High Priority Districts Objectives - G

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Presentation Transcript

High Priority Districts:

High Priority Districts Health Activities

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To accelerate the achievement of Millenium Development Goals for improved maternal and Child Survival. The Strategy document on Reproductive Maternal Newborn Child Health + Adolescent.

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The Government of India has also identified high priority districts based on key Child and maternal mortality and health, nutrition,water and Sanitation and HIV service coverage indicators and number of hard to reach blocks

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With a view to improving infant mortality rate (IMR) and maternal mortality rate (MMR) in Krishnagiri, Vellore, Viruthunagar, Tiruchirappalli,Tiruvannamalai,Tirunelveli and Madurai the seven districts have been identified as high-priority districts (HPDs) in Tamil Nadu.

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NRHM would run special programmes in these HPDs for vaccination, nutritional needs and to provide more health facilities to mothers and children, which could improve their health.

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Besides, incentives would be given to specialists, nurses and other staff members in these HPDs. The United States Agency for International Development (USAID), World Health Organisation (WHO) and United Nations International Children's Emergency Fund (UNICEF) would provide technical assistance in these programmes for effective implementation.

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The need for a holistic approach to end preventable child deaths. A comprehensive approach was required that included not only increasing coverage of key child survival interventions, but also the related social determinants such as girls' education, adolescent health, maternal nutrition and environmental determinants.


Fact-file Indicators revealed that the seven districts required maximum and immediate intervention of the health department workforce. The indicators included number of average institutional deliveries, reporting during pregnancy, proportion of children getting all immunisations, reporting of antenatal and post-natal cases and number of families adopting methods for family planning. The officials, who claim to have best available partners, said that they had an adequate number of Village Health Nurses(VHN) and auxiliary nurse midwives (ANMs) and Staff Nurses with best available tools and techniques with which they would focus on the said districts at their door steps.

'Institutional delivery, vaccinations can bring down mother, infant mortality' :

'Institutional delivery, vaccinations can bring down mother, infant mortality' “Mortality rate among mothers and newborns can be brought down only by 100% institutional delivery and proper vaccinations,” Doctors of the health department and auxiliary staff in maternity hospitals should be dedicated and sincere.

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“People should keep an eye on unauthorised nursing homes engaged in abortions and illegal tests, and inform the department on its helpline. The health department had succeeded in enhancing vaccination among children 70% to 90%. “Parents should extend their active co-operation to make it 100%. People should prefer delivering children in hospital as risk factors at home endanger the lives of mother and child,”

The Key Tasks :

The Key Tasks Developing the District Level RMNCHA Unit (SRU/DRU) Consisting of development partners from the departments of Health, HIV, Nutrition, Rural Development (WASH), as well as UNICEF and other civil society partners, Medical Colleges/training institutes and professional bodies.

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To develop a District Level Score Card reflecting Maternal Child Health (MCH) status of the district like maternal and child survival, mortality and service coverage indicators from available data sources like Health Management Information System (HMIS), Pregnancy In Infant Cohort Monitoring & Evaluation PICME, Cash Transfer Schemes, ICDS,TANSACS,CMIS and others at the state and district level.

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Strengthening regular monitoring and supportive supervision at the district level to identify key gaps in coverage of MCH service and quality of card to marginalized groups

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To develop areas specific plans for addressing key gaps in Health, HIV, Nutrition, Water and Sanitation services and formulate the Supplementary Programme Implementation Plans (PIPs).

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To identify development partners, map their geographical presence, nature of work and area of expertise related to different sectors at district level.  

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