Health Department

Organizational Structure:

About the Department

The office of the District Medical & Health Officer, East Jaintia Hills District, Khliehriat was established on October 2013. East Jaintia Hills District was carved out of Jaintia Hills District on 31st July 2012. Khliehriat and Saipung are the two community and rural development (C&RD) blocks of the district. There are two Community Health Centres (CHCs), 6 Primary Health Centres (PHCs) and 35 Sub-Centres (SCs) in the district.

The services offered by the department are preventive health care services, promotive health care services, routine curative services and rehabilitation services. The activities of the department include maintenance of health facilities with necessary infrastructure, implementation of National Disease Control and Eradication programmes and control of Communicable as well as Non-Communicable disease.

List of Schemes

A. National Health Mission (NHM)

The National Health Mission was launched by the government of India in 2013 subsuming the Natural Rural Health Mission (launched on 5th April 2005) and National Urban Health Mission.

Vision of the NHM

“Attainment of Universal Access to Equitable, Affordable and Quality health care services, accountable and responsive to people’s needs, with effective inter-sectoral convergent action to address the wider social determinants of health”.

The main goals of NHM are:

• Reduce Maternal Mortality Ratio (MMR) to 1/1000 live births
• Reduce Infant Mortality Rate (IMR) to 25/1000 live births
• Reduce Total Fertility Rate (TFR) to 2.1
• Prevention and reduction of anaemia in women aged 15-49 years
• Prevent and reduce mortality & morbidity from communicable, non-communicable; injuries and emerging diseases
• Reduce household out-of-pocket expenditure on total health care expenditure
• Reduce annual incidence and mortality from Tuberculosis by half
• Reduce prevalence of Leprosy to <1/10000 population and incidence to zero in all districts
• Annual Malaria Incidence to be <1/1000
• Less than 1 per cent microfilaria prevalence in all districts
• Kala-azar Elimination by 2015, <1 case per 10000 population in all blocks

The NHM Components are:

1. NHM Finance: Financial Management Group (FMG) working under NHM Finance Division of Ministry of Health & Family Welfare is involved in planning, budgeting, accounting, financial reporting, internal controls including internal audit, external audit, procurement, disbursement of funds and monitoring the physical and financial performance of the programme, with the main aim of managing resources efficiently and achieving pre-determined objectives. Sound financial management is a critical input for decision making and programme success.
2. Health Systems Strengthening: Adoption of the Indian Public Health Standards, Quality standards, Skill gaps and Standard Treatment Protocols, Hospital Management Societies or Rogi Kalyan Samiti (RKS) and untied funds, Quality Improvement Programmes. Health Systems Strengthening (HSS) consists of National Ambulance Service (NAS), Mobile Medical Units (MMUs), Infrastructure, Human Resource, Free Drugs & Diagnostics Service Initiative, Comprehensive Primary health care, Tribal Health, Blood services and blood disorders, Public Private Partnership, Biomedical Equipment Management & Maintenance Program, and District Hospital Strengthening.
3. Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A): The Government of India adopted the Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A) framework in 2013 and it essentially looks to address the major causes of mortality among women and children. The programmes and strategies developed includes Janani Suraksha Yojana (JSY), Janani Shishu Suraksha Karyakram (JSSK), Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA), Home-based Newborn Care (HBNC), Rashtriya Bal Swasthya Karyakram (RBSK), Rashtriya Kishor Swasthya Karyakram (RKSK), Weekly Iron Folic Acid Supplementation (WIFS) Programme, National Deworming Day (NDD), Newborn Health, Infant and Young Child Feeding (IYCF) practices, Intensified Diarrhoea Control Fortnight. (IDCF), Routine Immunization and Pulse Polio Programme under Immunization Programme, and Family Planning. Other Programmes with regard to the community under NHM includes Community Action for Health (CAH), Village Health Sanitation & Nutrition Committee (VHSNC), Accredited Social Health Activist (ASHA) programme and Village Health and Nutrition Day (VHND).
4. National Disease Control Programmes (NDCPs): It consists of all Vertical Programmes under NHM such as Non-Communicable Disease Control Programme, National Iodine Deficiency Disorders Control Programme, National Vector Borne Disease Control Programme, Revised National Tuberculosis Control Programme, National Programme for Control of Blindness (NPCB), National Leprosy Eradication Programme, Integrated Disease Surveillance Programme, National Mental Health Programme, and Programme for Prevention & Management of Burn Injuries (NPPMBI).

N.B. Official Website of NHM: http://nhm.gov.in

B. Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) and Megha Health Insurance Scheme (MHIS) Phase IV

The Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) is a centrally sponsored scheme launched in 2018, under the Ayushman Bharat Mission of MoHFW for a New India 2022. The scheme aims at making interventions in primary, secondary and tertiary care systems, covering both preventive and promotive health to address health care holistically. It is an umbrella of two major health initiatives namely, Health and Wellness centres and National Health Protection Scheme (NHPS).

Ayushman Bharat – National Health Protection Scheme will cover more than 10.74 crore poor and vulnerable families (approximately 50 crore beneficiaries) providing coverage up to Rs. 5,00,000/- per family per year for secondary and tertiary care hospitalization. Benefits of the scheme are portable across the country and a beneficiary covered under the scheme will be allowed to take cashless benefits from any public or private empanelled hospitals across the country. It will be an entitlement based scheme with entitlement decided on the basis of deprivation criteria in the Socio-Economic Caste Census (SECC) database covering both rural and urban.

The Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in convergence with the Megha Health Insurance Scheme (MHIS) Phase IV was launched on 20th December 2018 in the state of Meghalaya. Under the MHIS Phase IV, the State Government plans to insure a total of 8.8 lakh families in the state. The scheme will cover as many as 2300 medical and surgical packages.

N.B. Official Website of MHIS:https://mhis.org.in

         Official Website of PMJAY:https://www.pmjay.gov.in

C. PRADHAN MANTRI MATRU VANDANA YOJANA (PMMVY)

Pradhan Mantri Matru Vandana Yojana (PMMVY) is a maternity benefit scheme run by the Government of India. Under PMMVY, a cash incentive of Rs. 5000/- would be provided to Pregnant women and Lactating mothers (PW&LM) for the first living child of the family subject to their fulfilling specific conditions relating to Maternal & Child Health.

Objectives:

• Provide partial compensation for the wage loss in terms of cash incentives so that the woman can take adequate rest before and after delivery of the first living child.
• The cash incentive provided would lead to improved health seeking behaviour amongst the pregnant women and lactating mothers (PW&LM).

Target Beneficiaries:

• All Pregnant Women and Lactating Mothers, excluding PW&LM who are in regular employment with the Central or State Government.
• All eligible Pregnant Women and Lactating Mothers who have their pregnancy on or after 01.01.2017 for the first child in the family.
• The date and stage of pregnancy for a beneficiary would be counted with respect to her LMP date as mentioned in the MCP card.

For further details please visit your ANMs/ASHAs at your nearest health facility or please visit the PMMVY section at the DM&HO’s office, East Jaintia Hills District, Khliehriat.

N.B.     Official website of PMMVY: https://wcd.nic.in/schemes/pradhan-mantri-matru-vandana-yojana