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This scheme was started during the year 2006-07 with an objective to provide emergency
neonatal care services to new born and neonates to reduce Infant mortality rate and to
improve the quality of paediatric care services in remote, interior, tribal areas & urban areas.
It is proposed to establish 160 NICUs in A.P. State (in 13 Teaching Hospitals, 23 Dist.
Hospitals, 16 Area Hospitals and 108 CEMONC centres.)
• 12 Paediatricians are positioned against 124 posts sanctioned.
• Procurement of equipment for NICUs is under process.
• Two Staff Nurses and two ANMs on contract basis in each unit are being positioned.
• Proposed to provide Drugs and Consumables to each unit.
It implements and promotes the schemes 2 sponsored by central government . And works for
the welfare of its citizen but has no specific state running schemes in its territory for child
welfare .
ARUNACHAL PRADESH
This Scheme aims at providing nutritious foods to the Children (0-6) years and pregnant /
lactating mother in order to upgrade the level of nutrition. Now, it is implemented in 85
Integrated Child Development Services (ICDS) Projects through 4277 Anganwadi Centres.
During 2000-01, Prime Minister Gramodaya Yojna (PMGY) was introduced and it was
continued upto 2004-05 and fund under PMGY was released by the Planning Commission.
From the year 2005-2006 the PMGY has been discontinued and the scheme is implemented
with the fund from Ministry of Women and Child Development, Govt. of India and the State
Govt. on 50:50 basis. But, during the, last financial year 2008-2009, the State Government
released Rs.400.00 lakhs as State share fund under the scheme and Central Share of Rs.
480.27 lakhs.
ANALYSIS
Arunachal Pradesh performance under tetanus toxoid injection is 45.6% which is well below
the national average. The performance of Arunachal Pradesh under issue of Iron and folic
acid is also below the national average i.e 56.3%. The performance of Arunachal Pradesh in
all the components is not satisfactory and below the national average For India, average
mothers of only 20% of births received all of the required components of antenatal care
whereas in Arunachal Pradesh 17.3% of births received all of the required components of
antenatal care which is below the national average. Due to remote areas poorly connected by
road progress of establishment of health infrastructure has been inadequate. To serve small
population groups located at high altitudes without road communication, special sub centres
have been set up with a dai trained to conduct deliveries. Integrating curative services with
public health, MCH, FW. With a primary health care approach, Government has been
upgrading the existing dispensaries to PHCs, General Hospitals to CHCs and establishing
new sub-centres. Rural health infrastructure in Arunachal Pradesh is inadequate particularly
in view of very low density of population. At present a PHC is expected to serve an area of
2981 sq.kms. and sub centre to serve an area of 186 sq.km. excluding the sub centres with
volunteer dais. The total number of Government health institute are 255 serving average an
area of 327 sq. km. Establishment of special sub centres with trained dais is a progressive
step to provide basic safe delivery services to remote dwelling population.
ASSAM
1. Mamata
The ‘Mamata’ scheme4 seeks to reduce IMR and MMR, by insisting on a post-delivery
hospital stay of 48 hours of the mother and the new-born. Any complication that may arise
during this period is addressed by skilled doctors available at Govt. health institutions.
During discharge from hospital, the mother receives a gift hamper called the ‘Mamata’ kit.
This kit contains essential products for the baby powder, baby oil, a mosquito net, a flannel
cloth etc. After 48hours of stay in government hospital, the ‘Mamata kit’ is given to the
mother.
2. Mamoni
Cash assistance to Pregnant Women for Nutritional support @Rs. 1000/- in two instalments.
“Mamoni” is a scheme of the Government of Assam that encourages pregnant women to
undergo at least 3 ante-natal check-ups which identify danger signs during pregnancy
(needing treatment) and offer proper medical care. Under this scheme, at the time of
registration, every pregnant woman receives a booklet on tips on safe motherhood and new-
born care titled ‘Mamoni’. During subsequent ANC check-up, the pregnant women are
provided with an amount of Rs. 1000 (in two instalments, first for 2nd ANC an amount of Rs.
500/- is given and second instalment of Rs. 500/- for 3rd ANC as nutritional support) for
expenses related to nutritional food and supplements. Every Govt health institution offers
these services for the women who have registered in their place.
It is under “Assam Bikash Yojana”, State Govt. sponsored schemes under Health & Family .
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fixed deposit. In case she is married before attaining 18 years of age, the fixed deposit will be
forfeited. This scheme is applicable to families who are limiting themselves to two children.It
is under “Assam Bikash Yojana”, State Govt. sponsored schemes under Health & Family
Welfare Department.
BIHAR
Due to high morality rate in the state of Bihar because of pneumonia and diarrhoea the
government launched the scheme in order to provide adequate health care facility to tackle
these disease .
ANALYSIS
Bihar is a State with lowest per capita income and with very high level of poverty. Diet
surveys carried out by the Department of Women & Child Development indicate that the
State ranks very low in terms of dietary intake (not more than 2000 calories). Under-nutrition
rate is very high in the State, because of low dietary intake, high morbidity and also closely
spaced pregnancies. Roughly 39.3% of women are undernourished (BMI of less than 18.5
kg/m2). The State has very low overweight and obesity rates in women. The percentage of
women with chronic energy deficiency is also higher (39.3%) compared to the national figure
of 35.8%. In the State, 54.4% of children under the age of three years, as assessed by weight-
forage, are under weight in comparison to the national figure of 47%. About 53.7% of the
children are stunted, as assessed by height-for-age in comparison to the national figure of
45.5%. Number of infants receiving semi-solid foods at the age of six months is much lower
than the national level and as a result, under nutrition rate in children is much higher than the
national level. About 54.4% children are under weight and 81% are anemic. The coverage
under routine immunization and Pulse polio is low. As per 2001 census, full immunization in
the State was only 11% against the national average of 54%. As a result, a large number of
polio cases are still reported in the State. Coverage of Vitamin-A dose (10%) is also very low
in the State. Due to improvement in the immunization services in the State, the coverage of
immunization is at present 33%.
Chandigarh
CHATTISGADH
2. Prerana Scheme
Jansankhya Sthirata Kosh (National Population Stabilization Fund) is an autonomous body of
the MoHFW, Govt. of India has launched PRERNA, a Responsible Parenthood Strategy in
2008 in seven focus states namely Bihar, Uttar Pradesh, Madhya Pradesh, Chhattisgarh,
Jharkhand, Odisha, and Rajasthan. The strategy recognizes and awards couples who have
broken the stereotype of early marriage and early childbirth and helped change mindsets. In
this scheme, the girl should have been married after 19 years of age and given birth to the
first child at least after 2 years of marriage. The couple will get award of Rs. 10000/- if it is
Boy child or Rs. 12000/- if it is Girl child. If birth of second child is at least after 3 years of
first child birth and either parent voluntarily accept permanent method of family planning
within one year of the birth of the second child couple will get additional Rs. 5000/- if boy
child and Rs. 7000/- if girl child. The scheme is only for BPL families.
DELHI
Govt. of NCT Delhi, started School health scheme in March 1979 with six School health
clinics initially which were later increased to provide comprehensive health care services to
the school going children. The School Health clinics were established in the school premises
itself for easy accessibility to children. These were planned to cover the children studying in
Government and Government Aided Secondary school.
ANALYSIS
Promotion of maternal and child health has been one of the most important components of
the Reproductive and Child Health Programme (RCH) of the Government of India. The goal
for each pregnant woman is to receive at least three antenatal3 check-ups, two tetanus
toxoid4 injections and a full course of iron and folic acid5 supplementation. In Delhi as per
NFHS-3 74.4 per cent of mothers had at least 3 antenatal care visit for their last child birth.
This is an improvement over the figures of NFHS-2, which were only 68.9 per cent. NFHS-3
shows that 60.7 per cent births in Delhi were institutional deliveries and 50 per cent women
received post natal care from doctor/nurse/LHV6 /ANM7 /other health personnel within 2
days of delivery for their last child birth. To improve the maternal health, Delhi Government
has launched special programme called Stree Shakti Programme and also conduct campaign
under Matri Suraksha Abhiyan. The goal of these programmes is to reduce MMR8 through
provision of comprehensive health care to all mothers during antenatal, natal and postnatal
period. As far as immunization of children is concerned, as per NFHS-33, 63.2 per cent
children received complete immunization (3 doses each of Polio, DPT9 , BCG10 and
Measles). This is slightly less than the figures of NFHS-2, which was 69.8 per cent.
GOA
Goa is controlled by centre sponsored schemes and work for the welfare of its citizen
according to prescribed schemes .
GUJRAT
School Health Programme (SHP)5 is a single, largest time framed health programme
operating in the State of Gujarat since 1997.
Under this scheme, all babies born to BPL mothers in the State (approximately 3,00,000
births per annum) will be covered for neonatal care by partnering pediatricians, including
care in their Neonatal Intensive Care Unit (level 2 ) at no cost to the beneficiary. After
initialization and stabilization of the Scheme, the Scheme may be extended to cover all
infants upto one year age.Up to October -09 284 private pediatricians are enrolled and 31151
new born attended under Bal Sakha yojana.
Department has initiated Mamta Diwas which is meant to provide a fixed day out reach
services to expecting and lactating mothers. The services are being provided by the Mamta
Diwas centers at sub-centers and anganwadis. A special card is been designed for record and
documentation purpose which includes sections on Antenatal care, Post natal care, growth
monitoring etc.
Based on the above three concepts MAMTA TARUNI ABHIYAN is being proposed for
adolescents girls in the age group of 10 to 19 years in rural areas. This is a community level
intervention to cater the need of the above said group.
HARYANA
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Children are seen prone to addition in the state of Haryana to resolve this problem state
government has introduced the scheme of de addiction where adolescents are taken care of.
HIMACHAL PRADESH
The school health programme in H.P will address the heath needs of the school children in
the form of health education , environment sanitation , nutrition , safe drinking water, gender
and social concern . The state of H.P will utilize strategies of disease prevention , health
promotion as well as detection of underlying diseases and medical advice for health
problems.
The State Government of Himachal Pradesh launched Matri Seva Yojna providing pregnant
women of the State, facility for free institutional delivery in all the government health
institutions in the State. The scheme aimed at ensuring the health of the mother and child.
Besides free institutional delivery, lifesaving drugs is also being made available free to the
patients.
Integrated Child Protection scheme is helpful in achieving the objective to ensure the
protection of rights of children and providing all associates services to the children who are
in need of care and protection. They get free education, food and health care by the
department.
2. Immunisation
3. Supplementary nutrition
4. Health Check up
To motivate people to adopt orphan and destitute children so that they could grow up in a
family atmosphere under the custody of the family head. The Scheme aims at saving such
children from admission into orphanages and encourages participation of families in
discharging social responsibilities besides ensuring emotional back-up to such deprived
children. Any family with annual income of below Rs. 60,000 and free from any serious
ailments will be eligible to become custodian of the children. State Government would be
providing a financial grant of Rs. 500 per month per child to the family.
Baby kit worth 1,500 will be provided to all new born neonatal in the state in any government
civil hospital. Basic care products are provided in the kit .
ANALYSIS
Himachal Pradesh is having 12 districts having the total population of Himachal Pradesh is
6,856,509 according to the 2011 Census,. The total population growth since the last census
was 12.81 percent and the population of the state forms 0.57 percent of the entire population
in India. The overall Sex Ratio in Himachal Pradesh is 974 for each 1000 male and has
increased from 970 per 1000 males since the last census of 2001and the child sex ratio is 906
per 1000 males and has decreased as compared to 957 in the 2001 census. Lowest child sex
ratio is in Kinnaur district. and highest in Hamirpur district according to 2011
census. Due to high rate of population growth the pressure on government is high to provide
the all basic amenities to state population and specially children the future of state . Hence all
successive government has given special attention to children and adolescents. Various
schemes and programs has been launched for the welfare of children.
Karnataka
1.Vajpayee Arogyashree
Government of Karnataka has taken the initiative to provide Health protection to families
living below poverty line for the treatment of major ailments, requiring hospitalization and
surgery. In order to bridge the gap in provision of Tertiary care facility and the specialist pool
of doctors to meet the state wide requirement for the treatment of such diseases particularly
in rural areas of Karnataka.
2.Jannani Suraksha yojana
The Objective Janani Suraksha Yojane is to provide cash incentive to pregnant women of SC,
ST and BPL categories to compensate for their wage loss during delivery period. It is 100 %
GOI funding under NHM. It is provided to all the mothers, regardless of the number of their
previous deliveries and age limit.
3.Madilu kit
Madilu Kit is a Karnataka State innovation launched on 1st October, 2007. It is a unique kit
which contains 19 items like linen, mosquito net, consumables and other items which are
very useful to the newly delivered poor mother and her infant. 50% of the funding for this
scheme is by NHM and the remaining 50% is by the State Government.
Promote Institutional Deliveries in the State. Reduce out of pocket expenditure during
delivery and post natal period. Madilu Kits contain daily use items for the women who have
delivered recently and also for her newborn infant. As SC, ST, BPL women are in dire need
of these items, most of the times they are not in a position to buy these items for herself and
her baby due to financial crunch. Hence, this Madilu kits need to be provided to these
women. This Madilu Kit along with free entitlements like JSSK and cash benefits like JSY
and Prasoothi Aaraike, will immensely motivate pregnant women of these groups to come
and deliver in Government Health Institutions and helps the State to ensure safe deliveries
and prevent maternal and infant deaths. Up to 2013-14, it was provided to BPL, SC and ST
mothers who were above 18 years age delivering in a Government health institutions, for 2
live births only. Since 2014-15, this age and para limit has been removed for High Priority
Districts, and all deliveries of BPL, SC and ST are eligible for receiving this Madilu Kit.
4. PRASOOTI ARAIKE
It is a cash incentive to pregnant women of SC, ST and BPL categories to address their
nutritional needs during pregnancy and post natal period. The main goal of this scheme is to
ensure that poor pregnant women take nutritional foods to ensure their nutritional needs and
also to ensure improvement of birth weights of their newborns; this will ensure both mother
and infant survival and will bring down MMR and IMR of Karnataka. Prasooti Araike
scheme was introduced in six "C Category Districts" of Gulbarga, Bidar, Raichur, Koppal,
Bijapur and Bagalkot for the benefit of pregnant women belonging to below poverty line SC
and ST families. This has now been extended to all below poverty line pregnant women of all
the districts. The following cash incentives are provided under this scheme.
ANALYSIS
The quality of public health services is not satisfactory, resulting in poor utilization of the
Primary Health Care System especially for Emergency Care of women, newborns and
children. Effective integration of health concerns with other determinants of health like
sanitation, hygiene, nutrition, safe water and gender is still poor.
Kerala
Lakshadweep
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1.National Maternity Benefit Scheme:
National Maternity Benefit Scheme7 is providing financial assistance to pregnant women of
house hold below poverty line up to two live births has been implemented in Lakshadweep.
Under the scheme a lumpsum assistance at Rs.500/- per pregnancy for the first two live birth
will be paid. Sufficient fund has been provided to the Village (Dweep) Panchayaths for the
implementation of the scheme
2.Reproductive and Child Health Programme
The objective of this scheme is to improve the health condition of child and mother. Through
this scheme immunisation, treatment of RTI/STI, ARI, Anemia, Diarrhea, Ante Natal and
Post Natal checkups are done. Under newborn care Ante Natal care to all pregnant women,
promotion of safe delivery practices, providing essential care to all new borns, identification
and referral of new borns at risk are undertaken.
It is a scheme for treatment of life threatening illness of persons below poverty line. A sum of
Rs.50 Lakhs were available under this scheme. Out of which an amount of Rs.49.37 lakhs
have been utilised by the department in favour of 243 patients.
MADHYA PRADESH
1.Hamaribityan
Sex Selection8 is the practice of determining the sex of the unborn foetus and eliminating it if
found to be female. Sex Selection is commonly referred to as Female Foeticide. This scheme
gives a provision for registering complaints online.
2. Deen Dayal Mobile Health Clinic
Deendayal Mobile Hospital Yojana was launched in May 2006 in Madhya Pradesh with the
objective of expanding the outreach of health services to far-flung areas that are not easily
accessible and where there is a concentration of SC/ST population. The program aims to
improve the availability of and access to quality healthcare for people residing in remote
areas especially for the poor and for women and children.
3. Ladli Laxmi Yojana
The objective of this scheme implemented from the year 2006 is to lay a firm foundation of
girls’ future through improvement in their educational and economic status and to bring
about a positive change in social attitude towards birth of a girl. Under the scheme National
Savings Certificates worth Rs 6 thousand are purchase by the state government in the name
of a girl every year after her birth till the amount reaches Rs 30,000. The girl covered under
the scheme is given Rs2 thousand on getting admission in class VI, Rs four thousand on
getting admission in class IX and Rs 7,500 on admission in class XI. She is given Rs 200 per
month during her studies in class XI and XII. When the girl attains the age of 21 and had not
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married before 18 years of age, she will be paid the amount in lump sum which comes to Rs
one lakh.
MAHARASTRA
ICDS is one of the flagship initiatives of Govt. of India that is being implemented in the state
by WCD Dept. ICDS seeks to provide young children with an integrated package 9 of services
such as supplementary nutrition, health care and pre-school education. Health and Nutrition
needs of a child cannot be addressed in isolation from those of his or her mother and
therefore the programme also extends to adolescent girls, pregnant women and nursing
mothers.ICDS programme seeks to provide all basic essential services to children and
mothers in an integrated manner right in their villages or wards. Gradually, the scheme has
been expanded to urban slums and to rural and tribal blocks.There are total 553 ICDS
projects operations in the State of which, 364 projects are in Rural Areas, 85 projects are in
Tribal Areas and 104 projects are in Urban Slum Areas.Some of the key service being
provided to the beneficiaries under this scheme are:
o Supplementary Nutrition
o Immunization
o Healthcare Checkup
o Referral Health Services
o Non Formal Pre-School Education
o Nutrition and Health Education
Impart health and hygiene education & training to adolescent girls regarding on bad
effects of early marriage to avoid frequent child births need for balanced diet,
consumption of green vegetables etc.
Under this scheme various programs are organized such as kishori Melawa Kishori
Arogya Shibir etc. at AWC level. Adolescent girls which are found anemic special
care has been taken through, IFA tablets with special training for self-hygiene.
Currently, scheme is applicable in the Districts of Ahmednagar, Akola, Aurangabad,
Bhandara, Chandrapur, Dhule, Hingoli, Jalgain, Jalna, Latur, Nandurbar, Osmanabad,
Parbhani, Pune, Raigad, Ratnagiri, Sangli, Sindhudurg, Solapur, Thane, Wardha,
Washim, Yavatmal, below mentioned districts only (23)
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ANALYSIS
In significant progress has been made in the field of child health, and sustained efforts are
required. Maternal mortality figures may be illusive because of the effect of migration and
referral cases. The migrant population adds additional burden on the existing health care
system. A spirit of enthusiasm and commitment toward health is observed among stake
holders. Socio-demographic issues of development need to be addressed through governance.
Mechanism for intersectoral coordination, PPP, IT support for logistics and management,
surveillance, and tracking of pregnant mothers needs to be developed. Innovative programs
for involvement of private sector in MCH services required, which can vary from place to
place depending on local needs. The linkage of MCH services with developmental programs
like slum adoption scheme needs to be done. The existing referral system needs to be
strengthened. Dedicated vehicles/ambulances exclusively for MCH services in all wards
needs to be ensured. Soft skills training should be provided among all cadre of health staff in
communication, rapport building, and team work. Awards and incentives for well performing
health workers can be arranged.
MEGHALAYA
Indian Council for Child Welfare an NGO located at Lachumiere runs a Creche for the
benefit of the State Govt. Employees’ children covering 30 nos. of beneficiaries. The Social
Welfare Department provides financial assistance to the NGO in the form of grants-in-aid
Odisha
1.Navjyoti
A strategy10 to improve Maternal and Child care with focus on prevention of morbidity and
mortality among new borns.
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Infant Mortality Rate continues to be high in Orissa. It is recognized that about 60 % Infant
deaths occur during neonatal period (first four weeks of life). Most of these deaths are due to
pre-maturity, low birth weight, respiratory infections, diarrhea and malnutrition. It is also
acknowledged that infant mortality is higher in lower socioeconomic groups residing in
backward tribal districts of Orissa. Notwithstanding the fact that several strategic
interventions are being implemented to reduce MMR and IMR the decline has been marginal.
PUDUCHERRY
1. STUDENT HEALTH SCHEME
Medical examination of the students of the entire population of Puducherry 11 region from
Primary to College level is part of the Student Health Scheme. Besides, Medical
Examination and supply of medicines, systematic follow up of defective cases are also done
under this scheme.
Efforts are made to seen that cumulative Health Cards are being maintained in all
Educational Institutions.
RAJASTHAN
1. Mukya Mantri Shubhlaxmi Yojna
Under this scheme, Women are given a sum of Rs 2100 after giving birth to a girl child and
the same sum is given again after completion of one year and full immunization schedule . A
sum of Rs 3100 is given on completion of 5 yrs and when seeking admission into school.
SIKKIM
1.JANNANI RAKSHA YOJANA
Main objective of the scheme is to help promote institutional deliveries in government
hospitals and health centers for preventing maternal and infants deaths. Under this scheme
cash incentive are provided.
2. MUKHYA MANTRI SHISHU SURAKSHA AVUM SUTKERI SAHIYOG
YOJANA
This scheme was introduced by the state government with the object of promoting
institutional deliveries and also improve the overall health and nutritional status of pregnant
and lactic women including children upto 6 years of age.
3. JANANI – SHISHU SURAKSHA KARYAKRAM
This scheme is for providing absolutely free and no expev]nse delivery to pregnant women
delivering in public/government health institutions.
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WEST BENGAL12
1.Reproductive and health programme
The Reproductive and Child Health (RCH) Programme was launched throughout the country
on 15th October, 1997. This programme aimed at achieving a status in which women will be
able to regulate their fertility, women will be able to go through their pregnancy and child
birth safely, the outcome of pregnancies will be successful and will lead to survival and well
being of the mother and the child. The couples will also be able to have their sexual relation
free from fear of pregnancy and of contracting sexually transmitted diseases. Within the
overall umbrella of reducing infant, child and maternal mortality. The second phase of RCH
program i.e. RCH – II was launched on 1st April, 2005 . The main objective of the program
was to bring about a change in mainly three critical health indicators i.e. reducing total
fertility rate, infant mortality rate and maternal mortality rate with a view to realizing the
outcomes envisioned in the Millennium Development Goals.
2.Jannani suraksha Yojana
This promotes healthy mother and safe child birth . Cash incentive is provided under this
programme .
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