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D F P P Dist Fam Plan Plan 201 Trict Mily

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D F P P Dist Fam Plan Plan 201 Trict Mily Draft District Family Planning / Plan District: Jajpur 2012‐13 / JAJPUUR D istrict Family W elfare Bu reau Zilla SwasthyS ya Samiiti<1> OFFICE OF THE CHIEF DISTRICT MEDICAL OFFICER, JAJPUR (DISTRICT FAMILY WELFARE BUREAU) Letter No2286 / FW- Jajpur Date 22/08/12 To The Director of Family Welfare, Orissa, Bhubaneswar Sub: Submission of Family Planning Action Plan for the year 2012-13. Ref: Letter No. 108/FW/FWC/036/10, dated 11.05.12. Sir, With reference to the letter & subject cited above, I am submitting herewith the Family Planning Action Plan for the year 2012-13 of Jajpur district for favour of your kind information & necessary action. Yours faithfully, Chief District Medical Officer Jajpur <2> Foreword There is good progress in family planning activities is the district in all the methods. There is a marginal reduction in unmet need for spacing according to the independent DLHS II & III survey. But there is no scope to be complacent. Limiting, till date is dominated by female sterilization and achieved mainly in camp approach .The seasonality prevails. Thus, the quality in family planning services and quality of care is a greater concern. Fixed Day static centre approach was adopted last year to address the above concern. We received a bit of success but a lot to be done to sustain the gains made. The shortage and inadequate and un‐timely supply of contraceptives is a bottleneck hampers our outcome. However, there is improvement in the logistics and supply chain management. This year the focus is to promote spacing and improve the quality of care and service delivery in family planning. To promote informed choice and voluntary decision making is the main thrust this year. Eligible Couple Survey to access the present status of contraceptive prevalence rate in the district and involvement of community link volunteers, i.e. ASHA & AWWs to promote spacing and limiting methods as a family planning counsellor is one of the significant the interventions at the community level. Likewise a family planning counsellor will be appointed at the district level. In order to promote spacing, there will be strategic delivery points providing IUCD service in fixed days excluding that of Monday. The introduction of PPIUCD and Cu T 375 along with IUCD 380A aims to provide more alternatives to choose. Post‐partum and post abortion contraception is another area of concern will be monitored this year. Ensuring the provision of family planning services at all the delivery points with improved quality of care is the priority. The concurrent monitoring and follow‐up, facility upgradtaion and intensive IEC/BCC for family planning will be taken up simultaneously in an integrated manner. The district Quality assurance Committee will play an anchoring role in shaping and regulating the quality parameters. The Programme Management Unit & Family Welfare bureau of the district and sub district level jointly and collectively shoulder the responsibility in providing a better qualitative family planning service to the people of our district. I am thankful to the District Programme Manager, District Maternal & Child Health Coordinator in developing this district Family planning plan 2012‐13. Assistant District Medical Officer (FW) Chief District Medical Officer Jajpur Jajpur <3> Table of Contents Chapter Topics Page Number Executive Summary – 5-7 Chapter – 1 Background 8-11 Chapter – 2 Situational Analysis `12-13 Contraceptive Use 14-15 Service Delivery 16-17 Quality Assurance Mechanism 18-18 Logistic and Supply System 19-19 Private Sector Partnership 19-19 Human Resource Development 20-22 Monitoring and Evaluation 23-23 Chapter – 3 Family Planning Plan for the year 2012-13 24-26 A. Service Delivery Plan 27-30 B.Human Resource Development and training 31-31 C.Service Environment strengthening Plan 31-32 D. Quality Assurance 32-32 E.Plan for promoting Private Sector Partnership 32-32 F.. Eligible Couple Survey 32-32 G. Monitoring & Supervision 33-33 9 FDS 9 Logistics & Supply Chain. Chapter – 4 Resource Requirements 34-44 <4> Executive Summary On the coastal belt of Orissa, Jajpur district lies between 850 40’ to 860 44’ East longitude and between 200 33’ to 210 10’ North longitude. The district is bound by Bhadrak & Keonjhar on north, Kendrapara on east, Cuttack on Southern and Dhenkanal on West. According to 2011 census the total population of the district stands at 18, 53,200 which is 4% of the total population of the state. This comprises of 17, 70,256 rural and 82,944 urban populations. The district having 260 nos. of Sub Centre , 54 Primary Health Centres, 12 Community Health Centre & One DHH and other system of institutions. The unmet need for the family planning services as per DLHS-III total, spacing is 8.5% and limiting 14.3%. However the acceptance of various methods per 1000 population during last year remains at 4 for Sterilization, CC & IUCD and 5 for OCP. Presently the district provides the family planning services in 12 of FDS sites and the camps contribute to 50.78 % of the ELA in during 2011-12. Out of this tuba ligation contributes 4.9% & tubectomy is 86.32% & male sterilization is 0.01% & Post Partum sterilization accounts for 0.45 % of the total sterilization operation. There are 23 empanelled surgeons (Laprascopic-1, mini-lap -23, NSV-2) conducting sterilization operation.( as on 1st April 2012) .Out of 23 empanelled surgeons,11 nos. are O&G specialists.. The ratio of sterilization operation per surgeon remains at Laparoscopic is 177, in minilap 266, & in NSV/CV is 5.5, during 2011-12. Out of them the ratio for O&G specialists (11:23). The number of accredited institutions is nil and their performances during the year 2011-12 is Nil. The trained personnel for providing IUCD are MO 17, Staff Nurse 9, and ANM 210 & LHV 28. Considering the limitation and opportunities the district administration plans to assign high priority to the following interventions this year . 1. Strengthening fixed day static Centers for family planning with target to achieve more than 85 % of ELA in Fixed Day sessions in all levels of designated Centres. It aims to ensure the limiting methods at the institutions where O& G specialists are in position. 2. Post partum sterilization and post abortion contraception from 0.45% to 5% during this year. <5> 3. Involvement of ASHA and AWWs in popularizing the small family norm by sensitizing them regarding various spacing methods and supporting them as non- clinical contraceptive depot holders & promoting them as family planning counsellors. 4. Institutionalising the Quality Assurance Committee to monitor the progress and improve service delivery and quality of care for family planning services. 5. Promoting male sterilization and reaching 100 cases till end of this year. 6. Involvement of NGOs and Corporate Bodies to improve family planning under PPP initiatives. 7. Promotion of 10 Years IUCD & 5 years amongst the community as a method of contraception. The priority of the district for the year 2012-13: • Strengthening the Fixed day Static Centres at all the delivery points • Promoting Postpartum and post Abortion contraception • Promoting “Informed Choice “ & “Voluntary Decision Making” through intensive IEC/BCC and interpersonal communication • Sustaining the gains on logistics & supply chain management through proper emphasis on monitoring & supportive supervision. <6> CHAPTER -1 <7> Chapter 1 Background The land area of Jajpur is 2899 sq.kms which is about 8.6% of the total land area of Orissa. The Danagadi block with a land area of 480.24 sq.kms ranks first in the district. (16% of the total area of the district) while Rasulpur with a land area of 163.88 sq.kms ranks at the lowest of the District (5% of the total area). The rest of the areas of the district are having similar kind of land and water characteristics. All of the rest lands are constituted of high fertile soil with most of the area coming under flood plain, so highly fertile. Administratively Jajpur has 7 tehsils with 10 blocks and one sub- division. There are two municipalities namely Jajpur town,the district head quarter and Jajpur road. There are 280 Gram Panchayats and 1780 villages. This area comprising of mainly two blocks of Danagadi and Korei has got topography that resembles the topography of the neighboring Keonjhar district. The Institutional delivery is 92.58 % of the total reported delivery in the district. According to HMIS the immunization coverage is 81%. There are 17 delivery points in the district comprising of 6 Level 3 institutions and 11 L2 institutions. Health Infrastructure 1 District HQ. Hospital 01 2 No. of Community Health Centers (CHCs) 12 3 No. of Up-Graded Primary Health Centers (UGPHCs) - 4 No. of Primary Health Centers (Block PHCs). 00 5 No. of Primary Health Centers [PHCs(N)] 54 6 Functional First Referral Unit (F.R.U) 2/6 7 No. of Postpartum Center 02 8 No. of Sub-centers 263 9 No of ANM Training School 00 10 No. of Ayurvedic College & Hospitals 00 11 No. of Ayurvedic Dispensary 32 12 Homeopathic Dispensary 27 13 No of blood bank 2 14 No. of BSU 03 15 No. Of Delivery Points 17 <8> Health Institutions in the District: Jajpur Sl. Name of the C.H.C./PHC No of P.H.C.(N) No of Sub centre No Block 1. Barachana Barachana 8 35 2. Bari Bari 4 24 3. Binjharpur Binjharpur 7 27 4. Danagadi Danagadi 3 17 5. Dharmasala Dharmasala 9 32 6. Korai Korai 6 22 7 Rasulpur Madhubana 5 27 8 Dasarathpur Mangalpur 5 33 9 Jajpur Markandapur 3 25 10 Sukinda Sukinda 4 21 Total 54 263 8. Jajpur 1. DHH, Jajpur Municipality 2.
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