National Health Mission Uttar Pradesh Supplementary PIP 2014-15 Department of Medical Health & Family Welfare, Uttar Pradesh CONTENTS Chapter-1. Child Health ............................................................................................................. 3 Chapter-2. Rashtriya Kishor Swasthya Karykram (RKSK) .................................................... 4 Chapter-3. Rashtriya Bal Swasthya Karykram (RBSK) .......................................................... 5 Chapter-4. PC-PNDT .................................................................................................................. 9 Chapter-5. Human Resource ................................................................................................... 10 Chapter-6. Training .................................................................................................................. 13 Chapter-7. Programme Management ..................................................................................... 21 Chapter-8. Community Process ............................................................................................. 25 Chapter-9. Hospital Strengthening ........................................................................................ 26 Chapter-10. New Constructions ............................................................................................ 28 Chapter-11. IEC/BCC .............................................................................................................. 35 Chapter-12. Mobile Medical Units ......................................................................................... 44 Chapter-13. NGO/ PPP ........................................................................................................... 45 Chapter-14. Innovations ........................................................................................................ 49 Chapter-15. HMIS-MCTS ........................................................................................................ 73 Chapter-16. Procurement ...................................................................................................... 80 Chapter-17. Drug Ware Houses ............................................................................................ 80 Chapter-18. New Initiatives ................................................................................................... 81 Chapter-19. Research, Studies, Analysis ............................................................................ 83 Chapter-20. Support Services ............................................................................................... 91 Chapter-21. Immunization ..................................................................................................... 94 Chapter-22. National Urban Health Mission ........................................................................ 95 Chapter-23. National Vector Borne Disease Control Programme .................................... 97 Chapter-24. Revised National Tuberculosis Control Programme .................................. 100 Chapter-25. National Leprosy Elimination Programme ................................................... 101 Chapter-26. National Mental Health Programme .............................................................. 102 Chapter-27. National Programme for the Health Care of the elderly (NPHCE) .......... 113 Chapter-28. National Programme for Prevention and Control of Deafness (NPPCD) .. 116 Chapter-29. National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) .................................................................... 122 2 Chapter-1. CHILD HEALTH Sick Newborn Care Unit Neonatal Mortality of UP is 37/1000 LB which is quite high as compared to national average 29/1000 LB. As in the state, institutional deliveries are increasing at various facilities. Sometimes, there is need of emergency care of neonates. To reduce the neonatal and peri natal deaths, all facilities of level III type should have sick new born care unit. For decreasing neonatal mortality in the state, it has been pointed out in different review meetings and feedback given by CRM team that state has to increase number of SNCUs for providing proper treatment & management of sick/low birth weight newborns at district level. At present 27 SNCUs are functional at medical colleges and District Women Hospital.19 SNCUs are under process of establishment in 19 HPDs. (that will cover 23+19 =42 districts) Although SNCUs are integral part of MCH wing but it will take time for establishment. Further, state is proposing 5 new SNCUs at district women hospital where space is available. The cost of 5 new SNCUs proposed below. Amount FMR S.N. Budget Head Proposed Remarks Code (in Lacs) One time Establishment for 5 New SNCUs One time 1 A.2.2.1 Cost @ Rs. 12.00 lacs 60.00 establishment cost Rs. 12.00 lacs Per SNCU per unit will be required Minor Repair/ MCH Wings may take time hence to start immediately minor repair may 2 B4.1.5.4.2 Renovation@ 3.00 lacs 15.00 per SNCU be required for establishment of 5 new SNCUs Procurement of Procurement of equipments for 5 Equipments for SNCUs New SNCUs @ 25.00 lacs per 3 B16.1.2.2 125.00 @ 25.00 lacs per SNCU will be required as per GOI SNCU norms 4 Total amount (Rs. in lac) 200.00 Thus, an amount of Rs. 200.00 Lakhs is being proposed for the above purpose. 3 Chapter-2. RASHTRIYA KISHOR SWASTHYA KARYKRAM (RKSK) Weekly Iron Folic Acid Supplementation (WIFS) programme is being implemented across the State. Under this programme, there is a provision of free weekly distribution of IFA tablets and biannual Albendazole tablets for students studying in class 6th to 12th in Govt. and Govt. aided schools. In this financial year, the programme is going to be expanded to AWC of 14 HPD districts for out of schools adolescent girls and in 5 districts for out of schools adolescent boys. Therefore registers are to be provided for the purpose of record keeping of the details of weekly distribution of IFA tablets and biannual Albendazole tablets. Hence, budget for 10 registers per school and 1 register per AWC is being proposed. Details are as below : Register required Funds to be No. of (10 reg. per school proposed S.No. Details schools/ AWC and 1 register per @ Rs. 30 per AWC) register Govt. and Govt. aided 1 Schools (class 6th to 12th) in 60598 605980 18179400 75 districts AWC in 14 HPD districts 1097340 2 For out of schools Adolescent 36578 36578 Girls AWC in 5 districts for out of 3 13605 13605 408150 schools Adolescent boys Total 656163 196,84,890 Thus total funds of Rs. 196.85 Lakhs is required for 656163 registers @ Rs. 30/register. 4 Chapter-3. RASHTRIYA BAL SWASTHYA KARYKRAM (RBSK) Booklet for ASHAs for Identification of Birth Defects Training of ANMs is underway to detect birth defects during field visits for which a booklet has been developed and printed by the State for the purpose. It is proposed that the trained ANMs will train the ASHAs during field visits to identify birth defects as early as possible. A booklet for ASHAs will be developed comprising of 15-16 pages, which will be more of pictorial nature with few bold messages. This booklet will be used by ASHA during home visits. One booklet will be provided to each ASHA and one booklet would be made available at each sub centre. As there are 159482 ASHAs in the State and 20521 sub centers, a total of 1.80 Lakh booklets will be required @ Rs 20 per booklet totaling to Rs 36.00 Lakhs. Newborn Screening: A Preventive Child Health Care Initiative in Uttar Pradesh Proposed by Sanjay Gandhi Postgraduate Institute of Medical Sciences Introduction: Preventive programs play a major role in public health and are cost effective in terms of money, resources and quality of life. Newborn screening for treatable disorders in which early diagnosis and initiation of treatment before the onset of symptoms is an effective way of preventive disability and infant deaths for a number of disorders. Plan and Methodology Newborn screening program is a system involving peripheral hospitals providing obstetric care, providing information, counseling, sample collection, transport samples, laboratory testing in timely manner, communication of results, tracking cases with screen positive results, confirmatory test, initiation of treatment, follow up and audit. The disorders included in the screening program are congenital hypothyroidism, biotinidase deficiency, galactosemia, Congenital adrenal hyperplasia and G6PD deficiency. (Ethical guidelines for biomedical research on human participants -http://icmr.nic.in/ethical_guidelines.pdf) All neonates born in the following hospitals and who are not discharged within first 24 hours will be offered testing. The parents will be provided information about the disorders to be tested and utility of testing during newborn period by the field worker. The samples of neonates whose parents agree for testing will be sampled by heel prick. The numbers expected are about 15000 per year. 1. King Georges Medical University, Lucknow 2. District Women’s Hospital, Raibarelly 3. District Women’s Hospital, Barabanki 4. AwantiBai District Hospital, Lucknow 5. JhalkariBaiMahila Hospital, Lucknow 6. Ram ManoharLohia Hospital, Lucknow 7. Rani LaxmiBai Hospital, Lucknow 8. Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 5 Over the period of next two years the district hospitals from other two neighboring districts, namely; Unnao and Sitapur will enrolled