Health
About:
Sl. No. |
As per Govt. of India Standard |
Type of Health Institution |
Number |
1 |
District Hospital |
DH |
1 |
2 |
KSHS Ligirpukhuri SDCH |
SDCH |
1 |
4 |
Community Health Centre |
Community Health Centre |
1 |
5 |
Model Hospital (CHC Standard) |
Community Health Centre |
1 |
6 |
No of Block PHC/ Health Block including reporting Block |
Block PHC |
6 |
7 |
Mini PHC |
PHC |
16 |
8 |
New PHC |
PHC |
0 |
10 |
State Dispensary |
PHC |
0 |
11 |
Subsidiary Health Centre |
PHC |
4 |
12 |
Urban Health Centre |
PHC |
1 |
13 |
Health Sub Centre |
SC |
150 |
14 |
Mobile Medical Unit (run by 3rd Party) |
Mobile Medical Unit |
4 |
16 |
Private Nursing Home/ Clinics |
Private |
5 |
17 |
Tea Garden Managed Hospitals (including 6-PPP Tea Garden Hospitals) |
Private |
28 |
|
Total |
|
218 |
Recent Achievement:
Union Ministry of Health and family Welfare has launched ‘LaQshya;(Labour room Quality improvement Initiative) to improve the quality of care in the labour room and Labour room OT in public health facility.
Sivasagar Civil Hospital has achieved the NQAS certificate under LaQshya program in this year.
Prograamme/Schemes:
PradhanMantriSurakshitMatritvaAbhiyan (PMSMA):
The PradhanMantriSurakshitMatritvaAbhiyan (PMSMA) has been introduced on 9th June,2016 to provide fixed day quality antenatal care services to women in their 2nd/3rd trimesters of pregnancy on the 9th day of every month. Theinitiative aims to ensure that assured and comprehensive antenatal services are provided to pregnant women at designated health facilities by Obstetricians/ medical officers. Theprogramme also invites active participation from private practitioners on a voluntary basis and in the 31st July 2016 episode of 'Mann Ki Baat', Hon’ble Prime Minister of India has appealed to doctors across India to contribute twelve days in a year to this initiative.
Total 4(four)facilitiesare there in Sivasagar district for PMSMA,Sivasagar Civil Hospital,Demow Model Hospital,Amguri CHC &LigiripukhuriSDCH.
Chief Minister’s Free Diagnostic Services Programme:
Background:
Quality diagnosis is vital for medical practitioners to make effective decisions about treatment. Access and availability of quality Radiology and Laboratory Services have been a key challenge for the health system. The out of pocket expenditure of the patients on diagnostic tests are increasing and forms the second major segment of such expenditure after medicine.
To address the above issues, Chief Minister's Free DiagnosticsServicesProgramme is envisagedto ensure availability of minimum set of diagnostic services at government health institutions. Under Chief Minister's Free Diagnostic Services Programme CT Scan, X- Ray and Laboratory services will be provided free of cost to all irrespective of APL/BPL status.
Programme Overview:
CT Scan Services:
One (1) CT Scan center is there in Sivasagar Civil hospitals.
Reporting of CT Scan images is through Tele Radiology by the qualified Radiologist. Patient receive CT Scanimage along with report prescribed by a qualified Radiologist. Normal cases will be reported within 6 hours and emergency cases within 2 hours. All patient referred by government health institutions will be provided CT Scan services free of cost.
X- Ray services:
All X- Ray machines available at government health institution (CHC/DH) isconnected through Tele Radiology. The X- Ray image is captured by the Radiographer and is transmitted to Hub through Tele Radiology. The Radiologist available at the Hub will analyze the image and will write report electronically. The report will be transmitted back to the concerned health institution and the patient will receive digital X- Ray image along with report prescribed by a Radiologist. All the patients of government health institutions (CHC/DH) will be provided X- ray service free of cost.
The scheme is for all citizens irrespective of APL/BPL status.
The benefit of free X-Ray facility can be availed by the citizen by visiting the concerned Govt. health institute.
Laboratory Services:
Laboratory services at DH/PHC/CHC is provided free of cost to all through Hub and Spoke model.Sample from all the health institutions will be collected and transported to district laboratory (Hub). At the Hub sample will be analyzed and report will be communicated (electronically as well as hard copy) to the respective health institution.The patient will receive report next day.
Normal case report will be provided within 24 hours and emergency within 3 hours. A total of 56 nos of tests will be covered in Free Lab Services facility under the Chief Minister's Free Diagnostic Services Programme.
Free Lab Services Programme will be implemented through M/S HLL Lifecare Ltd.
Free Drug Service:
One of the stellar initiatives in the health sector launched by the Government of India during the year 2013-14 is the “National Health Mission – Free Drug Service”. It is aimed at providing effective healthcare support to the needy and giving them access to essential medicines free of cost at Government Health Institutions and Hospitals.
Over the years, cost of healthcare in the country has gone up significantly putting tremendous strain on the public, particularly the rural populace. In order to ease the financial burden of the common people seeking relief from various ailments, National Health Mission Assam has implemented the scheme of providing essential drugs &surgical free of cost at all Government Health Institutions. Now in accordance with General ailments, NHM, Assam has also being committed for taking care of their patient from the life threatening diseases like cancer, hemophilia, neonatal, thelesemia, neurological, cardiological, nephrological disorders etc.
The essential drugs are procured in generic form and provided free of cost to all OPD and IPD patients in Government hospitals in Assam. Both the Central and State Government provide budgetary support for this initiative of providing essential drugs free of cost to patients visiting Government hospitals.
In view of Sustainable Development Goals of GoI to achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all categories of patient , Assam State has notified the modified Essential Drugs List (EDL) where nos. of free drugs has been increased from 238 to 731 (as per strength & dosage form 731 against 407 category) at tertiary level to treat communicable and non-communicable diseases with a broader view to ease the all financial burden of the common people seeking relief from various ailments as well as those diseases where the drug-treatment therapy is found too costly for a BPL as well as APL family. Hence, Government of Assam had implemented the scheme of providing essential drugs &surgicals almost of all categories free of cost at all Government Health Institutions including PHC/CHC/DH/Medical colleges spread over 33 districts of the State and a new EDL has been notified taking the standard of National Essential Drug List (NELM).
1) Essential Drug List (EDL)
The State has its own Essential Drugs List (EDL) on the basis of which procurement action is taken. The facility wise details of the EDL notified by the Govt. of Assam on 05.09.2016 are as under:
Essential Drugs List |
|
Secondary Care Hospital (District Hospital/Model Hospital/Sub divisional Civil Hospital/ FRU) |
393 Nos |
Primary Care Hospital (PHC/CHC) |
172 Nos |
H & W C |
31 Nos |
Sub Centre |
24 Nos |
2) Drugs Monitoring System:
DVDMS-Drugs Vaccine Distribution Management System has been implemented in Assam since December’2020 with the help of Centre for Development of Advanced Computing (C-DAC) which is a premier R&D organization of the Ministry of Electronics and Information Technology (MeitY) for carrying out R&D in IT, Electronics and associated areas through which Drugs Stock Monitoring System has been done.
The online Drugs Stock Monitoring System serves the limited purpose of ascertaining stock position of various drugs in different health institutions and for initiating action for replenishing stocks as and when needed. Action is taken at state level for replenishment of stock either through fresh infusion or through diversion of stock from a location with a surplus to a location with a deficit.
Operation Smile:
Operation Smile - Free Surgery for children having cleft palate and lip
The estimated number of clefts in Assam is a figure which varies in the range of 20,000 to 30,000 being the backlog of patients in the State and around 1000 to 1200 patients being born every year.
"Operation Smile" since January 2009 has been partnering with the Government of Assam to provide free surgeries to cleft patients of the State to fulfill the Agreement with the Government (signed in May 2009) through a Public Private Partnership model to make Assam a “cleft free” State. With this Objective in mind strategy has been put in place to address patient needs through a combination of Camps - called Missions and a permanent Centre to build capacity and provide surgery to a large number of patients every year.
A centre has been set up in Guwahati to a) Build capacity b) Develop local skills c) provide year round surgeries to cleft patients. Operation smile is looking at bringing the cost per surgery down to Rs.17,500 form Rs 20000/- per surgery, which includes screening, travelling expense of the patient, their accommodation and fooding, camp cost, OT cost, travel expense of the Medical team of the NGO within India, their accommodation and fooding.
JananiShishuSurakshaKaryakaram (JSSK):
Government of India has launched JananiShishuSurakshaKaryakaram (JSSK) on 1st June, 2011, which entitles all pregnant women delivering in public health institutions to absolutely free and no expense delivery including Caesarean section. The initiative stipulates free drugs, diagnostics, blood and diet, besides free transport from home to institution, between facilities in case of a referral and drop back home. Similar entitlements have been put in place for all sick newborns accessing public health institutions for treatment upto 1 year after birth.
Entitlements under JSSK:
1. Free Drugs and consumables under JSSK
2. Free Diagnostics
3. Free C-section
4. Free treatment and delivery
5. Free Blood Transfusion
6. Free Transportation
7. Free Diet
JananiSurakshaYojana(JSY):
JananiSurakshaYojana(JSY) is a safe motherhood intervention under the National Health Mission(NHM) being implemented with the objective of reducing maternal and neo-natal mortality by promoting institutional delivery among the poor pregnant women. The success of the scheme would be determined by the increase in institutional delivery amongst the poor families.
According to the scheme pregnant women who are from rural areas and they are living below the poverty line.They will be given financial assistance of Rs.1400/- by the government and for the Urban areas the amount is Rs.1000/-.At the same time ,an amount of Rs.300/- will be given to ASHA workers to encourage institutional delivery.
a) All mothers from Rural Area irrespective of age, birth order, or income group (BPL & APL) will get a cash assistance of Rs. 1400/- if delivered at Public Health Facility or Accredited Private Hospital.
b) All mothers from Urban Area irrespective of age, birth order, or income group (BPL & APL) will get a cash assistance of Rs. 1000/- if delivered at Public Health Facility or Accredited Private Hospital.
Mrityunjoy-108 Ambulance Service:
In the changing life styles, an integration of multiple services to provide quick and comprehensive emergency response is required. Further, with increase in the number of road traffic accidents, high rate of birth related emergencies, bomb blast and other calamities demand a centralized emergency management system. Although there are referral transports available in the health facility but their services always do not address all the medical emergencies and cater very few of the rural population. Looking at the demand for comprehensive emergency system Govt. of Assam has entered into a MoU with the GVK-EMRI, Hyderabad on 8th July, 2008. The 108 Mrityunjoy Emergency Response Services was formally inaugurated on 6th November, 2008 at Guwahati. The objective of the partnership is to improve access of the general public to services like Medical, Police and Fire.The Mrityunjoy-108 Emergency Response Services is 24 x 7 functional with dedicated team members. Dialing ‘108’ the toll free emergency number, the emergency call lands at Emergency Response Centre (ERC). From there the call is processed depending on the emergency and location of the caller and is dispatched to the Ambulance located nearest to the site of emergency.
Each Ambulance is manned by a ‘Pilot’ and an ‘Emergency Medical Technician’ (EMT) who is a trained para-medic capable of providing pre- hospital care while transporting the patient to the hospital.
18 numbers of 108 services are available in our district.
PPP with Tea-Garden Hospital
The Scheme:
The tea community is one of the marginalized and socially excluded groups in Assam. They remain unnerved in terms of basic health care facilities adding to high diseases burden and mortality rate.To address the issue National Health Mission (NHM), Assam has executed a Memorandum of Understanding (MoU) with Tea Garden Hospitals under Public Private Partnership (PPP) with a purpose to be made available of the health care services to all the employees of the tea gardens and its adjoining areas. The scheme was launched in the year 2007-08 in Assam. Initially a total of 50 numbers of tea garden hospitals were brought under the umbrella of NHM, Assam and gradually the remaining tea estates.At present it is being implemented by 150 numbers of tea garden hospitals of which 15 number belongs to Cachar, Dibrugarh-37,Golaghat-12, Jorhat-9, Lakhimpur-8, Morigaon-1, Nagaon-7, Sivasagar-16, Sonitpur-21, Tinsukia-17 and Udalguri-7.
The focused areas of the scheme are-
1. To provide maternal and child health care,
2. Emergency services,
3. Referral services,
4.Taken care of communicable and non-communicable diseases and
5.Developing of existing infrastructure in the tea garden hospitals.
The scheme funds for salary/incentive of doctors and paramedics engaged in tea garden hospitals. The financial assistance has also been beneficial in renovating existing hospital infrastructure, for purchase of equipments, augmentation of hospital and to improve service delivery. Medicines are being provided free of cost to these tea garden hospitals. An Ambulance was also given to each tea garden hospital of PPP mode for referral service purpose.
Guidelines
Operational:
An agreement has been signed between the District Health Society and the Tea Garden Hospital Management Society to initiate the scheme. As per the MoU, the tea garden hospital would adhere to the schematic guidelines and norms as cited by National Health Mission, Assam.
Financial:
Presently an amount of Rs.7.5 lakh was allocated to each tea garden hospital as central assistance under PPP. As per norms the fund is released in two installments.1st installment in signing of MoU and 2nd installment is being released after submitting UC and SoE of 1st installment.
Reporting:
The Tea garden hospitals are required to send monthly reports on physical progress on key deliverables and financial achievements in a format prescribed, NHM, Assam.
Conclusion:
Inclusion of tea gardens hospitals under PPP with NHM, Assam highlights the intention of the Govt. of Assam to offer better health care and medical facilities to the workers and non-workers of tea gardens and its adjoining areas. Presently 150 (Year: 2015-16) nos of tea gardens are covered under PPP. NHM, Assam is aiming to cover more numbers of tea garden hospitals in near future.
RMNCH+A :
Improving the maternal and child health and their survival are central to the achievement of national health goals under the National Health Mission (NHM) as well as the Millennium Development Goals (MDG) 4 and 5. SDG Goal 3 also includes the focus on reducing maternal, newborn and child mortality. In the past seven years, innovative strategies evolved under the national programme to deliver evidence-based interventions to various population groups.
A substantial increase in the availability of financial resources for Reproductive and Child Health (RCH), healthcare infrastructure and workforce as also the expansion of programme management capacity since the launch of NRHM in 2005 provides an important opportunity to consolidate all our efforts. As we had crossed the 2015 year where we have to reach the MDG goals but we are far away from the goals. There is an opportunity to further accelerate progress towards MDG and SDG goals, redefine the national agenda to come up with a coordinated approach to maternal and child health in the upcoming years.
In order to bring greater impact through the RCH programme, it is important to recognize that reproductive, maternal and child health cannot be addressed in isolation as these are closely linked to the health status of the population in various stages of life cycle. The health of an adolescent girl impacts pregnancy while the health of a pregnant woman impacts the health of the newborn and the child. As such, interventions may be required at various stages of life cycle, which should be mutually linked. And hence, on the basis of available data and the close inter-linkages between different stages of life cycle RMNCH+A strategy is introduced. It constitutes to the 'Continuum of Care' approach of defining and implementing evidence-based packages of services for different stages of the lifecycle, at various levels in the health system, has been adopted under the national health programme. This strategic approach includes Reproductive, Maternal, Newborn, Child Plus Adolescent Health (RMNCH+A). The 'Plus' in the strategic approach denotes the (1) inclusion of adolescence as a distinct 'life stage' in the overall strategy; (2) linking of maternal and child health to reproductive health and other components (like family planning, adolescent health, HIV, gender and Preconception and Prenatal Diagnostic Techniques (PC&PNDT); and (3) linking of community and facility-based care as well as referrals between various levels of health care system to create a continuous care pathway, and to bring an additive /synergistic effect in terms of overall outcomes and impact.
Programmes under RMNCH+A
1. Reproductive Health
a) Family Planning
b) Safe abortions/ Comprehensive abortion care services
2. Maternal Health
3. Newborn Health
4. Child Health
a) RBSK
5. Adolescent Health
a)RKSK
b)Adolescent Friendly Health Clinics
c) WIFS
Three (3) numbers of counselors are there in the district.
RashtriyaBalSwasthyaKaryakram (RBSK):
From “Survival to Healthy Survival”, the National Health Mission has made significant progress in Child Mortality rate. Whereas there is an advance in reducing child mortality there is a dire need to improving survival outcome.
According to March of Dimes (2006), out of every 100 babies born in this country annually, 6 to 7 have a birth defect. This would translate to around 17 lakhs birth defects annually in the country and accounts for 9.6% of all the newborn deaths. Various nutritional deficiencies affecting the preschool children range from 4 per cent to 70 per cent. Developmental delays are common in early childhood affecting at least 10 percent of the children. These delays if not intervened timely may lead to permanent disabilities including cognitive, hearing or vision impairment. Also, there are group of diseases common in children viz. dental caries, rheumatic heart disease, reactive airways diseases etc. Early detection and management diseases including deficiencies bring added value in preventing these conditions to progress to its more severe and debilitating form and thereby reducing hospitalization and improving implementation of Right to Education.
RashtriyaBalSwasthyaKaryakram (RBSK) is an important initiative aiming at early identification and early intervention for children from birth to 18 years to cover 4 ‘D’s viz. Defects at birth, Deficiencies, Diseases, Development delays including disability. This aim to improve survival outcomes by decreasing morbidity and improving the quality of life of our children. This programme will reach infants born at public health facilities and at home, covering a significant proportion of the annual birth cohort. In addition, children enrolled under Anganwadi centers and Government schools & Government aided schools are being reached systematically through Mobile Health Teams under RBSK. Thus, early identification of various health condition under RBSK, assured linkage to care, support and early treatment introduces equitable child health care approach which will, in the long run, reduce out of pocket expenditures, reduce the burden of disease, improve awareness and promote health & development amongst the children.
Snehasparsh:
About the Scheme:
SnehaSparsha, literally meaning the ‘touch of love’, is the recent unique Health Care Initiative for Children below 12 years of age launched by the Department of Health & Family Welfare, Government of Assam. The scheme, being implemented by NHM, Assam, was flagged off on 15th April 2013, the first day of Assamese New Year, with an allotted fund of Rs 5 Crore for the Fiscal Year 2012-13.
SnehaSparsha is a striving public health initiative that aims at bearing expenditure of very high-end specialized treatment such as Thalassemia requiring Bone Marrow Transplant, Liver and Kidney transplant, and Cochlear Implant.
Eligibility:
Families with annual income less than Rs. 2.50 Lakh shall be eligible for availing benefits under the scheme, while priority shall be given to BPL families.
The beneficiary or guardians shall have to submit an Income Certificate issued by competent authority such as the Deputy Commissioner, Sub-Divisional Officer, Circle Officer or any other authority notified by Govt from time to time to be eligible for financial assistance.
Place of treatment for disease admissible under SnehaSparsha Scheme:
Treatment of some of the admissible procedures under the Scheme may be done in the Medical College Hospitals and other Hospitals inside the State, whereas treatment of some of the diseases may require referral to suitable Health Institutions outside the State. SnehaSparsha Committee shall recommend, depending on the merit of the case, either referral of a case for super specialty treatment outside the State, or consider reimbursement of the medical expenses incurred while undergoing treatment in the Medical College Hospitals and other Hospitals of the State. For the purpose of referral, the committee shall also recommend the designated Hospital outside the State. For both the groups, financial assistance will be offered under the SnehaSparsha Scheme.
Permitted procedure and the maximum amount admissible: The rates notified are indicative and the actual admissible amount shall be fixed through a transparent process:
1.Bone Marrow Transplant: Children with Leukemia (Blood Cancer) and other conditions like Thalassemia, in which Bone Marrow Transplant may be considered as a mode of treatment.TheSnehaSparsha Scheme will offer financial assistance up to Rs. 10 Lakh per case for referral of such cases to leading Hospitals outside the State equipped with facilities for such treatment.
2.Cochlear implant: Children in need of Cochlear implant will be given assistance up to Rs. 5.35 Lakh per case to BPL beneficiaries and Rs. 3.00 Lakh per case to APL beneficiaries for referral of such cases to Hospitals outside the State, if necessary.
3.Liver Transplant: For Children in need of Liver Transplant, the scheme will offer financial assistance of up to Rs. 16.00 Lakh per case to BPL beneficiaries and Rs. 10.00 Lakh per case to APL beneficiaries.Necessary arrangement shall be made for referral of such cases to leading Hospitals outside the State with state–of–the–art facilities for such treatment.
4.Kidney Transplant: Similarly children in need of Renal Treatment will be given financial assistance up to Rs. 3.00 Lakh per case to BPL beneficiaries and Rs. 2.00 Lakh per case to APL beneficiaries for referral of such cases to Hospitals outside the State, if necessary.
5.Artificial Limb: Children in need of Artificial Limbs will be provided with financial assistance of up to Rs. 1.00 Lakh for Cosmetic Limb and up to Rs. 2.50 Lakh if Motorized Artificial Limb is considered necessary.
6. Blood Cancer: For treatment of Blood Cancer in children with Chemotherapy, financial assistance up to Rs. 1.00 Lakh per case will be given.
7. Specialized Eye Surgery: For children in need of Specialized Eye Surgery like Retinal Surgery or Posterior Segment Procedure, an amount of Rs 15 Thousand will be given as assistance.
8. Tumours: Children suffering from various types of solid tumours needing costly investigations and treatment with Chemotherapy and Radiotherapy will be given financial assistance of up to Rs. 25 thousand. Children in need of cancer related surgery will be given financial assistance of up to Rs. 50 Thousand.
9. Neurological Anomalies: Children born with Neurological Anomalies like Hydrocephalus and Spina Bifida will be given assistance up to Rs. 50 Thousand for investigation, surgical treatment and rehabilitation.
10. Thalassemia: Financial assistance of Rs. 1.00 Lakh will be provided to children suffering from Thalassemia, who are not fit for Bone Marrow Transplant but require specialized treatment like splenectomy, blood transfusion and associated medicines.
Out of these, first five conditions shall be considered for referral outside the State and the rest of the procedures (Sl 6 to Sl 10) treatment is available in the Medical College Hospitals and other Hospitals inside the State.
Mobile Medical Unit (MMU) for TG:
1. Assam is the highest tea producer state in the country with 55% of the total production. About 20% of the total population of Assam belongs to the tea growing communities. They are one of the most backward communities in Assam.
2. Though, as per The Plantations Labour Act 1951 and the Assam Plantations Labour Rules, 1956, a healthcare service in Tea Garden is the responsibility of Tea Garden Management. But in reality, major chunk of the Tea garden population is deprived of proper healthcare facility. Many studies have revealed that Assam is facing a very high Maternal Mortality Ratio (MMR) and in the districts with high tea garden population, MMR is very high (404 per Lakh live births).
3. In order to provide comprehensive primary health care services along with diagnostics facilities, NHM Assam had submitted a proposal to GOI for health facilities exclusively for the Tea Garden areas through deployment of 80 dedicated Mobile Medical Units (MMUs).The Scheme is envisaged to be implemented in an outsourced model, prescribed as per GOI norms, through M/s Hindustan Latex Family Planning Promotion Trust (HLFPPT) which has been selected through open tendering process. The projected annual expenditure will be 29.59 crores.
4. Each MMU consists of two (2) vehicles. First vehicle will be equipped with OPD and laboratory facilitates, IEC material and second vehicle will be used for transportation of MMU Team.
5. Each MMU will have one Medical Officer, one ANM, one Pharmacist, one Laboratory Technician, one Ophthalmic Technician, two Drivers and one Handyman.
6. More Tea gardens shall be covered under the scheme in next phase. Cluster of 4 - 5 Tea Gardens depending on the population & proximity has been formed and against each cluster a MMU has been designated.
7.Purpose of the Mobile Medical Unit is to provide Comprehensive Primary Healthcare comprising of Maternal Health, Child Health, Adolescent Health, and Family Planning. Services of communicable diseases like Malaria, JE, TB, Leprosy etc and non- communicable diseases like hypertension, diabetics, and Blindness control will also be covered.
8. Drugs & consumables will be supplied by Health & Family Welfare Department under Free Drugs Policies.
9.If patients require referral for higher treatment, the MMU team will coordinate with 108/102 for referral and necessary liasoning with the higher facility like First Referral Unit (FRU), District Hospital and Medical Colleges.
10.Tofacilitate the treatment of the referred cases from the Tea Garden areas in the District Hospitals and Medical Colleges a dedicated help desk will be set up.
The Tea Garden MMU will accrue following benefits to the tea Garden Population:
01. MMUs are hospital on wheels; it will make health services available to Tea Garden Population at their doorstep.
02. Difficult and unreached areas where health infrastructure is not available will be covered by MMUs.
03.In Tea Gardens MMR is very high, to reduce MMR quality ANC is very essential. MMU will ensure quality ANC to all the pregnant women.
04.MMU will ensure early Identification of High Risk Pregnancy and referral.
05. Non Communicable Disease (NCD) are very high in Tea Gardens, MMU will ensure early screening and treatment.
06.MMU will make Family Planning services available at door step of the Tea Garden Population, which will fulfill the unmet need.
07. Adolescent Anemia is common in Tea Gardens, nutrition counsel and IFA supplementation will reduce the disease burden.
08. MMU will provide geriatric care to senior citizens at their doorstep.
Villlage Health Sanitation & Nutrition Committee (VHSNC):
The Village Health Sanitation and Nutrition Committee play a vital role in implementing the major initiatives that are planned through the Village Health Plan. It can also be considered as a platform through which all the identified village level needs are fulfilled..
Generally each VHSNC have a strength of 12-15 members where the PRI member plays the role of the president and ASHA is the convenor or member secretary of the concerned VHSNC.Each of the VHSNC is granted with an untied fund of Rs 10000/- every financial year for mitigating the village level needs that are drawn through village health plan.
The VHSNC members have also been trained on the “Hand book of VHSNC members” to make them understand about the relevant guidelines for smooth functioning of the VHSNC.They have also been oriented on the maintenance of the cash book and vouchers for each of the activity that the committee perform.