Nadia Initiative for Health Hygiene and Sanitation Acceleration Preface • NIHSanA (A Sanskrit word meaning Target) stands for Nadia Initiative for Health Hygiene Acceleration. NIHSanA denoted WASH in health initiatives undertaken by Nadia district with the primary objective of bringing down its neonatal death rates by half within march 2017 by strengthening delivery of existing health services alongwith addressing 1) Hygiene and Sanitation at maternity hubs and P.H.C.s 2) Menstrual Hygiene 3) Transition to an open defecation free district 4) Ensuring availability of Ambulance and prehospital care and 5) Malnutrition Causes of Infant Morality Preventable Causes Congenital anomalies and other diseases 30% 70% Basic Facts on Health 140 120 140 Infant Mortality Rate (Per Thousand Live Birth) Maternal Mortality Rate (Per Lakh Women) 120 100 100 80 80 60 60 40 40 20 20 0 0 Developed Countries Kerala Nadia Developed Countries Kerala Nadia Neonatal Death is a curse to our nation • • Three causes accounted for 78% of all neonatal deaths in India: prematurity & low birthweight, neonatal infections and birth asphyxia (Source:- Causes of neonatal and child mortality in India: a nationally representative mortality survey:-Million Death Study Collaborators, Bassani DG, Kumar R, Awasthi S, Morris SK, Paul VK, Shet A, Ram U, Gaffey MF, Black RE, Jha P). Most of the causes of deaths in the new born period can be prevented or managed by households, communities and health facilities. Identified Problems in Health and Sanitation Malnutrition Lack of Hygiene and Sanitation facilities Lack of Health Care Services High IMR and MMR Lack of Awareness in Menstrual Hygiene Menstrual Hygiene Improving delivery of existing Health Services ANGELS Ambula nces and PreHospital Care Menstrual Hygiene:- Sanitary Napkin Manufacturing & Delivery • To address the issue of Menstrual Hygiene and Management • Cost Effective Manufacturing by SHG Clusters (NRLM Convergence). • Delivery through JSY Kits (Health Dept) to new mothers • Napkin Vending Machine at Schools for Adolescent Girls Napkin Vending Machine Installed at Schools Maternity Ward Fresh Me Manufacturing Unit:- Ramnagar, Ranaghat Improving Hygiene and Sanitation at Maternity Hubs and PHCs • Manufacturing of own hand sanitizer and hospital disinfectants through SHG cluster • Hand Sanitizer at all Maternity Hubs and PHCs • Improving cleanliness and hygiene of maternity hubs and health centres • Priority healthy handwash practices Health Center Hand Sanitizer Manufacturing Unit:- Depara, Krishnagar I Block Sanitary Latrine as prescription-Convergence with Medical Practitioner • • • . Doctors and Health workers play an important role in improving hygienic practices in public. District Administration in association with District Health Dept and IMA has taken this initiative in involving participation of Doctors’ in this movement. They also prescribe “Latrine Use” and “Hygienic” practices in cases of Diarrhoea, malnutrition etc. Transition towards Open Defecation Free District • The Sabar Shouchagar movement by the district with its focus on bringing change and ensuring access to Sanitary latrine for all families without access so far. • Construction 2.15 Lakh thousand household latrines completed. • Transition towards open defecation free Nadia ANGELS Ambulances and Pre-hospital Care • • ANGELS (Active Network Group of Emergency Life Savers) is an innovative effort aimed at ensuring availability of Ambulances and pre-hospital care during emergencies, in Nadia. The GPS /GPRS enabled network of ambulances covering entire district of Nadia with EMCT trained volunteers under ANGELS. . Medical Emergency Catchment Area Approach for Field Level Health Workers • The district has been divided in 6627 catchment areas corresponding one AWW/ASHA worker. Such catchment area will have around 200 households. The AWW in charge of catchment trained and oriented to ensure the area open defecation free ad attend expecting mothers and children. • District Map Solid and Liquid Waste Management • District Authority utilizing the financial resource from NBA and technical resource from expert groups has already set up 4 SLWM units and 3 More units are under progress. • Intend to set up one SLWM unit at each Block by end of 2015.