Relevance: mains: G.S: Paper III: Achievements of Indians in science & technology; indigenization of technology and developing new
technology.
Government of India, Government of Tamil Nadu and World Bank sign $287 million loan agreement for the Tamil Nadu Health System Reform Programme.
The programme aims to improve the quality of health care, reduce the burden of non-communicable diseases (NCDs), and fill equity gaps in reproductive and child health services in Tamil Nadu.
The Tamil Nadu Health System Reform Program will support the state government to:
- Develop clinical protocols and guidelines;
- Achieve national accreditation for primary, secondary, and tertiary-level health facilities in the public sector;
- Strengthen physicians, nurses and paramedics through continuous medical education;
- Strengthen the feedback loop between citizens and the state by making quality and other data accessible to the public.
Tamil Nadu positions third among every Indian state in the NITI Aayog’s Health Index which is reflected in unfathomably improved wellbeing results. The state’s maternal death rate has declined from 90 passing’s for each 100,000 live births in 2005 to 62 passing’s in 2015-16 while new-born child mortality has declined from 30 passings for each 1000 live births to 20 in a similar period.
A key commitment to these accomplishments has been the foundation of crisis obstetric and neonatal consideration focuses and the 108 rescue vehicle administration with past help from the World Bank. These have guaranteed that no mother needs to travel over 30 minutes to get to crisis obstetric and neonatal consideration 24 hours per day, seven days seven days.
Despite these impressive gains, certain challenges in health care remain, including quality of care and variations in reproductive and child health among districts. Tamil Nadu is also dealing with a growing burden of NCDs as they account for nearly 69 percent of deaths in the state.
Benefits of programme
- Advance populace-based screening, treatment and follow-up for NCDs, and improve checking and assessment
- Patients will be furnished with learning and abilities to self-deal with their conditions
- Lab administrations and wellbeing supplier limit will likewise be reinforced to address emotional wellness
- To handle street wounds, the program will improve in-clinic care, reinforce conventions, fortify the 24×7 injury care benefits and set up an injury library.
- The Tamil Nadu Health Systems Project
- The Tamil Nadu Health Systems Project (TNHSP), implemented by the Health and Family Welfare Department (Government of Tamilnadu), lends its support to the Health Policy of 2003 and focusses on improving the health status of people belonging to the lower socio-economic strata. New approaches to address non-communicable diseases, addressing the health needs of the tribals and partnerships with the NGOs form the core of this project. The Tamil Nadu Health Systems Project will assist in fulfilling the aims of the Health Policy through the following interventions
- Increased access of health services for poor, disadvantaged, and tribal groups
- Developing effective interventions to address key health challenges
- Improving health outcomes and quality of service by strengthening management of the public sector health systems and by involving the non-governmental sector
- Increasing the effectiveness and efficiency of the public sector hospital services at the district and sub-district levels
The TNHSP is structured on the following themes:
- Child health
- Indigenous peoples
- Health system performance
- Population and reproductive health
- Injuries and non-communicable diseases
- Focus Areas
Introduction
The Tamil Nadu Health Systems Project focuses on the following areas:
- increased access of health services for poor disadvantaged and tribal groups:
In particular, the project focuses on
1) reducing maternal and neo-natal mortality rates in Tamil Nadu,
2) improving tribal health, and
3) facilitating use of hospitals by underprivileged groups - Developing effective interventions to adress key health challenges and thus combat diseases and accidents:
The Project’s work in this area includes
1) health promotion,
2) creating awareness about non-communicable diseases and screening for those conditions, and
3) preventing and treating accidents and other medical emergencies - improving health outcomes and quality of service by strengthening management of the public sector health systems and by involving the non-governmental sector:
Work in this focus area includes
1) improved monitoring and evaluation using the platform provided by a custom-built HMIS,
2) developing and disseminating protocols for standard treatment, and
3) better regulating public and private health facilities - Increasing the effectiveness and effectiveness of the public sector hospital services at the district and sub-district levels:
The Project strives to achieves this by
1) rationalising secondary care facilities,
2) rationalising and maintaining hospital equipment,
3) human resource planning and development, and
4) strengthening hospital management.
Early Role of world bank in health sector in Tamil Nadu
In 2005, the World Bank approved the Tamil Nadu Health Systems Project for a total cost of Rs. 597.15 crores. The World Bank’s involvement in the project has been extremely advantageous. It has helped in introducing new approaches in the way the health sector functions in the State. While the health system in Tamil Nadu has been fairly effective in providing basic health needs to its people, it is expected that the goals sought in the project will demonstrate the impact of cutting-edge reforms.
Among other goals, the TNHSP addresses two MIllenium Development Goals (MDG), namely reducing child mortality and improving maternal health.