National Rural Health Mission - Amravati

• Accreditation of private health facilities also needs to be done to ensure wider availability of
this service, through District Accreditation Committee as laid down in
the MTP Act.
• District level committee to accredit private sector for MTP services need to be activated and
pending applications for accreditation should be processed on priority.
• Physical progress on this may please be shared every quarter.
• Funds should also be kept for monitoring the operationalisation of Safe Abortion Services.
4. RTI/STI services:
• Training should be as per the GoI guidelines on RTI/STIs.
• Holistic Plan including training of staff, provision of drugs, lab investigations and convergence
with the NACP (THROUGH SACS) is advised for comprehensive RTI/STI services.
• Funds for strengthening of facilities for RTI/STI services have to be kept.
• Funds for heads like equipments, infrastructure etc. should be budgeted under
respective RCH II/ NRHM head.
• Ensure privacy and full treatment as per National Guidelines on Prevention, Management
and Control of RTI infections including STIs.
• Ensure that Wet Mount is available for Diagnosis at health Facilities.
• Funds should also be kept for monitoring the operationalisation of RTI/STI services.
5. Maternal Death Review(MDR):
• Facility based MDR: All health facilities should maintain meticulous records of maternal
deaths with finer details including patient's particulars and probable cause of death. An audit
is conducted at the facility level and subsequently the report is shared with the district CMO
for further action. FBMDR should start initially at District Hospital and Medical Colleges and
later on at block level and accredited private sector facilities should also be included within
scope of these reviews.
• Line listing of maternal deaths occurring at accredited private sector facilities should be done
and the records of these deaths subjected to audit at District level.
• Community based MDR: Line listing of maternal deaths should be done through the
ANMs/ASHAs/ other community resource and the audit of such deaths should be done at the
block/district level.
• GoI is in the process of finalizing simple tools for conducting both the audits. However the
states can continue the process of maternal death audits as before.
• The tools of MDR may be shared with GoI and should be initially limited to 2‐3 districts as a
pilot and cost involved in such pilots vis‐a‐vis benefits be analyzed before scaling up.
6. VHNDs:
• Since VHNDS is a platform all RCH activities, so state should ensure that all these activities
should take place holistically. The efforts should be for providing all planned services like
ANC, PNC, Immunization and Counseling services as per the GOI guidelines.
• Too many types of the out reaches should be avoided and thrust should be on
comprehensive VHNDs.
• Wherever possible FGDs should be conducted for maternal deaths taking place.
• Monitoring and ensuring quality in all VHNDs should be done.
• Funds for monitoring of VHNDs session should be kept.
• Stress should be also on missed/lost cases for ANC.
• VHNDs should be linked with provision of facilities at institutions.
• The focus should be on regular VHNDS and mobile units should be utilized only for those
areas where VHNDs cannot be organized.
• In RCH II focus is on Operationalising health facilities and as such camp/mobile mode is
suggested for hard to reach areas.