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00:00High-risk pregnancies are high-risk pregnancies due to blood loss.
00:06In pregnant women, even if they have high blood sugar or high blood pressure,
00:14there are multiple pregnancies.
00:16In tribal areas, there are almost 6 to 7 children.
00:25So, these are high-risk pregnancies.
00:27Next, they are not in a state to take another pregnancy.
00:32So, we identify such high-risk pregnancies.
00:35If they come to us first, they are high-risk if they had a caesarean pregnancy before.
00:41We nominate such people first and send them to big hospitals for deliveries.
00:47So, their deliveries will also be good.
00:50Previously, deliveries were done at home.
00:52In such an unknown situation,
00:56we could reduce the number of maternal and maternal deaths due to delivery at home.
01:02Next, low birth weight.
01:04Children with low birth weight.
01:06What is low birth weight?
01:08Some people are delivered at the time of 8th month or 7th month of pregnancy.
01:14For such pregnancies, we could not believe anything in the last 3 months.
01:21LBW.
01:22For that, when we had a new collector,
01:26he put a program called PRISM-10.
01:28What is the PRISM-10 program?
01:30It is a program to reduce the infant mortality rate.
01:35In that program, we have Anganwadi workers.
01:39They give ration from Anganwadi.
01:41In that ration, a pregnant woman has to consume the entire ration.
01:46To know whether she will eat or not,
01:50some people in Sachivalayam have appointed them as adoption officers.
01:53Along with that, our MLHPs,
01:56our CHOs are in the P-Level.
01:59All of them together,
02:01how much care we are taking for a pregnant mother from the beginning to the end,
02:08how much HB increases every month,
02:10if there are any other problems,
02:12they have made it special for one person.
02:14They have given one person for each person.
02:16To take care of all that,
02:18from the adoption officers.
02:19Like this, through the PRISM-10 program,
02:21we were able to reduce it a lot.
02:23Next, I said TB-free, right?
02:26Till now, in our total BAMNIMANDAL villages,
02:30we were able to tell 20 villages completely without a TB case,
02:34as TB-free villages.
02:37For that, our MLHPs are in A-NUMS and ASHAs in the P-Level.
02:43ASHAs are known as TB Cups.
02:46TB Cups are known as health and wellness centers in the village level.
02:50For that, if any patient comes,
02:53if any patient with cough comes,
02:56they take their cup.
02:58For that, we have LTs on top.
03:00Till now, in BAMNIMANDAL,
03:02we have a machine to test TB.
03:04It is called CB-Net.
03:06If you check in CB-Net machine,
03:08there are many types of TB.
03:10We can tell the type of TB in that machine.
03:12Through that, we were able to reduce the patient.
03:14Apart from that, I said NCD-CD, right?
03:17In NCD-CD, there are two types of BP sugar.
03:19In BP sugar, one is screening.
03:22Now, we are screening for those who are 30 to 35 years old.
03:27For NCD, we have surveys.
03:30NCD 2.0, 3.1.
03:32Now, 3.1 is a new survey.
03:35For those who are 18 years old,
03:37we are doing a BP sugar test.
03:39So, in this test,
03:41if anyone is positive in screening,
03:43if it is more,
03:45we take them to the treatment.
03:47By taking them to the treatment,
03:49by giving them treatment,
03:51we become those who have already been diagnosed.
03:53Through that, we become those
03:55who have reduced the complications.
03:57So, we are the first in this too.
03:59For this, along with the medical officers,
04:01all the staff members,
04:03we are the first in this too.