Dec 26, 2016

Initiatives and Achievements of Ministry of Health and Family Welfare: A Year End Review, 2016

1.      The Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)
Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) is aimed at reducing maternal and infant mortality rates through safe pregnancies and safe deliveries. The national programme will provide special free antenatal care to about 3 crore pregnant women across the country in order to detect and prevent high risk pregnancies. The nationwide programme will provide fixed day assured, comprehensive and quality antenatal care to pregnant women on the 9th of every month. Pregnant women can now avail of a special antenatal check-up in their second or third trimesters at Government health facilities provided by gynecology specialists/ physicians with support from private sector doctors to supplement the efforts of the Government sector. These services including ultrasound, blood and urine tests will be provided in addition to the routine antenatal check-ups at the identified health facility/outreach in both rural and urban areas.  One of the aims is to identify and follow-up on high risk pregnancies in order to reduce MMR and IMR. 

2.      MAA-Mother’s Absolute Affection
A nationwide programme launched in an attempt to bring undiluted focus on promotion of breastfeeding and provision of counselling services for supporting breastfeeding through health systems. The programme has been named ‘MAA’ to signify the support a lactating mother requires from family members and at health facilities to breastfeed successfully. The chief components of the MAA Programme are Community awareness generation, Strengthening inter personal communication through ASHA, Skilled support for breastfeeding at delivery points in public health facilities, and monitoring and award/recognition.
3.      Introduction of new vaccines 

a)      Rota virus vaccine: In order to prevent the morbidity and mortality in children due to rotavirus, Rotavirus vaccine was introduced in Universal Immunization Programme in a four states initially i.e. Himachal Pradesh, Haryana, Odisha, Andhra Pradesh in April 2016 as recommended by the Expert Committee constituted for the same.

b)      Adult JE vaccine:  Japanese Encephalitis vaccination was expanded in adult population of districts with high disease burden of adult JE. Recently, 21 high burden districts from Assam, Uttar Pradesh and West Bengal have been identified for adult JE vaccination. Adult JE vaccination campaign activity has been completed in 3 districts of Assam (Darrang, Nagaon and Sonitpur) and selected blocks of 3 districts (Darjeeling and Jalpaiguri, Alipurduar) of West Bengal and campaign is ongoing in selected blocks of 6 districts of Uttar Pradesh.

4.      Mission Indradhanush
·         Second phase of MI continued in Jan 2016 in 352 districts. Phase III was implemented from  April to July 2016  in 216 districts of the country.

·         During all the three phases, (as on 1st August 2016, 2.08 crore children have been vaccinated of which 54.5 lakh children have been fully immunized. In addition, 55.4 lakh pregnant women were vaccinated against tetanus toxoid.

·         According to Integrated Child Health and Immunization Survey 2016, full immunization coverage has increased by about 5-7% after the launch of mission Indradhanush.


5.      Family Planning

·         Expanding basket of choices: Three new methods have been introduced in the National Family Planning program:
·         Injectable Contraceptive DMPA (Antara) – a 3-monthly injection
·         Centchroman pill (Chhaya) – a non-hormonal once a week pill
·         Progesterone-only pills (POP) – for lactating mothers
·         Improved Contraceptive Packaging: The packaging for Condoms, Oral contraceptive pills (OCP) and Emergency Contraceptive Pills (ECP) has now been redesigned and improved so as to increase the demand for these commodities.
·         New Family Planning Media Campaign: A 360 degree holistic Family Planning campaign with a new logo has been launched with Shri Amitabh Bachchan as the brand ambassador.

6.      Intensified Diarrhoea Control Fortnight (IDCF)
The Intensified Diarrhoea Control Fortnight (IDCF) was observed from 11th to 23rd July across the country. The importance of this activity is that ORS will be available in the household when needed at the time of diarrhea. ORS corners which were operational at health facilities continuously demonstrated the way to prepare the ORS mixture. These corners also administer ORS and Zinc to children who are in need of these during diarrhoea. With a sharpened focus on demand generation, an important component of the IDCF is IEC activities that shall not only create awareness but also generate demand.  Intensified community awareness campaigns on hygiene and promotion of ORS and Zinc therapy were conducted at the state, district and village levels.  There are about 10 crore children below five years of age across the country. During last year, due to the interventions carried out as part of IDCF, about 6.3 crore children were reached out to. This year in order to expand the cover of this fortnight; the target was to cover all the under-5 children.  21 lakh children could be prevented from hospitalisation and death due to Diarrhoea last year. More than 5 lakh schools participated in the IDCF campaign and more than 3.5 lakh ORS corners were set up in the country.

7.      National Deworming Day (NDD)
The National Deworming Day, a flagship initiative of the Ministry of Health & Family Welfare, was observed on 10 February 2016. It is the largest ever single-day public health campaign in the world targeting approximately 27 crore children aged 1-19 year throughout the country at risk of parasitic worm infection, through the platform of schools and anganwadi centres. The target population includes 8 crore and 19 crore children in the age group of 1-5 and 6-19 years respectively across 561 districts of the country. Over 900,000 education and health workers administered Albendazole tablet to crores of children in schools and anganwadis across India yesterday. 137 districts in 14 States have been excluded from the deworming initiative this year as they have already covered during Mass Drug Administration in Lyphatic Filarsis program of the Health Ministry.

8.      Longitudinal Ageing Study in India (LASI)
LASI is the largest study on older population in the country. The International Institute for Population Sciences (IIPS), Mumbai in collaboration with Harvard School of Public Health (HSPH) and University of Southern California (USC), USA is undertaking the “The Longitudinal Ageing Study in India” under the aegis of the Ministry of Union Health and Family Welfare. LASI is jointly funded by the Union Ministry of Health and Family Welfare, the United States’ National Institute on Ageing, and the United Nations Population Fund-India.
As no sufficiently broad nationally representative dataset on older population is currently available in India, comprehensive new scientific data are needed to conduct analyses of health, economic and social challenges based on population ageing and to formulate mid- and long-term policies and programmes to address these and other challenges presented by population ageing. LASI will contribute greatly to the newly launched the National Programme for Health Care for the Elderly (NPHCE) and the social and economic security programmes planned to be initiated by the Ministry of Social Justice and Empowerment (MoSJE). LASI will help in expanding the scope of health and social security policy and programmes for older population.

9.      Pradhan Mantri National Dialysis Programme

Under the ‘Pradhan Mantri National Dialysis Programme’, support is being provided to all States for provision of free dialysis services for poor. Guidelines for dialysis services in District Hospitals in PPP mode have been shared with States/UTs on 27 April, 2016. The Guidelines contain model Request for Proposal (RFP). As per the guidelines, the private partner is envisaged to provide medical human resource, dialysis machines along 9 Schemes of Department of Health & Family Welfare with Reverse Osmosis (RO) water plant infrastructure, dialyzer and consumables, while the space, power, and water supply within District Hospitals would be provided by the State Government. All States/UTs were requested to incorporate proposals for roll out of National Dialysis Programme in Programme Implementation Plans (PIPs) for 2016-17. Approval has been accorded to all States for implementing the Pradhan Mantri National Dialysis Programme.
10.  Centre for Integrative Medicine and Research (CIMR) at the All India Institute of Medical Sciences (AIIMS)
The Center for Integrative Medicine and Research is a pioneering initiative by AIIMS, New Delhi in the quest for convergence of contemporary medicine with India’s ancient and traditional medical practices. It has been envisioned as a “state of the art” research center where top experts from various disciplines of contemporary medicine will collaborate with Yoga and Ayurveda specialists, both for disease treatment, and for preventive healthcare. The Center will seek scientific validation of our ancient medicine systems with a focus on Yoga. It has been designed as a perfect platform for rigorous research to establish the efficacy of our traditional methods of healing, which in turn should pave the way for their greater international scientific acceptability.
Source - PIB