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Improved health services brings down child mortality

hopal. The percentage of newborn child mortality rate has come down from 51 to 32 following improved care of pregnant women in the state. Arrangement has been made for registration and regular health examination of pregnant women soon after conception. Secure institutionalized deliveries of both normal and complicated cases are being ensured According to the National Family Health Survey 2005-06, only 26.2 percent deliveries were undertaken in health centres. As per data of year 2015-16 80.8 per cent deliveries are being conducted in maternity health centres. As many as 1536 government maternity centres are operating in the state for safe delivery.

Janani-Shishu Suraksha programme- Free transport, medicinal treatment, blood transfusion and free food arrangements are being ensured through Janani-Shishu Suraksha programme for safe delivery. While incentive of Rs 1400 is being given to rural new mothers an incentive of Rs 1000 is being given to new mothers in the cities under Janani Suraksha Yojana. Women health camps are being organized once a year for providing proper treatment after health examination of pregnant women at the village and health centre level. More than 58 lakh women have been provided health services from year 2015-16 till date through health camps.

Roshni Clinic – The Roshni Clinics have been set up in the district hospital for diagnosis and treatment of pregnancy related complications and other diseases in women every Wednesday. Women referred to these clinics are being provided treatment and medicines. From 2015-16 till date one lakh 41 thousand women have been examined and treated. Private and government doctors are available for pregnant women on the 9th of every month under Pradhan Mantri Surakshit Matrutva Yojana. As many as 10 lakh 11 thousand 401 pregnant women have been undergone prenatal examination under specialized doctors between August-2016 – November 2017. New born care units are being run for care of newborns in 1536 centres.

Newborn intensive care units – Currently 54 newborn intensive care units are being run in 49 district hospitals and 5 medical colleges of Guna and Shivpuri district hospitals in the year 2008. These units cater to newborns with serious ailments like breathing problem, jaundice and other serious diseases. Nearly 4 lakh 96 thousand 326 newborns have been treated in these units from year 2011-12 to January -2018. Newborn Stabilization Units are operating in 60 marked civil hospitals and community health centres in state. More than 76 thousand newborns have been treated in these units so far.

Child Intensive Care Units have been set up with the intention of providing prompt health services with children up to 12 years of age showing severe symptoms. These units are operating in 7 districts including Morena, Datia, Shivpuri, Guna, Ratlam, Bhopal and Chhindwada. As many as 29 thousand 868 children have been treated in these units from year 2015-16 to January-2018.

Paediatric-Emergency Triage and Treatment Units – Newborns with serious symptoms are given proper care and treatment in these units on the basis of their symptoms. These units are operating in all district hospitals of the state. As many as 22 thousand 163 children have been admitted and treated in these units. Nutrition Rehabilitation Centres have been set up to admit and treat undernourished children. These centres have the facility of admission and treatment of undernourished children up to 5 years of age along with their mothers. As many as 5 lakh 97 thousand 860 undernourished children have been treated in these centres from year 2006-07 to December-2017. Children have been divided under four categories and are being treated under Rashtriya Bal Suraksha Karyakram. Four crore 35 lakh children have been screened from year 2015-16 to November-2017. Out of these 25 lakh 67 thousand children have been treated and nearly 52 thousand 124 children have undergone surgeries.

After stablilization of newborns in medical units, the parents and family of the newborn is trained for taking care of the newborn so that the newborn receives best possible care at home. The period from birth to 28 days is considered extra sensitive for the newborn as there is maximum risk to their lives during this period. ASHA workers visit such homes at least 6 times in case of institutionalized delivery and 7 times in delivery at home cases under this programme. ASHA workers make visits at regular intervals in houses with underweight children. They share information about immunization, importance of cleanliness, ORS, diagnosis of pneumonia, breastfeeding etc. during their visits with the families.

Dastak Abhiyan was introduced in state from 2017 with the aim of making people aware of the importance of health of children. As many as 76 lakh 68 thousand 973 children were screened in this campaign. At least 26 thousand 973 severely malnourished children were identified out of which 8 thousand 256 children were admitted to nutrition rehabilitation centres for treatment. Blood transfusion arrangement was made for 1476 acute anaemia cases. As many as 27,162 children with diarrhea, 6,509 with pneumonia and 18 thousand 696 children with symptoms of other diseases were given treatment. Vitamin-A supplements were administered to 63 lakh 33 thousand children from 9 months to 5 years in state. Nearly 6,704 children genetic deformities were identified and treated. Availability of iodine in salt samples was tested in 13 lakh 31 thousand 920 families in 14 affected districts under National Iodine Deficiency Disorder Control Programme.

Due to all these programmes, child mortality rate came down to 76 and newborn mortality rate came down to 51 in year 2005 and in year 2016, survival births have come to 47 and 32 per thousand respectively.