Copyright © 2011 JKNRHM
Following new interventions have been approved in the State Programme Implementation Plan for the year 2011-12:-
Construction/upgradation of Birth Waiting Rooms for pregnant women in PHCs of high focused districts.
The Ministry of Health and Family Welfare, GoI has approved Rs. 1.00 crore for setting up of separate rooms named as Birth Waiting Rooms for the pregnant ladies who are nearing the time of delivery, facilitating them to stay in birth waiting rooms to be established in the complex of PHCs upto the time of delivery.
This scheme is meant for the pregnant ladies living in very remote areas of high focused districts which have poor road connectivity, tough terrain and poor medical facilities. The eleven high focused districts of the State are Rajouri, Poonch, Udhampur, Reasi, Doda, Ramban, Kishtwar, Leh, Kargil, Kupwara and Bandipora. Under this scheme, one PHC shall be selected in each of the high focused districts where these birth waiting rooms shall be established by way of construction/upgradation. The pregnant women of the remote areas can stay in the birth waiting rooms at (PHCs) for 10-15 days before the time of delivery. These rooms will have basic amenities for rest and recreation, along with house-keeping facilities shared with the PHC and a small pantry for the attendant of the patient to cook his/her meals. One PHC in each of the high focused districts shall be identified to implement the activity on pilot basis.
Establishing Control Room for Ambulances.
50 Basic Life support Ambulances have been procured by the Directorate of Health Services Jammu/Kashmir which are to be kept on National Highway at a distance of every 30 Kms. Similarly 25 Critical Care ambulances one for each of the district/region are also being procured.
The department shall establish control rooms in each of the division to regulate and use all ambulances optimally. In phase –I, 50 Basic Life Support and 25 critical care ambulances shall be networked into the system to provide coverage to the entire State for emergency care including referral transport for pregnant women and children. In Phase II other ambulances in various institutions shall also be networked. A toll free number 108 will be obtained for these control rooms.
These control rooms at Jammu and Srinagar shall be manned round the clock by operators who shall control and direct the flow of Ambulances as per requirement. The control rooms shall also be networked with all the Government run health institutions from Medical Colleges to District Hospitals, Community Health Centres up to the level of PHCs 24 x 7in phased manner to ensure optimal delivery care to the patients/clients calling for help, i.e. stabilization before transport, emergency admission, preparation of the institution to receive a critical patient, etc. Each ambulance will be provided with a driver and ambulance assistant trained in basic life support services.
Health Helpline 104:
The information cells with updates of all health programs / projects, health institutions/services etc. shall be set up in the Directorate of Health Services, Jammu/Kashmir. The cell shall be equipped with a helpline facility along with a dedicated telephone number – 104, a computer, internet and shall be manned by in-service health care staff like CHOs/DMEIOs/Health Educators who shall remain informed and up to date regarding all types of information relating to health sector:-
The information cell shall maintain liaison with all the Health Care Institutions, offices of CMO and BMO, Program Management Units, Directorates of Health, Family Welfare, ISM and NRHM, Medical Education institutions and shall provide round the clock remain at round the clock service to the public through telephone and internet for providing any information relating to health services.
Reward of Rs 25000/- to informer under PC&PNDT Act
In view of the declining sex ratio of the State as revealed by census 2011, the State has proposed a reward of Rs. 25000/- to a person who informs occurrence of sex determination/female feticide with adequate evidence. Rs. 5 lakhs have been approved for this activity during the year 2011-12.
Incentives to ASHA @ Rs. 100 per event reporting
From the current year, ASHA shall record any event of Public Health significance or any untoward happening in her diary, i.e. outbreak of gastroenteritis, suspected case of polio, any road traffic accident, suspicion of water pollution from a particular source etc. The information, once recorded, shall be brought into the notice of the Medical Officer in-charge within 6 hours through mobile telephone. The Medical Officer will reaffirm the report and transmit it to his BMO and CMO telephonically as well as in writing within 6 hours. The CMO, BMO, MO should also maintain a register wherein record of the information received and action taken against them, along with the timelimits kept shall be maintained. An incentive of Rs. 100 per event shall be given to ASHA for reporting one such event for which an amount of Rs. 5.00 lacks has been approved by MoHFW, GoI in PIP.
Reimbursement of mobile charges @ Rs.75/= per month
Tracking of Pregnant women and children has been introduced in the State with a view to ensure that the pregnant women get full ANC and PNC checkups and the children are fully immunized. ASHAs have been involved in this system to keep track of pregnant women / children in her area for which she is being given incentives also. To facilitate ASHA to contact the health functionaries for providing services to the pregnant woman and children, reporting to the Sub-Centres and for event reporting, they shall be given facility for reimbursement of Mobile charges upto Rs. 75/- per month.
Procurement of Mobile Medical Units (MMUs)
Taking health care to the doorsteps of the needy is one of the objectives of NRHM and is intended to reach the unreached and underserved areas. Under the NRHM, provision of Mobile Medical Units (MMU) in every district is one of the strategies to improve access to the health care services. Hilly and difficult terrain of the State, non-approachability by public transport, long distances for reaching the health centres necessitate the need of MMU with facilities for the specialists and diagnostic services. In the current year Ministry of Health and Family Welfare has approved provision of Mobile Medical Units in 11 High focus districts of the State for an amount of Rs. 502.26 lakhs @ Rs. 45.66 lakhs per unit.
Every Mobile Medical Unit shall provide Curative, Reproductive & Child Health, and Family Planning Services. In addition to this specialized facilities/services viz X-ray, Ultrasound ECG, Lab tests and emergencies services and care in times of disaster/epidemic/ public health emergency/ accidents etc. shall also be provided to the people of underserved areas.
The Mobile Medical Unit shall have a team consisting of :
Obstetric &Gynecologist Specialist, Pediatrician, Physician and Radiologist will accompany the team to remote areas from CHC/DH on rotation basis.
Upgradation of Hospitals under Quality Assurance
The State has initiated process for accreditation of District Hospitals under Quality Assurance through National Accreditation Board of Hospitals (NABH) 4 district Hospitals have been approved for upgradation of infrastructure on need basis. Rs. 200.00 lacs have been approved @Rs. 50.00 lacs each. The quality Managers has been engaged by NABH for the district hospitals to assess the shortfalls in the hospitals as per the QCI norms. The fund shall be placed at the disposal of the Director Health Services, Jammu/Kashmir for upgradation of hospitals against the DPRs prepared after receipt of gap analysis report from Quality Council of India. (QCI)
Procurement of equipments for Operation Theatre
14 additional CHCs are being upgraded as First Referral Units during the current year. First Referral Unit is meant for providing Emergency Obstetric care which, among others, requires well equipped Operation Theatre. Rs. 125 lacs have been approved for procurement of equipments in 5 FRUs @ Rs. 25 lacs each. The Director Health Services, Jammu / Kashmir shall furnish the proposal indicating the names of CHCs/FRUs where OT equipments are required.
Construction of the building of Directorate of Procurement/ Regional Drug Ware Houses
Separate Directorate of Procurement is under active consideration of the State Government. The provision for setting up of separate Directorate of Procurement and strengthening/ upgradation of two Drug Warehouses available in the State, have been approved in the PIP 2011-12 as per the following breakup:
These funds shall be placed at the disposal of Director Health Services, Jammu/Kashmir as and when the DPRs are received from the Executing agency.