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Background:- Mother & Child Welfare Department (M&CW) under North DMC is providing Maternal, Child Health (MCH) and Family Welfare (FW) services which includes preventive & promotive health care services to the following:-

•    55 lac* population residing in North Delhi Municipal Areas
•    2.9 lac* children studying in around 714* Municipal Schools(including aided unaided both)
(as per data of 2017-18; as on 31st March 2018)

•    The above said population residing in municipal limit of North Delhi are being catered through a Health network of 6 Maternity Homes, 59 MCH Centres.

•    Through the above health units, health care services are being provided to women, children and general public. Different health care services are being provided include; Ante natal care, Immunisation, Adolescent Health, Family Welfare Services including General OPD through 6 Municipal Zones under the supervision of Deputy Health Officer(DHOs) M&CW.

This department is being headed by Additional Director Hospital Administration (Addl. DHA) M&CW.

Contribution of M&CW Department in National/State Health Programme
The M&CW Units; Maternity Homes and M&CW Centres, NDMC  are a key player in Implementing   all National/State  Health Programmes  including National Health Mission(NHM), Reproductive Maternal Newborn Child and Adolescent Health(RMNCHA), Rashtriya Bal Swasthya Karyaktram(RBSK), Janani Shishu Suraksha Karyakram(JSSK), Rashtriya Kishor Swasthya Karyakram (RKSK), IYCF, PNDT, ASHA, Pulse Polio Programme etc.
There are 65 Health Units under M&CW Department, NDMC which are as follows:-

Sl. No.

Health Units

No. of Health Units

1.

M&CW Centres

59

2.

Maternity Homes

6


GOALS, AIMS & OBJECTIVES:

To achieve all targets in respect of national health indicators, fixed by Ministry of Health & Family Welfare, Govt. of India. Aims & Objectives I. Reduction in child and maternal mortality & morbidity II. Access to integrated comprehensive primary health care III. Population stabilisation, gender and demographic balance. IV. Promotion of healthy life styles.


AVAILABILITIES OF SERVICES:

Services rendered at Health Units
Maternity Homes

•    24 X7 delivery facility
•    Indoor Facility in Maternity Homes
•    OPD
•    Ante natal Clinics: Monday & Thursday
•    Well Baby Clinics including Immunisation; Wednesday & Friday
•    Adolescent Care Clinic: Saturday 12-2 pm
•    Family Welfare Clinics
•    Lab. Services(Basic investigation limited to ANC Care)
•    Pharmacy related to mother & children
•    School Health Activities as per advance programme
•    Outreach programme as per advance

M&CW Centres
•    OPD
•    Ante natal Clinics: Monday & Thursday
•    Well Baby Clinics including Immunisation; Wednesday & Friday
•    Adolescent Care Clinic: Saturday 12-2 pm
•    Family Welfare Clinics
•    Lab. Services( Basic investigation limited to ANC Care)
•    Pharmacy related to mother & child
•    School Health Activities as per advance programme
•    Out reach activities as per advance programme

The citizens of Delhi are advised to visit any of the above said health units on all working days except holidays:-
•    Working hour (except government holidays) of all Health units
Health Units(Maternity Homes/M&CW Centre) :- OPD: 9am to 3 pm OPD Slip/Registration up to 12pm (Monday to Saturday )
Delivery/Indoor in Maternity Homes :- 24 hours for delivery services including holidays
HQ: -This HQ is situated at  12th Floor, E-1 Wing, Dr Shyama Prasad Mukherjee Civic Centre, Jawahar Lal Nehru Marg, New Delhi 110002

MATERNAL & CHILD HEALTH SERVICES:
Maternal Health Services: Ante Natal,  Natal & Post Natal care
As part of providing complete health care to all pregnant women, the M&CW department is extending Maternal Health services to the target beneficiaries through 65 health units where all maternal health services are being provided except the delivery services which are being extended to the target population  through 6 Maternity Homes. These health services are being provided to all women during pregnancy, childbirth, and the postpartum period. It covers the healthcare dimensions of preconception, prenatal, and postnatal care in order to reduce maternal morbidity and mortality including child health. Besides these services, all pregnant women are being provided IEC and BCC services of nutrition demonstration, health talk, counseling etc. in order to update them for better health care during pregnancy.
In addition to above said services, the M&CW Department is also participating and contributing in the interests of the target population through promoting and extending  implementation of maternal health schemes like:

JANANI SURAKSHA YOJANA (JSY):
The main aim of this “Janani Suraksha Yojna” is to extend safe motherhood intervention under the National Health Mission (NHM) being implemented with the objective of reducing maternal and infant mortality by promoting institutional delivery among the poor pregnant women. It integrates cash assistance to all pregnant women belonging to SC, ST and BPL category for delivery and post-delivery care. The accredited social health activist (ASHA) is being utilised as an effective link between the Government and the pregnant women to facilitate in implementation of this programme.

JANANI SHISHU SURAKSHA KARYAKRAM (JSSK):
Under JANANI SHISHU SURAKSHA KARYAKRAM  free and cashless services are being provided to all pregnant women irrespective of caste or economical status including normal deliveries and caesarean operations and to sick infants (from birth to 1 year of age) in all Government health institutions in rural and urban; both areas.

JSSK extends cash assistance to all pregnant woman under “Janani Suraksha Yojana” and is aimed to take up the burden of out of pocket expenses incurred by pregnant women and sick infant, during pregnancy. Besides this, it would be a major thrust for enhancing access to public health institutions and in achieving in bringing down the Maternal Mortality and Infant mortality rates.

The Free Entitlements under JSSK would include; Free and Cashless Delivery, Free C-Section, Free treatment of sick infants up to 1 year, Exemption from User Charges, Free Drugs and Consumables, Free Diagnostics, Free Diet during stay in the health institutions for 3 days in case of normal delivery and 7 days in case of caesarean section, Free Provision of Blood, Free Transport from Home to Health Institutions, between facilities in case of referral and also Drop Back from Institutions to home after discharge from the Govt. facility. Free Entitlements for Sick Infants till 1 year after birth similarly include Free treatment, Free drugs and consumables, Free diagnostics, Free provision of blood, Exemption from user charges, Free Transport from Home to Health Institutions.

Family Welfare
•    To stabilize national population and promote family Welfare measures in the target population, which is one of the top priorities of government.  In order to achieve the objectives of the National Population, the M&CW department’s health facilitators organise counseling sessions for all eligible couples, on a day to day basis where, the importance & need of family welfare are highlighted, besides, need assessment of all eligible couples are carried out.
•    After the need assessment, the required mode of contraceptives and or family welfare measures are recommended to each visitors and they are encouraged to accept any one of such family welfare measures most suitable for them. They are further requested to adopt and further continue to delay the pregnancy or keep proper spacing between the pregnancies and or adopt permanent method of family welfare, if their desire of children have been fulfilled.

•    After successful conducting counseling sessions of all eligible couples, the M&CW department provides basket of choice for Contraceptives promoting Cafeteria approach, with a goal to reduce the unmet need of family welfare measures for all eligible couples.
•    To promote family welfare services the Health facilitators of M&CW department promote and provide contraceptives free of cost to whosoever came to these units for their day to day need. The contraceptives are readily available at all the health units. Facilities includes; condoms, IUCD (of 10 yrs durations), Oral contraceptive pills including Emergency Pills. They are made available to the target population to adopt family welfare measures easily:-
    For Temporary Method:-
•    Distribution of Condom
•    Distribution of Mala-N
•    Insertion of Cu-“T”
•    Administrating Injection
Permanent Method:- Apart from the above, all Maternity Homes and M&CW units of this department co-ordinate with the nearest referral centre for promoting Female & Male Sterilization services to promote  family welfare measures so that it is not only promoted but also adopted by target population at the earliest.
Services for Family welfare are:-
    For Permanent Method:-
Target beneficiary are referred to nearest Hospital for :-
•    Vasectomy
•    Tubectomy
The patients are referred alongwith ASHA/Anganwadi Workers

Child Health
Child Health is one of the important components of RCH Programme. The M&CW Department is also contributing for Child Health and making efforts to reduce Mortality and Morbidity among children. The aim of the M&CW Department is to reduce Neonatal Mortality Rate, Infant Mortality Rate and Mortality Rate under the age of 5 yrs. The reduction of theses rates also give assurance to the community regarding survival and longevity of children which will help the families to adopt small family norm.  In order to reduce Infant Mortality Rate the M&CW Department has targeted to reduce neonatal mortality rate through new born care as neonatal mortality rate constitute two third of infant mortality rate. The counseling sessions are an integral part of promoting good and healthy practices to prevent & control mortality rate amongst children. The message through counseling, like; promotion of early initiation of breast feeding, continuation of breast feeding, promoting weaning food, discouraging bottle feed, cleanliness of breasts, cleanliness of hands before feed etc. are some of the messages which are showing remarkable results. Not only this, each session of Child Immunisation and ANC clinics covers all kinds of information based on both the issues; including Mother & Child Care, through Health Talks, Health exhibitions and counseling sessions. Even due care are extended in case of demand made by visitors as per need of their unmet demand.
  In order to reduce Neonatal Mortality Rate, the M&CW department is promoting institutional delivery. Moreover, linkages and referral system have been created by various Maternity and Child Welfare Centres to promote seamless institutional deliveries. There are 6 maternity homes which are providing round the clock delivery services to achieve the same very objective, under the supervision of Medical professionals. To reduce Post neonatal mortality rate and Infant mortality rate, the M&CW Department is implementing Diarrhoea Control Programme also. Severe Acute Malnutrition is associated underlying cause in most of the under 5 deaths so the M&CW department is also contributing towards initiative to propagate Infant Young Child Feeding Practices (IYCF) strategy, basically for promotion of early initiation (within first hour of delivery), exclusive breast feeding, timely complementary feeding and continuous breast feeding up to 2 years are the initiatives to take care of severely malnourished children to control malnutrition and Infant Mortality Rate.

Anaemia is also quite prevalent in under 5 populations in Delhi which hamper their growth and development. In order to address the problem of micronutrient deficiencies amongst the population under the age of 5 years, the M&CW is also participating and contributing for the cause of control of Ananmia under “Anaemia Control Programme” and is providing prophylactic, IFA tablet (Small) & Syrup Iron.

Immunization

M&CW Department of North Delhi Municipal Corporation(NDMC) under its RCH Program Unit is engaged in delivery of immunization services through 65 health units. The immunization program aims to protect the children against more than 12 diseases namely tuberculosis, polio myelitis, Hepatitis-B, Diphtheria, Pertussis, Tetanus, Hib, measles, mumps, rubella and typhoid. Certain vaccines are unique to the State Immunization Schedule and there details are as under:-

The M&CW Department extend immunization services to the patients on Wednesday and Friday as Universal Immunization Days, in all the health Units.

Immuization Services/Schedule:-
•    As Per Schedule of GNCT of Delhi
•    Vaccines provided by GNCT of Delhi
•    Immunisation Day; Wednesday & Friday in all 65 Health Units
•    During Indradhanush & to cover drop outs through outreach/field level

ADOLESCENT   HEALTH SERVICES:

Adolescents (10-19 years) forms a transition phase from child hood to adult hood which contributes to over one-fifth of the population. During this transition period, the adolescents go through physical, emotional, social, behavioral and reproductive changes. This results in changing of some social, physical changes and thus cause serious social behaviour, economic and public health implications in the adolescent. So this phase of life must be seen and handled with due care. It is imperative to address these issues at the appropriate time by trained professional for smooth handling of the situation, as they are the future human resource of the our country. As per statistics, 70% of the adulthood morbidity and mortality can be prevented by right kind of behavior and habits during this phase of life. Since adolescents are not a homogenous group, flexible and need based interventions are called for this group. The M&CW Department is committed to the cause of Adolescent and is imparting Adolescent Health services through its 65 Adolescent health clinics name.


ADOLESCENT CLINICS:
•    These exclusive services for adolescent are being provided between 9:00 A.M. to 3:00 P.M. during OPD services on all working days.

•    A dedicated adolescent services on  every Saturday from 12.00 to 2.00 p.m. are also extended at all 65 health units of M&CW Department.

In these clinics, there are services provided including counseling, health talk, and other relevant issues important to the concern of adolescent. Further there are an amalgamation of Preventive, Promotive, Curative and Referral services for Growth and development, Sexual & Reproductive Health, Nutrition, Contraception and Behavioral issues.

HEALTH CARE TO  MUNICIPAL SCHOOL CHILDREN:
The School Health services(SHS) which was having a separate entity earlier, has been integrated with the M&CW Services. Now the primary health care services which were extended to all children studying in Municipal Schools(714) through SHS, has now been integrated with M&CW department and further some specialized services have also been extended through  Poly Clinics of North Delhi Municipal Corporation. Hence, now the Primary Health Care Services which were being provided through 6 Zonal DHOs, have now been integrated through 65 M&CW & Maternity Homes besides 16 Poly Clinics of NDMC.

POPULATION COVERED: 
The M&CW Department is now taking care of around 2.9 lacs children studying in 714 Municipal Schools and extending the following primary health care services:-

General OPD
Specialised Health Services like ENT, Dental Care, Ear, Counseling etc.

Municipal School’s Children related Health Activities
•    General medical checkup for early detection of defects and diseases including eye and dental check up
•     Health education/counseling
•     Immunization -- T.T. (Vth class) & D.T. ( 1st class)
•    Maintenance of records of children and proper follow up.
•    Distribution of Spectacles & hearing Aids
•    Health Education through Talk, Lectures, Demonstrations, Quiz, Painting and Speech competition and audio-visual
•    Anaemia control programme activities4
•    De-worming programme activities

IEC/BCC ACTIVITIES:

Publicity being the back-bone of any Public Health Programme, IEC Cell plans, develops, distributes and executes the overall awareness generation activities utilizing various modes to ensure that public Health/Welfare Programs do reach to the target beneficiary and the purpose/objective of the programme is achieved.

From time to time, it organizes various programmes and also celebrate national & international days/weeks celebrations like “World Population Day”, World Aids Day”,  “Breast Feeding Promotion week”, “World Hepatitis Day” etc.
IEC Cell ensures focused approach on Inter Personal Communication (IPC) & other on-ground activities like- development of IEC materials and co-ordinates with Central Health Education Bureau(CHEB), Mass Mailing Units(MMU) of Ministry of Health & Family Welfare, govt. of India, UNICEF, WHO, BPNI etc.

IEC PUBLICATIONS self Developed/Published  Handbills, Posters, Leaflets etc.
•    Acquisition of IEC materials from Mass Mailing Unit, Central Health Education Bureau (Govt. of India)

•    Acquisition of IEC materials from International Agencies like WHO, UNICEF

•    Acquisition of IEC materials from NGOS: Breast Feeding Promotion Network of India


MIS CELL: MONITORING ACTIVITIES;

Monitoring & Evaluation:-
The MIS Cell collects, compiles, analyses the information/data regarding family welfare activities undertaken by the health units under M&CW department and suggest the relevancy of the programme/activities.

The MIS Cell plans to focus on strengthening the monitoring & evaluation activities which would include visits to health facilities across the agencies, objective evaluation of behavioral change among the beneficiaries/target group and is planning to get BCC indicators included in the HMIS portal system of GOI.

Training Cell:

Capacity building is an important component  for successful implementation of any health programme. In order to achieve the same very vision the Training Cell was established. The training Cell enhances knowledge and skills by imparting trainings to various categories of health facilitators, Teachers, NGO workers and other stake holders. The skill based training programs are conducted on a frequent intervals by the experts of the specialization.  Trainings are conducted on all the five components under the Reproductive and Child Health Program, i.e. Maternal Health, Child Health, Population Stabilization, Adolescent Health and RTI/STI’s.

RTI:
•    PIO Under RTI Act:- Dr Alka Verma, DDO(HQ), M&CW, NDMC, 12th Floor, E-1 Wing, Dr Shyama Prasad Mukherjee Civic Centre, Jawahar Lal Nehru Marg, New Delhi 110002 Contact No.:- 23226241 email: cmohqmcw@mcd.gov.in
•    1st Appellate Authority
•    Additional DHA, North DMC :  Dr S K Arora Contact No.:- 23226233 email: addldha2-ndmc@mcd.gov.in
•    HQ: -This HQ is situated at  12th Floor, E-1 Wing, Dr Shyama Prasad Mukherjee Civic Centre, Jawahar Lal Nehru Marg, New Delhi 110002




















 
 

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