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Budget Estimates for 2008-09 - National Portal of India

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Activities<br />

1. Recruiting RCH link volunteers (LV) <strong>for</strong> referral <strong>for</strong> ANC /PNC/spacing/<br />

immunization in slum areas.<br />

2. A sum <strong>of</strong> Rs.250/- monthly has been kept in budget <strong>for</strong> support to each Mahila<br />

Mandal.<br />

3. Operationalize CHC sec 22, CHC Manimajra to provide 24 hours delivery,<br />

comprehensive emergency obstetric care and essential newborn care.<br />

4. Increase the number <strong>of</strong> ANMs/LHVs as per the norms <strong>of</strong> urban health centre.<br />

5. Fixed day ANC clinics by ANMs at each slum/ urban area;<br />

6. Make special ef<strong>for</strong>ts to reach the poor and the marginalized by community<br />

mobilization and outreach camps.<br />

7. Training <strong>of</strong> all ANMs/LHVs in providing quality antenatal services.<br />

8. Post-partum contacts by AWW / Link volunteers according to a recommended<br />

schedule <strong>for</strong> care <strong>of</strong> the mother and the baby<br />

9. Provide quality MTP services at 2nd tier institutions and in the private sector.<br />

10. Operationalize and implementation <strong>of</strong> PNDT Act under constant vigilance.<br />

11. BCC activities<br />

12. To check MTP centres not approved by Appropriate Authority.<br />

13. Operationalize diagnostic and treatment services <strong>for</strong> RTI/STI services at all 2nd<br />

tier institutions.<br />

14. To define clear role <strong>of</strong> SACS, U.T. and RCH programme in RTI/ STI services.<br />

Child Health (including IMR, NMR)<br />

Objectives<br />

1. Reduce neonatal morbidity and mortality<br />

2. Improve care <strong>of</strong> the sick neonates, infants and children<br />

3. Improve facility based care <strong>of</strong> neonates and children.<br />

4. Promote breast feeding and complimentary feeding.<br />

5. Improve quality and coverage <strong>of</strong> routine immunization services<br />

Strategies<br />

1. To provide essential newborn care to all newborns<br />

2. To provide emergency newborn care in all 2nd tier institutions.<br />

3. To promote referrals from slums and villages.<br />

4. To provide basic care <strong>for</strong> diarrhoea and ARI in the slums<br />

5. Improve coverage and quality <strong>of</strong> facility based care <strong>of</strong> neonates and children.<br />

6. Develop innovative schemes to protect poor and promote private sector<br />

participation in provision <strong>of</strong> health care<br />

7. Promote exclusive breastfeeding.<br />

8. Promote complimentary feeding<br />

9. Achieve 100% coverage <strong>of</strong> primary immunization <strong>for</strong> children and antenatal<br />

mothers with full coverage <strong>for</strong> TT.<br />

10. Reduce BCG to measles drop out to zero levels.<br />

11. To increase access to injection safety and reduce AEFI<br />

12. To evaluate the immunization status by an external agency<br />

13. To cover all the children living in rural and slum areas <strong>for</strong> Hepatitis B and MMR<br />

vaccine.<br />

Activities<br />

1. To strengthen emergency newborn care in all 2nd tier institutions.<br />

2. Ensure home visits by ANM/LHV/link volunteers in slums according to schedule.<br />

3. Birth weight <strong>of</strong> all neonates to be recorded.<br />

4. To ensure aseptic measures to be followed during delivery and while handling<br />

the newborn.<br />

5. All obstetricians, pediatricians and nurses should be certified in management <strong>of</strong><br />

birth asphyxia.<br />

6. Special well equipped ambulance with facility <strong>for</strong> resuscitation should be made<br />

available <strong>for</strong> transport <strong>of</strong> sick neonates. It should be manned by two nurses with<br />

certification in management <strong>of</strong> birth asphyxia. Total 3 drivers and 10 nurses are<br />

required <strong>for</strong> 1 such 24 hour ambulance in Chandigarh.<br />

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