Page 214 - PDI Vol 2

Grouped Indicators disabilities, etc. Some target values can only be 0. Maternal
mortality, U-5 mortality for example. No panchayat can set a
The indicators logic and interpretation seen with its measured
target of 5 deaths. Maybe there are 8 deaths as per current data.
value presents the range that affects health and where the GP
But its endeavour would never be to achieve anything but 0.
position is on each one. When they are grouped as Maternal
Some of the NCD are yet to be understood, and here, maybe the
Health, Child Health, Communicable diseases, and Non-
number it looks to achieve may be reduction by half? For these
communicable diseases, the focus of the Panchayat on what and
are lifestyle diseases and mostly up to individuals. But that does
whose health it is addressing or where it needs to do better, is
not mean the GP does nothing. Huge role of enabling awareness
better understood.
creation, and taking actions that will help in State efforts to
Target Values address NCD.

Health targets at National level have been laid down for In sum, target values are for the GP to decide, taking into
various indicators in the NIF. The State sets its targets in the account the NIF, SIF, local situation in the GP and what is best
SIF. Both are aspirational, the SIF more than the NIF, in many health status achievable.
States. E.g., Kerala being at a higher than National average is
already higher than the national target value also. When it Resources and Stakeholders
comes to the LIF, some may look to the SIF value, some At the National level, interface between health system and
beyond that. The capacity of the Panchayat to work at the panchayat is maintained through different committees at
individual level and provide support is unmatched. For e.g. In District/Zilla Parishad, Block/Panchayat Samiti, Gram
addressing malnutrition, in following up on immunisation, in Panchayat and Sansad level.
support for mental health, early intervention for children with

Level Institution PRI Representation

District /Zilla Parishad  District Health and Family Welfare Samiti Elected Peoples’
Representatives
 District Standing Committee on Health
Panchayat Elected
 Rogi Kalyan Samiti-District Hospital / Medical College / Specialized
Functionaries
Hospital
Block /Panchayat Samiti  Block Health and Family Welfare Samiti

 Block/Panchayat Standing Committee
 Rogi Kalyan Samiti/State General Hospital, Rural Hospital /Block

Primary Health Centre.
Gram Panchayat  GP HQ Sub Centre

 GP Health Standing Committee

 VWSC, VHSNC

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Theme 2: Healthy Village