Measures taken to Reduce Infant Mortality Rate





Measures taken to Reduce Infant Mortality Rate
India is likely to achieve MDG4 target of Under-five mortality Rate of 42 per 1000 live births by 2015.   In 2012,under five mortality rate in India is 52 and it may reach 42 by 2015 if the current trend of annual decline of 6.8 percent continues.

Under the National Health Mission, the following key interventions are being implemented to bring down the mortality rate of children across all the States of the country:
i.                    Promotion of Institutional Delivery through JananiSurakshaYojana(JSY): Promoting Institutional delivery by skilled birth attendant is key to reducing both maternal and neonatal mortality.
ii.                  Emphasis on facility based new-born care at different levels to reduce Child Mortality: Setting up of facilities for care of sick new-borns such as Special New Born Care Units (SNCUs), New Born Stabilization Units (NBSUs) and New Born Care Corners (NBCCs) at different levels is a thrust area under NHM.
iii.                Capacity building of health care providers: Various trainings are being conducted under NHM to train doctors, nurses and ANMs for early diagnosis and case management of common ailments of children and care of mother during pregnancy and delivery. These trainings are on Integrated Management of Neonatal and Childhood Illnesses (IMNCI), NavjaatShishuSurakshaKaryakram (NSSK), Skilled Birth Attendance (SBA), Life Saving Anaesthesia Skills (LSAS), Comprehensive Emergency Obstetric Care (CEmOC), Basic Emergency Obstetric Care (BEmOC), etc.
iv.                Management of Malnutrition: Nutritional Rehabilitation Centres (NRCs) have been established for management of severe acute malnutrition.
v.                  Appropriate Infant and Young Child Feeding (IYCF) practices are being promoted in convergence with Ministry of Woman and Child Development. Village Health and Nutrition Days (VHNDs) are organized for imparting nutritional counselling to mothers and to improve child care practices.
vi.                Universal Immunization Programme (UIP): Vaccination protects children against many life threatening diseases such as Tuberculosis, Diphtheria, Pertussis, Polio, Tetanus, Hepatitis B and Measles. Infants are thus immunized against seven vaccine preventable diseases every year. The Government of India supports the vaccine programme by supply of vaccines and syringes, Cold chain equipment and provision of operational costs.
vii.              JananiShishuSurakshaKaryakaram(JSSK): 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 all sick infants accessing public health institutions for treatment till one year of age.
viii.            Home based new born care (HBNC): Home based new-born care through ASHAs has been initiated by providing incentive of Rs. 250. The purpose of Home Based New Born Care is to improve new born practices at the community level and early detection and referral of sick new born babies.
ix.                Mother and Child Tracking System (MCTS): A name based Mother and Child Tracking System has been put in place which is web based to ensure registration and tracking of all pregnant women and new born babies so that provision of regular and complete services to them can be ensured.
Government of India is providing vaccination against measles as Measles containing vaccine administered at 9-12 months of age and second dose at 16-24 months. Second dose of measles vaccination has been introduced w.e.f. year 2010, as per the recommendation made by National Technical Advisory Group on Immunization (NTAGI).
To target universal immunization, following activities are being carried out:
1.      Special Immunization Weeks (SIW) is conducted every year in areas with pockets of low immunization coverage.
2.      Government of India has introduced performance based incentives for Accredited Social Health Activist (ASHA) for social mobilization to increase immunization coverage.
3.      Due list of beneficiaries are prepared for every session and this list is used for mobilization of children.
4.      Information Education and Communication (IEC) and Inter Personal Communication (IPC) activities for increasing community participation
The National Technical Advisory Group on Immunization (NTAGI) has recommended for introduction of Rotavirus vaccine in a phased manner.   The approval process by Mission Steering Group has been initiated for introduction of Rotavirus vaccine under UIP. The strategy would be to give 3 doses of Rotavirus vaccine along with DPT 1st, 2nd and 3rd dose.
The Health Minister, Shri J P Nadda stated this in a written reply in the RajyaSabha here today.
*****
Linking of Aadhaar Number with NHAM
The proposal to launch National Health Assurance Mission is currently under examination. The proposal envisages that under the proposed Mission, Unique ID card could eventually become the means for establishing identity as needed by the system.
Based on decision taken, the Central Government has issued instructions on 16.10.2014 to Telecom Service providers to collect “Aadhaar Numbers” along with Customer Application Form while issuing mobile telephone connections and to store the same in their database along with other data.
The Health Minister, Shri J P Nadda stated this in a written reply in the RajyaSabha here today.
*****
Jan Aushadhi Stores
Circulars/ instructions have been issued from time to time to all Central Government hospitals, CGHS dispensaries and State Governments for encouraging/ motivating doctors to prescribe generic medicines. Besides, the Code of Medical Ethics under Indian Medical Council Regulations, 2002 also provides that every physician should, as far as possible, prescribe drugs with generic names and ensure that there is a rational prescription and use of drugs.  Further, vide Gazette Notification No.570 (E) dated 07.08.2014, it has been made mandatory that the application for grant of license for a drug formulation containing single active ingredient shall be made only in proper name. However, the licensees who are manufacturing single active ingredient drug formulation on the commencement of these rules shall make application for grant of license for a drug formulation containing single active ingredient in proper name within one year of the commencement of these rules.
Jan Aushadhi campaign was launched by the Department of Pharmaceuticals in November 2008. That Department has informed that since November, 2008, 170 Jan Aushadhi stores have been opened in various parts of the country under the campaign, out of which 99 are functional. The State-wise details are given below:
State-wise details of Jan Aushadhi Stores (as on 31.10.2014)
S.N.
State
No. of Jan Aushadhi Stores opened
No. of Jan Aushadhi Stores functional
1.
Punjab
24
21
2.
Delhi
04
04
3.
Haryana
04
01
4.
Rajasthan
53
-
5.
Andhra Pradesh
03
-
6.
Orissa
22
22
7.
West Bengal
03
-
8.
Uttarakhand
05
04
9.
Chandigarh
03
03
10.
Jammu & Kashmir
08
08
11.
Himachal Pradesh
10
10
12.
Jharkhand
24
19
13.
Tripura
02
02
14.
Maharashtra
01
01
15.
Madhya Pradesh
04
04

TOTAL
170
99

The shortcomings of the Jan Aushadhi campaign will be overcome in accordance with the approved Business Plan of the Government.
The Health Minister, Shri J P Nadda stated this in a written reply in the RajyaSabha here today.
-------------
Sveral Steps Taken to Expand the Coverage Of Hepatitis B Vaccine
As per Health Management Information System (HMIS) data, 2013-14, vaccination coverage for Hepatitis B vaccine in India is 83.7% of the targeted population.
Following steps have been taken by Government for expanding the coverage of Hepatitis B Vaccine:
1. Four doses of Hepatitis B vaccine is given to children under Universal Immunization Programme.
2. At present, Immunization branding has been done by Information Education and Communication (IEC) and Inter Personal Communication (IPC) activities.
3. Due list of beneficiaries is prepared for every session and this list is used for mobilization of children.
4. Strengthen Immunization Programme by providing need based central funding to states to support alternate vaccine deliver (AVD), capacity building of service providers, strengthening reporting and management of Adverse Event Following Immunization (AEFI), strengthen supportive supervision, involvement of ASHA for social mobilization of children etc.
5. Special Immunization Weeks (SIW) is conducted every year in areas with pockets of low immunization coverage.
The Health Minister, Shri J P Nadda stated this in a written reply in the RajyaSabha here today.
*****
National Anti-TB Drug Resistance Survey
The Revised National Tuberculosis Control Programme (RNTCP) has initiated a national anti-tuberculosis drug resistance survey in a representative sample of 5214 patients consisting of newly diagnosed sputum smear-positive pulmonary TB cases and previously treated sputum smear-positive pulmonary TB cases. The nationwide drug resistance survey (DRS) will provide RNTCP with a better estimate on the burden of Multi-Drug Resistant Tuberculosis in the community. This survey will be the first national level survey for TB drug resistance in India. As part of the survey, the samples will be subjected to susceptibility testing for 13 anti-TB drugs (5 first line drugs and 8 second line drugs).
A total of 527 patients have been registered under the survey by end October, 2014.
There is no evidence to suggest that a person with MDR-TB may not spread a disease which is also MDR-TB.
The Government is implementing services for programmatic management of drug resistant TB (PMDT) since March 2013. Under the Revised National Tuberculosis Control Programme, diagnosis of Drug Resistant TB is conducted through quality assured drug susceptibility testing currently available at 58 Culture & drug susceptibility testing (C-DST) laboratories, of which 49 laboratories are also equipped with rapid molecular test named Line Probe Assay(LPA). Cartridge Based Nucleic Acid Amplification (CBNAAT) Test Machines have been installed at 89 sites for early detection of Rifampicin resistance among TB cases. These rapid diagnostic tools provide opportunity for early diagnosis followed by early initiation of treatment which helps in preventing the disease from spreading to others.
Diagnosis and treatment for both, drug sensitive and drug resistant TB, under RNTCP, is free of cost.
The Health Minister, Shri J P Nadda stated this in a written reply in the RajyaSabha here today.
*****
Amendment in MTP Act, 1971
The Government of India has formulated a Draft Bill on Amendments to the Medical Termination of Pregnancy (MTP) Act, 1971.
The Draft Bill has been prepared following extensive deliberations within an Expert Committee of representatives from Central & State Government Ministries/Departments, academic institutions including Medical Colleges, professional bodies & associations, development partners, technical agencies, NGOs and civil society. Opinion from general public has also been invited. However, the Draft Bill on Amendments has no reference to “abortion cases of utmost urgency”.
The National Commission for Women (NCW) had proposed an extension of gestation limit for conducting MTP in case of certain vulnerable categories of women e.g. rape survivors, victims of incest, single (unmarried/ divorced/ widowed) and women with disabilities and also for cases of severe foetal abnormalities where these were detected after the existing gestation limit of 20 weeks. The recommendations of NCW were taken into consideration while preparing the Draft Bill.
The Health Minister, Shri J P Nadda stated this in a written reply in the RajyaSabha here today.
Measures taken to Reduce Infant Mortality Rate Measures taken to Reduce Infant Mortality Rate Reviewed by Ajit Kumar on 5:15 PM Rating: 5

No comments:

Powered by Blogger.