District : Barnala

DISTRICT : BARNALA

MATERNAL HEALTH

Antenatal Care

District as a whole

Monthly ANC Registration ANC given 100 IFA ANC third visit Target tablets PW April April April April April 2010 2009 2010 2009 2010 April 2009

949 900 922 791 881 718 717

This month 900 woman got registered against the target of 949 (94.8 %), 791 got IFA tablets (83.3%) AND 718 got ANC 3 Checups (75.6%).

Institute/ Sub District

SN Sub District ANC Registration ANC given 100 IFA ANC third visit tablets Apr- Apr- Apr- Apr- Apr- Apr- 2010 2009 2010 2009 2010 2009 1 Barnala DH 120 145 0 140 100 120 Dhanaula 2 341 359 280 268 229 255 Block

Mahel Kalan 3 177 198 168 224 171 142 Block

4 Tappa Block 243 220 343 249 204 200

1 SN District Inst Inst reporting under ANC ANC ANC reporting Blocks Registration given third visit to district 100 IFA tablets Apr-2010 Apr-2010 Apr-2010 BARNALA 1 900 791 718 District Barnala 2 120 0 100 DH Dhanaula 3 341 280 229 Block 4 Bhathlan PHC 0 0 0 5 Dhanaula CHC 0 0 0 6 Hamidi PHC 0 0 0 7 Pvt.Institutes Dhanaula 0 0 0 8 Rurke Kalan PHC 0 0 0 9 Shekha PHC 0 0 0 10 SubCentres Consolidated 341 280 229 11 Thikriwala RH 0 0 0 Mahel 12 Kalan 177 168 171 Block 13 Channawal CHC 0 0 0 14 Chhapa RH 0 0 0 15 Gehlan PHC 0 0 0 16 Mahel Kalan PHC 0 0 0 17 Pvt.InstitutesMahelkalan 0 0 0 SubCentres Consolidated 18 177 168 171 21 Private 19 Institutes 0 0 0 Barnala Tappa 20 243 343 204 Block 21 Bhadaur CHC 30 27 27 22 Dhilwan RH 0 0 0 23 Pvt.Institutes Tappa 0 0 0 24 Sehna PHC 0 0 0 Sub Centres 25 Consolidated22 185 244 155 26 Tale wal PHC 0 0 0 27 Tappa CHC 28 72 22 USAD 28 Barnala 19 0 14

It is to be noted here that all PHCs/ RHs under Blocks are showing zero reports, which means no ANC is being performed in PHCs/RHs. Civil Surgeon may look into the matter.

2 SN District Institutional delivery Home delivery Home delivery by Home delivery by Non rate (against rate (againsted Skilled birth Skilled birth attendant reported deliveries) reported attendant (SBA) rate rate (against reported deliveries) (against reported deliveries) deliveries) Apr- Apr- Apr- Apr- Apr- Apr-2009 Apr-2010 Apr- 2010 2009 2010 2009 2010 2009 BARNAL 1 A 75.35 66.84 24.65 33.16 21.5 27.05 3.16 6.11

1. Institutional Deliveries in Government Institutions :

1. State average increase = 16.02 % upto April, 2010 as compared to corresponding period of the last year)

2. Percentage of total expected deliveries in Government run institutions = 14.96 %.

(a) District % in institutional deliveries as a whole (including Allied Institutes)

Deliveries in year 2009-10 Deliveries in year 2010-11 % Increase/ Decrease over During Upto April During Upto April %age of the last year April April deliveries in (Upto April) Govt. Inst

150 150 123 123 14.64 -18.00

There is a decrease in the institutional deliveries i.e -18 % as compared to the corresponding period of the last year which is a matter of serious concern and which can be improved with more hard work and dedicated efforts.

(b) District Hospital:

Deliveries

During the Month Upto the month (April Corresponding %age increase or (April 2010) 2010) period of year 2009- decrease 10

76 76 93 -18.28

3 Deliveries by Doctors posted at DH

SN Gynaecologists Regular/ NRHM During the month (April 2010)

1 Dr. Jasbir Singh Aulakh Regular 74

2 Dr. Amanjot (On leave) Regular 0

3 Dr. Neera Saith (posted in PP unit) Regular 2

5 Dr. Simren Bali (posted in emergency) Regular 0

6 Dr. Paramjit Lal (posted in emergency) Regular 0

8 Dr. Avinash Regular 0

(c) CHCs as EmOC – 3: Benchmarks of deliveries for the institute : 30 per month

Year of Deliveries Remarks SN Upgradatio Inst CHC Feb 2010 March April 2010 n 2010

1 Dhanaula 2007-08 18 23 17 Very Good

2 Bhadaur 2007-08 11 25 13 Very Good

3 Tapa 2008-09 4 2 6 Very Poor

Deliveries by Doctors posted at EmOC (Benchmarks of deliveries for Gynaecologists : 25 per month)

SN Gynaecologists Institution Regular/ NRHM During the month (April 2010)

1 Dr. Kiran Deep Kaur Dhanaula NRHM 17 Sandhu

2 Dr. Anupampreet Regular 0

3 Dr. Gurwinder Kaur Bhadaur Regular 13

4 Dr. Isha Gupta Tapa Regular 6

4 (d) PHCs as 24x7 - 5 : Benchmarks of deliveries for the institute : 20 per month

Year of Deliveries Remarks SN Upgradatio Inst PHC Feb 2010 March April n 2010 2010

1 Mahal Kalan 2007-08 5 12 4 Poor

2 Channanwal 2007-08 3 5 3 Very Poor

3 Talewal 2008-09 2 6 3 Very Poor

4 Rurke Kalan 2008-09 1 0 0 Extremely Poor

Bhathlan 5 2009-10 0 0 0 Extremely Poor

Institutes which have poor, very poor or extremely performance need special focus.

Deliveries by Doctors posted at 24x7 PHCs (Benchmarks of deliveries for Gynaecologists : 15 per month)

SN Medical Officer Institution Regular/ During the month (April NRHM 2010)

1 Dr. Kamaljit Kaur Rurke Kalan NRHM 0

2 Dr. Ishatpreet Tallewal NRHM 3

CHILD HEALTH

Immunization

District as a whole

SN Monthly BCG dose DPT 3 dose OPV 3 dose Hepatitis B 3 Measles 1st Fully Target under 1 year given under given under dose given dose at 9-12 immunised Infants 1year 1year under 1year months under 12 months Apr- Apr- Apr- Apr- Apr- Apr- Apr- Apr- Apr- Apr- Apr- Apr- 2010 2009 2010 2009 2010 2009 2010 2009 2010 2009 2010 2009 1 826 782 274 818 800 818 800 818 800 772 688 767 688

5 Against the target of 826 the percentage of children immunized for BCG is 94.6%; DPT3 : 99.03%; OPV3 : 99.03%; Hep B3 : 99.03% ; Measles : 93.46%; Fully Immunized : 92.8%.

SN Level4 BCG dose under 1 year DPT 3 dose given under OPV 3 dose given 1year under 1year Apr-2010 Apr-2009 Apr-2010 Apr-2009 Apr-2010 Apr-2009 1 Barnala DH 120 140 112 140 112 140 Dhanaula 2 293 0 332 292 332 292 Block

4 Tappa Block 216 0 222 219 222 219

SN Level4 Hepatitis B 3 dose Measles 1st dose at 9-12 Fully immunised under 12 given under 1year months months Apr- Apr- Apr-2010 Apr-2009 Apr-2010 Apr-2009 2010 2009 1 Barnala DH 112 140 132 140 127 140 Dhanaula 2 332 292 279 244 279 244 Block

4 Tappa Block 222 219 215 160 215 160

S District Inst Inst reporting BCG DPT OPV 3 Hepatitis Measle Fully N reporting under Blocks dose 3 dose B 3 dose s 1st immunis to under dose given given dose at ed under District 1 year given under under 9-12 12 under 1year 1year months months 1year Apr- Apr- Apr- Apr- Apr- Apr-2010 2010 2010 2010 2010 2010 BARN 1 782 818 818 818 772 767 ALA Barnala 2 120 112 112 112 132 127 DH Dhanaula 3 293 332 332 332 279 279 Block 4 Bhathlan PHC 0 0 0 0 0 0 5 Dhanaula CHC 0 0 0 0 0 0 6 Hamidi PHC 0 0 0 0 0 0 Pvt.Institutes 7 0 0 0 0 0 0 Dhanaula Rurke Kalan 8 0 0 0 0 0 0 PHC 9 Shekha PHC 0 0 0 0 0 0

6 SubCentres 10 293 332 332 332 279 279 Consolidated 11 Thikriwala RH 0 0 0 0 0 0 Mahel 12 Kalan 138 141 141 141 138 138 Block Channawal 13 0 0 0 0 0 0 CHC 14 Chhapa RH 0 0 0 0 0 0 15 Gehlan PHC 0 0 0 0 0 0 Mahel Kalan 16 0 0 0 0 0 0 PHC Pvt.InstitutesM 17 0 0 0 0 0 0 ahelkalan SubCentres 18 138 141 141 141 138 138 Consolidated 21 Private 19 Institutes 0 0 0 0 0 0 Barnala Tappa 20 216 222 222 222 215 215 Block 21 Bhadaur CHC 31 21 21 21 16 16 22 Dhilwan RH 0 0 0 0 0 0 Pvt.Institutes 23 0 0 0 0 0 0 Tappa 24 Sehna PHC 0 0 0 0 0 0 Sub Centres 25 154 178 178 178 168 168 Consolidated22 26 Tale wal PHC 0 0 0 0 0 0 27 Tappa CHC 31 23 23 23 31 31 USAD 28 15 11 11 11 8 8 Barnala

Clearly from above data, it can be predicted that immunization in PHC/ CHC/ RHs under block is not provided by doctors. The immunization is being provided in Sub Centres only. Civil Surgeons may look into it.

FAMILY PLANNING

District Permanent Methods

Barnala Monthly ELA Vasectomy Monthly ELA Tubectomy

17 4 229 122

7 SN District NSV/Conventional NSV/Conventional NSV/Conventional NSV/Conventional Vasectomy Vasectomy Vasectomy vasectomy conducted Sub- conducted CHCs conducted PHCs conducted at Private divisional facilities hospital/District Hospital Apr- Apr- Apr- Apr- Apr- Apr- Apr- Apr- 2010 2009 2010 2009 2010 2009 2010 2009 1 BARNALA 3 4 0 0 0 0 0 0

SN District Inst reporting Inst reporting under NSV/Conventi NSV/Conv NSV/Convent NSV/Conve to District Blocks onal entional ional ntional Vasectomy Vasectomy Vasectomy vasectomy conducted Sub- conducted conducted conducted at divisional CHCs PHCs Private hospital/Distric facilities t Hospital Apr-2010 Apr-2010 Apr-2010 Apr-2010 BARNAL 1 3 0 0 0 A 2 Barnala DH 3 0 0 0 Dhanaula 3 0 0 0 0 Block 4 Bhathlan PHC 0 0 0 0 5 Dhanaula CHC 0 0 0 0 6 Hamidi PHC 0 0 0 0 Pvt.Institutes 7 0 0 0 0 Dhanaula 8 Rurke Kalan PHC 0 0 0 0 9 Shekha PHC 0 0 0 0 SubCentres 10 0 0 0 0 Consolidated 11 Thikriwala RH 0 0 0 0 Mahel Kalan 12 0 0 0 0 Block 13 Channawal CHC 0 0 0 0 14 Chhapa RH 0 0 0 0 15 Gehlan PHC 0 0 0 0 16 Mahel Kalan PHC 0 0 0 0 Pvt.InstitutesMahel 17 0 0 0 0 kalan SubCentres 18 0 0 0 0 Consolidated 21 Private 19 Institutes 0 0 0 0 Barnala 20 Tappa Block 0 0 0 0 21 Bhadaur CHC 0 0 0 0 22 Dhilwan RH 0 0 0 0 Pvt.Institutes 23 0 0 0 0 Tappa 24 Sehna PHC 0 0 0 0

8 Sub Centres 25 0 0 0 0 Consolidated22 26 Tale wal PHC 0 0 0 0 27 Tappa CHC 0 0 0 0 USAD 28 0 0 0 0 Barnala

SN District Mini-lap Mini-lap Mini-lap Mini-Laparoscopic sterilizations sterilizations sterilizations conducted at Private conducted Sub- conducted CHCs conducted PHCs facilities divisional hospital/District Hospital Apr- Apr- Apr- Apr- Apr- Apr- Apr- Apr- 2010 2009 2010 2009 2010 2009 2010 2009 1 BARNALA 28 46 69 68 0 0 0 0

SN District Inst Inst reporting under Mini-lap Mini-lap Mini-lap Mini- reporting Blocks sterilizations sterilizations sterilizations Laparoscopic to conducted conducted conducted conducted at District Sub-divisional CHCs PHCs Private hospital/District facilities Hospital Apr-2010 Apr-2010 Apr-2010 Apr-2010

1 BARNALA 28 69 0 0 District 2 Barnala 28 0 0 0 DH 3 Dhanaula 0 33 0 0 Block 4 Bhathlan PHC 0 0 0 0 5 Dhanaula CHC 0 33 0 0 6 Hamidi PHC 0 0 0 0 7 Pvt.Institutes Dhanaula 0 0 0 0 8 Rurke Kalan PHC 0 0 0 0 9 Shekha PHC 0 0 0 0 10 SubCentres 0 0 0 0 Consolidated 11 Thikriwala RH 0 0 0 0 12 Mahel 0 0 0 0 Kalan Block 13 Channawal CHC 0 0 0 0 14 Chhapa RH 0 0 0 0 15 Gehlan PHC 0 0 0 0 16 Mahel Kalan PHC 0 0 0 0 17 Pvt.InstitutesMahelkalan 0 0 0 0 18 SubCentres 0 0 0 0 Consolidated 21 19 Private 0 0 0 0 Institutes Barnala 9 20 Tappa 0 36 0 0 Block 21 Bhadaur CHC 0 0 0 0

22 Dhilwan RH 0 0 0 0 23 Pvt.Institutes Tappa 0 0 0 0 24 Sehna PHC 0 0 0 0 25 Sub Centres 0 0 0 0 Consolidated22 26 Tale wal PHC 0 0 0 0 27 Tappa CHC 0 36 0 0 28 USAD 0 0 0 0 Barnala

SN District Laparoscopic Laparoscopic Laparoscopic Laparoscopic sterilizations sterilizations sterilizations sterilization conducted Sub- conducted CHCs conducted PHCs conducted at Private divisional facilities hospital/District Hospital Apr- Apr- Apr- Apr- Apr- Apr- Apr- Apr- 2010 2009 2010 2009 2010 2009 2010 2009 1 BARNALA 0 0 0 0 15 0 0 0

SN District Inst reporting to Inst reporting Laparoscopic Laparosco Laparosc Laparosc District under Blocks sterilizations pic opic opic conducted sterilizatio sterilizati sterilizati Sub- ns ons on divisional conducted conducte conducte hospital/Distr CHCs d PHCs d at ict Hospital Private facilities Apr-2010 Apr-2010 Apr- Apr-2010 2010 BARNALA 1 0 0 15 0 District 2 Barnala DH 0 0 0 0 3 Dhanaula Block 0 0 0 0 4 Bhathlan PHC 0 0 0 0 5 Dhanaula CHC 0 0 0 0 6 Hamidi PHC 0 0 0 0 Pvt.Institutes 7 Dhanaula 0 0 0 0 Rurke Kalan 8 PHC 0 0 0 0 9 Shekha PHC 0 0 0 0 SubCentres 10 Consolidated 0 0 0 0 11 Thikriwala RH 0 0 0 0 Mahel Kalan 12 Block 0 0 15 0 Channawal 13 CHC 0 0 0 0 14 Chhapa RH 0 0 0 0 10 15 Gehlan PHC 0 0 0 0 Mahel Kalan 16 PHC 0 0 15 0 Pvt.InstitutesM 17 ahelkalan 0 0 0 0 SubCentres 18 Consolidated 21 0 0 0 0 Private Institutes 19 Barnala 0 0 0 0 20 Tappa Block 0 0 0 0 21 Bhadaur CHC 0 0 0 0 22 Dhilwan RH 0 0 0 0 Pvt.Institutes 23 Tappa 0 0 0 0 24 Sehna PHC 0 0 0 0 Sub Centres 25 Consolidated22 0 0 0 0 26 Tale wal PHC 0 0 0 0 27 Tappa CHC 0 0 0 0 28 USAD Barnala 0 0 0 0

SN District Post-Partum Post-Partum Post-Partum Post-Partum sterilizations sterilizations sterilizations sterilization conducted Sub- conducted CHCs conducted PHCs conducted at Private divisional facilities hospital/District Hospital Apr- Apr- Apr- Apr- Apr- Apr- Apr- Apr- 2010 2009 2010 2009 2010 2009 2010 2009 1 BARNALA 0 0 0 0 0 0 0 0

S District Inst reporting Inst reporting under Post-Partum Post- Post- Post- N to District Blocks sterilizations Partum Partum Partum conducted sterilization sterilizatio sterilizati Sub- s conducted ns on divisional CHCs conducted conducte hospital/Dist PHCs d at rict Hospital Private facilities Apr-2010 Apr-2010 Apr-2010 Apr-2010 BARNAL 1 0 0 0 0 A District 2 Barnala DH 0 0 0 0 Dhanaula 3 0 0 0 0 Block 4 Bhathlan PHC 0 0 0 0 5 Dhanaula CHC 0 0 0 0 6 Hamidi PHC 0 0 0 0 Pvt.Institutes 7 0 0 0 0 Dhanaula 8 Rurke Kalan PHC 0 0 0 0 9 Shekha PHC 0 0 0 0 11 SubCentres 10 0 0 0 0 Consolidated 11 Thikriwala RH 0 0 0 0 Mahel Kalan 12 0 0 0 0 Block 13 Channawal CHC 0 0 0 0 14 Chhapa RH 0 0 0 0 15 Gehlan PHC 0 0 0 0 16 Mahel Kalan PHC 0 0 0 0 Pvt.InstitutesMahelkal 17 0 0 0 0 an SubCentres 18 0 0 0 0 Consolidated 21 Private 19 Institutes 0 0 0 0 Barnala 20 Tappa Block 0 0 0 0 21 Bhadaur CHC 0 0 0 0 22 Dhilwan RH 0 0 0 0 23 Pvt.Institutes Tappa 0 0 0 0 24 Sehna PHC 0 0 0 0 Sub Centres 25 0 0 0 0 Consolidated22 26 Tale wal PHC 0 0 0 0 27 Tappa CHC 0 0 0 0 28 USAD Barnala 0 0 0 0

Civil Surgeons may direct their officials to capture data from Private Institutes also.

JANANI SURAKSHA YOJNA

SN District Monthly ELA JSY Incentive paid to Delivery home TOTAL Mothers receiving JSY incentive Apr-2010 Apr-2010 Apr-2010 1 BARNALA 158 7 8 15

Against the monthly target of 158 beneficiaries, the percentage achievement is 9.49%. Civil Surgeon is requested to send the expenditure report in CS Conference agenda with the physical achievement, the revised format for which is being sent separately.

SN District Inst reporting to Inst reporting under JSY Incentive Delivery district Blocks paid to home Mothers receiving JSY incentive Apr-2010 Apr-2010 BARNALA 1 7 8 District 2 Barnala DH 2 0 3 Dhanaula Block 1 0 4 Bhathlan PHC 0 0 12 5 Dhanaula CHC 0 0 6 Hamidi PHC 0 0 7 Pvt.Institutes Dhanaula 0 0 8 Rurke Kalan PHC 0 0 9 Shekha PHC 0 0 10 SubCentres Consolidated 1 0 11 Thikriwala RH 0 0 12 Mahel Kalan Block 0 0 13 Channawal CHC 0 0 14 Chhapa RH 0 0 15 Gehlan PHC 0 0 16 Mahel Kalan PHC 0 0 17 Pvt.InstitutesMahelkalan 0 0 SubCentres Consolidated 18 21 0 0 Private Institutes 19 Barnala 0 0 20 Tappa Block 4 5 21 Bhadaur CHC 0 0 22 Dhilwan RH 0 0 23 Pvt.Institutes Tappa 0 0 24 Sehna PHC 0 0 Sub Centres 25 Consolidated22 0 5 26 Tale wal PHC 0 0 27 Tappa CHC 4 0 28 USAD Barnala 0 3

 GOI HMIS REPORTS SHOULD BE FORWARDED TO STATE HQ BY 15TH OF EVERY MONTH.

 STATUS OF HMIS FILLED REPORTS:

District Tot. April Data Items Filled Filled % Zero Zero % Blank Blank %

BARNALA 227 227 100 118 51.98 0 0

 MOINTORINGJ WILL ONLY BE ON ONLINE REPORTS, NO OTHER REPORTS TO BE ENTERTAINED ( FOR THE DATA ELEMENTS CAPTURED IN HMIS FORMATS).

 HARD COPY OF HMIS REPORTS COUNTERSIGNED BY CIVIL SURGEON SHOULD REACH MISSION DIRECTOR’S OFFICE EVERY MONTH.

 ALL M&Eos HAVE BEEN TRAINED ON DATA VALIDATIONS AND ANALYSIS RULES, WHICH CAN BE GENERATED THROUGH HMIS PORTAL.

13  CIVIL SURGEON MAY DIRECT THEIR M&EOs TO PRESENT THEM THE ANALYSIS OF THE INSTITUTIONS THROUGH ONLINE PACKAGE.