Under the new scheme, now the mother after delivery will be given a seven flaps voucher by the ANMs concerned at the delivery points
In order to arrest Neonatal Mortality Rate (NMR) in the state, the National Health Mission (NHM) has introduced the Assam model for effective implementation and monitoring of house based neonatal care (HBNC) programme. For the purpose, now HBNC voucher scheme will be implemented in two districts as pilot project. Under this, the health department wants to effectively monitor working of Accredited Social Health Activist (ASHA) in HBNC programme to cut the NMR in state.
Under HBNC programme, it is mandatory for ASHA to make six visits to the mother and the newborn on 3rd, 7th, 14th, 21st, 28th and 42nd day for institutional delivery and seven visits on 1st, 3rd, 7th, 14th, 21st, 28th and 42nd day in case of the delivery at home. This step has been taken because despite launching the scheme more than five years ago, NMR in state has not been reduced to the desired level.
Under the new scheme, now the mother after delivery will be given a seven flaps voucher by the ANMs concerned at the delivery points. The mother will sign two copies of the vouchers and give them to ASHA on every visit she makes to check the newborn. The pilot projects are going start in Dungarpur and Rajsamand districts by this month end after giving training to ASHAs.
“The HBNC voucher scheme is meant to ensure participation and ownership in the programme. This voucher system will also ensure that the ASHAs are visiting the house properly and it will also help in streamlining the incentive payment to them,” Dr VK Mathur, Director Public Health.
STATE NO 4 IN COUNTRY
- HBNC program started in Rajasthan in 2012-13.
- Despite the HBNC program NMR has not declined.
- As per SRS-2001 NMR in Rajasthan was 47.
- In SRS-2015 NMR in Rajasthan was 30.
- It is worse than national NMR of 25.
- Rajasthan is no. 4 in India for high NMR.
- As per Annual Health Survey 2012-13, NMR in Rajsamand was 38
- As per Annual Health Survey 2012-13, NMR in Dungarpur was 41
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