Health Care System in India and Uttarakhand.

Government of India is committed to the goal of ‘Health for All’  The obligation of the Government to ensure the highest possible health status of India’s population and access to quality health care has been recognized by a number of key policy documents.Health care system supplement in improving the health of individuals, particularly those belonging to socially and economically disadvantaged groups,which is a key objective of the Indian government and a major consequence of a Constitution.

Recognizing the importance of Health in the process of economic and social development and improving the quality of life of our citizens, the Government of India has resolved to launch the National Rural Health Mission to carry out necessary architectural correction in the basic health care delivery system.

Since 2008-2009, the Uttarakhand state has been pursuing the activities for Mainstreaming of AYUSH under NRHM. Efforts have been made to strengthen AYUSH health care facilities by colocating them to CHCs, PHCs and Additional PHCs.

Under Universal access to basic health facilities consisting of health card, medical examination following programs / facilities have been initiated by Central and State Government in Uttarakhand:-

  • National Rural Health Mission (NRHM)
  • National AIDS and STD Control Programme
    Under the programme, following activities are carried out:
    (i)Preventive measures,
    (ii) Targeted Intervention among High Risk Groups,
    (iii) Information, education and communication activities in States and UTs,
    (iv) Treatment of sexually transmitted infections, (v) Blood safety and quality assurance,
    (vi)Integrated Counselling & Testing facilities including prevention of Parent to Child Transmission,
    (vii) Rural outreach through Link Worker Scheme,
  • National AYUSH Mission (NAM)
    Under the mission activities, it is aimed to provide AYUSH services at health centres and promotion of farming of medicinal plants
  • Supply of Contraceptives
     Supply of condoms to consumers free of cost; Condom Social Marketing and publicity campaign.
  • Assistance to Voluntary Organisations for Welfare of SCs
    Grant support to NGOs/ voluntary organisations for service activities such as medical centres, dispensaries.
  • Health System Development Project (EAP)
     the capacity of existing health service providing institutions are strengthened by way of stewardship and capacity building and involvement of Private Partners in providing health services.
  • Mukhyamantri Swasthya Sudrikaran Yojana
     health card is being provided to families for getting free of cost treatment in selected hospitals for identified diseases.
  • Safe Blood Transfusion Services
     Safe Blood Transfusion Services are being provided through Blood banks.
  • Integrated Child Development Services (ICDS)
     children of age group 0-6 are immunised
  • Beti Bachao Beti Padhao
    The specific objectives of the scheme are:
    i.Prevention of gender based sex selection
    ii.Ensure survival of girl child
    iii.Protection of the girl child and
    iv.Ensure education of the girl child.
  • Janani Suraksha Yojana (JSY )
     Cash incentive is provided to mothers delivering in hospital. In this scheme, the States where there is a low rate of Institutional deliveries is classified as ‘Low Performing States (LPS)’ (the States of Uttar Pradesh, Uttaranchal, Bihar, Jharkhand, Madhya Pradesh, Chhattisgarh, Assam, Rajasthan, Odisha and Jammu and Kashmir), whereas the remaining States are termed as High Performing States (HPS). Cash benefits to them are as under:
    Low Performing State: Mothers’ package (₹1400), ASHA Package (₹ 600) totalling ₹ 2000.
    High Performing States: Mothers’ package (₹ 700), ASHA Package (₹ 600) totalling ₹ 1300. These costs are applicable to rural areas only.
  • Rajiv Gandhi Scheme for Empowerment of Adolescent Girls (RGSEAG) - SABLA
    The scheme has special focus on adolescent girls of the age group, 11 to 18 years. The scheme has two major components namely, nutrition and non-nutrition component.
    Nutrition is being given in the form of Take Home Ration or Hot Cooked Meal to out-of-school girls of age group 11-14 years and to all adolescent girls of age group 14-18.
    In the non-nutrition component, the out-of-school adolescent girls of age group 11 to 18 years are being provided IFA supplementation, Health check-up and Referral services, Nutrition and Health Education, Counselling and guidance on family welfare, Adolescent Reproductive Sexual Health (ARSH), child care practices, Life Skill Education and vocational training.
  • Integrated Child Development Services (ICDS)
    Following services are sponsored under ICDS:
    1.Immunisation of 0-6 age group children
    2. Supplementary nutrition to children, pregnant women and lactating mothers
    3.Health check-up of children, pregnant women and lactating mothers
    4.Referral services
    5.Pre-school non-formal education to children 6.Nutrition and Health information to women.
  • National Nutrition Mission
    Basic activities under National Nutrition Mission:
    (i)Strengthen and restructure the ICDS scheme,
    (ii) Introduce a multi-sectoral programme to address maternal and child malnutrition in selected 200 high-burden districts,
    (iii) Introducing a nation-wide information, education and communication campaign against malnutrition and
    (iv) Making nutrition a focus in the programmes and schemes of line Ministries.
    (v)This scheme is now a sub-scheme under Integrated Child Development Scheme.
  • Indira Gandhi Matritva Sahyog Yojana (IGMSY )
    Cash assistance directly to pregnant and lactating women (P & L Women) from the end of 2nd trimester of pregnancy up to 6 months after delivery. ₹ 6000 provided to the pregnant and lactating women in response to fulfilling specific conditions related to health and nutrition of mother and child. The scheme would address short-term income support objectives with long-term objective of behaviour and attitudinal change. The scheme attempts to partly compensate for wage loss to pregnant and lactating women both prior to and after delivery of the child.
  • Aajeevika - National Livelihood Mission
     Food Security Risk fund is provided to SHG/ volunteer organisations, cluster level SHG federation. In addition, activities such as IEC on education and nutrition are conducted in VO / SHG meetings.
  • National Institutes for Blind, Deaf, Mentally Retarded and Orthopedically
    They provide professional training courses with a view to developing trained manpower in the disability sector and also providing various other rehabilitation services.
  • Aids and Appliances for the Handicapped
     Grants-in-aid to various implementing agencies to assist the needy disabled persons in procuring durable, sophisticated and scientifically manufactured, modern, standard aids and appliances that can promote their physical, social and psychological rehabilitation. PWDs can get the aids and appliances.
  • Artificial Limbs Manufacturing Corporation
    Empowerment of Persons with Disabilities and restoration of their dignity by way of manufacturing and supplying durable, sophisticated, scientifically manufactured modern and ISI standard quality assistive aids. The aids are supplied to PWDs
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