Health & Family Welfare - NRHM (National Rural Health Mission)

The National Rural Health Mission will strive to improve the availability of and access to quality health care by people, especially for those residing in rural areas, the poor, women and children and will achieve the following goals:

  • Reduction in Infant Mortality Rate (IMR) and Maternal Mortality Ratio (MMR).
  • Universal access to public health services such as Women’s health, child health, water, sanitation & hygiene, immunization, and nutrition.
  • Prevention and control of communicable and non-communicable diseases, including locally endemic diseases.
  • Access to integrated comprehensive primary healthcare.
  • Population stabilization, gender and demographic balance.
  • Revitalize local health traditions and mainstream AYUSH.
  • Promotion of healthy life styles.

With the implementation of NRHM in West Garo Hills, the health scenario in the district has been showing significant improvement. Many gaps were identified and are being addressed not only in infrastructure but also in the work culture of the health workers at different levels. With the introduction of ASHA, the community participation with different health programme activities have increased. However, the awareness activities and working for the change in the behaviour of the people in many health aspects need to be more intensive.

Maternal Health

Efforts are being made to improve the health status of pregnant women by providing quality care antenatal check up at all levels and by improving the accessibility to health care services with regular VHNDs. Orientations on Antenatal check up for ANM, have been conducted and they have been trained on Hb estimation procedure and Urine Albumin/ Sugar investigations. Haemoglobinometers have been provided in all Sub-centres. The Labour Rooms in PHCs/CHCs have been renovated with RKS/ Maintenance fund and now all CHC/PHC are conducting deliveries.

Child Health

Rough estimate of IMR for the district is 54 per thousand live birth. It is acknowledged that there is under reporting. Similarly the neonatal mortality is also grossly under reported. The home delivery new borns are being weighed by ASHAs who have purchased weighing scale from VHSC funds. It is seen from Village Health Survey that infant deaths are mostly due to ARI, fever and diarrhoea.

Family Planning

Though there is less stress on family planning due to socio cultural and political compulsions, it is found that during Focus Group Discussions held with eligible couples on Family Planning, there is increasing demand for birth control. Focus Group Discussion with service providers showed that there is lack of counseling for Family Planning methods during antenatal and postnatal periods and not much of efforts are given for counseling/ motivation for Family Planning method. After imparting the Alternative Methodology of Training in IUCD for health personnel of 10 PHC/CHC in 2010 from Aug – Sept, it was found that number of IUCD acceptors is increasing as is evident from the HMIS report where average IUCD insertion prior to training was 75 while from Sept. 2009, it has gone up to 117.

During the Health Mela conducted at Ampati CHC on 17/8/09, 11 Tubectomies was performed. It is perceived that many clients who want permanent method of contraception do not come to Tura Civil Hospital for sterilization as it is far.

ASHA

  1. No. of Village = 1617
  2. 1629 ASHAs are in place and are trained in Book 1 to Book 4.
  3. 1617 ASHAs are trained in Book 5
  4. 12 non functioning ASHAs are dropped.
  5. 1 District Community Process Co-ordinator and 26 ASHAs Facilitator are in place.
  6. 26 ASHAs Facilitator who are already in place cannot facilitate more than 10 ASHAs, so more facilitators will be needed.
  7. Drug kits, Bags, Uniforms are supplied by State and has been distributed to all the ASHAs

ASHA Diary & ASHA Identity Card issued by DHMS to all the ASHAs.

Sub Centre

There are 82 Sub-centres and out of these 76 Sub-centres are in Govt. building and 6 are functioning in rented house/ community hall. 26 Sub-centres are having 2 ANMs. 10 Sub-centres have been provided with Labour Room with water and electricity supply to conduct deliveries under RSVY fund. Received Untied fund for 82 Sub-centres and Maintenance fund for 79 Sub-centres. 7 new Sub-centres are already constructed but ANM and staffs are not appointed.

Mobile Medical Unit (MMU)

One Mobile Medical Unit is in place with 3 vehicles but installation of X-ray unit, Ultrasound Machine, etc., is not yet done.