HMIS Bulletin - Siddharth Nagar Volume - 2, FY (April to March)As on 12 April 2016-17 National Health Mission Government of

Prepared By : MIS Division State Program Management Unit, Uttar Pradesh. HMIS (National Health Mission Bulletin) Siddharth Nagar - Uttar Pradesh Volume - 2, FY (April to March)As on 12 April 2016-17 S. No Sections 1 District Profile 2 District Summary sheet 3 MCTS status 4 HMIS Data Uploading and Forwarding status 5 Maternal Health 5.1 Antenatal Care 5.2 Delivery & Postnatal care 5.3 High risk preganancy and obstetric complications 5.4 C Section and Complications attended and treated 6 Child health 6.1 Live Births & New Born Care 6.2 Child Immunization 7 Reproductive Health 8 Indicators and Estimations 8.1 List of Indicators covered 8.2 Estimation sheet Siddharth Nagar District Profile

Unmet Unmet IMR NMR U5MR MMR TFR CBR need need for spacing limiting 87 70 116 304 4.8 37.5 17 9

Demographic Profile Infrastructure Delivery Points Human resource Training

No. of N0. of Medical Medical S.no. Block Total Population Literacy No. of Gram Trained in Trained in Trained in Sex ratio Revenue VHSNC CHC PHC SC Pvt. AWCs L1 L2 L3 officers officers SN in block # ANMs #AWW #ASHAs (Census 2011) rate Panchayat SBA NSSK PPIUCD Village formed MBBS Ayush

1 DHQ 0 979 72.1 15 0 4 2 2 6 8 2 152352 979 58.3 84 202 84 1 1 22 210 3 1 2 0 2 22 210 184 4 2 3 Badani 145957 979 58.3 77 121 77 0 1 23 209 5 1 1 0 4 23 209 176 1 4 0 4 Bhanwapur 211290 979 58.3 122 231 122 1 1 24 236 3 1 1 0 4 21 236 241 4 0 5 164892 979 58.3 37 76 37 0 1 25 149 3 1 2 0 3 25 149 237 1 4 1 6 Dumaria 281808 979 58.3 135 241 135 1 1 29 317 2 1 3 0 6 29 317 325 4 3 7 Itawa 191842 979 58.3 101 197 101 1 20 213 2 1 2 0 3 20 213 146 4 4 8 Jogia 132316 979 58.3 72 148 72 0 1 16 130 4 1 1 0 3 14 130 155 1 4 0 9 Khsrha 193251 979 58.3 99 261 99 1 22 210 7 1 2 0 3 22 210 224 4 1 10 Khuniywa 214464 979 58.3 117 216 117 0 1 24 236 2 1 2 0 4 24 236 208 4 2 11 Lotan 100800 979 58.3 54 119 54 0 0 0 1 0 0 0 0 0 0 4 0 11 Mithwal 211562 979 58.3 121 313 121 0 1 26 239 2 1 1 2 0 4 26 239 219 4 3 12 Nougarh 169801 979 58.3 59 144 59 0 23 190 5 1 1 1 0 3 23 190 197 3 4 2 13 Sohartgarh 134704 979 58.3 69 118 69 1 0 141 1 1 2 0 2 0 141 0 4 0 15 Uska Bazar 108819 979 58.3 52 112 52 1 24 150 3 1 1 2 0 2 21 150 207 4 3 17 DH 0 15 0 4 2 2 6 8 Siddharthngar 2413858 979 58.3 1199 2499 1199 7 8 278 2630 42 14 3 38 0 47 272 2630 2519 8 62 29 Volume - 2, FY (April to March)As on 12 April 2016-17 - FY 2016-17 District at a Glance Ante Natal care (ANC) Delivery care

Estimated PW 83368 Estimated delivery 76547

Total number of pregnant women Registered for ANC 73020 Total reported deliveries 66172

Institutional delivery 36554 Total Pregnant Women registered in MCTS 67294 Number discharged under 48 hours of delivery 32287 Of which Number registered within first trimester 32507 Women receiving post partum checkup within 48 hours 43643 Number of pregnant women received 3 ANC check ups 58561 JSY incentive paid to Mothers for institutional delivery 20657 TT2 or Booster 59745 Home delivery 29618 Total number of pregnant women given 100 IFA tablets 52292 Delivery conducted by Non SBA 29260

Number having Hb level<11 (tested cases) 12008 Number of newborns visited within 24 hours of Home Delivery 20638

Pregnant women with Hypertension (BP>140/90) : New cases 1557 Number of mothers paid JSY incentive for Home deliveries 61

0 10000 20000 30000 40000 50000 60000 70000 80000 90000 0 10000 20000 30000 40000 50000 60000 70000 80000 90000

Child care and Immunization Fammily Planning

Estimated live birth 75789 Total unmet need for family planning 257715 Total live birth reported 66285

Total Children registered in MCTS 52534 Total Users using any FP method (Limiting & spacing) 186054 Still birth 581

Newborns weighed at birth 56972 Potential Unmet need for Limiting Method 40006 Newborns having weight less than 2.5 kg 1346

Newborns breast fed within 1 hour 62385 Limiting Metod users (Male & Female sterilization) 1455 Infants 0 to 11 months old who received BCG 70947

Infants 0 to 11 months old who received OPV 0 46413 Potential Unmet need for Spacing Method 76062 Infants 0 to 11 months old who received Hep B 0 21497

Infants 0 to 11 months old who received Measles 56079 Spacing Method Users (IUCD, CONDOM&Oral Pills) 184599 children 9 and 11 months fully immunized 60650

0 10000 20000 30000 40000 50000 60000 70000 80000 0 1000020000 30000 40000 50000 60000 70000 80000 90000 100000 110000 120000 130000 140000 150000 160000 170000 180000 190000 200000 210000 220000 230000 240000 250000 260000 270000 280000 April to Febuary (2016-017) Summary Sheet- Siddharth Nagar Maternal Health - ANC registration of dist. is 88% Jogiya and Bhanwapur reported 1025 and,103% ,Naugarh 128% thistype errors should be discuss in validation committee, and dat a should cross varify by the validation sheet or Sc wise hmis bulletin , although AHS 2012-13 showing ANC registartion 67.9% 2- ANC Registration in 1st trim. is 45% which is repotred more than to AHS 12-13 i.e. 28%.need to check the data 1st trimester registartion. 3- % of ANC recievd 3 ANC checkup is 72% which is more than traple of AHS 12-13(23.2%). 90% ANC conducted @ SC so record of 3 ANC need to check.

4-86 % deliveries reported against the total estimated deliveries, needs to report rest missing deliveries. 5-54 % deliveries are reported as institutional out of total deliveries(it is 48% against the total estimated deliveries) altho ugh AHS 2012-13 reported for Siddharthangar is 30% 6 Khesraha and Uska , i reported less home dediveries they reported less then 1000, bisides uska showing the improvment in reported deliveries form last month mising deliveries (90% to 54%) Bansi and Naugarh reported deliveries more then 100% how its possible .Need to check data 7-39% deliveries conducted at Home and 17% deliveries are not reported against the estimated deliveries. 8-88 % mothers discharge under 48 hrs of delivery in and AHS 12-13 measure it 80% in the same district. Immunization

1 No of Live births and BCG given not corresponding in most of the blocks as per the table and reporting more then 93% live births need to be check the home delrv eries not reported from the more then 100% reported BCG. as per AHS home delivery of siddharthnagr 68% 2 Only Bansi and Naugarh reported very low % of HB0 dose only block Jogiya reported all vacination more than 100% .need to check da ta in validation committee. Usually BCG, OPV0 and Hepatitis B0 does are given at birth time but reporting shows all three are not given at the time of bi rth even at DH and CHCs, it is showing service gap at facility and need focus monitoring. HRP No of Live births and BCG given not corresponding in most of the blocks as per the table and reporting more then 91% live births need to be check the home delrv eries not reported from the more then 100% reported BCG. as per AHS home delivery of siddharthnagr 68% Only Bansi and Naugarh reported very low % of HB0 dose only block Jogiya reported all vacination more than 100% .need to check da ta in validation committee. Usually BCG, OPV0 and Hepatitis B0 does are given at birth time but reporting shows all three are not given at the time of bi rth even at DH and CHCs, it is showing service gap at facility and need focus monitoring. Child Care 0.9 still births are reported from the dist.on 1000 live births , , Bhnwapur,Jogiya,reported 0% still birth and Shohrathgarh and Badhni Naugarh reported 3.2%, 2.1%, 2.6 which are heighest in district.

86% births are reported as breast fed within 1 hours of births, it is need to check as AHS 2012-13 showing data for Siddharthnagar is 22% only. In Siddharthnagar 94% children weight at birth and of which 2.3% LBW while AHS 12-13 estimated this as 22%&20.% respectively.

Siddharth Nagar - MCTS Status on crititical indicator as on 12th April 2017 Registration and Updation

Trend of Registration 100 % PW % children 80 82 82 80 % of % of % of % of % PW received 3 delivered received full % HRP 74 71 68 Mother Mother Children Children ANCs against PW against PW immunization against PW 66 66 63 66 67 Block 60 60 58 53 57 Registratio Registratio Registration- Registrati registered with registered against children registered 49 49 46 40 43 39 40 n- HMIS n- MCTS HMIS on- MCTS LMP in 2015-16 with LMP in registered with in 2016-17 33 2015-16 DoB in 2015-16 20 17 21 0 April May June July August September October November December January February March Bansi 64 66 106 71 61 55 47 5 % Mother Registration % Child Registration Badani 86 83 72 66 4 3 3 4

% of Mother Services against PW registedred with LMIP in 2015-16 Bhanwapur 102 76 94 54 0 0 38 1 150 96 80 73 71 4 9 24 5 100 Birdpur 100 Dumaria 92 85 95 57 3 2 12 9 50 23 20 76 76 86 74 55 44 70 4 18 8 Itawa 0 Jogia 100 94 72 85 22 92 72 2 ANCs 1 ANCs 2 ANCs 3 Full ANCs Delivery Reported Khsrha 76 76 71 65 4 3 20 2

% of Children Services against children registed with DoB in 2015-16 Khuniywa 88 79 88 86 25 27 22 3 50 45 41 Mithwal 72 80 76 68 9 8 14 0 40 34 29 29 30 Nougarh 128 74 134 69 48 17 26 7 20 Uska Bazar 73 88 60 65 2 1 0 4 10 Grand Total 88 80 87 68 18 20 29 4 0 BCG DPT1/Pentavalent1 DPT3/Pentavalent3 Measles Full Immunization >100% -8% Gap between HMIS and MCTS for mother registration as per target of 80% mother registration is mandatory but til now only 80% mothesr are registred. >80, <=100 -16% gap in HMIS and MCTS for children registration as per target of MCTS children registration is 85% is mandatory but till now only 66% children registred >=50, <=80 - Very less updation of HRP in MCTS portal only Badhni,Khuniao,,Naugarh, is updating HRP rest blocks are not updating the same. <50 Siddharth Nagar '- Percent of facilities reported in HMIS by Month, FY 2016-17

Block Total No. of Facilities Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17

Bansi 21 100 100 100 100 100 100 100 100 100 100 100 100 Dumaria 30 100 100 100 100 100 100 100 100 100 100 100 100 Itawa 21 100 100 100 100 100 100 100 100 100 100 100 100 Khsrha 23 100 100 100 100 100 100 100 100 100 96 96 100 Sohartgarh 2 100 100 100 100 100 100 100 100 100 100 100 100 Uska Bazar 22 100 100 100 100 100 100 91 100 100 91 91 100 Badani 24 100 100 100 100 100 100 100 100 100 100 100 100 Bhanwapur 25 100 100 100 100 100 100 100 100 100 100 100 100 Birdpur 26 100 100 100 100 100 100 96 100 100 100 100 100 Jogia 17 100 100 100 100 100 100 100 100 100 100 100 100 Khuniywa 25 100 100 100 100 100 100 96 100 100 100 100 100 Mithwal 27 100 100 100 100 100 100 100 100 100 100 100 100 Nougarh 30 100 100 97 87 97 97 93 97 97 93 93 93 Grand Total 293 100 100 100 99 100 100 98 100 100 98 98 99 Less than 100% Reported facilities are less than number of facilities in HMIS More than 100% Reported facilities are greater than number of facilities in HMIS % Facilities uploaded data (As on 5th) % Facilities Forwaded data (As on 10th) 150 100 100 100 150 100 100 100 100 98 98 91 100 98 98 100 100 100 50 0 0 0 0 0 0 0 0 0 50 0 % Facilities Forwaded data (As on 0 % Facilities uploaded data (As on 0 5th) 10th) Siddharth Nagar Volume - 2, FY (April to March)As on 12 April 2016-17 ANC Services, Trends, Distribution and Performance

Trend of ANC registration (in numbers) -FY 2016-17 Number 8000 7433 Total number % of ANC Of which of 7055 % of ANC % of ANC % of PW 6772 Propotionate of pregnant registered Number pregnant 7000 6387 6303 registered TT2 or received received 6101 6012 Block estimated women to registered women 5864 within 1st Booster TT2/Boost 3ANC 6000 5356 5447 5329 PW Registered for estimated within first received 4961 trimester er checkups 5000 ANC Pregnancy trimester 3 ANC check ups 4000 3489 3347 2786 2681 2632 2640 2735 3000 2278 2476 2527 2491 2425 DHQ 132 29 22.0 89 59 2000 Bansi 6318 4061 64.3 1667 41.0 3388 53.6 3744 59.3 1000 Dumaria 10746 9892 92.1 5730 57.9 8504 79.1 9292 86.5 Itawa 7308 5555 76.0 1294 23.3 5238 71.7 5079 69.5 0 Khsrha 6718 5099 75.9 2886 56.6 4458 66.4 3827 57.0 Sohartgarh 0 0 0 0 0 ANC Registered Reg. within 1st trimester Monthly estimated ANC Uska Bazar 6839 4967 72.6 1813 36.5 3913 57.2 3280 48.0 Badani 6672 5760 86.3 2225 38.6 4941 74.1 5374 80.5 Bhanwapur 7287 7463 102.4 2900 38.9 4954 68.0 4520 62.0 Percent Distribution of Registered for ANC by Type of Facility DH Birdpur 6881 6615 96.1 2940 44.4 4156 60.4 4301 62.5 CHC 2% 3% Jogia 5125 5110 99.7 2344 45.9 4352 84.9 4403 85.9 PHC 7% Khuniywa 6976 6130 87.9 2769 45.2 5447 78.1 5407 77.5 Mithwal 6788 4908 72.3 1837 37.4 5077 74.8 4312 63.5 Nougarh 5709 7328 128.4 4073 55.6 5228 91.6 4963 86.9 Grand Total 83368 73020 87.6 32507 44.5 59745 71.7 58561 70.2 AHS (2012-13) 67.9 28 23.2 >80, <=100 >=50, <=80 SC <50 88%

Gaps in ANC Registration :

1. ANC registration of dist. is 88% Jogiya and Bhanwapur reported 1025 and,103% ,Naugarh 128% thistype errors should be discuss in validation committee, and dat a should cross varify by the validation sheet or Sc wise hmis bulletin , although AHS 2012-13 showing ANC registartion 67.9%

2- ANC Registration in 1st trim. is 45% which is repotred more than to AHS 12-13 i.e. 28%.need to check the data 1st trimester registartion.

3- % of ANC recievd 3 ANC checkup is 72% which is more than traple of AHS 12-13(23.2%). 90% ANC conducted @ SC so record of 3 ANC need to check.

Siddharth Nagar Volume - 2, FY (April to March)As on 12 April 2016-17 Delivery Services, trends, distribution and progress

Trend of reported delivery to estimated deliveries FY % of % of Of which % of 8000 2016-17 Total institution institution Number 6889 % of delivered JSY % of JSY 6024 6264 number of al al discharge 5764 5577 5878 % delivery delivery women incentive incentive 6000 5152 5489 5186 Block Deliveries deliveries deliveries d under 4953 4625 reported missed in discharge paid to paid to

4371 facility (Home+Inst among among 48 hours deliveries Deliveries reporting d within Mothers mothers 4000 itution) reported estimated of 48 hours

delivery delivery delivery

Total number of HomeofTotal number Deliveries conductedat 2000 PropotionateEstimated Bansi 5801 2605 3538 6143 105.9 -6 57.6 61.0 2337 66.1 2378 67.2 0 Dumaria 9867 4200 5095 9295 94.2 6 54.8 51.6 5059 99.3 3147 61.8 Itawa 6710 2573 3216 5789 86.3 14 55.6 47.9 3215 100.0 0 0.0 Khsrha 6168 1220 3149 4369 70.8 29 72.1 51.1 3149 100.0 2845 90.3 Delivery reported Monthly Estimated delivery Sohartgarh 0 0 1313 1313 0.0 100 100.0 1297 98.8 530 40.4 Uska Bazar 6280 347 2740 3087 49.2 51 88.8 43.6 2830 103.3 570 20.8 Percent Distribution of deliveries by type of Facility Badani 6126 3219 1259 4478 73.1 27 28.1 20.6 894 71.0 1122 89.1 Missing, 14 Bhanwapur 6691 3792 2428 6220 93.0 7 39.0 36.3 1757 72.4 1515 62.4 CHC, DH, 2 Birdpur 6318 2640 1961 4601 72.8 27 42.6 31.0 900 45.9 1066 54.4 14 Jogia 4706 1699 1643 3342 71.0 29 49.2 34.9 1529 93.1 357 21.7 PHC, 16 Khuniywa 6405 3752 1845 5597 87.4 13 33.0 28.8 1839 99.7 1396 75.7 Home, 39 Mithwal 6233 1656 3092 4748 76.2 24 65.1 49.6 3092 100.0 2581 83.5 SC, 16 Nougarh 5242 1915 5204 7119 135.8 -36 73.1 99.3 4378 84.1 3085 59.3 Grand Total 76547 29618 36483 66101 86 14 55 48 32276 88 20592 56 AHS (2012-13) 30 79.6 59.5

Gaps in Deliveries :- >100% >80, <=100 1-86 % deliveries reported against the total estimated deliveries, needs to report rest missing deliveries. >=50, <=80 <50 2-55 % deliveries are reported as institutional out of total deliveries(it is 45% against the total estimated deliveries) although AHS 2012-13 reported for Siddharthangar is 30% Discharged under 48 hours 3 Khesraha and Uska , i reported less home dediveries they reported less then 1000, bisides uska showing the improvment in reported deliveries form last month mising deliveries (90% to 54%) Bansi and >50 <=50,<=10 <9 Naugarh reported deliveries more then 100% how its possible .Need to check data

4-39% deliveries conducted at Home and 14% deliveries are not reported against the estimated deliveries.

5-88% mothers discharge under 48 hrs of delivery in district and AHS 12-13 measure it 80% in the same district. Siddharth Nagar Volume - 2, FY (April to March)As on 12 April 2016-17

Complications Treated with C- section conducted Preg. with % Preg. with % of C- Institutional Compl. Compl. IV S. No. Block Section Delivery Attended at Attended at Antihypertens Blood IV Antibiotics IV Oxytocics DH CHC PHC Others performed facilities facilities ive/ Magsulph Transfusion Inj. 1 Badani 1259 13 1 0 0 0 0 0 0 0 0 0 2 Bansi 3538 0 0 0 0 0 0 0 138 0 0 4 3 Dumaria 5095 119 2 46 21 179 0 0 0 0 0 0 4 Itawa 3216 0 0 0 0 0 0 0 0 0 0 0 5 Khsrha 3149 19 1 19 19 19 0 0 0 0 0 0 6 Sohartgarh 1313 0 0 0 0 0 0 0 43 0 0 3 7 Uska Bazar 2740 0 0 0 1 16 0 0 0 0 0 0 8 Bhanwapur 2428 0 0 0 0 0 0 0 0 0 0 0 9 Birdpur 1961 33 2 19 0 0 0 0 0 0 0 0 10 Jogia 1643 0 0 0 0 0 0 0 0 0 0 0 11 Khuniywa 1845 238 13 150 38 79 0 0 0 0 0 0 12 Mithwal 3092 343 11 342 24 106 0 0 0 0 0 0 13 Nougarh 5204 180 3 1245 406 1469 74 223 442 0 0 13 Grand Total 36483 945 2.6 1821 509 1868 74 223 623 0 0 2.3

Only 2% of pragnancies with complication were attended at facilities such as Dumariyaganj, Khesraha,Badani, Mithwal, Khuniao and Naugarh. C-section is bening performed only in Naugarh block in the district. Siddharth Nagar Volume - 2, FY (April to March)As on 12 April 2016-17 High risk PW reporting trends, distribution and progress

Percent of high risk pregnant woman reported for Registered ANCs - FY 2016-17 Total Number 25 Number Pregnant 24 number of having % of % of severe (Hb having severe women with 20 pregnant Hb having <7) anemia % of PW with 20 Block anaemia Hypertension women level<11 Hb level treated rate at hypertension 17 (Hb<7) treated (BP>140/90) : 15 15 15 Registered (tested <11 institution 13 13 14 at institution New cases 11 12 for ANC cases) 10 8 9 5 DHQ 132 0 0.0 0 0.0 0 2 2 2 2 2 2 Bansi 4061 363 8.9 0 0.0 62 1.0 2 2 2 1 2 1 0 0 1 1 0 0 0 0 0 0 0 0 0 Dumaria 9892 2040 20.6 12 0.1 96 0.9 Itawa 5555 721 13.0 7 0.1 0 0.0

% of PW having Hb level <11 Khsrha 5099 595 11.7 3 0.1 2 0.0 % of PW having severe anemia treated at institution Sohartgarh 0 0 0.0 0 0 % of PW with Hypertension (BP>140/90) : New cases Uska Bazar 4967 928 18.7 18 0.4 841 12.3 Percent of high risk pregnant women reported by facility type Badani 5760 677 11.8 0 0.0 62 0.9 100 80 Bhanwapur 7463 2508 33.6 0 0.0 0 0.0 Birdpur 6615 549 8.3 0 0.0 111 1.6 15 20 14 2 7 9 9 0 2 0 2 Jogia 5110 79 1.5 0 0.0 27 0.5 0 Khuniywa 6130 864 14.1 0 0.0 154 2.2 CHC DH PHC SC Mithwal 4908 627 12.8 0 0.0 21 0.3 % of PW having Hb level <11 % of PW having severe anemia treated at institution % of PW with Hypertension (BP>140/90) : New cases Nougarh 7328 2057 28.1 139 1.9 181 3.2 Grand Total 73020 12008 16.4 179 0.2 1557 1.9 AHS (2012-13)

Gaps in HRP : Instead of VHNDs Basi,,Khesraha,, Bridpur,are reporting mothers having hb l<11 below 16% . only Jogiya reported 0 Hb<11 .besides of jogiya registered 125% ANC registration

Only Uska , Dumariya and Nougarh are treating severe anemic pregnant womens as per HMIS report.

- Hypertensive cases identification is zero in 3Blocks.

- only 171 severe anemic PW identified instead of VHND sesisons are held and every month 9th date is HRP day . data is not re ported . proper way. Siddharth Nagar Volume - 2, FY (April to March)As on 12 April 2016-17 Child care services trends, distribution and progress

Number 120 Trend in Child care services (in Percent) - January 2017 Number of 100 98 Number of % of 93 94 95 95 96 95 95 94 96 95 of % of Newbor % of 80 82 Newborns newborns 86 85 86 88 89 88 86 88 88 89 Total Live % of still Newborn newborns ns newborn 60 83 Block Still Birth breast fed breast fed 73 Births birth s weighed having s having 40 within 1 within 1 weighed at birth weight < 2.5 kg 20 hour hour 0 2 4 2 2 1 1 2 5 1 2 2 2 at birth less than 2 and Bansi 6104 39 0.6 6045 99 half0 kg 0.0 6048 99 % of newborns weighed at birth % of newborns having < 2.5 kg Dumaria 9236 34 0.4 9206 100 207 2.2 9210 100 Itawa 5729 51 0.9 3911 68 19 0.5 5728 100 % of newborns breast fed within 1 hour % of still birth Khsrha 4359 19 0.4 3141 72 4 0.1 4354 100 Sohartgarh 1282 42 3.2 1212 95 21 1.7 1215 95 Child care services by facility type (In Percent) Uska Bazar 3729 14 0.4 3073 82 33 1.1 3073 82 Badani 4389 96 2.1 3393 77 118 3.5 4123 94 120 100 100 93 93 99 93 93 Bhanwapur 6233 0 0.0 6219 100 0 0.0 6233 100 100 80 80 Birdpur 4588 7 0.2 2146 47 121 5.6 2176 47 60 Jogia 3344 11 0.3 3176 95 5 0.2 3243 97 40 Khuniywa 5568 31 0.6 5499 99 306 5.6 5536 99 20 Mithwal 4718 39 0.8 4713 100 100 2.1 4718 100 0 Nougarh 6936 197 2.8 5168 75 409 7.9 6658 96 CHC DH PHC SC Grand Total 66215 580 0.9 56902 86 1343 2.4 62315 94 % of newborns weighed at birth % of newborns breast fed within 1 hour AHS (2012-13) 12 20.3 21.6

>100% Gaps in Child care - 0.9 still births are reported from the dist.on 1000 live births , >80, <=100 >=50, <=80 , Bhnwapur,Jogiya,reported 0% still birth and Shohrathgarh and Badhni Naugarh reported 3.2%, 2.1%, 2.6 which are <50 heighest in district.

- 94% births are reported as breast fed within 1 hours of births, it is need to check as AHS 2012-13 showing data for Siddharthnagar is 22% only. - In Siddharthnagar 86% children weight at birth and of which 2.3% LBW while AHS 12-13 estimated this as 22%&20.% respectively. Siddharth Nagar Volume - 2, FY (April to March)As on 12 April 2016-17 Child Immunization trends, Distribution and progress

Percent of Children received Birth doses % of 150 Number of Number of % of Number of Infants 0 % of Infants 0 children 9 and Infants 0 to Infants 0 to Infants 0 to Infants 0 to Number of % of children 9 112 to 11 % of Infants 0 to 11 to 11 months 11 months fully 100 101 104 Est. live Total Live 11 months 11 months 11 months 11 months Infants 0 to 11 and 11 months 88 89 88 89 92 88 87 Block months months old who old who immunized 83 86 79 birth Births old who old who old who old who months old who fully 64 67 63 68 59 62 old who received Hep B 0 received (BCG+DPT123+O 50 48 57 51 56 51 received received received received received Measles immunized 35 33 32 32 received Measles PV1:Total 23 32 32 26 26 BCG OPV 0 OPV 0 Hepatitis-B0 23 18 23 BCG 0 Bansi 5743 6104 5842 102 3350 58 66 1 3906 68 3915 68 % of Infants 0 to 11 months old who received BCG Dumaria 9769 9236 7955 81 6652 68 3589 37 8005 82 8126 83 % of Infants 0 to 11 months old who received OPV 0 Itawa 6643 5729 6088 92 3949 59 2314 35 5155 78 5147 77 % of Infants 0 to 11 months old who received Hep B 0 Khsrha 6107 4359 5727 94 3784 62 2051 34 4384 72 4378 72 Birth doses by facility type (in Percent) Sohartgarh 0 1282 0 0 0 0 0

100 84 Uska Bazar 6218 3729 4226 68 1573 25 828 13 2792 45 3576 58 63 Badani 6066 4389 5641 93 3462 57 1312 22 4215 69 4640 76 50 33 34 31 Bhanwapur 6625 6233 4730 71 4622 70 1637 25 4471 67 4469 67 22 12 11 3 2 2 1 Birdpur 6255 4588 5846 93 3019 48 789 13 3911 63 4563 73 0 Jogia 4659 CHC DH PHC SC 3344 5443 117 3721 80 2915 63 4439 95 6947 149 Khuniywa 6342 5568 5897 93 4072 64 1701 27 5066 80 5103 80 % of Infants 0 to 11 months old who received BCG % of Infants 0 to 11 months old who received OPV 0 Mithwal 6171 4718 5909 96 3817 62 2969 48 4544 74 4545 74 % of Infants 0 to 11 months old who received Hep B 0 Nougarh 5190 6936 7293 141 4042 78 1326 26 5121 99 5171 100 Grand Total 75789 66215 70597 93 46063 61 21497 32 56009 74 60580 80 Gaps in Immunization : No of Live births and BCG given not corresponding in most of the blocks as per the table and reporting more then 93% live births need to be check the home delrveries not reported from the

more then 100% reported BCG. as per AHS home delivery of siddharthnagr 68% >100% >90, <=100 - Only Bansi and Naugarh reported very low % of HB0 dose only block Jogiya reported all vacination more than 100% .need to check data in validation committee. >=70, <=90 - Usually BCG, OPV0 and Hepatitis B0 does are given at birth time but reporting shows all three are not given at the time of birth even at DH and CHCs, it is showing service gap at facility and need focus monitoring. <70 Siddharth Nagar - Family Planning Services Reported in HMIS during FY 2016-17 (April to March) Family planning trends Distribution and progress

Number of Family planning users against need by month Potential Potential % % of Total unmet % achivement unmet new IUD achivemen Total need family 25000 Condom Oral Pills Block need for for limiting need for Insertion t for for family planning

Male Users Users limiting Female method spacing s spacing planning service

20000 Sterilization method Sterilization method method provided 15162 15000 13927 13337 11672 Bansi 3136 0 126 4.02 5924 622 275 138 17.5 20073 5.8 Dumaria 5243 2 148 2.86 5924 1306 371 540 37.4 33553 7.1 10000 7988 7066 5363 6367 5781 Itawa 3564 2 118 3.37 9903 2121 428 562 31.4 22808 14.2 5000 Khsrha 3397 0 190 5.59 6731 1307 375 660 34.8 21743 11.6 1518 1840 2222 Sohartgarh 0 0 33 6417 0 0 0 0.0 0 0.0 0 Uska Bazar 3173 2 59 1.92 0 578 425 135 0.0 20310 5.9 Badani 3225 0 1 0.03 5994 659 309 481 24.2 20642 7.0 Total family planning service provided Monthly need for family planning Bhanwapur 3391 8 80 2.60 6092 700 162 469 21.9 21702 6.5 Birdpur 3191 0 46 1.44 6405 973 445 205 25.3 20424 8.2 Jogia 2378 0 8 0.34 6028 1159 376 246 29.6 15220 11.8 Percent Distributions of new IUD insertions by facility Khuniywa 3924 1 101 2.60 4492 1300 327 428 45.8 25113 8.6 type Mithwal 3025 2 119 4.00 7412 1519 268 381 29.2 19362 11.8 Nougarh 3144 12 397 13.01 5714 2503 413 487 59.5 20120 18.9 DH, 732, 5% CHC, 1193, 8% Grand Total 40792 29 1426 3.57 82976 14747 4174 4732 28.5 261069 9.6 PHC, 2748, Gaps in Family planning : 19% - 68% of total IUCD perform at Subcenter till month so quality and quantity should be a concern to all >100% SC, 10129, >80, <=100 68% Familiy planing mangers. >=50, <=80 - Majority of blocks do not providing services of IUCD, OCPs and Condom in <50 - this month for family planning. List of Indicators covered in HMIS and MCTS S.No. Domain Indicator Numerator Denominator Page no. 1 MCTS % of mother registered in MCTS against estimated Total # Mother registered in MCTS Estimated Pregnancies 3 2 MCTS % Children registered against estimated Total # Children registered in MCTS Estimated live births 3 Sum of pregnant women having hb<7 and any other maternal 3 MCTS % High risk PW reported in MCTS Total # Registered Mothers in current year 3 complication % of Mother received ANC 3 against registered PW with LMP Total # pregnant women registered with LMP 4 MCTS Mother (LMP 2015-16) received ANC 3 3 2014-15 in 2015-16 Total # pregnant women registered with LMP 5 MCTS % of PW delivered against registered with LMP in 2014-15 Total # Pregnant women (LMP 2015-16) delivered 3 in 2015-16) % of children received full immunization against children 6 MCTS Total # children (DoB 2015-16) received full immunization Total # Children (DoB 2015-16) registered 3 registered in 2014-15 7 ANC % of ANC registered to estimated Pregnancy Total # ANC Registered Estimated Pregnancy 4 8 ANC % of ANC registered within 1st trimester Total # ANC Registered within 1st trim Total # ANC Registered 4 9 ANC % of ANC received TT2/Booster Total # Pregnant women received TT2/Booster Estimated Pregnancy 4 10 ANC % of ANC received 3ANC checkups Total # pregnant women received 3 ANC check ups Estimated Pregnancy 4 11 Delivery % delivery reported Total # Delivery reported Estimated Delivery 5 12 Delivery % of Unreported (Missing) Delivery Total # Deliviery not reported Estimated Delivery 5 13 Delivery % of institutional deliveries among estimated delivery Total # Institutional Deliviery Estimated Delivery 5 14 Delivery % of delivered women discharged within 48 hours Total # Delivered women discharged within 48 hours Tota # Deliveries conducted at facility 5 15 Delivery % of JSY incentive paid to mothers Total # JSY Incentives paid to mothers Tota # Deliveries conducted at facility 5 16 HRP % of having Hb level <11 Number having Hb level<11 Estimated Pregnancy 6 17 HRP % of severe (Hb <7) anemia treated rate at institution Total # Severe (Hb <7) anemia treated at institution Total # ANC Registered 6 18 HRP % of PW with hypertension Total # Pregnant women with Hypertension (BP>140/90) Estimated Pregnancy 6 % Pregnant women having Obstetric complication attend at Total # Pregnant women having Obstetric complication attend Total number of deliveries conducted at 19 HRP facility at facility public facilities 20 Child Care % of Still birth Total # Still Birth Sum of Live birth & Still birth 7 21 Child Care % of newborns weighed at birth Number of Newborns weighed at birth Total # Live Births 7 22 Child Care % of newborns having weight < 2.5 kg Total # newborns having weight < 2.5 kg Total # Live Births Weighed 7 23 Child Care % of newborns breast fed within 1 hour Total # newborns breast fed within 1 hour Total # Live Births 7 24 Immunization % of Infants 0 to 11 months old who received BCG Total # Infants 0 to 11 months old who received BCG Total # Estimated Births 8 25 Immunization % of Infants 0 to 11 months old who received OPV 0 Total # Infants 0 to 11 months old who received OPV 0 Total # Estimated Births 8 26 Immunization % of Infants 0 to 11 months old who received Hep B 0 Total # Infants 0 to 11 months old who received Hep B 0 Total # Estimated Births 8 27 Immunization % of Infants 0 to 11 months old who received Measles Total # Infants 0 to 11 months old who received Measles Total # Estimated Births 8 28 Immunization % of children 9 and 11 months fully immunized Total # children 9 and 11 months fully immunized Total # Estimated Births 8 29 Family Planning % achivement for limiting method Total # Sterilization (Male & Female) Potential unmet need for limiting method 9 30 Family Planning % achivement for spacing method Sum of IUCD and oral Pill users Potential unmet need for spacing method 9 Potential unment need for FP Method 31 Family Planning % of Total family planning service provided Sum of Spacing and Limiting method's users 9 (Limiting & Spacing & Est Condom users & District - Siddharth Nagar Estimates for Year 2016-17 ANC Delivery Immunization Family planning

Potential Potential Estimated Total Population Estimated unmet unmet Estimated Block CBR Estimated Estimated No. Traditional current Pregnant need for need for Condom deliveries of Live Births Method need for FP Women limiting spacing Users Users # Yearly method method

DHQ Dumaria 359166 27.2 10746 9867 9769 5243 9903 5534 12874 33553 Itawa 244244 27.2 7308 6710 6643 3564 6731 3762 8751 22808 Khsrha 224534 27.2 6718 6168 6107 3397 6417 3586 8342 21743 Sohartgarh 0 0.0 0 0 0 0 0 0 0 0 Uska Bazar 228585 27.2 6839 6280 6218 3173 5994 3350 7792 20310 Badani 223002 27.2 6672 6126 6066 3225 6092 3404 7920 20642 Bhanwapur 243563 27.2 7287 6691 6625 3391 6405 3579 8327 21702 Birdpur 229981 27.2 6881 6318 6255 3191 6028 3368 7836 20424 Jogia 171294 27.2 5125 4706 4659 2378 4492 2510 5840 15220 Khuniywa 233147 27.2 6976 6405 6342 3924 7412 4142 9635 25113 Mithwal 226883 27.2 6788 6233 6171 3025 5714 3193 7429 19362 Grand Total 2824516 27.8 84510 77595 76827 40792 77052 43058 100167 261069