Gumla,DHAP 2011-12 District Health Action Plan Year 2011 -12 District: - GUMLA (Jharkhand) District Rural Health Society, Department of Health & FW Government of Jharkhand 1 Gumla,DHAP 2011-12 Acknowledgment Recognizing the importance of Health in the process of economic and social development and improving the quality of life of our citizens, the Government of India has resolved to launch the National Rural Health Mission to carry out necessary architectural improvement in the basic health care delivery system. This District Health Action Plan (DHAP) is one of the key instruments to achieve NRHM goals. This plan is based on health needs of the district. The goals of the Mission are to improve the availability of and access to quality health care by people, especially for those residing in rural areas, the poor, women and children. I appreciate the effort of ACMO, DIO, DTO, DLO, DMO and specially DPM, DDM & DPC regarding preparation the DHAP. I also appreciate the effort of Development Partners in preparation of DHAP I am sure that this detailed report will galvanize the leaders and administrators of the primary health care system in the district, enabling them to go into details of implementation based on lessons drawn from this study. (Dr. T. Hemrom) CS cum CMO Gumla 2 Gumla,DHAP 2011-12 Abbreviations ABER Annual Blood Examination Rate IPHS Indian Public Health Standard ACMO Assistant Chief Medical Officer IUCD Intra Uterine Contraceptive Device ANC Ante-Natal Care IYCF Infant and Young Child Feeding ANM Auxiliary Nurse Midwife JSY Janani Suraksha Yojana ANMTC ANM Training Centre LHV Lady Health Visitor APHC Additional PHC MMR Maternal Mortality Ratio API Annual Parasite Index MO Medical Officer Adolescent Reproductive and Sexual Mo Ministry of Health and Family ARSH Health HFW Welfare ASHA Accredited Social Health Activist MOIC Medical Officer Incahrge Ayurveda, Yoga and Naturopathy, Unani, AYUSH Siddha and Homoeopathy MTC Malnutrition Treatment Centre National Buildings Construction BCC Behaviour Change Communication NBCC Corporation Ltd. BPL Below Poverty Line NFHS National Family Health Survey CHC Community Health Centre NGO Non Governmental Organisation National Iodine Deficiency CMO Chief Medical Officer NIDD Disorder Control Programme National Leprosy Eradication DDM District Data Manager NLEP Programme National Programme on Control on DDT Dichloro Diphenyl Trichloro-ethane NPCB Blindness DGHS Directorate General Of Health Service NRHM National Rural Health Mission DH District Hospital NSV Non-scalpel Vasectomy National Vector Borne Disease DHAP District Health Action Plan NVDCP Control Programme DHS District Health Society OCP Oral Contraceptive Pill DIO District Immunisation Officer PHC Primary Health Centre District Level Household and Facility DLHS Survey PIP Programme Implementation Plan DLO District Leprosy Officer PMU Programme Management Unit DPM District Programme Manager PPP Public Private Partnership 3 Gumla,DHAP 2011-12 DTC District Training Centre RCH Reproductive and Child Health DTO District TB Officer RDK Rapid Diagnostic kit FRU First Referral Unit RKS Rogi Kalyan Samiti Revised National Tuberculosis HMIS Mealth Management Information System RNTCP Programme HSC Health Sub Centre SC Scheduled Caste Inetegrated Child Development ICDS Programme SDH Sub Divisional Hospital Integrated Counselling and Treatment ICTC Centre SNCU Sick Neonatal Care Unit IDSP Integrated Disease Surveillance SPM State Programme Manager Information Education and IEC Communication SRS Sample Registration System Integrated Management of Neonatal and IMNCI Childhood Illnesses ST Scheduled Tribe IMR Infant Mortality Rate TFR Total fertility Rate IPC Intra Personal Communication UF Untied Fund VHC Village Health Committee Reference Material: 1. NRHM – Framework for Implementation 2. Broad framework for preparation of district health action plans 3. Indian Public Health Standards (IPHS), DGHS, MoHFW 4. Gram Swasthya & Poshan Diwas 5. DLHS – 3 6. NFHS – 3 7. SRS Bulletin 2009 8. Gram Swathya Samiti (VHC) & Sahiyya guidelines, Govt. of Jharkhand 9. RNTCP Performance report 10. Census 11. District HMIS Reports 12. Facility Survey Output Data 4 Gumla,DHAP 2011-12 Summary of Budget Amount S. N. Sections Rs. In Lakhs A. Reproductive & Child Health MMJSSA (JSY) 26598000 STERILIZATION Compensation 5050000 B NRHM Additinalities 95976800 C Routine Immunisation 17986600 D Other National Disease Control Programmes D.1 National Leprosy Eradication Programme 101013500 D.2 National Vector Borne Disease Control Programme 17551060 D.3 Revised National TB Control Programme 2031000 D.4 National Blindness Control Programme 2812000 D.5 Integrated Disease Surveillance Project 500000 D.6 NIDDCP 50000 E Budget for Additional District Issues 6900000 F Budget for Shaiyya program 32635640 308804600 TOTAL 5 Gumla,DHAP 2011-12 RCH Section Sl. Budget Head Amount (Rs. In Lakh) 1 Maternal Health 30063000 A JSY 26598000 B Others 3465000 2 Child Health 845000 3 Family Planning 6898000 Sterilisation Compensation (Male & A 5050000 Female) B Others 1848000 4 Adolescent Reproductive and Sexual Health 55000 5 Urban RCH 0 6 Tribal RCH / Vulnerable groups 660000 7 Innovations / PPP/ NGO / PCPNDT 905000 8 Infrastructure and Human Resources 0 9 Institutional strengthening 0 10 Training 7653670 11 BCC/ IEC 504000 12 Procurement 0 13 Programme management 2880000 TOTAL 50463670 6 Gumla,DHAP 2011-12 Budget for Additional District Issues Sl Particulars Budget Remarks No 1 Equipments & Others of DH & 1900000 Annexure – II Raidih CHC 2 Other District Issues 5000000 Annexure – I 3 Shaiyya program 32635640 Annexure – III Total 39535640 (Rs Three Crore Ninety Five Lakhs Thirty Five Thousand Six Hundred Forty only) 7 Gumla,DHAP 2011-12 Process of Plan Preparation Activity I: Initiation of plan preparation The Plan has been prepared as a joint effort under the chairmanship of Deputy Commissioner of the district, Civil Surgeon, ACMO, all programme officers and the State level team . To start with a state level one day orientation on DHAP preparation was organized on 9th November, 2010 at state RCH office. This was followed by district level consultation on 16th November involving all the programme officers followed by block level consultations on 18th, 19th & 20th November. Further interviews with ANMs and Sahiyyas were conducted at block level. The inputs taken from the stakeholders were recorded noted and then planning exercises were conducted at all levels as mentioned above. A drafting team consisting of DPM, DDM, DPC and the programme officers was formed to document and write up the entire processes and to put them together in the form of a plan. After several consultations at the district and with the State PMU, the first draft was prepared and shared in the district with all the stakeholders who were involved from the very beginning of the process on 23rd November, 2009. The information and plans were validated and triangulated with the district team and the concerned officers and members of the team before finalizing it. The composition of District Planning Team Name Designation 1. Dr. Tunul Hembrom CMO cum Civil Surgeon 2. Dr ADN Prasad DIO 3. Dr. Ashok Kumar DTO 4. Dr. Sugender Sai DLO 5. Dr.J. P. Sanga DS 6. Jaya Reshma Xaxa DPM 7. Pankaj Kumar DPC Gumla. 8. Subhasini Chandrika Hospital Manager 9. Rajiv kumar DDM 10. Rahul Kumar CA RCH Gumla. 8 Gumla,DHAP 2011-12 9 Gumla,DHAP 2011-12 District Health Society Composition: Designation Name Designation holding in society 1 Sri Rrahul Sharma Deputy Commissioner Chairman 2 Sri Punai Oraon DDC Vice chairman 3 Dr. T. Hemrom Civil Surgeon Member secretary 4 Smt. Nayantra kerketta DSWO Member 5 Sri N.Mandal DWO Member 6 Sri Sonaram Manjhi District Ayush Officer Member 7 Smt. Jaya R Xaxa DPM Convener 8 Dr. AND Prasad DRCHO Member 9 Dr. Ashok kumar DTO Member 10 Dr. Sugender sai DLO Member 10 Gumla,DHAP 2011-12 Contents Topics Page No. I. Background Information of the district II. Planning Process III. Situation Analysis IV. NRHM – Goals & Objectives V. Technical Components A. Reproductive & Child Health B. NRHM Additionalities C. Routine Immunization & PPI D. Disease Control Programmes 1. RNTCP 2. NVBDCP 3. Blindness Control Programme (NPCB) 4. NLEP 5. IDSP 6. NIDD Control Programme (National Iodine Deficiency Disorder) 7. National Programme for Prevention and Control of Deafness 8. National Tobacco Control Programme 9. Mental Health Programme E. Convergence VI. Comprehensive Training Plan of District VII. HMIS VII. IEC/ BCC VIII. Procurement & Logistics IX. Work plan & Budget X. Annexure I Annexure II 11 Gumla,DHAP 2011-12 Organizational Chart 12 Gumla,DHAP 2011-12 Chapter 1 Background Brief profile of Gumla District Blessed with nature’s beauty, the district of Gumla is covered by dense forests, hills and rivers. It is situated in the southwest portion of the Jharkhand State. The District was carved out of Ranchi District on 18th May 1983. Previously it was a sub-division of old Ranchi district. The district lies between 22° 35” to 23° 33” north latitude and 84° 40” to 85° 1” east longitude. The various legends are in currency regarding its name. The most popular one ascribes to its word 'Gumla' in Mundari language, which relates to the occupation of the local Tribes in rice processing work (dhan-kutna). The second legend 'Gau-mela' relates to cattle fair. Cattle fair was weekly held in Gumla town every Tuesday. In rural areas, Nagpuri and Sadri people still call it 'gomila'. Till 30th April 2001, Gumla district consisted on 2 sub-divisions viz. Gumla and Simdega. But after the creation of Jharkhand State, a new district of Simdega was carved out of Gumla district on 30th April, 2001. Now, Gumla district consists of only one sub-division namely Gumla. Total area of the district is about 5327 sq. km. The total population of district as per 2001 census is 832447, out of which 355505 is male population and 350984 is female population. There is predominance of tribal people in Gumla district. The primitive tribe’s population is 1283, SC population is 25659, ST population is 487148, and BC population is 132610.