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Agra Volume - 2, Month-March FY 2016-17 (Data Updated As on 12Th April 2017) National Health Mission Government of Uttar Pradesh

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Agra Volume - 2, Month-March FY 2016-17 (Data Updated As on 12Th April 2017) National Health Mission Government of Uttar Pradesh HMIS Bulletin - Agra Volume - 2, Month-March FY 2016-17 (Data Updated as on 12th April 2017) National Health Mission Government of Uttar Pradesh Prepared By : MIS Division State Program Management Unit, Uttar Pradesh. HMIS (National Health Mission Bulletin) Agra - Uttar Pradesh March 2016-17 S. No Sections 1 District Profile 2 District Summary sheet 3 MCTS status 4 HMIS Data Reporting Status 5 Maternal Health 5.1 Antenatal Care 5.2 Delivery & Postnatal care 5.3 High risk preganancy 5.4 Obstetric Complications and C-Section 6 Child health 6.1 Live Births & New Born Care 6.2 Child Immunization 7 Reproductive Health 8 Indicators and Estimations 8.1 List of Indicators covered 8.2 Estimation sheet HMIS Bulletin - Summary Sheet District Agra Month - March FY 2016-17 Ante Natal care (ANC) Delivery care Estimated PW 146793 Estimated delivery 134783 Total number of pregnant women Registered for ANC 123908 Total reported deliveries 55204 Institutional delivery 49030 Total Pregnant Women registered in MCTS 91924 Number discharged under 48 hours of delivery 11646 Of which Number registered within first trimester 73006 Women receiving post partum checkup within 48 hours 47245 Number of pregnant women received 3 ANC check ups 106715 JSY incentive paid to Mothers for institutional delivery 42760 TT2 or Booster 99140 Home delivery 6174 Total number of pregnant women given 100 IFA tablets 177246 Delivery conducted by Non SBA 3096 Number having Hb level<11 (tested cases) 82104 Number of newborns visited within 24 hours of Home… 3596 Pregnant women with Hypertension (BP>140/90) : New 4167 cases Number of mothers paid JSY incentive for Home deliveries 39 0 40000 80000 120000 160000 200000 0 20000 40000 60000 80000 100000 120000 140000 160000 Child care and Immunization Fammily Planning Estimated live birth 133448 Total unmet need for family planning Total live birth reported 53697 Total Children registered in MCTS 72610 Total Users using any FP method (Limiting & spacing) 88135 Still birth 1171 Newborns weighed at birth 52643 Potential Unmet need for Limiting Method 44680 Newborns having weight less than 2.5 kg 4969 Newborns breast fed within 1 hour 52395 Limiting Metod users (Male & Female sterilization) 7571 Infants 0 to 11 months old who received BCG 119085 Infants 0 to 11 months old who received OPV 0 62380 Potential Unmet need for Spacing Method 83621 Infants 0 to 11 months old who received Hep B 0 38079 Infants 0 to 11 months old who received Measles 109070 Spacing Method Users (IUCD&Oral Pills+Condom) 80564 children 9 and 11 months fully immunized 126551 0 20000 40000 60000 80000 100000 120000 140000 160000 0 50000 100000 150000 200000 250000 300000 HMIS Bulletin - Summary Sheet District Agra Month - March FY 2016-17 ANC Services : 1-As per AHS 56.9 percent PW registered for ANC while in district it is 84 percent which is good. 2-ANC registered at Sub-center is 54 percent which is low, rest of ANC registered at CHC, PHC and DH. ANC registration and service delivery need to improve at subcenter level. 3-73 percent pregnant women recived 3 ANC through the facility upto March 2017 and AHS12-13 measures it 51.3%. MCTS - Mother Registration is improved 3% since feb.(60%) to March. - Poor Performning Blocks in Mother registration are Urban units,Bah,Khairagarh,Bichpuri,Khaundali. - Child registartion of district is 55% and Poor Performning Blocks in Child registration are Urban Units, Bichpuri ,Barauli Ahir,Jaitpur kala,Khaundali. - Need to focus on Urban entry as it is 32% for mother and 26% for child only. Delivery Services: 1-59% of the estimated deliveries in Agra are not reported. 2-20% of the Estimated deliveries conducted at Community health centers, and 4 percent of deliveries are reported Sub center . 3-89% deliveries are institutional among reported and 36.3% are institutional as per estimated deliveries. 4-Blocks are heighest in missing delivery DHQ,Akola,Barauli Ahir,Bichpuri,Fatehpuri,Fatehabad and Shamshabad. Gaps in HRP Services: 1-Severely Anaemic women in Khaundali,Jaitpur Kala,Fatehabad,Etmadpur and Akola block are reported low need to be focused at facility level. 2-Similarly Hypertensive cases reporting in Etmadpur,Sainya,Pinhat,Khairgarh,Khaundali and Akola is very low need to verify. 3-Maximum percentage of high risk pregnant women identified at CHC whose Hb level is less than 11. 4-HRP detection is almost nil at phc. Maternal Compilcation attended and their tratment: 1. Complicated pregnant women are attended at block Akola,Etmadpur,Achnera,Bichpuri,DHQ,Jagner,Khairgargh,Khaundali only. 2. But it is too high in DHQ as it is 45% of total deliveries there. 3.Treament of attended cases are reported wrong by the blocks Achnera,DHQ,Khairgarh,Pinhat. 4. Currently C Sections are performed only in Etmadpur,Bah,Sainya,Bichpuri,Khairagarh,Jaitpur Kala and District Hospital only. 5.It is break down of validation rule in Bah and Pinhat that no complication case attended by facility but treatment of cases reported . 6.Similarly 11 complication in Bichpuri but C-section of 76 casess done. Note-Jaitpur Kala and Sainya needs to be check as performing C-section at PHC level. Gaps in Child Care : 1-Rate of still birth is too high in DHQ i.e.4.7% need to be check by dist. validation commette immediately and also of Fatehpur Sikari,Etmadpur. 2-% of Weighing and breastfeeding of newborns is 98% and 97.5% of district which is quite differ from AHS Survey i.e. 41% and 36% Gaps in Immunization : 1-Coverage of BCG is poor in blocks Pinhat,Akola ,Fatehpur Sikari,Khairgarh and Jagner . 2-Usually BCG, OPV0 and Hepatitis B0 doses are given at birth time but reporting shows all three are not given at the time of birth even at facility level showing service gap at facility and need focus monitoring. 3-82% percent of Infants 0 to 11 months old who received Measles in entire district and 95 ercent of children 9 and 11 months fully immunized which breaking the validation rule as full immunized children must <= children recieved Measles dose. It needs to check block wise for data correction. Gaps in Family planning : 1-Achivement of district for limiting methos is 16.95% and for spacing is 68 percent while cumulative achievemnet is 22%. 2-Achnera block need to check its services of IUCD,OCP and Condom as reported high. 3-46 percent of IUCDs are inserted at Sub-center need to valiadte as high in number there. Agra - MCTS Status on crititical indicator as on 1st April 2017 Registration and Updation Trend of Registration in MCTS 70 % children received % of % of % of % PW received 3 % PW delivered % HRP 63 % of Children full immunization 60 59 59 58 59 60 Mother Mother Children ANCs against PW against PW against PW 56 55 Block Registration- against children 50 52 50 53 Registratio Registratio Registration- estimated in f.y. estimated in f.y. registered in 47 48 50 MCTS estimated in f.y. 46 n- HMIS n- MCTS HMIS 2015-16 2015-16 2016-17 40 43 37 38 2015-16 33 30 25 26 20 22 Achnera 65 116 64 113 63 69 81 4 13 Akola 70 82 43 69 35 33 102 5 10 8 Bah 68 63 65 62 64 55 82 8 0 Barauli Ahir 92 76 44 66 46 36 61 6 Bichpuri 119 70 45 58 82 44 143 3 Etmadpur 78 76 63 76 51 45 81 4 % Mother Registration % Child Registration Fatehpur Sikhri 74 104 47 85 21 22 88 4 Fathehabad 80 100 47 89 2 32 77 2 Jagner 83 86 55 84 27 21 77 3 % of Mother Services against PW Estimated in F.Y.2015-16 Jaitpur Kala 121 84 57 62 30 6 78 2 80 73 Kahiragarh 69 73 46 65 10 6 78 8 70 Khaundali 90 60 55 63 25 21 92 4 60 Pinhat 77 118 60 77 23 31 85 4 50 Sainya 79 104 60 94 52 37 78 8 Shashambad 77 218 49 185 72 66 82 4 40 35 DHQ 89 32 19 26 2 1 7 2 30 26 20 Grand Total 84 63 40 55 26 24 54 4 20 10 More than 100 % 0 Between 80 - 100 % ANCs 1 ANCs 2 ANCs 3 Full ANCs Between 50 - 80 % Less than 50 % % of Children Services against children Estimated in F.Y.2015-16 - Mother Registration is improved 3% since feb.(60%) to March. 64 - Poor Performning Blocks in Mother registration are Urban 62 62 units,Bah,Khairagarh,Bichpuri,Khaundali. 60 60 - Child registartion of district is 55% and Poor Performning Blocks in 58 57 Child registration are Urban Units, Bichpuri ,Barauli Ahir,Jaitpur kala,Khaundali. 56 55 54 - Need to focus on Urban entry as it is 32% for mother and 26% for child 54 only. 52 50 48 BCG DPT1/Pentavalent1 DPT3/Pentavalent3 Measles Full Immunization District Agra - Percentage of facilities reported in HMIS by Month FY 2016-17 Total No. of Block Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Facilities Achnera 35 100 100 100 100 100 100 100 100 100 100 100 100 Bah 31 100 100 100 100 100 100 100 100 100 100 100 100 Barauli Ahir 36 100 100 100 100 100 100 100 100 100 100 100 100 Bichpuri 33 100 100 100 100 100 100 100 100 100 100 100 100 Etmadpur 37 100 100 100 100 100 100 100 100 100 100 100 100 Fatehpur Sikhri 32 100 100 100 100 100 100 100 100 100 100 100 100 Fathehabad 34 100 100 100 100 100 100 100 100 100 100 100 100 Jagner 28 100 100 100 100 100 100 100 100 100 100 100 100 Jaitpur Kala 22 100 100 100 100 100 100 100 100 100 100 100 100 Kahiragarh 31 100 100 100 100 100 100 100 100 100 100 100 100 Khaundali 33 100 100 100 100 100 100 100 100 100 100 100 100 Pinhat 25 100 100 100 100 100 100 100 100 100 100 100 100 Sainya 26 100 100 100 100 100 100 100 100 100 100 100 100 Shashambad 30 100 100 100 100 100 100 100 100 100 100 100 100 DHQ 56 418 59 59 79 79 79 79 79 79 79 100 100 Grand Total 514 135 96 96 98 98 98 98 98 98 98 100 100 Less than 100% Reported facilities are less than number of facilities in HMIS More than 100% Reported facilities are
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