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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 ....................................... -
Q1.What Are the Features of the Government of India's National
12-06-2018 Q1.What are the features of the Government of India’s National Nutrition Strategy announced in September 2017? Does excess emphasis on sanitation help address India’s malnutrition problem? Critically comment. Q2. Despite two key measures – demonetisation and GST, India has made very slow progress towards becoming a formal economy. Discuss the reasons and measures needed to formalise economy. Q3. Critically examine the features of Bharatmala Pariyojana (BMP) initiative and its likely impact on economic growth of India. Q4. Is torture unethical? Justify. Q1.What are the features of the Government of India’s National Nutrition Strategy announced in September 2017? Does excess emphasis on sanitation help address India’s malnutrition problem? Critically comment. The rationale for investing in Nutrition is globally well recognized – both as a critical development imperative, as well as crucial for the fulfillment of human rights- especially of the most vulnerable children, girls and women. It constitutes the foundation for human development, by reducing susceptibility to infections, related morbidity, disability and mortality burden, enhancing cumulative lifelong learning capacities and adult productivity. Nutrition is acknowledged as one of the most effective entry points for human development, poverty reduction and economic development, with high economic returns. The Global Nutrition Report 2015 estimates that for investment in nutrition, there is a benefit cost ratio of 16:1 for 40 low and middle- income countries. Features of National Nutrition Strategy :- www.brainyias.com 12-06-2018 . The Strategy aims to reduce all forms of malnutrition by 2030, with a focus on the most vulnerable and critical age groups. -
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 -
New Delhi Conference Proceedings Output As at 6Aug20.Docx
Conference Proceedings (containing abstracts submitted for presentation at the postponed International Forum New Delhi July 2020) Conference Headline Sponsor New Delhi 2020 postponed until 2021, dates to be confirmed internationalforum.bmj.com/new-delhi @QualityForum #Quality2020 #Quality2021 One of the aims of the International Forum is to showcase improvement work from real and diverse healthcare settings to allow our attendees to learn and take away practical ideas that they can implement in their own organisation. This Conference Proceedings contains work submitted to us via our Call for Posters for the International Forum originally scheduled to take place in New Delhi, India, in July 2020. Due to the spread of COVID-19 around the world, including in South Asia, this International Forum is now postponed until 2021, dates to be confirmed. A big focus of the now postponed conference is to increase the awareness of the improvement work that is happening in the region. One of the key ways we do this is via the poster displays and abstract presentations available during the International Forum. We look forward to hosting these in 2021 and in the meantime we are pleased to bring to your attention a selection of projects submitted for presentation at the postponed July conference. Thank you to all those who have shared their work and have made it available in this digital format. We hope you enjoy this selection of abstracts and will join the International Forum improvement community to share your experiences, challenges, improvement successes and failures at our future events. Find out more about future International Forums at internationalforum.bmj.com. -
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. -
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. -
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. -
MONITORING of NATIONAL HEALTH MISSION STATE PROGRAMME IMPLEMENTATION PLAN- 2019-20: PUNJAB (A Case Study of Pathankot District)
MONITORING OF NATIONAL HEALTH MISSION STATE PROGRAMME IMPLEMENTATION PLAN- 2019-20: PUNJAB (A Case Study of Pathankot District) Submitted to Ministry of Health and Family Welfare Government of India New Delhi-110008 Bashir Ahmad Bhat Population Research Centre Department of Economics University of Kashmir, Srinagar-190 006 March-2020 0 ABBREVIATIONS ANC Ante-Natal Care LHV Lady Health Visitor ANM Auxiliary Nurse Midwife MIS Management Information System ASHA Accredited Social Health Activist MMHW Male Multipurpose Health Worker AWC Anganwadi Centre MMR Maternal Mortality Ratio AWW Anganwadi Worker MMU Mobile Medical Unit AYUSH Ayurveda, Yoga & Naturopathy, Unani, Siddha, Homeopathy MO Medical officer BemoNC Basic emergency obstetric & Neonatal Care MoHFW Ministry of Health & Family Welfare BMO Block Medical officer MMPHW Male Multi-purpose Health Worker BMWM Bio-Medical Waste Management MTP Medical Termination of Pregnancy BPM Block Programme Manager NFHS National Family Health Survey BPMU Block Programme Management Unit NGO Non-Government organization National Programme for Prevention and Control of BPL Below Poverty Line NPCDCS Cancer, Diabetes, Cardiovascular Diseases and Stroke CemoNC Comprehensive emergency obstetric & Neonatal Care NLEP National Leprosy Eradication Programme CHC Community Health Centre NRC Nutritional Rehabilitation Centre CMO Chief Medical Officer NHM National Health Mission DH District Hospital NSSK NavjatShishu Suraksha Karyakram DEO Data Entry Operator NSV Non-scalpel vasectomy DLHS District Level Household Survey -
6Th CRM Main Report 2012
thCOMMON REVIEW 6 MISSION REPORT 2 0 1 2 This report has been synthesised and published on behalf of the National Rural Health Mission by its technical support institution; National Health Systems Resource Centre (NHSRC) located at NIHFW campus, Baba Gangnath Marg, New Delhi-110 067. We gratefully acknowledge the contributions made by consultants and officers in the NRHM Division of the MoHFW. We also place on record our deep appreciation and gratitude to participants from other Ministries, Public Health Institutions, Civil Society and Development Partners who have all contributed to this Common Review Mission Report, they are : Ð Christian Medical Association of India, CMAI, New Delhi Ð Department of Community Medicine, MSR Medical College Ð Department for International Development (DFID) UK, New Delhi Ð Delhites’ National Initiative in Palliative Care (DNip Care), Delhi Ð Health Sector Technical Support Team, Bill and Melinda Gates Foundation (BMGF), New Delhi Ð Health Sector Technical Support Team, Delegation of the European Union to India, New Delhi Ð Health Sector Technical Support Team, United States Agency for International Development (USAID), New Delhi Ð Health Sector Technical Support Team, World Bank, New Delhi Ð Institute for Public Health (IPH), Bengaluru, Karnataka Ð Karuna Trust, Karnataka Ð Micronutrient Initiative, Gandhi Nagar, Gujrat Ð Ministry of Health and Family Welfare, Government of India, New Delhi • Child Health Division • Department of AYUSH • Department of Health & Family Welfare • FMG/NRHM • Immunization Division