District Health Action Plan - STATE HEALTH SOCIETY-----BIHAR
District Health Action Plan - STATE HEALTH SOCIETY-----BIHAR
District Health Action Plan - STATE HEALTH SOCIETY-----BIHAR
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Nutritional Rehabilitation Centre:<br />
The malnutrition of children especially of below 2 years has been a one of major reasons of<br />
death of children. To reducing the death of childen, Bihar government has planned to<br />
establish nutritional rehabilitation centre in each district. The details of formation of NRC and<br />
its services are as under:<br />
Steps For Operationalization of NRC<br />
- Selection of staff for NRC by NGO<br />
- Training of NRC staff<br />
- Orientation of Medical officers, ANMs,<br />
AWW, ASHA of the focused block For<br />
Pre NRC, NRC and Post NRC<br />
components<br />
- Monthly reporting to SHSB<br />
- Monitoring of NRC Activities<br />
- Monthly Review Meeting at district<br />
level with CS, DPO, DPC, Pediatrician,<br />
MOIC, CDPO of focused blocks and<br />
NGO representatives<br />
- Monthly meeting review at state level<br />
- Funding for NRC in PIP<br />
- Selection of NGOs for NRC<br />
- Selection of a nodal officer for NRC (<br />
dpc)<br />
- Selection of site for NRC in each district<br />
- Orientation of <strong>District</strong> Nodal Officer<br />
along-with partner NGO<br />
- <strong>Plan</strong>ning meeting at DHS (with Nodal<br />
Officer and NGO)<br />
- Co-ordination meeting between NGO,<br />
DHS, DPO office for defining roles and<br />
responsibilities and finalization of<br />
focused block.<br />
- Establishment of the NRC by NGO<br />
(funding as per PIP by DHS)<br />
Services at NRC<br />
- Mothers receive Rs 70/day- wage<br />
compensation –Rs. 1470 total amount on<br />
discharge after 21 days<br />
- Mothers engaged in cooking, cleaning,<br />
feeding…<br />
- Sattu and recipe demos live preparations<br />
as part of counseling<br />
- Hygiene given special focus: case by<br />
case basis<br />
- Referral if needed for major<br />
complications<br />
- After treatment from referral –child<br />
readmitted<br />
- Process facilitated by<br />
NAM/AWW/ASHA<br />
- Child identified by ANM as per criteria<br />
from the shortlisted underweight children<br />
by AWW/ASHA<br />
- Mother motivated by ANM/ASHA to<br />
admit the Child at NRC<br />
- ASHA‟s responsibility to bring the child<br />
at NRC<br />
- ASHA receives incentives of Rs 100 per<br />
child on discharge of child<br />
- Child admitted in NRC for 21 days.<br />
- Transportation cost for follow-up<br />
proposed in 2011-12 PIP<br />
In Saran district, the NRC was formed in September, 2011 and has provided its services to 19<br />
children.<br />
60 | P a g e D i s t r i c t H e a l t h A c t i o n P l a n 2 0 1 2 - 1 3 D H S , S a r a n