Friday, 2 September 2016

Navoday Vidhyalay Pravesh Pariksha

नवोदय विद्यालय प्रवेश परीक्षा
पात्रताः अपने ही जिले में स्थित जवाहर नवोदय विद्यालय की प्रवेश परीक्षा में बैठने योग्य हैं .

आयु सीमाः 8 से 12 वर्ष के मध्य .

आवेदन फार्म DEO/BEEO कार्यालय / तहसील स्तर पर रा . मा . वि . एवं
रा . उ . मा . विद्यालयों से मिलते हैं .

जवाहर नवोदय फार्म सम्बन्धित नवोदय विद्यालय में भी निःशुल्क उपलब्ध होते
हैं .

दैनिक समाचार पत्रों में विज्ञप्ति निकलने के बाद सामान्यतया अक्टूबर माह में
फार्म जमा किये जाते हैं .

SC/ST छात्रों को नियमानुसार आरक्षण मिलता है .

75% ग्रामीण क्षेत्रों के लिए सीटें आरक्षित होती हैं .

कक्षा 3 , 4 , 5 लगातार ग्रामीण क्षेत्र विद्यालय से उत्तीर्ण होने पर 75% आरक्षण
देय है .

चयनः चयन प्रवेश परीक्षा में प्राप्त अंकों की मेरिट द्वारा किया जाता है .

कक्षा 9 व 11 के लिए भी सम्बन्धित नवोदय विद्यालय से सम्पर्क कर सकते हैं .
विस्तृत जानकारी के लिए वेबसाइट -

Nrhm Objectives


Concept of NRHM

The National Rural Health Mission (NRHM) is a National effort at ensuring effective healthcare through a range of interventions at individual, household, community, and most critically at the health system levels. Despite considerable gains in health status over the past few decades in terms of increased life expectancy, reductions in mortality and morbidity serious challenges still remain. These challenges vary significantly from state to state and even within states.

There has been a progressive decline in budgetary allocation for public health in the country from 1.3% of GDP in 1990 to 0.9% in 1999. Rising inequities are another area of concern. Studies demonstrate that curative services favour the rich over the poor. Only one tenth of the population is covered by any form of health insurance thereby exposing the large majority to the risk of indebtedness in the event of a major illness in the family. Operational integration in policy and programme between various vertical programmes within the health sector, and between health and other related sectors such as drinking water, sanitation, and nutrition has been limited, resulting in a lack of holistic approaches to health. A number of States particularly in North, East and North Eastern parts of the country have stagnant health indicators and continue to grapple with significant morbidity and mortality. The causes for this basically lie in socio-economic factors, under performing health systems and weak institutional framework.

The National Common Minimum Programmer spells out the commitment of the Government to enhance Budgetary Outlays for Public Health and to improve the capacity of the health system to absorb the increased outlay so as to bring all round improvement in public health services. This Mission seeks to provide effective health care to the rural population, especially the disadvantaged groups including women and children, by improving access, enabling community ownership and demand for services, strengthening public health systems for efficient service delivery, enhancing equity and accountability and promoting decentralization.

 Key Components & Strategies

The NRHM provides broad operational framework for the Health Sector. Suggestive guidelines have been issued on key interventions like ASHA, Indian Public Health Standards (IPHS), institutional deliveries, immunization, preparation of District Action Plan, role of Panchayati Raj Institutions etc. The States shall have flexibility to project operational modalities in their State Action Plans, which would be decided in consultation with the Mission Steering Group.

Core strategies of NRHM include:Increasing Community ownership by vesting responsibility with PRIsDecentralized village and district level health planning and managementAppointment of Accredited Social Health Activist (ASHA) to facilitate access to health servicesStrengthening the public health service delivery infrastructure, particularly at village, primary and 
secondary levels,Mainstreaming AYUSH,Improved management capacity to organize health systems and services in public healthEmphasizing evidence based planning and implementation through improved capacity and infrastructure,Promoting the non-profit sector to increase social participation and community empowerment, promoting healthy behaviors, and improving intersectional convergence.

Supplementary StrategiesRegulation of the private sector to improve equity and reduce out of pocket expensesFoster public–private partnerships to meet national public health goals,Re-orienting medical education,Introduction of effective risk pooling mechanisms and social insurance to raise the health security of the poor,Taking full advantage of local health traditions.

Goals of NRHM and Mission OutcomesThe goals of NRHM are outlined below:Reduction in Infant Mortality Rate and Maternal Mortality Ratio by at least 50% from existing levels in next seven yearsUniversalize access to public health services for Women’s health, Child health, water, hygiene, sanitation and nutritionPrevention and control of communicable and non-communicable diseases, including locally endemic diseasesAccess to integrated comprehensive primary healthcareEnsuring population stabilization, gender and demographic balance.Revitalize local health traditions and mainstream AYUSHPromotion of healthy life styles.The Mission outcomes are expected to follow a phased approach and are at two levels: 

1. National Level

Infant Mortality Rate to be reduced to 30/1000 live births

Maternal Mortality Ratio to be reduced to 100/100,000

Total Fertility Rate to be brought to 2.1

Malaria mortality reduction rate –50% upto 2010, additional 10% by 2012

Kala Azar to be eliminated by 2010.

Filaria/Microfilaria reduction rate: 70% by 2010, 80% by 2012 and elimination by 2015

Dengue mortality reduction rate: 50% by 2010 and sustaining at that level until 2012

Japanese Encephalitis mortality reduction rate: 50% by 2010 and sustaining at that level until 2012

Cataract Operation: increasing to 46 lakhs per year until 2012.

Leprosy prevalence rate: to be brought to less than 1/10,000.

Tuberculosis DOTS services: from the current rate of 1.8/10,00, 85% cure rate to be maintained through the entire Mission period.

2000 Community Health Centers to be upgraded to Indian Public Health Standards

Utilization of First Referral Units to be increased from less than 20% to 75%

250,000 women to be engaged in 18 states as Accredited Social Health Activists (ASHA).

2. Community Level

Availability of trained community level worker at village level, with a drug kit for generic ailments

Health Day at Anganwadi level on a fixed day/month for provision of immunization, ante/post natal checkups and services related to mother & child healthcare, including nutrition

Availability of generic drugs for common ailments at Sub-centre and hospital level

Good hospital care through assured availability of doctors, drugs and quality services at PHC/CHC level

Improved access to Universal Immunization through induction of Auto Disabled Syringes, alternate vaccine delivery and improved mobilization services under the programme

Improved facilities for institutional delivery through provision of referral, transport, escort and improved hospital care subsidized under the Janani Suraksha Yojana (JSY) for the Below Poverty Line families

Availability of assured healthcare at reduced financial risk through pilots of Community Health Insurance under the Mission

Provision of household toilets

Improved Outreach services through mobile medical unit at district-level.

POSHAN karyakram rajasthan


Rajasthan POSHAN strategy -Proactive and Optimum zcare of children, through Social- Household Approach for Nutrition" for community based management of children with Severe Acute malnutritionSevere Acute malnutrition is the most dangerous form of malnutrition. Even after a decade of galloping economic growth, child malnutrition rates are worse in India than in many sub-Saharan African countries. India is the home to the largest pool of children with SAM in the world; we have around 80 lakh children which consist of 42 % of Global load of children with SAM. In Rajasthan we have around 638166 children with SAM as of 2012 ( NFHS III- SAM Rajasthan 7.3% ) and as per RSOC it is 2.9%.
Severe acute malnutrition is defined by very low weight-for-height/length (Z- score below -3SD of the median WHO child growth standards), a mid-upper arm circumference <115 mm, or by the presence of nutritional edema. SAM increases significantly the risk of death in children less than five years of age. It can be an indirect cause of child death by increasing the case fatality rate in children suffering from common illnesses such as diarrhea and pneumonia. 
Children with Severe Acute Malnutrition (SAM) have nine times higher risk of dying than well-nourished children. In India, the prevalence of SAM in children remains high despite overall economic growth. The National Family Health Survey-3 revealed that 6.4 percent of all children under-five years of age are severely wasted. With appropriate nutritional and clinical management, many of the deaths due to severe wasting can be prevented.

It is proven by the NFHS data and confirmed by Ministry of Health and Family Welfare, GOI and also after the assessment of the Rajasthan data that the problem of children with SAM is mostly in most deprived populations like scheduled tribes, Primitive Tribes and in Scheduled Caste communities, children youngest- under 2 years and in girl children.

To prevent deaths due to severe acute malnutrition (SAM), specialized treatment and prevention interventions are required with strong food security and feeding drive. Programmatically, it is helpful to categorize children with SAM into ‘complicated and uncomplicated’ cases based on clinical criteria and can be managed through

Facility/hospital-based care for SAM children and medical complications. (MTC)

Home/community-based care for SAM children but without medical complications using Medical Nutrition Therapy ( MNT)

Rajasthan initiative to treat and manage children with SAM –

Department of Health and Family welfare and UNICEF have jointly initiated facility based care for SAM children and complications. A total of 88 MTCs are fully operational and 59 are in the process of operationalisation. We have treated 9143 children with SAM in these facilities in the year 2014-15.
Now state has visualized community based strategy to manage SAM child without complications at Home/ community level. The strategy is discussed and consulted, with proposed frame and key features.