11/04/2018
Even though the state of Kerala has advanced as compared to the other states of India in terms of critical health indicators are concerned, the state is facing challenges that are unique and specific. The people are now facing the problem of high morbidity both from re-emergence of communicable diseases and the second generation problems like the ageing population and non communicable diseases. Moreover, there remains the challenge of sustaining the privileged health indicators. Further, improving the quality of health care where the health seeking behaviour is very high is of utmost importance. The resources of National Rural Health Mission came in an opportune time when the state was finding it difficult to find resources matching the demand.During the last three years the State has been able to initiate many programmes suiting to its specific requirements and considering its health issues that need immediate intervention. These initiatives correspond to the Key Performance areas outlined by NRHM like a) Institutional Strengthening b)Improving access to better health care and quality services and c) Accessibility of health care to the under privileged and marginalised
At NRHM we aim at,
Provision of comprehensive health care services to the community – with special thrust to rural areas
Reduction in Infant Mortality Rate
Reduction in Maternal Mortality Ratio
Reduction of TFR – For population stabilization
Provision of client centered, accessible, quality Health Services to the needy population
Surveillance, Prevention and Control of communicable and NCDs
Essence of NRHM implementation in Kerala
Establishing referral system of protocol – Strengthening the 3rd tier and activating the 2nd tier
Promoting preventive and promotive aspects of Primary Health care in the community
Strengthening Training program and Capacity Building
Establishing Health Management Information System
Strengthening Nursing Education Department
Improving & sustaining Health Indicators
Putting up a system of referral transport
Launching special programs for NCDs linked with ASHA
Piloting remedial measures for 2nd Generation problems like
Pain & Palliation.
Malignancies.
Geriatric
Suicides.
Mental Health Problems
Tackling Re-emergence of Infectious Diseases
Combined Behaviour Change Communication strategy
Optimizing use of all systems of medicine
Convergence of activities of Health Determinants