In November 2016 the National Health Mission’s 10th Common Review Mission (CRM) revealed that in Chandigarh there is a rise in the recorded cases of dengue and leprosy in 2016. Also, the rate of C-section deliveries is recorded high in this same year. The 10th Common Review Mission (CRM) under National Health Mission was held last November in 16 states/UTs, including Chandigarh. This CRM report included both the positive and negatives of Chandigarh health system and all the challenges they have faced in that year are also included.
CRM Report 2016: Things that are Positive
CRM report listed some positives and negatives of the Chandigarh Health System and some positives are given below:
- According to the CRM reports the UT’s listing of severe anaemic women with a good follow-up mechanism.
- Also, Cleanliness is observed at all delivery points.
- SNCU is well maintained at Sector 16 GSMH.
- Good Awareness is given in schools regarding Weekly Iron Folic Acid Supplementation (WIFS) programme.
- Immunisation services are implemented well in the UT, which has a well-established dengue surveillance system in place, too.
- Currently, four hospitals have been identified in the city as sentinel hospital for dengue testing.
- Chandigarh has achieved the national level programme indicators of 90 per cent total case notification rate and 90 per cent success rate among new TB cases.
- Zoning of health facilities has been implemented under monitoring and Evaluation/Health Management Information System for timely data reporting and monitoring the healthcare delivery services in UT Chandigarh
- Adding that UT reports 100 per cent facility-wise reporting in HMIS and mapping of facilities, too.
CRM Report 2016: Things that are Negative
There some negatives in CRM reports are given below.
- The report also says that National Free Diagnostics Service Initiative has not been implemented effectively.
- Also, intra-partum care needs to be improved as most of the cases at the inborn SNCU unit are due to sepsis and asphyxia.
- The visiting team has also found that Rashtriya Bal Swasthya Karyakram (RBSK) teams are not equipped with the necessary equipment and the UT does not have any HRMIS.
- There is a lack of training to the finance and accounts staff at sub-district level, leading to an inadequate understanding of financial guidelines.
According to the report leprosy cases have been increased in 2016. But all the cases that are detected for Leprosy has been cured. But it is found that all the cases that are detected in Chandigarh for leprosy are not from Chandigarh only but they were from the neighbouring states. According to the data from UT in 2015-16, out of 136 new cases detected, only 22 were from Chandigarh. In the report it also added that dengue is on the decline in Arunachal Pradesh, Himachal and Tamil Nadu, it is on the rise in Chandigarh.