Mobile Mamta Diwas: Improving Healthcare in Rural Gujarat
The Mobile Mamta Diwas initiative in Gujarat aims to provide essential healthcare services, including immunization, check-ups, counseling, and nutrition services, to rural and tribal populations in challenging terrains. By proactively reaching out to difficult-to-access areas, this project addresses the healthcare needs of pregnant women, children, and adolescent girls, enhancing overall well-being and health outcomes in the region.
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Mobile Mamta Diwas: Gujarat Experience National Health Mission, Health and Family Welfare Department, Government of Gujarat
Problem Statement of Kaprada Taluka Valsad District is predominantly tribal with population of 17,03,068 (Census 2011) 63% is rural population,54.8% of it is tribal (Census 2011). KaparadaTaluka having 100% tribal population about 260,000 Hilly terrain,covered with dense forests Very scattered and distantly located population divided in small hilly and remote hamlets Extremely difficult to provide regular and continuous health services to all Some areas were completely left out in providing services despite best planning,dedication and efforts from the Health Department.
Proactively Reaching the Unreached Proactively Reaching the Unreached Objectives Ensure immunization of all pregnant women,children and adolescent girls. EnsureANC and PNC Make quality services available to habitants of difficult to reach areas Ensure appropriate health messages and counselling services reach out to all Strategy These areas would be covered as per the pre-formulated route plan. The route plans prepared at the district level as a part ofVHND micro planning activity. Each vehicle leaves respective PHC in the morning, reach the pre-decided static point in the identified area and cover the target population. The vehicle also carries the Bio MedicalWaste back to the PHC.
Planning the Route to Reach Out to the Unreached Planning the Route to Reach Out to the Unreached
Service Delivery through Mobile Mamta Diwas Service Delivery through Mobile Mamta Diwas Launched on 31stAugust,2013 ANC & PNC Check-up Immunization Services IMNCI & HBNC assessment Counselling eligible couples and antenatal women. Nutrition Services monitoring of children (0-5 years) IPC activities through customised way of adolescent girls, & Growth
Project Support Project Support Human Resources involved in Mobile Mamta Diwas: One ANM/FHW and one MPW ASHA and AWW for mobilization and prior communication Operational & Monitoring Support Special high chassis Vehicle for hilly region; IEC-TV Display for wider dissemination District Officials route plan for supportive supervision Regular Monthly Review on physical and financial performance
Cost Implication of the Project Financial Support for this Year in NHM PIP 2015-16 (cost Rs. 5,22,000/ Per Unit/Year) BL B.14.5.6 Mobile Mamta Divas under State Innovation Particular Unit Rented Vehicle 4 Operation Cost 4 Additional Staff 4 Total Sr. No. 1 2 3 Unit Cost 35000 2000 6500 Month 12 12 12 Total 1680000 96000 312000 20,88,000
Improvement in Maternal Health in Improvement in Maternal Health in Kaparada (Figures in Percentages) (Figures in Percentages) Kaparada Taluka Taluka 76 80 65 70 65 62 60 50 50 42 43 40 33 30 24 24 20 10 0 3 ANC Home Delivery Institutional Delivery Government Institutional 3 PNC Before (FY 2012-13) After (FY 2014-15)
Improvement in Immunization Services 100 88% 90 79% 80 70% 70 60 50 39% 35% 40 31% 30 20 10 0 BCG Full Immunization Coverage Before (FY 2012-13) DPT Booster After (FY 2014-15)
Potential for Scaling Up Potential for Scaling Up Being Cost-effective Experiment, this project has a potential for being scaled up to cover all difficult and hard-to-reach areas of the State Over the next 3 5 years this Service would be scaled up across all the High PriorityTalukas of Gujarat
