Under the National Rural Health Mission,
the following key
interventions are being implemented to bring down the mortality rate of
children across all the States of the
country:
(1)
Promotion of Institutional Delivery
through Janani Suraksha Yojana JSY: Promoting Institutional delivery by skilled
birth attendant is key to reducing both maternal and
neo-natal mortality.
(2)
Emphasis on facility based newborn care
at different levels to reduce Child Mortality: Setting up of facilities for
care of Sick Newborn such as Special New Born Care Units SNCUs, New Born
Stabilization Units NBSUs and New Born Baby Corners NBCCs at different levels
is a thrust area under NRHM.
(3)
Capacity building of health care
providers: Various trainings are being conducted under NRHM to train doctors,
nurses and ANM for early diagnosis and case management of common ailments of
children and care of mother during pregnancy and delivery. These trainings are
on IMNCI, NSSK, SBA, LSAS, EMOC, BMOC etc.
(4)
Management of Malnutrition: Nutritional
Rehabilitation Centres have been established for
management of severe acute malnutrition.
(5)
Appropriate infant and young child
feeding practices are being promoted in convergence with Ministry of Woman and
Child Development. Village Health and Nutrition Days VHNDs are organized for
imparting nutritional counselling to mothers and to
improve child care practices.
(6)
Universal Immunization Programme: Vaccination protects children against many life
threatening diseases such as Tuberculosis, Diphtheria, Pertussis,
Polio, Tetanus, Hepatitis B and Measles. Infants are thus immunized against
seven vaccine preventable diseases every year. The Government of India supports
the vaccine programme by supply of vaccines and
syringes, Cold chain equipments and provision of operational costs.
(7)
Janani Shishu Suraksha Karyakaram(JSSK): A new initiative namely Janani Shishu Suraksha
Karyakaram JSSK has been launched on 1st June, 2011,
which entitles all pregnant women delivering in public health institutions to
absolutely free and no expense delivery including Caesarean section. The initiative stipulates free drugs,
diagnostics, blood and diet, besides free transport from home to institution,
between facilities in case of a referral and drop back home. Similar
entitlements have been put in place for all sick newborns accessing public
health institutions for treatment till one year of age.
(8)
Home based new born care HBNC: Home
based newborn care through ASHAs has been initiated by providing incentive of
Rs. 250. The purpose of Home Based New Born Care is to improve new born
practices at the community level and early detection and referral of sick new
born babies.
(9)
Mother and Child Tracking System: A name
based Mother and Child Tracking System has been put in place which is web based
to ensure registration and tracking of all pregnant women and new born babies
so that provision of regular and complete services to them can be ensured.
In the 12th five year plan, the
Government of India has set a target to reduce Infant Mortality rate of 25 per
thousand live births by 2017. The states have been assigned state specific
targets based on their existing Child Mortality indicators. The screening of
all children up to 18 years of age is also being strengthened for early
detection of birth defects, disabilities, deficiencies and diseases and their
management under “Rashtriya Bal
Swasthya Karyakaram” in
order to improve child survival and development.
This information
was given by Minister of State for Health & Family Welfare Shri Abu Hasem Khan Choudhury in
written reply to a question in the Rajya Sabha today.
BN/HB/AS