Sunday, November 12, 2017

"KCR KIT"…. Increases Institutional Deliveries : Vanam Jwala Narasimha Rao

"KCR KIT"…. Increases Institutional Deliveries
Vanam Jwala Narasimha Rao
The Government has been concerned about the Maternity and Child Health (MCH) services provided to the poor. Though the institutional deliveries in the state are at 92%, the deliveries in government hospitals unimpressive and were very low at 31%. The poor citizens are incurring high Out of Pocket expenditure for deliveries if they opt for a private hospital based institutional delivery. The C-Sections rates are very high at 58%, particularly in Private Hospitals (74%) as well as very high hysterectomy rates.
With a view to reduce Maternal Mortality Ratio (MMR), to reduce Infant Mortality Rate (IMR), to provide quality med-care, to compensate wage loss of pregnant women, ensure quality Anti Natal Care (ANC) checkups and increase public institutional deliveries as well as minimize indiscriminate C-Sections, the government has launched a new initiative called "KCR-Kit" programme.
The Chief Minister has launched the programme on 2nd June 2017. The details of financial assistance provided under this programme are:
Rs. 3000 as first instalment at the time of registration of pregnancy at any public health facility and undergoes at least two ANC checkups by the medical officer with Iron-Folic Acid (IFA) tablets. Rs 4000 as second instalment (in case if it is girl child Rs. 5000) at the time of delivery in the public health intuition.  After delivery a kit consisting of 15 items like Baby powder, soap, baby oil, Mosquito net, baby mattress, 2 dresses for new born baby and two sarees for the mother etc. will also be given. Rs 2000 as third instalment at the time of first immunization at the age of three and half months to the baby will be given. Rs 3000 will be paid at the time when the child will be administered measles vaccine and other vaccines at the age of 9 months.
In addition to the monetary benefit, a mother and baby kit is provided immediately after delivery containing, Baby bed with baby pillow and attached Mosquito Protecting Net; Baby quick dry waterproof bed protecting mat; Baby Dresses with Baby shorts; Baby wrap towels; Baby Nappies; Kit Bag; Baby Powder 200gms; Baby Shampoo 100 ml; Baby Oil 200 ml; Baby soap 100 gms; Baby Soap Box; Baby rattle toy; Plastic basket; Two handloom sarees and Soap 75gms for mother.

The other interventions that are taken up in the KCR Kit Programme are: .Comprehensive approach to safe motherhood; Birth planning; Standardization of labor rooms; Strengthening of First Referral Units; Specialist services in tribal and remote areas; Tracking of High risk pregnancies; Referral transport including drop back; Free drugs and diagnostics; Skill based competency training; Transportation of pregnant women for Ante-natal checkups and for delivery and Strengthening referral system (home to facility, inter-facility and drop back). A new software is developed for tracking pregnant women, high risk pregnancies and new born as well as to transfer money directly through DBS.
As part of implementation of KCR KIT programme many other initiatives have been taken up to improve the services provided and to take the additional load of MCH activities. The details are: 3943 regular new posts (Doctors: 2397, Nurses: 968, Para Medical: 442 and Administrative: 136) are created in various cadres to work in CHCs, Area and District Hospitals. Apart from these posts, 500 posts of Staff Nurses have been created under NHM. 110 Specialist doctors have been hired under NHM to handle extra load in major hospitals. Human Resources Management Information System (HRMIS) is implemented in the state. Nine 150 bedded Mother and Child Health blocks have been created attached to District Hospitals. Seven more 100 bedded and five 50 bedded MCH blocks are sanctioned. 231 Labor rooms are being standardized and 95 are already completed. 102 Services: Transportation of pregnant women for ANCs and delivery Transport for ANC, Delivery, Post Delivery drop, Immunization. Presently 50 vehicles are providing services in tribal areas. Another 200 vehicles will be added during this month. Special Newborn Care Units and Intensive Care Units are strengthened.
After the successful implementation of KCR Kit there is steep increase in deliveries in Public Health Institutions. The number of deliveries during the month of January 2017 was 17,543, which rose to 26,898 during September 2017. In terms of percentage against estimated deliveries, in January 2017 the percentage was 32.9% and it rose to 50.44% in September 2017.
(Source: Health Minister brief in Assembly on 3rd November 2017)

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