Health care

JANANI  SURAKSHA  YOJANE  (JSY):

health-careWhat is the goal of JANANI SURAKSHA YOJANE?

  • The goals of JSY are reduction in maternal and infant  mortality  rate  as  well  as  to increase  the  institutional  deliveries of BPL and  SC/ST

What are the services/incentives provided under JSY?

  • Maternity services like  3 antenatal checkups and referral transport
  • Cash assistance  is  provided  for  deliveries taking  place  both  in  health  institutions  and home.
  • In rural  areas,  cash  assistance  to  the mother for institutional delivery is Rs. 700 per  case  whereas  in  urban  areas,  cash assistance  to  the  mother  is    600  for institutional  delivery.
  • The cash  assistance is  also  available  for  women  delivering  at home  with  an  amount  of    500  being  given per  case.
  • If specialists  are  not available  in Government run health centers or hospitals,  the  institution  can  hire  such specialists  to  manage complications  or  for caesarean    Assistance  up  to Rs.1500  per  delivery  could  be  utilized  by  the health  institution  for  hiring  services  of specialists

THAYI  BHAGYA:

What is its objective?

  • In order  to  reduce  IMR  and  Maternal Mortality  Rate  (MMR)  in  the  backward districts  of  Bijapur,  Bidar,  Gulbarga, Yadgir,  Raichur,  Koppal,  Bagalkot  and Chamarajanagar ,

How is it delivered?

  • In this scheme empanelled private hospitals  are  given  an  incentive  of    3 Lakhs  for  every  100  deliveries  conducted including  surgeries  with  treatment  being free  to  the  patients.

AROGYA  KAVACHA  108

  • This programme provides free first aid and referral transport  in  case  of  medical, police, and fire

SUVARNA  AROGYA  CHAITANYA PROGRAMME/ RASHTRIYA BAL SWASTHYA  KARYAKRAM:

  • In this  programme,  about  one crore  school  children  (both  private  and Govt.  sector)  are  medically  screened  and, children  needing  surgeries  are  provided surgical  treatment  at  free-of-cost  in empanelled hospitals.
  • From January-2014  onwards the programme was renamed as Rastriya Bal Swasthya Karyakram

MADILU:

  • It is  one  of  the  schemes  started  by the State Government to provide post natal care  for  the  mother  and  the
  • The objective of  the  scheme  is  to  encourage  poor pregnant  women  to  deliver  in  health  centres and  hospitals  in  order  to  considerably reduce  maternal and  infant  mortality in  the state.
  • Under this  programme,  a  kit  is provided  to  women  belonging  to  below poverty line families delivering in Government
  • On October 2014 the  parity  and  age limit  is removed  for  10  High  Priority Districts  of  Karnataka  (i.e.  Bagalkote, Bijapur , Gulbarga, Yadgiri, Koppal, Raichur, Bellary, Bidar, Gadag and Chamarajanagar

PRASOOTI  ARAIKE:

  • Under This scheme,  BPL pregnant  women (including  SC/ST)  who  undergo  deliveries in  Government  Hospitals  are  given  an incentive  of    2000 (Including  Janani suraksha Yojane) for getting their  nutritional  requirement.
  • On October 2014 the  parity  and  age limit  is removed  for  10  High  Priority Districts  of  Karnataka  (i.e.  Bagalkote, Bijapur , Gulbarga, Yadgiri, Koppal, Raichur, Bellary, Bidar, Gadag and Chamarajanagar

AROGYA  VANI-104:

  • This programme  enables  citizen  to  ask health  related
  • People from  any  part of  the  state  can  avail  their  service  by  calling 104  round  the  clock  throughout  the

VAJPAYEE  AROGYASHREE:

  • GOK sponsored  Vajpayee  Arogyashree Health Assurance Scheme for BPL families is implemented by Suvarna Arogya Suraksha  Trust  since  2010    ,
  • The scheme provides  cashless  treatment  facility in any network of super specialty hospitals for  any  of  the  identified  seven  tertiary ailments like cardiology, cancer, Neurology, Genito Urinary, Burns, Polytrauma  and  Neonatal  with  paediatric surgery.
  • As tertiary treatment is very expensive and beyond the  means  of  BPL  families,  the scheme  has  been  beneficial  in  protecting them  from  incurring  out   of   pocket expenditure  as  well  as  ensuring  that qualitative  health  care  treatment  is accessible  to  them  in  super  specialty hospitals.

  What are the INITIATIVES taken to  REDUCE  MMR in Karnataka?

  1. On  confirmation  that  the  woman  is pregnant,  ANC  card  is  given  through Auxiliary  Nurse  Midwife  of  the  said locality  and  registered  in  MCTs.
  2. 4ANC  Checkup  is  a  must.
  3. Supply    of    100    IFA    Tablets    is compulsory.
  4. T w o   TT   injections   are   given compulsorily  during  pregnancy.
  5. If  the  pregnant  woman  is  found  to  be anemic  (7gm)  an  addition  100  IFA tablets  are  given.
  6. If  the  pregnant  woman  is  suffering  from severe  anemic  (<7gm)  then  she  is referred  to  the  upgraded  hospital  for injection  iron  sucrose.
  7. A  cash  benefit  of  Rs  1000  is  given  under Prasuthi   Araike   programme   for supplementing  nutrition.
  8. The  pregnant  woman  is  advised  to  have food  with  more  iron  content  and nutrition  and  is  advised  to  have institutional  delivery.
  9. After delivery 100 IFA tablets are given to  the  mother  to  prevent  anemia  both  in mother  and  the  new  born.
  10. In  order  to  give  24  hours  health services,24×7  facilities  are  given  in selected  Primary  Health  Centres.
  11. As  soon  it  is  found  that  it  is  a complicated  pregnancy  and  to  give additional  facilities  192  upgraded hospitals  have  been  identified  in  the State.
  12. Advised  to  stay  compulsorily  in  the health  Institution  for  48  hours  after delivery.
  13. From  the  stage  of  pregnancy  till  the delivery,  free  delivery,  drugs,  diet, blood and transport arrangements are made  free  of  cost  under  Janani Suraksha  Yojane.
  14. Before the mother leaves from hospital to  home  Government  facilities  like madilu , Prasuti   Araike ,  Janani Suraksha yojane are given to  BPL/SC/ST  beneficiaries
  15. The  mother  is  advised  on  family planning before leaving  the  hospital for home.

What are the initiatives taken to reduce  IMR:

  1. Integrated  Management  of  Neonatal and  Childhood  Illnesses  (IMNCI)  is implemented  in  all  Districts.  The supervision  of  the  activity  is  being under  taken  in  8  districts  where Government  Medical  Colleges  are functioning.
  2. 972  Newborn  Care  Corners  (NBCC) have  been  established  in  24X7  PHCs.
  3. 166  New  Born  Stabilization  Units (NBSUs)  have  been  established  in Taluka  Hospitals  and  Community Health  Centres.
  4. 33  Speci al   Newborn  Care  Units (SNCUs)  have  been  established  in Medical  College  Hospitals,  District  & District  Level  Hospitals.
  5. 10   Bedded ,   32   Nutritional Rehabilitation  Centers  (NRCs)  and  27 Modified  Nutritional  Rehabilitation Centers  (MNRCs)  are  functioning  in  the state.
  6. Screening  and  Treatment  of  Retinopathy of  Prematurity  (ROP)  in  Premature  and Low-birth  weight  babies  is  taken  up  in the  23  districts  of  Karnataka  (Raichur, Gulbarga,  Yadgir,  Koppal,  Bijapur, Bagalkot,  Bidar,  Davanagere,  Haveri, Gadag,  Chitradurga,  Bellary,  Dharwar, Bangalore(urban  &  rural),  Ramnagar, Mandya,  Mysore,  Chamarajanagar, Kodagu,   Chikballapur ,   Kolar & Tumkur).
  7. Janani  Shishu  Suraksha  Karyakram (JSSK)   is   implemented in all Government  hospitals.   Screening, Investigations  and  Treatment  are  free of  cost  for  the  infants  up  to  1  year.
  8. Home  Based  Neonatal  Care  (HBNC)  -Health  Workers  and  ASHA  Workers visit  at  least  for  a  minimum  of  six  times, identify  the  danger  signs  among  the new  borns  and  guide  them  to  the hospitals  in  time  and  in  advise  the mother about the  importance  of Breast feeding  and  age  appropriate  infant feeding.
  9. Infant  Death  Audit  ( IDA)   review meeting  is  taken  up  in  all  Districts every  month in  the  presence  of  DC  to discuss  about  the  medical  &  social factors  leading  to  death, and corrective measures  to  reduce  infant  death.

 Bike ambulances

  • Health Minister U.T. Khader, who launched 30 first responder bike ambulances in the city on 14th April.
  • Two companies had evinced interest in taking up the air ambulance project in the State.
  • The bike ambulance project is termed as a “platinum ten minutes” trauma care initiative.
  • Aimed at reducing deaths due to road accidents, the platinum trauma care initiative is useful for negotiating heavy traffic in urban areas where it will be difficult for four-wheeler ambulances to reach the accident spot at the earliest.
  • Of the 30, 21 will be stationed at strategic locationsin the city and one each in the districts of Mysore, Mangaluru, Kalaburgi, Belagavi, Hubballi-Dharwad, Davangere, Tumkuru, Vijayapura and Shivamogga.
  • The initiative will be implemented through GVK-EMRI, the organisation that is running the 108 Arogya Kavacha ambulance service.
  • The bike ambulance rider will be a trained paramedic who has a driving licence.
  • The paramedic will reach the spot in ten minutes and give first aid and start resuscitation measures to save the victim till the four-wheeler ambulance arrives.
  • Each bike ambulance will carry 40 medical items including stethoscope, pulse oxymeter, bandages and IV normal saline apart from 53 basic drugs.
  • The government has spent nearly Rs 2 lakh on each of the bike ambulances.

 

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