Eleventh Five Year Plan

Health and Family Welfare and AYUSH 93Box 3.1.14Strengthening Immunization• Strengthening routine immunization programme• Improving awareness through various channels ofcommunication• Involving community and CSO in routine immunization• Achieving 100% coverage for the six vaccine preventablediseases• Eradicating polio• Eliminating neonatal tetanus• Expanding the coverage of Hepatitis B vaccineAdolescent Health3.1.143 Adolescents in India represent nearly onethirdof the population. The last two decades witnesseda rapid increase in their population. Some of the publichealth challenges for adolescents include pregnancy,excess risk of maternal and infant mortality, STI,RTI, and the rapidly rising incidence of HIV. The useof health services by adolescents is limited due topoor knowledge and lack of awareness. Pregnancy isassociated with significantly higher obstetric risk inadolescent girls. Many of them suffer from malnutritionand anaemia. This combined with poor ANC leadsnot only to increased morbidity in the mother butalso to high incidence of Low Birth Weight (LBW) andperinatal mortality. Poor child-rearing practices addto the morbidity and undernutrition in infants, thusperpetuating the inter-generational cycle of undernutritionand ill health. Thus, ill health during adolescencehas profound implications for maternal andinfant morbidity and mortality.3.1.144 The urgent need for appropriate nutrition andhealth education for adolescents will be met by advocacyfor delay in age at marriage and optimum healthand nutrition interventions during pregnancy. Knowledgeand skills will be given to health service deliverypersonnel catering to the adolescents’ reproductive andsexual health needs.3.1.145 During the Eleventh Five Year Plan, adolescentissues will be incorporated in all the RCH trainingprogrammes. Materials will be developed forcommunication and behavioural change. The existingservices at PHCs and CHCs will be made adolescentfriendly by providing special window for theirneeds.Health Care for Older Persons3.1.146 An area of growing importance and demandingattention is the health of older persons. It requirescomprehensive care providing preventive, curative,and rehabilitative services. Unlike developed countries,India does not have a Geriatric Health Service as acomponent of health services. According to the 2001Box 3.1.15Innovative School Health Programme—Udaipur Model• Target Group: 40000 students from 222 government/aided schools in Udaipur.• Care: Screening, outpatient as well as inpatient, and also specialty care.• Screening: Camps held in school, free dental kits, and ID card issued.• Outpatient care: one room in selected 28 schools and mobile team.• Inpatient: a ward (7 ICU and 12 general beds), redesigned/furnished with NGO in government hospital).• Specialty care: Tie up with good private hospitals.• 24×7 service: toll free number and ambulances.• Human resources: 9 doctors, 12 paramedical, and 38 support staff.• Cost: Check up Rs 4 lakh (borne by GoR and NGO @ 50:50), Cost of OP/IP facility Rs 25 lakh (by NGO), and recurringcost Rs 72 lakh (NGO, Nagar Parishad, and UIT @ 50:25:25). It amounts to 50 paise per child per day.• Achievements: 17500 treated in OP, 150 treated in IP for different disease including serious/chronic and 4 cardiac casesoperated.Note: GoR = Government of Rajasthan, OP/IP = Outpatient/Inpatient, UIT = Urban Improvement Trust.