Download - NRHM - Orissa
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Role of MIS in
National Rural Health Mission,
Orissa
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launched by the Prime Minister, Dr. Manmohan Singh in New Delhion 12th April 2005.
In Orissa the National Rural Health Mission was launched by ChiefMinister, Sri. Naveen Patnaik on 17th June 2005.
Seeks to provide effective healthcare to rural and urban population special focus on the backward districts.
weak human development and health indicators.
among the poor and marginalized groups like women and thevulnerable sections of the society.
NRHM seeks to integrate health with the determinants of health forwhich inter sectoral convergence between departments like PRI,WCD, RWSS and Education is essential. The main components ofNRHM are RCH-II, Immunisation, National Disease ControlProgramme and NRHM initiatives.
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Objective
Reduction in child and maternal mortality.
Universal access to public services for food and nutrition, sanitationand hygiene, and universal access to public health care services
with emphasis on services addressing womens and childrenshealth and universal immunisation.
Prevention and control of communicable and non-communicablediseases, including locally endemic diseases.
Access to integrated comprehensive primary health care.
Population stabilisation, gender and demographic balance.
Revitalisation of local health traditions and mainstream AYUSH. Promotion of healthy life styles.
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Goal
The goal of NRHM is to improve the
availability of and access to quality health careby people, especially for those residing in rural
areas, the poor women and children.
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Vision
Provide effective healthcare to rural population throughout the state.
Increase public spending on health with increased arrangement forcommunity financing and risk pooling.
Undertake architectural correction of the health system to enable it to
effectively handle increased allocations and promote policies thatstrengthen public health management and service delivery in the state.
Revitalise local health traditions and mainstream AYUSH into the publichealth system.
Effectively integrate of health concerns, through decentralisedmanagement at district level, with determinants of health like sanitation
and hygiene, nutrition, safe drinking water, gender and social concerns. Address inter-state and inter-district disparities.
Set time bound goals and report publicly of progress.
Improve access of rural people, especially poor women and children toequitable, affordable, accountable and effective primary health care.
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NRHM- DISEASE SURVEILLANCE PROGRAME and USE
of MIS Technology
Integrated Disease Surveillance Project (IDSP) was launched byHonble Union Minister of Health & Family Welfare in November2004. It is a decentralized, State based Surveillance Program in thecountry.
It is intended to detect early warning signals of impendingoutbreaks and help initiate an effective response in a timelymanner. Major components of the project are :
(1) Integrating and decentralization of surveillance activities;
(2) Strengthening of public health laboratories;
(3) Human Resource Development Training of State Surveillance
Officers, District Surveillance Officers, Rapid Response Team, othermedical and paramedical staff; and
(4) Use of Information Technology for collection, collation,compilation, analysis and dissemination of data
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For Project implementation, Surveillance Units have been set up atCentral, State and District level. Surveillance Committees at National, Stateand District levels are monitoring the Project.
Currently linkages are being established with all State Head Quarters,District Head Quarters and all Government Medical Colleges on a Satellite
Broadband Hybrid Network. The network on completion will enable 800sites on a broadband network of which 400 sites will have dualconnectivity with satellite and broadband.
This network enables enhanced Speedy Data Transfer, Video Conferencing,Discussions, Training, Communication and in future e-learning foroutbreaks and program monitoring under IDSP. A 24X7 call center with tollfree telephone no 1075 accessible from BSNL/MTNL telephone from all
states is in operation since February 2008. This receives disease alerts from anywhere in the country and diverges the
information to the respective State/District Surveillance Units forverification and initiating appropriate actions wherever required
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Under IDSP data is collected on a weekly (MondaySunday) basis.The information is collected on three specified reporting formats,namely S (suspected cases), P (presumptive cases) and L(Laboratory confirmed cases) filled by Health Workers, Clinician andClinical Laboratory staff.
The weekly data gives the time trends. Whenever there is a risingtrend of illnesses in any area, it is investigated by the MedicalOfficers/Rapid Response Teams (RRT) to diagnose and control theoutbreak.
Data analysis and action are being undertaken by respectivedistricts. Emphasis is being laid on reporting of surveillance data
from major hospitals both in public and private sector and alsoInfectious Disease hospitals. The compilation and disease outbreakalerts has been started recently. On an average 10-15 outbreaks arereported every week to Central Surveillance Unit, IDSP.
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GIS
Geographical Information System which captures,stores, manages, presents and analysis theinformation regarding the location.
Main functions of GIS include Capturing geographical data GPS (lon/lat), Remote
sensing (satellite images)
Storing and managing geographical data. Databases
(e.g., MS access, Sql Server) Presenting and analysing geographical data Mapping
software and its extensions
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Major applications for GIS in Health
Spatial epidemiology -understanding healthproblems
Environmental hazards -Investigatingenvironmental hazards / risk factors
Modelling Health Services Modelling HealthService provision and delivery
Identifying health inequalities -eg. Comparingmortality rates at different locations
Data access Data Integration
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Understanding the relationship between
locationand health
Ba
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co
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ma
in
strea
m Triggering the process of integrationof data.
Epidemic and geographical info going
to
gether.