Access to Essential Medicines in All Public Facilities: To provide affordable care to majority of the population, drugs will be provided free of cost from public health facilities. For this essential drug list will be revised and expanded. To cut down the costs and promote rational use of drugs generic names will be used. States will be encouraged to set up Medical Supplies Corporations on the lines of Tamilnadu and procure centrally to contain costs. Generic medicines to be obtained from from suppliers of repute that match pre-qualifying standards to ensure.
To provide low cost generic medicines, for people availing services from private sector, Jan Aushdhi Stores will be expanded to cover all sub- divisions and blocks.
Maternal and Child Health: Appropriate area equipping Traditional Birth Attendants/ dais for safe deliveries especially in remote and inaccessible areas, universalising access to the SBA over a quality of supplies specific interventions will be made such as period of time, and prioritising better access to emergency obstetric care (both public and private) within a two-hour travel time in cases of complications. The quality of care being provided in routine institutional deliveries would be carefully monitored and accessible grievance redressal mechanisms put in place.
Simple strategies for prevention of pre-term births, and reducing deaths among pre-term babies will be built into protocols for health workers and standards for health facilities. Home- based newborn care, and focused efforts to encourage breastfeeding and safe infant and child feeding practices will be promoted. While emphasis on early breastfeeding is a part of Accredited on neonatal care for community and directly related to maternal Social Health Activists’ (ASHAS’) training, special training facility-level health functionaries will be imparted for a faster reduction in IMR. The findings of Maternal Death Reviews and Infant death audits will be used to fill gaps in health systems, in skills and service provision. Control and management of diseases like malaria, TB and HIV/AIDS, and conditions like hypertension and gestational diabetes which are mortality would be integrated with RCH service delivery. To meet the unmet needs for RCH services AYUSH doctors, wherever feasible, would to be given SBA, RCH and IMNCI training.
Universal Immunisation Coverage: Universal coverage of routine immunisation to be achieved by the end of 12th Plan. Strategies to achieve this are increasing public awareness of benefits of immunisation, strengthening of alternate vaccine delivery mechanism, involvement of Registered Medical Practitioners wherever required, ensuring electricity supply to points of vaccine storage, effective implementation of the Mother and Child Tracking system and Mother and Child Protection Card jointly issued by the Ministry of Health and Family Welfare and Ministry of Women and Child Development for better capturing of immunisation data.
Family Welfare: Greater attention would be paid to spacing methods like condom and long term IUCD to meet the unmet need for contraception. IUCD insertion on fixed days by ANMS (under supervision of LHV for new ANMS) would be encouraged. Availability of MTP by Manual Vacuum Aspiration (MVA) technique and medical abortions will be ensured at fixed points where Mini-Laparotomy is planned to be provided. For easy access to contraception services strategies like social marketing, contracting and engaging private providers will be used. Postpartum contraception methods like insertion of IUD and male sterilisation would be promoted while ensuring adherence to internationally accepted safety standards.
Communicable Disease Control: Maior emphasis will be on prevention and control of tuberculosis, vector borne diseases and zoonotic diseases. The emphasis will be on disease surveillance including integrated surve:llance of transmission between wildlife, close bred veterinary populations and human communities. For vector borne diseases, there will be improved entomological surveillance, emphasis and workplaces and minimising human-mosquito contact. Besides these, strategy will involve case detection, treatment and referral services.
Prevention and Control of Non-Communicable Diseases:
For prevention and control of non-communicable diseases a number of policy decisions will be implemented. These will be directed at reducing tobacco and salt reduction in processed foods. Services will be provibded for screening and treatment of hypertension and diabetes and cancer.
Care for the elderly would focus on promoting healthy lifestyles, encouraging care within families, linking strengths of Indian Systems of Medicine with Modern Systems of Medicine in rejuvenation therapies, and preferential attention in all public facilities. Problems relating to mental health, especially in conflict zones would be managed with sensitivity at the community level, through better training of community workers and primary care teams, and through education of care givers.