About the Project / Scheme

Integrated tribal development project (ITDP)

Integrated tribal development project has been initiated in 1992- 93.

Aim:- to reduce IMR / MMR in the 6 tribal districts viz Thane,
Nasik , Nadurbar, Amravati, Gadchiroli and Nanded.
Total 11 blocks from these districts have been selected for ITDP. The work is looked after independently by an officer from IAS cadre.
Following Schemes are introduced for reducing IMR/MMR

1) Appointment of Pada Swayamsevaks.
2) Appointment of Hon Medical Officer.
3) Matrutwa Anudan Yojana.
4) Dai Meeting Scheme.
5) Examination of sick children by Pediatricians
6) Establishment of Pardiatric I.C.U.
7) Replacement of condemned PHC. Vehicles
8) Establishment of New RH/PHC.
9) Increase in Medicine grant of PHC (80000/PHC)
10) Increase in POL grant of PHC / PHU Vehicles.
11) Pre monsoon check of mothers and children (below 6 years) and treatment to those who are ill.
12) Compensation for loss of daily wages which encourage the parents to bring their sick children for necessary medical care. Also free diet is given to the parent of sick child

Navasanjeevani Yojana

It has been initiated in 1995-96 with the aim of reducing IMR and MMR. Since the scheme is only for tribal area it is being implemented in 15 tribal districts of Maharastra The area for Navsanjeevani is selected by applying following criteria.

	Where epidemics of gastro, cholera, Hepatitis are reported frequently.
	Where there is no communication available specially in rainy seasons.
	Where there is no existence of public distribution system.
	From where recent infant deaths are reported.
	Where anganwadi is not located.

In addition to the schemes mentioned in ITDP, following health schemes are being monitored under Navasanjivani Yojana.

	Supply of sufficient medicine and equipment to rural health institutions.
	Vacancies of medical and paramedical staff to be filled in immediately.
	Maintenance of vechiles in rural health institutions.
	Water sample monitoring.
	Regular examination of anganwadi children specially grade III and grade IV.
	Pediatrician and gynecologist are provided in high risk areas
	Sepecial action plan for health check up immunization and health related activites

Pre Monsoon Activities - : Accessibility in tribal area is a problem in monsoon season due to geographical situation of area & limited transport facilities. Hence it is planned to conduct Health check up Immunization / Nutritional assessment of all tribal Population in said area. Two rounds of examination are conducted during month of April & May follow up of examination & referral services are provided for at risk group. This activity is very much useful in preventing morbidity & mortality.
General Information of Navsanjivani Area

To tackle these problems, Government of Maharashtra has developed innovative scheme for tribal areas titled " Navsanjivani Yojana" and is being implemented since 1st June 1995. The Major components of this scheme are related to employment, health, nutrition, food supply, various loan schemes and are implemented by various departments.
Important health related components of these schemes are provision of basic health services and ensure safe drinking water supply. To achieve this plan health department has developed master plan and is presently implementing following innovative schemes.

Pada Volunteer Scheme -
11, 482 pada volunteers are being appointed on voluntary / part time basis to each and every hamlet in the 15 districts of the state. These volunteers are from the same hamlet and they form an important link between Govt. functionaries and community.There are about 10773 Pada Volunteers in the 15 districts of the state

Mobile Medical Squad -
172 Mobile Medical squads have been constituted with one Medical Officer with a vehicle and para Medical staff to go to to each and every village and hamlet to identify malnourished and sick children and provide medical health at their homes and if required also shift them to the nearest help center.
Appropriate medical treatment or intensified food supplementation is given to all children.

Matutva Anudan Yojana
In these 15 districts a pregnant women is paid Rs. 400 /- in cash for visiting health center for Antenatal check up and also medicine worth Rs. 400/- is provided during her visit which ensure a better check up and helps to reduce maternal and Neonatal morbidity and mortality. This Scheme is applicable to tribal women having current pregnancy and live two issues. 2006-07 Beneficiaries – 96298 in 2007-08 there are 48897 beneficiaries up to Jan 2008.

Dai Meetings
Regular re-orientation of trained Dais and untrained also being carried by organized quarterly meetings of Dais at sub centre level - Dai Meetings have organized in 3220 sub centers during Jan. 2008. Grants of Rs. 38.99 Lakhs are Sanctioned for Dai Meetings for the Year 2007-2008.

Pediatric ICUs
In the tribal areas Govt. has established 37 Pediatric ICUs in tribal districts..

Warm rooms in PHCs
Warm rooms are made available in 156 PHCs to take care of premature, low birth weight and hypothermic children

Thermocol Boxes
To maintain the warmth of premature, low birth weight and hypothermic child, 18,165 Thermocol Boxes have been supplied in 15 tribal districts and use of theses are made by pada volunteers, anganwadi workers, ANM and trained dias etc.

Compensation for loss of daily wages.
When a tribal sick child is brought to rural hospital for PHC by mother or father, Rs. 40/- per day is paid to parent of sick child so as to compensate their loss of daily wages which encourage the parents to bring their sick children for necessary medical care. Also free diet is given to the parent of sick child

Water Quality Monitoring.
Water samples are collected from all the water sources used for drinking in the village per month and are tested at public health laboratory for bacterial contamination and results are communicated to concerned Gram Panchayat through PHC for further necessary action.