Interventions & Strategies under NRHM. part 2
(6) Capacity building of health care providers:
To operationalise PHCS, CHCS, DH and other health facilities, the health providers working at these facilities are being trained and oriented for improving their knowledge and skills in providing quality obstetric care services.
(7) Referral Services at both Community and Institutional level:
Under NRHM, states are provided financial assistance for establishing the emergency response services and patient transport ambulances. Government of India has a thrust on establishing a network of Basic patient care transportation ambulances with the aim to reach the beneficiaries in rural areas within 30 minutes of the call for quick service delivery. The states have been given flexibility to use different models of emergency referral transport for establishing the necessary linkages between home and health facility and between different levels of health facilities and for drop back home for pregnant women and post delivered women and sick neonates for whom it is to be provided free of cost.
8) Comprehensive Abortion Care services:
To reduce maternal mortality and morbidity due to unsafe abortion, consistent efforts have been made to expand safe abortion services in peripheral health care facilities in rural areas. These include provision of drugs and equipment for 135
Manual Vacuum Aspiration (EVA), Manual Vacuum Aspiration (MVA), Medical Methods of Abortion (MMA) at PHCS, CHCS, DHS with focus on the delivery points, encouraging private and NGO sectors to provide quality MTP services, certification and regulation of private sector facilities through District Level Committees (DLCs) within the framework of the MTP Act 1971 and development of appropriate IEC/BCC messages to create awareness in the community on MTP
(9) Services for Reproductive & Tract Infections (RTI /STI):
Services for RTI /STI are provided at all health facilities from PHC upwards
including CHCs, other sub district hospitals and district hospitals with a focus on Delivery Point; in convergence with the NACP. These include Syndromic management of RT.IS/STIS, provision of colour coded kits, RPR testing kits and Whole Blood Finger Prick Testing at the delivery points.
Prevention of Parent to Child Transmission (PPTCT) Services to enhance coverage of PPTCT services, HIV screening of all pregnant women is being offered during routine Ante natal care visits on a voluntary basis. NACO has launched new Guidelines for PPTCT under the NACP.