To improve the availability of and access to quality health care by people, especially for those residing in rural areas, the poor, women and children. GOAL

Health Indicators Current Status & Goals INDICATORS RAJASTHAN INDIA CURRENTGOAL 2011CURRENTGOAL 2010 CRUDE BIRTH RATE (2004) INFANT MORTALITY RATE (2004) <30 MATERNAL MORTALITY RATIO (1998) <100 TOTAL FERTILITY RATE (NFHS-II) COUPLE PROTECTION RATE (2005)

Process Indicators for Achieving Goals IndicatorsPresent Level 2006 Goals for 2011 Full ANC Complete immunisation of children Unmet need Institutional deliveries 14.7 % 48 % 15 % 31.4 % 60 % 85 % 5% 70%

NRHM PHIEC NDCP Health Determinants Nutrition Sanitation Sector Wide Concept RCHAYUSH RHSDP Drinking Water

NRHM State Health MissionState Health Society State Project Management Unit District Health MissionDistrict Health Society Block Health & Sanitation committee CHC District Project Management Unit MRS PHC MRS Village Health & Sanitation committee Sub Centre Untied Fund ASHAPW

NRHM NRHM Stakeholders ARC, SIHFW, IEC AYUSH, PRI, DWCD TSC, NGOs, PPP Transport, DPR Education, Coop,

Village Level 30,000 ASHA Sahyogini selected & trained (1 st Round) MCHN Day being organised in all 40,000 villages Panchamrit campaign for underserved areas ( 20,000 pregnant women registered and 6.5 lac children immunized) Microplanning for MCHN – Social Mobiliser identification Community Needs Assessment survey completed  Village Health & Sanitation Committee to be activated  Village Household Survey to be undertaken  Village Health Plan to be developed  Identity Card & Drug Kit for ASHA under process

Strengthening Health Facilities 800 Sub Centre to be upgraded Joint Bank Account of ANM & Sarpanch opened in Sub Centres. Untied Fund of Rs /- p.a. transferred to these accounts. Untied fund used for buying weighing machine, B.P Instrument, repairs etc Rs. 25,000/- released to all PHCs for strengthening Rs. 1,00,000/- released to all CHCs. Telephone connectivity in all PHC/ CHC Funds received from GoI to upgrade all 325 CHCs to IPHS CHCs being developed with RHSDP and Consultant Agency

Components of IPHS Hospital Building – RHSDP Housing – NRHM Drugs & Equipments – NRHM & RHSDP Manpower – State Government / NRHM Training – NRHM

Man Power Planning under NRHM Under NRHM implementation frame-work following additional manpower arrangements are envisaged :- *2 ANM Sub Centres. *3 Staff Nurse per PHC *7 Specialists and 9 staff nurse per CHC. *District cadre of ANMs and doctors. *Contractual engagements of doctors/specialists through Medical Relief Societies/District Health Societies. *Block Level Management of health system. *Incentives for rural posting of doctors.

Operationalising 24 * 7 Facilities 360 institutions selected for 24 * 7 services360 institutions 42 District/ Sub Division Hospitals, 213 CHCs, 105 PHCs One functional facility in all 237 Blocks Facility Survey completed for 180 institutions. Ensuring functional services to be a priority of District Administration.

Mapping of 360 Institutions Back

Other Initiatives Population Stabilization Pilot in Tonk & Jhalawar Swasthya Sakhi Project initiated in 5 districts (Jhalawar, Barmer, Banswara, Bharatpur & Sikar) Kaithun CHC telemedicine pilot with Sir Gangaram Hospital School Health Programme Drug supply for Sub Center / PHC/ CHC

Action Plan & Challenges Monitoring as per the State / District Template Microplanning at village level Support & Mentoring of ASHA- Sahyogini Preparation of Village/ Block / District Action Plan Ownership by stakeholders Mainstreaming & empowering Programme Management Units.

Fund Flow under NRHM Funding for for RCH / NRHM was Rs crore Allocation for is Rs crore, including :  RCH flexi fund : Rs crore  NRHM flexi fund : Rs crore  National Disease Control Programme : Rs crore  CSS : Rs crore Ensuring payment to ASHA-Sahyogini Timely submission of SoE / UC to enable fund flow Observance of Financial propriety

KEY THEMES FOR NRHM Promotion of institutional deliveries through Janani Surksha Yojana. Advocacy and action for legal age at marriage. Improved access to quality contraception services. Action against sex selection and female foeticide.

ARCSIHFWIEC Technical backstopping in Training Development of IEC material Intersectoral Coordination pertaining to ASHA Involving NGOs to strengthen the Programme Formation of VHC and VHT Organize Monthly meeting of Mentoring Group Provision of services of Helpline Organizing ASHA Sammelan, Exposure visits Facilitation of Focused Group Discussion in Villages State Health System Resource Centre (SHSRC) PNDT Cell Human Resource Management Agency Nehru Yuvak Kendra Bhartiya Lok Kala Mandal University of Rajasthan Professional Agency Media Back

AYUSHPRIDWCD Mainstreaming DH/ CHC/ PHC RCH Camp IEC NDCP Institutional framework Village / Block/ District Action Plan Role of – IGPRI:  PRIs Training  Jan Sanwad  Health Data  JSY MCHN Day ASHA-Sahyogini CNAA Micro planning Nutrition JSY Back

TSCNGOPPP Toilet Construction ASHA – Sahyogini Package JSY Helpline ASHA Mentoring Group Immunization MNGO Blindness Mobile Medical Unit District Action Plan Sterilization, IUD JSY Doctors, Specialists ANM TCs PHCs Health Insurance/ Community Based Health Insurance Back

Transport, DPR, Education, Cooperative IEC & Awareness Social Marketing Back