The vision of implementing RMNCH+A programme in Arunachal Pradesh is to provide client friendly, quality services to Pregnant Women, New Borns, Child and Adolescents by providing special attention to the vulnerable groups.
1. MATERNAL HEALTH
- Objective: Provide adequate client friendly Maternal Health Services by operationalizing
- 24x7 PHCs
- ANC services at all the health facilities of the state
- Operationalise Sub-Centres to provide basic minimun health services
- Free Referral Transport for Pregnant Women and New Born
- Integrated outreach RCH services in unreached areas
- Monthly Village Health Nutrition and Sanitation Days at Anganwadi Centers of the villages with active paricipation of the ASHAs
- Free entitlements under Janani Shishu Suraksha Karyakram for Pregnant Women and New Born at all the Public Health Facilities
- Cash benifits under Janani Suraksha Yojana (JSY) for institutional Deliveries
2. CHILD HEALTH
Objective: To make adequate infrastructure, manpower and resources etc for improving the Child Health Services in the state by
School Health Programme:
Monitor Progress and quality of services
Care of Sick Children and Severe Malnutrition at FRUs:
Management of Diarrhoea, ARI and Micronutrient malnutrition
3. FAMILY PLANNING
To increase the % of permanent female sterilization from 14.5 (RHS 2002) to 17 in 07-08, to 19 in 08-09 and to 21 in 09-10 and to increase the % of permanent male sterilization from 0.1 (NFHS-II) to increase to 0.4 in 07-08, to 0.5 in 08-09 and 0.6 in 09-10.
By promoting sterilization procedures in functional health facilities and sterilization camp.
4. ARSH (Adolescent Reproductive and Sexual Health)
Adolescent friendly services
Setting up of Adolescent clinic at health facilities
5. Urban RCH
Goal and Objectives of the UHP (Urban Health Programme)
The principal objective of this project is to improve the health status of the urban poor by providing quality and sustainable integrated primary health services with special emphasis on maternal and child health care.
Packages of Services
A. Urban Health Centre (UHC)
The proposed service that would be provided in the first tier health facility is as follows:
Antenatal care, postnatal care, referrals for institutional deliveries.
Family planning, IUD insertion and referral for terminal methods
Treatment of minor illnesses including RTI / STI.
Depot holder for ORS / contraceptives
Health education and outreach service.
Services under NAMP, DOTS etc.
Targeted IEC, BCC and training.
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
Strengthening of training institutions
Trainings Under Maternal Health, Child Health, Family Planning, Adolescent Health, HMIS, PMU, Finance.
10. Financial Management
11. Convergence / Coordination
12. Public Private Partnership