National Rural Health Mission

Health and Family Welfare Department Government of Gujarat

2

The Paradigm Shift under NRHM• Decentralised planning• Outputs and Outcome based• Pro-Poor Focus: Equitable systems• Quality of Care and the IPHS norms

• Rights based service delivery• Pre stated entitlements at all levels• Inputs computed as function of the entitlements and

estimated patient load• Judicious mix of dedicated budget lines - untied funds• Monitor quality

• Community Participation

3

The Paradigm Shift under NRHM• Bringing the public back into public health

• At hamlet level : ASHA, VHSC, SHGs, Panchayats.• At the facility level: RKS• At the management level : health societies

• Governance reform• Manpower, Logistics & Procurement processes.• Decision making processes• Institutional design, Accountability framework

• Convergence• Water and sanitation• Nutrition• Education

• Reduce maternal and child mortality - address malnutrition

• Address adverse sex ratio

• Stabilize population

• Effectively implement the national health Programmes

• Enhance equity, quality, access, cost-effectiveness and satisfaction with health services

• Provide state of the art health and medical education relevant to local needs

• Provide an environment in which the health team blossoms fully to lead a fulfilling life and effectively achieves the above goals

Our Goals

Current Status

Indicator India Gujarat

Maternal Mortality Ratio 301 172

Infant Mortality Rate 57 50

Maternal Deaths in one year 81000 2000

Infant Deaths in one year 1539000 60000

Objectives ( by 2010):

Universalize coverage of antenatal care (100%)

Increase the deliveries attended by SBAs

90%

Increase institutional deliveries by 80%

increase access to Emergency Obstetric Care for complicated deliveries

Increase coverage of Post Natal Care (90%)

Increase access to Early & Safe Abortion services

Improve access to RTI/ STI services

Introduce AFHS in all PHC/ CHCs.

Maternal Health

100136

389

172202

0

100

200

300

400

500

1989 1999-01 2001-03 2007-08 2010

Mat

erna

l Dea

lth

Target

SRS Maternal Mortality in India:1997-2003

Maternal Mortality (per lakh

live births) in Gujarat

Broad Issues

• Non - availability of O & G specialists• Accessibility of services-Tribal and urban

slums• Poor utilization of services-

Low felt need of health & medical services

Lack of user friendly & quality public health services

Costly private health and medical services

No health insurance coverage

Strategies• Chiranjeevi

Yojana• Extended Chiranjeevi

Yojana

• Janani Suraksha Yojana

• Operationalising FRUs/B/CEmOCs/, training of MOs in LSAS and training of SBA.

• Appointment of staff nurses at PHCs for safe delivery & specialists on call basis.

• Monitoring of each pregnant mother as per EDD and birth micro plan prepared & Involving EMRI.

• Incentive to the staff in govt. for the better performance (state govt. initiative)

• Outreach Primary health care through MAMTA Abhiyan

Trend in deliveries

53.21

67.6377.83 80.58

48.57 46.79 42.9736.76 32.37

22.17 18.95

51.4357.03

63.2455.87

44.13

0.0010.0020.0030.0040.0050.0060.0070.0080.0090.00

2001-02

2002-03

2003-04

2004-05

2005-06

2006-07

2007-08

2008-09

(avgas on

Oct 08)

Institutional deliveries % Home %

DLHS-III (2007 -

08): 56.5%

NFHS-III (2005 -

06): 55%

CRS (2007): 63.3%

MICS (2008): 67.2%

Source: Form No 9 State report

Our Achievement: 54 poor performing talukas (having less than 70% institutional delivery rate) reduced to 39

as on (Oct 2008)

OCT 07 OCT 08

Above 80%60 – 79.99 %Below 59.99 %

Effect of Chiranjivi on Institutional Delivery (Pilot District)

45.1

46.0

36.5

53.3

62.6

88.4

79.8

69.5

88.9

88.7

0 10 20 30 40 50 60 70 80 90 100

Sabarkantha

Banaskantha

Panchmahals

Dahod

Kutchh

% Institutional Delivery- Current Status

% Institutional Deliveryat the time of Initiationof Chiranjivi

Chiranjeevi Performance (Month wise): 2007-08 & 2008-09

63877453 7540

8924

1084611475

1050711465 11628

1068711404

6857

85479351

112031125611404 1187012727

11331

0

2000

4000

6000

8000

10000

12000

14000

April MayJu

ne July

AugSep

t

Oct Nov

Dec Jan

FebMarc

h

2007-08 2008-09

Chiranjeevi

Yojana

contributes on an average 14-16% to Institutional deliveries in the state every month 2008 -

09

Total Deliveries

under Chiranjeevi

scheme

Expect

ed

Matern

al

Death

Maternal death

reported under

Chiranje

evi

scheme

Mothers saved under

Chiranje

evi

scheme

Expected New born

death

New born death

reported under

Chiranjee

vi

scheme

New born

saved

258361 1033 50 983 9818 1028 8790

Outcome of Chiranjeevi Scheme:

Mothers & New Born babies saved ( Up to Nov-08)

•Normal Deliveries: 226538•C-Section: 15857 (6.14%)•Complicated Deliveries: 15966 (6.18%)•Private specialist enrolled: 869/2000

88.7 88.9

79.7 79.888.4

83.076.0

83.0

70.178.3

93.4

25.530.2

14.710.0

44.1

20.1

7.211.9

22.0

7.2 8.6

18.0

40.4

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

Sabark

anthaBan

askan

thaVad

odaraPan

chmahalDah

odBharuchNarm

ada

Surat Tapi

Valsad

Navsa

riDan

gs

% of Institutional delivery % of CY deliveries against institutional delivery

Tribal districts

9 18 42 229 733 1304 1656 1964 28814683

808511274

1336316191 16974

950 1448 18513496

7027

1007511656

13403

16780

20396

28095

34490

40602

50869 49888

0

10000

20000

30000

40000

50000

60000

70000

80000

Sep-07

Oct-07 Nov-07

Dec-07

Jan-08 Feb-08 Mar-08 Apr-08 May-08

Jun-08 Jul-08 Aug-08

Sep-08

Oct-08 Nov-08

Total Emergencies

Total Pregnancy related Emergencies

No. of Medical Emergencies

2,91,026 No. of Pregnancy Related Cases 79,406 (27.28%)

EMRI

Objective• To reduce Neonatal mortality and Infant mortality • To ensure IYCF practices.• Growth monitoring and Nutrition practices. • To ensure full immunization. • To reduce morbidity & mortality among children due to

Diahorreal & ARI diseases.• To reduce the Low birth weight babies & malnutrition

among child.

Child Health

Infant Mortality Rate - Gujarat

30

50

6369

010

2030

4050

6070

80

NFHS-1 NFHS-2 NFHS-3 2010

Rat

e

Strategies : Child Health

• Implementation of IMNCI/ENBC in 18 districts, started in 2006

• Mamta Abhiyan (Divas,Mulakat, Nondh, Sandarbh) implementation & convergence of Health with ICDS. Started in 2006

• Training of health workers in Immunization; Cold chain handler’s training• Immunization strengthening: RIMS, fully operational as from 2007

• Upgrading skills of MBBS doctors in Emergency Newborn Care

• Strengthening Government facilities for newborn care (new born corner, Sick baby corners & neonatal care units )

• “The Bal Sakha Yojana” PPP for newborn care under process

• Pediatrician on call scheme is launched in the entire state.

30‐39%

20‐29%

40‐49 %

South EasternIMR- 65

Plain MountainIMR - 69

Dry AreaIMR 71

SaurashtraIMR - 39

Infant Mortality

Malnutrition

Mamta Divas Outreach Performance- 2008-2009

MAMTA Divas Sessions Held 154824

No. of visits of Pregnant women 874076

% of Women weighed 100

Total Delivered mothers with three PNC Visits 19

No. of visits of children 6074115

% of Children weighed 100Initiation of early & exclusive breast feeding in

1st hour 95.1Source: Form No. 9, State report

MAMTA ABHIYAN

AWW weighing a newborn within 1 hour of birth

AWW checking child with diarrhoea

for dehydration

Training Completed by Nov 08

25391

Medical Officers trained 1252

FHW trained 4052

AWW trained 17963

ICDS Supervisors 604

IMNCI Training & Implementation

22.1

80.3

0

10

20

30

40

50

60

70

80

90

% lbw % LBW given kangroo care

% low birth weight babies given Kangroo care(Apr-Nov-08)(Souce:-- form-9 )

NFHS-III reported –

47.4 lbw

Full immunization independent evaluation by Taleem

96.8

94.2

89.586.7

86.085.9

85.8

85.4

85.285.184.8

82.8

82.5

79.0

78.5

73.972.8

72.2

62.8

40.1

0 10 20 30 40 50 60 70 80 90 100

PERCENT

Navsari

Rajkot

Bhavnagar

Patan

Surat

Porbandar

The Dangs

Kachchh

Valsad

Kheda

Vadodara

Mahesana

TOTAL GUJARAT

Ahmedabad

Tapi

Jamnagar

Narmada

Banaskantha

Dahod

NFHS-3 (Rural)

Routine Immunization Monitoring System (RIMS)

Data Uploaded

As on Nov 2008

Source: www.rimsindia.org

Gujarat is the only state with all 25 districts reporting in RIMS.

Sept’08

Ahmedabad Region

NovNov’’0808

June’08

Growth monitoring MAMTA AbhiyanMicronutrient Supplementation ( IFA, Vit. A, Calcium)

Distribution of iodized saltDe worming twice/ year

Growth, development and nutrition counseling

State Nutrition Cell

COMMUNITY

REGION

DISTRICT

BLOCK

STATE

Child Development & Nutrition Centres(Referral through Mamta Divas)

Nutrition Support Units(Supervision, monitoring and

training)Inter sectoral coordination

Tertiary care nutrition rehabilitation centres (Teaching hospitals)

Malnutrition management pyramid

Child Development and Nutrition Centers

Districts Name of CDNCOperational Status of CDNC

No of Children admitted & Patients

CounseledNo of grade 3 children

admittedNo of grade 4

children admitted

Valsad Dharmpur Functional 12 12 0

Kaprada Functional 28 16 12

Dang Vaghai Functional 112 109 3

District Hospital Functional 19 10 9

Banaskantha Danta Functional 3 3 0

Amirgadh Functional 16 11 5

Narmada Sagbara Functional 0 0 0

Dediapara Functional 0 0 0

Dahod Garbada Functional 0 0 0

DahodFunctional

6 0 6

Panchmahal Lunavada Functional 10 10 0

Halol no 0 0 0

Vadodara Savli

Functional

98 96 2

* Chota UdepurFunctional

44 40 4

Total 348 307 41

Bal Sakha Scheme – 1 for Chiranjivi Beneficiaries [BPL]

Proposed charge to be paid to the pediatrician for 100 children

1. Additional charge to the CY doctor for keeping the mother and neonate for 2 more days (@ Rs. 300*100)

Rs. 30,000

2. Consultation fees for the pediatrician for 100 children at CY clinic (@ Rs. 300*100)

Rs. 30,000

3. 20 cases to be transported to the pediatric clinic, transportation charges @ Rs. 100*20)

Rs. 2000*

4. Treatment fees for 20 children at the pediatrician’s clinic (@ Rs. 5000*20)

Rs. 1,00,000

5. Transportation of 5 critically ill children to the medical college under care of the pediatrician (@ Rs. 1000*5)

Rs. 5,000*

Total:->> Rs. 1,67,000* To be paid only if EMRI vehicle not available

Bal Sakha Scheme – 2 for Other Beneficiaries [BPL]Proposed charge to be paid to the pediatrician for 100 sick children referred

1. Consultation fees for the pediatrician for 100 children at CY clinic (@ Rs. 200*100)

Rs. 20,000

2. 100 cases to be transported from the village to the pediatric clinic, transportation charges @ Rs. 100*200)

Rs. 20,000*

3. Incentive to ASHA/ANM/ICDS worker for taking such child to the pediatrician (@ Rs. 50*100)

Rs. 5000

4. Treatment fees for 25 children at the pediatrician’s clinic (@ Rs. 5000*25)

Rs. 1,25,000

5. Transportation of 5 critically ill children to the medical college under care of the pediatrician (@ Rs. 1000*5)

Rs. 5,000*

Total:->> Rs. 1,75,000* To be paid only if EMRI vehicle not available

Objective• Reduce TFR up to 2.1• Increase the couple protection rate • Quality assurance in Family planning

services• Provision of safe abortion services• Ensure Male participation.

Family Planning Program

Trend in Total Fertility Rate - Gujarat

2.1

2.42.72

2.99

0

1.5

3

4.5

NFHS-1 NFHS-2 NFHS-3 2010

Rat

e

Trend in CBR of Diffrent States as per SRS Data

34.533.0

26.725.0

23.7 23.5 2326.0

24.2

21.019.1 18.7

24.5

19.018.1

27.529.9

31.7

18.9

29.028.5

26.2

18.520.7

10.0

15.0

20.0

25.0

30.0

35.0

40.0

GUJ 34.5 33.0 27.5 26.7 25.0 23.7 23.5 23AP 31.7 29.9 26.0 24.2 21.0 19.1 18.9 18.7MH 28.5 29.0 26.2 24.5 20.7 19.0 18.5 18.1

1981 1985 1991 1995 2001 2005 2006 2007

Ongoing Strategies• Training of surgeons for NSV/Laparoscopic TL:

– 150 surgeons trained in NSV and within 2007-08 state is going to have 250 trained surgeons

– 770 surgeons trained and certified for laparoscopic TL surgery

• Training of doctors and FHW in IUD: project initiated in all district

• Contraceptive update to FHW

• IEC/BCC campaigning and distribution of pills and condoms

• Block wise analysis of FP data and action

• Kalyan Chab CBD outlet for condoms, IFA tablets, ORS, Choroquine etc.

0

20

40

60

80

100

120

140

160

180

200

Di st r i c t

Num

ber T

rain

ed

IUD Training 2008

Sterilizations Total

Sterilization

257335242364

254904

267549

310064

0

50000

100000

150000

200000

250000

300000

350000

1991-92 1997-98 2001-02 2006-07 2007-08

IUD insertions

116629

129692

110000

115000

120000

125000

130000

135000

Sterilisation

Nov 2007-08Nov. 2008-09

Family Planning Performance

304414

339655

280000

290000

300000

310000

320000

330000

340000

350000

IUD

Nov 2007-08Nov. 2008-09

% 3 & 3+ Birth order (CRS)

27.5

26.7

31.7

26.4

25.2

25.3

23.1

29.2

20.9

27.9

23.5

22.2

22.0

22.6

21.4

19.2

19.1

28.9

20.5

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

Pat

an

Pan

chm

ahal

s

Doh

ad

Sab

arka

ntha

The

Dan

gs

Bha

vnag

ar

Ban

aska

ntha

Kut

ch

Mah

esan

a

Sure

ndra

naga

r

Juna

gadh

Gan

dhin

agar

Amre

li

Anan

d

Khe

da

Por

band

ar

Raj

kot

Nar

mad

a

Bha

ruch

3+ BO

% of 3 & 3+ Births to total births

16.9

13.5 14.4 14.712.6 12.4

31.7 32.631.4 32.1

33.230.9

2927.9

26.424.4 25.2

22.2

0

5

10

15

20

25

30

35

AP 16.9 13.5 14.4 14.7 12.6 12.4GUJ 31.7 32.6 31.4 32.1 33.2 30.9MHA 29 27.9 26.4 24.4 25.2 22.2

2001 2002 2003 2004 2005 2006

Source: SRS

Year-08-09Year-07-08

2653 ANMs trained in safe IUD insertion

Trend performance

Sex Ratio at birth

882870

846

824

780

800

820

840

860

880

900

2004 2005 2006 2007

Source:--

CRS

Addressing adverse sex ratio

Average 3 yrs (2005-07)

Sex Ratio at Birth

District Wise Average Sex Ratio of 3 years (2005-2007)

968956 953

934925 924

885 885 883 882 879

867 866 866 864 864 860 857 856846 844 843

833 830819

700

750

800

850

900

950

1000Th

e D

angs

Val

sad

Nav

sari

Nar

mad

a

Kac

hchh

Bha

ruch

Juna

gadh

Por

band

ar

Khe

da

Vad

odar

a

Ban

as K

anth

a

Pat

an

Jam

naga

r

Pan

ch M

ahal

s

Sur

endr

anag

ar

Ana

nd

Ahm

adab

ad

Gan

dhin

agar

Doh

ad

Bha

vnag

ar

Am

reli

Mah

esan

a

Raj

kot

Sab

ar K

anth

a

Sur

at

Average Sex Ratio of 3 years of Poor Performing Talukas (2005-07)

753 76

0 767

769

784

785 79

779

8 801 81

181

181

181

281

281

381

4 817

817

819

821 82

682

782

782

983

0 835

835 84

084

384

584

684

784

9

700

720

740

760

780

800

820

840

860

Um

rala

Talo

d

Gon

dal

Man

sa

Vija

pur

Kuk

avav

Vad

ia

Sur

at C

ity

Kot

ada

San

gani

Unj

ha

Det

roj -

Ram

pura

Pat

an Idar

Bha

vnag

ar

Raj

kot

Mah

esan

a

Juna

gadh

Ana

nd

Vis

naga

r

Gan

dhin

agar

Pal

anpu

r

Kal

ol

Cha

nasm

a

Jetp

ur

Pra

ntij

Am

reli

Jam

kand

orna

Him

atna

gar

Bag

asar

a

Nad

iad

Ahm

edab

ad-C

ity

Dho

raji

Upl

eta

Sid

hpur

• Gujarat state has been in the target zone, consecutively in last eleven quarters

• 25 / 29 (86%) reporting units are in the target zone• 100/130 (77%) TB Units are in the target zone • NSP Case Detection Rate - 3q08 : 78%• NSP Cure Rate - 3q07 : 87%• NSP Conversion Rate - 2q08 : 91%• Total TB patients put on treatment : 19,961• NSP Cases put on treatment : 8805• Gujarat State has achieved 3rd

place in NSP case detection rate & cure rate during 2Q08 (As per National Performance report 2Q08)

Since the inception of RNTCP up to 30-9-08– Total TB Patients put on DOTS treatment, :

6,07,062– New Smear Positive patients put on treatment :

2,46,212– Total lives saved : 1,09,271

Revised National Tuberculosis Control Programme Achievements of Gujarat

Annualized New Smear Positive Case Detection Rate and Treatment Success Rate in DOTS areas of Gujarat, 2000-3Q08

•Population projected from 2001 census•Estimated no. of NSP cases - 80/100,000 population per year (based on recent ARTI report)

40%

50%

60%

70%

80%

90%

100%

1st Q

00

2nd

Q 0

03r

d Q

00

4th

Q 0

01s

t Q 0

12n

d Q

01

3rd

Q 0

14t

h Q

01

1st Q

02

2nd

Q 0

23r

d Q

02

4th

Q 0

21s

t Q 0

32n

d Q

03

3rd

Q 0

34t

h Q

03

1st Q

04

2nd

Q 0

43r

d Q

04

4th

Q 0

41s

t Q 0

52n

d Q

05

3rd

Q 0

54t

h Q

05

1st Q

06

2nd

Q 0

63r

d Q

06

4th

Q 0

61s

t Q 0

72n

d Q

07

3rd

Q 0

74t

h Q

07

1st Q

08

2nd

Q 0

83r

d Q

08

Annualised New S+ve CDR Success rate

Cure Rate Vs Case Detection Rate (2Q05/2Q06)

75

77

79

81

83

85

87

89

91

93

95

55 60 65 70 75 80 85 90 95 100 105 110 115

Case Detection Rate (%)

Cur

e R

ate

(%)

Panchmahals (G)

Dahod

Bharuch (Narmada)Gujarat

P'bandarAhwa (Dang)

A'bad (R)

HIGH CURE HIGH DETECTIONHIGH CURE LOW DETECTION

LOW CURE LOW DETECTION LOW CURE HIGH DETECTION

TARGET ZONE

Surat-R

ChhotaudepurNavsari

Vyara

AMCMehsana

Kachchh

Rajkot

Anand

Jamnagar

Kheda

Valsad, BKS'nagar, BhavnagarJunagadh, SMCGandhinagar

SKPatan

Vadodara-R

VMC

Amreli

Cure Rate Vs Case Detection Rate (3Q07/3Q08)

PHYSICAL PERFORMANCE 2008-09 (UP TO NOVEMBER.)82.31

79.22

68.21 67.73 67.1865.11 64.13 64.12 63.54 63.03 62.71

59.7957.10 55.49 55.28 53.86

51.72 50.57 49.70 48.8745.78

42.86 41.2436.72

33.16

0.00

10.00

20.00

30.00

40.00

50.00

60.00

70.00

80.00

90.00

National Programme for Control of Blindness

0

10000

20000

30000

40000

50000

60000

70000A

hmed

abad

Sura

tVa

doda

raR

ajko

tB

havn

agar

Juna

gadh

Khe

daPa

nchm

ahal

Jam

anag

arG

andh

inag

arB

anas

kant

haA

nand

/Pet

laM

ehsa

naN

avsa

riPa

tan

Am

reli

Saba

rkan

tha

Sure

ndra

ngD

ahod

Vals

adB

haru

chK

utch

hPo

rban

dar

Nar

mda

Ahw

a-D

ang

DISTRICTWISE IOL PERFORMANCE UP TO NOV.08

SURGERIES DONE IOL

District wise IOL performance up to Nov. 2008

4558

5

3957

4

8298

9

2705

64398

0

3829

7

7586

2

1916

5

0

20000

40000

60000

80000

100000

120000

Children Examined Children Detected with RE Free Spects Provided

Children Examined 4681583 4645530 5188638 1273053Children Detected with RE 45585 39574 82989 27056Free Spects Provided 43980 38297 75862 19165

2005-06 2006-07 2007-08 2008-09

4681

58

4645

53

5188

63

1273

053

SES ACTIVITY UP TO NOVEMBER 2008.

EYE DONATION ACTIVITIES (UP TO NOVENBER-2008)

• No of Eyes Collected :3861

• No of Eyes Utilized :2918

• No of Eyes sent to other Eye Banks : 943

Integrated Disease Surveillance Project Progress :

• Reporting units – 1544

• 99% Reporting every week.

• Feed-back provided through weekly alert.

• Concerned authority informed to take actions for

increasing trend in disease in respective reporting unit.

Microbiologist are appointed at General Hospital

Gandhinagar & General Hospital Sola Ahmedabad.

Interview of Entomologist, Microbiologist & Epidemiologist

was held on Dt.21-22 November-08 by NHSRC.

IDSP Major Outbreaks Investigated Jan. to Nov.- 08

Progressive

Disease No. of Outbreak Cases Death

Jaundice 5 295 1

Dia-Vomiting 16 829 5

Food Poisoning 20 1187 3

Diarrhoea 3 667 0

Measles 12 227 0

Cholera 3 6 0

Typhoid 2 23 0

Total 61 3234 9

Weekwise Information about Cases of Acute Watery Diarrhoea under IDSP Year - 2007-2008(upto Wk-48)

0

5000

10000

15000

20000

25000

Wk1

Wk3

Wk5

Wk7

Wk9

Wk11

Wk13

Wk15

Wk17

Wk19

Wk21

Wk23

Wk25

Wk27

Wk29

Wk31

Wk33

Wk35

Wk37

Wk39

Wk41

Wk43

Wk45

Wk47

Wk49

Wk51

Wk1

Wk3

Wk5

Wk7

Wk9

Wk11

Wk13

Wk15

Wk17

Wk19

Wk21

Wk23

Wk25

Wk27

Wk29

Wk31

Wk33

Wk35

Wk37

Wk39

Wk41

Wk43

Wk45

Wk47

Year 2007

Year 2008

Year wise comparision of malaria incidence from 2004 to 2007

222807

177936

93071

7129666440

3119919570 18406

0

50000

100000

150000

200000

250000

2004' 2005' 2006' 2007'

Mal

aria

posi

tive

and

P.F.

case

s

Malaria Situation of Gujarat state till March-08

6020

1834

3937

1179

0

1000

2000

3000

4000

5000

6000

7000

Malaria Case P.F.cases

Mal

aria

and

P.F

. cas

e

Constant decline in malaria incidenceAnnual Parasitic Incidence declined from 4.1 in 2004 to 1.2 in 2007

National Vector Born Disease Control Programme

Chikungunya situation till March 2008 in comparison with 2007

58

42

23

12

0

10

20

30

40

50

60

70

Suspected Chikungunya cases Confirm cases

Num

ber o

f cas

es

2006

2007

Overall work done through Sickle Cell Anemia Control Project. during Feb 2006 to March-08.

Screened by Total DTT

Sickle Gene

Sickle Sickle Sickle Beta

Β

Thal.

Sickle Test

Positive Trait Disease Thalesse

mia

Trait

Valsad Raktdan Kendra & Other NGOs

30380 4285 4046 236 2 2

Govt. Medical Collage, Surat

11229 1838 1572 248 18 41

PHCs/CHCs 45382 4607 1762 319 1 0

Civil Hospital, Navsari, Valsad, Dang

6616 366 266 15 0 0

Comprehensive Sickle Cell Clinic Chikhli & Valsad

6404 2777 2329 385 63 101

Total 100011 **13873 *9975 *1203 **84 144

Percentage 13.87 % 8.84 % 1.20 % 0.08 % 0.14 %

** Differentiation of sickle Disease and Trait by HB electrophoresis was not possible in initial phases at CHC, PHC and General Hospital hence only 11,262 samples were further tested out of 13,873 Sickle positive Samples.

Work done through NGOs : 36.8 %

Work Done through Government institutes : 63.2 %

Iodized Salt Sample Tested

0

100000

200000

300000

400000

500000

600000

700000

800000

2001 2002 2003 2004 2005 2006 7-Sep

Year

Num

ber

Total No of samples tested Samples with Nil iodine Samples with < 15 ppm iodine Samples with > 15 ppm iodine

Analysis of Iodized Salt Samples tested with STK

Six regional IDDCP monitoring Laboratories have been developed

National Iodine Disorder Deficiency Control Programme

New Case Detection

72287652

6399

1155410949

10232

6900

0

2000

4000

6000

8000

10000

12000

14000

2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08

National Leprosy Elimination Programme

Gujarat : Endemicity of Leprosy –March-08

State P.R.- 0.82

> 5

2 - 3

1 - 2

< 1

P.R.

3 - 5

PM Dahod

Vadodara

BharuchNarmada

Surat

DangNavsari

Valsad

1.90 2.40

1.42

2.83 2.16

1.62

2.612.54

2.91

Present status as on March-2008

Sr.No Indicators 2006-07 2007-08

1 NCD 7652 7228

2 ANCDR 1.34 1.24

3 MB Rate 46.1 (3528) 46.8 (3382)

4 Child Rate 11.34 (868) 10.21 (738)

5 Deformity Rate 2.72 (208) 2.71 (196)

6 Female Rate 44.64 (3416) 44.54 (3219)

7 Pts. on Treatment 4332 4752

8 Prevalence Rate 0.76 0.82

Declining Trend of crude death rate

7.6 7.6

7.9 7.9

7.5

7.8

7.7

7.6

6.9

7.1

7.3

7.1

6.4

6.6

6.8

7.0

7.2

7.4

7.6

7.8

8.0

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

CDR

‐

6

‐

4

Risk Categorization of Districts 2006

0

20

40

60

80

100

120

2007-08 2008-09

13

77

91

31

104 108

Core Bridge

Scaling up of core Targeted Interventions

Component Achievement

2005 ‐

06 2006 ‐

07 2007 ‐

08 2008 – 09 

(Oct 08)

ICTC general

(% positivity)

67525

(10.3)

74557

(10.7)

131714

(9.8)

104040

(6.4)

ICTC PPTCT

(% positivity

22193

(0.8)

48982

(0.6)

118197

(0.5)

11251

(0.3)

Blood collection 509966 576932 588850 340991

% VBD 63.3 60.7 68.3 68.9

STI cases treated

(No of clinics)

50564

(33)

72923

(35)

75603

(42)

47080

(42)

Performance indicators

IEC, Mainstreaming & Social Mobilization

PPP with Divya Bhaskar

Hon Health Minister addressing WAD 2008 

at Surat

also  attended by Ms. Prachi

Desai 

& Mr. Snehal

Dabbhi

film & TV artists.

Victorious Journey of RRE in Gujarat

Care, support & Treatment (CS & T)

7000 patients are being treated through

• Nodal ART Centers 6 (3 proposed) & LAC 14 (2

proposed)

Operationalization of DAPCU

• 11 districts & Surat city,

• Staff appointed including 5 HIV positives