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Eleventh Five Year Plan

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Health and Family Welfare and AYUSH 87across the country through its geostationary satellites.So far about 3 lakh people have benefited from thisprogramme. Facility of telemedicine will be providedin district hospitals and government medical colleges.3.1.114 The e-Health initiatives to be taken up duringthe <strong>Eleventh</strong> <strong>Five</strong> <strong>Year</strong> <strong>Plan</strong> are:• Training, Education, and Capacity Building fore-Health• Monitoring by e-enabled HMIS to ensure timelyflow of data and collation to be used at variouslevels• Geographical Information System (GIS) ResourceMapping of various health facilities (Allopathicand AYUSH), Laboratories, Training Centres,Health Manpower, and other inputs to optimizeutilization• Providing service delivery and other e-enabled activitieslike, disease surveillance, tele-consultations,health helpline, district hospital referral net, ande-enabled mobile medical unitsGender Responsive Health Care3.1.115 The GoI has taken several policy measures toreduce gender bias. The practice of gender budgetingin Health will be made mandatory in all programmesof the Centre and the States. The performance ofBox 3.1.12TelemedicineTelemedicine programmes are being actively supported by:ISRODITNEC Telemedicine programme for NE StatesState GovernmentsNGOsVarious projects have been commissioned. Few examplesare:NE ProjectJammu & Kashmir (J&K) ProjectSouthern India ProjectArmed Forces Medical Services ProjectAsia Heart Foundation South India ProjectSankara Netharalaya Telemedicine ProjectWockhardt Hospital and Heart Institute ProjectApollo Hospitals Projectdifferent health programmes will be judged on the basisof gender disaggregated data.3.1.116 To reduce maternal mortality, several initiativeshave been taken to make the maternal healthprogramme broad based and client friendly. Themajor interventions include providing additionalANMs and Staff Nurses in certain health care facilities;referral transport; 24-hours delivery service at PHCsand CHCs; essential and emergency obstetric care; andoptimal operationalization of FRUs. All these interventionswill have to actually be done on a large scale duringthe <strong>Eleventh</strong> <strong>Five</strong> <strong>Year</strong> <strong>Plan</strong>. The goal is to reduceMMR to 100 per 100000 live births by 2012. State specificgoals have also been suggested (Annexure 3.1.4).SEX RATIO3.1.117 The <strong>Eleventh</strong> <strong>Five</strong> <strong>Year</strong> <strong>Plan</strong> target is to raisethe sex ratio for age group 0–6 to 935 by 2011–12 andsubsequently to 950 by 2016–17. State-specific goalshave also been suggested (Annexure 3.1.5). Apartfrom ensuring effective implementation of the Pre-Conception and Pre-Natal Diagnostic Techniques (PC& PNDT) Act, relentless public awareness measureswill be undertaken. Other steps for integrating theissue of prenatal sex selection in the initiatives andprogrammes include the following:• Increasing community awareness through ASHAs• Including these issues in training modules andprogrammes and in IEC• Adding sex selection information in medical curriculum• Including indicators on improvement in sex ratiosand birth registration as monitoring targets• Ensuring inclusion of these issues in district levelprogramme planning and implementation• Ensuring convergence with other ministries such asWomen and Child Development (WCD), PanchayatiRaj, and Youth Affairs• Evoking a community response to the issue3.1.118 During the <strong>Eleventh</strong> <strong>Five</strong> <strong>Year</strong> <strong>Plan</strong>, the followingadditional strategies will be adopted:• Develop clear targets of natural sex ratio at birth(SRB) which is 105 males per 100 females and give

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