National Rural Health Mission - Amravati

• Holistic planning for operationalisation of 24* 7 PHCs should be done and should be linked to
infrastructure, procurement, drugs/medicines; state has also to plan for training of MOs esp. in
Basic Obstetric Care and SNs/LHVs/ANMs in Skilled Birth Attendance.
• Funds for heads like equipments, infrastructure etc. should be budgeted under respective
RCH II/ NRHM head.
• Facilities operationalized should be as per GOI Guidelines.
• Besides linking components of HR, infrastructure including newborn care corners etc, preference
to be given to those facilities for up‐gradation and operationalisation where delivery load is
substantial.
• Geographical mapping must be carried out to identify those facilities for upgradation to 24*7
PHCs, which are located in areas with no other functional facility nearby.
A. SERVICES:
1. ANC, INC, PNC:
• State is requested to ensure that post delivery mother should stay for at least 48 hours
which is quite necessary to provide full range of care. Any infrastructure improvement plan if
needed should be undertaken accordingly.
• Monitoring during OR/VHNDs sessions should be strengthened so that quality of ANC
including IFA tab etc, PNC is ensured.
• Tracking of missed out and left out cases of ANC, PNC should be done.
• State has to gear up to provide full ANC of good quality.
• Comprehensive Monitoring plan for these activities should be developed and budgeted.
2. Institutional Delivery including JSY:
• Micro Birth Planning should be emphasized as a part of JSY.
• 48 hr stay post delivery should be emphasized especially among JSY beneficiaries.
• Benefits under JSY should be as per GoI norms.
• Qualities of services being provided under JSY are poor, facilities are overcrowded and
beneficiary are discharged before 48 hours, micro plan is not in place, as per JSY evaluation.
There is a need for augmenting manpower and provision of beds in the health facilities.
• JSY deliveries should be co‐linked with service provision and facility upgradation and
budgeted accordingly.
• Tertiary facilities are overloaded so micro plan should promote primary and secondary
facilities for services.
• Grievance‐redressal mechanism should be established.
• Funds should also be kept for monitoring visits.
• Guidelines on record up keeping (physical and financial) should be disseminated.
• TBAs should not be promoted as primary provider of deliveries.
• Support to MCs under JSY should not be budgeted under RCH.
• JSY benefits to the clients delivering at accredited private health facilities can be provided
either to the beneficiary or to the service provider from GoI funding, within the approved JSY
limit. Any benefits beyond the approved limit needs prior approval
from MoHFW.
3. Safe Abortion Services:
• State should plan for Comprehensive Abortion services as per GoI guidelines.
• There should be focus on comprehensive abortion services (MVA, EVA, MA) upto FRU/CHC
level and at least MA, MVA at 24*7 PHCs.
• Funds for heads like equipments, infrastructure etc. should be budgeted under
respective RCH II/ NRHM head.