6 states stumble at central health test Big success: Malaria deaths dip 50% in 5 yrs
To Lose 20% Of National Health Mission Funds
New Delhi: Bihar, West Bengal, Madhya Pradesh along with hill states of Himachal Pradesh, J&K and Uttarakhand have not fared well in improving health indicators and hence will miss out on 20% of the Centre’s payout under National Health Mission.
The health ministry on Wednesday released ‘Health Systems Strengthening -Conditionality Report of States for 2018-19’, which will form the basis for disbursement of performance-based incentive or penalty under NHM budget. The report shows Haryana, Kerala and Punjab along with Assam and Dadra & Nagar Haveli as the top five performers on key health indicators.
The Conditionalities Framework for 2018-19 comprised seven key indicators based on which states and Union Territories were ranked. The parameters include operationalisation of health and wellness centres , provisioning of mental health services in districts covered under the NHM programme, screening of 30 plus population for non-communicable diseases and grading of primary health centres (both urban and rural), among others.
The incremental improvement as per the NITI Aayog ranking of states on “Performance on Health Outcomes” is one of the major conditionalities and has been given the highest weightage.
In light of PM Narendra Modi’s call to save children from vaccine-preventable diseases, full immunisation coverage was set as a qualifying criterion to be able to claim incentives. The states and UTs were eligible for conditionality assessment only if they were able to achieve at least 75% full immunisation coverage in case of Empowered Action Group states (which lag behind in demographic transition), North-Eastern (NE) and hill states and 80% for the rest.
In 2018-19, the Mission Steering Group of NHM decided to increase the performance-based incentive/ penalty from 10% to 20% of the NHM budget, sending a clear message to all states that good performance would be monitored and rewarded.
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New Delhi: India has presented the “biggest success story” amongst malaria endemic countries in the world as malaria cases and deaths have declined by almost 50% in five years between 2013 and 2017, an official statement said on Wednesday after the Cabinet was apprised of the progress under the health ministry’s flagship National Health Mission.
While malaria cases dropped by 49.09%, deaths from the disease declined by 50.52% in 2017, as compared to 2013.
The maternal mortality ratio (MMR) and under-five mortality rate (U5MR) also declined since 2005 and at the current pace, India should be able to achieve the Sustainable Development Goals (SDG) targets much before 2030, the statement said.
The under-five mortality rate (deaths per 1,000 live births) declined from 69 per 1,000 live births in 2008 to 37 per 1,000 live births in 2017.
During the same period, infant mortality rate (number of deaths per 1,000 live births of children under one year of age) at national level declined from 53 to 33.
The maternal mortality ratio dropped from 254 maternal deaths per 100,000 live births in 2004 to 130 per 100,000 live births in 2016.
Under the SDG, the world has committed to trying to bring MMR to 70 deaths per 100,000 live births by 2030 and the under-five mortality rate to 25 deaths per 1,000 live births.
The government said the Revised National Tuberculosis Control Programme has been significantly strengthened and intensified. A total of 1,180 cartridge-based nucleic acid amplification test machines across all districts have been installed, which provides rapid and accurate diagnosis for tuberculosis, including drug resistant TB.
Bihar, West Bengal, MP, Himachal Pradesh, J&K and Uttarakhand have not fared well in improving health indicators