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District Kathua

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District Kathua SPECIMEN DRAFT RESTRICTED USE FOR EPOS STAFF UNDERCONTRACT GOVERNMENT OF JAMMU & KASHMIR NATIONAL RURAL HEALTH MISSION DISTRICT HEALTH ACTION PLAN DISTRICT KATHUA December 2007 1 2 3 PREFACE The Hon’ble Prime Minister launched the NRHM on 12 th April 2005 throughout the country with the basic objective of providing accessible, affordable and accountable health care in rural areas. Its primary focus is on making the public health system fully functional at all levels. While detailing the functioning of the NRHM, the present planning process initiated in the State provides the entire framework for making the Public Health System fully functional and standardized upto the Indian Public Health Standards at all levels. In doing so, it emphasizes the need for communitisation of the Public Health System, improved financing and management of public health, human resource innovations, and a long-term financial commitment to enable the state and districts to undertake programmes aimed at achieving the Mission goals. National Rural Health Mission envisages the planning process to be participatory and decentralized starting with the Village. It seeks to empower the community by placing the health of the people in their own hands and determine the ways they would like to improve their health. This is the only way to ensure that health plans are local specific and need based. The State should facilitate the processes by providing enabling environment and required financial and technical support. NRHM was launched in April 2005 and is being implemented by the Department of Health and Medical Education, Government of Jammu & Kashmir. In accordance with the National Rural Health Mission, Jammu & Kashmir. The district has constituted the District Health Mission and significant progress has been made since it’s beginning. As per the NRHM guidelines, it has merged multiple societies at the district level. The District Action Plan was the most important aspect of the NRHM and to make District Plan more meaningful and address local health problems, preparation of Block Health Plans was considered essential. The decentralized planning process involved village consultations and preparation of Village Health Plans by the Village Health Water and Sanitation committees; followed by development of Block Action Plans through integration of Health Facility Surveys and block specific needs. The Block Action Plans were then integrated to form District Action Plan. As result of this exercise, the district now has developed capacity for preparing the need based health action plans following participatory processes. A District Planning Team (DPT) was set up for this purpose in the month of May 2007 with representation from various sectors concerned with NRHM. This group was responsible for management of the entire planning process in the district and also for provision of the technical support. The DPT is the standing body and will take charge of ensuring implementation of the plan. Thus the DPT not only owns the plan but will also be 4 responsible for monitoring the progress of implementation to achieve the objectives of the plan. The members of the DPT are: # Name Designation Department 1 Ms. Sarita Chauhan Deputy commissioner District Administration 2 Dr. Jagdish Chander Bhagat Chief Medical Officer Health Dept 3 Dr. Bharat Bhushan Dy. Med. Suptt Health Dept 4 Bharat Bhushan Ex Engineer PHE Dept 5 Sushma Gupta CDPO Social Welfare 6 Ms.Jyoti Balla Distt Prog manager NRHM 7 Yograj Bassam DEPT Education 8 Dr. Bharat Bhushan ADMO ISM 9 Sant Ram C.P.O Distt Com Office 10 H.C Katoch District Coordinator EPOS Health India 11 Ranjeet Sharma District Coordinator EPOS Health India 12 Ghulam Mehdi District Coordinator EPOS Health India 13 Arif Latief District Coordinator EPOS Health India 14 Walayat Ali District Coordinator EPOS Health India 15 Mohd Shafeeq District Coordinator EPOS Health India 16 Rajan Mahajan Regional Head – North India EPOS Health India 17 Sanjeev Arora State Coordinator EPOS Health India The orientation of DPT, facilitated by EPOS Health India, was held on 30 th May 2007. This enabled the DPT members to not only understand NRHM approach, key components and strategies of NRHM, but also manage the planning process and develop the District Action Plan. The DPT met a number of times and the individual members reviewed the situation of their respective sectors/areas and collectively developed the strategic vision for improving the health status of the district population. We the members of the DPT on behalf of the entire Core Group reiterate and certify that this District Action Plan has been prepared through participatory processes. It has been prepared by integrating the Block Action Plans, Health Facility Surveys and Village Health Plans of the District. This plan also incorporates the facility improvement needs of 152 Sub health centres, 27 PHCs, 4 CHCs & 1 District in the District. Name of Chief Medical Officer Signature Date 5 CONTENTS PREFACE.........................................................................................................................4 Executive Summary ........................................................................................................................ 7 ABBREVIATIONS ............................................................................................................................. 9 Introduction ..................................................................................................................................... 10 Mission Statement ......................................................................................................................... 10 Priority Matrix of District Jammu: ............................................................................................. 11 1. SITUATION ANALYSIS ............................................................................................................. 17 Socio Economic and Health Indicators ................................................................................... 32 Socio-economic indicators ......................................................................................................... 32 2. PLANNING PROCESS .............................................................................................................. 65 3. PRIORITIES AS PER BACKGROUND AND PLANNING PROCESS ............................. 70 4. GOALS ......................................................................................................................................... 72 5. TECHNICAL COMPONENTS ................................................................................................... 74 Part A : Reproductive and Child healthII……………………………………………………74 Part B: NRHM Initiatives…………………………………………………………………..107 Part C: Immunization ……………………………………………………………………...125 Part D : National Disease Control Program ……………………………………………….130 6: Inter-Sectoral Convergence .............................................................................................. 151 7. COMMUNITY ACTION PLAN ................................................................................................ 162 8. Public Private Partnerships.............................................................................................. 164 9. GENDER AND EQUITY ........................................................................................................... 167 11. HUMAN RESOURCE PLAN................................................................................................. 177 12. PROCUREMENT AND LOGISTICS ................................................................................... 180 13. DEMAND GENERATION - IEC ............................................................................................ 182 14. FINANCING OF HEALTH CARE ......................................................................................... 187 15. HMIS, MONITORING AND EVALUATION ........................................................................ 189 Annexure: ...................................................................................................................................... 216 6 Executive Summary Kathua district comprises of large unserved and underserved areas due to difficult hilly terrain. Hence there has been very little development including lack of health facilities, poor transport network and communication. Although the number of CHCs and PHCs is adequate as per the population norms there is a need to increase their numbers of CHCs, PHCs and Subcentres considering the difficult terrain of Subcentres. Not even one of the facilities is as per the IPHS standards. There is a huge population of Scheduled castes and scheduled tribes are one thirds of the total population and need to be addressed. 70 most difficult villages especially in blocks Bani, Bilawar and Basohli have been identified for which special outreach sessions are required. The health status of district Rajouri is very poor since the district ranks 322 out of 593 districts in the country in terms of RCH indicators especially the CPR for which the district is 358 in rank. The data collection and analysis needs strengthening. Regarding the HR status there are huge vacancies especially of some critical posts like ANMs, MOs, Staff Nurses. The District Action Plan was developed in a participatory manner with EPOS as a facilitator. There was wide participation from all the related departments. A District Planning Team was constituted who carried
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