MAKKALAI THEDI MARUTHUVAM
The Unfinished Agenda for Tamil Nadu
MATERNAL MORTALITY
RATE
TARGET ACHIEVED
INFANT MORTALITY RATE
COMMUNICABLE DISEASES
TOWARDS THE TARGET
(TB, HIV, MALARIA, etc.)
NON-COMMUNICABLE
DISEASES
MENTAL HEALTH TARGET TO BE
ACHIEVED
TRAUMA
125
Paradigm shift in DALYs in Tamil Nadu PERCENT OF DEATHS IN 2016 FROM
DISEASE CATEGORIES IN TAMIL NADU
between 1990 to 2016
1
69
1 3
NON- 7.
COMMUNICABLE
.2 COMMUNICABLE
2
INJURIES .
%
% 5
%
Diarrhea, lower respiratory,
Cardiovascular diseases 36.1 and other common 10.6 Unintentional injuries 6
infectious diseases
Diabetes, urogenital, Self-harm and
blood, and endocrine 12.2 HIV/AIDS and tuberculosis 3.8 interpersonal 4.3
diseases violence
Neoplasms 7.5 Neonatal disorders 1.6 Transport injuries 3.2
Chronic respiratory Neglected tropical diseases
6.5 0.5
diseases and malaria
Other communicable,
Neurological disorders 2.3 maternal, neonatal, and 0.4
nutritional diseases
Digestive diseases 1.7 Nutritional deficiencies 0.2
Cirrhosis and other
1.6 Maternal disorders 0.1
chronic liver diseases
Other non-communicable
0.8
diseases
Epidemiological
Mental and substance
use disorders
0.4 & Demographic
Musculoskeletal
Transition in TN
0.1
disorders
MAKKALAI THEDI MARUTHUVAM
DELIVERY OF NCD SERVICES
STEPS Survey-2020 Address this increasing
burden due to NCDs as well as
Community Prevalence of
the disruption in the
Hypertension- 24.3% continuum of care caused by
Diabetes Mellitus- 7.1% the CoVID-19 pandemic
Evolution of MTM :
Launched by the Chief
Minister on 5th August 2021 in
Krishnagiri District
MAKKALAI THEDI MARUTHUVAM
Home-based services including routine NCD screening and follow up. Drug delivery,
creation of awareness on NCDs Lifestyle Modification (LSM) etc.
Community Screening for Diabetes (30+), Hypertension (18+) and Cancer (30+)
Home-based Physiotherapy and Palliative care will be provided elderly people and other
beneficiaries requiring the same.
Home delivery of Peritoneal Dialysis Bags for registered patients with Chronic Kidney
Disease who are on continuous Ambulatory Peritoneal Dialysis (CAPD).
The Women Health Volunteers (WHVs) will also check for any visible deformities and
congenital problems among children.
UHC-MTM Integration
Makkalai Thedi Maruthuvam scheme to bring healthcare closer
to the community at their door steps and take Tamil Nadu closer
to achieving its objective of healthcare for All.
Consequently, the MLHPs, MPHW(M)/ HIs and WHVs have
been seamlessly integrated and utilised to enhance service
delivery
MTM is a classic example for decentralization of service at
house hold level while preventing OOPE by a great extent
PHC with UHC concept is established and continuum of care
from self-care in house hold to community services to primary
level Paramedical services, first contact with doctor, hospital
services are provided as close to home as possible
UHC-MTM Integration: Comprehensive Role of WHVs
In Urban areas 80 CKD patients have
been receiving CAPD bags as part of
MTM Scheme.
The cost of CAPD bags have been
covered under CMCHIS insurance
scheme for which preauthorisation has
been raised at empanelled institutions
at the concerned Corporations and
Municipalities.
Each patients is supplied 3 CAPD bags
per day with each CAPD Bag costing
around Rs.213.36.
MTM Performance
MTM Beneficiaries Report till 12.04.2023
Diseases / Services Number of First Time Number of Repeat Services
Beneficiaries provided
Hypertension 39,31,444 1,12,02,842
Diabetes 27,50,397 80,42,982
Both (Hypertension and 20,03,039 64,85,277
Diabetes)
Palliative Care 4,27,457 8,54,527
Physiotherapy 9,33,833 16,10,213
CAPD Services 1,091 5,634
Total 1,00,47,261 2,82,01,475
Plan of Action to address Challenges / Gaps
(The Way forward)
Adaptations done by the field level functionaries to
perform screening at the farms (workplaces) to
address the gaps of non availability of the working
population in the household.
Campaign mode of screening to be done for early
detection of disease.
Increased screening in the industries through
collaboration with labour department to cover the
working population.
THANK YOU
