Odisha has emerged ahead of other states on many health services parameters in last 16 years. Topping the highest point decline in IMR and MMR than the national average, Health and Family Welfare Department and State National Health Mission sets the target for complete immunisation by 2018 and further reduction of IMR and MMR through the state budget programme ‘SAMPURNA’. Biswajit Sahoo of Elets News Network (ENN) analyses the progress in the State health sector.
After achieving highest point decline in Infant Mortality Rate (IMR) than the national average, Odisha government recently launched a programme to arrest the IMR and MMR further in the state. The government launched – SAMPURNA — (Sishu Abond Matru Mrityuhara Purna Nirakaran Abhijan) programme under the State budget to increase institutional deliveries in order to reduce infant mortality rate (IMR) as well as mother mortality rate (MMR).
As per the new scheme, pregnant women from inaccessible areas reaching hospitals by arranging vehicles on their own will get Rs 1,000. The state is estimated to spend Rs 6 crore per annum under the SAMPURNA scheme.
In a special programme of National Health Mission, Chief Minister Naveen Patnaik launched the programme. The government will provide financial support for pregnant women from difficult villages where 102/108 ambulances or fourwheeler vehicle cannot reach, Chief Minister Naveen Patnaik said while announcing the new scheme.
“The Health and Family Welfare Department plans to cover 7,853 villages spread over 30 districts would be covered under the SAMPURNA scheme. It is expected that more than 60,000 pregnant women would be benefited annually. The scheme will be helpful in increasing institutional deliveries in inaccessible areas,” said Dr Pramod Kumar Meherda, Commissioner-cum- Secretary of Health and Family Welfare Department.
Under the revised National Health Mission Programme, the state government also launched ASHA Kalyan Yojana which would ensure a minimum monthly incentive of Rs 1,000 to each Asha worker. This scheme will benefit more than 47,000 ASHA workers working in different parts of the state. This will address the mobilisation of patients to access institutional health care as the Asha workers have major contribution to control IMR and MMR.
The State government also launched NHM Employees and Welfare Fund which provides for compensation of up to Rs 6 lakh for death or permanent disability above 80 per cent and compensation up to Rs 2.5 lakh for partial disability. It will also provide for reimbursement of the cost of medical expenses up to Rs 3 lakh in a year for the critical health condition.
The IMR in Odisha which was 96 per 1,000 births in 2,000 has been reduced to 40 in 2015-16, according to the 4th round of the National Family Health Survey (NHFS) 2015- 16. During the same period, the national average of IMR has reduced by 27 points as it has come down to 41 from 68.
As per the latest NHFS report, state has achieved a sharp increase in institutional deliveries, family planning and ante-natal care of mothers and performed better than the national average on indicators like under-5 mortality rate, underweight, malnourishment and total fertility.
Odisha Tops Immunisation Chart:
Apart from IMR and MMR indicators, Odisha has also performed better than other states in covering full immunisation, another important health services indicator. With 84 per cent coverage of full immunisation of children and pregnant women, Odisha has emerged as lead performer in the country.
As per the National Family Health Survey – 4 (NFHS4) of 2015-16, full package immunisation coverage in 29 of 30 districts was found more than 84 percent. A recent assessment by the state level committee showed that as per NFHS4 of 2015-16, full immunisation coverage in the State was around 79 per cent against the national average of 62 per cent. The achievement of the State was further scaled up to around 84 per cent in the Integrated Child Health and Immunisation Survey (INCHIS) of 2016.
• Full immunisation coverage in the State was around 79 pc against the national average of 62 per cent
• Achievement of the State was further scaled up to around 84 per cent in INCHIS of 2016
• Odisha is the only State where only one district and one ULB have been taken up under IMI
“The Health and Family Welfare Department has chalked out plans to ensure 100 per cent immunisation coverage of children and pregnant women on head count basis in the districts where IMR and MMR rate was found high,” said Dr Pramod Kumar Meherda, Commissioner-cum- Secretary, Health and Family Welfare Department, Government of Odisha.
As the Ministry of Health and Family Welfare has drawn up an aggressive action plan to achieve full immunisation coverage target by 2018, the State Government has decided to deepen the activities under Intensified Mission Indradhanush (IMI) in one district and one ULB namely Ganjam and Bhubaneswar Municipal Corporation (BMC) because of comparatively less immunisation coverage in these areas.
Odisha is among lead performing states in pulse polio immunisation campaign launched in 1995, Hepatitis-B programme implemented in 2011, pentavalent vaccination and maternal and neonatal tetanus elimination (MNTE) programme in 2015 and injectable polio immunisation drive introduced in 2016. It was decided to start Missile Rubella (MR) campaign from January, 2018 in the State.