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XI Five Year Plan 2007-2012 - Public Health & Family Welfare ...

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The State has already started many initiatives to take care of the poor health<br />

indicators. One of the major intervention that the state is pursuing is promotion of<br />

institutional delivery. This intervention can lead to significant improvement in IMR &<br />

MMR. The startegy involves two major kind of interventions - one, creating demand by<br />

providing incentives to pregnant women of disadvantaged sections to come to<br />

institutions for delivery and two, strengthening supply side by providing institutions that<br />

take care fo the needs of such women.<br />

The demand side has been taken care of through new schemes like Janani<br />

Suraksha Yojana (Government of India Scheme under NRHM), Vijayaraje Janani<br />

Kalyan Bima Yojana (Insurance scheme that covers the expenses of institutional<br />

delivery in government or private institutions upto Rs. 1000 for all BPL families) and<br />

Scheme for Free Referal Transport & Treatment (All women of SC/ST & all women of<br />

BPL are given free transport to come to government hospital for delivery and also all<br />

expenses on delivery are taken care of through the government system) have been<br />

initiated and are working quite satisfactorily.<br />

On the supply side, institutions are being equipped with staff & equipments so<br />

that a pregnant woman does not have to travel more than 15 km to reach to a 24-hour<br />

functional institution. These interventions are supported through RCH II, NRHM &<br />

State Budget. These activities will be in prime focus in the 11th <strong>Five</strong>-<strong>Year</strong> <strong>Plan</strong> and the<br />

State will need to increase the number of institutions that can provide 24-hour services<br />

and also expand the existing institutions to take care of the increased demand. The<br />

State aims to open new institutions (PHC/CHC) on the basis of 2001 Census and<br />

population norm. The increased demand is also going to cause a significant increase<br />

in the expenditure incurred on the cash incentives under the three schemes mentioned<br />

above.<br />

The new drug policy of the state will help in increasing the supply of medicines<br />

almost three times. This will improve the availability of medicines to poor outdoor<br />

patients significantly. The needs of the poor indoor patients are being taken care of<br />

through Deendayal Antyodaya Upchaar Yojana. The scheme provides free treatment<br />

to BPL families on hospitalization upto an annual limit of Rs. 20,000. The scheme was<br />

applicable to only BPL SC/ST families but has been extended to all BPL families this<br />

year. In case of critical ailments, expenses upto Rs. 1.50 lakh per individual for a BPL

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