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Child Immunization in Bangaru Telangana
Child immunization among children is very poor in the State, as shown the fig 10, it is 68.1 percent of the children are only fully vaccinized.
Child Immunization:
Child immunization among children is very poor in the State, as shown the fig 10, it is 68.1 percent of the children are only fully vaccinized. Attention is required by the State on this front. State is making its sincere efforts to make mission Indradhanush a grand success in the state. Apart from this State is thriving through its universal immunization programme as seen in table 2.
The universal immunization programme was started to achieve 100 percent immunization and to reduce the mortality and morbidity among infants and young children due to vaccine-preventable diseases such as tuberculosis (T.B.), diphtheria, whooping cough, tetanus, polio and measles. Table 3 gives the details of the children, immunised for the past three years.
Table:2 - Year Wise Children Immunized in Last Three Years
| Sl. No. | Indicator | 2013-14 | 2014-15 | 2015-16 (April to December 2015) |
|---|---|---|---|---|
| 1 | BCG | 614698 | 618524 | 382171 |
| 2 | DPT | 618729 | 619220 | 357236 |
| 3 | Polio | 614610 | 611815 | 381295 |
| 4 | Measles | 616354 | 610806 | 387239 |
| 5 | Full immunization | 600719 | 610806 | 389873 |
| 6 | Hepatitis - B | 600501 | 611531 | 359873 |
| 7 | Vitamin - A | 574865 | 618298 | 387239 |
| 8 | Pentavalent | -- | -- | 148990 |
Apart from this, Telangana State is showing good results in centrally sponsored scheme of Mission Indradhanush which is a special immunization drive to immunize missed out, left out and dropped out children. Goal is to achieve 90% fully immunized children by 2020. Target beneficiaries are children in the age group of 0-2 yrs.
Emergency Health Transportation Scheme
313 ambulances with trained technical staff for 24 x7 through 108 - toll-free telephone number are made operational to cover entire state. During 2014-15, 468023 cases were transported and during 2015-16 (April- December) 328660 lives were saved in these ambulances.
Trauma Care Centers
By noticing an increase in the number of accidents on national highways, state has set up, Trauma care centers in 2 TVVP (Telangana Vydya Vidhana Parisgad) hospitals located on NH-7 to provide emergency medical care to accident victims.
Performance of Major Health Programmes for Tribals.
Telangana State has approximately 7.25% of tribal population out of the total population. They are mainly covered through 3 ITDAs in Khammam, Warangal, and Adilabad districts. As on Dec-2015, there are 599 SCs, 86 PHCs, 10 CHCs, 6 Area Hospitals and 10 Birth Waiting Homes providing health services. 2987 CHWs are hired in the tribal areas to provide extended health services to the deserving population. Most of these services are catering to the needs of pregnant women and children apart other health related issues.
MCH & Epidemic Teams:
25 MCH teams are provided to tribal areas to identify pregnant women living in remote areas who are not able to reach the health facilities to have regular checkups. Each MCH team consists of one Medical Officer, one Staff Nurse and they shall be provided a hired Vehicle by PO –ITDA. In addition to these services, the teams will also assess the extent of various diseases and inform if there is any threat of an epidemic. Physical performance of the MCH and Epidemic teams is given in table H6.
Table: H6- Physical Performance Report of MCH & Epidemic Teams
| 2013-14 | 2014-15 | 2015 -16 (Dec 15) | |
| ANC's | 2394 | 17450 | 5570 |
| High risk referral | 182 | 1012 | 557 |
| CD | 642 | 4855 | 5192 |
| NCD | 1986 | 13161 | 5192 |
It is evident from the above given table that, the performance of MCH and epidemic teams is exceedingly well with more than 200 percent achievement.
Emergency health transportation facility for tribals in remote areas:
278 palkies were supplied to carry emergency patients from remote area to the nearest road point through “Palki”. Four (4) persons who carry the patient are being paid Rs.400/- per individual.
CUG Mobile connections are given to 2050 ANMs working in tribal areas. Rs.75/- rental charges & Rs.75/- call charges are being paid per month.
National Health Mission
The Government of India have also launched National Urban Health Mission (NUHM) in 2013-14 as Sub-Mission of National Health Mission with an aim to improve the health status of the urban population in general, but particularly of the poor and other disadvantaged sections, by facilitating equitable access to quality health care. Out of 69 existing ULBs, 42 (with more than 50000 populations) are covered under NUHM and remaining ULBs are covered by NRHM.
Revised National Tuberculosis Programme (RNTCP)
For the Year April 2015-16 (April-December), total cases detected by RNTCP were 29980 and in new smear +ve detection achieved is 30024 cases. Percentage of smear conversion is 91 percent as against expected percentage of 90 percent.
National Programme for Control of Blindness.
This programme aims at reducing the prevalence of blindness from 1.4% to 0.3% and to provide a high quality of eye care to the affected population. State annual target for 2015-16 is 205160 cases, proportionate target achievement till December 2015 is 136773 cases. As on December-2015, the total number of cases covered is 146801, which is 107.3 percent of achievement.
Initiatives in reducing AIDS affected people in Telangana
The Human Immunodeficiency Virus (HIV) epidemic has been one of the most challenging modern public health problems for India. Provisional estimates put the number of people living with HIV in India in 2013 at 25 lakhs and 2.1 lakhs in Telangana. Telangana State AIDS Control Society (TSACS) has been formed on 22ND June 2015 as per AP State reorganization Act-2014. TSACS now gears up to the fourth phase of National AIDS Control Programme (NACP).
Special Campaigns /Programs / Initiatives by TSACS during 2014-15
Mamatha Plus Campaign
As a result of the Mamatha campaign, more than 2000 ANMs across the State were trained and capacitated for reaching out to pregnant women, especially in the rural areas and promoted HIV screening among them.
“Raktha Bandhu” Campaign:
The campaign focused especially on motivating young people. Red Ribbon Clubs in colleges, NSS volunteers, NCC cadets, youth clubs, fans associations etc are being involved strategically for the campaign.
Achievements/Initiatives taken by the state government
Understanding the existing deficiencies in public health sector, the State government has taken a two-prong approach. First, on a priority basis a programme called Arogyasri, the popular on-going scheme is being implemented by the state successfully. Secondly, the Government has taken steps to strengthen the infrastructure in Government hospitals.
Arogyasri scheme is a unique PPP model in the field of Health Insurance, tailor made to the health needs of poor patients and providing end-to-end cashless medical services for identified diseases through a network of service providers from Government and the private sector.
Public Health in Telangana
State demography is a good indicator to substantiate the need for the provision of public health in the state giving priority to the health of women and children. Telangana state has 352 lakh population, of which 61 percent of the population lives in rural areas and remaining 39 percent in urban areas. Of the total population, 49.8 percent is female population and 11 percent are children between 0-6 years, which is quite substantial.
In public health domain, under Commissionerate Of Health And Family Welfare, Telangana state has 4863 Sub-centers, 740 Primary Health Centers, 114 Community Health Centers, 31 Area Hospitals, 7 District Hospitals, 5 Mother and Child Care hospitals and 5 Teaching hospitals apart from 92 Urban Primary Health Centers providing primitive, preventive, and curative services for the people of the State.
G.Rajendera Kumar
