Report by Suchismita Sahoo; Bhubaneswar: The Programme Implementation Plan of Odisha State Health & Family Welfare Society for 2012-13 has taken a big jump with the ambitious budget of around Rs.1077 crore.

This has been finalized in Governing Body Meeting of the Society held under Chairmanship of Chief Secretary Sri Bijay Kumar Patnaik in secretariat conference hall last day wherein Pr Secretary Health & Family Welfare Sri P.K.Mohapatra put forth the Action Plan for discussion. Available data shows the utilization pattern under different programmes of National Rural Health Mission has followed a steady growth over last five years.  In 2006-07 the total  utilization was around Rs88 Cr. which rose up to Rs159 cr. in 2007-08, 467cr. in 2009-10 and 495 cr. in 2011-12.

The target budget for 2012-13 has set at Rs. 1077Cr. The major components of the budget include Reproductive child health, Immunization, NRHM Initiatives, Integrated Disease surveillance, vector born disease control programme, control of blindness, leprosy eradication programme revised Tuberculosis Prevention Programme. 
 
It has been decided in the meeting that Ashas will be extended 35 types of service based incentives and they will be given additional 10 days of training. Mobile Heath Units will be operated with 354 units with budgetary support both from NRHM and State Budget. Equipment Maintenance wings will be expanded with 3 new zones at Sambalpur, Ganjam and Koraput. Sickle Cell Project will be extended to 6 new districts. At present it is functioning in 6 districts with one referral unit at VSS Medical College and Hospital.  For care of new born and reduction of neonatal deaths more  250 New Born Care Corner will be set up in different ditricts.

At present 450 such units are operating. For Institutional Care of Children with acute malnutrition 38 new Nutrition Rehabilitation Centers will be set up in addition to existing 6 units. For care of expectant mothers 28 new Ma Ghara ( Maternity Waiting Homes) will be constructed in addition to 22 operating homes. Target has also been set to construct 4 Post Natal Homes at district head quarter hospitals having  high case load and space constraint. Emergency Medical Ambulance Service will be made operational in 15 districts with 280 ambulances. Around 18 Lakh family size Long Lasting Insecticidal Nets ( LLIN) will be distributed in high risk areas. Available data shows around 41.43 lakh such nets have been distributed by 2011-12.

Chief Secretary Sri Patnaik has directed the department to intensify distribution of nets and exhaust all the high risk area within a year. Double bed size nets will be supplied to families and single size nets will be supplied to students under school health programme. It has been decided that ST and SC GNM trainees in KBK districts will be provided full scholarship. Such trainees in Non-KBK districts will also be given partial scholarship. Information Education and Communication along with behavioral change initiatives will be intensified through out the year.
Reviewing the NRHM initiatives and interventions taken up in last years Chief Secretary Sri Patnaik has directed the Health & Family Welfare Department to make an assessment of the satisfaction level of the patients. Sri Patnaik  has asked them to make the assessment of what improvement has taken place because of the interventions, what has been improvement in the service delivery pattern and  what benefit the patients have got at hospital level and what needs to be done for ensuring qualitative treatment to patients.  It has been decided that such evaluation will be made by a third party agency in the models of citizen report card type.

Considering the problem of power supply in hospitals Chief Secretary Sri Patnaik has directed the department to have dedicated power supply to all hospitals. It has been decided that the generators installed in hospitals will be converted to automatic modes so that they will start automatically with the failure of current. Inverters will be installed in operation theaters and labor rooms. The department has been directed to complete the task of dedicated power supply to all the district hospitals by December of this year. Chief Secretary has also instructed the department to ensure proper functioning of equipments installed in different hospitals and has asked them to put in place a proactive technical system for immediate repair and maintenance of the equipments used for pathological tests. A detailed report has been asked from all hospitals about the present condition and functioning of theses equipments.

Convergence of Health, Mother & Child Care, Public Health and Sanitation was also discussed in the meeting. Principal Secretary R.D.Sri S.N.Tripathy informed the house that the convergence between Health & Family Welfare and Women & Child Welfare activities in Odisha has been applauded by Planning Commission Govt of India. It has been decided that The Gaon Kalyan Samities will be revitalized with capacity enhancement training. Chief Secretary has directed the department to develop a comprehensive training module including the programmes of health, sanitation, nutrition and Public health. The members of GKS will be sanitized and trained about theses activities. The concerned departments have been advised to take up regular orientation programmes at village level in integrated form. 

Development Commissioner Sri R.N.Senapati,  Pr Secretary Finace Sri J.K.Mohapatra, Secretary Panchayati Raj Smt. Aparajita Sarangi, Secretary W& CD Smt. Arati Ahuja, Director, NRHM Sri P.Meherda along with other senior officers and members participated in deliberations.