With an objective to bringing the graph of mother mortality rate down, a few years back, the health authorities had come with a fresh proposal of launching the Sanjiwani Pariwahan Yojana in 19 identified districts.
THE DISTRICTS are Ghazipur, Jaunpur, Sultanpur, Jalaun, Jhansi, Lalitpur, Hardoi, Sitapur, Bahraich, Gonda, Kushinagar, Bijnore, Muzaffarnagar Saharanpur, Mathura, Fatehpur Pilibhit and Banda districts under the Nationral Rural Health Mission (NRHM) from January 10, 2009. Asserting that the mortality rate of mother-foetus was high in these aforesaid districts, senior healt authorities stressed on the need to offer immediate medical care to both mother and child so that their lives could be saved. Under the project, pregnant women would be offered referral transportation services in rural pockets of these districts so that the health officials could be able to offer them the required medical attention immediately. Women in the rural pockets of the state usually do not go for institutional deliveries and they also fail to reach the health centers on time.
As a result, there was no decline in the graph of mother mortality rate, forcing health authorities to pay more attention to offer medical assistance n time. This scheme has been launched for especially women who could be taken o medical units on time so that they could be offered best possible medical treatment o deal with com1ications. With the introduction of the scheme, the graph of mother mortality rate would automatically come down.
Although the scheme was not launched in Allahabad district, health authorities feel that similar scheme was urgently required in the district especially in the rural areas of Koraon, Shankargarh, Kaudiyara, Lalapur, Meja, Khiri and Manda so that they could be able to check the graph of mother mortality rate in these areas as well. The plan of Sanjiwani Scheme was taken up after the success of Janani Suraksya Yojna, which helped health authorities to take center of pregnant women in by district health committee, where the facility of FRU (First Referral Unit) is available and these health centers have lack of proper transport system.
Once the health centre is selected for Sanjiwani, round the clock transportation facility would be introduced under private participation. Following this, women facing complicacy during intuitional deliveries would be offer better transportation facility. Health department has set a special guideline for the vehicles selected under the scheme and these vehicles like ambulance, long jeep or van would be used only for patient transportation purpose. It is also said that the pharmacist of the particular health unit would be given mobiles and the number of the mobile phone would be publicized. Apart from this, ground level health workers would be assigned to publicize the mobile number so that more and more rural folk would get benefited.
Health department officials have also decided to impart training to vehicle drivers regarding first-aid and the vehicle would have all facilities of first-aid. The Mission director of NRHM had asked concerned chief medical officers to prepare a layout regarding the scheme and implement it accordingly. Health authorities had been checking human resources and other facilities before launching the scheme.