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Ministry of Health and Family Welfare
02-January, 2018 13:23 IST
National Health Policy, 2017
The process of the National Health Policy, 2017 entailed wide consultations with multiple stakeholders, regional consultations, approval of Central Council of Health & Family Welfare and Group of Ministers. The Policy envisages raising public health expenditure progressively to 2.5% of the GDP by 2025. The State Governments, have also been requested to increase their budget outlay for Health. A draft implementation framework has also been devised to implement the National Health Policy, 2017. The Government has also requested all the concerned authorities for implementation of the health policy.
In order to provide better health services and treatment facility to the people of the country, the Government of India has taken several steps which inter-alia include:
• Implementation of National Health Mission Free Drugs and Free Diagnostic initiative to provide essential drugs and diagnostics free of cost in public health facilities.
• Implementation of Janani Shishu Suraksha Karyakaram (JSSK), Rashtriya Bal Swasthya Karyakaram (RBSK), Rashtriya Kishor Swasthya Karyakaram (RKSK) and implementation of other National programmes like Revised National Tuberculosis Control Programme (RNTCP), National Vector Borne Disease Control Programme (NVBDCP), National Leprosy Eradication Programme(NLEP), National AIDS Control Programme (NACP) etc. where free treatment is provided to patients of Tuberculosis(TB), HIV/AIDS, Vector Borne, Leprosy diseases etc.
• Decision to transform Sub-Health Centres/PHCsto Health and Wellness Centres to provide comprehensive primary care, to undertake promotive and health promotion activities.
• Screening and Management of 5 common NCDs of hypertension, diabetes, and cancers of oral, cervix and breast.
• Pradhan Mantri National Dialysis Programme for free dialysis services to the poor in district hospitals.
• Making available tertiary health care services in the public sector through strengthening of hospitals, establishment of AIIMS institutions in the States and up-gradation of existing Government medical colleges across the country.
• Making available quality generic medicines at affordable prices to all, under ‘Jan Aushadhi Scheme’, in collaboration with the State Governments.
• Rashtriya Swasthya Bima Yojana (RSBY) which provides for smart card based cashless health coverage on family floater basis.
The Minister of State (Health and Family Welfare), Smt Anupriya Patel stated this in a written reply in the Rajya Sabha here today.
*****
Ministry of Health and Family Welfare
02-January, 2018 13:18 IST
Improving Facilities in Government Hospitals
‘Public Health & Hospitals’ being a State subject, the primary responsibility for provision of medicines, oxygen and other facilities in Government hospitals lies with respective State Government. However, under the National Health Mission (NHM), support is provided to States/UTs to strengthen their health systems including support for physical infrastructure, equipment, health human resource, free ambulance services, free services through Mobile Medical Units, NHM Free Drugs Service Initiative, the NHM Free Diagnostic Service Initiative, PM National Dialysis Programme, Quality Assurance, etc. based on requirements posed by the States in their Programme Implementation Plans. State wise approval under NHM detailing the activities and funds approved for them are available at URL: http://nhm.gov.in/nrhm-in-state/state-program-implementation-plans-pips.html
Kayakalp- initiative has been launched to promote cleanliness, hygiene and infection control practices in public health facilities. Under this initiative public healthcare facilities are appraised and such public healthcare facilities that show exemplary performance meeting standards of protocols of cleanliness, hygiene and infection control receives awards and commendation.
The Minister of State (Health and Family Welfare), Sh Ashwini Kumar Choubey stated this in a written reply in the Rajya Sabha here today.
*****
Ministry of Health and Family Welfare
02-January, 2018 13:16 IST
Reducing MMR
As per the latest Registrar General of India- Sample Registration System (RGI-SRS) Report (Special Bulletin on Maternal Mortality in India 2011-13); the Maternal Mortality ratio(MMR) of India is 167 per 100,000 live births.
The key steps taken under the National Health Mission (NHM) are:
v Promotion of institutional deliveries through Janani Suraksha Yojana.
v Janani Shishu Suraksha Karyakaram (JSSK) has been launched on 1st June, 2011, which entitles all pregnant women delivering in public health institutions to absolutely free and no expense delivery including Caesarean section. The initiative stipulates free drugs, diagnostics, blood and diet, besides free transport from home to institution, between facilities in case of a referral and drop back home. Similar entitlements have been put in place for ante-natal and post–natal complications during pregnancy and all sick infants accessing public health institutions for treatment.
vThe Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) has been launched by the Ministry of Health & Family Welfare (MoHFW), Government of India to provide fixed-day assured, comprehensive and quality antenatal care universally to all pregnant women on the 9th of every month. As part of the Abhiyan, a minimum package of antenatal care services would be provided to pregnant women in their 2nd / 3rd trimesters, by OBGY specialists/ Radiologist/ Physicians at government health facilities, with support from private sector doctors to supplement the efforts of the government.
vUniversal screening of pregnant women for anaemia is a part of ante-natal care and all pregnant women are provided iron and folic acid tablets during their ante-natal visits through the existing network of sub-centers and primary health centres and other health facilities as well as through outreach activities at Village Health & Nutrition Days (VHNDs).
vEvery pregnant woman is given iron and folic acid, after the first trimester, to be taken 1 tablet daily till delivery and same is continued during the post-natal period. Pregnant women, who are found to be clinically anaemic, are given additional 1 tablet for taking two tablets daily. This has been now expanded to 6 months during ANC and 6 months during PNC.
v Capacity building of MBBS doctors in Anesthesia (LSAS) and Obstetric Care including C-section (EmOC) skills to overcome the shortage of specialists in these disciplines, particularly in rural areas.
v Capacity buildings of SNs & ANMs in Skilled Birth Attendant (SBA) and DAKSHATA programme to equip them for managing normal deliveries, identify complications, do basic management and then refer at the earliest to higher facilities.
v To strengthen the quality of training, a new initiative has been taken for setting up of Skill Labs with earmarked skill stations for different training programs in the states for which necessary allocation of funds is made under NHM.
v Operationalization of adequate number of Primary Health Centres for providing 24 x7 basic emergency obstetric care services.
v Operationalization of adequate number of FRUs to provide 24 X 7 comprehensive emergency obstetric care services.
v Establishing Maternal and Child Health (MCH) Wings at high caseload facilities to improve the quality of care provided to mothers and children.
v Name Based Web enabled Tracking of Pregnant Women and New born babies so that provision of regular and complete services to them can be ensured.
v Mother and Child Protection Card in collaboration with the Ministry of Women and Child Development to monitor service delivery for mothers and children.
v Engagement of more than 9.15 lakhs Accredited Social Health Activists (ASHAs) to generate demand and facilitate accessing of health care services by the community.
v Operationalization of Comprehensive Abortion Care Services and Reproductive Tract Infections and Sexually Transmitted Infections (RTI/STI) at health facilities with a focus on “Delivery Points.
v Newer operational guidelines have been prepared and disseminated to the States for Screening for Diagnosis & management of Gestational Diabetes Mellitus, Hypothyroidism during pregnancy, Calcium supplementation during pregnancy and lactation, De-worming during pregnancy, Maternal Near Miss Review, Screening for Syphilis during pregnancy, Guidance note on use of Uterotonic during labor and Guidance note on prevention and management of PPH.
v Guidelines on standardization of Labor Rooms and creation of Obstetric HDU and Obstetric ICU at District Hospitals and Medical Colleges has also been prepared and disseminated to the States for improving quality of care during delivery and child birth.
v Reproductive Maternal Newborn Child Health + Adolescent (RMNCH+A) interventions for achieving improved maternal and child health outcomes through continuum of care across life cycle.
The Minister of State (Health and Family Welfare), Sh Ashwini Kumar Choubey stated this in a written reply in the Rajya Sabha here today.
*****
Ministry of Health and Family Welfare
02-January, 2018 13:12 IST
Funds for Awareness Campaign on Mental Health
The Information, Education and Communication (IEC) activities are an integral part of the NMHP to generate awareness among masses towards mental illness. During the year 2017-18 an amount of Rs. 75 lakhs has been allocated for various Information, Education and Communication (IEC) activities under the National Mental Health Programme (NMHP). At the District level, funds upto Rs. 4 lakh are provided to each District under the District Mental Health Programme (DMHP) under the Non-communicable Diseases Flexible-pool of National Health Mission for IEC and awareness generation activities in the community, schools, workplaces with community involvement Under the DMHP various IEC activities such as awareness messages in local newspapers and radio, street plays, wall paintings etc. are undertaken by the States/UTs.
The Government has not mandated colleges /schools and educational institutions to provide Psychological Counsellors. However, to address the burden of mental disorders, the Government of India is implementing the National Mental Health Programme (NMHP) since 1982. The Government is supporting implementation of the DMHP under NMHP in 517 districts of the country for detection, management and treatment of mental disorders/illness, the services include additional components like suicide prevention services, work place stress management, life skills training, counselling in schools and colleges and IEC activities for generation of awareness and removal of stigma associated with Mental Illness.
The Minister of State (Health and Family Welfare), Smt Anupriya Patel stated this in a written reply in the Rajya Sabha here today.
*****
Ministry of Health and Family Welfare
02-January, 2018 13:13 IST
Rise in Caesarean Deliveries
According to NFHS 4 (2015-16) survey data, 17.2% births are delivered by caesarean section while according to NFHS 3 (2005-06) survey data, 8.5% births are delivered by caesarean section.
Details of state-wise births delivered by caesarean section are given below:
S.No.
States
Births delivered by caesarean section
India
17.2
1
Andaman & Nicobar
19.3
2
Andhra Pradesh
40.1
3
Arunachal Pradesh
8.9
4
Assam
13.4
5
Bihar
6.2
6
Chandigarh
22.6
7
Chhattisgarh
9.9
8
Delhi NCT
23.7
9
Daman & Diu
15.8
10
Dadra& Nagar Haveli
16.2
11
Goa
31.4
12
Gujarat
18.4
13
Haryana
11.7
14
Himachal Pradesh
16.7
15
Jammu & Kashmir
33.1
16
Jharkhand
9.9
17
Karnataka
23.6
18
Kerala
35.8
19
Lakshadweep
37.9
20
Madhya Pradesh
8.6
21
Maharashtra
20.1
22
Manipur
21.1
23
Meghalaya
7.6
24
Mizoram
12.7
25
Nagaland
5.8
26
Puducherry
33.6
27
Sikkim
20.9
28
Odisha
13.8
29
Punjab
24.6
30
Rajasthan
8.6
31
Tamil Nadu
34.1
32
Telangana
58
33
Tripura
20.5
34
Uttar Pradesh
9.4
35
Uttarakhand
13.1
36
West Bengal
23.8
Source: NFHS4 (2015-16)
WHO in its statement released in April 2015 states that at population level, caesarean section rates higher than 10% are not associated with reductions in maternal and newborn mortality rates.
· In this regard a communication vide OM M.12015/182/2015-MCH has been sent to all the State Principal Secretaries and Mission Directors of all States and UTs urging them to share the WHO statement with all the Obstetricians and Gynecologists working in their respective states. In addition, the States have been suggested to conduct periodic prescription audits in private sector which could also be extended to public sector.
· Government of India also has written vide OM M.12015/182/2015-MCH to Federation of Obstetrical and Gynecologists in India (FOGSI) to share the WHO statement among the Obstetricians and Gynecologists under the umbrella of FOGSI.
· The Government of India has enacted the Clinical Establishments (Registration and Regulation) Act, 2010 with the objective of registration and regulation of health care institutions including those in the private sector. Health being a state subject, it is the responsibility of the state to effectively implement the act, however the centre provides continuous guidance, strict monitoring and directives for the regulation of high caesarean section rates.
· All CGHS empanelled hospitals are directed to display the information regarding ratio of deliveries by caesarean section vis-à-vis normal deliveries. A communication was sent in this regard vide OM Z15025/2017 to all the CGHS empanelled hospitals.
The Minister of State (Health and Family Welfare), Sh Ashwini Kumar Choubey stated this in a written reply in the Rajya Sabha here today.
*****
Ministry of Health and Family Welfare
02-January, 2018 13:10 IST
Schemes For Children Born With Low Birth Weight
Malnutrition including anaemia is a multifaceted, multidimensional and multi-sectoral problem. Malnutrition in pregnant women is one of the underlying causes of low birth weight (LBW) babies. As per Rapid Survey on Children (RSoC), 2013-14; 18.6% new-born had weight less than 2.5 Kg (out of those weighed).
Ministry of Women & Child Development is implementing Anganwadi Services under the Umbrella ICDS Scheme. Under the Scheme, supplementary nutrition is provided to Pregnant Women and Lactating Mothers in order to bridge the nutritional gap in the intake as against the Recommended Dietary Allowances for Indians prescribed by the Indian Council for Medical Research.
Under the National Health Mission (NHM) and within its umbrella the Reproductive & Child Health Programme, following interventions are provided to the pregnant mothers for addressing malnutrition:
1. Universal screening of pregnant women for anaemia and Iron Folic Acid (IFA) supplementation.
2. Calcium Supplementation in Pregnancy.
3. Deworming in pregnancy.
4. Weight gain monitoring.
5. Counselling on nutrition, family planning and prevention of diseases.
6. Under Janani Shishu Suraksha Karyakaram (JSSK), Government of India is providing food to pregnant women during their stay at public health facility for delivery.
7. Under the National Iron plus Initiative (NIPI), iron-folic supplementation for prevention and treatment of anaemia in a life cycle approach is provided to children, adolescents, women of reproductive age groups, pregnant women and lactating mothers.
8. Health and nutrition education through IEC & BCC to promote dietary diversification, inclusion of iron folate rich food as well as food items that promotes iron absorption.
The Minister of State (Health and Family Welfare), Sh Ashwini Kumar Choubey stated this in a written reply in the Rajya Sabha here today.
*****
Ministry of Health and Family Welfare
02-January, 2018 13:10 IST
Steps Taken for reducing Financial Load on Poor Diabetic Patients
As informed by Lady Harding Medical College (LHMC), one study has been conducted as part of MD Thesis in department of Community Medicine 2014-2017 at Kalyanpuri Urban Health Centre (under LHMC) in association with Lal Bahadur Shastri Hospital (under GNCT, Delhi). As per this study the mean per capita annual expenditure on diabetes care is Rs.8958.00
Public health and hospitals being a State subject, the primary responsibility of providing accessible, affordable and quality healthcare lies with the respective State Governments. Under National Health Mission, to reduce out of pocket expenditure on healthcare, support is being provided to States/UTs for strengthening of their healthcare system based on the requirements posed by them in their Programme Implementation Plans.
Government of India is implementing National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) under the National Health Mission. The objectives of the programme include awareness generation, providing diagnosis and treatment facilities through different levels of healthcare by setting up NCD Clinics in District Hospitals and Community Health Centres (CHCs).
For early diagnosis, population level initiative of prevention, control and screening of common NCDs (diabetes, hypertension and cancers viz. oral, breast and cervical cancer) has been rolled out in over 100 districts of the country in 2017-18 under. This will help in early diagnosis/treatment leading to reduce complications due to diabetes and financial burden on the Diabetic patients.
The Central Government, through its hospitals augments the efforts of the State Governments for providing health services in the country. Under Pradhan Mantri Swasthya Suraksha Yojana(PMSSY), 6 new AIIMS have been set up and upgradation of identified medical colleges has been undertaken which will also improve tertiary care facilities for NCDs including Diabetes.
Quality generic medicines are being made available at affordable prices to all, under ‘Jan Aushadhi Scheme’, in collaboration with the State Governments.
Under National Health Mission Free Drugs and Free Diagnostic initiative, essential drugs and diagnostics are provided free of cost in public health facilities.
The Ministry of Health and Family Welfare has also started AMRIT (Affordable Medicines and Reliable Implants for Treatment) stores where essential life-saving medicines are being provided at a substantial discount vis-à-vis the Maximum Retail Price.
The Minister of State (Health and Family Welfare), Smt Anupriya Patel stated this in a written reply in the Rajya Sabha here today.
*****
02-January, 2018 13:23 IST
National Health Policy, 2017
The process of the National Health Policy, 2017 entailed wide consultations with multiple stakeholders, regional consultations, approval of Central Council of Health & Family Welfare and Group of Ministers. The Policy envisages raising public health expenditure progressively to 2.5% of the GDP by 2025. The State Governments, have also been requested to increase their budget outlay for Health. A draft implementation framework has also been devised to implement the National Health Policy, 2017. The Government has also requested all the concerned authorities for implementation of the health policy.
In order to provide better health services and treatment facility to the people of the country, the Government of India has taken several steps which inter-alia include:
• Implementation of National Health Mission Free Drugs and Free Diagnostic initiative to provide essential drugs and diagnostics free of cost in public health facilities.
• Implementation of Janani Shishu Suraksha Karyakaram (JSSK), Rashtriya Bal Swasthya Karyakaram (RBSK), Rashtriya Kishor Swasthya Karyakaram (RKSK) and implementation of other National programmes like Revised National Tuberculosis Control Programme (RNTCP), National Vector Borne Disease Control Programme (NVBDCP), National Leprosy Eradication Programme(NLEP), National AIDS Control Programme (NACP) etc. where free treatment is provided to patients of Tuberculosis(TB), HIV/AIDS, Vector Borne, Leprosy diseases etc.
• Decision to transform Sub-Health Centres/PHCsto Health and Wellness Centres to provide comprehensive primary care, to undertake promotive and health promotion activities.
• Screening and Management of 5 common NCDs of hypertension, diabetes, and cancers of oral, cervix and breast.
• Pradhan Mantri National Dialysis Programme for free dialysis services to the poor in district hospitals.
• Making available tertiary health care services in the public sector through strengthening of hospitals, establishment of AIIMS institutions in the States and up-gradation of existing Government medical colleges across the country.
• Making available quality generic medicines at affordable prices to all, under ‘Jan Aushadhi Scheme’, in collaboration with the State Governments.
• Rashtriya Swasthya Bima Yojana (RSBY) which provides for smart card based cashless health coverage on family floater basis.
The Minister of State (Health and Family Welfare), Smt Anupriya Patel stated this in a written reply in the Rajya Sabha here today.
*****
Ministry of Health and Family Welfare
02-January, 2018 13:18 IST
Improving Facilities in Government Hospitals
‘Public Health & Hospitals’ being a State subject, the primary responsibility for provision of medicines, oxygen and other facilities in Government hospitals lies with respective State Government. However, under the National Health Mission (NHM), support is provided to States/UTs to strengthen their health systems including support for physical infrastructure, equipment, health human resource, free ambulance services, free services through Mobile Medical Units, NHM Free Drugs Service Initiative, the NHM Free Diagnostic Service Initiative, PM National Dialysis Programme, Quality Assurance, etc. based on requirements posed by the States in their Programme Implementation Plans. State wise approval under NHM detailing the activities and funds approved for them are available at URL: http://nhm.gov.in/nrhm-in-state/state-program-implementation-plans-pips.html
Kayakalp- initiative has been launched to promote cleanliness, hygiene and infection control practices in public health facilities. Under this initiative public healthcare facilities are appraised and such public healthcare facilities that show exemplary performance meeting standards of protocols of cleanliness, hygiene and infection control receives awards and commendation.
The Minister of State (Health and Family Welfare), Sh Ashwini Kumar Choubey stated this in a written reply in the Rajya Sabha here today.
*****
Ministry of Health and Family Welfare
02-January, 2018 13:16 IST
Reducing MMR
As per the latest Registrar General of India- Sample Registration System (RGI-SRS) Report (Special Bulletin on Maternal Mortality in India 2011-13); the Maternal Mortality ratio(MMR) of India is 167 per 100,000 live births.
The key steps taken under the National Health Mission (NHM) are:
v Promotion of institutional deliveries through Janani Suraksha Yojana.
v Janani Shishu Suraksha Karyakaram (JSSK) has been launched on 1st June, 2011, which entitles all pregnant women delivering in public health institutions to absolutely free and no expense delivery including Caesarean section. The initiative stipulates free drugs, diagnostics, blood and diet, besides free transport from home to institution, between facilities in case of a referral and drop back home. Similar entitlements have been put in place for ante-natal and post–natal complications during pregnancy and all sick infants accessing public health institutions for treatment.
vThe Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) has been launched by the Ministry of Health & Family Welfare (MoHFW), Government of India to provide fixed-day assured, comprehensive and quality antenatal care universally to all pregnant women on the 9th of every month. As part of the Abhiyan, a minimum package of antenatal care services would be provided to pregnant women in their 2nd / 3rd trimesters, by OBGY specialists/ Radiologist/ Physicians at government health facilities, with support from private sector doctors to supplement the efforts of the government.
vUniversal screening of pregnant women for anaemia is a part of ante-natal care and all pregnant women are provided iron and folic acid tablets during their ante-natal visits through the existing network of sub-centers and primary health centres and other health facilities as well as through outreach activities at Village Health & Nutrition Days (VHNDs).
vEvery pregnant woman is given iron and folic acid, after the first trimester, to be taken 1 tablet daily till delivery and same is continued during the post-natal period. Pregnant women, who are found to be clinically anaemic, are given additional 1 tablet for taking two tablets daily. This has been now expanded to 6 months during ANC and 6 months during PNC.
v Capacity building of MBBS doctors in Anesthesia (LSAS) and Obstetric Care including C-section (EmOC) skills to overcome the shortage of specialists in these disciplines, particularly in rural areas.
v Capacity buildings of SNs & ANMs in Skilled Birth Attendant (SBA) and DAKSHATA programme to equip them for managing normal deliveries, identify complications, do basic management and then refer at the earliest to higher facilities.
v To strengthen the quality of training, a new initiative has been taken for setting up of Skill Labs with earmarked skill stations for different training programs in the states for which necessary allocation of funds is made under NHM.
v Operationalization of adequate number of Primary Health Centres for providing 24 x7 basic emergency obstetric care services.
v Operationalization of adequate number of FRUs to provide 24 X 7 comprehensive emergency obstetric care services.
v Establishing Maternal and Child Health (MCH) Wings at high caseload facilities to improve the quality of care provided to mothers and children.
v Name Based Web enabled Tracking of Pregnant Women and New born babies so that provision of regular and complete services to them can be ensured.
v Mother and Child Protection Card in collaboration with the Ministry of Women and Child Development to monitor service delivery for mothers and children.
v Engagement of more than 9.15 lakhs Accredited Social Health Activists (ASHAs) to generate demand and facilitate accessing of health care services by the community.
v Operationalization of Comprehensive Abortion Care Services and Reproductive Tract Infections and Sexually Transmitted Infections (RTI/STI) at health facilities with a focus on “Delivery Points.
v Newer operational guidelines have been prepared and disseminated to the States for Screening for Diagnosis & management of Gestational Diabetes Mellitus, Hypothyroidism during pregnancy, Calcium supplementation during pregnancy and lactation, De-worming during pregnancy, Maternal Near Miss Review, Screening for Syphilis during pregnancy, Guidance note on use of Uterotonic during labor and Guidance note on prevention and management of PPH.
v Guidelines on standardization of Labor Rooms and creation of Obstetric HDU and Obstetric ICU at District Hospitals and Medical Colleges has also been prepared and disseminated to the States for improving quality of care during delivery and child birth.
v Reproductive Maternal Newborn Child Health + Adolescent (RMNCH+A) interventions for achieving improved maternal and child health outcomes through continuum of care across life cycle.
The Minister of State (Health and Family Welfare), Sh Ashwini Kumar Choubey stated this in a written reply in the Rajya Sabha here today.
*****
Ministry of Health and Family Welfare
02-January, 2018 13:12 IST
Funds for Awareness Campaign on Mental Health
The Information, Education and Communication (IEC) activities are an integral part of the NMHP to generate awareness among masses towards mental illness. During the year 2017-18 an amount of Rs. 75 lakhs has been allocated for various Information, Education and Communication (IEC) activities under the National Mental Health Programme (NMHP). At the District level, funds upto Rs. 4 lakh are provided to each District under the District Mental Health Programme (DMHP) under the Non-communicable Diseases Flexible-pool of National Health Mission for IEC and awareness generation activities in the community, schools, workplaces with community involvement Under the DMHP various IEC activities such as awareness messages in local newspapers and radio, street plays, wall paintings etc. are undertaken by the States/UTs.
The Government has not mandated colleges /schools and educational institutions to provide Psychological Counsellors. However, to address the burden of mental disorders, the Government of India is implementing the National Mental Health Programme (NMHP) since 1982. The Government is supporting implementation of the DMHP under NMHP in 517 districts of the country for detection, management and treatment of mental disorders/illness, the services include additional components like suicide prevention services, work place stress management, life skills training, counselling in schools and colleges and IEC activities for generation of awareness and removal of stigma associated with Mental Illness.
The Minister of State (Health and Family Welfare), Smt Anupriya Patel stated this in a written reply in the Rajya Sabha here today.
*****
Ministry of Health and Family Welfare
02-January, 2018 13:13 IST
Rise in Caesarean Deliveries
According to NFHS 4 (2015-16) survey data, 17.2% births are delivered by caesarean section while according to NFHS 3 (2005-06) survey data, 8.5% births are delivered by caesarean section.
Details of state-wise births delivered by caesarean section are given below:
S.No.
States
Births delivered by caesarean section
India
17.2
1
Andaman & Nicobar
19.3
2
Andhra Pradesh
40.1
3
Arunachal Pradesh
8.9
4
Assam
13.4
5
Bihar
6.2
6
Chandigarh
22.6
7
Chhattisgarh
9.9
8
Delhi NCT
23.7
9
Daman & Diu
15.8
10
Dadra& Nagar Haveli
16.2
11
Goa
31.4
12
Gujarat
18.4
13
Haryana
11.7
14
Himachal Pradesh
16.7
15
Jammu & Kashmir
33.1
16
Jharkhand
9.9
17
Karnataka
23.6
18
Kerala
35.8
19
Lakshadweep
37.9
20
Madhya Pradesh
8.6
21
Maharashtra
20.1
22
Manipur
21.1
23
Meghalaya
7.6
24
Mizoram
12.7
25
Nagaland
5.8
26
Puducherry
33.6
27
Sikkim
20.9
28
Odisha
13.8
29
Punjab
24.6
30
Rajasthan
8.6
31
Tamil Nadu
34.1
32
Telangana
58
33
Tripura
20.5
34
Uttar Pradesh
9.4
35
Uttarakhand
13.1
36
West Bengal
23.8
Source: NFHS4 (2015-16)
WHO in its statement released in April 2015 states that at population level, caesarean section rates higher than 10% are not associated with reductions in maternal and newborn mortality rates.
· In this regard a communication vide OM M.12015/182/2015-MCH has been sent to all the State Principal Secretaries and Mission Directors of all States and UTs urging them to share the WHO statement with all the Obstetricians and Gynecologists working in their respective states. In addition, the States have been suggested to conduct periodic prescription audits in private sector which could also be extended to public sector.
· Government of India also has written vide OM M.12015/182/2015-MCH to Federation of Obstetrical and Gynecologists in India (FOGSI) to share the WHO statement among the Obstetricians and Gynecologists under the umbrella of FOGSI.
· The Government of India has enacted the Clinical Establishments (Registration and Regulation) Act, 2010 with the objective of registration and regulation of health care institutions including those in the private sector. Health being a state subject, it is the responsibility of the state to effectively implement the act, however the centre provides continuous guidance, strict monitoring and directives for the regulation of high caesarean section rates.
· All CGHS empanelled hospitals are directed to display the information regarding ratio of deliveries by caesarean section vis-à-vis normal deliveries. A communication was sent in this regard vide OM Z15025/2017 to all the CGHS empanelled hospitals.
The Minister of State (Health and Family Welfare), Sh Ashwini Kumar Choubey stated this in a written reply in the Rajya Sabha here today.
*****
Ministry of Health and Family Welfare
02-January, 2018 13:10 IST
Schemes For Children Born With Low Birth Weight
Malnutrition including anaemia is a multifaceted, multidimensional and multi-sectoral problem. Malnutrition in pregnant women is one of the underlying causes of low birth weight (LBW) babies. As per Rapid Survey on Children (RSoC), 2013-14; 18.6% new-born had weight less than 2.5 Kg (out of those weighed).
Ministry of Women & Child Development is implementing Anganwadi Services under the Umbrella ICDS Scheme. Under the Scheme, supplementary nutrition is provided to Pregnant Women and Lactating Mothers in order to bridge the nutritional gap in the intake as against the Recommended Dietary Allowances for Indians prescribed by the Indian Council for Medical Research.
Under the National Health Mission (NHM) and within its umbrella the Reproductive & Child Health Programme, following interventions are provided to the pregnant mothers for addressing malnutrition:
1. Universal screening of pregnant women for anaemia and Iron Folic Acid (IFA) supplementation.
2. Calcium Supplementation in Pregnancy.
3. Deworming in pregnancy.
4. Weight gain monitoring.
5. Counselling on nutrition, family planning and prevention of diseases.
6. Under Janani Shishu Suraksha Karyakaram (JSSK), Government of India is providing food to pregnant women during their stay at public health facility for delivery.
7. Under the National Iron plus Initiative (NIPI), iron-folic supplementation for prevention and treatment of anaemia in a life cycle approach is provided to children, adolescents, women of reproductive age groups, pregnant women and lactating mothers.
8. Health and nutrition education through IEC & BCC to promote dietary diversification, inclusion of iron folate rich food as well as food items that promotes iron absorption.
The Minister of State (Health and Family Welfare), Sh Ashwini Kumar Choubey stated this in a written reply in the Rajya Sabha here today.
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Ministry of Health and Family Welfare
02-January, 2018 13:10 IST
Steps Taken for reducing Financial Load on Poor Diabetic Patients
As informed by Lady Harding Medical College (LHMC), one study has been conducted as part of MD Thesis in department of Community Medicine 2014-2017 at Kalyanpuri Urban Health Centre (under LHMC) in association with Lal Bahadur Shastri Hospital (under GNCT, Delhi). As per this study the mean per capita annual expenditure on diabetes care is Rs.8958.00
Public health and hospitals being a State subject, the primary responsibility of providing accessible, affordable and quality healthcare lies with the respective State Governments. Under National Health Mission, to reduce out of pocket expenditure on healthcare, support is being provided to States/UTs for strengthening of their healthcare system based on the requirements posed by them in their Programme Implementation Plans.
Government of India is implementing National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) under the National Health Mission. The objectives of the programme include awareness generation, providing diagnosis and treatment facilities through different levels of healthcare by setting up NCD Clinics in District Hospitals and Community Health Centres (CHCs).
For early diagnosis, population level initiative of prevention, control and screening of common NCDs (diabetes, hypertension and cancers viz. oral, breast and cervical cancer) has been rolled out in over 100 districts of the country in 2017-18 under. This will help in early diagnosis/treatment leading to reduce complications due to diabetes and financial burden on the Diabetic patients.
The Central Government, through its hospitals augments the efforts of the State Governments for providing health services in the country. Under Pradhan Mantri Swasthya Suraksha Yojana(PMSSY), 6 new AIIMS have been set up and upgradation of identified medical colleges has been undertaken which will also improve tertiary care facilities for NCDs including Diabetes.
Quality generic medicines are being made available at affordable prices to all, under ‘Jan Aushadhi Scheme’, in collaboration with the State Governments.
Under National Health Mission Free Drugs and Free Diagnostic initiative, essential drugs and diagnostics are provided free of cost in public health facilities.
The Ministry of Health and Family Welfare has also started AMRIT (Affordable Medicines and Reliable Implants for Treatment) stores where essential life-saving medicines are being provided at a substantial discount vis-à-vis the Maximum Retail Price.
The Minister of State (Health and Family Welfare), Smt Anupriya Patel stated this in a written reply in the Rajya Sabha here today.
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