Social Development Service

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26/05/2016

102 Services



24x7 Free Referral Transport Services for Pregnant Women and Sick Infants under National Ambulance Services through 102 call centre

Background:

The ‘Janani Sishu Surakshya Karyakram’ (JSSK), a flagship programme under NHM, envisages cashless deliveries including Caesarian Sections and Sick Newborn Services (up to the age of one year) at certified/notified public health institutions, in both rural & urban areas, in the State. This scheme is aimed at mitigating the burden of out of pocket expense incurred, at public health institutions, on delivery & new born services for transportation, drugs, diagnostics, blood, diet & user charges for availing services.

Moreover, it is observed that delay in reaching to an appropriate health facility is one of the major attributes, contributing to high Neo-Natal Mortality & Maternal Mortality. This is mainly either due to lack of readily available and affordable transport facility or inaccessibility / distance for which people fails to access institutional health services.

Hence, steps were taken in past to operationalise Janani Express in the State to ensure free referral transport for pregnant woman and sick neonates. Accordingly, 462 ‘Janani Express’ were engaged in different health institutions of the State, since 2008. These Janani Express were 4-wheeler transport carrier, hired locally on contractual basis for a period of one year on the basis of out sourced criteria.

However, the cost effectiveness and coverage of Janani Express is not very encouraging due to absence of Centralised Call Center, no tracking through GPS and poor management of vehicle due to large number of vehicles owners engaged at the district level. The coverage of beneficiaries (home to institution) has never reached 60% and drop back is only 40%, in spite of allowed efforts. In many JE, the average patient transport per month is less than 20.

Therefore, in order to maximize the benefit in accordance with the JSSK mandate, Government of Odisha has decided to outsource the task to an external agency (service provider) selected through competitive bidding process for operation & management of Centralized Call Centre ‘102’, so as to ensuring the provision of round the clock free referral transportation services under ‘National Ambulance Services’ to all eligible beneficiaries under JSSK. Accordingly, one agency namely Ziqitza Health Care Ltd. were selected through national competitive bidding process to manage the 102 Ambulance Services.

Objective of 102 Services:
The objective of this service is to provide timely assured round the clock transportation services to pregnant women & sick infants of the State in free of cost.

26/05/2016

108 Services



National Ambulance Service
A joint Initiative of MoHFW, GoI and Govt. of Odisha


A. Background:

The Government of Odisha has initiated comprehensive pre-hospital emergency medical service with introduction of a fleet of ambulances to cover the entire State in a phased manner. The aim is to provide Emergency Ambulance Service free of cost to the people of Odisha. This will facilitate an integrated and comprehensive emergency health care management in the State providing high-end ambulance transportation system from the doorstep of the patient to the appropriate care in a hospital. The aim is to provide quality emergency care transport within the shortest possible time in an emergency, ensure delivery of quality emergency care across the chain of services with a proper emergency management system. This fleet will comprise of both ‘Basic Life Support’ (BLS) and ‘Advance Life Support’ (ALS) ambulances.


B. Salient features:

Emergency Medical Ambulance Service’ (EMAS) has been implemented in the entire State in a phased manner. In the first phase fifteen districts i.e; Sundargarh, Sambalpur, Angul, Dhenkanal, Keonjhar, Mayurbhanj, Balasore, Bhadrak, Jajpur, Cuttack, Puri, Khurda, Ganjam, Rayagada and Koraput, have been covered with launching of 280 Ambulances (56 ALS and 224 BLS) and in 2nd phase 140 BLS Ambulances have been rolled out in the remaining 15 districts of Jagatsinghpur, Kendrapara, Deogarh, Sonepur, Bolangiri, Bargarh, Jharsuguda, Kalahandi, Gajapati, Nuapada, Nabarangapur, Malkangiri, Kandhamal, Boudh and Nayagarh.

As per the WHO norm, there will be one ambulance per one lakh population at an average with the mix of Advance Life Support (ALS) and Basic Life Support (BLS)



Positioning of the ambulances is the prerogative of the Service Provider. The ambulances will so positioned in a manner that each ambulance to cover an area of 30 Kms in radius and serving a population of 1 lakh.



The average response time of 20 minutes for urban locations, 25 minutes for semi-urban and 35 minutes for rural locations will be kept as performance parameters



24x7 pre-hospital emergency ambulance services within golden hour.



Services of ambulances shall be availed by dialling 108 toll free number.



All the ambulances will be monitored though GPS tracking system.



Ambulances will be equipped with sophisticated emergency medical equipments for pre-hospital care.



Ambulance will be manned by specially trained Medical Technicians, helper and Driver. Whenever required the EMT can seek medical advice with getting instructions from highly trained doctors sitting in round the clock call centre.



Uninterrupted functioning of round the clock centralized call centre at IDCO Tower, Bhubaneswar to attend Emergency Response Service ensuring that no call is left unattended.


C. Expected outcomes:
24x7 pre-hospital emergency transportation care (Ambulance) services across the State within agreed response time.

Reduction of maternal and child mortality as well as deaths and disabilities providing medical attention within golden hour.
Management of disaster and epidemic outbreaks.

Uninterrupted functioning of the call centre/ control room and overall Emergency Response Service ensuring that no call is left unattended.

D. Modus of operandi:

Government shall finance and own all capital assets under the project. However, the Agency shall provide necessary technical and managerial support including trained manpower and required software (Call Centre, Advance Vehicle Tracing using GPS technology) to implement and operate the emergency medical ambulance service in the manner set out by the department.

The responsibility of the agency shall include entire activities required to install and implement the service as per the agreed terms and conditions set out in the RFP. The procurement of assets shall be done by the Agency through the Purchase Committee having four members from Government side following the public procurement principles and procedures.

Performance Parameters (till July 2015)

Urban-19 Min 9 Sec( (Target -20 minutes )

Semi urban- 21 Min 29 Sec (Target-25 minutes)

Rural-33 Min 45 Sec (Target -35 minutes)
Average trip per Ambulance per Day-5.77 trips/day/Ambulance

26/05/2016

Urban Health (NUHM)



Govt. of India has launched the National Urban Health Mission (NUHM) as a sub-mission under overarching National Health Mission (NHM) for providing quality primary health care services to the urban population, especially the urban poor and other vulnerable sectors of the society, vide resolution No. L.19017/1/2008-UH (Vol-III), dated 15/05/2013 of MoH&FW, Govt. of India. The duration of the mission is from 2012-13 to 2016-17.



NUHM will cover the State capital, all District Headquarters and all Cities/towns with a population of more than 50,000.

Result of the sub-mission: The interventions under this NUHM will result in reduction in Infant Mortality Rate (IMR) and Maternal Mortality Ratio (MMR), universal access to reproductive health care and convergence of all health related interventions.

26/05/2016

Rastriya Bal Swasthya Karyakram (RBSK)

Health is one of the important aspects of life, which not only determines physical condition of a person but also influences socio-economic-educational status of the family. In Odisha, Child mortality (under five) rate is 82, As per Annual Health Survey, 2010-12, Infant mortality rate is 57, SRS-2012 .It envisages that health problems starts from early age, is a burden for the family as well as the State, about 65% children (0-5) years are anemic, NFHS-III. 1.23 lakhs students are identified as disabled/ physically challenged OPEPA, 12-13.

NRHM under Department of Health & Family Welfare has taken several initiatives for building a healthy society. Rashtriya Bal Swasthya Karyakram (RBSK) will be a major intervention in early detection and complete treatment of physical problems. The Dept of Health & Family Welfare, Govt of Odisha is going to implement RBSK programme from the year 2013-14. The programme aims to cover over 1.21 crores children from birth till 18 years under its domain. Screening of the new-born, both at home & public-health facilities, Pre-schooling children up to 6 years from Anganwari centres & school going children & adolescents from age 6-18 years studying in Government & Government aided schools will be the targeted beneficiaries under this programme.

Under RBSK Programme 30 identified health conditions under ‘4D’ approach to be addressed through Child Health Screening and Early Intervention services. The dedicated Mobile Medical Team will be engaged at each Block to cover at least once in a year to non-Residential Schools, bi-annually to Anganwari centres and quarterly to the Residential Schools. The children seeking special care will be focussed through District Early Intervention Centres (DEIC) & empanelled Hospital for specific case.
Hence, sincere efforts will be given from health screening till complete treatment under the programme to achieve desired outcome for child health care in the State.

26/05/2016

Tribal Health- NHM

Under tribal RCH programme various activities has been undertaken for better health status of the tribal people like-

Maternity Waiting Home (Maa Gruha) special initiatives for promotion of institutional delivery in inaccessible pockets,

Tribal health camps and VG project for particularly vulnerable tribal groups (PVTGs),

Provide Scholarship to SC & ST girls studying GNM/B.Sc Nursing courses.

1. Maternity Waiting Home (Maa Gruha):

It is a temporary home for expectant mothers where they can wait for safe delivery. On onset of labour, they are to be shifted to nearby health facility having BeMOC facilities for delivery. No post-partum cases will be allowed to stay at this Home. Ideally it should be located nearer to the hospital.

Objectives of Maa Gruha:

To establish alternative support infrastructure for addressing communication problems in difficult tribal pockets for ensuring institutional delivery.
To increase institutional delivery in the difficult tribal pockets.

2. Tribal health camps:

Health is a pre requisite for human development and it is essentially concerned with the wellbeing of common man. The health behaviour of the individual is closely linked to the way he or she perceives. Outreach activities like health camps specifically for particularly Vulnerable Tribal Groups (PVTGs) are a pivotal step to meet the prime diseases during the high prone months in tribal hard to reach areas. Hence, Bi-annual health camp is needs to be organized in this areas for the community those are residing in the hard to reach areas and affecting various common health diseases like-Malaria, Tuberculosis, Diarrhoea, Jaundice and Child malnutrition etc.

Objectives:

a) In order to provide primary Health care services to the tribal’s living in the remote and hard to reach tribal settlements.

b) The awareness regarding prevention, services regarding diagnosis, treatment and referral services towards tribal people.

3. Vulnerable Group Project:

Vulnerable communities residing in remote & inaccessible pockets are underserved due to problems of geographical access and those who suffer social and economic disadvantages such as Primitive Tribes, Scheduled Castes/Scheduled Tribes (SCs/STs) etc. The RCH indicators of vulnerable population are very low than the District/ State average. Marginalization results in poorer social indicators for these groups, including maternal and child health indicators. This can be as much a result of service provider behavior as of health seeking behavior and capabilities. NRHM, has taken initiatives to address the health/RCH issues of those area with focus attention on strengthen capacity, effectiveness and participation of civil society, with specific recommendations of District health authority and other stakeholders. This concept of RCH is to provide to the beneficiaries need based, client centred, demand driven, high quality and integrated RCH services. The overall strategy of NRHM, Govt. of Orissa is to strive for obtaining RCH arrangements for the whole population and to promote and make available contraceptive/ terminal methods for desirous couples. This integrated approach will help in reducing the cost of inputs as the overlapping of expenditures will no longer be necessary and the integrated implementation will optimize the outcome at field levels. This programme incorporates inputs from Govt. of Orissa as well as funding from external donor agencies. Since the implementation of the planned measures under NRHM, it is one of the mandates to improve the health and wellbeing on the vulnerable masses residing in hard to reach areas or in cut off zones. With high incidences of maternal and child mortality rate and ratio than of the district and state average, it seems to be a great challenge to improve the health indicators and to address the health needs at par with the rest of the state.

26/05/2016

Centre of Excellence for Communication (CoE)

Numbers of activities have been undertaken in the field of Health Communication & IEC/BCC in the State during 2011-2012. Inauguration of Centre of Excellence for Communication, under the Directorate of State Institute of Health and Family Welfare is one of the major achievements during 2011-12.

About CoE

Centre of Excellence (CoE) is mandated by the Department of Health and Family Welfare, Government of Odisha, as a state level institution under State Institute of Health and Family Welfare for promoting behaviour change amongst communities on health, nutrition and water and sanitation. CoE brings communication experts from the different directorates of Health, Women and Child Development and Rural Development together under a single umbrella to conceive, plan, implement and monitor communication activities to meet common programmatic goals. It is envisaged that CoE will handle communication activities of all Government Departments in the future.

Goals and Objectives

Setting up an institution for communication of national / international standard having affiliation with recognized Universities / Academic centers of repute

Design and Develop Communication strategies, plans and produce quality materials on behavior change communication

Build affiliations with recognized institutions in providing capsule courses on BCC.

To provide strategic training and capacity building of communication cadre on latest communication approaches and management

To strengthen inter sectoral partnerships through strategic communication planning and implementation to achieve programmatic goals.

Provide effective managerial support in monitoring and evaluation of BCC activities of flagship programmes.

Provide research and analysis support on communication for the state

Provide technical support in procuring services related to communication materials and management.