Programmes

Urban RCH

Gujarat is one of the most urbanized states in India. 2011 census report shows the urban population has reached to 42.6%. Rapid industrialization and consequential economic migration into Gujarat has accelerated urban growth that has resulted in increased number of slum settlements in and around urban areas with a sizable number of BPL population.

Under NRHM, for all 8 Municipal Corporations, support to Corporation Programme Management Units is given. Human Resource support primary health care services in 168 Urban Health Centers is funded through NRHM. In 159 Nagarpalikas, State Government’s Urban Health Project is being implemented with, partial support from NRHM to fill the gaps of resources.

Goals

To improve the health status of the urban poor in Gujarat.

Objectives

To provide improved access to primary health care to the urban slums and urban poor population groups through community based outreach service delivery and referral system.

Strategies

At Municipal corporation, municipal commissioner and Medical officer of Health are chairperson and member secretary of Urban Health Society which looks after NRHM-RCH-II programme. At Municipal corporation level, programme management unit (one coordinator, M & E, Finance Assistant and Peon) is sanctioned.

Particular No. of UHCs No. of Maternity Homes No. of Sub centers
In 8 Municipal Corporation 168 UHCs run by Municipal corporation supported by NRHM/RCH-II 21 run by Municipal corporation 0
In159 Municipalities 198 UHCs : Gujarat State government Initiative ,supported by NRHM 0 575

At UHC level Urban Health Officer, PHN, Pharmacist, Lab. Tech., Computer Operator, Staff Nurse, Aaya and Peon posts are sanctioned. At USC level FHW, SI posts are sanctioned. One Community Based Volunteer is kept for 2000 slum Population and is given incentive Rs. 2000.

Approaches

  • Uniform Urban Health System of UHC for all urban areas of Gujarat-similar to Rural Primary Health System.
  • Resource mapping, available resource pooling and strengthening of the existing urban health infrastructure.
  • Establishing new UHC and HP in medium and small ULBs.
  • Convergence of existing health (GoG & National Health) programs and services.
  • Promoting, supporting and institutionalizing.
    • Involvement, Partnership and Management Capacity Development of the Urban Local Bodies.
    • Public – Private – Partnership for Referral, Secondary and Tertiary care.
    • Community Involvement.
  • Developing and strengthening management and support mechanisms at ULB HQ, Regions and State level.
  • Achievement of goals of other health programs.

Measurable Outputs

  • Percentage of Urban Slums / Urban poor covered.
  • OPD attendance at UPHC.
  • Increase in referrals availed at referral units.
  • Increase in ANC check-up of pregnant women.
  • Increase in institutional deliveries as percentage of total deliveries.
  • Increase in complete immunization among children < 12 months.
  • Increase in case detection for malaria and TB cases.

Expected Outcomes

  • IMR reduced to 30/1000 live births by 2015.
  • Maternal Mortality reduced to 100/100,000 live births by 2015.
  • TFR reduced to 2.1 by 2015.
  • Reduction in Malaria Mortality by 50% by 2015.
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