The vision of implementing RCH – II programme in Arunachal Pradesh is to reduce the MMR to reduce to < 100 by 2010 by providing client friendly, quality RCH services to the beneficiaries providing special attention to the vulnerable groups. The present MMR of 300 is to be reduced to 200 in 07-08 and 150 by 08-09 for which adequate objectives and strategies are projected.
1. maternal health
2. Child health
3. FAMILY PLANNING
4. ARSH (Adolescent Reproductive and Sexual Health)
5. Urban RCH
A. Urban Health Centre (UHC)
The proposed service that would be provided in the first tier health facility is as follows:
Apart from the above proposed services, the UHC staff will perform additional role in conducting scheduled outreach camps in coordination with link volunteer, assess field situation to develop plans with NGO & link volunteer, determine the process to be adopted for sustainability of the health centre (e.g. user fees) and conduct activities linked to National Programs.
Each UHC will operate for 8 hours per day from 8 AM to 4 PM on 5 days a week. Outreach service will be conducted on every Saturday. Medicines, equipments, other consumables etc will be provided for the existing 2 UHCs and the new UHC to be established at Itanagar.
Urban Health Centre
The following existing filled up posts under 2 UHCs would continue.
LMO - 1
ANM - 3
PHN / LHV - 1
Laboratory Assistant - 1
Night Chowkidar - 1
Male attendant - 1
Female Attendant - 2
Sweeper (contingency) - 1
Accountant - 1
The identification process will be transparent, attitude and sincerity based, preferably among women group from the local community. One link volunteer will be identified for approximately 150-200 households totaling about 60 link volunteers mainly in the vulnerable groups for Itanagar-Naharlagun (30 already existing for Naharlagun) and 19 link volunteers for Pasighat already selected.
As per records available, there have been activities in relation to outreach services. Therefore, in order to further improve coverage, to provide quality service and to establish good relationship with the target community, a fresh outreach plan is proposed:
6. VULNERABLE GROUPS
In smaller towns, the requisite focused interventions for urban poor including slum dwellers are incorporated in the Urban Health program of RCH II PIP. The current plan would include 2 slum areas in each of the District headquarters of 14 Districts under Routine Immunization (2x14/ month). There are 11 identified airfed areas where normally facilities are not available. The areas are Desali, Thingbu, Singa, Aivelly circle, Taksing, Tali, Chambang, Parsi Parlo, Damin, Monigong and Sarli. Frequency of service delivery will be monthly once through outreach sessions. Helicopter services are proposed to cover these areas for RI once in 2 months in which MCH activities will be an important component(11x6).
7. HMIS (Health Management Information System) / Monitoring & Evaluation
8. BCC (Behavior Changes and Communication
9. Training including for private sector / NGOs
10. Financial Management
11. Convergence / Coordination
12. Public Private Partnership
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