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Rampur District Uttar Pradesh NHM, Uttar Pradesh PIP 2018-19: M&E Report, Rampur PRC-IEG, Delhi NATIONAL HEALTH MISSION UTTAR PRADESH PROGRAMME IMPLEMENTATION PLAN A REPORT ON MONITORING OF IMPORTANT COMPONENTS OF RAMPUR DISTRICT SUBMITTED TO MINISTRY OF HEALTH AND FAMILY WELFARE GOVERNMENT OF INDIA, DECEMBER 2018 DR. WILLIAM JOE MS. MONALI KUMARI POPULATION RESEARCH CENTRE INSTITUTE OF ECONOMIC GROWTH, DELHI-110007 1 NHM, Uttar Pradesh PIP 2018-19: M&E Report, Rampur PRC-IEG, Delhi CONTENTS CONTENTS....................................................................................................................................................... 2 LIST OF TABLES ............................................................................................................................................... 3 LIST OF GRAPH/FIGURES ................................................................................................................................. 5 ACKNOWLEDGEMENT .................................................................................................................................... 6 ABBREVIATIONS ............................................................................................................................................. 7 EXECUTIVE SUMMARY .................................................................................................................................... 9 1.INTRODUCTION .......................................................................................................................................... 13 1.1 BACKGROUND AND OBJECTIVES ............................................................................................................ 13 1.2 REVIEW OF THE KEY DEMOGRAPHIC AND HEALTH INDICATORS ............................................................ 15 2.REVIEW OF KEY HMIS INDICATORS ........................................................................................................... 18 2.1 MATERNAL HEALTH ........................................................................................................................................ 18 2.2 CHILD HEALTH ................................................................................................................................................ 24 3.KEY FINDINGS AND OBSERVATIONS .......................................................................................................... 37 3.1 PHYSICAL ACCESS TO HEALTH FACILITIES ................................................................................................ 37 3.2 HUMAN RESOURCES FOR HEALTH: STATUS & TRAINING ....................................................................... 39 3.3 TRAINING STATUS ..................................................................................................................................... 40 3.4 AVAILABILITY OF EQUIPMENTS AND DRUGS IN HEALTH FACILITIES ..................................................... 41 3.5 SERVICE DELIVERY IN LAST TWO YEARS .................................................................................................. 45 3.6 MATERNAL HEALTH, DELIVERY AND CHILD HEALTH .............................................................................. 46 3.7 RASHTRIYA BAL SWASTHYA KARYAKRAM .............................................................................................. 51 3.8. JANANI SURAKSHA YOJANA & JANANI SHISHU SURAKSHA KARYAKRAM .......................................... 52 3.9 FAMILY PLANNING .................................................................................................................................... 54 3.10 INFORMATION EDUCATION AND COMMUNICATION ............................................................................ 55 3.11 COMMUNITY PROCESS ............................................................................................................................ 56 3.12 DISEASE CONTROL PROGRAMME ........................................................................................................... 56 3.13 HMIS/MCTS ............................................................................................................................................... 57 3.14 AYUSH ...................................................................................................................................................... 57 3.15. STATEMENT OF NHM EXPENDITURE: UTTAR PRADESH 2017-18 ........................................................... 58 4.FACILITY-WISE OBSERVATIONS ................................................................................................................. 59 1.DISTRICT HOSPITAL ...................................................................................................................................... 59 2. COMMUNITY HEALTH CENTER SHAHBAD .................................................................................................. 62 3. PHC RAMPURA ............................................................................................................................................ 65 4. SUB CENTER BANSHIDHAR TANDA ............................................................................................................ 67 5. COMMUNITY HEALTH CENTER MILAK ....................................................................................................... 68 6. PHC RAJPURA .............................................................................................................................................. 70 7. SUB CENTER KYORAR .................................................................................................................................. 72 5.CONCLUSION AND RECOMMENDATION .................................................................................................... 73 6.LIST OF CONTACT PERSON ........................................................................................................................ 74 7.ANNEXURE ................................................................................................................................................. 76 2 NHM, Uttar Pradesh PIP 2018-19: M&E Report, Rampur PRC-IEG, Delhi LIST OF TABLES TABLE 1. LIST OF INSTITUTIONS AND FACILITIES VISITED BY THE PRC-IEG TEAM, RAMPUR .................................................. 15 TABLE 2. KEY DEMOGRAPHIC INDICATORS OF RAMPUR DISTRICT ..................................................................................... 16 TABLE 3. RURAL-URBAN COMPARISON OF DEMOGRAPHIC INDICATORS: INDIA, UTTAR PRADESH AND RAMPUR .................. 17 TABLE 4. HEALTH INDICATORS OF RAMPUR DISTRICTS ................................................................................................... 17 TABLE 5. NUMBER OF PREGNANT WOMEN RECEIVED 3 ANC CHECK UPS........................................................................... 18 TABLE 6. PERCENTAGE OF PREGNANT WOMAN WHO RECEIVED 3 AND 4 (2018) ANC CHECK UPS ........................................ 18 TABLE 7. PERCENTAGE OF PREGNANT WOMEN WHO RECEIVED TT2 OR BOOSTER ............................................................... 19 TABLE 8. PERCENTAGE OF PREGNANT WOMEN GIVEN 100 IFA TO TOTAL ANC REGISTRATION ............................................ 19 TABLE 9. PERCENTAGE OF PREGNANT WOMEN HAVING SEVERE ANAEMIA ......................................................................... 20 TABLE 10. PERCENTAGE OF SBA ATTENDED HOME DELIVERIES TO TOTAL REPORTED HOME DELIVERIES ................................ 20 TABLE 11. PERCENTAGE OF MOTHERS PAID JSY INCENTIVE FOR HOME DELIVERIES TO TOTAL REPORTED HOME DELIVERIES ..... 21 TABLE 12. PERCENTAGE OF WOMEN DISCHARGED IN LESS THAN 48 HOURS ....................................................................... 21 TABLE 13. PERCENTAGE OF INSTITUTIONAL DELIVERIES TO TOTAL REPORTED DELIVERIES .................................................... 22 TABLE 14. PERCENTAGE OF HOME DELIVERIES TO TOTAL REPORTED DELIVERIES................................................................. 22 TABLE 15. PERCENTAGE OF C-SECTION DELIVERIES (PUBLIC + PVT.) TO REPORTED INSTITUTIONAL ...................................... 23 TABLE 16 .PERCENTAGE OF DELIVERIES CONDUCTED AT PUBLIC INSTITUTIONS TO TOTAL INSTITUTIONAL DELIVERIES .............. 23 TABLE 17. PERCENTAGE OF WOMEN WHO RECEIVING POST-PARTUM CHECK-UP WITHIN 48 HOURS ....................................... 24 TABLE 18. PERCENTAGE OF TOTAL REPORTED LIVE BIRTHS TO TOTAL DELIVERIES ............................................................... 24 TABLE 19. PERCENTAGE OF LIVE BIRTH TO REPORTED BIRTH ........................................................................................... 25 TABLE 20. PERCENTAGE OF NEW-BORNS HAVING WEIGHT LESS THAN 2.5 KG TO NEW-BORNS WEIGHED AT BIRTH ................... 25 TABLE 21. PERCENTAGE OF NEW-BORNS BREAST FED WITHIN 1 HOUR OF BIRTH TO TOTAL LIVE BIRTH .................................... 26 TABLE 22. PERCENTAGE OF NEW-BORNS VISITED WITHIN 24HRS OF HOME DELIVERY TO TOTAL REPORTED HOME DELIVERIES... 26 TABLE 23. NUMBER OF INFANTS GIVEN OPV 0 (BIRTH DOSE) ........................................................................................ 27 TABLE 24. NUMBER OF INFANTS GIVEN BCG ................................................................................................................ 27 TABLE 25. PERCENTAGE OF NEW-BORNS GIVEN OPV0 AT BIRTH TO REPORTED LIVE BIRTH .................................................. 27 TABLE 26. PERCENTAGE OF NEW-BORN GIVEN BCG TO REPORTED LIVE BIRTH ..................................................................
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