MINISTER OF THE STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD)
(a) to (d): The major development indicators like immunization, antenatal care, family
planning have shown positive improvement over the years. The comparative performance
on the key parameters during 2007-08 to 2009-10 is as follows :
Parameter 2007-08 2008-09 2009-10(till September,2009)
(Source:- HMIS Report, MoHFW)
Antenatal care 22414991 26153523 12603835
Family Planning 5019000 5291000 698911 (till August 2009)
Parameter DLHS-II(2002-04) DLHS-II(2007-08)
Full Immunization 45.9% 54.1%
Under the NRHM, the thrust is on establishing a fully functional, community owned, decentralized
health delivery system with inter-sectoral convergence at all levels. The NRHM seeks to converge
with other sectoral programmes like drinking water, education, sanitation, environment, local
self government etc. to ensure a holistic approach towards healthcare. As such, the timeline
targets under NRHM relate mainly to the systemic reforms undertaken in the health sector.
The states have taken several steps to improve the coverage of immunization
including strengthening of cold chain, mandatory use of auto disabled syringes,
setting up alternate vaccine delivery systems etc. Similarly several steps have
been taken to improve the antenatal coverage including strengthening of the outreach
activities at Sub Centres, monthly Health & Nutrition days at the Aanganwadi centres,
use of untied funds to ensure availability of basic equipments and furniture at Sub
Centres, enhanced IEC/BCC efforts to generate awareness etc. Several steps have been
undertaken to improve the family planning performance. These include establishing the
loss of wages compensation packages, family welfare linked insurance scheme, ensuring
availability of fixed day services, additional trainings in IUCD, NSV and lap sterlisations.
The availability of the bouquet of family planning services at all levels has expanded the
choice for the users and improved compliance. The close involvement of ASHAs and additional
ANMs at Sub Centres under NRHM have greatly improved the performance of the health system
towards delivery of the basic maternal and child health services and family planning services.
