6 states stum­ble at cen­tral health test Big suc­cess: Malaria deaths dip 50% in 5 yrs

To Lose 20% Of Na­tional Health Mis­sion Funds

The Times of India (New Delhi edition) - - Times Nation - [email protected] times­group.com NEWS NETWORK

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.

Full re­port on www.toi.in


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

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