INITIATIVES IN HEATLH CARE DELIVERY- KERALA

Dr. Nita Vijayan. M.P.State Program Manager- RCH

NHM-Kerala.

KERALA STATE – BASELINE INFOTotal population 3.34 crores

Districts 14

Corporations 6

Grama Panchayaths 942

Municipalities 87

Pop.growth rate 4.9%

Sex ratio 1084

Literacy rate (total) >96%

Density of population

860/sq.km

Access to protected drinking water .

70% -rural85% -urban

HISTORIC FEATURES OF KERALA

• Land reforms – as early as 1957.• Educational reforms – 1960 – • High women literacy over the past century. • Decentralization in planning and administration-

strong Panchayath raj system. • Politically active population. • Strong Primary Health Care system even during the

Travancore dynasty rule.

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Key Health Indicators Health Indicators Kerala India

Life expectancy Male : 71.40Female : 76.30

Male : 62.60Female : 64. 20

Birth rate

14.9 21.6

Death rate 6.9 7.0

TFR 1.8 2.5

MMR 61 154

IMR 12 * 42

Neonatal mortality rate 7 35

Under 5 mortality rate 14 69

NEWER INITIATIVES

• Nava Kerala Mission.• Linking SDG goals 3,4,11, and 15 .• Health sector initiative – “ARDRAM” Mission.• Social Determinants of Health- Education, Housing,

Agriculture. Specific missions. • Functional UPHCs. • Palliative care program. WHO model. • Effective Hospital Management Committees. 3 tired

system.• Generic drug distribution system.

“ARDRAM”

• Care With Compassion. • Patient friendly Hospitals. • Standardization of treatments, cost reduction. • 170 Family Health centers. • e-Health- Electronic Medical records • OP transformation. • Comprehensive Primary Health care- linkage with

LSG plans. • Tribal Health Program for state

“Ardram” Administrative structure

• Special Govt Order for Ardram mission.• Task force under the chairmanship of Chief

Minister. • Mission Secretary – ACS Health & FW. • Minister of Health and Minister of finance- Vice

chairpersons. • Co- chairpersons- Minsiters for LSG, Civil Supplies. • Special invitee- Leader of Opposition. • Members…

Other initiatives

• New Born screening program. • Trauma care centers. • District Mental Health program.• GBV programs. SAFE kits for facilitating legal

procedures in GBV. • SDG linked Communicable disease elimination

programs- Malaria, ELF, TB, and reduction in Water borne infections.

• Adaptation efforts to health impacts of Climate change.

State Specific SDG Goals- 2020

• Reduction in MMR to 30. • Reduce IMR to 8. • Reduce < 5 MR to 9. • Reduction in Water borne disease by 50%. • Elimination of Indigenous Malaria,Lymphatic Filariasis

and Leprosy• Reduction of death due to TB by 35%• Reduce Preventable deaths due to NCD by 30%• Reduce initiation of young adults to alcohol and tobacco

by 30%

THANK YOU