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Sector Expert Consultation on Health System, Maternal and Child Health

On 1st November 2017, the sector expert consultation on the health system, maternal and child health was held at Indian Institute of Health Management Research University at Jaipur. The consultation was divided into two parts to brainstorm on maternal and child health as well as the health system in Rajasthan. A total of 29 sector experts participated in the consultation.

Rajasthan Priorities: Sector Expert Consultation on Health System, Maternal and Child Health

All experts contributed to a meaningful discussion on the solutions to address challenges for the environment and climate change. A total of 23 interventions for maternal and child health along with another 24 interventions for health system were listed which can be found below.

Maternal and Child Health Interventions

  • Janaani Sishu Suraksha Yojana (JSSY)
  • Mukhyamantri Nishulk Dava Yojana  
  • Behavior change communication for awareness and demand generation for services 
  • Iron Folic acid (180 tabs for 6 months in the conception and another 180 tab during PMC period)
  • BCC materials for Birth preparedness 
  • Birth preparedness (logistics, institution for delivery etc.) – Parsuti Niyojan Divas in Raj
  • Supportive supervision, training and capacity building 
  • Kushal Mangal program – identification of high-risk pregnancy and improving maternal health 
  • Bhamashah Swasthya Bima Yojana
  • Safe motherhood days program 
  • Focused intervention as per geographical challenges 
  • Better anti-natal care services at sub-center level (visit of medical officer) 
  • Quality of service delivery (including desert and tribal area) 
  • PM Janaani Suraksha Yojana (JSY)
  • Albendazole – deworming tab for anemia 
  • Training of front-line workers 
  • Calcium supplementations (360 tabs each time, twice) 
  • Identification of better/transparent ways to report maternal deaths (social audit and provision of incentives)   
  • Preconceptional folic acid up to 400 microgram
  • Primary Health Center in PPP (better preparedness, quality of services and follow up)
  • Differential (better) incentive for human resources at the ground - desert and tribal area
  • Lactation professionals – for counseling and promoting breastfeeding 
  • AAA (Anganwadi, ANM, and ASHA) modal– better coordination and preparedness

Health System Interventions

  • Automation and digitization of health system for service delivery 
  • Improve health infrastructure (blood banks, ambulance networks) Improving governance, accountability, monitoring performance of HR 
  • Strengthening of Labour Rooms and Strengthening of Operation Theatre at First Referral Units
  • Ensuring the availability of Free Drugs/Diagnostics Services Strengthening of Comprehensive Primary Health Care and far-flung areas
  • Facilities for C-section at government centers  
  • Emergency care services – ambulance and medical care services 
  • Expand health insurance and public medical centers 
  • Better and quality human resources in health system
  • Motivation and encouragement to human resources at service delivery 
  • Improving Human resources available per delivery
  • Expand vaccination
  • Improving the service delivery for health services  
  • Access to quality health services 
  • Distribution of Human resources (maternity and newborn care)  
  • Placement (or displacement) of trained staff – medical professionals
  • Preparedness and training of medical professionals before joining service  
  • Digital training material 
  • Strengthening of NBCC, NBSUs, Special New-born Care Units (SNCUs)
  • Antenatal care, skilled birth attendants, and institutional delivery expansion.
  • Initiatives to Reduce Neonatal Mortality Rate by Strengthening quality of intrapartum and newborn care 
  • Professional management of health institutions and service delivery 
  • Involvement of private sector in health services - challenging area
  • Better transport/connectivity 
  • Onsite Mentoring, Strengthening of Supportive Supervision by Frontline Functionaries
  • Digital registration system for each pregnancy (better planning, management and usage of resources at sub-centers

List of Participants

  • Dr. Tarun Chawdhary, Project Director -Medical & Wealth, Department of Health, Government of Rajasthan 
  • Dr. Michael. J. Klag, Dean, Johns Hopkins University's Bloomberg School of Public Health
  • Dr. S. D. Gupta, Chairman, IIHMR University, Jaipur 
  • Dr. Anil Agarwal, Health Specialist, UNICEF
  • Abha Singh, State Program Coordinator, Alliance for Immunization & Health - India
  • Dr.Bhoopendra Sharma, Prof & Head Community Medicine, Mahatma Gandhi Medical College, Jaipur
  • Dr.N.K.Sharma , IIHMR University
  • Rajeev Tewari, Program Director, Bhoruka Charitable Trust
  • Dr.Piyusha Majumdar, Faculty Member, IIHMR University
  • Charu Mathur, Faculty, IIHMR University
  • Sameer Phadnis, Associate Professor, IIHMR University
  • Dr.S.Joshi, Adjunct Professor, IIHMR University
  • Dr.R.P.Jain, Consultant (IMM), Unicef Jaipur
  • Dr.Ambeykar Srivastava, RM & E Specialist, WISH, Jaipur
  • Dr.Anoop krishnan, Professor, IIHMR 
  • Sunil Thomas Jacob, State Program Coordinator, UNFPA
  • Dr.C.Ramesh, Dean & Professor, IIHMR University, Jaipur
  • Dr.Srinivasan, MRE Expert, IPE Global Ltd
  • Rajeev Bhagel, Research Officer, IIHMR 
  • Vijay Kumar Mishra, R.O, IIHMR 
  • Dr.Rajeev Singh Dhakad, Research Officer, IIHMR University
  • Dr.Hussain, Research Officer, IIHMR 
  • Dr.Neeraj Sharma, Research Officer, IIHMR University, Jaipur
  • Amar Chanchal, Economist, India Consensus
  • Nutan Jain, Professor, IIHMR University, Jaipur
  • Dr. Dharmesh Kumar Sharma, Asst. Professor PSM, SMS Medical College, Jaipur
  • Dr.Vishal Singh, Associate Professor Communication, SIHFW, Rajasthan
  • Dr. Sodani, Dean Research, IIHMR University, Jaipur