ARD MoHFW Flashcards
Integration of schemes
SUrakshit Matritva AshvasaN (SUMAN)
+Under ministry of health and family welfare.
2019 launch year.
Janani Shishu Suraksha karykram (JSSK) + PM surakshit matritva ashvasan (PMSMA) + LaQshya = SUMAN.
*assured delivery of maternal and newborn health care services at no cost.
*All pregnant women new borns and mothers up to 6 months of delivery are eligible.
*Services of
1. At least 4 ante-natal checkups
2. Birth registration certificate
3. zero dose vaccination.
Infant mortality rate (IMR)
is number of death per thousand livebirths of children under age of 1 year.
India’s IMR in 2018 is 32
best Nagaland 4
worst MP 48.
Maternal mortality rate (MMR)
It is the number of maternal deaths during a given period per 1,00,000 livebirths.
India’s MMR in 2016-18 was 113
worst Assam 215
best Kerala 43.
Ayushman Bharat part1
2018 launch year. From Ranchi, Jharkhand by prime minister
Objective- universal health coverage under SDG-3.
Scheme is re-christened(renamed) form of National health protection scheme and it had subsumed rashtriya swasthya Bima Yojana.
Implementing agency National health authority and CEO is Ram Sevak Sharma.
Pm Jan aarogya Yojana
Beneficiaries
+10.74 crore poor according to social economics census of 2011.
+Families already enrolled under rashtriya swasthya Bima Yojana.
Components
#health and wellness centre
* pm Jain arogya Yojana creation of 1,50,000 health and wellness centres
*both maternal and child health services and non communicable diseases
* first was in Bijapur Chhattisgarh.
- cover five lakh secondary industry healthcare
*3 day pre hospitalisation and
*15 days post hospitalization expenses - no restrictions on the family size age or gender
*All pre existing diseases are covered.
*worlds largest health insurance scheme fully financed by the government.
trust model
Ayushman Bharat part2
Implementation model
*Directly implemented by the state health authority (SHA) and reimburses the health care providers.
*Insurance company selected by SHA.
*SHA pays the premium to insurance company for eligible family and insurance company does the claim settlement and reimbursement.
- insurance company responsible for claim settlement while the state is responsible for maintaining funds.
Funding pattern
60 : 40 centre and states
60 : 40 centre and UTs with legislature
90 : 10 centre and North eastern and Himalayan States
100% from central government in case of UTs without legislature.
Ayushman Mitra scheme
launched by ministry of health and family welfare.
Launch year 2021
Ayushman Mitra would be volunteers who would assist eligible people in their community and areas to get “Ayushman cards”
these cards would bring people under the ambit of the Ayushman Bharat pradhanmantri Jan aarogya Yojana (AB-PMJAY) scheme.
Ministry also launched to other initiative
Adhikar Patra (letter of rights) to claim free and cashless health care services and
Abhinandan Patra (thank you no to be given to the beneficial at the time of their discharge).
These initiated were launched at the event of arogya Dhara 2.0 to mark the feet of 2 crore Hospital admission under the scheme
organised to increase the reach of AB-PMJAY program to poorest of the poor households.
Progress until
-Free treatment of up to rs 5 lakh to beneficiaries -cross 2 crore mark in hospital admissions -treatment work rs 25000 crore provided
- 23000 hospitals empanelled across 33 States or UTs
-identified 53 crore potential beneficiaries and -Ayushman cards to 12 crore people.
Mothers Absolute Affection (MAA)
Enabling environment for breastfeeding through awareness generation activities .
2016.
Community level intervention-
- capacity building of community health workers ASHA, AaganWadi workers, auxiliary nurse, midwives, etc.
- monitoring and awards recognition -
-one award per district is awarded to best facility - team award of rupees 10,000 per facilities provided.
Labour room Quality improvement initiative (LaQshya)
Launch year 2017
Reduce preventable maternal and newborn mortality, morbidity and stillbirth by improving quality of care provided in the labour room.
Every pregnant women a newborn delivering in public health institutions are beneficiaries.
Certification
*Quality improvement in labour room and maternity OT will be assessed through National quality assurance standard.
*Every facility scoring 70% or more on NQAS will be certified as LaQshya certified facility.
Incentives
*Facilities achieving NQAS certification,80% satisfied beneficiaries provided incentive of
₹ 6 lakh for Medical College Hospital,
₹ 3 lakh for district hospital and
₹ 2lakh for FRUs, respectively.
Janani Suraksha Yojana
Reducing maternal and neo-natal mortality by promoting institutional deliveries among the poor pregnant women.
Launch year 2005
Centrally sponsored scheme 100% funding from GoI.
Eligibility for cash assistant
*For low performing States (LPS)
-all pregnant women delivery in Government health Care centres.
- BPL / sc/st women delivery in accredited private institutions.
+ In Rural area LPS ₹ 2000;
+ In urban area LPS ₹1400.
*For high performing States (HPS)
- all BPL / sc/st women delivery in government health centres and accredited private health centres.
+ In rural area. HPS ₹1300;
+ In urban area HPS ₹1000.
Janani Shishu Suraksha karykram (JSSK)
2011.
Merged in SUMAN in 2019.
Free and cashless service to the pregnant women including normal delivery, caesarean (👶✂️) and sick newborn (upto 30 days after birth) in both urban and rural area.
Mission indradhanush
Vaccination against 12 vaccine preventable disease is provided
for full immunization children up to 2 years of age and pregnant women.
Launched in 2014
Intensified mission indradhanush
A. Intensified mission indradhan 1.0
- Launch year 2017
- focus on immunization of more than 90% people by December 2018 in selected districts and cities.
-greater focus was given on urban areas.
B. Intensified mission indradhanush 2.0
- launched 2019
- focus is on the district which have immunization coverage of 70% or below.
- immunization coverage to more than 90% people by March 2020.
C. Intensified mission indradhanush 3.0
-for those children and pregnant women who have missed the vaccination doses during the pandemic.
- mission have two rounds of 15 days each.
- districts have been classified as
Low risk 313;
Medium risk 152;
High risk 250.
*Will be conducted in 250 districts across 29 States/UTs.
D. Intensified mission indradhanush 4.0
- have 3 rounds and will be conducted in 416 districts across 33 states/UTs.
- district identified based on the vaccination coverage as per National family health survey-5 and health management information system.
- launched in 2021.
PM Swasthya Suraksha Yojana
2003
Objective- correcting imbalance in availability of affordable tertiary care health Care facilities.
- Quality medical education in under served states in particular.
Components
* setting up of AIIMS like institutions
* Upgradation of existing state government medical colleges.
Mera Aspataal initiative
2016
*Capture patient feedback to the services received at the hospital through multiple channels.
- Through SMS, mobile app and web portal.
Rashtriy aarogya Nidhi (RAN)
Provide financial assistance to BPL patients who are suffering from major life threatening diseases.
1997
Components
1. Rashtriy aarogya Nidhi - For life threatening diseases to BPL patients related to heart , kidney, liver etc.
- Health minister’s cancer patient fund - for BPL patients suffering from cancer.
- Financial assistance for rare diseases - BPL; poverty line is defined State wise in the scheme.
Eligibility
*All BPL except govt. Servants and their families.
* Families enrolled under AB-PMJAY are not eligible.
Financial assistance
* 1 crore fund for each component set up in hospitals ( 2 crores for AIIMS new delhi)
*On utilisation of 75% of revolving funds hospitals are eligible for replenishment.
*Treatment of rs 5 lakh in the powers of medical superintendent and
* above 5 lakh refer to the ministry
* maximum financial assistance admissible is ₹15 lakhs.
National digital health mission
in the year 2020
implemented by National health authority
objective - is to develop the backbone necessary to support the integrated digital health infrastructure of the country;
a digital National health ID will be provided.
key features comprises of 6 building blocks
** Pilot launch - in UTs of
Chandigarh,
dadra and Nagar haveli,
Daman and Diu ,
Puducherry,
Andaman and Nicobar Islands,
Lakshadweep and
Ladakh.
Health ID
Digi doctor
health facility registry
personal health records
E- pharmacy
tele medicine
National health mission
Aims to support States or UTS for strengthening their health Care delivery system
It has 2 sub missions
1. National rural health mission and
2. national urban health mission.
Objective of NHM are :
*Reduce MMR to 1/1000 live births
* Reduce IMR to 25/1000 live births
* Reduce TFR ( total fertility rate) to 2.1 ✔️
* Ending TB by 2025.
* Less than 1% microfilaria prevalence in all districts.
