Haryana: Health, infrastructure and policies
Haryana is committed to provide quality health services and raise the health status of its people. National Rural Health Mission has been introduced in Haryana with a view to bring about improvement in the health status of people especially of those who live in rural areas of the country. The state of Haryana is steadily progressing towards attaining the goals and objectives shared under NRHM, National Population Policy and Millennium Development Goals. Haryana compares favourably with the rest of India in terms of health indicators and over time, indicators have improved sharply compared to other states. The per capita government expenditure on health in Haryana has been showing a rising trend over last few years. It has increased from Rs.166.83 in 2000 to Rs.734.00 in 2013. This has contributed significantly to the health and wellness of people in the state. Thus, the crude birth rate, crude death rate, and infant mortality rate are declining in Haryana over years. It is observed that the crude birth rate declined from 26.9 in 2000 to 21.3 in 2013.
There has also been a decline in crude death rate from 7.5 in 2000 to 6.3 in 2013. Similarly, infant mortality rate also declined in Haryana from 67.0 in 2000 to 41.0 in 2013. These achievements are also due to the good health infrastructure facilities available in the state in terms of 57 hospitals, 2630 sub-centres, 485 primary health centres, 112 community health centres,7 trauma centres, 37 rural and urban dispensaries, 90 urban RCH centres, 473 delivery huts, 4973 female health workers at sub-centres & PHCs, 1682 male health workers at, 398 female health assistants at PHCs, 503 male health assistants at PHCs, 392 well-trained doctors, 1416 pharmacists & other supporting staff, and 1698 nursing staff at PHCs & CHCs in Haryana (Economic Survey of Haryana, 2014-15). For reducing the deaths in newborns and bringing it down to 30 by 2015, Janani Shishu Suraksha Karyakram (JSSK), Facility Base Newborn care (FBNC), Home Based Post Natal Care (HBPNC) programs have been initiated by Haryana government.
The healthcare delivery of any state is not possible without an appropriate health care infrastructure. Adequate infrastructure which includes buildings, equipment, supplies, and communication equipment forms a crucial part of the health services. Healthcare centers, dispensaries, or hospitals need to be manned by well-trained staff with a service perspective. Oral health promotion and checkup and appropriate referral on identification are an essential requirement at the PHCs, whereas in the CHCs, it is imperative to have a unit consisting of dental chair and sets of dental equipment for examination, extraction, and management of dental problems.
At present Health Services are being provided through a network of 59 Hospitals, 121 Community Health Centres, 488 Primary Health Centres, and 2630 Sub Centres. The department also provides services through 8 trauma centers, 3 dedicated burn units as well as 63 urban dispensaries, polyclinics and urban health centers.
Policies and schemes
Mukhya Mantri Muft Ilaaj Yojana
Under the scheme of Mukhya Mantri Muft Ilaaj Yojana (MMIY) free secondary level surgeries are being made available at Government Health Institutions. 231 different types of surgeries are being provided along with 69 free basic laboratory investigations, X-ray, ultrasound and ECG; free referral transport, indoor treatment services and 21 different types of dental procedures. A budget of 18 crore was sanctioned for MMIY for 2016-17.
National Health Mission
Under the umbrella of National Health Mission, special focus has been given to Maternal & Child Health which is evident from the fact that as per the National Family Health Survey –4 (NFHS-IV 2015-16), the Infant Mortality Rate (IMR) of Haryana has reduced to 33 per thousand live births (SRS 2013) & Maternal Mortality Rate (MMR) has reduced to 127. Likewise the institutional deliveries have increased to 92.1 percent in 2016. The state has 364 ambulances out of which there are 102 patient transport ambulances, 47 advanced life support, 187 basic life support, and 28 kilkari-backhome ambulances.
Haryana Kanya Kosh
Haryana Kanya Kosh has constituted for the welfare and development of girls and women of Haryana. The funds will be administered by the Women & Child Development Department. A sum of 68.61 lakh has been deposited in the Bank Account of Haryana Kanya Kosh with Bank of India. The Haryana Kanya Kosh has been registered as a society. PAN Card of Haryana Kanya Kosh has been received from Income Tax Deptt. The certificate of registration of Haryana Kanya Kosh u/s 12AA as a “Charitable Society’’ has been issued by the Income Tax Department.
Establishement of One Stop Centre for Women “Sakhi”
One Stop Centre for Women is to provide integrated support and assistance to women affected by violence, both in private and public space under one roof and to facilitate immediate, emergency and nonemergency accesses to a range of services including medical, legal, psychological and counseling. Till now 283 cases have been dealt in the One Stop Centre, Karnal. Government of India has set up 6 additional One Stop Centre i.e. Gurugram, Faridabad, Narnual, Rewari, Hisar and Bhiwani.
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