Success-Stories-on-Health-Sector
Success-Stories-on-Health-Sector
Success-Stories-on-Health-Sector
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JHarKHanD<br />
mis For malnutriti<strong>on</strong> trEatmEnt CEntErs (mtCs)/nutriti<strong>on</strong><br />
rEHabilitati<strong>on</strong> CEntrEs (nrCs)<br />
ProblEm statEmEnt<br />
Severe and Acute Malnutriti<strong>on</strong> (SAM), increases the<br />
risk of death am<strong>on</strong>g children, under five, to upto<br />
nine times. According to NFHS-III (2005-06) about 11.8%<br />
of children below 5 years of age, in the State, have a very<br />
low weight for height (< - 3SD) with limited access to care.<br />
On the basis of these estimates, at any given point in time<br />
there may be around 5 lakh children, in Jharkhand, who<br />
need to be treated for SAM.<br />
Under NHM, Department of <strong>Health</strong> and Family Welfare<br />
has established a network of 88 Malnutriti<strong>on</strong> Treatment<br />
Centre which provide facility based care and treatment<br />
to children with severe and acute malnutriti<strong>on</strong>. The State<br />
is equipped with 1025 beds to cater to severely wasted<br />
children.<br />
ProgrammE DEsCriPti<strong>on</strong><br />
an initiative has been taken up by the<br />
department (with support from UNICEF) to<br />
establish a robust m<strong>on</strong>itoring and reporting<br />
system. A new <strong>on</strong>line MIS has been created<br />
which will improve the child wise data entry<br />
through built in validati<strong>on</strong> checks, improve<br />
follow-up mechanism through SMS based<br />
tracking, strengthen linkages between health<br />
and ICDS to improve bed occupancy and<br />
assist the District Collectors, Civil Surge<strong>on</strong>s<br />
and others to track progress of malnutriti<strong>on</strong><br />
treatment centres in their districts. The data sets<br />
will be automatically compiled at the district/<br />
State level and system generated reports can be<br />
viewed by the nodal officers.<br />
Levels of M<strong>on</strong>itoring<br />
Under the new MIS, provisi<strong>on</strong>s have been<br />
made for specific dashboards for State and<br />
district officials, as well as system generated<br />
letters for improving bed occupancy and<br />
follow-up.<br />
ProgrammE outComEs<br />
Major advantages of the <strong>on</strong>line MIS are as follows:<br />
• accurate reporting with inbuilt checks and validati<strong>on</strong><br />
tools.<br />
• Real time transmissi<strong>on</strong> of informati<strong>on</strong> from the MTC<br />
to the State level.<br />
• Strengthening the follow up mechanism: automatic<br />
SMS alerts to caregivers and Sahiya/AWW for timely<br />
follow up of the children discharged from the MTCs.<br />
• Promoting counselling at AWC level: Counselling<br />
messages to Sahiya/AWW <strong>on</strong> topics like breast<br />
feeding, complementary feeding, hygiene and<br />
growth m<strong>on</strong>itoring activities in order to assist her<br />
in counselling the caregivers of children discharged<br />
from the MTC.<br />
• M<strong>on</strong>thly SMS to officials: The system is enabled to<br />
send SMS to officials (State and districts) giving them a<br />
brief report <strong>on</strong> all outcome indicators (Bed Occupancy<br />
Rate, Cure Rate and avg. Weight gain Rate). This may<br />
be used as a m<strong>on</strong>itoring and review tool.<br />
•<br />
Software is equipped with additi<strong>on</strong>al features wherein<br />
media clipping, official letters and initiatives can be<br />
uploaded.<br />
C<strong>on</strong>tact<br />
Email: chjharkhand@gmail.com<br />
144 | Making a Difference : good, Replicable and innovative Practices