Year 2010-11 District:

(Dr. Eron Tigga) (Rahul Kumar Purwar) Member Secretary Chairperson District Rural Health Society District Rural Health Society

Department of Health & FW Government of

About the Profile

Under the National Rural Health Mission this District Action Plan of has been prepared. From this, the situational analysis the study proceeds to make recommendations towards a policy on workforce management, with emphasis on organizational, motivational and capability building aspects. It recommends on how existing resources of manpower and materials can be optimally utilized and critical gaps identified and addressed. It looks at how the facilities at different levels can be structured and reorganized.

The information related to data and others used in this action plan is authentic and correct according to my knowledge as this has been provided by the concerned medical officers of every block. I am grateful to the District level consultants, DPM, ACMO, DS, MOI/Cs, of all blocks, ANMs and AWWs from their excellent effort we may be able to make this District Health Action Plan of Latehar District.

I hope that this District Health Action Plan will fulfill the intended purpose.

(Dr. Eron Tigga)

Civil Surgeon

LATEHAR

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 – 2 & 3 6. NFHS – 3 7. SRS Bulletin 2008 & 2009 8. Census 9. District HMIS Reports 10. Hospital Records.

District Health Action Planning Committee Latehar.

Sl No Name Designation Post in the Committee.

1 Rahul Kumar Purwar DC Latehar President

2 Dr. Eron Tigga CS cum CMO Vice President.

3 Samresh Kumar Singh DPM Co-ordinator

4 Ranjit Kumar Singh Dist Sahiya Coordinator Member

5 Dr Royan Jems Tiru MO I/C, Garu Member

6 Dr. Shiv Pujan Sharma DTO cum I/C Mo, Member Latehar

7 Kumar Madhusudan Nodal officer, Visstar Member

8 Sandeep Srivastava Programme officer , Care Member

9 Asit Kumar A2Z Member

10 Sandeep Saran Sahaya Vikas Bharti Member

11 Santosh Kumar Sahu VBDC Member District Health Society

Diagram-1: Governance Structure of the DHS

Governing Body

Chairperson: Dy. Commissioner

Co-Chairperson: DDC

Chief Executive Officer: Civil Surgeon Cum Chief Medical Officer.

Members: Project Officer (DRDA), District Programme Officers for Health, Executive Committee AYUSH, Water and Sanitation [under Total Sanitation Campaign (TSC)], DPMSU, ICDS, Education, social welfare, Sub-Divisional Chair Officer, CHC In-charge , care, :Ashriya, CS Yug Sutra, Carmel

Co-chair : DDC

Chief Executive Officer and Convener : DPM

Members: Dy. Superintendent-District Hospital, All District Programme Officers for health, ICDS, PHED, Water and Sanitation, DHS SecretariatEducation. Programme Committees for the health sector DPMU

CONTENTS

Sl No Particulars Page no 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

ABBREVIATION

Sl No Item Abbreviation

1 NRHM National Rural Health Mission

2 NVBDCP National Vector Born Disease control Programme

3 NLEP National Leprosy Eradication Programme

4 RNTCP Revised National Tuberculosis Control Programme

5 NPBC National Programme of Blindness Control

6 NFHS National Family Health Survey

7 DLHS District Level Household and Facility survey.

8 HIMS Health Information and management system

9 CMO Chief Medical Officer

10 DMO District Malaria Officer

11 DLO District Leprosy officer

12 RCHO Reproductive Child and Health officer

13 ACMO Additional Chief Medical officer

14 DTO District Tuberculosis officer

15 MOHFW Ministry of Health and family Welfare. 16 IPHS Indian Public Health Standard

17 PHC Primary Health Centre

18 CHC Community Health Centre

19 VHSC Village Health and sanitation Committee

20 RKS Rogi Kalyan Smitee

21 CS Civil Surgeon

22 ASHA Accredited Social Health Activist.

23 ANM Auxiliary Nurse Midwife

24 DMP District Program Manager.

25 SRS Sample Registration System

26 DIO District Immunization officer.

27 API Annual parasite Incidence

28 ABER Annual Blood Examination Rate

29 SPR Slide Positivity Rate

30 SFR Slide Falciparum Rate

(DISTRICT MAP)

Chapter 1

PROCESS OF DISTRICT ACTION PLAN PREPARATION

1. Meeting with Stakeholders

With the state entering into the 4th year of the NRHM implementation the district engaged itself completely in the planning process. In order to plan a complete health action plan with budget for the financial year 2010-2011 the district had organized a meeting with all the important stakeholders in the month of December, 2009. In this meeting briefing was done by the authorities on the current status and future plans of NRHM in the district. Certain guidelines and necessary formats were also provided which helped in collecting certain vital statistics for the data. The meeting was also attended by various development partners working in the district.

A small working group was formed at the district level which was given the responsibility of collating all the available data and formulates the final DHAP. The working group members visited all the blocks to assist the data collection process with the ease of minimizing errors. Similar working groups have also been formed at the block level. This can be said to be the prior preparation to the NRHM mandate of ensuring decentralized planning process and stakeholders' participation. Given below is the present structure involved in the planning and monitoring of health service delivery.

The working group have been entrusted the following functions:

a) Review of National Health Programmes.

b) To assess the patients' demand and satisfaction for health services.

c) Delivery of quality health services.

d) Create a balance between health objectives, outcomes and annual action plans.

e) Over see the preparation of annual plan for implementation of national and other programmes.

f) Assist the blocks to finalise the Block Health action plan. 2. Planning from the Grass roots

Village level:

a) ANMs have been instructed to assess all the health service delivery needs in their respective areas with the assistance form AWW and Sahiyya workers. They have been asked to organize meetings in all the villages.

b) The ANM in consultation with other village level staff of other departments will prepare a holistic plan which will be capable of addressing all the needs of health department.

c) The ANM along with ICDS staff and Sahiyaa will engage the Village Health committee members to assess and plan the annual health needs for the village.

d) The ANM has been instructed to make coordination meeting with all members of Village Health Committee in all villages about the quality health care system along with the different problems like home delivery and Immunization.

Sub Center level:-

a) The ANMs have been asked by the block PHCs to develop a holistic plan for the area, they are responsible.

b) The ANMs after completing the village level plan development will collate the data for developing a plan for the sub-centre area.

c) The ANM will also include the infrastructure and other needs such as untied fund, annual maintenance grant requirements and other challenges such as difficult terrains etc in her plan.

d) The ANMs have been asked to finalise there outcomes for major interventions and then plan the activities to create a matching budget which can meet all the health needs and help them in achieving the set objectives and goals.

Strengthening at the PHC level:

a) The PHCs have been asked to finalise the plan with a consolidation of each HSC plan.

b) Apart form that they are supposed to plan for the additionalities which they assume for the coming financial year.

c) Each PHC has to develop special plans according to the topography, population distribution, high risk area and other challenges existing in their areas such as less staffing, dense forests etc.

d) The PHCs has been asked to finalise their annual targets for each components and then develop the action plan along with the budget for the coming year.

First Referral Unit Hospital level:

a) To ensure that the FRU in the district has facilities for comprehensive Emergency Obstetric Care, i.e. Services of an obstetrician, anesthetist and other necessary health services.

b) Provision of one vehicle at the FRU to serve in the situation of emergency.

c) Training of the Medical Officers, Staff nurses, and the technicians posted at FRU to meet all the necessary needs.

d) Procurement of necessary infrastructure at the FRU.

District level:

a) Consolidation of PHC plans in accordance with the set objectives for the district.

b) Plans for upgradation of PHCs and HSCs ( Civil and Infrstructural).

c) Constitution of a working group at the district level for preparation of DHAP.

d) Consultation with development partners and there priorties.

e) Assessment of available and required resources with the district.

Chapter 2

BACKGROUND

LATEHAR

Latehar has been named after the village of the same name on Latehar Road. Latehar remained an integral part of Latehar district as a sub division since 1924. It got elevated from sub divisional status to a district on 4th April 2001 vides Jharkhand Govt. Notification No 946 dated 04.04.2001. Latehar is located on the north–west corner of Jharkhand in the Latehar Commissionary. It is surrounded by Ranchi, Lohardaga, Gumla, Latehar and apart from state and situated between 840 31‟ East Longitude and 230 44.5‟ North Latitude. There are 7 (Seven) Development Blocks, namely Latehar, Chandwa, Balumath, Manika, , Garu and Mahuadar.

It‟s a predominantly tribal district with almost 40% of the population belonging to the schedule tribes and more than 66 % of total population comprises SCs and STs. The total area of the district is 3,671 Sq. Km and one of the block headquarters is more than 200 K.M. away from the district headquarters. There are seven Community Development Blocks in the district within which distantly located villages are scattered amidst the dense forest, hilly terrains and agricultural fields. The number of Scheduled Castes and Scheduled Tribes is predominantly high here and Latehar comes under Tribal Sub Plan Area.

The district has a population density of 240 persons per sq.kms. This is lower than the population density of 338 for the state. The annual exponential growth rate of the district during 1991-2001 is 2.68 percent which is higher than of the state 2.31. The sex ratio of the district is 937 females per 1000 males, which is lower than that of the state average of 941.

DEMOGRAPHIC PROFILE

The Geographical Area of the District is around 3651.51sq kms with total population of 679997. The district Latehar composed of seven blocks out of which one block Mahuadnar which is about 180 km away from District Head quarter. The Sex ratio is 995 and the literacy rate of the district is about 41.21% of which male literacy rate is 58.0% and female literacy rate is 28.1% The principal crop is paddy and the main occupation of the population is agriculture and majority of rural population are involved in agriculture sector. The per capita income of this district is 139571(in the year 2008). The health indicators like Child Immunization, IMR, MMR, along with other socio-economic indicators are shown in the below table of health indicator and Demographic table. Majority of the peoples of the district are Schedule tribes and mainly depends upon Agriculture.

1 Per Capita Income of Palamau its mother district. Source Jharkhand Development Report. Indicators of Latehar Values Demography Area in Sq. Kms 3651.59 Population 560000 BPL Households Poverty Ratio Decadal Growth Rate (1991 to 2001) 26.8 Sex Ratio 995 % urban population 4.68 % ST Population 39.8 % SC Population 20.7 Female Literacy Rate 28.1 Male literacy Rate 58.0 Marriage and Fertility % of girls marrying before age 18 34.4 Sex ratio at birth 88 % of women age 20 -24 having birth order of 2 and above 65.9 Family Planning Any Method 32.8 Female Sterilization 24.1 Male Sterilization 1.3 Total Unmet Need 40.1 For spacing 14.6 For limiting 26.4 Maternal Health Mothers with 3 ANC during the last pregnancy 28.2 Institutional Birth 11.4 Delivery at home and other places assisted by a medical personnel 6.9 Child Immunization % children (12-23) who received BCG 95.7 % children (12-23) who received Measles 87.2 % children (12-23) fully immunized 72.7 % children who received at least one dose of Vitamin A 77.9

Health Indicator

Indicator Latehar Jharkhand

CBR 35.9 26.8 25.0

CDR 7.9 7.9 8.1

IMR 65 50 63.0

MMR 375 371 301 TFR 2.51 2.71 3.1

*prevalence rate per 100000 populations (Source: RCH-DLHS survey 2002)

Knowledge of HIV/AIDS among unmarried women Women having correct knowledge of HIV/AIDS 91.9 Women who have heard of RTI/STI 18.1 Women facilitated by ASHA Antenatal care 0.4 Delivery at Health facility 0.2 Use of family planning Methods 0.3

OUT RICH STRATIGIS:

Lack of roads and transport facilities and natural obstacles and high degree of scatter of hamlets within a section or sector add to the problems of access. These problems are not remediable by increasing facilities beyond the norms. Instead they need a high degree of community support and a high degree of planning and rationalization of the work of the various categories of staff already available. Organizing Health Camps, Health mela, sending of the Mobile Medical unit and fought night visit by the Medical and paramedical staffs are the major outreach strategies aimed to close outreach gaps but their effectiveness and even their occurrence in most areas is far from certain.

A variety of other camps for different vertical programmes like Leprosy, NVBDCP, Blindness, take effort and give benefits. The SAHIYYA programme has attempted to build on this dimension and provide a well supported cadre of trained volunteers in every hamlet. The integration of this force with the Health sub centre‟s function offers the best scope of advance in improving outreach.

HEALTH PROFILE:

India is the second most populous country of the world and has changing socio-political-demographic and morbidity patterns that have been drawing global attention in the recent years. Despite several growth-orientated policies adopted by the government, the widening economic, regional and gender disparities are posing challenges for the health sector. About 75% of health infrastructure, medical manpower and other health resources are concentrated in urban areas where 27% of the population lives. Contagious, infectious and waterborne diseases such as diarrhea, amoebiasis, typhoid, infectious hepatitis, worm infestations, measles, malaria, tuberculosis, whooping cough, respiratory infections, pneumonia and reproductive tract infections dominate the morbidity pattern, especially in rural areas. However, non-communicable diseases such as cancer, blindness, mental illness, hypertension, diabetes, HIV/AIDS, accidents and injuries are also on the rise. The health status of Indians, is still a cause for grave concern, especially that of the rural population. This is reflected in the life expectancy (62.3 years for females and 62.9 years for males), infant mortality rate (49/1000 live births), maternal mortality rate (312/100 000 live births); however, over a period of time some progress has been made. To improve the prevailing situation, the problem of rural health is to be addressed both at macro (national and state) and micro (district and regional) levels. This is done in an holistic way, with a genuine effort to bring the poorest of the population to the centre of the fiscal policies. A paradigm shift from the current 'biomedical model' to a 'sociocultural model', which should bridge the gaps and improve quality of rural life, is the current need.

Integration of various health and family welfare programmes result in economy and allocation of resources as per needs of the districts. Converging water supply, sanitation, hygiene and nutrition with health planning is a logical step. The proposal to strengthen institutions of primary health care and Community Health Centers as functional Rural Hospitals along with introduction of Indian Public Health Standards and accountability of public health institutions to the public is likely to revolutionise the status of health care in rural India.

It is designed to galvanize the various components of primary health system, like preventive, promotive and curative care, human resource management, diagnostic services, logistics management, disease management and surveillance, and data management systems etc. for improved service delivery.

This is envisioned to be achieved by putting in place an enabling institutional mechanism at various levels, community participation, decentralized planning, building Capacities and linking health with its wider determinants. It also aims to expedite achievements of policy goals by facilitating enhanced access and utilization of quality health services, with an emphasis on addressing equity and gender dimension.

In the district of Latehar various health programmes are implemented through national health programmes and policies to meet the health needs of the people and to overcome the different diseases effecting the population. The following health programmes are implemented at the district level

Chapter 3

SITUATION ANALYSIS

Based on the analysis of the current situation in respect of facilities, infrastructure, manpower, finance, and programme implementation in the health sector in Latehar District, and the NRHM implementation experience, the following issues are identified as the important activity areas of family welfare programme.

MATERNAL HEALTH

A very large proportion of pregnant women continue to deliver in their homes in rural and interior villages, under circumstances that makes it even more difficult for these women to be shifted to hospitals in case of any complications. A critical issue that needs to be focused in the immediate term, so as to reduce maternal deaths to the maximum extent possible, is ensuring that all deliveries take place under basic / comprehensive Essential Obstetric Care facilities, depending on whether a delivery is expected to be normal or complicated.

It is estimated that for every case of maternal death, between 10 to 50 women experience maternal morbidity that affects some of them lifelong. Ensuring that women particularly in the rural areas access antenatal care services, postnatal care services and routine health care services for maternal morbidity is a priority only second to preventing maternal deaths.

Other important issues that need focus and action are factors that contribute in the intermediate term to adversely affecting maternal health. High levels of anemia and poor nutritional status among the adolescent girls as well as pregnant women, low age-at-marriage for girls, and difficulties in accessing maternal health care services are the most important amongst these.

CHILD HEALTH

Creating awareness amongst the families in remote rural households about the importance of immunization for children, identifying children who have not had full doses of immunization, and ensuring that they have the same is the most critical issue for improving child health. Another equally important issue is sensitizing families and communities in rural areas about the main diseases that contribute to child and infant mortality, such as neonatal mortality, diarrhea and acute respiratory infection, etc., and improving the health-accessing behaviours of particularly the rural poor households including all households belonging to the scheduled castes and scheduled tribe communities and specially the primitive tribes residing in the forests and hill tops.

One factor that overwhelmingly affects the quality and quantum of service delivery in the field is the skill level, motivation, and work atmosphere and work culture of the frontline workers. To a considerable extent this in itself is affected by the motivation and work culture of the supervisory cadre i.e., the Health Supervisors and the Medical Officers of the Primary Health Centres. There is an urgent need to carefully reexamine these issues and make serious efforts to bring about a qualitative improvement in this respect.

FAMILY PLANNING

Rectifying the enormous imbalance between female and male participation in family planning, and substantially improving the male participation is another critical issue that needs to be addressed on priority. Promotion of spacing and temporary methods, and putting in place a reliable system of delivery of family planning services in all the service centres is another issue that needs to be focused on. The current plans for family planning services in the district and blocks is planned on adhoc manners and is mainly an approach to enhance district targets, whereas the need of the hour is to have a very systematically planned family planning services available in the district. We also need to emphasize on the aspects of temporary methods which is very less in focus currently.

ADOLESCENT HEALTH

Increasing the age-at-marriage in girls and reducing anemia in adolescent girls are the issues for immediate concern and intervention to improve adolescent and maternal health in the state. Among these two issues, while age-at-marriage can be influenced only in the long run through improvement in educational and economic opportunities for adolescent girls and women, anemia can be addressed in the immediate term through supplemental nutrition. Low awareness in adolescent persons (girls and boys) also adversely affects subsequent utilization of maternal and child health care services (in the intermediate term), and results in poor participation by men in contraception and other family health responsibilities.

HUMAN RESOURCES DEVELOPMENT INCLUDING TRAINING

A critical issue that needs to be examined is the appropriateness and effectiveness of the training programmes that are being conducted. It is necessary, based on evaluation, to reorganize and refocus these trainings so as to improve the performance of the personnel and quality and content of delivery of services at the health care institutions. The district also needs to prioritize the training needs and prepare a training calendar which is capable of addressing its PIP objectives.

EQUITY AND GENDER

Considering the tremendous inequity in availability of reproductive and child health services in rural and tribal areas, there is a pressing need to focus for creating and strengthening of facilities in these areas. Similarly, gender inequality is a critical issue in the health programs. Male participation in temporary methods and sterilization method of contraception is extremely low and needs a strong focus. Similarly it has been observed that women in the rural areas avoid ANC/ PNC because participation of males in these activities is less and males do not consider it as an important issue for pregnant / nursing women.

LOGISTICS

There are not many critical issues in logistics, procurement, storage, etc. However, monitoring of utilization of drugs, supplies and equipment sent from HSCs and PHCs is very poor. The HSCs and the PHCs also fail to keep a track on the supplies. Regular indenting of the drugs, funds and other necessary items are not received regularly which often affects their performances. It is proposed to strengthen this aspect through capacity building of concerned staff, assistance from Block accounts manager in maintaining and streamlining the supplies and computerization of Health Management Information System at the block level.

HEALTH MANAGEMENT INFORMATION SYSTEMS

The district has started preparing the data based on the Health Management Information Systems. The position of the HMIS coordinator is vacant currently. At the blocks level the data is managed by the untrained staffs and hence there are several anomalies in the data. We strongly propose that through regular support and handholding we will train the staffs at the block level to handle the issue at the block level.

NRHM Chapter 4

PART-A

Objectives and Strategies:

Objectives:

 The National Rural Health Mission (2005-12) seeks to provide effective health care to rural population throughout the country.

 It aims to undertake architectural correction of the health system to enable it to effectively handle increased allocations as promised under the National Common Minimum programme and promote policies that strengthen public health management and service delivery in the country.

 It has as its key components provision of a female health activist in each village; a village health plan prepared through a local team headed by the Health & Sanitation Committee of the Panchayat; strengthening of the rural hospital for effective curative care and made measurable and accountable to the community through Indian Public Health Standards (IPHS); and integration of vertical Health & Family Welfare Programmes and funds for optimal utilization of funds and infrastructure and strengthening delivery of primary healthcare.

 It seeks to revitalize local health traditions and mainstream AYUSH into the public health system.

 It aims at effective integration of health concern with determinants of health like sanitation & hygiene, nutrition, and safe drinking water through a District Plan for Health.

NRHM Goals:

 Reduction in Infant Mortality Rate (IMR) and Maternal Mortality Ratio (MMR)  Universal access to public health services such as Women‟s health, child health, water, sanitation & hygiene, immunization, and Nutrition.

 Prevention and control of communicable and non-communicable diseases, including locally endemic diseases.

 Access to integrated comprehensive primary healthcare

 Population stabilization, gender and demographic balance.

 Revitalize local health traditions and mainstream AYUSH

 Promotion of healthy life styles

INTERVENTIONS: THE FOLLOWING ARE THE IMPORTANT INTERVENTIONS TAKEN UP UNDER THE NRHM PROJECT.

SAFE MOTHERHOOD

 Recording and follow-up of every pregnancy for a safe, clean and healthy delivery

 Strengthening PHCs for 24 Hours to provide services for conducting deliveries.

CHILD SURVIVAL

 Strengthening of Routine Immunization for 100%coverage

 Intensified Pulse Polio Immunization Programme to eradicate poliomyelitis.

 Initiation of Biannual rounds for increasing Vitamin –A coverage. The effort is also supported by International Agencies working in the district namely; A2Z and MI.

 Annual ORT and ARI campaign for home management of diarrhoea and early detection & treatment of pneumonia

 Intensified neonatal care services under neonatal mortality reduction programme in the month of November to give the awareness to the community regarding the neonatal care to reduce the Neonatal Mortality rate

 Emphasis on IYCF interventions. This is also supported by UNICEF and several other agencies in the district.

Increasing Contraceptive Prevalence

 Delay in 1st pregnancy by 2-3 years  Increase in birth intervals of 1st and 2nd child by 3-5 years

 Introducing alternative spacing methods

 Expansion of social marketing of condoms and pills through Social Marketing agencies.

 Promotion of male sterilization. This intervention is also supported by Corporate houses such as HINDALCO and Abhijeet Group.

 Providing temporary and permanent contraceptive services to all individuals in the state who have unmet need for the same

 Skill training for conventional & innovative techniques in Family Planning

 Health insurance under Aarogya Raksha for the family planning acceptors and their children

 Incentives for motivating families in rural areas.

 Individual incentives for family planning acceptance for families with girl children, families with one child and acceptors of vasectomy

 Incentives for service providers

 Community participation at grass root level

 Preparing habitation and mandal-wise action plans for population stabilization

 Identifying area-specific and habitation-specific interventions

Enhancing quality & expanding access of services

 Providing comprehensive family welfare package at PHC and Sub-centres

 Streamlining of drugs and supplies

 Strengthening infrastructure

 Training for health personnel for effective delivery of services

 Increasing access in backward areas through Community Health Workers

IMPLEMENTATION OF IEC ACTIVITIES

 Development of area specific and community-specific publicity activities as also inter personal communication activities with use of conventional and non-conventional media  Messages to be particular in the area of age at marriage, institutional deliveries, spacing, immunization, childhood diseases (Diarrhoea and acute respiratory Infections) management and male sterilization

Active Participation of Community and NGOs

 Involvement of Vikas Bharti (a mother NGO) in mobilizing the Medical Mobile Unit in remote areas of the district.

 Involvement of public representatives at various levels, inculcating a sense of ownership and competition

 Involvement of self-help groups, VHCs particularly women and youths in planning and implementation of the activity.

 Effective involvement of PHC and Sub-Centre level advisory communities in programme performance

 Implementing the programme through Janani teams (headed by the Sarpanch and comprising of A WW, ANM, SHG member. youth representative and ward member) I in each Gram Panchayat village

Strengthening Management Information Systems for better program management

 Introduction of computers at the district level for better tracking of the Health information flow from the blocks.

 Introduce concurrent evaluation by independent agencies for validation of data on health services

 Use professional support for documenting the family welfare activities and activities undertaken under projects

 Introduce surveillance system for health concerns of mother and child

Lessons Learnt

 Based on the experience obtained in implementing various interventions in NRHM in Latehar district, most of the interventions other than the non-recurring components such as civil works and supply of equipment may be categorized as those that require to be continued and strengthened. Important among these are training for integrated skill development and improved quality in the delivery of services, IEC interventions aimed at motivation of specific segments of population for improved utilization of services such as immunization, antenatal care, institutional deliveries, postnatal care including neonatal care services etc., and specific interventions aimed at improving the availability, accessibility and quality of services in the above areas. The following table gives a description of the various interventions under the NRHM project and whether they were successful or otherwise; whether they need to be continued under NRHM project.

NRHM Interventions: Which Worked & which did not work

Interventions in all Districts Worked Worked but well needs strengthening

CHILD SURVIVAL INTERVENTIONS  New-born care  Immunization  Breastfeeding promotion  Complementary feeding promotion  Diarrheal disease control  ARI control  Low birth weight babies- Vitamin A, deworming

Safe Motherhood interventions Antenatal care (including TT, IFA)  Institutional deliveries  Emergency obstetric care  Safe deliveries  Referral Post-partum care Schemes 24-hour delivery service  Contractual staff   Referral transport 

Institutional Development 

Integrated training package 

IEC activities and counseling on health,  sexuality and gender Interventions in all Districts Worked Worked but well needs strengthening

Urban and Tribal Areas under RCH package 

District sub-projects under local capacity  Enhancement

RTI/STI Clinics at District Hospitals (where  not available)

Facility for Safe Abortions at District hospital  and PHCs by providing equipment, contractual Doctors etc.,

Enhanced community participation through  panchayats, women‟s groups and NGOs

Civil works 

Provision for Lab Technicians for laboratory  diagnosis of RTI/STI & EOC

Adolescent Health and Reproductive  Hygiene

Screening and treatment of RTI/STI 

Emergency Obstetric Care at selected FRUs  by providing drugs

Essential Obstetric Care by providing Drugs  and PHN/Staff Nurse at PHCs

Additional ANM at sub-centers in the  selected districts for ensuring MCH care

Improved delivery services and emergency  care by providing equipment kits, IUD insertions and ANM kits at sub-centers

Facility of Referral transport for pregnant  women during emergency to the nearest referral center

CRITICAL GAPS UNDER NRHM

1. Registration of ANC Mothers, TT, IFA, Identification of High-Risk Mothers

According to the DLHS study the % of ANC visits by mother during the last pregnancy is significantly low (28.2%). Despite of all efforts the ANC coverage hasn‟t shown any significant improvement over the last few years. There is a general tendency that those who did not receive ante- natal check-ups are poor, illiterate, high parity women, mostly belonging to scheduled castes and tribes. It has also been observed during field visits that those women who did not receive antenatal checkups, consider that the check up is unnecessary or is not customary. Cost and lack of time accounted for one-third women who did not receive ANC. The extremely low percentage of women being registered for ANC itself depicts the status of Maternal Health. A large number of women who may be a potential High risk mother is still not covered under the Health Umbrella.

2. Reduction of Low-Birth-Weight

No specific interventions had been initiated under the NRHM to address the problem of low birth-weight in the State, other than the component of awareness generation about nutritious diet for pregnant women as a part of antenatal care. However, under the Integrated Child Development Scheme (ICDS) implemented by the Women Development and Child Welfare Department, Vitamin enriched diet is being given under this scheme to pregnant and postnatal women from poorer families in every village.

3. Institutional Delivery

The term „Institutional Delivery‟ in its usage in health and family welfare services context in India appears to be used to mean a delivery that occurs in a health care institution with the childbirth occurring in the presence of and with the assistance of skilled health personnel. It is pertinent to note in this context that mere presence of and assistance by a skilled health staff member, who may not be trained to conduct a caesarian section surgery if required, would not provide the full degree of delivery care required to address most complications that might occur in any childbirth. It is well established in research studies and publications of international health organizations such as WHO, UNICEF, etc, that every childbirth has the potential to lead into complications, and every delivery should occur preferably in a health care institution that has emergency obstetric care services. It may also be stated that a majority of the Health Care Institutions in the district are also not equipped with the minimum emergency obstetric care facilities such as the presence of an obstetrician (or at least a General Surgeon in the absence of an obstetrician), an anaesthetist and blood transfusion facilities. This situation is liable for the low institutional delivery (9% in rural areas and 11.4% in totality). However, if institutional deliveries are considered as only those occurring in health care institutions with emergency obstetric care services, percentage of institutional deliveries in the state would be considerably lower. Community wise, scheduled caste and tribe population have the lowest proportion of institutional deliveries.

4. Emergency Obstetric Care

As revealed in various studies, there are very serious gaps in the availability of emergency obstetric care services in the rural and semi-urban areas of the State. Presence of a qualified obstetrician or a surgeon who can perform a caesarian section surgery if required, an anesthetist, and facilities for blood transfusion are the minimum components of emergency obstetric care required, if lives of women are to be saved in extreme child birth complications. In the present situation, only district headquarters hospitals, have some of these facilities. It is of utmost importance and urgency to create emergency obstetric care facilities in additional locations in each district, to ensure that every complicated childbirth case among the rural poor is able to access such facilities.

Strategies are proposed to be formulated under the NRHMI project to address the above critical gap and achieve a substantially higher percentage of institutional deliveries in health care institutions that have emergency obstetric care facilities.

5. ANALYSIS OF PROGRAMME MANAGEMENT

Important reasons for under-utilization of budgeted funds under NRHM are as follows:

 Delays in fund disbursal form state and certain administrative issues at the district level.

 Delays in filling up the vacant positions.

 Fully operational Program Management units at the district and block level. PART-B

NRHM Related Activities:

Untied funds for Sub-centres:

Govt. of India under NRHM in every Sub-centre an amount of Rs.10,000/- has been allocated. In Latehar district there are 97 Sub-centres.

Expected Outputs

 Increased effectiveness of functioning of Rural Health Sub-Centers through improved facilities, privacy for people coming to the sub-centers, etc.

 Increased utilization of antenatal care services in the sub-centers

 Increased number of Village Health and Nutrition Days conducted, through improvement of Sub-Centers

 Improved public health condition in the villages through purchase of emergency materials and supplies for control of epidemics such as Dengue, Chikengunya, Malaria and JE etc.

 Increased effectiveness of functioning of Women Health Volunteers through monitoring and supervision of their work, done by the Gram Panchayat Health Committee constituted to decide upon and supervise the items of work to be done with the Sub-Center Untied Funds; and through payment of incentives from the Untied Funds to Women Health Volunteers for good turnout of work shown by them.

 Increased knowledge, awareness in rural population about personal hygiene, social hygiene, sexual and reproductive hygiene, family health education, importance clean drinking water, nutrition, preventive measures against infectious diseases, etc. through the participation of the Gram Panchayat Health Committee in the health, sanitation and epidemic control activities in the village, with the sub-center untied funds.

Untied funds for PHCs:

Under NRHM in every PHCs an amount of Rs.50,000/- per year is allocated for all the PHCs, is envisaged at Primary level to address the unmet need reflected in the Primary Health Centre Area.

Expected Outputs

 Increased effectiveness of functioning of PHCs through improved facilities.  Increased utilization of antenatal care and delivery services in the PHCs

 Improved public health condition in the villages through purchase of emergency materials and supplies for control of epidemics such as Dengue, Chikengunya, Malaria and JE etc.

Untied funds for District Hospital:

Under NRHM the District receives fund under the Rogi Kalyan Samiti. The fund received by the district is often insufficient.

Expected Outputs

 Increased effectiveness of functioning of the District Health through improved facilities.

 Reduced Maternal Mortality incidents in these villages

 Reduced Neonatal mortality incidents in these villages

 Increased percentage of fully immunized children

Up-gradation of the District Hospital to IPHS: Govt. of India under NRHM has allocated funds which can be used for upgradation of the District Hospital to a super specialty Hospital. The district hasn‟t received funds for this purpose.

Expected Outputs

 Increased utilization of maternal and child healthcare services at the District Hospitals by the population in the surrounding villages

 Increased institutional delivery rates in the villages serviced by the upgraded District Hospital.

 Availability of a qualified specialists like phycian, Obstetrics & Gynaecology, Paediatrics and Anaesthesiology at the village level, particularly in the areas of maternal health, infant and child health, and for minor health problems, to advise the villagers on a 24 X 365 basis, on the need to seek emergency healthcare services

 Reduced Maternal Mortality incidents in these villages

 Reduced Neonatal mortality incidents in these villages

 Increased percentage of fully immunized children

Mobile Medical Units:

The District has received 02 medical mobile units which are currently being used by the district. The units have been handed to a state level Mother NGO named Vikas Bharti. The units are being sent to the remote pockets of the district. The unit is being successfully used by the district.

The MMU has a fixed village-wise map, and visit villages as per that schedule. The MMUs operate in each block in the interior and tribal areas where people face difficulties in accessing the healthcare services. The MMU team provides diagnostic, and primary curative and preventive healthcare services in the identified geographical area allotted to that MMU. The Mobile Medical Unit vehicle is being used intensively, and therefore requires regular servicing, repairing etc.

Janani Suraksha Yojana in Rural Areas:

Government of India has launched a new scheme named “Janani Suraksha Yojana” in modification of the “National Maternity Benefit Scheme”. The salient features of the new scheme are as follows:

 A cash benefit of Rs.1400/- is being provided to the eligible Below-Poverty-Line pregnant women. The pregnant women can opt to get her baby delivered at the district Hospital, PHC, HSCs or identified Hospitals in and around the District (MOU with identified hospitals). The amount is paid “during the delivery”, whether the delivery is at any of the identified hospitals in the district.

 Further, an amount of Rs.250/- is paid to such eligible rural pregnant women who avails transportation facilities .

 The Sahiyya receives Rs. 350 as motivation money if she takes care of the mother for one week and gets the child immunized for BCG.

 This has helped the district in improving Institutional deliveries.

National Vector Bone Chapter Disease Control Programme 4

GOALS

 To reduce malaria mortality rate by 50%  To reduce malaria morbidity Rate by 30%  Increase the Health seeking behavior of people by 70%

OBJECTIVE and STRATEGY

Sl No District Plan Objectives Strategies

1 EDCT Referral system, DDC, FTD, Identification of High risk area, Active surveillance, Passive surveillance, Treatment Policy

2 Development of Infra structure Formation of MC, Contractual appointment of LTs

3 Awareness creating through IEC/BCC Poster, Pamplets flex etc

4 Inter sectoral co ordination Co ordination with Fishery Deptt, Education, Forest

5 IVC Planning of LLIN, IRS and Biological control

MEDICAL AND PARA MEDICAL STAFFS:-

Sl no Desig. Sanction In Position To be trained

1 Dist Malaria Officer 1 1

2 Medical officer(Reg) 51 30 30

3 Medical Officer(Contract) - 18 18

4 Asst District Malaria Officer 1 1

5 Dist VBD Consultant 1 1

6 MI 4 1

7 MTS 3 3

8 MPW 50 50

9 Lab Technician 20 20

10 ANM - 242 82

11 SAHIYA 1325 1325 721

Status of health facilities:-

Sl. No Resources/facilities Sanctioned Existing Requirement

1 Laboratory infrastructure 20 10 10

2 Laboratory technician 20 20 0

4 Binocular Microscope 20 14 6 5 Vehicle 1 1 0

6 Motor Cycle 3 0 3

7 Computer - 1 1

8 Lapatop - - 1

9 Inverter - - 1

10 Table/Chair - - 5

11 Almirah - 2 3

PRORITIES, CONSTRAINS AND REQUIRED ACTIONS:-

PRIORITIES, CONSTRAINS REQUIRED ACTIONS

 Non availability of  Pooling of staffs Functional Facilities doctors and  Streamline the procurement paramedical staffs  Purchase of equipments  Timely availability of Ant malarial Drugs  Non functional equipments  Untimely procurement  Non availability of LTs,  Contractual appointment of Increase and imparting Human MPWs, ANMS LTs, MPWs, etc resources  Lack of training of LTs,  Training MPWs, ANMs, SAHIYA  Absence of Paramedical  Weekly arrangement of Inaccessible areas staffs Paramedical staffs  Availability of MMU facility  Organizing Health camps in Monthly basis .  Vertical programme  De centralization of the Malaria Surveillance  No periodic Data programme Collection  Developing a system for  Lack of required periodic Data Collection , amount of Diagnostic (Sending Report via ANM centre through Sector and monthly meeting)  Microscopic centre in sector level  Burden of slides  Provide RD kits up to village Proper Diagnosis  Inefficient technician level  Improper slide making  Refresher Training at village level  In accessibility  Formation of FTD in Village EDCT( Microscopy and RDK)  Early Diagnosis level  Not consuming . Involvement of AWWs and complete dose by the Sahiyyas for slide collection patient and Complete treatment.  ASHA to ensure for complete drug consumption

 Improper use of Bed  Distribution of LLIN Personal Protection nets  To ensure the community for proper use of LLIN

 Non acceptance of IRS  IEC/BCC/IPC Vector Control by the community  Well Advance information to the community  Inadequate supply of  Priority should be given to Use of Bed Nets by the Pregnant Bed nets the Pregnant women and women and infants  Improper use of Bed infants and ensure proper Nets use.  Procurment of Bed nets  Lack of Local Planning  GKS members PRI Members Planning and Monitoring  Lack of involvement of PRI, NGO, VHSE  Vertical Programme for  Horizontal integration of Disease Surveillance all vector born and programme through VHSE, common disease PHC, CHC, HSC  No integrated / co-  Initiation and integration ordination action for with IDSP at HSC level disease surveillance at various level .  Non availability of  Contact with State Malaria Management of severe and drugs and instruments officer. complicated malaria cases

SITUATIONAL ANALYSIS:-

In the present situational analysis of the blocks of district Latehar the vital statistics or the indicators that measure aspects of health/ life such as number of births, deaths, fertility etc. have been referred from census 2001, report of Chief Medical Officer & Health office, Latehar and various websites as well as other sources. These indicators help in pointing to the health scenario in Latehar from a quantitative point of view, while they cannot by themselves provide a complete picture of the status of health in the district. However, it is useful to have outcome data to map the effectiveness of public investment in health. Further, when data pertaining to vital rates are analyzed in conjunction with demographic measures, such as sex ratio and mean age of marriage, they throw valuable light on gender dimension.

Apart from the high annual morbidity and mortality, malaria has been responsible for untold sickness and suffering. It was one of the greatest obstacles to the development of the natural resources of the country. ANALYSIS OF CURRENT MALARIA SITUATION

SWOT ANALYSIS

STRENGTH WEAKNESS

 Formation of Dist Malaria Society.  No adequate number of staffs.  Available of required no of PHC and HSC  Non availability of Vehicle and motorcycle scattered in all over the district. of supervision.  Available of Dedicated workers  Delayed coming of funds  MTS and MPW are working  Tribal people believe in Quaks.  SAHIYA are trained for BS collection and  Poor Hygiene and sanitation fascility. RDK test.  No inter sectoral co-ordination.  RRT formed in dist and Block level for  Health seeking behavior of People is very Control of Epidemic situation. low.  Good communication facility to Block HQ  No separate date entry operator for the programme.  Shortage of Anti malarial drugs.  No Insect collector.  Reporting is not Good

OPPORTUNITY THREATS

 Involvement of NGO in Spray work and  Low literacy Rate. ITBN Distribution.  Lack of transport connectivity  Involvement of Village Health &  Irregular Monsoon Sanitation committee.  Communication facility from Block HQ to  Use of Untied fund (PHC/HSC) Village is not good.  Problem of maiost

INTRODUCTION OF THE PROGRAMME ( NVBDCP)

Malaria is a life threatening parasitic disease transmitted by mosquitoes. Scientist Larven in 1880discovered the real cause of malaria is a one cell parasite called plasmodium. Prior to independence,malaria was a major Public Health Problem, contributing nearly 100 million cases and 0.1 million deathsper annum. The disease was responsible for high socio economic losses with high infant and maternalmortality rates. In 1953 GOI introduced National Malaria Control Programme with a unique weapon ofIndoor Residual Spray (IRS), to minimize transmission. After tremendous success, the programme aimed to eradicate malaria (NMEP) with prime objective of extermination of parasite from thecommunity through active case detection (a surveillance mechanism) and bring the end of transmissionwith IRS in areas having 2 or more cases per 1000 population. During 1965, only 0.1 million cases werereported i.e. affecting 0.02 % population per year. By this time more than 50 percent of malarious areas,of the country were brought under consolidation / maintenance phase with no malaria death.Due to various constrains malaria resurged and incidence reached to 7.6 miilion cases per annum with few deaths. The drug resistance problem was also noticed in P. falciparum malaria. This contributed achange in approach of malaria control and Modified Plan of Operation (1977) was adopted withobjectives of preventing mortality due to malaria and reduce morbidity to sustain achievement in the Industrial and Agriculture Sectors. After successful operation of MPO for eight years malaria situationremained static . However number of deaths due to malaria showed an increasing trend. To defuse the problem in 1995 Malaria Action Plan 1995 (MAP) was introduced. In MAP the identification of High Risk and Low Risk Areas were done according to criteria and selective spray operation were introduced. The smallest unit for indoor spraying was a village and spraying of cattle shed was withdrawn. Under the plan, Enhanced Malaria Control Project (EMCP) was introduced in districts having more than 25 percent tribal population and high incidence of P. falciparum with aspects of EDPT, Selective Vector Control. Strengthening MIS, Epidemic Preparedness, Man power Development and IEC are priorityissues.

To expand the horizons of NAMP operational activities the various vector borne diseases like Dengue, Filariasis, Japanese Encephalitis, Chikungyuniea, Kala azar etc, have been incorporated and subsequently the name of the programme changed to National Vector Borne Disease Control Programme (NVBDCP).Apart from the high annual morbidity and mortality, malaria has been responsible for untold sickness and suffering. It was one of the greatest obstacles to the development of the natural resources of the country.

Integration with Sahiya Programme

It is extremely important to develop a mechanism to sustain interactions between MPWs and Sahiyya. Such a mechanism is also required for the long – term success of the Sahiyya programme. The Sahiyya programme offers the scope to rationalize and the MPWs job responsibilities more achievable. The Sahiyya’s focus is on health education, family level counseling and prompt and adequate management of diarrhoea and acute respiratory infections. The Sahiyya also maintains a register for her village which tracks each family to identify any specific health service gap and motivates the family to receive this service as the coordinates with the MPW to ensure that the service is delivered. The MPWs focus is on actual service delivery on RCH and in all national programmes – like immunisaiton, provision of contraception, care in pregnancy and assistance at delivery and soon and on support to Sahiyya, anganwadis and panchayats.

There are 97 subcentres, 7 PHCs and 7 CHCs spread in the 7 blocks of Latehar. The OPD situation, bed occupancy and hospital management related issues are not in a very good condition if compared to the potential and capacity of institutions.

COMPARATIVE ANALYSIS OF THE ACHIVEMENT ( for last five year)

Name of Year Population BSC/BSE ABER Total Pf API SPR SFR Death the Block Case cases due to malria

2005 106386 30148 28.3 3650 182 24.9 8.7 0.60 0

2006 106386 14500 13.6 1547 30 14.4 10.6 0.21 0

Latehar 2007 110090 14144 12.8 2513 175 22.8 17.7 1.24 0

2008 112842 14360 12.73 2728 287 24.18 19.00 2.00 0

2009 116176 21085 18.15 3010 675 25.91 14.28 3.20 2

2005 97705 16371 17.4 2319 441 25.4 14.5 2.69 0

Manika 2006 97705 12084 12.8 2279 148 22.7 18.8 1.22 0

2007 100144 9871 9.8 2079 115 20.7 21 1.17 0 2008 102647 11005 10.72 2908 355 28.33 26.42 3.23 0

2009 112674 9855 8.75 3440 155 30.53 34.91 1.57 0

2005 94299 17294 18.1 1354 36 14.3 7.1 0.21 0

2006 94299 9010 9.5 2004 55 21.2 22.2 0.61 0

Chandwa 2007 96652 9375 9.6 2621 92 27.1 27.9 0.98 0

2008 102143 11465 11.22 3171 306 31.04 27.66 2.67 1

2009 104692 13220 12.63 2993 303 28.59 22.64 2.29 0

2005 139412 17426 12.4 4040 104 28.9 23.1 0.60 0

2006 139412 15593 11.1 4797 61 22.3 30.8 0.39 0

Balumath 2007 142931 25391 17.7 4355 33 30.4 17.1 0.13 0

2008 146605 24998 17.05 3893 86 26.55 15.57 0.34 0

2009 152200 27877 18.32 4192 111 27.54 15.04 0.40 0

2005 26016 4956 19 653 217 25 13.1 4.38 0

2006 26016 4167 16 439 132 16.8 18.5 3.17 0

Garoo 2007 26680 4866 18.2 523 211 19.6 10.7 4.34 0

2008 27347 7284 26.64 1149 401 42.02 15.77 5.51 0

2009 28028 12652 45.14 2402 1118 85.70 18.99 8.84 0

2005 83518 9596 11.4 1380 170 16.5 14.3 1.77 0

2006 83518 10596 12.6 1990 75 23.8 18.7 0.71 0

Barwadi 2007 85003 11538 14.2 2379 165 29.3 20.6 1.43 0

2008 87028 12140 13.95 3653 629 41.97 30.09 5.18 0

2009 89502 16103 17.99 4225 1236 47.21 26.24 7.68 0

2005 69166 9591 8.4 1589 276 22.3 26.5 2.88 0

2006 69166 20084 28.19 3862 769 53.9 19.1 3.83 0

Mahuadnar 2007 70930 18589 26.1 4174 1094 58.8 22.4 5.89 0

2008 74841 16349 21.84 3650 1005 48.77 22.33 6.15 0

2009 76725 18745 24.43 4655 2093 60.67 24.83 11.17 1

Year 2005 2006 2007 2008 2009( up to Nov 09)

Populations 616502 616502 632430 653453 67997

BSC 105382 86034 93774 97601 119537

BSE 105382 86034 93774 97601 119537

PF 1426 1270 1885 3069 5691

PV 13559 15648 16759 18083 19226

Total 14985 16918 18644 21152 24917

ABER 17.09 13.96 14.83 14.94 175.80

API 24.3 27.44 29.47 32.36 36.64

SPR 14.22 19.66 19.88 21.67 20.84

SFR 1.3 1.4 2 3.14 4.7

pf% 9.5 7.5 10.1 14.5 22.8

Death 0 0 0 1 3

Graph

Fig 1 showing no of death cases during the period 2005 to 2009 of district Latehar.

Fig 2 showing comparison between API, SPR & ABER during the period 2005 to 2009 of district Latehar.

Fig 3 showing comparison between pv & pf cases during the period 2005 to 2009 of district Latehar.

Fig 4 showing comparison between pf % cases and deaths during the period 2005 to 2009 of district Latehar.

PRIORITIZATION OF THE AREA INCLUDING THE CRITERIA OF PRIORITIZATION

(A) HIGH RISK AREA:

Sl No Name of the No of High No of High No of High No of Tribal Block Risk HSC Risk Village Risk Population Population

1 Latehar 16 166 116176 29044

2 Manika 11 84 112674 28169

3 Chandwa 17 86 104692 26173

4 Balumath 17 174 152200 38050

5 Barwadi 19 83 89502 22376

6 Garoo 7 74 28028 21021

7 Manhuadnar 16 106 76725 57544

(B) CLASSIFY THE AREA AS PER API RANGE:-

Sl No API No of PHC No of HSC No of Population % of village @ village No Population @ villages

1 <1 15 72 21589 300 0.04

2 1--2 7 17 15715 218 0.03

3 2--5 33 101 83625 1161 0.17

4 5--10 61 209 148328 2060 0.30

5 >10 96 617 409240 5684 0.84

TOTAL 212 1016 678497 668 0.10

(C) OUT BREAK

Period of PHC affected HSC affected No of Village No of cases No of outbreak affected treated death occur

20.7.09-28.7.09 Mahuadnar Orsapat 1 504 1

16.9.09-22.9.09 Mahuadnar Champapat 5 430 0

14.8.09-18.9.09 Garu Goindi 1 137 0

17.9.09-18.9.09 Garu Kabri 1 127 0

15.8.09 Latehar Temki 1 167 0

19.8.09 Latehar Pesrar 1 220 0

3.10.09-4.10.08 Manika Palheya 1 161 0

Containment measures:

 Mass Blood slide collection RDT and given Radical treatment .  Focal Spray done  Medicated Bed nets are distributed in the village name Kukudpat of Orsapat HSC .

(D) USE AND REQUIRMENT FOR RDK FOR PLANNED YEAR :-

Sl No Name of the No of HSC No of Blood Expected RDTs fir buffer Total annual Block where examination requirement of stock and RDTs supply RDTs are in those HSC RDTs * 1.25 distribution to used last year the area * .20

1 Latehar 16 9488 11860 2372 14232

2 Manika 14 4435 5544 1109 6653

3 Chandwa 17 5949 7436 1487 8923

4 Balumath 17 12545 15681 3136 18817

5 Barwadi 19 7246 9058 1812 10870

6 Garoo 7 5684 7105 1421 8526

7 Manhuadnar 16 8435 10544 2109 12653

TOTAL 53782 67228 13446 80674

(E) AREA FOR SUPPLY OF ACT:-

Last year date Allocation for plan year

Name of the Total Pf cases reported ACT blister Act blister for PW( Quinine Block Population in previous for Adults children Tablet) year(up to Nov 09)

Garoo 28028 1118 838 573 1677

Mahuadnar 76725 2093 1570 1073 3139

(F) BED NETS:-

Sl No Name of the Eligible Eligible Eligible Tribal Total Bed Net Block HSC( Village( No) Population Population required No)

1 Latehar 2 18 5920 1,776 2368

2 Manika 4 16 5835 1,751 2334

3 Chandwa 5 49 15048 4,514 6019

4 Barwadi 6 30 23185 6,956 9274

5 Balumath 3 34 20864 6,259 8346

6 Garoo 5 56 21215 18,033 8486

7 Mahuadnar 6 40 21279 18,087 8512

TOTAL 31 243 113346 57375 45339

(G) IRS Plan:-

PHC WISE FOR IRS ACTIVITIES YEAR 2010

Date of Spray Ammount Required DDT Name of No of House No of Consmed for 2 Sl No thePHC Village Population Hold Squard From To in KG Round

1 Balumath 150 137818 27562 10 17.5.10 9.7.10 10337 544500

2 Latehar 176 110317 22069 8 17.5.10 9.7.10 8272 435600

3 Manika 142 97068 19418 7 17.5.10 9.7.10 7281 381150

4 Chandwa 136 82298 16461 6 17.5.10 12.7.10 6173 326700

5 Mahuadnar 74 62322 12464 5 17.5.10 10.7.10 4673 272250

6 Garoo 30 6773 1355 1 17.5.10 19.6.10 508 54450

7 Barwadih 52 66617 13323 4 17.5.10 18.7.10 4994 217800

TOTAL 760 563213 112652 41 17.5.10 18.7.10 42238 2232450

Requirement of Spr ay Pumps: 123

Requirement of Pond Measure: 41

Requirement of Galen Measure 15 Ltr: 205

Requirement of Bucket 10 Litre: 41

(H) LOGISTIC REQUIRMENT :-

Previous Year's Requirement for Balance Net Items utilization the current year available requirement

Choloroquine Tab. (no) 201000 600000 4800 595200

Combi Blister Pack (CQ+PQ) in 59115 65000 4435 60565

Primaquine 2.5 mg Tab. (no.) 189000 207900 47000 160900

Primaquine 7.5 mg Tab. (no.) 24000 100000 0 100000

ACT Comb. (Artemisinine+SP) 3825 5000 25 4975

Artesunate Tab. (no.) 0 3000 0 3000

Arteether Inj (no.) 3486 1300 463 837

Quinine Sulphate Tab. (no.) 0 4000 400 3600

Quinine Injection (no.) 20 3000 0 3000

S+P Comb. Tab. (no.) 0 3000 1000 2000

R.D. Kits (no.) 51575 60000 22325 37675

DDT 50% ( in Kg) 29230 84476 52300 32176

Malathion 25% wdp (in ltrs.) 0 0 0 0

Malathion Technical (in ltrs) 0 0 0 0

Temephos 50% (in ltrs.) 0 0 0 0

Pyrethrum Extt. 2% 0 0 0 0

Primiphos methyl (in ltrs) 0 0 0 0

Synthetic Pyrethroid for IRS 0 0 0 0

SP for ITNs in litre 47 0 223 0

ITNs (no) 0 0 0 0

LLINs (no) 0 45339 0 45339

Micro Slides (No.) 92300 100000 0 100000

Stirrup Pumps (No.) 164 0

Bucktet 15 Litre 323 0

Bucket 10 litre 70 0

(I) GIS Maping:- At the last of the document.

ACTIVITY CHART

Sl no Activities/ Sub Activities Year 2010 Responsibility

Q1 Q2 Q3 Q4

1 EARLY DIAGNOSIS

1.1 Collect Blood sample of all fever cases . √ √ √ √ MPW, SAHIYA, ANM

1.2 Timely exam of all slides √ √ √ √ LTs

1.3 Timely inform to the Patient √ √ √ √ MPW, SAHIYA, ANM

1.4 Formation of microscopic centre √ √ DMO,AMO,DVBDC

1.5 Training to paramedical staffs - √ √ - DMO

1.6 Involvement of VHSC for slide sending √ √ MTS,ANM to the MC

1.7 Involvement of NGO for Slide √ √ MTS,ANM examination

1.8 Screening of fever cases in √ √ √ √ ANM,MPW Immunization centre.

2 Complete Treatment

2.1 Available of Drugs at All levels √ √ √ √ ASHA/ANM/MPW

2.2 Distribution of drugs to the patient by √ √ √ √ MOIC,DVBDC,MTS NDP 2008

2.3 Follow up cases where the next visit √ √ √ √ ASHA/MPW

2.4 Early referral to the Severe cases √ √ √ √ ASHA/ANM/MPW 2.5 Ensure for the complete intake of √ √ √ √ ASHA/ANM/MPW medicine

3 Sentinel Survillance

3.1 Selection of sentinel site √ DMO,AMO/DVBDC

3.2 Introduction of RDK and ACT for pf √ √ √ √ DMO,AMO/DVBDC cases

3.3 Regular monitoring about the change of √ √ √ √ DVBDC API and pf caess

4 IRS

4.1 Training to Spray workers - √ √ - DMO/AMO/MI/MTS

4.2 Awareness to the community by IEC - √ √ - and BCC

4.3 Involvement of NGO √ √ √ √

4.4 Properly supply of DDT before spray √ √ DMO

4.5 Feed back system during IRS through DVBDC POST and Mobile

4.6 Concurrent and consecutive supervision DMO,AMO/DVBDC/MTS

4.7 Availability of MAP in all levels DMO,AMO/DVBDC/MTS

4.8 Inform to the community prior to the ANM,MPW,SAHIYA spray work

5 LLIN MOIC/MTS/DVBDC/DMO

5.1 Survey of community owned bed nets √ √ √ √

5.2 Preparation of MP for Non IRS area √ √ √ √

5.3 Timely distribution of LLIN √ √ √ √

5.4 Involvement of VHSE for distribution √ √ √ √ MO/DVBDC/MTS of LLIN

5.5 Ensuring the use of LLIN √ √ √ √ ANM,MPW,SAHIYA

5.6 Preparation of MP for PW women for MO/DVBDC/MTS distribution of LLIN during 1st Anti nental Chek up.

6 EPIDEMIC PREPPAREDNESS AND EARLY RESPONSE

6.1 Formation of RRT and Block level √ √ DMO/AMO/DVBDC

6.2 Detection of Early warning signal. √ √ √ √ DVBDC

6.3 Involvement of IDSP √ √ √ √ DVBDC

7 CAPACITY BUILDING

7.1 Refresher training to all Medical and √ √ √ √ DMO/AMO/DVBDC paramedical staffs

8 IEC/BCC

8.1 Printing of IEC Materials √ √ √ √ DMO/AMO/DVBDC

8.2 Health camps and mela √ √ √ √ DMO/AMO/DVBDC

9 Inter sectoral co ordination 9.1 Involvement of VHSC √ √ √ √ MTS/MPW/ANM

9.2 Involvement of Fishery Deptt. √ √ √ √ DMO/AMO/DVBDC

10 PPP

10.1 Involvement of Mission Hospital for √ √ DMO/AMO/DVBDC Reporting and standard Treatment protocol.

11 PLANNING MONITORING AND SUPERVISION

11.1 Preparation of Training calander √ DVBDC

11.2 Attend Monthly at Block √ √ √ √ DMO/AMO/DVBDC

11.3 In time Reporting to District . √ √ √ √ MTS

11.4 Feed back given to Block √ √ √ √ DVBDC

12 BIOLOGICAL CONTROL

12.1 Survey and calculation of breeding sites √ √ √ √ ANM/MPW

12.2 Functional of Hatchery at block level √ √ MO/MTS/DMO/DVBDC

13 REFERAL / CASE MANAGEMENT

13.1 Identification of severe cases √ ANM/MPW/MTS

13.2 Involvement of VHSE and Untide fund √ √ √ √ ANM/MPW/MTS of HSC for case referral

13.3 Involvement of Untide fund of PHC for √ √ √ √ MO/MTS/DVBDC case referral to Tersiary Hospital

LOGICAL FRAME WORK MATRIX

Strategies Activities Indicator Means of verification

 To collect blood samples Early case of all fever cases. ABER/OPD Annual Report Detection and  Timely examination of all

Prompt Treatment blood slides. (EDPT)  Training to paramedical staffs.  Awareness among the SPR community.  Public private partnership

 Training to spray squad Vector Control  Community Awareness Vector density Spray Report  Public private awareness High coverage

Outbreak

 Timely Impregnation and Personal distribution of net SPR Distribution Prophylatic Report Measure

 Intersectoral involvement Community Mortality IEC Report Participation

 Intersectoral involvement Environmental Outbreak Management & Source Reduction Annual Report Methods

 Timely reporting Monitoring and Monthly reports Monthly reports Evaluation of the programme

BUDGET:-

ITEM WISE TABULATED BUDGET FOR THE YEAR 2010

Current year Sl Level of Unit Total Responsible No Component Implementation No Cost Q1 Q2 Q3 Q4 Amount person

1 IEC

Poster Village 10000 0.3 Y Y 3000 ANM

Flex Block 8 2500 Y Y 20000 MTS

Leaf let Village 50000 0.3 Y Y Y 15000 MPW/ANM

Hooding Block 16 35000 Y Y 560000 MO/MTS

Banner HSC 56 700 Y Y 39200 ANM

Wall Painting HSC 100 700 Y Y 70000 ANM/MPW

2 Awarenes Camp

Health camp(Mal) HSC 28 10000 Y Y Y Y 280000 MO/MTS

Quiz Comp. HSC 100 500 Y Y Y Y 50000 ANM/MPW

Village Level meeting Village 200 250 Y Y Y Y 50000 MPW/ANM

Intersectoral Co ordination Block 8 1000 Y Y Y Y 8000 DMO/DVBDC

3 MIS

Broad Band District 1 15000 Y Y Y Y 15000 DVBDC

Reporting formath MF HSC/Village 2000 70 Y 140000 DMO/DVBDC

4 Monitoring and supervision:

TA for Dist Staff and MTS District 12 20000 Y Y Y Y 240000 DMO

Field visit by MO Block 84 5000 Y Y Y Y 420000 DMO

5 EVULATION:

PHC level meeting Block 84 250 Y Y Y Y 21000 MO/MTS

Dist leve Meeting District 12 1000 Y Y Y Y 12000 DMO/DVBDC

6 Honorarium to Staff

LT District 36 6000 Y Y Y Y 216000 DMO MTS District 36 6500 Y Y Y Y 234000 DMO

MPW District 600 6000 Y Y Y Y 3600000 DMO

Accountant District 12 1000 Y Y Y Y 12000 DMO

DVBDC District 12 30000 Y Y Y Y 360000 DMO

SAHIYA Block 15900 200 Y Y Y Y 3180000 DMO

7 IRS

Wages to Spray worker District 2 1116225 Y Y 2232450 DMO

Minor Repairing of Logistics District 1 10000 Y Y Y Y 10000 DMO

Transportatio of Insecticide District 1 100000 Y Y 100000 DMO

LLIN

8

Transportation District 1 50000 Y Y 50000 DMO

9 Biological Control

Mother Hetchery District 2 10000 Y Y Y Y 20000 DMO/DVBDC

Hetchery at Block level Block 6 5000 Y Y Y Y 30000 MO/MTS

Release of fish District/Block 1 10000 Y Y Y Y 10000 DMO/MO

10 OFFICE CONTIGENT

Register, Xerox paper etc District 12 2000 Y 24000 DMO

Table/Chair for DVBDC District 3 5000 Y 15000 DMO

Almirah District 3 10000 Y 30000 DMO

Computer District 1 40000 Y 40000 DMO

Laptop District 1 45000 Y 45000 DMO

Inverter District 1 20000 Y 20000 DMO

Minor Repairing of Vehicle District 1 30000 Y 30000 DMO

DOL District 1 50000 Y 50000 DMO

Medicine Transportation District 1 20000 Y 20000 DMO Telephone Bill District 12 1000 Y Y Y Y 12000 DMO

11 TRAINING AND CAPACITY BUILDING

Training to LT( Private) District 1 25000 Y 25000 DMO

Ref. Training to MPW District 2 25000 Y 50000 DMO/DVBDC

SAHIYA Block 14 2000 Y Y 28000 DVBDC/MTS

ANM Block 9 25000 Y Y 225000 DVBDC/MTS

Spray Worker Block 7 1000 Y Y 7000 DMO

TOTAL 12618650

EXPENDITURE REPORT OF DISTRICT MALARIA CONTROL SOCIETY , LATEHAR FOR - 2009

Allotted Sl No Alloted Head Expenditure during the year 2009 Balance Amount

1 Salary to MTS 175550 204429 -28879

2 Salary to LT 162000 186200 -24200

3 DA to MTS 18000 0 18000

4 POL of MTS 45000 0 45000

5 Training of Spray Squard 2000 0 2000

6 Training of Sahiya 130000 0 130000

7 Training of MPW 60000 25000 35000

8 POL to MAINT 35000 5110 29890

9 Office Exp. 40000 0 40000

Honorarium to 10 12000 8000 4000 Accountant

11 T.A/D.A 25000 0 25000

12 Honorarium to Sahiya 30000 0 30000

13 NAMMIS 10000 0 10000

14 IRS 500000 318084 181916

15 VBD Consultant 270000 92903 177097

16 POL & Repairing 10000 0 10000

17 Salary to MPW 2700000 917800 1782200

TOTAL 4224550 1757526 2467024 GIS MAPING YEAR -2008

PHC - LATEHAR

Positive Sl. Name of HSC Population BSE API Pf % Death No. Village Pv Pf Total

1 Zalim kala 1671 66 2 1 03 1.7 33 00

2 Zalim khurd 1220 48 03 01 04 3.2 25 00

3 Jobhiya 346 13 01 00 01 2.8 0 00

4 Sinjo 551 22 02 00 02 3.6 0 00

5 Bhusur 2608 88 20 02 22 3.4 09 00 Zalim 6 Ichak 905 36 03 00 03 3.3 00 00

7 Goa 735 29 02 01 03 4 00 00

8 Komo 87 3 02 00 02 22 33 00

9 Kendwahi 216 8 03 00 03 13 00 00

1 Mongar 2861 204 38 3 41 14.3 7.3

2 Harkha 316 12 01 00 01 3.1 0 00

3 Keru purna 989 39 03 01 04 4 25 00

4 Keru Naya 1031 41 04 01 05 4.8 20 00 MONGAR 5 Ghutua 194 7 01 00 01 5.1 00 00

6 Upper Ggutua 210 8 01 00 01 4.2 0 00

1 Udaypura 1092 122 44 1 45 9.4 9 00

2 Jagaldaga 808 48 03 01 04 41.2 2 00

3 Sabno 789 63 03 00 03 4.9 25 00 UDAYPURA 4 Karihma 943 75 04 01 05 3.8 0 00

1 Dihi 1776 70 6 2 08 4.5 25.0

2 Newari 703 191 15 3 18 25.6 16.7

3 Chope 664 171 36 4 40 60.2 10.0

4 Mangra 524 121 9 1 10 19 10.0 DIHI

5 Murup 1004 101 8 1 09 8.9 11.1

6 Ambajhran 271 14 2 1 03 7.3 33.3

7 Dobhajhran 154 31 3 1 04 25.9 25.0 8 Bhatwa toli 220 90 8 1 09 40 11.1

9 Kundri 315 93 7 1 08 25.3 12.5

10 Mathar chuta 68 31 2 0 02 29.4 00.0

11 Datam 504 20 1 1 02 3.4 50.0

12 Patratu 184 7 01 00 01 5.4 00.0 00

1 Kelhurwa 532 26 5 0 05 09.4 00.0 00

2 Panduka 254 12 2 0 02 07.9 00.0 00

3 Jariyang 628 31 3 0 03 04.8 00.0 00

4 Temki 854 25 6 1 07 08.2 14.3 00

5 TENKI Arragundi 648 32 4 1 05 07.7 20.0 00

6 Semaria 472 23 4 1 05 10.6 20.0 00

7 Pakrar 765 39 3 1 04 05.2 25.0 00

8 Thekhi 331 17 2 0 02 06.0 00.0 00

1 Obear 270 5 01 00 01 03.7 00.0 00

2 Bishrampur 116 3 01 00 01 08.6 00.0 00

3 Patratu 865 18 04 01 05 05.8 20.0 00

4 Nagai 288 6 02 00 02 06.9 00.0 00

5 Sasang 1177 143 19 02 21 17.8 09.5 00

6 Korhans 734 15 03 01 04 05.4 25.0 00

7 Rehal 658 14 02 00 02 03.0 00.0 00

8 Heath Besra 407 9 02 00 02 04.9 00.0 00

9 Upper Besra 294 6 03 00 03 10.2 00.0 00

10 PATRATU Tarwa tar 313 7 02 00 02 06.4 00.0 00

11 Kothari 168 7 01 00 01 06.0 00.0 00

12 Asnahi khar 383 4 01 00 01 02.6 00.0 00

13 Mukka 410 8 03 00 03 07.3 00.0 00

14 Khari toli 369 9 02 00 02 05.4 00.0 00

15 Nawadih 379 8 01 00 01 02.6 00.0 00

16 Pandeyapura 1103 23 02 01 03 02.7 33.3 00

17 Manikapura 496 10 01 00 01 02.0 00.0 00 1 Kaima 692 137 28 02 30 43.4 06.7 00

2 Tubead 626 137 20 01 21 33.5 04.8 00

3 Sohadag 455 17 03 01 04 08.8 25.0 00

4 Hesalbar 149 39 04 01 05 33.6 20.0 00

5 Banudag 351 13 03 00 03 08.5 00.0 00

6 KAIMA Jerjer 112 9 02 00 02 17.9 00.0 00

7 Karmahi 76 17 02 01 03 39.5 33.3 00

Bichhya 147 12 02 00 02 13.6 00.0 00 tongari

8 Pathal grha 108 51 04 01 05 34.0 20.0 00

1 Durua 3498 349 73 07 80 22.9 08.8 00

2 Chatnahi 530 58 06 03 09 17.0 33.3 00

3 Gijaniya tar 328 37 04 02 06 18.3 33.3 00

4 Mako 437 43 05 02 07 16.0 28.6 00

5 Rajhar 734 73 08 02 10 13.6 20.0 00

6 Dhrampur 766 76 08 02 10 13.1 20.0 00

7 Latehar 10058 5523 1195 91 1286 127.9 07.1 00

8 Chandandih 1984 119 36 04 40 20.2 10.0 00

9 Amwatikar 1349 134 31 03 34 25.2 08.8 00

10 Banpur 932 93 11 04 15 16.1 26.7 00

11 Karkat 1336 133 23 06 29 21.7 20.7 00 LATEHAR LATEHAR 12 Kusmatar 581 59 07 05 12 20.7 41.7 00

13 Behra tar 281 29 04 02 06 21.4 33.3 00

14 Dugila 438 45 05 01 06 13.7 16.7 00

15 Ichak 666 68 08 03 11 16.5 27.3 00

16 Nawa toli 798 79 09 02 11 13.8 18.2 00

17 Karmachua 342 38 05 01 06 17.5 16.7 00

18 Kura 768 78 09 03 12 15.6 25.0 00

19 Kinamar 300 38 05 01 06 20.0 16.7 00

20 Heth Loto 419 48 06 01 07 16.7 14.3 00

21 Nawadih 183 19 03 01 04 21.9 25.0 00 22 Rehar 108 18 02 01 03 27.8 33.3 00

1 Hotwag 901 162 28 03 31 34.4 09.7 00

Dudangi 2 668 120 19 02 21 31.4 09.5 00 khurd

3 Dudangi kala 740 133 22 01 23 31.1 04.3 00 HOTWAG 4 Parsahi kala 976 157 16 02 18 18.4 11.1 00

5 Parsahi khurd 159 28 05 01 06 37.7 16.7 00

1 Pochra 1163 112 19 03 22 18.9 13.6 00

2 Dhobi toal 132 5 01 00 01 07.6 00.0 00

3 Dipatoli 308 12 01 00 01 03.2 00.0 00

4 Chamari toli 239 9 02 00 02 08.4 00.0 00

5 Kudra 382 15 03 00 03 07.9 00.0 00

6 Lawarpur 320 13 02 00 02 06.3 00.0 00

7 Odan 352 14 02 00 02 05.7 00.0 00

8 Hutap 580 22 03 01 04 06.9 25.0 00

9 Mangar 728 28 03 01 04 05.5 25.0 00

10 Marabar 200 8 01 00 01 05.0 00.0 00 POCHRA 11 Jaram 267 11 01 00 01 03.7 00.0 00

12 Sukari 800 31 03 01 04 05.0 25.0 00

13 Baridih 198 8 01 00 01 05.1 00.0 00

14 Tlbul 516 20 02 00 02 03.9 00.0 00

15 Matnag 215 9 01 00 01 04.7 00.0 00

16 Patki 248 10 01 00 01 04.0 00.0 00

17 Sotam 592 23 01 00 01 01.7 00.0 00

18 Lalgri 617 24 01 01 02 03.2 50.0 00

19 Jori-sakhua 162 7 01 00 01 06.2 00.0 00

1 Semaria tar 313 9 01 00 01 03.2 00.0 00

2 Tupu khurd 582 17 02 00 02 03.4 00.0 00

3 Tupu kala 318 9 01 00 01 03.1 00.0 00 Bendi 4 Hesla 533 15 01 00 01 01.9 00.0 00

5 Jer 355 11 01 00 01 02.8 00.0 00 6 Chhatri tar 108 4 01 00 01 09.3 00.0 00

7 Tilaya tar 119 4 01 00 01 08.4 00.0 00

8 Pothila 59 2 01 00 01 16.9 00.0 00

9 Kodag 68 2 00 00 00 00.0 00.0 00

10 Bendi 806 73 17 02 19 23.6 10.5 00

11 Churia 203 7 02 00 02 09.9 00.0 00

12 Bachra 273 9 02 00 02 07.3 00.0 00

13 Odna 782 24 03 01 04 05.1 25.0 00

14 Ledhpa 733 22 04 00 04 05.5 00.0 00

15 Jalta 272 8 02 00 02 07.4 00.0 00

1 Nawadih 829 91 17 01 18 21.7 05.6 00

Bariyatu 2 579 71 15 02 17 29.4 11.8 00 khalsa

3 Bariyatu Jagir 443 60 14 01 15 33.9 06.7 00

4 Sisi 1006 105 18 03 21 20.9 14.3 00

5 NAWADIH Kalyanpur 345 53 14 03 17 49.3 17.6 00

6 Demu 1296 239 33 04 37 28.5 10.8 00

7 Harokhar 791 88 16 02 18 22.8 11.1 00

8 Bishunpur 815 90 17 02 19 23.3 10.5 00

1 Lawarpur 589 70 13 01 14 23.8 07.1 00

2 Gire 423 10 01 00 01 02.4 00.0 00

3 Batar khurd 365 11 01 00 01 02.7 00.0 00

4 Batar kala 407 10 02 00 02 04.9 00.0 00

5 Mahuatoli 61 4 00 00 00 00.0 00.0 00

6 Amwatikar 66 5 01 00 01 15.2 00.0 00

7 Hosir 546 19 01 00 01 01.8 00.0 00 LAWARPUR 8 Patratu 435 14 01 00 01 02.3 00.0 00

9 Richughuta 510 15 02 00 02 03.9 00.0 00

10 Rehaya 174 6 01 00 01 05.7 00.0 00

11 Peshrar 579 26 03 01 04 06.9 25.0 00

12 Sakhwar 543 23 03 00 03 05.5 00.0 00 13 Phulwari tar 267 13 03 00 03 11.2 00.0 00

1 Nindir 1491 162 19 06 25 16.8 24.0 00

2 Turidih 213 44 09 02 11 51.6 18.2 00

3 Ulghra 430 90 13 02 15 34.9 13.3 00

4 Kulghra 580 121 14 03 17 29.3 17.6 00 NINDIR 5 Kumar 289 28 03 01 04 13.8 00.0 00

6 Rehaldag 466 97 11 04 15 32.2 26.7 00

7 Kodag 236 49 04 02 06 25.4 33.3 00

1 Nawagrah 3603 208 39 04 43 11.9 09.3 00

2 Ichabar 170 10 03 01 04 23.5 25.0 00

3 Gularia tar 235 14 04 01 05 21.3 20.0 00

4 Nawadih 243 14 02 02 04 16.5 50.0 00

5 Kundpani 186 11 02 01 03 16.1 00.0 00

6 Narayanpur 219 13 03 01 04 18.3 25.0 00

7 Tahakurpara 349 20 04 02 06 17.2 33.3 00 NAWAGRAH 8 M.Chotag 1029 68 08 03 11 10.7 27.3 00

9 Dhankara 2385 190 28 03 31 13.0 09.7 00

10 Hesla 402 22 03 01 04 10.0 25.0 00

11 Bajkum 1004 81 05 02 07 07.0 28.6 00

12 P.Chotag 484 27 02 02 04 08.3 50.0 00

1 Khari khas 282 25 01 01 03.5 00.0 00

2 Khari jagir 314 28 02 01 03 09.6 33.3 00

3 Mankeri Khas 323 29 02 01 03 09.3 33.3 00

4 Mankeri jagir 197 17 01 00 01 05.1 00.0 00

5 Hartua 245 22 01 00 01 04.1 00.0 00

6 Barini 147 13 01 00 01 06.8 00.0 00 TARWADIH 7 Gurgu 665 59 03 02 05 07.5 40.0 00

8 Lundi 432 39 02 01 03 06.9 33.3 00

9 Bokakhar 175 15 02 00 02 11.4 00.0 00

10 Oreya 467 42 04 01 05 10.7 20.0 00 11 Behra tar 251 22 02 00 02 08.0 00.0 00

12 Murgi dih 301 27 03 00 03 10.0 00.0 00

13 Saliya 221 19 02 00 02 09.0 00.0 00

14 Kundpani 173 15 02 00 02 11.6 00.0 00

15 Bahismara 129 11 02 00 02 15.5 00.0 00

16 Nareshgarh 631 56 02 02 04 06.3 50.0 00

17 Kone 229 20 02 00 02 08.7 00.0 00

18 Khutgari 227 19 03 00 03 13.2 00.0 00

19 Bingara 282 25 03 01 04 14.2 25.0 00

20 Banbirwa 257 22 03 00 03 11.7 00.0 00

21 Dubiyahi 157 14 02 00 02 12.7 00.0 00

22 Orwai 381 34 02 01 03 07.9 33.3 00

23 Tarwadih 1256 257 51 04 55 43.8 07.3 00

PHC - CHANDWA

Positive Name of Sl.No. HSC Village Population BSE Pv Pf Total API Pf % Death

1 Kramu 328 125 09 44 53 134 87 01

2 Serak 2425 197 30 12 42 17.7 26.7 00

3 Kita 778 58 16 02 18 0.6 5.7 00

4 Nindra 471 27 08 01 09 17.1 11.1 00

5 Kita Katna 418 25 06 01 07 16.7 14.6 00

6 Darabandha 190 26 04 00 04 21.0 00 00

7 Arudh 241 10 06 00 06 24.8 00 00

8 Torahami 307 17 04 00 04 13 41.9 00

1 Ladhup 1567 77 15 02 17 10.8 11.7 00

2 Senha 495 36 07 02 09 15.5 22.2 00 Senha 3 Pirdag 291 16 03 00 03 16.3 0 00 4 Barghara 108 9 02 00 02 18.5 0 00

5 Jilianga 236 13 03 00 03 12.7 0 00

6 Luter 238 14 03 00 03 12.6 0 00

7 Nawatar 305 17 04 00 04 13.1 0 00

8 Belwa tar 148 8 02 00 02 13.5 0 00

9 Dahabandh 297 16 03 00 03 10.1 0 00

1 Dudhmatia 345 26 06 00 06 17.8 00 00

2 Kanjurwa 436 31 06 01 07 17.7 14 00

3 Hesla 573 99 24 05 29 56.6 17.2 00

4 Hesalong 158 19 04 00 04 27.7 00 00

5 Hesla Monta 137 18 04 01 05 36.8 20 00

6 Mahto Tola 128 17 04 00 04 31.2 00 00

7 Kari 110 16 03 00 03 21.6 00 00

8 Aara 456 31 06 02 08 17.7 25 00

1 Belanga 220 19 06 01 07 31.8 14.2 00

2 Jamuari 453 31 06 01 07 15.4 14.2 00

3 Roham 554 91 26 03 29 52.3 10.3 00

4 Banjhi tola 110 14 03 00 03 27.2 00 00

5 Betar 429 48 08 01 09 20.9 11.1 00 Belanga 6 Jamuara 246 20 05 00 05 20.3 00 00

7 Darabana 143 15 04 00 04 27.9 00 00

8 Marza 275 21 05 01 06 21.8 16.6 00

1 Kuramu 780 205 44 02 46 59.0 04.3 00

2 Pathalkudwa 123 20 4 00 04 374.0 50.0 00

3 Chikania tar 1814 479 103 03 106 25.4 01.9 00

4 Chandwa 3926 2306 931 149 1080 11.7 00.2 00

5 Kamta 331 95 17 00 17 139.0 11.8 00

6 CHANDWA Parhiya tola 434 113 23 00 23 106.0 08.7 00

7 Sarlahi 436 115 24 00 24 105.5 08.3 00

8 Karmahi 277 75 15 00 15 166.1 13.3 00 9 Gugri 564 168 15 00 15 81.6 13.3 00

10 Belwahi 414 100 22 00 22 111.1 09.1 00

11 Pathra toli 381 102 20 00 20 120.7 10.0 00

12 Nanfulang 428 110 25 00 25 107.5 08.0 00

13 Kaila khar 209 40 5 00 05 220.1 40.0 00

14 Parhiya tola 335 96 20 00 20 137.3 10.0 00

15 Aurahi 308 83 18 00 18 149.4 11.1 00

16 Aluadia 396 75 14 00 14 116.2 14.3 00

17 Hariya 1446 502 100 02 102 31.8 02.0 00

18 Dewahi 1638 498 102 03 105 28.1 01.9 00

19 Nimaj tola 403 91 18 00 18 114.1 11.1 00

20 Gardg 264 68 12 00 12 174.2 16.7 00

21 Jamkona 474 125 24 02 26 97.0 07.7 00

22 Pathra toli 340 89 21 01 22 135.3 09.1 00

23 Hisri 602 152 30 01 31 76.4 06.5 00

24 Tiliya tar 706 182 41 00 41 65.2 04.9 00

25 Bhusur 2017 545 104 02 106 22.8 01.9 00

26 Bhandar ghar 546 140 32 00 32 84.2 06.3 00

27 Dem toli 447 113 25 01 26 102.9 07.7 00

Kanchan 28 541 140 31 01 32 85.0 06.3 00 nagri

29 Parsahi 619 160 45 03 48 74.3 04.2 00

Badur 30 276 73 21 01 22 166.7 09.1 00 bagicha

31 Kusum toli 1036 168 45 04 49 44.4 04.1 00

32 Dobhi toli 739 201 51 05 56 62.2 03.6 00

33 Bichli toli 407 101 15 03 18 113.0 11.1 00

1 Dalima chua 250 10 5 01 06 24.0 16.7 00

2 Gorsi dag 635 26 4 01 05 07.9 20.0 00

3 Sayani 55 2 0 00 00 00.0 00.0 00 HUTAP 4 Boda 449 18 4 1 05 11.1 20.0 00 5 fulnar 149 7 0 00 00 00.0 00.0 00

6 Kuku pathar 24 0 0 00 00 00.0 00.0 00

7 Badri tar 59 0 0 00 00 00.0 00.0 00

8 Panchuri 88 0 0 00 00 00.0 00.0 00

9 Suraj kund 137 7 0 00 00 00.0 00.0 00

10 Nukia 584 40 6 02 08 13.7 25.0 00

11 Jamun garha 176 9 2 00 02 11.4 00.0 00

12 Alagdiha 339 15 3 01 04 11.8 25.0 00

13 Ambatoli 192 9 0 00 00 00.0 00.0 00

14 Amjharia 225 11 2 00 02 08.9 00.0 00

15 Bear jhanga 139 7 2 00 02 14.4 00.0 00

16 Bans diha 346 15 4 00 04 11.6 00.0 00

17 Narbodha 215 9 2 00 02 09.3 00.0 00

18 Newari 154 6 2 00 02 13.0 00.0 00

19 Torar 260 11 2 00 02 07.7 00.0 00

20 Tawa pani 178 13 4 01 05 28.1 20.0 00

21 Hutap 762 32 5 03 08 10.5 37.5 00

22 Marjha 144 6 2 00 02 13.9 00.0 00

23 Akk mahua 246 11 2 00 02 08.1 00.0 00

24 Haska 158 7 2 00 02 12.7 00.0 00

1 Rud 404 52 21 01 22 54.5 04.5 00

2 Gujari 161 15 03 00 03 18.6 00.0 00

3 Amba khokha 163 16 03 00 03 18.4 00.0 00

4 Latdag 312 30 07 00 07 22.4 00.0 00

5 Chetar 341 33 07 00 07 20.5 00.0 00

6 Pipra pani 380 37 09 01 10 26.3 10.0 00 LATDAG

7 Saran dag 187 18 03 00 03 16.0 00.0 00

8 Uug mari 95 9 02 00 02 21.1 00.0 00

9 Chhagmara 103 10 02 00 02 19.4 00.0 00

10 Mahli tola 196 19 03 00 03 15.3 00.0 00 11 Sukhala garha 163 16 03 00 03 18.4 00.0 00

12 Majhli Faha 138 12 00 00 00 00.0 00.0 00

13 Buchi dari 156 15 03 00 03 19.2 00.0 00

14 Newari 261 26 05 00 05 19.2 00.0 00

1 M-Milan 1049 34 09 00 09 08.6 00.0 00 Milan

2 - Dev nadia 683 29 04 00 04 05.9 00.0 00

3 Roll 540 21 03 00 03 05.6 00.0 00

4 Mahua Jamharia 2208 66 17 01 18 08.2 05.6 00

1 Barmua 325 18 04 00 04 12.3 00.0 00

2 Jhagrha 297 16 04 00 04 13.5 00.0 00

3 Shiv tola 340 19 04 00 04 11.8 00.0 00

4 Jularia tar 267 14 02 00 02 07.5 00.0 00

5 Loharsi 1128 65 11 01 12 10.6 08.3 00

6 Loharsi Sahalatwa 232 13 02 00 02 08.6 00.0 00

7 Terar tar 294 16 02 00 02 06.8 00.0 00

8 Jivari tar 232 13 02 00 02 08.6 00.0 00

9 Haka turia 568 37 06 01 07 12.3 14.3 00

10 Bhrora garha 312 17 03 00 03 09.6 00.0 00

1 Malhan 1396 65 14 01 15 10.7 06.7 00

2 Malhan Aluadia 2094 98 20 01 21 10.0 04.8 00

1 Aan 2361 90 17 02 19 08.0 10.5 00

2 Kuram dih 209 8 01 00 01 04.8 00.0 00

3 Gihaghri 292 8 01 00 01 03.4 00.0 00

4 Bari tola 258 8 00 00 00 00.0 00.0 00

5 Sos 1039 33 09 00 09 08.7 00.0 00

6 AAN Belwahi 223 9 01 00 01 04.5 00.0 00

7 Bulhu 345 13 03 00 03 08.7 00.0 00

8 Kita 378 12 02 00 02 05.3 00.0 00

9 Kolari 181 8 01 00 01 05.5 00.0 00

10 Panna tar 50 2 00 00 00 00.0 00.0 00 11 Nawatoli 336 12 04 00 04 11.9 00.0 00

12 Kusum toli 316 14 02 00 02 06.3 00.0 00

13 Sikkni 1038 37 12 01 13 12.5 07.7 00

14 Chhabila 121 4 01 00 01 08.3 00.0 00

15 Buain tola 183 6 02 00 02 10.9 00.0 00

16 Sasang 1245 54 14 02 16 12.9 12.5 00

17 Barhmani 1950 69 16 00 16 12.9 00.0 00

1 Partapi tar 537 31 05 00 05 09.3 00.0 00

2 Goniari 232 13 02 00 02 08.6 00.0 00

3 Dumaro 1258 82 26 02 28 22.3 07.1 00

4 Heth toli 485 28 05 00 05 10.3 00.0 00

5 Dari 335 19 03 00 03 09.0 00.0 00

6 Kali Lohsna 259 15 02 00 02 07.7 00.0 00

7 Belgarha 498 31 03 00 03 06.0 00.0 00

8 Kali 576 33 03 01 04 06.9 25.0 00

9 Kurmi toli 347 19 02 00 02 05.8 00.0 00

10 Torhi 428 24 03 00 03 07.0 00.0 00

11 Nindra 385 21 03 00 03 07.8 00.0 00

1 Renchi 968 53 12 01 13 13.4 07.7 00

Banhardi 1220 69 16 02 18 14.8 11.1 00

Renchi Derya 739 39 08 01 09 12.2 11.1 00

2 Surli 653 34 06 00 06 09.2 00.0 00

1 Rokhat 1464 293 11 1 12 8.197 8.33 0

2 Tonta 301 60 0 0 0 0 0.00 0

3 Rampur 1358 272 6 0 6 4.418 0.00 0

4 Bari 720 144 3 0 3 4.167 0.00 0 Bari 5 Barwadih 359 72 0 0 0 0 0.00 0

6 Aete 668 134 3 0 3 4.491 0.00 0

7 Nimiya tar 300 60 0 0 0 0 0.00 0

8 Chamrahi 282 56 0 0 0 0 0.00 0 9 Joko tola 220 44 0 0 0 0 0.00 0

10 Tatar tar 229 46 0 0 0 0 0.00 0

11 Newari 402 80 1 0 1 2.488 0.00 0

Chhata 12 semar 320 64 1 0 1 3.125 0.00 0

13 Damchor 265 53 0 0 0 0 0.00 0

14 Jamuna tola 245 49 0 0 0 0 0.00 0

15 Sayani 302 60 0 0 0 0 0.00 0

16 Hardi 249 50 0 0 0 0 0.00 0

17 Belwa tar 245 49 0 0 0 0 0.00 0

18 Kusum tar 280 56 0 0 0 0 0.00 0

19 Betar 281 56 0 0 0 0 0.00 0

1 Rud 600 120 10 5 15 25.00 33.33 0

2 Hargarwa 614 123 9 1 10 16.29 10.00 0

3 Pahan tola 240 48 3 3 12.50 0.00 0

4 Goli 578 116 6 1 7 12.11 14.29 0

5 Chindri 68 14 0 0 0.00 0.00 0

6 RUD Mahua toli 134 27 0 0 0.00 0.00 0

Nawatola+ 3 3 11.11 0.00 0

7 Balu tar 270 54 0 0 0.00 0.00 0

8 Barwa toli 583 117 6 1 7 12.01 14.29 0

9 Rata 73 15 1 1 13.70 0.00 0

10 Chilmari 370 74 9 1 10 27.03 10.00 0

1 Chakla 1969 68 16 0 16 8.13 0.00 0

2 Pirgacha 288 7 1 0 1 3.47 0.00 0

3 Bandua tar 1551 36 7 0 7 4.51 0.00 0

4 CHAKLA Irendia 516 16 3 0 3 5.81 0.00 0

5 Nawatoli 368 12 2 0 2 5.43 0.00 0

6 Penduwa 122 4 0 0 0 0.00 0.00 0

7 Noria graha 132 4 0 0 0 0.00 0.00 0 8 Barisot 247 8 0 0 0 0.00 0.00 0

9 Karmahi 278 9 0 0 0 0.00 0.00 0

10 Marmar 204 6 0 0 0 0.00 0.00 0

11 Khirkhir tola 205 6 0 0 0 0.00 0.00 0

1 Damodar 332 5 0 0 0 0.00 0.00 0

2 Jobhiya 569 8 1 0 1 0.18 0.00 0

3 Chor jhariya 268 4 0 0 0 0.00 0.00 0

4 Mayabagi 258 4 0 0 0 0.00 0.00 0

5 Sadbal kolhan 287 4 0 0 0 0.00 0.00 0

6 Angra 225 3 0 0 0 0.00 0.00 0

7 Ambadohar 555 8 1 0 1 0.18 0.00 0

8 Nagar Chitro 513 8 1 0 1 0.19 0.00 0

9 Kusumtoli 231 3 0 0 0 0.00 0.00 0

10 Karmahi 241 4 1 0 1 0.41 0.00 0

11 Arsbandh 332 5 1 0 1 0.30 0.00 0

12 Sanbodhwa 234 5 1 0 1 0.43 0.00 0

13 Jhuka 279 4 0 0 0 0.00 0.00 0

14 Tilydamar 289 6 1 0 1 0.35 0.00 0

15 Nagar 1032 20 9 0 9 0.87 0.00 0

PHC - GARU

Positive Sl. HSC Name of Village Population BSE API Pf % Death No. Pv Pf Total

1 Kabri 375 22 01 00 01 02.7 00.0 00

2 Sema tar 397 23 02 01 03 07.6 33.3 00

3 Kotam 747 37 03 01 04 05.4 25.0 00

4 Bari bandh 666 31 03 01 04 06.0 25.0 00 KABRI 5 Hendehas 195 19 02 00 02 10.3 00.0 00

6 Baiga toli 198 20 01 02 03 15.2 66.7 00

7 Mahuadohar 295 21 01 01 02 06.8 50.0 00 8 Ghutua 300 23 02 01 03 10.0 33.3 00

9 Doma khar 153 11 01 01 02 13.1 50.0 00

10 Salwe 492 26 03 01 04 08.1 25.0 00

11 Hardag 315 21 02 02 04 12.7 50.0 00

12 Naya Dabri 313 18 02 00 02 06.4 00.0 00

13 Purani Dabri 257 21 02 00 02 07.8 00.0 00

14 Gopkhar 91 7 00 01 01 11.0 100.0 00

15 Rud 575 27 02 01 03 05.2 33.3 00

16 Bijaypur 428 25 02 01 03 07.0 33.3 00

17 Pandra 650 37 03 01 04 06.2 25.0 00

18 Hurhurkarcha 254 22 01 01 02 07.9 50.0 00

19 Darichhapar 336 19 01 02 03 08.9 66.7 00

1 Goindi 788 102 09 04 13 16.5 30.8 00

2 Daldalia 210 34 03 02 05 23.8 40.0 00

3 Sukari dohar 156 43 02 00 02 12.8 00.0 00

4 Klasha 57 14 01 00 01 17.5 00.0 00

5 Lohar ghra 569 54 05 02 07 12.3 28.6 00 GOINDI

6 Bhera tar 298 37 03 02 05 16.8 40.0 00

7 Karwai 832 88 13 02 15 18.0 13.3 00

8 Hopwa dih 318 35 03 02 05 15.7 40.0 00

1 Bandua 2518 233 17 06 23 09.1 26.1 00

2 Lai 658 124 08 02 10 15.2 20.0 00

3 Chorha 562 141 14 07 21 37.4 33.3 00 BANDUA 4 Siram 182 52 04 02 06 33.0 33.3 00

1 Sarju 928 152 16 05 21 22.6 23.8 00

2 Patratu 514 80 08 02 10 19.5 20.0 00

3 Roll 509 70 06 02 08 15.7 25.0 00

4 Sonwar 323 45 04 02 06 18.6 33.3 00 SARJU

5 Ghashi tola 617 107 11 03 14 22.7 21.4 00

6 Chanchu 165 37 05 02 07 42.4 28.6 00 7 Paila pathal 74 21 03 01 04 54.1 25.0 00

8 Gotag 253 47 06 03 09 35.6 33.3 00

9 Hurpa 208 52 06 01 07 33.7 14.3 00

10 Gonbaghra 44 18 02 01 03 68.2 33.3 00

1 Henar 383 75 08 02 10 26.1 20.0 00

2 Piri 385 73 05 01 06 15.6 16.7 00

3 Makanpur 325 67 06 01 07 21.5 14.3 00

4 Chipru 224 48 05 00 05 22.3 00.0 00

5 Kari tola 68 37 03 02 05 73.5 40.0 00 LAT

6 Dabri 445 120 02 02 04 09.0 50.0 00

7 Doram 130 39 07 01 08 61.5 12.5 00

8 Sakhua 161 41 05 00 05 31.1 00.0 00

9 Korwa toli 85 23 03 02 05 58.8 40.0 00

1 Garu 1732 1151 51 29 80 46.2 36.3 00

2 Dhangar tola 742 459 21 15 36 48.5 41.7 00

3 Luhur tar 228 131 22 08 30 131.6 26.7 00

4 Hesag 236 107 08 08 16 67.8 50.0 00

5 Armu 123 51 07 04 11 89.4 36.4 00

6 Purni Armu 206 95 21 13 34 165.0 38.2 00

7 Samodh tola 271 135 39 23 62 228.8 37.1 00

8 Mirchiya 124 63 15 08 23 185.5 34.8 00

9 GARU Moina tar 128 55 13 05 18 140.6 27.8 00

10 Besna 107 42 10 13 23 215.0 56.5 00

11 Surkumi 297 74 23 12 35 117.8 34.3 00

12 Chiru dih 365 201 47 22 69 189.0 31.9 00

13 Hardag 80 41 11 07 18 225.0 38.9 00

14 Heswa 327 190 32 21 53 162.1 39.6 00

15 Kui 419 201 33 19 52 124.1 36.5 00

16 Jam jharia 158 98 25 20 45 284.8 44.4 00

RE

SA BA 1 BareharhRH 223 180 16 06 22 98.7 27.3 00 2 Lalmatia 136 89 09 04 13 95.6 30.8 00

3 Kujrum 90 40 05 02 07 77.8 28.6 00

4 Latu 113 48 06 03 09 79.6 33.3 00

5 Dorgrhawa 84 52 06 01 07 83.3 14.3 00

6 Hudugrha 49 25 04 01 05 102.0 20.0 00

7 Mangra 45 26 03 00 03 66.7 00.0 00

8 Dumari 110 48 06 02 08 72.7 25.0 00

9 Tillai tar 50 24 05 02 07 140.0 28.6 00

10 Hatdih 55 30 02 01 03 54.5 33.3 00

11 Ten tar 30 16 02 01 03 100.0 33.3 00

12 maromar 75 40 02 01 03 40.0 33.3 00

13 Henar 134 70 06 02 08 59.7 25.0 00

14 Parwa tar 36 20 02 01 03 83.3 33.3 00

1 Mayapur khurd 185 118 15 14 29 156.8 48.3 00

2 Mayapur kala 355 250 20 19 39 109.9 48.7 00

3 Ramshali 180 170 17 15 32 177.8 46.9 00

4 Darkocha 160 140 07 08 15 93.8 53.3 00 MAYAPUR 5 Pahar kocha 195 175 06 04 10 51.3 40.0 00

6 Nawa toli 114 90 04 05 09 78.9 55.6 00

PHC - MAHUADNAR

Positive Sl. HSC Name of Village Population BSE API Pf % Death No. Pv Pf Total

1 Khapar talla 1488 150 14 8 22 14.7 36.3

2 Harinagrha 401 55 05 02 07 17.4 28.5 00

3 Bardwani kala 700 90 05 01 06 8.5 16.6 00

4 Bardwani khurd 664 52 07 02 09 13.5 22.2 00 Bardwani

5 Lurgumi khurd 1256 130 07 04 11 8.7 26 00

6 Lurgumi kala 996 79 03 05 08 8 62.5 00

cha Ban

1 skar Banskarcha 898 122 3 2 05 5.5 40 2 Lekhepur 218 21 04 01 05 22.9 20 00

3 Hartua 388 28 03 00 03 7.7 0 00

4 Manwnadih 199 32 04 02 06 30.1 33.3 00

5 Kuti deari 374 29 03 02 05 13.3 40 00

6 Sale 475 55 04 04 08 16.8 50 00

1 Darkapu 711 112 28 16 44 61.8 36.3

2 Parhkapu 703 152 16 08 24 24.1 33.3 00

3 Kewarki 712 189 41 22 63 88.4 35 00

4 Barahi Karkat 678 107 32 28 60 88.4 46.6 00

5 Garhburhni 872 165 37 32 69 79.1 46.3 00

6 Barahi 1765 268 48 46 94 53.2 48.9 00

1 Ardhe 597 88 6 3 09 15 33.3

2 Kurgi 215 42 04 06 10 46.5 60 00

3 Duana 1054 189 09 12 21 19.9 57.1 00 Danadrup

4 Drup 673 102 07 09 16 23.7 56.2 00

1 Semarburhni 1048 89 8 4 12 11.4 33.3

2 Potmadih 745 58 02 03 05 6.7 16 00

3 Bahera toli 783 61 01 02 03 3.8 66 00

4 Semarburhni Ahirpura 806 32 02 00 02 2.4 0 00

5 Rajdanda 1140 21 04 01 05 4.3 20 00

1 Acsi 1423 222 12 14 26 18.2 53.8

2 Mederua 275 48 05 07 12 43.6 58.3 00

3 Acsi Sarnadih 743 102 06 03 09 12.1 16.6 00

4 Tamoli 697 76 07 11 18 25.8 61.1 00

1 Chetma 772 158 5 9 14 18.1 64.2 00

2 Jata 226 75 04 06 10 44.2 60 00

3 Bandua 272 52 05 07 12 44.1 58.3 00

4 Chetma Tisia 635 148 06 08 14 22 57.1 00

5 Jamdih 952 160 13 24 37 38.8 64.8 00

ur

Ch kp

1 ata Chatakpur 2085 222 04 02 06 2.8 33.3 00 2 Jaipur 388 151 03 01 04 10.3 25 00

3 Mirgi 925 96 01 00 01 1 0 00

4 Tewahi 438 91 02 00 02 4.5 0 00

5 Lodh 919 33 01 00 01 1 0 00

6 Pokahardih 299 12 01 01 02 6.6 50 00

7 Parewa 474 13 02 02 04 8.4 50 00

8 Korkat pat 143 9 02 03 05 34.9 60 00

9 Urambi 629 49 03 02 05 7.9 40 00

1 Hami 1435 58 5 1 06 4.1 16.6 00

2 Asnari 1104 32 03 01 04 3.6 25 00

3 Hami Merdhari 532 22 02 00 02 3.7 0 00

4 Gothganw 1495 67 07 02 09 6 22.2 00

1 Oersapat 914 282 12 16 28 30.6 57.1 00

2 Ambakona 819 82 7 1 08 9.7 12.5 00

3 Cabrapat 448 31 6 2 08 17.8 25 00

4 Chikrokona 240 18 8 1 09 37.5 11.1 00 Orsapat 5 Srukai 881 132 09 02 11 12.4 18.1 00

6 Kukudpat 790 56 12 03 15 18.9 20 00

7 Chiropat 633 124 30 07 37 58.4 18.9 00

1 Chinpur 1432 99 18 1 19 13.2 5.2 00

2 Suggi 832 22 3 0 03 3.6 0.0 00

3 Jangsi 122 15 2 0 02 16.3 0.0 00

4 Regai 728 72 3 1 04 5.4 25.0 00

5 Parhi kenatoli 132 9 1 0 01 7.5 0.0 00

6 Nawatoli 148 13 0 0 00 0 0.0 00

7 Parhikenatoli Ganj toli 132 18 5 1 06 45.4 16.6 00

8 Gowal khar 152 48 04 00 04 26.3 0.0 00

9 Khtho 182 12 01 00 01 5.4 0.0 00

10 Jori 436 47 05 01 06 13.7 16.6 00

Cha

1 mpa Kurund 1002 82 10 3 13 12.9 23.0 00 2 Soharpath 1122 68 5 2 07 6.2 28.5 00

3 Mail 558 59 2 3 05 8.9 60.0 00

4 Champa 885 72 5 4 09 16.1 44.4 00

1 Parhatoli 1203 58 6 2 08 6.6 25.0 00

2 Beltoli 458 62 3 1 04 8.7 25.0 00

3 Dumerdih 432 42 5 2 07 16.2 28.5 00

4 Chutia 558 32 2 1 03 5.3 33.3 00

5 Parhatoli Belwar 452 29 3 2 05 11 40.0 00

6 Nagarpratappur 402 32 4 3 07 17.4 42.8 00

7 Sahpur 883 124 6 6 12 14.4 50.0 00

1 Batuatoli 325 36 3 2 05 24.6 62.2 00

2 Naina 175 27 2 1 03 22.8 50.0 00

3 Sirsi 160 58 3 2 05 31.2 40.0 00

4 Pasaripath 790 68 4 1 05 7.5 33.3 00 Neterhat 5 Bartoli 528 28 2 2 04 5.6 33.3 00

6 Jamtoli 202 9 1 3 04 4.9 0.0 00

7 Brijitoli 956 74 7 6 13 10.4 30.0 00

1 Chormunda 1151 158 9 11 20 17.3 55.6 00

2 Arrahans 428 122 8 5 13 30.3 38.4 00

3 Baserakona 32 9 2 3 05 15.6 60.0 00

4 Pakripat 232 138 12 11 23 99.1 47.8 00

5 Hormunda 568 72 3 4 07 12.3 57.1 00

6 Horchenge 292 98 6 5 11 37.6 45.4 00

7 Husumbu 252 72 4 5 09 35.7 44.4 00 Parhatoli 8 Algu 298 84 7 6 13 43.6 46.1 00

9 Pahantoli 232 78 2 3 05 21.5 60.0 00

10 Kerakhar 283 103 6 7 13 45.9 53.8 00

11 Dorahikona 148 92 3 4 07 47.2 57.1 00

12 Harkhutoli 298 101 4 6 10 33.5 60.0 00

13 Ardhe 241 146 5 7 12 49.7 58.3 00 1 Amwatoli 3898 432 107 32 139 35.6 23.0 00

2 Bartoli 7901 32 12 5 17 21.5 29.4 00

3 Dhawiatoli 718 72 18 3 21 29.2 14.2 00

4 Sidra 318 70 24 16 40 125.7 40.0 00

5 Meram 118 18 3 1 04 33.8 25.0 00

6 Gansa 332 26 10 4 14 42.1 28.5 00

7 Borakona 418 35 12 6 18 43 33.3 00

8 Jarhatoli 336 40 32 11 43 127.9 25.5 00

9 Puterngi 532 72 30 13 43 80.8 30.2 00

10 Shantipur 178 18 5 2 07 39.3 28.5 00

11 Tarhirmahuatoli 812 322 122 15 137 168.7 10.9 00

12 Mahuadanr 2697 6800 1444 364 1808 670.3 20.1 00

13 Rampur 932 112 52 16 68 72.9 23.5 00

14 Deepatoli 812 111 33 9 42 51.7 21.4 00

15 Kalakuru 612 232 32 11 43 70.2 25.5 00

16 Bishrampur 578 152 16 7 23 39.7 30.4 00

17 Khurdkuro 422 168 17 4 21 49.7 19.0 00

PHC - Balumath

Sl. Positive Name of Deat No HSC Population BSE API Pf % Village h . Pv Pf Total

1 Balumath 2790 680 25 13 38 13.6 34.2 00

2 Mongiadih 403 78 07 00 07 17.3 0.0 00

3 Soparan 385 96 09 01 10 25.9 10.0 00

4 Chatuag 548 137 06 02 08 14.5 25.0 00

5 Komar 594 98 08 01 09 15.1 11.1 00 Balumath

6 Karmatr 81 21 05 00 05 61.7 0.0 00

7 Pandra 349 87 06 01 07 20.0 14.2 00

8 Pakri 648 162 07 02 09 13.8 22.2 00 9 Chetag 285 72 05 03 08 28.0 37.5 00

10 Orwantola 417 105 07 02 09 21.5 22.2 00

11 Kothtar 916 219 09 03 12 13.1 25.0 00

12 Brahtar 963 105 06 04 10 10.3 40.0 00

13 Basia 220 57 03 04 07 31.8 57.1 00

14 Pindarkom 1813 453 17 05 22 12.1 22.7 00

15 Brani 168 43 04 07 11 65.4 63.6 00

16 Pukchu 157 40 03 03 06 38.2 50.0 00

17 Nagra 12389 9083 1679 04 1683 135.8 0.2 00

1 Hempur 920 137 35 00 35 38.0 0.0 00

2 Gerenja 745 129 10 00 10 13.4 0.0 00

3 Dhadhu 1686 143 08 00 08 4.7 0.0 00

4 Semarsot 1093 155 05 00 05 4.5 0.0 00

5 Hempur Chitarpur 1716 113 06 00 06 3.4 0.0 00

6 Murgaw 594 49 03 00 03 5.0 0.0 00

7 Nawadih 271 168 09 00 09 33.2 0.0 00

8 Bhaisadon 1999 135 67 00 67 33.5 0.0 00

1 Marangloiya 2049 281 58 00 58 28.3 0.0 00

2 Hebna 693 129 12 00 12 17.3 0.0 00

3 Bara 704 59 06 00 06 8.5 0.0 00

4 Bishunpur 676 48 04 00 04 5.9 0.0 00

5 Jilinga 763 57 05 00 05 6.5 0.0 00

6 Kolparia 362 53 06 00 06 16.5 0.0 00

7 Jeepua 516 91 08 00 08 15.5 0.0 00 Marangloiya 8 Okeya 836 71 06 00 06 7.1 0.0 00

9 Murupa 3402 88 08 00 08 2.3 0.0 00

10 Mansinga 1742 176 16 00 16 9.1 0.0 00

11 Balbal 243 20 05 00 05 20.5 0.0 00

12 Matia 758 63 12 00 12 15.8 0.0 00

1 Bha Bhasia 2928 141 20 00 20 6.8 0.0 00 siya 2 Pandria 553 92 14 00 14 25.3 0.0 00

3 Shanti 727 125 18 00 18 24.7 0.0 00

4 Chandli 393 65 12 00 12 30.5 0.0 00

5 Siram 375 48 22 00 22 58.6 0.0 00

6 Kairi 1267 94 18 00 18 14.2 0.0 00

7 Sardamtar 1082 158 21 00 21 19.4 0.0 00

1 Seragara 3197 375 18 00 18 5.6 0.0 00

2 Arr 1590 30 09 00 09 5.6 0.0 00

3 Chamatu 563 26 08 00 08 14.2 0.0 00

4 Ganeshpur 1232 221 36 00 36 29.2 0.0 00

5 Belwadih 403 123 15 00 15 37.2 0.0 00

6 Baghwatar 504 16 08 00 08 15.8 0.0 00

7 Kurkurbhura 3161 30 04 00 04 1.2 0.0 00 Seregara 8 Amarwadih 1260 55 08 00 08 6.3 0.0 00

9 Chater 576 38 10 00 10 17.3 0.0 00

10 Jala 713 46 08 00 08 11.2 0.0 00

11 Punderlawa 110 40 03 00 03 27.2 0.0 00

12 Bakru 727 50 04 00 04 5.5 0.0 00

13 Jari 106 30 05 00 05 47.1 0.0 00

1 Manatu 1924 95 34 00 34 17.6 0.0 00

2 Ambakhar 348 67 07 00 07 20.1 0.0 00

3 Rahia 739 88 09 00 09 12.1 0.0 00

4 Toti 1620 116 17 00 17 10.4 0.0 00

5 Heshala 545 65 06 00 06 11.0 0.0 00

6 Semaratola 406 40 06 00 06 14.7 0.0 00 Manatu 7 Tundahatu 686 54 07 00 07 10.2 0.0 00

8 Barwadih 344 56 05 00 05 14.5 0.0 00

9 Chedra 942 55 06 00 06 6.3 0.0 00

10 Banwar 555 45 36 00 36 64.8 0.0 00

11 Pakrua 109 37 03 00 03 27.5 0.0 00 12 Banalat 289 35 13 00 13 44.9 0.0 00

1 Gonia 956 65 28 00 28 29.2 0.0 00

2 Barhet 702 46 07 00 07 9.9 0.0 00

3 Chumba 587 30 05 00 05 8.5 0.0 00

4 Birbir 397 28 04 00 04 10.0 0.0 00

5 Bargoma 754 25 04 00 04 5.3 0.0 00

6 Gonia Jabra 895 26 05 00 05 5.5 0.0 00

7 Shivla 1115 32 06 00 06 5.3 0.0 00

8 Rajguru 916 33 04 00 04 4.3 0.0 00

9 Rohna 401 26 03 00 03 7.4 0.0 00

10 Nawadih 827 20 03 00 03 3.6 0.0 00

1 Bariatu 1295 138 25 00 25 19.3 0.0 00

2 Nachna 210 25 08 00 08 38.3 0.0 00

3 Gari 1230 72 20 00 20 16.2 0.0 00

4 Ratandag 25 4 01 01 40.0 0.0 00

5 Dora 2565 85 10 00 10 3.8 0.0 00

6 Bachra 1027 78 10 00 10 9.7 0.0 00

7 Rud 440 37 08 00 08 18.1 0.0 00 Bariatu 8 Barikhap 479 40 14 00 14 29.2 0.0 00

9 Salwa 1480 166 10 00 10 6.7 0.0 00

10 GuruSalwe 340 62 13 00 13 38.2 0.0 00

11 Itke 1325 167 09 00 09 6.7 0.0 00

12 Renchi 205 66 05 00 05 24.3 0.0 00

13 Pipradih 206 91 04 00 04 19.4 0.0 00

1 Fulshu 1403 153 36 01 37 26.3 2.7 00

2 Khairatr 294 62 08 00 08 27.2 0.0 00

3 Chai 360 156 09 00 09 25.0 0.0 00

4 Fulshu Honjer 286 36 04 00 04 13.9 0.0 00

5 Matkoma 955 49 10 00 10 10.4 0.0 00

6 Kasmar 701 50 05 00 05 7.1 0.0 00 7 Salya 783 45 05 00 05 6.3 0.0 00

8 Malliam 437 65 10 00 10 22.8 0.0 00

9 Latu 984 145 05 00 05 5.0 0.0 00

10 Mukki 230 65 10 00 10 43.4 0.0 00

11 Hisri 880 18 08 00 08 9.0 0.0 00

12 Karmo 576 106 16 00 16 27.7 0.0 00

1 Balubhang 2904 56 11 00 11 3.7 0.0 00

2 Jababar 1181 20 07 00 07 5.9 0.0 00

3 Karmatar 347 20 05 00 05 14.4 0.0 00

4 Indua 596 32 08 00 08 13.4 0.0 00

5 Chaluhas 209 22 07 00 07 33.4 0.0 00 Balubhang 6 Srisamd 567 19 06 00 06 10.5 0.0 00

7 Hernhopa 1072 30 06 00 06 5.5 0.0 00

8 Caraderi 492 37 09 00 09 18.2 0.0 00

9 Gurewey 236 20 04 00 04 16.9 0.0 00

1 Masiatu 2245 314 41 04 45 20.0 8.8 00

2 Kuriyam 679 151 13 00 13 19.1 0.0 00

3 KuriyamKhurd 922 126 12 00 12 13.0 0.0 00

4 Lejang 828 70 16 03 19 22.9 15.7 00

5 Lundibar 265 26 09 01 10 37.7 10.0 00 Masiatu 6 Gurtur 726 156 18 02 20 27.5 10.0 00

7 Bhang 606 60 16 00 16 26.4 0.0 00

8 Holang 1281 161 22 01 23 17.9 4.3 00

Lakhipur 955 66 32 13 45 47.1 28.8 00

1 Balu 3985 205 45 02 47 11.7 4.2 00

2 Mohanpur 414 40 17 00 17 41.0 0.0 00

3 Kasiadih 350 41 09 00 09 25.7 0.0 00

4 Balu Tasu 812 45 07 02 09 11.0 22.2 00

5 Dandi 353 46 03 00 03 8.4 0.0 00

6 Arrahara 627 60 07 00 07 11.1 0.0 00 7 Tumhagrah 336 55 10 00 10 29.7 0.0 00

1 Janijawar 2521 87 26 00 26 102.3 0.0 00

2 Bhargaon 663 46 07 00 07 10.5 0.0 00

3 Munkdag 186 24 07 00 07 37.6 0.0 00

4 Bandnawari 677 42 08 00 08 11.8 0.0 00

5 Jani 569 27 06 00 06 10.5 0.0 00

jawar -

6 Jawar 426 29 08 00 08 18.7 0.0 00 Jani

7 Chachu 402 35 04 00 04 9.9 0.0 00

8 Sardabar 843 29 06 00 06 7.1 0.0 00

9 Mesal 533 31 05 00 05 9.3 0.0 00

10 Chaya 592 26 05 00 05 8.4 0.0 00

1 Ichak 1184 139 38 00 38 32.0 0.0 00

2 Lawagrha 941 72 12 00 12 12.7 0.0 00

3 Jhabar 1759 99 13 00 13 7.3 0.0 00

4 Dembu 613 57 08 00 08 13.0 0.0 00

5 ICHAK Chamdih 671 54 09 00 09 13.4 0.0 00

6 Baniyo 510 57 08 00 08 15.6 0.0 00

7 Diridag 473 73 10 00 10 21.1 0.0 00

8 Olhepat 341 54 12 00 12 35.1 0.0 00

1 Chiru 2377 161 32 00 32 13.4 0.0 00

2 Hundwa 462 56 16 00 16 34.6 0.0 00

3 Nawada 1241 89 08 00 08 6.4 0.0 00

4 Bankita 341 50 12 00 12 35.1 0.0 00

5 Ghutam 773 79 13 00 13 16.8 0.0 00 CHIRU 6 Tetebar 201 40 06 00 06 29.8 0.0 00

7 Dumbu 1549 82 20 00 20 12.9 0.0 00

8 Bisira 620 73 13 00 13 20.9 0.0

9 Serka 392 38 10 00 10 15.5 0.0 00

1 Herhang 972 422 25 01 26 26.7 3.8 00 NG

2 HERHA Mari 322 116 11 00 11 34.1 0.0 00 3 Ghure 308 91 13 00 13 42.2 0.0 00

4 Karan dag 478 96 09 01 10 20.9 10.0 00

5 Hur 404 101 10 00 10 24.7 0.0 00

6 Katang 305 98 11 00 11 36.0 0.0 00

7 Kacha 198 86 09 00 09 45.4 0.0 00

8 Keru 262 95 10 00 10 26.7 0.0 00

9 Khapia 305 90 08 00 08 26.2 0.0 00

10 Bamdua 281 81 07 00 07 24.9 0.0 00

11 Ichak 343 87 06 00 06 17.4 0.0 00

12 Lawagrha 343 103 07 00 07 20.4 0.0 00

13 Sasang 279 95 09 00 09 32.2 0.0 00

14 Saikid 324 88 02 00 02 6.1 0.0 00

15 Saran dag 645 101 08 00 08 12.4 0.0 00

16 Chaku 397 98 08 00 08 20.1 0.0 00

17 Udd 25 12 02 00 02 80.0 0.0 00

18 Bidir 60 61 06 00 06 100.0 0.0 00

19 Dori 98 75 05 00 05 51.0 0.0 00

20 Hesatu 313 151 17 00 17 54.3 0.0 00

1 Makra 820 173 39 00 39 47.5 0.0 00

2 Bath chatra 594 88 10 00 10 16.8 0.0 00

3 Jhirmat kona 567 71 20 00 20 35.2 0.0 00

4 Chadhri 274 54 16 00 16 58.3 0.0 00

5 Kotha tar 187 39 08 00 08 42.7 0.0 00 MAKRA 6 Besra 2041 79 10 00 10 4.8 0.0 00

7 Kusumha 473 65 08 00 08 16.9 0.0 00

8 Bishrampur 473 71 09 00 09 20.3 0.0 00

9 Bara 609 76 08 00 08 13.1 0.0 00

PHC - Manika Positive Sl. HSC Name of Village Population BSE API Pf % Death No. Pv Pf Total

1 Bari 1297 531 137 18 155 119.5 11.6 00

2 Karmahi 625 256 67 08 75 120.0 10.7 00

3 Sinjo 783 320 83 08 91 116.2 08.8 00

4 Arwatar 254 103 26 02 28 110.2 07.1 00

5 Bankheta 333 136 129 16 145 435.4 11.0 00

6 Lali 2681 1071 274 02 276 102.9 00.7 00

7 Jamuna 314 129 00 04 04 12.7 100.0 00

8 Parsahi 733 136 35 04 39 53.2 10.3 00

9 Manika Nadbelwa 575 235 60 04 64 111.3 06.3 00

10 Rathakhar 454 185 49 02 51 112.3 03.9 00

11 Belwatar 252 102 26 00 26 103.2 00.0 00

12 Bhadailbathan 335 137 37 02 39 116.4 05.1 00

13 Aurratar 1730 709 183 20 203 117.3 09.9 00

14 Kewarkrin 492 199 52 04 56 113.8 07.1 00

15 Mail 368 150 39 04 43 116.8 09.3 00

16 Manika 6038 2641 766 108 874 144.7 12.4 00

1 Namudag 5141 54 20 02 22 04.3 09.1

2 Manikdih 575 05 01 00 01 01.7 00.0 00

3 Chechendha 538 05 01 00 01 01.9 00.0 00

4 Dubjarwa 245 06 00 00 00 00.0 00.0 00

5 Ajamar 572 06 00 00 00 00.0 00.0 00

6 Pokhari 587 02 00 00 00 00.0 00.0 00

7 JERUA Kutmu 233 06 01 01 02 08.6 50 00

8 Jagtu 661 02 00 00 00 00.0 00 00

9 Karitola 187 04 00 00 00 00.0 00 00

10 Dumbi 336 13 02 00 02 6.0 00 00

11 Kope 1456 15 03 00 03 2.1 00 00

12 Jerua 1825 15 02 00 02 1.1 00 00 13 Kui 289 02 00 00 00 0.0 00 00

14 Lanka 885 02 00 00 00 0.0 00 00

15 Terhwa 496 04 00 00 00 0.0 00 00

16 Koili 498 00 00 00 00 0.0 00 00

1 Donki 448 40 4 6 10 22.3 60.0 00

2 Cirish 334 31 6 9 15 44.9 60.0 00

3 Bariyatu 964 109 17 4 21 21.8 19.0 00

4 Hesatu 445 47 7 3 10 22.5 30.0 00

5 Pagar 438 46 7 0 07 16.0 00.0 00

6 Shaildag 328 34 6 0 06 18.3 00.0 00

7 Pasangan 541 56 8 3 11 20.3 27.3 00

8 Sosdohar 42 4 8 4 12 285.7 33.3 00

9 Sardamdag 614 64 10 3 13 21.2 23.1 00

10 Nahira 703 73 6 3 09 12.8 33.3 00 PALHEYA

11 Kurund 380 40 2 2 04 10.5 50.0 00

12 Bagdegwa 273 28 2 0 02 07.3 00.0 00

13 Rahi 393 29 4 4 08 20.4 50.0 00

14 Tangpasri 350 36 5 2 07 20.0 28.6 00

15 Dewtahi 339 35 0 0 00 00.0 00.0 00

16 Korid 153 0 0 0 00 00.0 00.0 00

17 Palheya 1123 185 30 5 35 31.2 14.3 00

18 Koilaghra 422 16 3 0 03 07.1 00.0 00

1 Bichli dag 402 32 6 3 09 22.4 33.3 00

2 Kadwari tar 511 41 7 3 10 19.6 30.0 00

3 Orowan tola 426 35 5 3 08 18.8 37.5 00

4 Arradih 170 14 2 0 02 11.8 00.0 00

5 DUNDU Matlong 2076 175 27 8 35 16.9 22.9 00

6 Haria 45 5 0 1 01 22.2 100.0 00

7 Phatria 92 4 1 3 04 43.5 75.0 00

8 Tetar tar 228 17 1 3 04 17.5 75.0 00 1 Jungur 630 6 02 00 02 03.2 00.0 00

2 Bandua 1510 16 02 01 03 02.0 33.3 00

3 Purni palheya 563 5 01 00 01 01.8 00.0 00

4 Kaila grha 835 8 01 00 01 01.2 00.0 00

5 Panchpheri 549 5 01 00 01 01.8 00.0 00

6 Brahi 296 3 00 00 00 00.0 00.0 00

7 Pathal tola 533 5 01 00 01 01.9 00.0 00

8 Kusum tola 584 6 01 00 01 01.7 00.0 00

9 Bair tola 626 6 01 00 01 01.6 00.0 00 JUNGUR 10 Bichhiya bandh 418 4 01 00 01 02.4 00.0 00

11 Betar tar 400 4 00 00 00 00.0 00.0 00

12 Chamar toli 470 7 00 00 00 00.0 00.0 00

13 Kusmahi 638 6 01 01 02 03.1 50.0 00

14 Kori tola 574 6 01 00 01 01.7 00.0 00

15 Chhapar bandh 538 5 00 00 00 00.0 00.0 00

16 Nawatoli 296 3 00 00 00 00.0 00.0 00

17 Khara tola 574 4 00 00 00 00.0 00.0 00

1 AntiKheta 778 31 04 01 05 06.4 20.0 00

2 Hummamara 462 18 02 00 02 04.3 00.0 00

3 Palki 240 9 01 00 01 04.2 00.0 00

4 Shivchram tola 396 14 02 00 02 05.1 00.0 00

5 Nawadih 500 18 01 00 01 02.0 00.0 00 BHATKO 6 Semari 938 37 03 00 03 03.2 00.0 00

7 Barwadih 1098 42 04 01 05 04.6 20.0 00

8 Dasdih 51 5 00 00 00 00.0 00.0 00

9 Bhatko 1007 46 18 01 19 372.5 05.3 00

1 Kurumkheta 306 7 01 00 01 03.3 00.0 00

2 Hutua 349 8 03 01 04 11.5 25.0 00

3 Amwatikar 260 6 01 01 02 07.7 50.0 00 KUMANDIH 4 Jobla 219 5 01 00 01 04.6 00.0 00 5 Raira 372 6 02 00 02 05.4 00.0 00

6 Deobar 487 12 02 01 03 06.2 33.3 00

7 Kumandih 592 17 02 02 04 06.8 50.0 00

8 Lawagarh 440 10 01 00 01 02.3 00.0 00

9 Barkadih 315 8 01 00 01 03.2 00.0 00

10 Goharkaran 272 5 01 00 01 03.7 00.0 00

1 Bayang 310 16 03 02 05 16.1 40.0 00

2 Newar 305 15 03 01 04 13.1 25.0 00

3 Bikra 81 5 01 00 01 12.3 00.0 00

4 Kuchal 104 6 01 00 01 09.6 00.0 00

5 Rewad kala 1630 85 15 03 18 11.0 16.7 00

6 Rewad khurd 533 30 04 01 05 09.4 20.0 00

7 Zalim 294 15 02 01 03 10.2 33.3 00

8 Bishunbandh 870 45 02 01 03 03.4 33.3 00 MATLONG 9 Nunforwa 413 20 03 01 04 09.7 25.0 00

10 Tewarhi 160 10 01 01 02 12.5 50.0 00

11 Kelajhria 110 5 01 01 02 18.2 50.0 00

12 Khirakhar 413 20 03 01 04 09.7 25.0 00

13 Salgi 173 8 01 01 02 11.6 50.0 00

14 Mandan dih 164 9 01 01 02 12.2 50.0 00

1 Semar tar 427 30 04 00 04 09.4 00.0 00

2 Snagrahwa 184 18 03 00 03 16.3 00.0 00

3 Dori-Mahua 295 10 01 00 01 03.4 00.0 00

4 Nimiya tar 221 10 01 00 01 04.5 00.0 00

5 Jora semar 195 7 02 00 02 10.3 00.0 00

6 Kera mahua 316 12 02 00 02 06.3 00.0 00 KARMAHI

7 Nerad 260 10 01 00 01 03.8 00.0 00

8 Pajhri 356 13 03 00 03 08.4 00.0 00

9 Reharbar 302 12 01 00 01 03.3 00.0 00

10 Karmahi 526 18 03 01 04 07.6 25.0 00 11 Cholkia 218 8 01 00 01 04.6 00.0 00

12 Mahua toli 312 12 02 00 02 06.4 00.0 00

1 Thema 243 35 12 02 14 57.6 14.3 00

2 Themi 235 34 05 01 06 25.5 16.7 00

3 Dhambhwa 805 68 10 01 11 13.7 09.1 00 THEMA 4 Fulwaria 80 12 01 00 01 12.5 00.0 00

5 Rabda 328 52 04 02 06 18.3 33.3 00

1 Janho 1126 50 08 03 11 09.8 27.3 00

2 Patna 1332 59 10 03 13 09.8 23.1 00

3 Chhalki 294 12 00 00 00 00.0 0.0 00

4 Rohan tar 218 13 00 00 00 00.0 0.0 00

5 Panna tar 281 12 00 00 00 00.0 0.0 00

6 Barwaiya kaka 3634 181 45 06 51 14.0 11.8 00

7 Barwaiya khurd 934 38 09 03 12 12.8 25.0 00

8 BARWAIYA Sewan 483 25 05 00 05 10.4 00.0 00

9 Chama 382 24 05 00 05 13.1 00.0 00

10 Nehare 343 15 04 00 04 11.7 00.0 00

11 Jharia 379 25 06 00 06 15.8 00.0 00

12 Betla 312 5 00 01 01 03.2 100.0 00

13 Matnag 1680 47 11 06 17 10.1 35.3 00

1 Kamaru 1977 77 10 01 11 05.6 09.1 00

2 Ladewa semar 321 20 02 00 02 06.2 00.0 00

3 Matrani 930 45 04 00 04 04.3 00.0 00

4 Kashidih 567 30 02 00 02 03.5 00.0 00

5 Manhania 806 30 04 01 05 06.2 20.0 00 BAKORIA 6 Bakoria 4839 200 32 01 33 06.8 03.0 00

7 Pachama 912 30 03 00 03 03.3 00.0 00

8 Pipra 1575 51 04 00 04 02.5 00.0 00

9 Parshi 299 7 00 00 00 00.0 00.0 00

RA 1 PIP Reanki khurd 1209 99 16 03 19 15.7 15.8 00 2 Reanki kala 1367 109 13 02 15 11.0 13.3 00

3 Nawa toli 345 21 02 00 02 05.8 00.0 00

4 Saliya 544 39 06 01 07 12.9 14.3 00

5 Tumbagrha 597 50 03 01 04 06.7 00.0 00

6 Sedhra 332 16 03 01 04 12.0 25.0 00

7 Chetma 348 10 02 01 03 08.6 33.3 00

8 Nakta 270 11 02 01 03 11.1 33.3 00

9 Mohan tola 260 16 02 01 03 11.5 33.3 00

PHC - Barwadih

Positive Sl. HSC Name of Village Population BSE API Pf % Death No. Pv Pf Total

1 Khura 2082 1589 416 32 448 215 7.1 0

2 Garhwatar 2157 1628 313 48 361 166 13.3 00

3 Akhari 2157 1705 405 51 456 211 11.1 00 Barwadhi

4 Barwadih 2444 1836 598 52 650 265 8 00

1 Mandal colony 1096 120 29 10 39 35.5 7.1 0

2 Mandal Basti 3000 119 29 13 42 12.7 30.9 00 Mandal 3 Tetha 291 3 00 00 00 0 0 00

1 Bagh tola 821 231 41 51 92 112 55.4 0

2 Baiga toli 792 230 32 48 80 108 55.8 00

3 Jamjhari 1094 221 32 41 73 66.7 56 00

4 Chhipadohar Khirahi 1118 240 82 93 175 63.5 53.5 00

5 Hasraj tola 284 237 33 38 71 16.6 53.1 00

1 Morwai khurd 850 181 26 14 40 47 35

2 Jharna 891 165 21 16 37 41 43 00

3 Morwai Barniya 882 177 24 11 35 39.6 31.4 00

4 Morwai kala 973 227 48 30 78 80 38.4 00

up

1 Said Saidup Khurd 1503 81 26 6 32 21.2 18.7 0 2 Saidup Kala 1663 90 23 05 28 16.8 17.8 00

1 Chhechha 1164 17 7 0 07 6 0 00

2 Chapri 1011 14 06 00 06 5.9 0 00

3 Horilong 802 11 05 00 05 6.2 0 00

4 Pulwaghar 1104 21 09 02 11 9.9 18.1 00

5 Singhorwa 108 18 04 00 04 37 0 00 Chhechha

6 Babhandih 1124 20 11 00 11 9.7 0 00

7 Chamardiha 1102 23 08 00 08 7.2 0 00

8 Lanka 2902 64 11 01 12 4.1 8.3 00

1 Mangra 1210 81 21 4 25 20.6 16 00

2 Amdiha 1205 80 25 06 31 25.7 19.3 00 MANGRA 3 Murgi dih 1217 97 29 04 33 27.1 12.1 00

1 Muru 726 109 20 02 22 30.3 09 00

2 Paira 658 80 24 00 24 36.4 00 00

3 Luhur 705 85 21 03 24 34 12.5 00

4 MURU Dorgmi 726 88 25 04 29 40 13.7 00

5 Hendehas 721 91 24 01 25 34.6 04 00

6 Ahirpurwa 789 202 31 00 31 39.2 00 00

1 Kehcki 1531 48 17 1 18 11.7 5.5 00

2 Kachanpur 1535 51 24 00 24 9.1 0 00 Kechike 3 Kalyanpur 1527 52 20 01 21 13.7 4.7 00

1 Kutmu 2920 118 24 2 26 8.9 7.6 00

2 Saridih 2891 119 27 01 28 9.6 3.5 00 Saridih 3 Pokhari 2950 122 30 01 31 13.5 3.2 00

1 Pokhari khurd 1419 75 16 01 17 11.9 5.8 00

2 Kalpurwa 1205 71 14 01 15 12.4 6.6 00 BETLA 3 Akhra 1035 73 28 02 30 29.1 6.6 00

1 Gari 1187 58 16 00 16 13.4 0 00

2 Rabdi 1205 42 12 00 12 9.9 0 00 KERH

Lukum khar 1048 68 08 01 09 8.5 11.1 00

3 Kerh 1310 74 11 00 11 8.3 0 00

1 Ukkamar 1295 64 19 00 19 14.6 00 00

2 Regnia 1305 58 14 00 14 10.7 00 00

3 MAR UKKA Kuchla 1285 61 16 01 17 13.2 5.8 00

1 Hehegarh 1158 17 6 00 06 5.1 00 00

2 Hosir 1149 14 04 00 04 3.4 00 00 Hehegarh

3 Opag 1169 22 11 02 13 11.1 13.3 00

1 Chungru 1690 48 16 03 19 11.2 15.7 00

2 Nawadih Amwatikar 1947 62 10 01 11 6.6 09 00

1 Mundu 1090 25 7 00 07 6.4 00 00

2 Labhar 848 24 06 00 06 7 00 00

3 Haratu 1395 28 09 01 10 5 10.5 00 MUNDU 4 Laddu 638 26 06 00 06 9.4 0 00

5 Ramandag 479 24 18 00 18 37.5 00 00

1 Kuku 360 18 3 00 03 8.3 00 00

2 Manatu 226 11 06 00 06 26.5 00 00

3 Amwatikar 471 18 08 00 08 16.9 0 00 GENSHPUR 4 Genshpur 2829 26 11 01 12 6.7 5.2 00

1 Juruhar 1814 48 28 04 32 17.6 12.5 00

2 Lekhmari 470 31 16 02 18 38.2 11.1 00

3 JURUHAR Barichhatar 505 67 17 01 18 35.6 5.5 00

4 Baridohar 854 48 10 01 11 12.8 9.0 00

1 Khamhikhas 200 20 06 02 08 40.0 25.0 00

2 Nawaenago 131 29 08 01 09 68.0 11.1 00

3 Tongri 459 21 04 01 05 6.8 20.0 00

4 Barkheta 358 19 06 02 08 22.3 25.0 00

5 Harhe 395 16 08 03 11 27.8 27.2 00 KHAMHI KHAS KHAMHI 6 Lat 747 14 07 02 09 12.0 22.2 00

7 Gasedag 283 16 06 01 07 20.7 14.2 00

8 Serandag 198 13 04 02 06 30.3 33.3 00 9 Karamdih 113 11 06 00 06 53.0 00.0 00

10 128 15 07 01 08 62.2 12.5 00

11 Bere 435 14 04 00 04 9.1 00.0 00

12 Tanwey 119 16 06 00 06 50.4 00.0 00

13 Patradih 124 44 09 00 09 72.5 0.0 00

Objective: Prevention of deaths due to disease to malaria

Reduction of Morbidity

 Cause-consequence prioritization

 Mediation – access to the Health providers

 Area wise planning with drive

 Awareness building/Training/C.B. TUBERCLOUSIS PROGRAMME:

Objective: Programme objectives like curing 85% of the sputum positive TB patients and detecting at least 70% of such patients.

To achieve the above said objective the following aspects are taken into consideration.

 Habitation Level Data collection

 Pre-Medical care

 Post-Medical care

 Awareness Building camps

 Training/Capacity building

LEPROSY:

Objective: To Achieve the elimination of goal of P.R below 1 for 10,000 populations.

 Identification of Leprosy intensive area

 Organizing awareness camps

 Medication

 Training / L. B.

HIV/AIDS:

Objective: To stop the spread of HIV/AIDS.

 Identification of intensive Areas

 Counseling Centers – access to the people

 Awareness

 Training

 Preventive Measures District level

(1) Civil Surgeon: The Civil Surgeon at the district level is the Chief Programme Manager in respect of all public health and family welfare programmes, including the NRHM. S/he has the primary responsibility for programme implementation, coordination and monitoring, reporting and MIS in respect of various components under the NRHM. The Civil Surgeon is assisted in the NRHM implementation, by the ACMO, District Immunization Officer, and Medical Officers of PHCs.

(2) ACMO: is the second-in-command at the district level; provides support to the Civil Surgeon in implementation of Family Welfare and Reproductive Child Health programmes.

(3) District Immunization Officer (DIO): is responsible for implementation of universal immunization programme, cold-chain maintenance and other child health programmes.

(4) Program Officers: please write the details here

(5) District Educational & Media Officer (DEMO): is responsible for planning, implementation and evaluation of the activities, and is also responsible for IEC activities of various programmes.

(6) Statistical Officer is responsible for monitoring and evaluation of Family Welfare activities and RCH programmes.

PHC Level

At the PHC level, the management structure indicates the medical officer as the prime officer, who is assisted by the MPHEO/CHO, MPHSs, ANMs MPHSs (Male & Female) of the PHC.

The existing structure of HR- as per the district situation:

Regular

Sl. Category of Staff Sanctioned In Position Vacant No (Number) (Number) (Number) 1 Medical Officer 50 30 20 2 Specialist - - - a) Anesthetist 1 0 0 b) Gynecologist 1 0 0 c) Pediatrician 1 0 0 d) Pathologist 1 0 0 e) Dental Surgeon 1 0 0 f) General Surgeon 1 0 0 3 Staff Nurses / Nurse Midwife 08 126 03 84 05 42 4 Pharmacist /Compounder 14 0 14 5 Lab-Tech / Lab- Attender 14 5 9 6 Radiographer 1 0 0 7 Computer 7 0 0 8 Driver 16 1 15 9 Para-Medical Supervisors - - - CHO - - - MPHEO - - - PHN - - - MPHS (M) - - - MPHS (F) 10 Multipurpose worker Male 133 12 121 Female

Contract

Sl. Category of Staff Sanctioned In Position Vacant No (Number) (Number) (Number) 1 Medical Officer 90 16 74 2 Specialist - - - a) Anesthetist 1 0 0 b) Gynecologist 1 0 0 c) Pediatrician 1 0 0 d) Pathologist 1 0 0 e) Dental Surgeon 1 0 0 f) General Surgeon 1 0 0 3 Staff Nurses / Nurse Midwife 27 203 22 133 5 70 4 Pharmacist /Compounder 17 10 7 5 Lab-Tech / Lab- Attender 25 10 15 6 Radiographer/X-ray Technician 6 5 1 7 Computer Operator 6 3 3 8 Driver 5 5 0 9 Para-Medical Supervisors - - - CHO - - - MPHEO - - - PHN - - - MPHS (M) - - - MPHS (F) 10 Multipurpose worker Male 50 50 0 Female

PROGRESS OF HEALTH & FAMILY WELFARE PROGRAMMES IN LATEHAR DISTRICT

2007-08 2008-09 Target Ach % Target Ach % 1. Family Planning Sterilisation I.U.D‟s O.P.User‟s C.C.User‟s 2. Immunization ANC.Registration TT& IFA(PW) B.C.G D.P.T & POLIO Measles Total Deliveries Insti.Deliveries JSY+Sukibhava NMBS

OMMUNICABLE DISEASES

Suspected VIRAL ENCEPHALITIES cases and deaths reported in Latehar district

Out-Patients No. of CNS Involved CNS Deaths No.of.Habitations Year treated in .Blocks cases reported Effected Hospitals (Fever) Effected

2006

2007

2008

2009

2006 2007 2008 2009

Diseases Attacks Deaths Attacks Deaths Attacks Deaths Attacks Deaths

G.E

Diarrhoeal

Sun Stroke

2007-2008 2008-2009 Target Ach % Target Prop.Targ Ach % Indicator Jan to Upto March ’06 March’06 Malaria (B.S Collection) Positive Cases Villages sprayed Filaria a)B.S.Collection b)M.F+Ve- treated J.E Village Sprayed Blindness: Cataract

cases T.B Indicators New cases detection 70/Lac 92/Lac 70/Lac 89/Lac New Sputum +Ve 340 440 340 428 No.of Patients Cured >85% 90% >85% 86%

LEPROSY: No of New cases Cases Discharged Caeses Prevalenc cases Registered Under e rate (Per Under Treatment 10,000 Treatment at end of Populatio at the the month n) beginning

Target Ach % Target Ach %

2007-2008 107 146 134 19 1.8 2008-2009 119 131 174 76 1.14

PERFORMANCE OF VCTCs,STD, FROM 2007-08 to 2008- 09

Year/ No.of Persons No No.of persons No.of Blood Units Pregnant No.of Examined At STD’s Month Counseled At VCTS’s Of Collected & Women Child

HIV Screened HIV

+Ve +ve

Target Ach % Target Ach % Target Ach % Exam HIV

ined +ve

2007-2008

2008-2009

About the Profile

Under the National Rural Health Mission this District Action Plan of Latehar district has been prepared. From this, the situational analysis the study proceeds to make recommendations towards a policy on workforce management, with emphasis on organizational, motivational and capability building aspects. It recommends on how existing resources of manpower and materials can be optimally utilized and critical gaps identified and addressed. It looks at how the facilities at different levels can be structured and reorganized.

The information related to data and others used in this action plan is authentic and correct according to my knowledge as this has been provided by the concerned medical officers of every block. I am grateful to the state level consultants ACMOs, DS, MOICs, of all blocks, ANMs and AWWs from their excellent effort we may be able to make this District Health Action Plan of Latehar District.

I hope that this District Health Action Plan will fulfill the intended purpose.

(Dr.Erron Tigga)

Civil Surgeon

lATEHAR