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tamil_nadu.ppt

  1. 1. Dr. DAREZ AHAMED, IAS., MISSION DIRECTOR, NATIONAL HEALTH MISSION, TAMIL NADU.
  2. 2. POPULATION India 1210 Million Tamil Nadu 72.10 Million 32 Districts in Tamilnadu
  3. 3.  Population- 7.21 crores.  Decadal growth rate 15.60% (2001-2011).  Seventh most populous state in India.  6% of country’s population.  Lowest TFR of 1.7 in the country.  One of the most urbanised states (48.45%) in India  Consists 1.1 crore Eligible Couples. ABOUT TAMIL NADU
  4. 4. % OF HIGER ORDER OF BIRTH (3 & ABOVE)
  5. 5. Current Use of Family Planning Methods in Tamil Nadu (NFHS-IV) - Acceptors 53.2 %
  6. 6. % OF P.S. IN TOTAL STERILISATION
  7. 7. TRENDS IN PPIUCD PERFORMANCE
  8. 8. METHOD WISE PERMANENT STERILISATION PERFORMANCE 2015-16
  9. 9. TRENDS IN PPIUCD PERFORMANCE
  10. 10. METHOD-WISE PPIUCD PERFORMANCE
  11. 11. GRAVIDA WISE MATERNAL DEATH ANALYSIS 2015-2016
  12. 12. Why strategy had to be changed:  MMR 25, IMR 10 by 2023 is target set by our vision document.  High risk Non acceptors had to be brought in to the system , shift from population stabilization strategy to RMNCH +A strategy. The DFW needs this fundamental reorientation to shift from target based to maternal and child health related interventions.  7.9 % HOB contributes 25% of MMR  Lack of spacing directly contributing to MMR, IMR and other morbidities.  The best way to tackle high risk non acceptors is to counsel them when they are in the health facilities. (99.9% institutional deliveries). The most receptive period in non acceptors is during this period.
  13. 13. Strategy contd..  Imparting tubectomy training and life saving skill in anaesthesia trained MBBS doctors which has been a key strategy in implementation of PPS even at the level of CHC .  PPIUCD doesn’t require repeat visit to the facility, and state is looking at strengthening MVA/MMA as a logical corollary to PPIUCD as an RMNCH+A strategy. Over the counter abortifacients has been a signifanct contributor to MMR about 1%.  100 block strategy is being implemented by having specific action plans for blocks. (Reasons were as varied as unmet , religious , etc)
  14. 14. HOB blocks. Sl. No. Name of the District Name of the Blocks % of HOB 2014 No of Maternal Deaths 2014-15 1 Namakkal Kolli Hills 24.4 1 2 Tiruvannamalai Jawad Hills 21.7 0 3 Tiruvannamalai Chengam 21.5 1 4 Villupuram Kalrayan Hills 19.6 1 5 Tiruvannamalai Thiruvannamalai 19.2 4 6 Tiruvannamalai Thandrampattu 19.2 0 7 Karur Thogamalai 18.2 2 8 Tiruvannamalai Pudupalayam 17.9 3 9 Vellore Pernampet 17.6 2 10 Vellore Alangayam 17.3 1
  15. 15. 11 Villupuram Mugaiyur 17.3 1 12 Tiruvannamalai Kalasapakkam 17.1 3 13 Sivagangai V.Pudur 16.7 0 14 Vellore Jolarpet 16.6 1 15 Villupuram Thirukoilur 16.5 1 16 Tiruvallur R.K. Pet 16.5 0 17 Thoothukudi Alwarthirunagari 16.3 2 18 Thoothukudi Udankudi 16.2 0 19 Salem Tharamangalam 16.1 0 20 Dharmapuri Pennagaram 15.8 1 Sl. No. Name of the District Name of the Blocks % of HOB 2014 No of Maternal Deaths 2014- 15
  16. 16. INSTITUTIONS PERFORMING PPIUCD Name of the Institution No. of institution performing PPIUCD 2016-17 MEDICAL COLLEGE HOSPITALS 21 GOVERNMENT HOSPITALS 214 PRIMARY HEALTH CENTRES 239 URBAN HEALTH POSTS 24 TOTAL 498
  17. 17.  Universal awareness of post partum services  99.6 % of deliveries are institutional  All the pregnant mothers are registered for antenatal care and tracked using PICME  Easy accessibility of post partum sterilisation and PPIUCD services  Motivation by medical and para medical staff during hospitalisation POSITIVE ATMOSPHERE FOR POST PARTUM STERILISATION AND PPIUCD
  18. 18.  Follow up visits at Village level by VHN, SHN, AGW etc  Confidence on the Survival of the baby – IMR has come down to 20/1000 live births  100% Antenatal, Natal & Postnatal Care resulted in increasing safe delivery practice  Reduction in visits to facilities in PPIUCD POSITIVE ATMOSPHERE FOR POST PARTUM STERILISATION AND PPIUCD
  19. 19.  Health Education & Behavioural Change Communication have helped in removing the Social Taboos to some extent & creating awareness  Constant Post Operative visit, early recognition of complication & Prompt management of complications have resulted in reduction in morbidities & mortalities in Sterilisation  Periodic review of failures by the quality assurance committee and updating the knowledge of Service Providers POSITIVE ATMOSPHERE FOR POST PARTUM STERILISATION AND PPIUCD
  20. 20.  State Level review on sterilisation deaths by the panel of experts  This leads to early redressal of problems associated with such incidence  Prompt Payment of all Financial assistance to the acceptors and service providers POSITIVE ATMOSPHERE FOR POST PARTUM STERILISATION AND PPIUCD

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