National Rural Health Mission
NATIONAL PROGRAMMES
Reproductive and Child Health Services (RCHS) – (RMNCAH+N)
Family Welfare Programme, also known as Reproductive, Maternal, New Born, Child, Adolescent Health and Nutrition Programme focuses on the total well-being of the woman as well as offspring and Adolescents. This programme is designed so that people have the ability to reproduce and regulate their fertility; women are able to go through pregnancy and childbirth safely, the outcome of pregnancy is successful in terms of maternal and infant survival and well being; and couples are able to have sexual relations free of the fear of pregnancy and contacting disease. Taking care of newborns ,child health and Adolescent health will ensure continuum of care leading to healthy adults and healthy society. Thus RMNCHA+N programme is a need-based, client-centered, demand-driven, high quality and integrated services.
The RMNCH+A strategy is holistic in design, encompassing all interventions aimed at reproductive, maternal, newborn, child, and adolescent health under a broad umbrella, and focusing on the strategic lifecycle approach.
LaQshya : For the State of Goa, 5 facilities (Goa Medical College, 2 District Hospitals and 2 Sub-District Hospitals) have been taken up under LaQshya which is an initiative to provide quality health care to all delivering patients.
Currently, the Labor Room & Maternity Operation Theatre of North Goa District Hospital, Mapusa and Sub-District Hospital, Ponda is LaQshya Certified alongwith the Labor Room of Goa Medical College.
PARTICULARS | PERFORMANCE |
FAMILY PLANNING METHODS | |
Vasectomy | 0 |
Tubectomy | 155 |
I.U.D. | 53 |
C.C. users | 2170 |
Oral Pills users | 81 |
Centchroman (weekly) strip users ** | 34 |
Injectable contraceptive users | 66 |
PREGNANT WOMEN CARE | |
Iron (PW) | 1439 |
TD – 1 | 997 |
TD – 2 + Booster | 1123 |
ANC Registered | 2302 |
4 or more ANC checkups | 1392 |
JSY Beneficiaries* | 14 |
IMMUNIZATION | |
Vit. K | 1068 |
Polio | 1365 |
Pentavalent 3 | 1361 |
Hep – B0 | 1059 |
B.C.G. | 1298 |
Rotavirus 3 | 1343 |
MR 1 | 1688 |
M.M.R. | 1502 |
DPT (Booster) | 1629 |
OPV (Booster) | 1630 |
DPT – 5 years | 1430 |
TD – 10 years | 814 |
TD– 16 years | 328 |
Vitamin A 1 – 9 doses | 10761 |
J.E. II | 1524 |
Particulars | Performance | Particulars | Performance |
Ante Natal Care Services | IMMUNIZATION | ||
ANC Registered | 2302 | Vit. K | 1068 |
Iron (PW) | 1439 | Polio | 1365 |
TD – 1 | 997 | Pentavalent 3 | 1361 |
TD – 2 + Booster | 1123 | Hep – B0 | 1059 |
4 or more ANC checkups | 1392 | B.C.G. | 1298 |
JSY Beneficiaries* | 14 | Rotavirus 3 | 1343 |
Institutional Deliveries | 1409 | MR 1 | 1688 |
Normal | 765 | M.M.R. | 1502 |
C-Sections | 644 | DPT (Booster) | 1629 |
Live Births | 1427 | OPV (Booster) | 1630 |
Medical Termination of Pregnancy (MTP) | 72 | DPT – 5 years | 1430 |
Post Natal Care | TD – 10 years | 814 | |
1st Post partum checkup between 48 hours and 14 days | 115 | TD– 16 years | 328 |
Mothers provided 180 IFA tablets after delivery | 1368 | Vitamin A 1 – 9 doses | 10761 |
Mothers provided 360 calcium tablets after delivery | 1357 | J.E. II | 1524 |
FAMILY PLANNING METHODS | |||
Vasectomy | 0 | ||
Tubectomy | 155 | ||
I.U.D. | 53 | ||
C.C. users | 2283 | ||
Oral Pills users | 81 | ||
Centchroman (weekly) strip users ** | 34 | ||
Injectable(Antara) contraceptive users | 66 |
1) Family Planning:
Promotion of various spacing and permanent methods of contraception are undertaken.
The Total Fertility Rate for the State of Goa stands at 1.7 (NFHS-4).
Methods | Needs for 2019-20 | Beneficiaries | Percentage |
Sterilization | 4258 | 2216 | 52 |
Vasectomy | 63 | 5 | 8 |
Tubectomy | 4195 | 2211 | 53 |
IUD Insertion | 2711 | 883 | 33 |
C.C. users * | 11182 | 39568 | 354 |
O.P. users * | 3183 | 1409 | 44 |
Centchroman (weekly) pills users (Chayya) ** | 547 | 463 | 85 |
Injectables (Antara) * | 318 | 979 | 308 |
Source : HMIS
2) Maternal Health:
Antenatal Care (ANC) data for the year 2019-20 | |
Total number of pregnant woman registered for ANC | 27969 |
Number of Pregnant woman registered for ANC within 1st Trimester | 16000 |
Number of Pregnant woman received 4 or more ANC check up | 21484 |
Total Deliveries | 18419 |
Year | Public | Private | Total | ||
Upto 12 Weeks | Above 12 Weeks | Upto 12 Weeks | Above 12 Weeks | ||
2019-20 | 267 | 19 | 668 | 130 | 1084 |
3) Child Health:
De-worming Day was conducted in targeted 1488 Govt./Govt. Aided schools, 302 private schools and 1447 anganwadi centres.
NDD round of 8thAugust, 2019 | 3,59,843 (93%) children were de-wormed |
NDD round of 10th February, 2020 | 3,59,305 (93%) children were de-wormed |
Universal Immunization Programme:
Achievements for the year 2019-2020
2019-20 | |||
IMMUNIZATION | Targets | Achievements | Percentage |
Vit K | 21891 | 17791 | 81 |
Polio | 21891 | 19004 | 87 |
Pentavalent 3 | 21891 | 18998 | 86 |
Hep – B0 | 21891 | 16435 | 75 |
B.C.G. | 21891 | 18334 | 84 |
Measles/MR | 21891 | 21051 | 96 |
DPT (Booster) | 21891 | 20407 | 93 |
OPV (Booster) | 21891 | 20393 | 93 |
DPT – 5 years | 22986 | 21026 | 96 |
TT – 10 years | 22986 | 20240 | 89 |
TT – 16 years | 22986 | 16456 | 72 |
Vitamin A 1 – 9 doses | 197022 | 133951 | 68 |
J.E. I | 21891 | 20498 | 94 |
J.E.II | 21891 | 19121 | 87 |
Rotavirus * | 9879 |
Source : HMIS
Note : * New Vaccine
Under this programme routine Immunization activities are carried out at all the sub centres, PHCs, CHCs, DHs, SDH on fixed days. In addition to this, outreach sessions are conducted once monthly to cover the high risk areas.
4) Adolescent Health (AH) :
Rashtriya Kishor Swasthya Karyakram (RKSK)
Yuva clinics are set up at the CHC/PHC/UHC/District Hospitals & Goa Medical College to address the issues relating to Reproductive Tract Infections, Sexually Transmitted Infections, Nutrition, Gender, Sexuality, Substance abuse, non communicable diseases Mental Health etc. among Adolescent. There are 33 Yuva clinics and Counsellors are posted to offer counselling services. For the year 2019-20, 36,511 adolescents accessed clinical services and 23,990 accessed counselling services.
Acts and Rules Implemented By The Department:
PC PNDT
A law was enacted in the year 1994 called the Pre Natal Diagnostic techniques (Regulation & Prevention of Misuse ) Act No 57 of 1984. This law was amended in 2013 (amended wide Act 14 of 2003, effective 14. 02. 2013), now called the Pre conception and Pre natal diagnostic techniques (Prohibition of Sex Selection) Act.
The Act prohibits sex Selection and regulates the use of Pre conception and Pre natal diagnostic techniques so that these techniques are not misused for the purpose of detecting sex of the Foetus.
IMPLEMENTATION OF THE ACT
The implementing machinery for the state of Goa under this Act comprises of
The District Appropriate Authorities perform the following function:-
The advisory committee of respective district is responsible for providing advice and guidance on matters of implementation and to aid the respective Appropriate Authority to discharge its functions.
REGISTRATION OF THE PREMISES
Genetic clinics, Genetic Laboratories, Ultrasound Clinics or imaging Centres having ultrasound machines or imaging machines capable of sex determination have to be registered.
Registered clinics must display their certificate of registration as well as the message that sex selection is illegal.
The number of registered clinics under PCPNDT till June 2014
NORTH GOA SOUTH GOA
TOTAL – 176
PUNISHMENT
A medical practitioner may get an imprisonment for a term that may extend to 3 years and with a fine that may extend upto Rs. 10, 000/- and on any subsequent condition, he/ she may get an imprisonment that may extend to 5 years and with a fine that may extend to Rs 50, 000/-
The name of the medical practitioner would be reported to the State Medical Council by the Appropriate Authority for taking necessary action.
Any person who seeks the aid of any establishment and professionals for the purpose of sex selection would be punished with imprisonment for a term that may extend to 3 years and with a fine that may extend to Rs. 50, 000/- and on any subsequent condition, with imprisonment that may extend to 5 years and with a fine that may extend to Rs 1, 00, 000/-
No person, organisation, Genetic clinic or Genetic laboratory shall issue, publish or distribute an advertisement in any manner regarding sex selection.
An offence under this law is cognizable, non- bailable and non – compoundable.
Every Genetic clinic is required to maintain Form F (form for maintenance of records in respect of pregnant women). For better reporting, monitoring and analysis, online filling of F-form by all registered ultrasound clinics and submission to Appropriate Authority has been initiated under NIC Software.
Medical Termination of Pregnancy (MTP Act) – Comprehensive Abortion Care Services are provided at both District Hospitals, Sub-District Hospitals & CHCs/PHCs wherever Gynaecologists are posted.
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