10th CRM Report of Andhra Pradesh - Good practices

Transcript:10th CRM Report of Andhra Pradesh - Good practices:
10th CRM Report of Andhra Pradesh - Good practices / Concerns / Recommendations Dr P.Saxena, Additional DDG and 17 other Team members Good practices Strong political commitment for various Health & Family Welfare activities under NHM driving community awareness about healthy lifestyle and family welfare measures. 2nd ANM is in position under NHM in almost all Subcentres, with only 3% vacancies. 85% children born (0-11 months age) are fully immunised, as against 65% reported in NFHS-4. High level of use of I.T. in implementation of NHM activities. Free Drugs scheme e-aushadi operational, free Diagnostics available -19 tests in PHCs, 40 in CHCs, 63 in Area and District Hospitals. 277 Mobile Medical Units providing Fixed day health services - taking healthcare closer to the community - especially continuum of care for HT, DM. Pradhan Mantri Surakhsit Matritva Abhiyan (PMSMA) being effectively rolled out with high utilization. TB Care:- mandatory TB notification being done, CBNAAT services and PMDT services available. Special campaign “Domalpai Dandayatra” to create awareness in the community about mosquito control. Every Friday is observed as ‘Dry Day’ for Vector control and every Saturday as ‘Sanitation Day’. ‘Mosquito breeding prevention act’ has been approved by State Cabinet. 80% blood collection in State is from Voluntary blood donors. Concerns In spite of good RCH initiatives under JSY/ JSSK, deliveries in govt. health facilities consistently below 50% of the total institutional deliveries - 42% in 2013-14 to 45% in 2016-17 (upto Sept 2016). Only 112 out of 265 identified First Referral Units are functional. Low expenditure under NUHM – Urban PHC being converted to e-UPHC in PPP mode but service delivery not planned as per NHM Guidelines. Delays in payments for JSY and ASHA incentives. All 13 districts covered under NPCDS however NCD Cells and Clinics yet to become fully operational. Lack of proper training sites at district and state level- Trainings are conducted at DM&H office. Delay in transfer of funds available for 2016-17 under RCH and Health System Strengthening from State Treasury to State Health Society. Recommendations Need for strengthening of State and District teams for Community Processes with essential basic support viz, mobility and internet support. State needs to take initiatives for improving Institutional deliveries in Govt. Health facilities and take measures to make timely payments for JSY and ASHA incentives. Vulnerability assessment with comprehensive mapping of urban slums and slum like settlements should be undertaken at the e-