Solar powered health facilities amp ASHA programme Best Practices Innovations Health goes green in Tripura with up to 90 of health facilities powered through solar U ninterrupted power supply maintained primarily through ongrid systems ID: 1047593
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1. TRIPURA
2. Best Practices: Solar powered health facilities & ASHA programme
3. Best Practices/ InnovationsHealth goes green in Tripura with up to 90% of health facilities powered through solar: Uninterrupted power supply maintained primarily through on-grid systemsWell-functioning ASHA programme: Excellent training process: ASHAs are tested basis a quiz designed by the District ASHA Programme Manager with the highest quiz score receiving an annual award10-point performance measurement system is well-implemented with identification of low/poor performing ASHAs10% of the seats for MPW (Females) have been reserved for ASHAs having at least 5 years of service and with necessary educational and other requirements
4. Major FindingsHealthcare infrastructure and scheme implementation needs improvement: Non-functional NBSUs and NRCs in districts visited Upgrade ambulances/MMUs to ALS/BLS status Weak biomedical equipment maintenanceQuality and availability of health services needs strengthening:Poor implementation of Free Drugs and Diagnostics scheme; frequent stock-outs and high out of pocket expenditure observedPoor implementation of RMNCH services: entire package of lab tests and services not available during ANC checkups; significant unmet need for Comprehensive Abortion Care services observedIn adequate staff knowledge on Quality Assurance mechanisms; absence of SOPs in wards and labour rooms; poor adherence to BMW management protocols
5. Major FindingsDisease control programmes need greater focus: CD programmes: DOTS services not being provided to all patients at PHCs/SCs; Limited/No screening of TB patients for diabetes; Delayed detection of leprosy cases due to insufficient skills and knowledge of medical personnelNCD programmes: non functional NCD clinics; infrequent cancer screening; poor monitoring and low visibility (IEC/BCC) of programmes on tobacco control, oral health and prevention of deafness Unsatisfactory fund management systems with untimely transfer of funds from the treasury to SHS and further to the district levelWeak HR systems in place: Deployment of specialists concentrated at district level, limited access to specialized services in interior areas Inadequate skill assessment systems during recruitment and in service; pre-service and in-service training needs development Limited visibility and circulation of vacancy adverts with low response timelines
6. Action Taken
7. Current scenario
8. Recommendations & follow-up actions..
9. Recommendations & follow-up actions..
10. Recommendations & follow-up actions..
11. Recommendations & follow-up actions..
12. Achievements 2016-17…..Bio-medical equipment maintenance rolled out covering all health facilities (Except GBP Hospital).Tele radiology service implemented in 20 Health Institutions.National Free Dialysis service started in 02 DH & likely to be functional in 03 DH more within 1 month05 UPHC operationalized and 80 Mahila Arogya Samities are in place & trained. ‘Swachh Bharat Mission’ : Kayakalp initiated in all health facilities and 11 hospitals in 08 Districts awarded. 03 Mobile Blood Vans procured & are on Road.
13. Plan for next 6 months…Contract awarded for CT Scan in 03 District Hospitals. Likely to be operational by August 17 end.04 SNCU in 4 District Hospitals, 4 NBSU in 4 SDHs are functional. 02 NRC in High Priority areas will be functional within next 02 month.Process initiated for out sourcing for Emergency Response Services with 17 ALS & 3 BLS by converging Referral transport fund of JSSK.HRMIS implementation is in process with help from NICEDSS under implementation in collaboration with AIIMS & PHFI in 40 health facilitiesPopulation based screening for NCDs & 03 common cancers in 02 Districts
14. PFMS Status in % (Percentage)
15. Thank You