Name of the Scheme:

Chief Minister’s Girl Child Protection Scheme

Scheme- I: for one Girl Child only

• An amount of Rs.50,000 is deposited in the name of the girl child born on or after 01/08/2011, in the form of fixed deposit with the Tamil Nadu Power Finance and Infrastructure Development Corporation Limited, for 18 years for a family with one girl child only. The copy of the fixed deposit receipt is given to the family of the girl child.

Scheme- II: for two Girl Children only

• An amount of Rs.25,000 each is deposited in the names of two girl children, where the second girl child born on or after 01.08.2011 in the form of fixed deposit with the Tamil Nadu Power Finance and Infrastructure Development Corporation Limited, for 18 years for a family with two girl children only. The copy of the fixed deposit receipt is given to the family of the girl children.

Objective of the Scheme

• To promote girl child education
• To eradicate female infanticide
• To discourage the preference for male child
• To promote small family norm
• To increase the Child Sex Ratio

Quantum of Assistance

• Scheme-I: An amount of Rs.50,000 is deposited for a family with one girl child only.
• Scheme-II: An amount of Rs.25,000 each is deposited for a family with two girl children only.

Benefit Criteria

• Girl children in poor families.
• On completion of 18 years of age, the amount deposited with accrued interest will be given to the girl child.

Eligibility Criteria

• Income limit: Annual income not exceeding Rs.72,000 for both Scheme – I and Scheme – II.
• Either of the parents should have undergone sterilization within 35 years of age.
• Family should have only one/two female children and no male child. In future, no male child should be adopted.
• The parents/grandparents should be a domicile of Tamil Nadu for a period of 10 years at the time of submitting the application.
• The scheme was extended to girl children of Sri Lankan Tamil Refugees in the Refugee Camps.

Time Limit for Application:

• Scheme-I: The application should be submitted before the child completes 3 years.
• Scheme-II: The application should be submitted before the second child completes 3 years.

Certificates to be Enclosed:

• Birth Certificate (Corporation/Taluk Office/ Municipality Office)
• Parents age proof (Birth Certificate/ School Certificate/ Government Doctor’s Certificate)
• Sterilization Certificate (Government/Private Hospital)
• Income Certificate (Taluk Office)
• No Male Child Certificate from relevant authorities
• Residential Certificate - Tahsildar (Domicile of Tamil Nadu for 10 years)

Officers to be Contacted:

• District Social Welfare Officer
• Extension Officer (Social Welfare)
• Rural Welfare Officer (Women)

Grievances, if any, to be Reported to:

• District Level: District Social Welfare Officer
• State Level: Commissioner of Social Welfare, 2nd Floor, Panagal Maaligai, Saidapet, Chennai- 600 015 (Phone: 044-24351885)

Renewal of Deposit Receipt:

After completion of 5 years, the fixed deposit will be renewed based on the recommendation from the District Social Welfare Officer. An annual incentive of Rs.1,800 will be deposited in the girl's bank account from the 6th year onwards.

Final Maturity:

The maturity amount will be given to the girl child only if she appears for the 10th standard public exam. If not, the amount deposited with accrued interest will be remitted into the Government account.

Name of the Scheme:

Early Intervention Centre For Infants And Young Children With Hearing Impairment

Objective of the Scheme

Early Intervention Centres for infant and young children with hearing impairment have been established in all district except Thiruppur & Ramanathapuram.

Benefit Criteria

Infant and young children with hearing impairment are given training to develop speech and language skills so as to get integrated into normal school by the time they attain the age of 5 years.

Eligibility Criteria

Young children with hearing impairment without any additional disabilities in the age group of 2½ years are eligible for admission.

Certificates to be Enclosed with the Application:

• National identity card for differently abled
• Birth certificate

Officers to be Contacted:

District Differently Abled Welfare Officer

Grievances, if any, to be Reported to:

Assistant Special Officer, O/o. The Commissionerate for the Welfare of Differently abled, No.5, Kamarajar salai, Chennai – 600 005. Ph: 044-28444940

Name of the Scheme:

Early Intervention Centre For The Children With Intellectually Disabled

Objective of the Scheme

The main objective of these centres is to identify children with intellectual disability and children with allied disabilities at birth and to provide early intervention services.

Quantum of Assistance

Early intervention centres for children with intellectual disabilities have been established in all the districts to benefit 50 children in each district, except Dharmapuri. These centres have been established through NGOs.

Benefit Criteria

Children with intellectual disability and allied disabilities.

Eligibility Criteria

Age group of below 6 Years.

Certificates to be enclosed with the application:

National identity card for differently abled and birth certificate.

Officers to be contacted:

District Differently Abled Welfare Officer

Grievances, if any, to be reported to:

Assistant Special Officer,
O/o. The Commissionerate for the Welfare of Differently abled,
No.5, Kamarajar salai,
Chennai – 600 005.
Ph: 044-28444940

Name of the Scheme:

Early Intervention Centre For The Visually Impaired

Objective of the Scheme

Visually impaired children are identified, assessed and prepared to join in main stream education.

Benefit Criteria

Visually impaired children. Early intervention centres for visually impaired have been established in 6 districts, namely Chennai, Coimbatore, Cuddalore, Thiruchirapalli, Vellore, and Tiruvannamalai.

Eligibility Criteria

Children below 6 years of age.

Certificates to be enclosed with the application:

National identity card for differently abled and birth certificate.

Officers to be contacted:

District Differently Abled Welfare Officer

Grievances, if any, to be reported to:

Assistant Special Officer,
O/o. The Commissionerate for the Welfare of Differently abled,
No.5, Kamarajar salai,
Chennai – 600 005.
Ph: 044-28444940

Name of the Scheme:

Early Intervention Centre For Children With Cerebral Palsy In State Resource Training Centre (SRTC) , Chennai And Tiruchirapalli Districts

Objective of the Scheme

Stimulation training is given to the children affected with cerebral palsy.

Benefit Criteria

Young children/ infants with cerebral palsy.

Eligibility Criteria

Age group of below 6 years.

Certificates to be enclosed with the application:

National identity card for differently abled and birth certificate.

Officers to be contacted:

District Differently abled Welfare Officer.

Grievances, if any, to be reported to:

Assistant Special Officer,
O/o. The Commissionerate for the Welfare of Differently abled,
No.5, Kamarajar salai,
Chennai – 600 005.
Ph: 044-28444940

Name of the Scheme:

New Born Screening Programme For Hearing Loss In Babies In Chennai And Sivagangai Districts

Objective of the Scheme

New born screening programme for hearing loss in babies in Chennai and Sivagangai as pilot project Screening is conducted in 11 Corporation Maternity Hospitals in Chennai and 10 Hospitals in Sivagangai. It includes district headquarters Hospital, Taluk Hospital and upgraded Primary Health Centres.

Eligibility Criteria

New born babies

Certificates to be enclosed with the application:

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Officers to be contacted:

District Differently Abled Welfare Officer, Chennai and Sivagangai

Grievances, if any, to be reported to:

Assistant Special Officer,
O/o. The Commissionerate for the Welfare of Differently abled,
No.5, Kamarajar salai,
Chennai – 600 005.
Ph: 044-28444940

24 x 7 Hours Delivery Care Services in PHCs/CHCs

One of the remarkable achievements over the last three years has been the manifold increase in the number of the deliveries conducted in the PHCs. This proportion has increased from 5% in 2005 to 30% in the current year with 272073 deliveries being conducted from April 2009 to March 2010. There is a marginal reduction in the number of government hospital deliveries enabling these hospitals to spend more time on complicated cases. The important feature of this change is that it meuip.co has resulted in a fall of deliveries in private institutions by 8%, thus reducing the burden of health care costs on the poorest families. This has been made possible by the introduction of 24 x 7 hour services in every PHC by posting 3 staff nurses for rendering round the clock duty. The confidence that trained personnel are always available in the PHCs has increased not only the number of deliveries but also the daily OP attendance and IP attendance.

All 1539 PHCs functioning as meuip.co 24 x 7 delivery care services

MCH Centre

The GoI during the NRHM and RCH reviews held in July/ August have introduced the concept of identifying health facilities for offering various levels of MCH care. While Level 1 care refers to 24x7 delivery services through trained personnel, Level II care refers to the provision of emergency obstetric care and management of obstetric emergencies. Based on this concept, a policy decision has been taken that all the PHCs in the state will continue to function as Level I centres for MCH care for which adequate infrastructure and staff is already available. In addition, the Director of Public Health and Preventive Medicine in consultation with district level Deputy Directors has identified 31 Health Sub Centres which are remote and do not have access to the PHCs to function as Level 1 care centres. Further, out of the existing CHCs, 42 facilities have been identified at the rate of 1 per Health Unit District to function meuip.co as Level II MCH Centres. These centres will be developed as comprehensive Level II MCH centers to provide the RCH package of AN& PN care, Emergency Obstetric Care, Safe Abortion Services, Sterilization Services including temporary methods, Adolescent Clinics, RTI/ STI management etc. New Born Stabilization Units will also be set up in these centres. Adequate supervision will be provided to guide and improve quality of care in such centers. The HSCs identified as Level I MCH centres will be provided with 2 more VHNs, Sanitary worker, necessary drugs and equipments as well as , renovation of the existing building to provide round the clock delivery services. The CHCs identified as Level II MCH centres will be provided with 2 additional doctors (preferably specialists), 3 more Staff nurses, pharmacist ,junior assistant , hospital workers , sanitary workers, necessary drugs and equipments and renovation of the existing building etc as additional inputs to achieve the necessary objectives.

Elective Free Caesarian

The lack of manpower in the FRUs has been managed through hiring of Obstetricians and Anesthetists for family welfare and Emergency Obstetric Care (EmOC) Services. The Government / Private / Retired specialists are hired for the above services at sub district and district hospitals. Caesarean deliveries are also conducted in PHCs by hiring private gynecologists under RCH. The improved quality of services and timeliness of response by the hired specialist in managing obstetric complications at the PHCs and Sub District Hospitals has led to decrease in maternal and infant mortality in the state.

Hence it has been decided to utilize the services of hired specialists for EmOC services for this year also till sufficient number of government specialist are available. These specialists are given incentive and budgeted accordingly. Similarly to encourage the LSAS/ EmOC trained MBBS doctors and also to motivate the young graduates to opt these trainings, incentives (at the rate of Rs.200 per session) is also proposed.

Blood Storage Centers

74 centers obtained license from drug controller and functional. Establishment of 181 Blood Storage Centers are under progress.

Training on Blood Safety & Blood Storage

Under NRHM, 255 CHCs are being provided with Blood Storage Centres as per IPHS norms.

While 74 BSCs have been operationalised, training of M.Os ,Staff Nurses & Lab Technicians on blood safety and storage to meet the statutory requirements is being conducted in 3 Medical College Hospitals and is coordinated by TANSACS. It is planned to have 2 trained teams in each BSC to keep the centres functional round the clock.

Till Nov 2010, 158 MOs, 161SNs and 155 LT have been trained for implementation of this scheme. Further training planned for the year 2010-11 will be taken up from Jan-2011.

Maternal Care - Free Diet

As one of the monitoring indicator under NRHM is that 60 % of the PHC in the state should conduct more than 10 deliveries / month , Tamilnadu has not only achieved this but also many of the PHC are conducting more than the fixed target.The provision of diet to AN Mothers who stay for the whole day in the PHC are to be provided with food during the AN Clinics at the PHCs. To maintain the extra facilities and to meet out the increasing demands of the ante natal mothers attending the PHC, the centers are provided with extra amount based on the number of deliveries conducted.

The diet is also provided to post natal mothers for 2 days during their post natal period. This is an excellent strategy to ensure stayal of newly delivered mothers with their newborns for two days in the PHC. This has helped mothers in initiation of early breastfeeding during hospital stay. Discussion and counseling about family planning services and other warning signals for the mother and child occurring during the post natal period by the health providers has also been made possible due to stayal for 48 hours in the PHC.

EMRI

The Tamil Nadu Government has signed a MoU with EMRI Hyderabad to provide integrated Emergency Response Management Services bringing together the departments of Health and Family Welfare, Police and Fire Prevention.

Objectives of the Scheme:-

• To provide comprehensive Emergency Response Services to the entire population of Tamilnadu.
• To improve access to police, fire and healthcare services
• To assist the state to achieve the critical Millennium Development Goals in the health sector

Process :-

• Government of Tamil Nadu called for expressions of interest and appointed EMRI as the private agency to operationalize Emergency Response services in the state. The agency would provide management services, training and technical expertise for implementing the programme.
• The scheme provides comprehensive Emergency Management (Medical, Police& Fire) using a single number(108).
• The ambulances under the scheme would be deployed in a phased manner based on the demand.
• The scheme will be run professionally on a no-loss & no-profit basis

The Tamil Nadu – Emergency Management Research Institute is in operation from 15.09.2008 and a Emergency Response Centre has been established at the Government Kasthuriba Gandhi Hospital for Women and Children, Chennai – 5.

Strengthening of EMRI Vehicle with Neonatal support system

Since 70% of the infant deaths occur in the early neonatal period (0 to 7 days of life), lives cannot be saved unless an emergency transport system is provided to carry the neonate to the appropriate referral centres. It has been decided to utilize the existing 108 EMRI Services to deal with neonatal emergencies.

The existing EMRI vehicle (one per district) will be augmented with neonatal support system with resuscitation equipments such as Neonatal incubator, Oxygen Cylinder, Air cylinder, IV syringe infusion pump with stand (battery operated), Pulse oxymeter, resuscitation kits etc. ,

During this year 2011-12 one existing vehicle/district will be strengthened for 29 districts.

EMRI in Tribal Districts

The state has a well established emergency referral transport system established through EMRI. However it is seen that the existing EMRI vehicles are not able to reach the tribal hamlets due to the size of the vehicles and the poor condition of the roads. The golden hour is thus lost in all emergency treatment including obstetric emergencies.

Out of the existing 385 ambulances under EMRI, none of them have four wheel drive. To improve the emergency service in hilly and hard to reach areas, four wheel drive vehicles have been proposed by EMRI based on experience in other states. It is proposed to add four wheel drive vehicles suitably equipped as ambulances in 24 identified points in order to reach those tribal areas which are presently inaccessible to the EMRI ambulances. It is expected that this will make it possible for the tribal population to make better use of emergency care both for general cases as well as delivery.

Ambulance Services for the Emergency Transport of MothersaAnd Children

6 Ambulances were provided by the UNICEF during TSUNAMI to the six PHCs in the district of Nagapattinam, Kancheepuram, and Cuddalore district to transport infants requiring emergency care from Primary Health centres to larger district hospitals for higher level of care. The Neonatal transport Units are well equipped to stabilize the clinical status of the infants en route. It has been recently decided that these ambulances will be stationed at the NICU centre (Medical College Hospital/District head quarters / sub district hospital) in the district with their staff for their maximum utilization.