Despite the gradual improvement in health status over many years, preventable mortality and morbidity in Orissa are high. The Government of Orissa has launched RCH-II programme in the State since April 2005 with goals of reducing IMR from 87 per 1,000 live births to 50 per 1000, MMR from 367/100000 to 250/100000, Total Fertility Rate from 2.46 to 2.2 and couple protection rate from 46.8% to 65% by 2010.
The challenges of poverty, backwardness coupled with inadequate infrastructure have to be tackled in the State so as to improve delivery of health care. The programme includes prevention, care and support, research on cost effective prevention strategies, training of medical professionals and community key stakeholders.
In terms of thematic focus the major thrust of the programme is on IMR and MMR and that forms the preamble for the future. Component for child health has been designed as per the IMNCI protocol. Special emphasis has been made to initiate community level involvement on basic and comprehensive emergency obstetric care as regards maternal and child health. A separate component has been designed for Adolescent Reproductive Health to be implemented as a mainstream strategic component of RCH Programme. Efforts have been made to focus on providing health services to tribal communities (62 tribes, including 13 primitive tribes) with a population of 8.15 million constituting 22.3% of the State’s population.
The goal of the Department of Health & Family Welfare, Government of Orissa is to facilitate the incremental improvement in the health status of people of Orissa with their participation, and to make available health care in a socially equitable, accessible and affordable manner within a reasonable timeframe, creating partnerships between public, voluntary and private health sector and across other developmental sectors.
The overall objective of the RCH II is:
- To establish health care services with improved access and quality to respond to the needs of disadvantaged groups.
- To ensure that no one is denied services due to inability to pay.
- And to ensure better and equitable utilization of service
- To reduce Total Fertility Rate to 2.1 from 2.5 by 2010 in the State of Orissa
- To reduce Infant Mortality Rate from the present level of 87 /1000 live births to 50/1000 live births by 2010 in the State of Orissa
- To reduce Maternal Mortality Rate from the present level of 470/100,000 to 250/100, 000 by 2010 in the State of Orissa.
- Improve health outcomes as a shared responsibility of healthcare providers, local Government, communities and households.
- Government of Orissa is committed to establishing a fully sustainable health programme, which will be cost effective programme for the poor, the vulnerable and the unreached segment of population.
- Establish community level gender sensitive quality reproductive health services.
- Establish sustaining Reproductive health services by including social marketing and social entrepreneurship
- Successful implementation of Janani Surakhya Yojana. Over 2.51 lakh beneficiaries have availed JSY benefits.
- Institutional Delivery increased by 25% in the State in the last one year.
- Accreditation of private /public sector institutions for disbursing JSY benefits
- Operationalising FRUs and making PHCs 24x7 currently being undertaken
- Multi-skilling of MBBS Doctors in O & G and Anesthesia is currently in progress.
- Institutional up gradation with NRHM funds.
- Providing additional Paramedics to different categories of health institutions.
- Skill Birth Attendance training has commenced.
- IMR in the State has decreased from 81in to 65.
- Training in Integrated management of new-born care and childhood illness already completed in two districts.
- “Pustikara Diwas” initiated in the State for treatment and referral of under 6 Malnourished Children.
- Full immunization in children has increased from 43.7% (NFHS- II) to 51.8%(NFHS –II)
- “Swasthya Melas” organized in remote tribal areas benefiting 18807 beneficiaries.
- 184 RCH camps organized in different Blocks catering services to 71544 beneficiaries under different services.
- Loss of wages benefits received by 96959 mothers