#PSM  : Recent Updates for Exam : FIRST LIST • Ayushman Bha
Dr. Ajay Gupta
#PSM  : Recent Updates for Exam :
• Ayushman Bharat Programme in the Union Budget 2018. New flagship National Health Protection Scheme, providing a health insurance cover of ₹5 lakh a family per annum. The scheme will cover 10 crore vulnerable families, with approximately 50 crore beneficiaries.the scheme would be the “world’s largest healthcare programme”.
• Creation of health and wellness centres, which will “bring healthcare closer to home”. These centres, 1.5 lakh in nu. , will provide free essential drugs and diagnostic services.

• Government spend –on Health 2018: 1.15 % of the GDP to 2.5 % by 2025

• Nobel Prize 2017 in Physiology or Medicine tly to Jeffrey C. Hall, Michael Rosbash and Michael W. Young "for their discoveries of molecular mechanisms controlling the circadian rhythm".

--WHO declares theme for World Health Day, 7 April 2018: ‘Universal Health Coverage: Everyone, Everywhere’ (14 February 2018)

• Definition of Blindness : According to the new definition, a person who is unable to count fingers from a distance of three metres would be considered "blind" as against the earlier stipulation of six metres
• NPCB = 'National Programme for Control of Blindness and Visual Impairment' NPCBVI)
• Goal To reduce preventable blindness to 0.3 % by 2020 , presently it is 1%.

• The SDGs include 17 goals and 169 targets Goals 1-6 directly address health disparities, primarily in developing countries.
SDG1. No poverty;
SDG2. Zero hunger;
SDG3. Good health and well-being;
SDG4. Quality education;
SDG5. Gender equality;
SDG6. Clean water and sanitation;

• Health targets: The health goal has nine targets and four sub points. The first three targets are continuation of MDGs, the next three are on non communicable disease (NCD), and the last three are mixed.
• Nine health targets are as follows:
1. Reduce the global maternal mortality ratio to below  70/100,000.
2. Reduce neonatal mortality to below 12/1,000 and  U5MR to below 25/1,000.
3. End the epidemics of AIDS, tuberculosis, malaria,  and neglected tropical diseases and combat hepatitis,  water-borne diseases, and other communicable diseases.
4. Reduce by one-third premature mortality from
Non communicable diseases.
5. Strengthen the prevention and treatment of substance  abuse.
6. Halve the number of global deaths and injuries from  road traffic accidents (by 2020).
7. Ensure universal access to sexual and  reproductive  health-care services.
8. Achieve universal health coverage.
9. Reduce the number of deaths and illnesses from
hazardous chemicals and air, water, and soil pollution  and contamination.

-- WHO has issued guidance for use of Bedaquiline and Delamanid, the new drugs for treatment of adults with Multi-Drug Resistant Tuberculosis (MDR-TB).

1. HDI, : 0. 55
2) GFR: 2.3
3) SR in India= 940/1000 / 4) 0-6 Sex ratio= 914/100
5) Lowest Sex Ratio overall= Delhi
6) Highest Sex Ratio overall= Kerala
7) Highest Sex Ratio 0-6 = Mizoram
8) Birth Rate= 21.6  9) Death Reate = 7
10) Growth Rate= 1.45

• Rashtriya Bal Swasthya Karyakram (RBSK) (0-18) : Child Health Screening and Early Intervention Services through early detection and management of 4 D's i.e Defects at birth, Diseases, Deficiencies, Development delays including disability.
• Rashtriya Kishor Swasthya Karyakram (RKSK) (10-19): RKSK focus on nutrition, sexual & reproductive health, injuries and violence (including gender based violence), non-communicable diseases, mental health and substance misuse.
BMW 2018 Update
a. Hypochlorite concentration brought down to 1-2%.
b. Cardboard boxes for blue waste to be replaced by puncture proof and leak proof boxes and containers.
c. In-situ pretreatment of waste can be done as per WHO Blue Book 2014.
d. Deadline for phasing out of chlorinated plastic bags and gloves shifted to 27th March 2019.
e. Bar coding guidelines to be issued by CPCB by 27th March, 2019.

• National Urban Health Mission (NUHM)
 Covers all cities and towns with more than 50,000 population as well as District headquarters and State headquarters. Cities/towns with population less than 50,000 will continue to be covered under NRHM.
 Under NUHM, provision has been made for creation of service delivery infrastructure which is largely absent in the urban areas i.e. cities/towns, by way of providing Urban Primary Health Centres (U- PHCs) and Urban Community Health Centres (U-CHCs). U-PHCs for app. 50,000 population, preferably located near slums
• U-CHCs for providing in-patient care in cities having population above five lakhs have been envisaged.
• NUHM also provides for engagement of ANMs for conducting outreach services to target groups particularly slum and the vulnerable population through ASHA and Mahila Arogya Samiti (MAS).
• MAS for every 50-100 households having 250-500 population .
• One ASHA per 1000-2500 population covering approximately 200-500 households would serve

---India's position in Global Hunger Index (GHI) report.as on 2017 is 100

“PENCIL”: an electronic platform for effective enforcement for no child labour developed by Ministry of Labour and Employment
PENCIL Portal has following components:

a. Child Tracking System
b. Complaint Corner
c. State Government
d. National Child Labour Project
e. Convergence

--Antara' and 'Chhaya' : Health Ministry Launches Two New Contraceptives
The Union Ministry of Health and Family Welfare launched two new contraceptives- an injectable contraceptive MPA under the ‘Antara’ programme and a contraceptive pill ‘Chhaya’ in the public health system to expand the basket of contraceptive choices for couples.

--JEET  Joint Effort for Elimination of Tuberculosis
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