Role of Homoeopathy in RCH II Dr'sanil Kumar

1
Role of Homoeopathy in RCH IIDr.sanil Kumar
2
RCH Phase II

• Began from 1st April, 2005
• The focus of the programme is to reduce maternal
  and child morbidity and mortality with emphasis
  on rural health care.

3
RCH Phase II

• Major Strategies
• 1. Essential Obstetric care
• - Institutional delivery
• - Skilled attendance at delivery
• 2. Emergency obstetric care
• - Operationalising FRUs
• - Operationalising PHCs and CHCs for round
  the clock delivery services
• 3. Strengthening referral system

4
RCH Phase II

• Initiatives which are planned are
• 1. Essential obstetric care
• - institutional delivery to promote
  institutional delivery in RCH Phase II, PHC and
  CHCc are operating 24 hrs by 2010.
• - skilled attendance at delivery-
• - policy decisions ANMs / LHVs / SNs
  permitted to use drugs in specific emergency
  interventions when the life of the mother is at
  stake

5
RCH Phase II

• Emergency obstetric care
• Minimum services to be provided by a fully
  functional FRUs
• 24 hour delivery services including normal and
  assisted deliveries
• Emergency obstetric care including caesarian
• New-born care
• Emergency care of sick children
• Full range of family planning services
• Safe abortion services
• Treatment of STI/RTI
• Blood storage facility
• Essential laboratory services and
• Referral (transport) services

6
RCH Phase II

• Three clinical determinants of a facility being
  declared as a FRU
• Availability of surgical interventions
• New-born care
• Blood storage facility on a 24 hour basis.

7
RCH Phase II

• For full range of Functioning, a FRU must have
• A bed strength of 20 30.
• A fully functional operation theatre
• A fully functional labour room
• An area earmarked and equipped for new-born care
  in the labour room
• A fully functional laboratory
• Blood storage facility
• 24 hour water supply and electric supply
• Arrangements for waste disposal
• Ambulance facility

8
RCH Phase II

• Strengthening referral system
• Panchayaths, NGOs and women groups.

9
RCH Phase II

• New initiatives
• Training MBBS doctors in life saving anaesthetic
  skills for emergency obstetric care.
• Setting up of blood storage centers at FRUs
• JANANI SURAKSHA YOJANA The National Maternity
  Benefit Scheme modified as JSY. Launched on
  12th April, 2005.
• Vandemataram scheme
• Safe abortion services (MTP and MVA)
• Other services will continue as in RCH Phase -
  I

10
RCH Phase II

• The quality indicators used to monitor and
  evaluate RCH programme through monthly reports
• No of antenatal cases registered total and at
  less than 12 weeks
• No of pregnant women who had 3 antenatal
  check-ups
• No of high risk pregnant women referred
• No of pregnant women who had 2 doses of TT
• No of pregnant women under prophylaxis and
  treatment of anaemia
• No of deliveries by trained untrained birth
  attendants

11
RCH Phase II

• No of cases with complications referred to PHC /
  FRU
• No of new-born with birth weight recorded
• No of women given 3 postnatal check-ups
• No of RTI/STI cases detected, treated and
  referred
• No of children fully immunized
• No of adverse reactions reported after
  immunization
• No of cases of ARI and diarrhoea under 5 years
  treated, referred PHC/FRU and deaths and
• No of cases motivated and followed up for
  contraception.

12
(No Transcript)
13

• The AYUSH (Ayurveda, Yoga, Unani, Siddha and
  Homoeopathy) systems have their particular
  strengths as far as the treatment is concerned.
• The Department of AYUSH has launched National
  Campaigns so as to focus on the strengths of the
  different AYUSH systems relating to particular
  areas of concern.
• Homoeopathy has been chosen for Mother and Child
  Care.

14

• MAINSTREAMING OF AYUSH 
• Keeping in view the guidelines relating to road
  map for mainstreaming of Ayush in the health
  delivery system, following proposals are
  submitted for inclusion in the NRHM.

15

• NRHM is the combination of national programmes,
  namely, the Reproductive and Child Health II
  project, (RCH II) the National Disease Control
  Programmes (NDCP) and the Integrated Disease
  Surveillance Project (IDSP).
• NRHM will also enable the mainstreaming of
  Ayurvedic, Yoga, Unani, Siddha and Homeopathy
  Systems of Health (AYUSH).

16

• 1. Creation of Ayush facilities in Primary Health
  Centres
• As the Ayush covers many systems of medicine,
  keeping in view the local acceptability of
  different systems, it is proposed to provide 50
  of the 1570 PHCs with Ayurveda facilities, 30
  with Homeopathy, 10 with Unani and 10 with
  Naturopathy systems of medicine.

17

• 2. Creation of Ayush facilities in Community
  Health Centres
• There are (167) Community Health Centres in the
  state. Out of these Ayush facilities have already
  been created in (39) CHCs by way of re-location
  of Ayush Dispensaries. Thus, (128) CHCs have to
  be now covered under NRHM for creation of AYUSH
  facilities.
• As in case of PHCS, it is proposed to create
  Ayush facilities in these remaining (128)  CHCs
  over a period of (3) years. Thus, every year it
  is planned to have (42) CHCs for extension of
  Ayush facilities.

18

• 3. Ayush related training programmes for ANMs and
  Women Health Volunteers 
• There are 25,000 ANMs and 55,400 Women health
  volunteers in the state. These 80,400
  functionaries are proposed to be given 2-day
  training in home remedies and use of medicines
  provided in the home remedy kit. It is estimated
  that this training will cost Rs.125/- per person
  per day inclusive of boarding, lodging and
  information material.

19

• 4. Training of Ayush doctors in National Health
  programmes
• As on now (1039) dispensary Medical Officers in
  the Department of AYUSH. These Medical Officers
  need to be given a suitable training in
  implementation of National programmes. The
  re-orientation programme will be for a duration
  of one week  and also preparation and
  distribution of IEC material on Ayush, supply of
  Ayush home remedies kits, provision of minimum
  equipment for existing Dispensaries in Rural
  Areas, equipment to Ayush Hospitals etc.

20

• Homoeopathy is the second most widely practiced
  system of treatment after allopathy. The public
  acceptance of this system is growing very fast.
• Due to the increased demand for this therapy, the
  development of Homoeopathy in the recent past has
  been impressive across the country

21

• Homoeopathy has a very definite role to play in
  the health care delivery system of the country
  because it is effective, safe and affordable and
  the interventions are also simple to administer.

22

• The fact that homoeopathic treatment is cost
  effective is another plus point.
• The ever-increasing cost of conventional health
  care has had the unfortunate effect of reducing
  the ability of the poor to access quality health
  care.
• This is where Homoeopathy treatment has an
  advantage.

23

• Whilst specifically talking about Homoeopathy in
  mother and child care, it can be emphasized that
  homoeopathic medicines can be safely used in
  sensitive conditions like pregnancy, lactation,
  infancy and early childhood, without the
  possibility of adverse effects.

24

• The national campaign on Homoeopathy for Mother
  and Child Care was launched by the Department of
  AYUSH, GOI in 2007.

25

• Mother and child health is also a focus area in
  the National Rural health Mission (NRHM). The
  task of improving the health status of women and
  children is so enormous that unless the combined
  efforts of Central and State Governments, NGOs
  and all sections of civil society are made
  significant improvement in the situation can not
  be achieved.

26

• The campaign has been designed to increase the
  awareness of potential role of homoeopathy in
  mother and child Health care and involves
  sensitization of policy makers and practitioners
  of different medical systems.
• For this purpose orientation workshops will be
  conducted at state and district levels.

27

• Training would be conducted on Training the
  Trainer modality at state level.
• District level workshops for capacity building of
  practicing Homoeopaths, practicing in public and
  private sector, including NGOs, would also be
  conducted at various venues in the concerned
  districts.
• This will be supported by various other IEC
  activities.

28

• This campaign will also bridge the gap between
  theoretical practical knowledge, increase
  coordination between homoeopaths and allopaths
  will promote experience sharing.
• This shall go a long way in reducing MMR and IMR

29

• The workshop is specially structured to maximize
  the exposure of the participants to the strengths
  of homoeopathy and to sensitize them for better
  policy and program coordination in implementation
  of integration of the use of homoeopathy with
  respect to mother and child care at all levels.

30

• For the purpose of enhancing capacity skills
  among homoeopaths, training would be conducted on
  Train the Trainer modality at state level.

31

• At the start of Campaign, a National Workshop on
  Homoeopathy for Healthy Mother and Happy Child
  was organized by the Department of AYUSH and
  Central Council for Research in Homoeopathy on
  5th and 6th November 2007 at New Delhi.

32

• The objectives of the workshop were to sensitize
  the stakeholders, policy makers and physicians
  from other medical disciplines, pharmaceutical
  industry, NGOs etc. regarding the strengths of
  Homoeopathy in Mother and Child Care and to
  create greater awareness and avenues for
  coordination amongst the practitioners of
  different streams of medicine thereby benefiting
  the patients at large.

33

• The workshop unanimously resolved that
  Homoeopathy could play a useful role in
  preventive and promotive health care of women and
  children and popularize and utilize the system at
  the primary and secondary health care delivery
  level.

34

• Central Government will provide financial and
  technical support for the IEC activities of the
  State Government.
• The State Government will set up more
  Homoeopathic Indoor and Outdoor treatment
  facilities in existing allopathic hospitals under
  the NRHM

35

• A CME programme for practitioners exclusively on
  mother and child care would be evolved and
  implemented at district level.
• The Panchayati Raj institutions, Urban
  self-government institutions, NGOs would also be
  involved in the campaign.

36

• Resource centers at central and state level will
  also be set up. It was also resolved to
  constitute a National Task Force under the
  Department of AYUSH with a representative from
  the State Government to plan and coordinate the
  campaign.

37

• The National Task force has been constituted
  which has identified the States for conducting
  State level workshops in the first phase.
• These states have been provided guidelines for
  conducting workshops in their states. States
  which have conducted workshops are provided the
  action plan for implementing the campaign
  activities at the grass root level.

38

• Constitution of State task force committee
• Principal Secretary/ Secretary in charge of AYUSH
  / Homoeopathy in the state (Chairman)
• Mission director, NRHM
• Commissioner / Director, AYUSH / ISM in charge of
  Homoeopathy / Director (Homoeopathy)
• Three homoeopathic experts Professors of OBG,
  Professors of Paediatrics of a Homoeopathic
  Medical College, Senior / CMO (Homoeopathy) of
  the state
• Representative of the Department of AYUSH
• Senior most Homoeopath in the State
  Administration.

39

• Functions of the State Task Force.
• Organisation of State level workshops State
  level orientation and state level training
  programme
• Organization of district level workshops
  District level orientation and district level
  training programmes
• Organization of resources, technical material,
  etc for the State and District orientation and
  training programmes
• Coordination of activities with identified
  coordinators CCRH / NIH / Nodal Homoeopathic
  Medical College / CCRH centre in the state.

40

• 12-03-2008 DR. RAMADOSS Speaking at the
  Valedictory Session of the National Campaign on
  Homoeopathy Workshop for Healthy Mother and
  Happy Child, the Union Minister for Health
  Family Welfare, said that these national
  campaigns being launched by the Department of
  AYUSH will be serving a very useful purpose of
  focusing attention on the urgent need to
  integrate the Indian Systems of Medicine and
  Homoeopathy with mainstream health care in the
  country.

41
Resolution passed in various State level
campaigns

• Homoeopathy medicines are very simple to
  administer.
• It has no side effects, so it can be safely
  administered to mother and child.
• Homoeopathy is the best method of treatment for
  skin diseases. 
• This campaign should be continued and should
  reach the grass root level and the poor
  benefited. 

42

• THANK YOU