National Rural Health MissionThe National Rural Health Mission will aim to improve the access and availability of quality health care by people, mainly for those residing in rural areas, the poor, women and children and will strive towards achieving the following goals:
- Access to public health services such as : Women’s health, child health, sanitation & hygiene, water, immunization and nutrition
- To reduce Maternal Mortality Ratio (MMR) and Infant Mortality Rate (IMR)
- Population stabilization, gender and demographic balance
- Prevention and control of contagious and non-contagious diseases, including locally endemic diseases
- Access to integrated comprehensive primary healthcare
- Revitalize local health traditions and mainstream AYUSH
Promotion of healthy lifestyles
With the implementation of NRHM in West Garo Hills, the health scenario in the district has been showing significant improvement. Many gaps were recognized and are consigned not only in infrastructure level but also in the work culture of the health workers at different levels. With the introduction of accredited social health activists (Asha), the community participation along with different health programme activities have increased. Nevertheless, the awareness activities as well as working for the change in many health aspects need to be more thorough.
Efforts are being made to enhance the health status of pregnant women by providing quality care and check up centers at all levels and by improving the accessibility to health care services with regular village health and nutrition day (Vhnds). Introduction on Antenatal check up for ANM, have been supervised and they have been trained on Hb estimation procedure and Sugar investigations/Urine Albumin. Haemoglobinometers have been bestowed in all Sub-centres. The Labour Rooms in CHCs/PHCs have been fixed with maintenance fund/RKS and now all PHC/CHC are conducting deliveries.
Rough estimate of IMR for the district is 54 per thousand live birth, and is under reporting. Likewise the neonatal mortality is also largely under reported. The new home delivery borns are being weighed by ASHAs. They have purchased weighing scale from VHSC funds. It is reported from Village Health Survey that infant deaths are mostly due to ARI, diarrhea and fever.
Although there is less stress on family planning due to political and sociocultural compulsions, it is observed that during Focus Group Discussions held with some couples on Family Planning, there is an accumulating demand for birth control. Focus Group Discussion along with service providers demonstrated that there is lack of counseling for Family Planning methods during antenatal and postnatal periods. They also said that not much of efforts are given for motivation /counseling for Family Planning method. After giving the Alternative Methodology of Training in IUCD for health personnel of 10 CHC /PHCin 2010 from Aug – Sept, it was also found that numbers of IUCD believers are increasing as is evident from the HMIS report where average IUCD insertion prior to training was 75 while from Sept 2009, it has increased to 117.
During the Health Mela held at Ampati CHC on 17/8/09, 11 Tubectomies was performed. It is seen that many clients who want permanent method of birth control do not come to Tura Civil Hospital for sterilization as it is far.
- No. of Village = 1617
- Book 5 : 1617 ASHAs are trained
- Book 1 to Book 4: 1629 ASHAs are in place and are trained
- 1 District Community Process Co-ordinator
- 26 ASHAs Facilitator are in place
- 12 non functioning ASHAs are dropped
- Drug kits, Uniforms, Bags supplied by State has been distributed to all the ASHAs
- 26 ASHAs Facilitator are already in place and cannot facilitate more than 10 ASHAs, so more facilitators will be needed.
- ASHA and ASHA Diary Identity Card issued by DHMS to all the ASHAs.
There are 82 Sub-centres:
- 76 Sub-centres are in Govt. building
- 6 are functioning in community hall/rented house
26 Sub-centres are having:
- 2 ANMs
- 10 Sub-centres have been supplied with Labour Room along with water and electricity supply to conduct deliveries under RSVY fund
- Received Untied fund for 82 Sub-centres and Maintenance fund for 79 Sub-centres
- 7 new Sub-centres are already build but ANM and staffs are not appointed
Mobile Medical Unit (MMU)
One Mobile Medical Unit is employed with 3 vehicles but installation of Ultrasound , X-ray unit, Machine, etc is not yet done.