1. GLOBAL AND NATIONAL
COMMITMENTS AND EXISTING
HEALTH CARE DELIVERY
SYSTEM IN INDIA
HLFPPT

2. Millennium Development
Goals
1. Eradicate extreme poverty and hunger.
2. Achieve universal primary education.
3. Promote gender equality and empower
women.
4. Reduce child mortality.
5. Improve maternal health.
6. Combat HIV/ AIDS, malaria and other
diseases.
7. Ensure environmental sustainability and
8. Develop a global partnership for development

3. National Rural Health Mission 2005-2012
 Reduce the infant mortality rate (IMR) and the maternal
mortality ratio (MMR)
 To have universal access to public health services
 Prevent and control both communicable and non-
communicable diseases, including locally endemic diseases
 To have access to integrated comprehensive primary
healthcare
 Create population stabilization, as well as gender and
demographic balance
 Revitalize local health traditions and mainstream AYUSH
 Finally, to promote healthy life styles

4. NRHM
 ASHA
 1 per 1000
 Performance based incentive
 VHND once a month – organised by ASHA
with AWW

5. Three tier system
Level Type of Facility Population
Primary Level:  Sub-Centre (SC)- ANM,  3,000-5,000
MPW  20,000-30,000
 Primary Health Centre
(PHC) – MO
Secondary Level:  Community Health 80,000-1,20,000
Centre (CHC)/ Block Or entire district
level Primary Health
Centre (BPHC)
 District Hospital (DH)
Tertiary Level (specialized  Specialist Hospitals
system)  Regional/ Central
Institutes /Teaching
Hospitals

6. ICDS
 Anganwadi centres
 1 Anganwadi worker per 1000 population
 Children upto six years, pregnant and lactating
women
 Supplementary nutrition, growth monitoring,
health education

7. Delhi State Health Schemes

8. MAMTA
 Scheme which aims at universalizing Institutional
deliveries
 partnership with willing and eligible Pvt Nursing
Homes.
 Under the scheme for every delivery conducted in the
Nursing home , a fixed package ( 4000/-) from the
office of the CDMO .
 The scheme is being implemented at the district level
through the District Health Society .
 MOU is signed between the IDHS and the Nursing
homes .
 Monitoring and payments to be made from DPMU
under supervision of the CDMO. Funds / Guidelines /

9. MAMTA
 The scheme is for women more than 19
years , belonging to BPL/ SC/ST and for first
two living children.
 BPL Ration Card / SC / ST certificate or
Income proof (< 24,200 /- per year).Residence
proof.

10. Janani Suraksha Yojana
 A GOI scheme under RCH ( Delhi State Health
Mission) scheme
 provides financial assistance to the pregnant
women of BPL / SC /ST category for helping
with the postnatal expenses . (700/- for rural
and 600/- for urban areas.)
 Being implemented in all major hospitals of the
State.
 RCH is the nodal person for the implementation.
 Funds distributed to Districts and from there to
the hospitals.

11. Janani Suraksha Yojana
 BPL / SC / ST >19 yrs. For first two living
children
 BPL Ration card / SC / ST Certificate or a
certificate of income less than 24,200/- per
year by the area councillor/ corporator.

12. INTEGRATED CHILD DEVELOPMENT
SERVICE (ICDS) SCHEME
 Launched on 2nd October, 1975 (5th Five year Plan)
in pursuance of the National Policy
 For Children started in 33 experimental blocks
 Success of the scheme led to its expansion to 2996
projects by the end of March 1994.
 Now the goal is universalization of ICDS throughout
the country.

13. Beneficiaries
1. Children below 6 years
2. Pregnant and lactating women
3. Women in the age group of 15-44 years
4. Adolescent girls in selected blocks

14. Package of services provided by
ICDS
1. Supplementary nutrition, Vitamin-A, Iron and Folic
Acid,
2. Immunization
3. Health check-ups
4. Referral services
5. Treatment of minor illnesses
6. Nutrition and health education to women
7. Pre-school education of children in the age group of 3-
6 years, and
8. Convergence of other supportive services like water
supply, sanitation, etc.

15. RSBY
 For BPL families
 Hospitalization coverage of upto Rs 30,000
 Pre-existing conditions are covered and no age limit
 Beneficiaries are needed to pay Rs. 30 as registration fees
 Government pays the premium upto Rs. 750 per family
 Cashless and paperless transaction
 75% by central government and rest 25% by state
government
 Free OPD consultation
 Free food
 Transportation allowance of Rs 100 at the time of discharge
 Medicines for 5 days post hospitalization

16. Ladli scheme
 Girls born after 2008
 Girls entering class 1, 6, 9, passing 10th and
entering 12th
 Annual family income less than 1 lac
 Limited till 2 girls
 Within 1 year of birth and 90 days of school
admission
 Rs 35000 deposited in installments, which
increases to 1 lac till 18 years of age

17. Kishori Shakti Yojana
• Key component of ICDS scheme which aims at
empowerment of adolescent girls.
• Adolescent girls who are unmarried and belong to
families below the poverty line and school drop-outs
are attached to the local Anganwadi Centres for six-
months of learning and training activities

18. Kishori Shakti Yojana
The objectives of the Scheme are as follows: -
 improve the nutritional and health status of girls in the age
group of 11-18 years
 Non-formal education
 Home-based and vocational skills
 Awareness of health, hygiene, nutrition and family welfare,
home management and child care, and to take all measure
as to facilitate their marrying only after attaining the age of 18
years
 IFA supplementation and deworming
 Life education courses
 Legal literacy
 Supplementary nutrition ion some blocks

19. Rajiv Gandhi Scheme for
Empowerment of Adolescent Girls: SABLA
Ministry of Women & Child Development
Government of India

20. THE SCHEME : SABLA
 Nature of Scheme : Centrally Sponsored
 Target Group : 11-18 years Adolescent Girls(AGs)
 Major Components :
 Nutrition
 Non nutrition services for empowerment of AGs
 For nutrition : 11-14 out of school, 15-18 all girls
 For non nutrition : Focus on out of school girls

21. SABLA : OBJECTIVES
• Improve their nutrition and health status.
• Upgrade their life skills, home-based skills and vocational skills
• Promote awareness about health, hygiene, nutrition, Adolescent
Reproductive and Sexual Health (ARSH) and family and child care.
• Preparing for availing of Public Services such as Health Services,
Post Office, Bank, Police Station, Government offices, etc.
• Mainstream out of school AGs into formal/non formal education
• To enable the AGs for self development and empowerment

22. SABLA: Services
•Nutrition Provision (600 calories and 18-20 gram of
protein)
•IFA supplementation
•Nutrition & Health Education
•Counseling/Guidance on family welfare, ARSH*, child care
practices and home management
•Life Skill Education and accessing public services (also
includes efforts to mainstream into formal/non formal
education
•Vocational training (for girls aged 16 and above) using
existing infrastructure of other Ministries
/Departments:NSDP