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This File was last Updated/Modified: April 04 2014 17:38:19.

Urban Development

Urban Development

Health

  • Optimising coverage and quality of care.
  • identifying and rectifying the critical gaps in infrastructure, manpower, equipment, essential diagnostic reagents and drugs at all levels of health care.
  • improving functional efficiency of the health care.
  • building up effective referral linkages between existing primary, secondary and tertiary care institutions.
  • developing human resources for health, adequate in quantity, appropriate in quality with proper programme and people orientation.
  • effectively implementing all the disease control programmes.
  • enhancing and strengthening basic, clinical and health systems research.
  • Attempts are being made for utilization of funds from external funding agencies, Basic Minimum Services (BMS)/ Prime Minister’s Gramodaya Yojana (PMGY) and Centrally Sponsored Schemes (CSS) to fill critical gaps in infrastructure and manpower to improve functioning of primary health care institutions and minimize interstate and inter-district differences.
  • Efforts for strengthening appropriately restructuring and reorganization of infrastructure and redeployment of staff so that they take care of health problems of the population in a defined geographic area (including referral services) are being vigorously pursued.
  • The performance of disease control programmes is being improved by rectifying defects in design and delivery, filling critical gaps in infrastructure and manpower, promoting skill upgradation, supplies and efficient referral arrangements.
  • Vacancies of doctors/ specialists are being filled through district walk in interviews and part time placements.
  • Disease Surveillance Programme with focus on rapid recognition prompt reporting and response at district level has been initiated.
  • Steps have been initiated for improving infection control and waste management in all health care setting from primary to Tertiary care hospitals.
  • An integrated Non-communicable Disease Control Programme with appropriate linkages with the existing health care system and emphasis on prevention early diagnosis, management and building up of referral system is being advocated.
  • User charges have been introduced for cost recovery in secondary, tertiary and super-speciality institutions in many states for the people above poverty line. However, essential primary health care, emergency life saving services, services under National Disease Control Programmes and National Family Welfare Programme are being provided free of cost to all irrespective of their ability to pay.
  • Greater attention and priority is being laid on research studies relevant to major health problems and for improving service delivery.

 

Family Welfare Programmes

Ninth Plan envisages reduction in the population growth rate by

  • meeting all the felt needs for contraception; and
  • reducing the infant and maternal morbidity and mortality so that there is a reduction in the desired level of fertility.

In view of the large Interstate and interdistrict variations the strategy during the Ninth Plan will be :

  • To assess the needs for reproductive and child health at PHC level and undertake are-specific micro planning; and
  • To provide need-based, high quality, integrated reproductive and child health care.
  • National Population Policy 2000 (NPP 2000) has been formulated which envisages achieving replacement level of fertility by the year 2010.
  • Efforts will be concentrated on more effective implementation of Family Welfare/ Reproductive and Child Health (RCH) Programme specially in the poorly performing states of Uttar Pradesh, Madhya Pradesh, Rajasthan, Bihar and Orissa. Attempts are being made to identify indicators for selection of districts which require special attention with regard to population stabilization.
  • Greater emphasis is being laid on men’s participation in the Planned Parenthood movement.
  • National Commission on Population has been constituted under the Chairmanship of the Prime Minister of India and Deputy Chairman Planning Commission as Vice Chairman on 11th May 2000 to review, monitor and give direction for implementation of the National Population Policy with a view to achieve the goals set in the Population Policy.
  • The first meeting of National Commission on Population was held on 22nd July 2000. Wide ranging discussions in the first meeting of National Commission on Population has given useful suggestions for pursuing the goal of population stabilization. A Strategic Support Group consisting of secretaries of concerned sectoral ministries has been constituted as standing advisory group to the Commission. Nine Working Groups are being constituted to look into specific aspects of implementation of the programmes aimed at achieving the targets set in NPP 2000.
  • To facilitate the attainment of the goals set under NPP 2000 by the National Commission on Population an Empowered Action Group attached to the Ministry of Health and Family Welfare and a National Population Stabilisation Fund are being set up. A seed contribution of Rs.100 crore has been provided to National Population Stabilisation Fund; corporate, industry, trade organizations and individuals may also contribute to the fund.
  • To improve maternal health and prenatal survival, antenatal care is being provided; early registration of all pregnant women, screening at least thrice during pregnancy and referral of 'at risk persons' to appropriate health care institutions are envisaged.
  • Efforts are being made to ensure 100% immunization of all infants against 6 vaccine preventable diseases before they reach 1 year. Pulse Polio Immunisation Programme (PPIP) is being vigorously pursued to achieve zero incidence of poliomyelitis.
  • Child Health Programmes envisage identification of ‘at rise’ children, early detection, prompt and effective management of health and nutritional problems.
  • Under various Externally Aided Projects uninterrupted supply of essential drugs, devices, vaccines and contraceptives adequate in quantity and appropriate in quality is being ensured.
  • Increased intersectoral co-ordination, involvement of Panchayti Raj Institutions, Non-Governmental Organisations in the service delivery and community participation are being attempted under all health and family welfare programmes.
  • Improved monitoring and evaluation mechanisms to initiate mid term corrections for effective implementation of Family Welfare/RCH Programme already constitutes part of various health and family welfare programmes.
  • Efforts are being made to improve Civil Registration of births and deaths so as to achieve 100% coverage for generating more accurate vital health statistics.

 


Nutrition

Objectives during the Ninth Plan are to achieve

  • freedom from hunger through increased food production, effective distribution and improved purchasing power.
  • reduction in under nutrition and its health consequence through appropriate interventions.
  • Prevention, early detection and effective management of micro nutrient deficiencies.
  • In view of the adequate availability of food grains, there is urgent need to ensure access to it by poorer sections of the population through appropriate programmes aimed at improving their purchasing power.
  • Emphasis is on detection, prevention and management of Chronic Energy Deficiency in the programmes related to nutrition. This includes identification of pregnant women, 6-24 months children and other individuals at risk. In the ICDS programme targeted intervention on Grade-III and Grade-IV malnutrition needs to be prioritized.
  • Measures to tackle micro-nutrient deficiencies such as anaemia due to iron and folate deficiency (particularly among children and pregnant women) as well as vitamin-A deficiency (among children) and iodine deficiency disorders are being intensified under the RCH programme.
  • The need to focus on emerging nutritional problems related to adolescent and geriatric nutrition is being emphasised.
  • The existing system of monitoring of ICDS should generate data on those severely malnourished to facilitate corrective interventions in time.
  • The goals in the National Plan of Action for Nutrition are being revised consistent of concerned Department’s revised Ninth Plan goals.