3.State and Central Level Schemes
3.1 Maternal and Child Health
3.1.1 Dr.Muthulakshmi Reddy Maternity Benefit Scheme and co branded / Pradhan Mantri Matru Vandana Yojana (PMMVY)
Benefit details
- Provision of Cash Benefit (Rs.14,000 in 3 instalments) and kind benefit (2 Nutrition kit worth Rs. 2000/-each) to mothers who satisfy the conditions
- Primi Mothers will be benefited under PMMVY Scheme and Dr.MRMBS scheme
- Non Primi Mothers with male child will benefit under Dr. MRMBS and with female child will benefit under both schemes.
General conditions to be satisfied:
- The pregnant mother should be of age 19 years and above.
- VHN / UHN should certify the economic status (BPL) in PICME 2.0.
- One time Aadhaar authentication is necessary for getting any installments.
- The pregnant women who are members of Farmers Social Security Scheme and Srilankan refugees are also eligible to get this cash assistance.
- Mothers delivered at Private Medical Colleges approved under Dr.MRMBS Scheme are also eligible after ensuring the provision of free delivery services including caesarean deliveries. This will be approved by District Health Officer.
- Deliveries conducted in all empaneled private hospitals are also eligible for complete benefits under Dr.MRMBS scheme.
- Migrant mothers (within State) working in brick kilns, quarries, road works, construction sites and other infrastructure development projects are also eligible provided that
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- They should register themselves with VHN / UHN before 12 weeks of pregnancy.
- Their pregnancy status should be certified by the Hospital on Wheels Medical Officer or area PHC medical Officer
- They should continue to live physically in the area for getting all the five instalments.
- Beneficiary should furnish Savings Bank Account details in any nationalised bank with RTGS facility
- LMP should be accurately recorded.
- Mothers who have registered in any Government Hospital /Government health facilities including Government Medical College Hospitals and also who are self registered are also eligible provide that they satisfy other eligibility criteria’s.
3.1.2 Mother Baby Care Kit Scheme
- Mother and Baby Care Kit contains 16 health care items which is provided to the mothers after delivery in Government Health facilities to improve the hygiene of the postnatal mothers for self and baby care.
3.1.3 Menstrual Hygiene Programme
This program aims at provision of Free Sanitary Napkins under Menstrual Hygiene Scheme. To increase awareness among adolescent girls on menstrual hygiene. To Build self-esteem and empower girls for greater socialization. To increase access to and use of high-quality sanitary napkins. To ensure safe disposal of sanitary napkin.
Beneficiaries: Adolescent Girls (Rural), Adolescent Girls (Urban), Postnatal Mothers who delivered in Government institutions (Each Delivery), Women Prisoners, can benefit from this program.
Women Inpatients in Government Health Institution in the Reproductive Age Group (15-49 Years), Institute of Mental Health (IMH) inmates, are also eligible.
3.1.4 Janani Suraksha Yojana
Under this Scheme all delivered mothers in Government institution are given incentive as follows at time of discharge, irrespective of number of deliveries or whether the baby is alive or not.
Rs.700 (If Mother is from Rural Area)
Rs.600 (If Mother is from Urban Area)
3.1.5 Janani Sishu Suraksha Karyakram (JSSK)
Drop back facility to home is given to all mothers delivered at Govt.Institutions, free of cost.
A separate vehicle is allotted for this scheme. In case of emergency transfer of referred mothers to higher centres, when 108 service cannot be availed JSSK Vehicle can be used.
Under this scheme sick new born below one month of age who are referred can be transported to higher centres free of cost.
3.1.6 Weekly Iron Folic Supplementation (WIFS)
Under this Scheme all adolescent children (6-19 Years) in schools and out of school are given 1 tab of Iron every Thursday at school after lunch by School Teacher. For Non-school going children it is being given at AWCs.
Nutrition and Health Education about Anemia Prevention is given to the School Children by the Nodal Teachers.
If the child is absent on Thursday or misses out the consumption of the IFA tablet, subsequent follow-up during the week needs to be done to ensure that the tablet is consumed.
Nodal teacher will maintain individual compliance cards and the school register.
Teachers will screen adolescents for presence of moderate/severe anemia by assessing nail bed and tongue pallor and refer them to nearby health facility for management of anemia.
Parents should also be oriented on WIFS and NHE during Parent Teacher Association Meetings.
Before the school closes for vacations, the children can be given the requisite number of IFA tablets for consumption during the holidays under parental supervision.
3.1.7 National Deworming Day (NDD)
This program aims to deworm all children (boys and girls) aged 1-19 years (enrolled and non-enrolled) at schools and anganwadi centres for improved child health, nutritional status, access to education, and quality of life.NDD is observed twice every year. Mopup days are conducted one week after NDD so that the missed out children are given the tablet.
All children are given health education regarding hand washing, prevention of open air defecation prevention of barefoot walking.
Benefits of Deworming – Decreases anaemia and improves nutrition. Children grow faster and stay healthier. Increases resistance to other infections. Improves school attendance. Improves children’s ability to learn better and be more active in school. Increase hours worked and wages earned in the long-run in adult hood. Other community members who do not receive treatment benefit, as there are fewer worms in the environment.
4.1 Non-communicable disease
4.1.1 Makkalai Thedi Maruthuvam (MTM)
- MTM focuses on providing comprehensive home-based health care services, ensuring a continuum of care, sustainability of services and meet the health needs of beneficiaries particularly those with Non-communicable diseases.
- The scheme delivers health care services directly to the beneficiaries doorsteps, ensuring accessibility and convenience
- Aims to Screen all 18 yrs and above population for non-communicable diseases (hypertension, diabetes and cancers of breast, cervix & oral) by Staff Nurses at PHC level and by Mid-Level Health Provider (MLHP) at Health and Wellness Sub Centres and WHV at field Level.
- Aims to prevent complications of non-communicable diseases by early identification , treatment, followup and early referral.
- Aims to give palliative care to bed ridden patients at home. Team of Staff Nurses and physiotherapists with portable equipment will visit the bed ridden patients at home on regular intervals
- Through Makkalai Thedi Maruthuvam program all above 45 years NCD patients who are in control will be provided drugs at home by women health volunteer.
4.1.2 Idhayam Kappom Thittam
- At the primary care level, the scheme reduces morbidity and mortality from heart attacks, especially for patients who can reach a higher facility within an hour by providing these Emergency Cardiac loading dose drugs containing, 300 mg Aspirin, 300 mg Clopidogrel, 80 mg Atorvastatin
- It saves lives in remote / difficult to reach areas, especially during transit.
4.1.3 Urine Dipstick Testing Programme
- The Government of Tamilnadu launched urine dipstick testing for early detection of chronic kidney disease at the community level (PHC/HSC) in July 2023.
- All NCD patients who have Hypertension & Diabetes and all above 30 years health Beneficiaries are screened for chronic kidney disease with urine Dipstick.
4.1.4 Organised Cancer Screening Programme
- In all Primary Health Centres and 123 Health and well ness HSCs organised cancer screening programme was implemented. All 18 years & above male and female population are screened for Oral cancer.
- All 30 years and above females are screened for breast and cervix cancer.
4.1.5 Paatham Paadukappom Thittam
- All Diabetic patients are screened for foot lesions and referred early to foot clinics at higher centres for management and reduction of morbidity and mortality.
4.1.6 Chronic obstructive pulmonary disease (COPD)
- Aims to enable early identification and diagnosis of COPD through community awareness and referral pathways at the primary care level.
- High risk individuals of adults aged >35 years with history of smoking, Users of biomass fuels (firewood, cow dung, coal for cooking), Workers exposed to dust/fumes (e.g. agriculture, factories, construction) are screened for COPD symptoms and refer to higher centre for Spirometry and further management.
4.1.7 Metabolic Dysfunction Associated Steatotic Liver Disease (MASLD)
Aims to screen high risk group individuals for MASLD (Obese persons, BMI >23, HT, DM, Both Patients, Patients with Abnormal LFT, Coronary heart disease patients, Patients with Liver Disease, Patients with Hepatic steatosis). Beneficiaries with high risk score for MASLD were referred to tertiary care centre for early management.
4.1.8 Work place based NCD Screening
All 18 years and above population working in commercial places are screened for Non Communicable Diseases at their work place by Mobile Medical teams.
4.1.9 Kannoli Kappom Thittam (KKT)
Screening of vision and distribution of free spectacles to all Govt.school going children from 6th to 12th standard.
5.1.1 Rashtriya Bal Swasthya Karyakaram – RBSK
Rashtriya Bal Swasthiya Karyakram (RBSK) was implemented in the year 2015. In Erode, there are 28 Health Teams (2 teams per Block), 14 teams with male doctors and 14 teams with Female doctors.
Each Team consists of one Pharmacist and one Staff Nurse or Sector Health Nurse, along with the Medical Officer. These teams screen all the Children aged 0-18 years for Defects, Deficiencies, Diseases, and Disability. The health team covers all Government and Government-aided schools once a year and the Anganwadi centre twice a year. As per the tour programme, the Anganwadi Worker (AWW) mobilises all children under 5 years old in her area to the Anganwadi Centre (AWC) so that no child is missed.
Under this Programme, screening for 0-18-year-olds is being conducted. Early Intervention Service is provided to children who are identified with conditions categorised as (1) Defects at birth, 2) Developmental delays including disabilities, 3) Deficiencies and 4). Diseases (totally covering 30 diseases). The “Child Health Screening and Early Intervention Services” Programme aims at early detection and management of Health conditions among children and thereby to reduce the morbidity and mortality. The identified children are referred for further management to the District Early Intervention Centre (DEIC) located in the District Headquarters Hospitals, Erode.
Severe acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM) children are identified during screening, and those children are referred to DEIC for evaluation and management.
The Adolescent Anaemia Programme was carried out in all Government and Government-aided schools. Students were screened for anaemia through special health camps. Those found to have anaemia were classified as having mild, moderate, or severe anaemia. Students with anaemia were referred to higher medical centres for further treatment. The programme helped identify and manage anaemia among school-going adolescents
The adolescent anaemia programme was conducted in all Government and Government-aided schools. Those students with anaemia were identified through this camp. Based on mild, moderate and severe anaemia, those students were referred to a higher centre for correction.
5.1.2 Implementation of Life Skills and Health & Wellness Education Programme for Adolescents
The adolescent period (10-19 years) is considered crucial as they undergo significant physical, emotional, and social changes, making it a critical period for developing competencies such as decision-making, problem-solving, communication, self-awareness, empathy, and coping with stress. Introducing life skills education at this stage helps adolescents build resilience, improve interpersonal relationships and make informed choices, ultimately contributing to their overall well-being and successful transition into adulthood.
School teachers and college faculty conducted the above programme on every Thursday.
Life Skills Module Themes
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- Growing up Healthy
- Adolescent Mental Health
- Interpersonal Relationships
- Values and citizenship
- Nutrition
- Prevention and Management of Substance Abuse
- Promoting a Healthy Lifestyle
- Sexual and Reproductive Health
- Gender Equality
- Prevention of Injuries and Violence
- Promotion of safe use of Internet, Gadgets and Media
5.1.3 Implementation of Empowering One Crore Families on Disease Prevention through School Students :
The onset of many diseases is often due to a lack of awareness regarding prevention and early intervention. The students from 6th to 12th standard will be trained in disease prevention by RBSK teams in schools once in every 3months during the Teen Health Day. These trained students will then act as health ambassadors, spreading awareness within their families and communities, thereby strengthening 1 crore families with essential knowledge on health promotion and disease prevention.
Module Themes
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- Hygiene & Sanitation
- Vector-Borne Disease Prevention
- Communicable Disease Prevention
6.1 Hospital on Wheels Programme (HoWP)
Hospital on Wheels Programme has been provided in all 14 blocks under NHM and is functioning since February 2009. Each Mobile Medical Unit covers at least 25 to 30 remote villages which are being visited on fixed days every month. Services rendered by Hospital on Wheels Programme especially routine immunization/dropout immunization are being strictly monitored. The other routine services (Ante Natal Care, Post Natal Care, Family Welfare Services, Lab Services, Adolescent Care, Referral Services and Counseling Services) rendered by the MMU team are linked with the Village Health and Nutrition (VHN) day if the MMU visits the village on the same day.
7.1 Communicable Diseases
7.1.1 Integrated Health Information Platform
- The IHIP is a nucleus of collecting data pertaining to communicable disease burden from various health facilities both Govt. and private hospitals. The data collection is being done on a daily basis in the web portal.
- District Surveillance Units notify the outbreaks immediately. Rapid Response Team (RRT) visits the affected area for investigation and sends a First Information Report (FIR) to District Surveillance Unit.
7.1.2 Monitoring water quality
- In the health department, there is a structured initiative to monitor and improve water quality. This program aims to assess the pollution level and ensure water is safe for different users by monitoring parameters like chlorination level, pH, chemical levels like nitrogen, fluoride and turbidity.
- There is a specially designed app for regularly collecting and analysing chlorination levels in water samples.
7.1.3 Vector Borne Disease Control Program
The National Center for Vector Borne Diseases Control (NCVBDC) administers an umbrella programme, namely, National Vector Borne Diseases Control Programme (NVBDCP) for prevention and control of vector borne diseases namely Malaria, Japanese Encephalitis, Dengue, Chikungunya, Kala-azar and Lymphatic Filariasis. Malaria and Dengue are outbreak prone and climate sensitive.
This department coordinates with local bodies which engages domestic breed checkers, who also inspect houses to identify and destroy mosquito to breeding places which favours the spread of dengue, malaria and chikungunya.
8.1.National tobacco Control Programme
This Program aim to create awareness about the harmful effects of tobacco consumption. Reduce the production and supply of tobacco products Ensure effective implementation of the provisions under “The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, 2003” (COTPA). Help the people quit tobacco use. Two tobacco cessation centres functioning in district one functioning in district headquarters hospital and other functioning in comprehensive rehabilitation de-addiction centre in government medical collage hospital, Perundurai.
TOLL FREE NUMBER FOR TOBACCO CESSATION CENTRE-104 -18001104456
9.1 Immunisation
Provision of Universal Immunization of children against Vaccine Preventable Diseases is one of the major goals under National Health Policy (2002) which is directed towards achieving an acceptable, affordable and sustainable standard of health through an appropriate health system.
Immunization is the process whereby a person is made immune or resistant to an infectious disease, typically by the administration of a vaccine. Vaccines stimulate the body’s own immune system to protect the person against subsequent infection or disease.
Immunization is a proven tool for controlling and eliminating life-threatening infectious diseases and is estimated to avert between 2 and 3 million deaths each year. It is one of the most cost-effective health investments, with proven strategies that make it accessible to even the most hard-to-reach and vulnerable populations. Immunization is one of the most important and cost-effective strategies for the prevention of childhood sicknesses and disabilities and is thus a basic need for all children.
Under universal immunisation program, BCG, ORAL Polio, Hepatitis-B, Rotavirus, Pentavalent, PCV, IPV, Measles Rubella, DPT booster, TD, Vitamin A solution vaccines are from birth till 16 years.
10.1 Civil registration System (CRS)
Civil Registration System (CRS), popularly known as birth and death registration system, is the recording of vital events i.e. Birth, Death & Still Birth under the statutory provisions on continuous and permanent basis. CRS falls under the Concurrent list of the Constitution of India at Sl. No. 30. Vital statistics generated from civil registration significantly contribute to the formulation of effective and efficient evidence-based policy across multiple sectors.
The registration of birth and death is done under the provisions of a central Act namely Registration of Births and Deaths (RBD) Act, 1969 (amended in 2023) and State Rules framed on the basis of Model RBD Rules, 1999 and Model RBD (Amendment) Rules, 2024. This Act was enacted in the year 1969 and was enforced in most of the States/UTs from 1st April, 1970 to promote uniformity and comparability in the registration of Births and Deaths across the country. Further, the Registration of Births and Deaths (Amendment) Act, 2023 came into force with effect from 01st October, 2023.
Under the provisions of RBD Act, 1969, the registration of birth and death is mandatory. The events of births, still births and deaths are registered at the place of occurrence of the event i.e where the event took place. The normal period of reporting the event is 21 days from its occurrence, however, the event can be registered after the normal period under delayed registration provisions of Section 13 of the RBD Act.
10.2 Nalam Kakum Stalin Multi Speciality camps
The Nalam Kaakum Stalin – Multi-specialty health camp initiative will be an integrated health camp offering multi-specialty services, cancer screening, CMCHIS enrolment, disability certification, and ID cards to Unorganised workers by the Labour department. High public visibility and well-defined screening, diagnostic, and referral pathways are prioritized to ensure the continuum of care.
Every Saturday camp will be conducted in one block as per schedule. Timing of the camp is from 9.00am to 4.00pm.
The camp will include various activities such as specialty outpatient consultation services, essential laboratory investigations, issuance of CMCHIS cards, ID cards to Unorganised Workers and certificates for the differently-abled.
Additionally, there will be Information, Education, and Communication (IEC) and Behaviour Change Communication (BCC) initiatives.
Each camp shall provide the following 17 specialty medical services:
- General Medicine
- General Surgery
- Orthopaedics
- Obstetrics & Gynaecology
- Paediatrics
- Cardiology
- Neurology
- Dermatology
- Dental
- Ophthalmology
- ENT
- Psychiatry
- Physiotherapy
- Radiology
- Pulmonology
- Diabetology
- AYUSH and Dietary advice.
11 Grievance redressal
For Public health related queries to contact helpline no: 104
