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Government of Jammu and Kashmir Health and Medical Education Department Civil Secretariat- Srinagar. Minutes of the review meeting held under the Chairmanship of the Additional Secretary & Mission Director
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Government of Jammu and Kashmir Health and Medical Education Department Civil Secretariat- Srinagar. Minutes of the review meeting held under the Chairmanship of the Additional Secretary & Mission Director (NHM), MoH&FW, GoI on 07th May, 2015 at am in the Conference Hall of the Divisional Office of NHM, Chanapora, Srinagar. The list of the participants in the meeting is placed as Annexure A . A meeting was chaired by Additional Secretary & Mission Director (NHM), MoH&FW, Gol on 07th May, 2015 at am in the Conference Hall of the Divisional Office of NHM, Chanapora, Srinagar in order to review implementation of National Health Mission, RCH lother health programmes and restoration works after floods in Srinagar. Initiating the proceedings of the meeting, Commissionerl Secretary Health & Medical Education welcomed the AS & MD, MoHFW, Gol, and asked the Mission Director NHM to proceed with the power point presentation. The Mission Director then gave a detailed review of physical and financial achievements made during the financial year with respect to different schemes I programmes of National Health Mission, through a power point presentation. While reviewing the progress of the National Health Mission, the AS&MD showed his concern for the following issues and desired immediate attention of the State authorities for taking appropriate action: 1. Free Essential Drug Policy The AS&MD laid emphasis on implementation of Free Essential Drugs Policy for public health facilities to minimize out of pocket expenditure on public health care and get financial support for provision of free drugs as per Gol norms. The State can have recourse to the models adopted by other States like West Bengal etc. 2. Robust procurement system He emphasised that the State should ensure regular supplies of essential medicines under RMNCH +A through timely procurement. He suggested.s:state may explore the possibility of procuring essential drugs from ~ I P a g e well established corporations till a robust system of procurement is put in place. 3. Release of matching State share The AS & MD expressed his concern on the pendency under matching State share contribution and stressed that funding from GoI shall not be possible in the current financial year till the pending State share is released. 4. Immunization The full immunization coverage in the State has declined from 66.6% in 2009 (CES) to 54.0 % as per Rapid Survey on Children (RSOC) in despite funding provided under NHM. The AS&MD desired that the State should take immediate action for improving the full immunization coverage. 5. Family Planning AS & MD also stressed upon strengthening of Family Planning activities in the State as the contraceptive prevalence rate (CPR) of the State has declined from 51.9 % (DLHS 2) to 41.2 % as per DLHS 3. It was also pointed out that there is decline in sterilization performance, use ofiucds & NSVs. PPIUCD has not been started in the State that needs to geared up. 6. Declining Sex Ratio Declining Child sex ratio is another area of the concern for the State. He emphasised upon strict enforcement of PC&PNDT act, regular monitoring of USG clinics, meeting od State supervisory board on regular basis and other such majors so as to improve this indicator. 7. Establishment of Department of Hospital Administration in Govt. Medical Colleges. State was asked to consider the establishment of department of Hospital Administration in Govt. Medical Colleges of the State. ~ 21Pagc 8. NCD Programmes State was informed that all the non communicable disease programmes will now be part of the NCD pool. The State shall have to fix the priorities on need basis and implement the programmes accordingly. 9. Competition between Institutions on Swachta AS & MD informed that Gol will run a competition programme between the health institutions on Cleanliness for which the best health institution shall be provided with 50 lakhs for strengthening. 10. Maternal Death Review Disaggregated data on MMR for J&K is not separately provided by Registrar General of India because of smaller sample size which makes it impossible to know the level of MMR in. the State. However, it was emphasised the AS&MD that the Directorate of Health Services should undertake review of maternal deaths so as to take corrective measures based on the recommendations of the MDR Committees. 11. Quality assurance The AS&MD focused upon the ensuring quality assurance and informed that funds shall not be released to the States until state makes commitment on quality assurance. Some State specific issues were also discussed in the meeting. These issues were also discussed by the Hon'ble Health & Medical Education Minister and Chief Secretary, J&K in separate meetings with AS&MD, Gol. The proceedings of these issues are recorded as follows: _ 1. Restoration of E-transfer of funds in place of Treasury Route The issue of delay in timely transfer of funds to bank account of the State Health Society from the State treasury was discussed in the meeting and Gol was requested for considering restoration e-transfer of funds to the State Health Society in place of treasury route. It was informed by the Mission Director that due to non availability of adequate funds, the liabilities on account of salaries of the contractual staff, ASHA / JSY incentives etc have accrued to the extent of Rs crore and Gol was requested to consider release of funds for clearing pending liabilities of the financial year ~. 3/Pagc The AS & MD, MoHFW informed that the release of funds through State treasury is a policy decision. However he emphasised that State should transfer the funds to the bank account of the State Health Society within the stipulated period of 15 days. He further apprised that from the current financial year, Gol shall enforce 15% penalty to the State if the funds are not released to the State Health Society in specified time period. AS&MD stressed that the core activities like Janani Suraksha Yojna (JSY), Janani Shishu Suraksha Karyakaram (JSSK) should not be disrupted, in any case for want of funds. 2. Additional funds for completion of major ongoing hospital projects It was informed by the Mission Director that funds to the tune of Rs crore are required for completion of major ongoing hospital projects in the State. These projects / works can be completed if additional financial support under NHM is provided. AS & MD informed that due to limited resource envelop of the State, additional funds cannot be provided in the annual Programme Implementation Plan of NHM. However, the demand can be considered as and when the additional funds are available. 3. Regularization of contractual staff hired under NHM. The issue with regard regularization of the contractual staff hired under NHM was also raised in the meeting and Gol was requested formulation of a policy for the same. to consider It was informed by AS & MD that it is a State specific issue and. the policy has to be framed by State Govt for their regularisation. However, Gol will support funding for only contractual HR and the burden of salary of regular manpower has to be borne by the State govt. State was also advised not to create extra burden by hiring additional manpower. 4. High Priority Blocks It was also informed that Ministry has identified six High Priority District (HPDs) in the State viz, Rajouri, Poonch, Doda, Ramban, Kishtwar and Leh on the basis of key MCH indicators, however, there are 44 blocks identified by District Health Societies in other districts which are not only hard to reach due to topographical and inclement climatic conditions but ~ also lagging behind in terms of health indicators. 41Page AS & MD informed that Gol has no objection to include the high priority blocks for special focus and support in terms of planning and implementation provided the resources are available. However the State was advised to start with the pilot blocks and figure out the requirement of resources and its impact Ambulances Services It was also informed to the chair that currently 102 Ambulance service is being run in the State in which only Basic Life Support ambulances (BLS) have been networked through GPS and are being managed through Vehicle Tracking Management System (VTMS). However, in the State Programme Implementation Plan of NHM for the current financial year, a proposal for networking both Advanced Life Support (ALS) and Basic Life Support (BLS) ambulances through 102 toll free number has been submitted to the Ministry for approval. It was informed by AS & MD that the proposal is being considered. However, the State has to ensure that the utilization of 102 services is improved for providing services to the people. The meeting ended with thanks to the Chair. Sd/- Commissioner ISecretary to Govt., Health & Medical Education Department (Chairman, Executive Committee) No: - SHSINHM/J&KIP&SKlKI~q3-410 Dated: -/3 105/2015 Copy to the: 1-2 Principal Government Medical College,: for information. Srinagar. 3 Principal Government Dental College, Srinagar. : for information. 4 Director General ISM, J&K. : for information. 5-6 Director Health Services Jammu! Kashmir. : for information. 7 Director Family Welfare, MCH & Immunization, : for information. J&K. 8 Private Secretary to the Additional Secretary & Mission Director NHM Ministry of Health & Family Welfare, Gol Nirman Bhawan New Delhi the Additional Secretary & Mission Director NHM. 51Pagc 9 Special Secretary to the Chief Secretary (Chairman Governing Body, SHS) Civil Secretariat, Srinagar. the Chief Secretary. 10 Special Secretary to the Hon'ble Chief Minister (Chairman State Health Mission) Civil Secretariat, Srinagar. 11 Director Finance, H&ME Department. the Hon'ble Chief Minister. : for information. 12 Controller Food and Drug Control Organization, : for information J&K. 13 Additional Private Secretary to Hon'ble Minister for Health, Medical Education, ARI & Trainings. the Hon'ble Minister. 14 Joint Director (P&S) H&ME Department. : for information. 15 Private Secretary to the Commissioner/ Secretary to Govt; Health and Medical Education Department, Civil Secretariat, Srinagar. 16 PS to Hon'ble Minister of State for Health & Social Welfare, J&K. 17 Office file. (PS) the Commissioner/ Secretary. the Hon'ble Minister. I,, Missio L Direct~ 61Pagc Annexure A 1. Additional Secretary & Mission Director NHM Ministry of Health & Family Welfare, Gol. 2. Commissioner! Secretary to Govt; Health and Medical Education Department. 3. Principal Government Medical College, Srinagar. 4. Mission Director NHM, J&K. 5. Principal Government Dental College, Srinagar. 6. Director General ISM, J&K. 7. Director Health Services Kashmir. 8. Director Health Services Jammu. 9. Director Family Welfare, MCH & Immunization, J&K. 1O.Director Finance, H&ME Department. l l.controller Food and Drug Control Organization, J&K. 12.Joint Director (P&S) H&ME Department. I3.Divisional Nodal Officer NHM Kashmir. 7/Pagc
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