The Ministry of Health & Family Welfare  has launched a health programme for adolescents, in the age group of 10-19 years, which would target their nutrition, reproductive health and substance abuse, among other issues.

The Rashtriya Kishor Swasthya Karyakram was launched on 7th January, 2014. The key principle of this programme is adolescent participation and leadership, Equity and inclusion, Gender Equity and strategic partnerships with other sectors and stakeholders. The programme envisions enabling all adolescents in India to realize their full potential by making informed and responsible decisions related to their health and well being and by accessing the services and support they need to do so.

To guide the implementation of this programme, MOHFW in collaboration with UNFPA has developed a National Adolescent Health Strategy. It realigns the existing clinic-based curative approach to focus on a more holistic model based on a continuum of care for adolescent health and developmental needs.

The Rashtriya Kishor Swasthya Karyakram (National Adolescent Health Programme),will comprehensively address the health needs of the 243 million adolescents. It introduces community-based interventions through peer educators, and is underpinned by collaborations with other ministries and state governments.

• Improve Nutrition
• Improve Sexual and Reproductive Health
• Enhance Mental Health
• Prevent Injuries and violence
• Prevent substance misuse

1. Neural tube defect

2. Down's Syndrome

3. Cleft Lip & Palate / Cleft palate alone

4. Talipes (club foot)

5. Developmental dysplasia of the hip

6. Congenital cataract

7. Congenital deafness

8. Congenital heart diseases

9. Retinopathy of Prematurity

Deficiencies

10. Anemia especially Severe anemia

11. Vitamin A deficiency (Bitot spot)

12. Vitamin D Deficiency, (Rickets)

13. Severe Acute Malnutrition

14. Goiter

Diseases of Childhood

15. Skin conditions (Scabies, fungal infection and Eczema)

16. Otitis Media

17. Rheumatic heart disease

18. Reactive airway disease

19.Dental conditions

20. Convulsive disorders

Developmental delays and Disabilities

 21. Vision Impairment

22. Hearing Impairment

23. Neuro-motor Impairment

24. Motor delay

25. Cognitive delay

26. Language delay

27. Behavior disorder (Autism)

28. Learning disorder

29. Attention deficit hyperactivity disorder

Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the National Rural Health Mission (NRHM) being implemented with the objective of reducing maternal and neo-natal mortality by promoting institutional delivery among the poor pregnant women. The Yojana, launched on 12th April 2005, by the Hon’ble Prime Minister, is being implemented in all states and UTs with special focus on low performing states. JSY is a 100 % centrally sponsored scheme and it integrates cash assistance with delivery and post-delivery care.

The Yojana has identified ASHA, the accredited social health activist as an effective link between the Government and the poor pregnant women in l0 low performing states, namely the 8 EAG states and Assam and J&K and the remaining NE States. In other eligible states and UTs, wherever, AWW ((Anganwadi workers )and TBAs or ASHA like activist has been engaged in this purpose, she can be associated with this Yojana for providing the services.

Role of ASHA or other link health worker associated with JSY would be to:

• -Identify pregnant woman as a beneficiary of the scheme and report or facilitate registration for ANC,
• -Assist the pregnant woman to obtain necessary certifications wherever necessary,
• -Provide and / or help the women in receiving at least three ANC checkups including TT injections, IFA tablets,
• -Identify a functional Government health centre or an accredited private health institution for referral and delivery,
• -Counsel for institutional delivery,
• -Escort the beneficiary women to the pre-determined health center and stay with her till the woman is discharged,
• -Arrange to immunize the newborn till the age of 14 weeks,
• -Inform about the birth or death of the child or mother to the ANM/MO,
• -Post natal visit within 7 days of delivery to track mother’s health after delivery and facilitate in obtaining care, wherever necessary,
• -Counsel for initiation of breastfeeding to the newborn within one-hour of delivery and its continuance till 3-6 months and promote family planning.

Cash Assistance in LPS and HPS states:

The scheme focuses on the poor pregnant woman with special dispensation for states having low institutional delivery rates namely the states of Uttar Pradesh, Uttaranchal, Bihar, Jharkhand, Madhya Pradesh, Chhattisgarh, Assam, Rajasthan, Orissa and Jammu and Kashmir. While these states have been named as Low Performing States (LPS), the remaining states have been named as High performing States (HPS).

The women who deliver in Government hospitals, health centres or even in accredited private hospitals are eligible for the cash assistance, if she is above 19 years. Further, this assistance is as follows:

• In LPS states: Cash assistance for all women
• In HPS states: Cash assistance for ONLY BPL women
• LPS & HPS states: All SC and ST women

The Union Government launched Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) to provide free health check-ups to pregnant women at government health centres and hospitals.

The Scheme was launched by Union Minister of Health and Family Welfare J P Nadda in New Delhi. It was announced by Prime Minister Narendra Modi during his monthly radio address Mann Ki Baat in June 2016.

Key Features

• The national programme aims to provide pregnant ladies free ante-natal services (ANC) and required treatment for free on 9th of every month.
• Objectives of the scheme are (i) Provide healthy life to the pregnant women. (ii) Lowering the maternity mortality rate. (iii) Making pregnant women aware of their health issues and diseases. (iv) Making sure safe delivery and healthy life of the baby.
• The scheme is applicable only for the pregnant women in their pregnancy period of 3 to 6 months. It will provide all kinds of medical checkups completely free to pregnant women.
• These checkups will take place at the medical centres, government and private hospitals and private clinics across the country.
• These free of cost tests will include blood pressure, sugar level, weight, haemoglobin test, blood test and screening.
• Women will be marked differently using different colour stickers based on their health problems so that doctors can easily detect the problem.
• Different colour stickers will be Red Sticker for Serious patients, Blue Sticker for High blood pressure and Yellow Sticker for Other diseases.

NSSK is a programme aimed to train health personnel in basic newborn care and resuscitation, has been launched to address care at birth issues i.e. Prevention of Hypothermia, Prevention of Infection, Early initiation of Breast feeding and Basic Newborn Resuscitation.

Newborn care and resuscitation are important starting-point for any neonatal program and is required to ensure the best possible start in life.

Objectiveis to have a trained health personal in basic newborn care and resuscitation at every delivery point. The training is for 2 days and is expected to reduce neonatal mortality significantly in the country.

Objectives:

The important objectives and components of National Iodine Deficiency Disorders Control Iodine Deficiency Disorders Control Programme (NIDDCP) are as follows:-

• Surveys to assess the magnitude of the Iodine Deficiency Disorders.
• Supply of iodated salt in place of common salt.
• Resurvey after every 5 years to assess the extent of Iodine Deficiency Disorders and the impact of lodated salt.
• Laboratory monitoring of iodated salt and urinary iodine excretion.
• Health education and Publicity.

Objective –

·         Build an enabling environment for breastfeeding through awareness generation activities, targeting pregnant and lactating mothers, family members and society in order to promote optimal breastfeeding practices. Breastfeeding to be positioned as an important intervention for child survival and development.

·         Reinforce lactation support services at public health facilities through trained healthcare providers and through skilled community health workers.

·         To incentivize and recognize those health facilities that show high rates of breastfeeding along with processes in place for lactation management.

Key components of the programme are –

·         Communication for enhanced awareness and demand generation through mass media and mid media;

·         Training and capacity enhancement of nurses at government institutions, and all ANMs and ASHAs. They will provide information and counselling support to mothers for breastfeeding;

·         Community engagement by ASHAs for breastfeeding promotion, who will conduct mothers’ meetings. Breastfeeding mothers requiring more support will be referred to a health facility or the ANM sub-centre or the Village Health and Nutrition Day (VHND) organized every month at the village level;

·         Monitoring and impact assessment is an integral part of MAA programme. Progress will be measured against key indicators, such as availability of skilled persons at delivery points for counselling, improvement in breastfeeding practices and number of accredited health facilities; and

·         Recognition and team awards will be given to facilities showing good performance, based on evaluation against per pre-decided criteria.

Objectives - The Objectives of the National Programme for Prevention & Control of Fluorosis are as follows:

·         Assess and use the baseline survey data of fluorosis of Ministry of Drinking water & Sanitation;

·         Comprehensive management of fluorosis in the selected areas;

·         Capacity building for prevention, diagnosis and management of fluorosis cases.

Strategies –

·         Surveillance of fluorosis in the community and school children

·         capacity building in the form of training and man power support

·         diagnostic facilities in the form of laboratory support & equipment including ion meter to monitor the fluoride content in water and urinary levels;

·         health education for prevention and control of fluorosis cases;

·         managementoffluorosis cases by providing for corrective surgeries and rehabilitation.

The objectives of the mid day meal scheme are:

1. Improving the nutritional status of children in classes I – VIII in Government, Local Body and Government aided schools, and EGS and AIE centres
2. Encouraging poor children, belonging to disadvantaged sections, to attend school more regularly and help them concentrate on classroom activities.
3. Providing nutritional support to children of primary stage in drought-affected areas