SAMMPurNA
Sishu Abong Matru Mrutyura Purna Nirakaran Abhiyan
Back ground:
To accelerate the rate of reduction of IMR and MMR , the State Government designed to develop a focused strategy for accelerated reduction of MMR & IMR i:e SAMMPurNA” (SishuAbangMatruMrutyuraPurnaNirakaranaAbhiyan). The State aims to achieve an additional 30% decline of State Maternal Mortality Ratio (MMR) and Infant Mortality Rate (IMR) from the current rate of decline.SAMMPurNA (Phase I) was rolled out in the State during 2015 to 2020 in 15 focused districts, Identified considering various indices like the districts of KBK , KBK+, Tribal districts and also high API in Malaria.
It is an ongoing programme &2nd Phase of SAMMPurNA is being implemented for another 5 years (2023-24 to 2027-28). The activities planned under SAMMPurNA Phase-2 &It has been made Universal for covering all districts of Odisha
SAMMPurNA (Phase-2) Comprises of two major components:
- Component-1 : Maternal & Child Health Interventions – Aim to reduce IMR / MMR
- Component-2 : Nutrition Interventions (AMLAN) : Anaemia MuktLakshyaAbhiyan– Aim to reduce Anaemia & thereby reduce IMR/ MMR (New component proposed in 2nd phase)
- Objective:
- The State aims to achieve an additional 30% decline of State Maternal Mortality Ratio (MMR) and Infant Mortality Rate (IMR) from the current rate of decline.
- Numerous activities around ‘continuum of care’ for maternal and new-born survival by identifying high risk cases, referral and management.
- Provision of good quality Care and ZERO out of pocket expenditure for treatment of pregnant woman and under five children.
Component 1 :Maternal & Child Health Interventions :
At Community Level :
- Difficult to reach villages: Identification of difficult villagesi.e which villages are not accessible by 102 or 108 or any four wheeler vehicles.
- Red Card: Identification of high risk pregnancies (High risk due to geographical & also clinical High risk) & distribution of red card to all high risk pregnant women and children residing in geographically hard to reach area.
- Birth preparedness: Birth preparedness plan and couple counseling are done with the help of the couple counseling booklet supplied to all 30 districts of the State.
- Joint Home Visit: High risk cases mean all the clinical and geographical high risk cases. Follow up of pregnancies through joint home visits by HW (F) along with MPHS (F)/(M).
- Reimbursement of transportation cost to pregnant women from difficult villages: Provision for reimbursement of Rs. 1000/- (Rupees one thousand) only per pregnant woman from difficult villages towards transportation cost to nearest motorable point/ hospital.
- Provision for essential equipment for ASHA
- Alternative Transportation facility:
- Stretcher: Light weight stretcher being provided to GKS to carry the pregnant mother from a difficult village to nearest motorable points.
- Bike Ambulance: Recurring cost of 23 bike ambulance for transportation of pregnant women where four wheeler are not accessible.
At Facility Level:
- Drop-Back Facility: Provisions of Rs.500/- towards assure drop-back Transport Services for Pregnant Women after Institutional Delivery & Sick Infants treated at Public Health Facilities
- Disposable draw sheets& gowns: Disposable draw sheets & gowns are indispensable for maintaining clean surface for delivery whereas disposable gown for pregnant women helps in maintaining personal hygiene during delivery. Both items are supplied and utilized in the labour room.
- Disposable Kelley’s Pad : It helps to detect postpartum hemorrhage as the blood loss is visible.
- SurakhyaKabacha: Mother & Baby Kit for mother and baby after institutional delivery
- Establishment of High Dependency Unit ( HDU ) , Hybrid ICU &Paediatric ICU
- Diet to Mother of child admitted in NRCs : Free diet to pregnant mother for the child admitted in Nutrition Rehabilitation Centre.
- Additional Incentive to LSCS &EmOC Doctors
- IEC & BCC campaign targeted towards the major stakeholders within the community is conducted in difficult and hard to reach areas for positive health behaviors and information about schemes and entitlements.
Component 2 AMLAN (Anaemia MuktLakshyaAbhiyan )
- Screening at Schools, VHSND/UHND and T3 camps
- Prophylactic Iron and Folic Acid (IFA) supplementation for targeted beneficiaries irrespective of their anaemia status.
- Therapeutic IFA supplementation to identified Anaemic cases
- Provision of Multivitamins and micronutrients tablet to pregnant women.
- Capacity Building of health Care Providers and other Line Department field staff
- Year-round social and behaviour change communication (SBCC)