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ICE LINED REFRIGERATOR (ILR)

What is the temperature range maintained by an ILR?
An ILR maintains the temperature between +2°C and +8°C.

At what level of health care delivery are the vaccines stored in an ILR?
An ILR is used to store all Universal Immunization Program vaccines at the Public Health Centre (PHC) level.

AUTO-DISABLE (AD) SYRINGES

auto disable syringe
Three types of syringes are supplied under the NIS for the purpose of vaccine administration:
a. 0.1ml AD syringes
b. 0.5 ml AD syringes and
c. 5 ml disposable syringes.
The auto – disable syringes are used for the administration of the appropriate vaccines and the disposable syringe is used for reconstitution of vaccines where needed.

HUB CUTTER

A hub cutter (manual syringe and needle destroyer) is displayed from two different angles in Figure
Identification features
• One or two insertion holes for the syringe
• Two handles (attached to the blades which cut the syringe hub)
• One plastic container (into which the cutoff parts of the syringe and the needle are retained)

What is the use of this?
This is used to destroy the disposable or autodisable (AD) syringe after use.

Intensified Mission Indradhanush

Mission Indradhanush since Dec 2014
Intensified Mission Indradhanush since Oct 2017

Covers
< 2 Yr and pregnant

To cover the uncovered under routine immunization
Increase coverage to 90% by December 2018 (advanced from 2020)
4 rounds of 7 days each; starting from 7th of each month to 13th i.e 7 days
In:
• Select districts
• Select urban areas
• NE states
Areas have been selected after triangulation of data from surveys

National Health Policy - 2017 in Snapshot

Goals and objectives
• Life Expectancy
o 67.5 to 70 by 2025
o Track DALY index for all ds by 2022
o TFR reduce to 2.1 by 2025
• Mortality rates
o <5 MR to 23 by 2025
o MMR to 100/100000 by 2020
o IMR to 28 by 2019
o NNMR to 16 by 2025
o SBR to single digit “
• Reduce prevalence and incidence by 2020
o HIV 90.90.90
o Eliminate
1. leprosy 2018
2. kala azar 2017
3. lymphatic filriasis by 2017
o TB > 85% cure rate 2025
o Blindness to 0.25% by 2015

ORAL REHYDRATION SALT (ORS)

What are the constituents?
The composition of the new, reduced osmolarity ORS, as recommended by WHO, is as follows:
• Sodium chloride—2.6 g
• Glucose (anhydrous)—13.5 g
• Potassium chloride—1.5 g
• Trisodium citrate dehydrate—2.9 g
(Total weight of a packet = 20.5 g)
The new ORS was launched by WHO in January 2004 and in India in June 2004.

IRON AND FOLIC ACID (IFA) TABLETS

This blog provides a complete overview of India’s Iron Plus Initiative and IFA supplementation strategy across all age groups, including children, adolescents, women of reproductive age, and pregnant and lactating mothers. It explains recommended IFA doses, prophylactic and therapeutic regimens, administration frequency, WIFS (Weekly Iron and Folic Acid Supplementation), blue IFA tablets for schoolchildren, dietary sources of iron, enhancers and inhibitors of iron absorption, anemia cut-off values, deworming rationale, and contraindications for prophylaxis. The blog also offers practical counselling points to ensure compliance and highlights key causes of iron deficiency anemia in children.

TERMINAL METHODS OF CONTRACEPTION (STERILIZATION)

Enumerate the guidelines for case selection fit for sterilization.
(Self-declaration by the client will suffice as the basis for this information.)
1. Clients should be ever married.
2. Male clients should be at least 22 years old and ideally be below the age of 60 years.
3. Female clients should be below the age of 49 years and above the age of 22 years.
4. The couple should have at least one child whose age is above 1 year unless the sterilization is medically indicated.

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