Empowered Groups On The Management Of Covid-19
Govt. of India has constituted 11 Empowered Groups on 29th March 2020 on different aspects of COVID-19 management in the country to take informed decisions on issues ranging from
(i) medical emergency planning,
(ii) availability of hospitals, isolation and quarantine facility, disease surveillance and testing,
(iii) ensuring availability of essential medical equipment,
(iv) augmenting human resource and capacity building,
(v) supply chain and logistics management,
(vi) coordination with private sector,
(vii) economic and welfare measures,
(viii) information, communications and public awareness,
(ix) technology and data management,
(x) public grievance and
(xi) strategic issues related to lockdown.
These groups have been restructured on 10th September based on the need and evolving scenario.
Ayushman Bharat aims to holistically address health (covering prevention, promotion and ambulatory care), at primary, secondary and tertiary level by adopting a continuum of care approach. In the lifetime of an individual, the primary healthcare services cater to 80-90% of the healthcare needs. The preventive and promotive healthcare needs for the improved healthcare outcomes and quality of life of the population.
- Ayushman Bharat comprises of two components:
- The first component pertains to creation of 1,50,000 Health and Wellness Centres (AB-HWCs) by upgrading the Sub Health Centres (SHCs) and rural and urban Primary Health Centres (PHCs), in both urban and rural areas, which will bring health care closer to the community.
- The second component is the Ayushman Bharat-Pradhan Mantri Jan ArogyaYojana(AB-PMJAY). Under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY).
National Urban Health Mission
National Urban Health Mission (NUHM) was approved on 1st May, 2013 as a sub-mission under an overarching National Health Mission (NHM), NRHM being the other sub-mission.
- NUHM envisages strengthening the primary health care delivery systems in urban areas and for providing equitable and quality primary health care services to the urban population with special focus on slum dwellers and vulnerable population.
- It also seeks to de-congest secondary and tertiary health care facilities (District Hospitals/Sub-District Hospitals/Community Health Centre) by providing robust comprehensive Primary health care services in urban areas.
- NUHM covers all cities and towns with more than 50,000 populations and district headquarters and State headquarters with more than 30,000 population.
- The remaining cities/ towns continue to be covered under National Rural Health Mission (NRHM).
- As part of Ayushman Bharat, the existing UPHCs are being strengthened as Health & Wellness Centres (HWCs) to provide preventive, promotive and curative services in cities closer to the communities.
As per the report of Sample Registration System (SRS) released in July 2020 by the Registrar General of India (RGI), Maternal Mortality Ratio (MMR) of India has declined from 122 per 100,000 live births in 2015-17 to 113 per 100,000 live births in 2016-18.
Surakshit Matritva Aashwasan (SUMAN):
Ministry of Health & Family Welfare (MoHFW) launched the SUMAN Initiative on 10th October 2019 with the aims to provide assured, dignified, respectful and quality healthcare, at no cost and zero tolerance for denial of services, for every woman and newborn visiting the public health facility in order to end all preventable maternal and newborn deaths and morbidities and provide a positive birthing experience.
Under SUMAN, all existing schemes for maternal and neonatal health have been brought under one umbrella in order to create a comprehensive and cohesive initiative which goes beyond entitlements and provides a service guarantee for the entitlements.
Midwifery Educator Training
The Government of India has taken a policy decision to roll out Midwifery Services in the country in order to improve the quality of care and ensure respectful care to pregnant women and newborns.
“Guidelines on Midwifery Services in India, 2018” was released during the Partners Forum held in December 2018 at New Delhi.
The first batch of 6 months Midwifery Educators training has been initiated on 6th Nov 2019 at National Midwifery Training Institute, Telangana.
Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)
Since inception, more than 2.60 crore Ante-Natal Care (ANC) check-ups conducted, more than 19.61 lakhs High risk pregnancy identified and more than 6,000 volunteers registered under PMSMA.
In the FY 2020-21 (upto 9th December 20), 16.78 lakhs ANC checkups conducted under PMSMA, whereas more than 2.36 lakhs High Risk Pregnancy identified and 274 volunteers registered under PMSMA.
Since the inception (December 2017) of LaQshya (upto 9th November 2020) , 263 Labour Rooms and 229 Maternity OTs have achieved National Certification under LaQshya.
During FY 2020-21 , 08 Labour Rooms and 08 Maternity OTs have been Nationally certified for LaQshya.
Facility Based Newborn Care (FBNC) program
894 Special Newborn Care Units (SNCUs) at District/ Medical College Level and 2,579 Newborn Stabilization Units (NBSUs) at the level of FRUs/ CHC levels are functional to provide services to sick and small newborns.
A total of 6.73 lakhs sick newborns received treatment in Special Newborn Care Units (SNCUs) at District Hospitals and Medical Colleges (April-November, 2020).
The country has recently celebrated “National Newborn Week-2020” with the commitment of “Ensuring Quality, Equity and Dignity of Newborn Care at Every Health Facility and Everywhere”.
Two very important harmonized training packages under Facility Based New-born Care Program – “NavajatShishu Suraksha Karyakaram (NSSK)” and “New-born Stabilization Units (NBSUs)” for capacity building of health care providers were released on 20th November 2020.
Home Based Newborn Care (HBNC) program
A total of 25.38 lakh newborns received complete schedule of home visits by ASHAs whereas 80,774 identified sick newborns were referred to health facility by ASHAs during the period of April-June 2020.
Home Based Care of Young Child (HBYC)
For FY 2020-21, the existing 242 Districts (2019-20) have been expanded with additional 275 Districts i.e. total 517 Districts for providing Home Based Care for Young Child (HBYC) program.
More than 29.5 Lakhs young children (3 months-15 months) visited by ASHAs during April-September, 2020.
National Deworming Day (NDD)
During 10th round of NDD conducted in February 2020, around 11.02 crore children in the age group of 1-19 years had been provided Albendazole tablets against the target of 11.66 crore children of the same age group.
11th round of NDD is being implemented in 34 States and UTs during the period of August-November, 2020.
Nutrition Rehabilitation Centres
Nearly 2.25 Lakhs Severe Acute Malnutrition (SAM) children with medical complications received treatment at 1,072 Nutrition Rehabilitation Centres during 2019-20.
During 2020-21 (April-September’20) , 32,129 Severe Acute Malnutrition (SAM) children with medical complications received treatment at 1,077 Nutrition Rehabilitation Centres (NRCs).
Lactation Management Centres (LMCs)
As of FY 2020-2021, till June 2020 (1st quarterly progress report), 15 CLMCs and 2 LMUs are established in 7 States (Maharashtra, West Bengal, Goa, Gujarat, Madhya Pradesh, Tamil Nadu and Uttar Pradesh).
AnemiaMukt Bharat (AMB) program (April-September, 2020)
1.11 crore children of age group 6-59 months were provided 8-10 doses of Iron Folic Acid (IFA) Syrup every month
50.7 lakh children of age group 5-9 years were provided 4-5 IFA Pink tablets every month
62.4 lakh children of age group 10-19 years (in school) provided 4-5 IFA Blue tablets every month
16.7 lakh children of age group 10-19 years (out of school girls) provided 4-5 IFA blue tablets every month
1.04 crore pregnant women and 9.74 lakh lactating women were provided 180 IFA Red tablets.
Rashtriya Bal Swasthya Karyakram (RBSK)
During FY 2020-21, due to COVID 19 pandemic field activities by Mobile Health Teams of RBSK Program got affected. 19.31 Lakhs newborn screened at Delivery points under RBSK Program during April-September, 2020).
Social Awareness and Actions to Neutralize Pneumonia Successfully (SAANS)
SAANS Campaign rolled-out in the States/ UTs from 12th November, 2020 – 28th February 2021 with aims at accelerating action against Childhood Pneumonia by generating awareness around protect, prevent and treatment aspects of Childhood Pneumonia and to enhance early identification and care seeking behaviours among parents and caregivers.
National telemedicine services
The National Telemedicine Service “eSanjeevani” is a digital health initiative of the Ministry supports two types of teleconsultation services-Doctor-to-Doctor (eSanjeevani) and Patient-to-Doctor (eSanjeevani OPD) Tele-consultations.
eSanjeevani was rolled out in November 2019 as an important component of the Ayushman Bharat Health and Wellness Centre (AB-HWCs) programme.
It aims to implement tele-consultation in all the 1.5 lakh Health and Wellness Centres in a ‘Hub and Spoke’ model, by December 2022.
NHM in States identify and set up dedicated ‘Hubs’ in Medical Colleges and District hospitals to enable tele-consultations services to ‘Spokes’, set up at SHCs and PHCs.
On the 13th April 2020, the MoHFW rolled out ‘eSanjeevaniOPD’ – the patient to doctor tele-consultation service owing to the COVID-19 pandemic during the lockdown when OPDs in the country were shut down.
eSanjeevani has completed 8 lakh consultations on 20 November 2020.
Over 11,000 patients are seeking health services on a daily basis in 27 States/UTs.
The top ten States which have registered highest consultations through eSanjeevani and eSanjeevaniOPD platforms are Tamil Nadu (259904), Uttar Pradesh (219715), Kerala (58000), Himachal Pradesh (46647), Madhya Pradesh (43045), Gujarat (41765), Andhra Pradesh (35217), Uttarakhand (26819), Karnataka (23008), Maharashtra (9741).
National Centre for Disease Control (NCDC)
National Centre for Disease Control (NCDC) is the key premier institute of the country and is mandated for surveillance, response, epidemiological investigation with its ten divisions (headquarters in Delhi) and has 8 branches (located at Alwar (Rajasthan), Bengaluru (Karnataka), Kozhikode (Kerala), Coonoor (Tamil Nadu), Jagdalpur (Chhattisgarh), Patna (Bihar), Rajahmundry (Andhra Pradesh) and Varanasi (Uttar Pradesh).
National Digital Health Mission (NDHM)
On 15th August 2020, the Hon’ble Prime Minister announced the implementation of National Digital Health Mission (NDHM) in the country with a vision to create a national digital health ecosystem as proposed in NDHB.
The NDHM is envisaged to be implemented in phase wise manner.
- Phase 1 to cover 6 UTs on pilot basis.
- Phase 2 will cover additional States with expansion of the services.
- Phase 3 will target nation-wide roll-out, operationalizing and converging with all health schemes across India along with promotion, on-boarding, and acceptance of NDHM across the country.
Currently, the NDHM is being implemented in 6 Union Territories (Andaman & Nicobar Islands, Chandigarh, Dadra & Nagar Haveli and Daman & Diu, Lakshadweep, Ladakh and Puducherry) in Phase: I, on pilot basis. Services like issue of Health ID, creation of registries for Doctors & health facilities and creation of personal health record have been initiated.