of Perinatology (2016) 36, S13–S17 www.nature.com/jp REVIEW Care of newborn in the community and at home SB Neogi1, J Sharma1, M Chauhan1, R Khanna2, M Chokshi1, R Srivastava3, PK Prabhakar3, A Khera3, R Kumar3, S Zodpey1 and VK Paul4 India has contributed immensely toward generating evidence on two key domains of newborn care: Home Based Newborn Care (HBNC) and community mobilization. In a model developed in Gadchiroli (Maharashtra) in the 1990s, a package of Interventions delivered by community health workers during home visits led to a marked decline in neonatal deaths. On the basis of this experience, the national HBNC program centered around Accredited Social Health Activists (ASHAs) was introduced in 2011, and is now the main community- level program in newborn health. Earlier in 2004, the Integrated Management of Neonatal and Childhood Illnesses (IMNCI) program was rolled out with inclusion of home visits by Anganwadi Worker as an integral component. IMNCI has been implemented in 505 districts in 27 states and 4 union territories. A mix of Anganwadi Workers, ASHAs, auxiliary nursing midwives (ANMs) was trained. The rapid roll out of IMNCI program resulted in improving quality of newborn care at the ground field. However, since 2012 the Ministry of Health and Family Welfare decided to limit the IMNCI program to ANMs only and leaving the Anganwadi component to the stewardship of the Integrated Child Development Services. ASHAs, the frontline workers for HBNC, receive four rounds of training using two modules. There are a total of over 900 000 ASHAs per link workers in the country, out of which, only 14% have completed the fourth round of training. -
2020121470.Pdf
INDEX 1. Ministry of Agriculture and Farmers Welfare ................................................... 1 to 12 2. Ministry of Commerce and Industry .................................................................... 13 to 16 3. Ministry of communication ................................................................................... 17 to 18 4. Ministry of Finance ................................................................................................. 19 to 24 5. Ministry of Heavy Industries & Public Enterprises ...................................................... 25 6. Ministry of Human Resource and Development ................................................... 26 to 32 7. Ministry of Jal Shakti. ............................................................................................ 33 to 36 8. Ministry of Minority Affairs .................................................................................. 37 to 39 9. Minority of Personnel, Public Grievances and Pensions .............................................. 40 10. Ministry of Panchayat Raj .............................................................................................. 41 11. Ministry of Road Transport and Highways: .................................................................. 42 12. Ministry of Rural Development ............................................................................ 43 to 47 13. Ministry of Shipping ....................................................................................................... 48 14. Ministry -
Participation for Local Action
Participation for local action Interim report dated 31st Jan 2016 Interim report for Participation for Local Action study dated 31 Jan 2016 This report was prepared as the first deliverable towards partial fulfillment of the terms of reference between the WHO Alliance for Health Policy and Systems Research, Geneva and Vivekananda GiriJana Kalyana Kendra, Karnataka, India in accordance with the technical services agreement (2014/484989-1) in December 2015. Submitted to the: Implementation Research Platform (IRP) Secretariat, WHO AHPSR World Health Organization 20 Avenue Appia – 1211 Geneva 27 - Switzerland By: Tanya Seshadri, Principal Investigator Community Health Consultant Vivekananda GiriJana Kalyana Kendra, BR hills, Yelandur taluk, Chamarajanagar, Karnataka, India Contributions by: Prashanth NS (co-principal investigator, Institute of Public Health Bangalore), Deepak Kumaraswamy and Roshni Babu (Vivekananda GiriJana Kalyana Kendra), Bhargav Shandilya (consultant-photographer), the team at Zilla Budakattu Girijana Abhivrudhhi Sangha and the many health workers posted at sub-centers and primary health centers in Chamarajanagar working with indigenous communities. Acknowledgements: We would like to thank Madevi N, Kamala, Roja, Sannathayi, Jadeswamy and Sadananda Swamy for their help with field work; Eva Lowell, Kate Baur, Kelsey Holmes and Grace Fierle for their assistance towards situation analysis; and the District Health Office, Chamarajanagar along with the co-investigators for their support to this research. Photograph on cover -
Interim Budget 2019-20
UPSC INTERIM BUDGET 2019-20 By : Bhushan Deshmukh ____________________________________________________Notes on Eco, prelim 2019, UPSC Interim Budget 2019-2020 How does the interim budget differ from a regular budget? In an interim Budget, the vote-on-account seeks parliament’s nod for incurring expenditure for part of a fiscal year. However, the estimates are presented for the entire year, as is the case with the regular Budget. However, the incoming government has full freedom to change the estimates completely when the final Budget is presented. The budget for the year approved by Parliament gives the government spending rights only till the end of the financial year ending March 31. If for any reason the government is not able to present a full budget before the financial year ends, it will need parliamentary authority for incurring expenditure in the new fiscal year until a full Budget is presented. Through the interim Budget, Parliament passes a vote-on-account that allows the government to meet the expenses of the administration until the new Parliament considers and passes the Budget for the whole year. Interim Budget 2019: an exercise aimed at pleasing farmers, informal workers, salaried taxpayers: The interim Budget 2019-20 contained elements that are aimed at benefiting three major segments of the population: 1) Farmers: announcements of an income support scheme 2) Informal sector workers: an insurance scheme 3) Salaried taxpayers: tax exemptions. Interim Budget 2019-20 must rank as one of the most politically expedient ones this country has seen. The shadow of the general election falls squarely on the budget proposals, which are aimed at seeking votes in the name of various schemes that rain cash on beneficiaries. -
Community Health Worker Knowledge and Management of Pre-Eclampsia
The Author(s) Reproductive Health 2016, 13(Suppl 2):113 DOI 10.1186/s12978-016-0219-8 RESEARCH Open Access Community health worker knowledge and management of pre-eclampsia in rural Karnataka State, India Umesh Ramadurg1, Marianne Vidler2*, Umesh Charanthimath3, Geetanjali Katageri4, Mrutyunjaya Bellad3, Ashalata Mallapur4, Shivaprasad Goudar3, Shashidhar Bannale5, Chandrashekhar Karadiguddi3, Diane Sawchuck6, Rahat Qureshi7, Peter von Dadelszen8, Richard Derman9 and the Community Level Interventions for Pre-eclampsia (CLIP) India Feasibility Working Group Abstract Background: In India, the hypertensive disorders of pregnancy and postpartum haemorrhage are responsible for nearly 40 % of all maternal deaths. Most of these deaths occur in primary health settings which frequently lack essential equipment and medication, are understaffed, and have limited or no access to specialist care. Community health care workers are regarded as essential providers of basic maternity care; and the quality of care they provide is dependent on the level of knowledge and skills they possess. However, there is limited research regarding their ability to manage pregnancy complications. This study aims to describe the current state of knowledge regarding pre-eclampsia and eclampsia among community health care workers (auxiliary nurse midwives, accredited social health activists, staff nurses) in northern Karnataka, India. Furthermore, this study describes the treatment approaches used by various cadres of community health workers for these conditions. The findings of this study can help plan focussed training sessions to build upon their strengths and to address the identified gaps. Methods: Data were collected as part of a larger study aimed at assessing the feasibility of community-based treatment for pre-eclampsia. -
Community Health Workers: the COVID Warriors of Rural India
International Journal of Policy Sciences and Law Volume 1, Issue 1 International Journal of Policy Sciences and Law Volume 1, Issue 1 Community Health Workers: The COVID Warriors of Rural India 1 2 Avantika Thareja and Ashmeet Singh This Article is brought to you for “free” and “open access” by the International Journal of Policy Sciences and Law. For more, visit http://ijpsl.in/ To submit your manuscript, email it to us at [email protected] or click here. 1. Lady Irwin College, University of Delhi, India 2. Narsee Monjee Institute of Management Studies, Mumbai, India 60 International Journal of Policy Sciences and Law Volume 1, Issue 1 Abstract The diverse roles and activities of community health throughout history have been appreciated across programmes in various countries. In a plethora of cases, CHWs perform a range of different and equally challenging tasks that can be preventive, curative and developmental. CHWs have played an integral role while battling medical emergencies right from Ebola to COVID-19. Our study endeavoured to establish the role played by them in the past and found the acute structural challenges faced by them in the Indian context. Through the medium of this paper we have talked about the steps that are being taken by the Anganwadi Workers — the CHWs of India such as recording people’s travel history from door to door, noting flu symptoms and, where needed, even helping trace contacts. Our Study also tried to grasp the significant role that they're playing to control this pandemic and suggested measures to do this with more efficiency.