Outreach and community-based Services
Immunization is carried out under Expanded Program on Immunization which is a WHO and UNICEF assisted programme. The objective of the expanded Programme on Immunization (EPI) is to immunize children against vaccine preventable childhood diseases and women against neonatal tetanus. Immunization is done at the health facilities, outreach sites and through mobile teams to provide immunization services for children against Measles, Diphtheria, Tetanus, Polio, Tuberculosis, Pertussis, and Hepatitis-B. In addition to this, mothers of child bearing age receive 5 doses of TT or 2 doses during pregnancy.
Following are the main outreach activities being done for health care
Visits of the Consultants/Specialists
All Specialists from THQH pay one visit every month at Rural Health Center to provide services to the population and capacity building of the medical staff. At least Specialists of the essential specialties(Physician, Surgeon, Pediatrician and Gynecologist) should provide services at RHC
Women Medical Officer (WMO)
Other than their other responsibilities WMOs also visit from RHC to BHU for Obstetrics, Gynaecology Problems and technical/clinical support to LHVs. WMO spends atleast 20% of her working hours for visits to BHUs (without WMOs) to provide consultation for Obstetrics, Gynaecology problems and technical/clinical support to LHVs
Lady Health Visitor (LHV)
PHC to community Home visits of Lady Health Visitor (LHV) for Health Education, antenatal care, postnatal care, nutritional advice, family planning services and provision of newborn and early childhood care. LHVs conduct at least 2 visits a week to provide MCH services at the door steps of the community. LHV tries to provide at least 80% of women of child bearing age of the catchment area with these services. The level of care provided by LHV is at all levels of care and community based.
Home visits of Midwife for antenatal care planned domiciliary. Natal care, Post Natal care, nutritional advice, FP services, and provision of newborn and early childhood care.
Midwife should conduct 4 visits a week to provide MCH services at the door steps of the community
They will work with close liaison with LHWs.