Jyotiba Phule Nagar 2018.Pdf
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NATIONAL HEALTH MISSION UTTAR PRADESH PROGRAMME IMPLEMENTATION PLAN A REPORT ON MONITORING OF IMPORTANT COMPONENTS OF JYOTIBA PHULE NAGAR PIP SUBMITTED TO MINISTRY OF HEALTH AND FAMILY WELFARE GOVERNMENT OF INDIA SEPTEMBER 2018 DR. WILLIAM JOE MS. MONALI KUMARI POPULATION RESEARCH CENTRE INSTITUTE OF ECONOMIC GROWTH DELHI-110007 CONTENTS LIST OF TABLES .................................................................................................................................. 2 LIST OF FIGURES ................................................................................................................................ 4 ACKNOWLEDGEMENT ...................................................................................................................... 5 ABBREVIATIONS ................................................................................................................................ 6 EXECUTIVE SUMMARY ..................................................................................................................... 8 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 ......................................................................................... 19 2.1 MATERNAL HEALTH ................................................................................................................................. 19 2.2 CHILD HEALTH AND IMMUNISATION ...................................................................................................... 26 3. KEY FINDINGS AND OBSERVATIONS ....................................................................................... 39 3.1 PHYSICAL ACCESS TO HEALTH FACILITIES .............................................................................................. 39 3.2 HUMAN RESOURCES FOR HEALTH: STATUS & TRAINING ....................................................................... 41 3.3 TRAINING STATUS ................................................................................................................................... 41 3.4 AVAILABILITY OF EQUIPMENTS AND DRUGS IN HEALTH FACILITIES ..................................................... 42 3.5 SERVICE DELIVERY IN LAST TWO YEARS ................................................................................................. 47 3.6 RECORD MAINTENANCE ......................................................................................................................... 48 3.7 MATERNAL HEALTH, DELIVERY AND CHILD HEALTH .............................................................................. 50 3.8 RASHTRIYA BAL SWASTHYA KARYAKRAM ............................................................................................. 53 3.9 JANANI SURAKSHA YOJANA JANANI SHISHU SURAKSHA YOJANA ....................................................... 53 3.10 FAMILY PLANNING ................................................................................................................................. 55 3.11 INFORMATION EDUCATION AND COMMUNICATION............................................................................. 56 3.12 COMMUNITY PROCESS .......................................................................................................................... 57 3.13 DISEASE CONTROL PROGRAMME .......................................................................................................... 59 3.14 HMIS/MCTS ............................................................................................................................................ 60 3.15 AYUSH .................................................................................................................................................... 60 3.16 STATEMENT OF NHM EXPENDITURE: JYOTIBA PHULE NAGAR UTTAR PRADESH 2017-18 .................... 61 4. FACILITY WISE OBSERVATION ................................................................................................. 62 5. CONCLUSION AND RECOMMENDATION ................................................................................ 75 6. LIST OF CONTACT PERSION ...................................................................................................... 77 7. ANNEXURE .................................................................................................................................... 79 1 | P a g e LIST OF TABLES Table 1 List of institutions and facilities visited by the PRC-IEG Team, Jyotiba Phule Nagar ........... 14 Table 2: Key demographic indicators of Jyotiba Phule Nagar district .............................................. 17 Table 3: Rural-Urban Comparison of Demographic Indicators: India, Uttar Pradesh and Jyotiba Phule Nagar .......................................................................................................................................... 17 Table 4: Health indicators of Jyotiba Phule Nagar districts ............................................................... 18 Table 5: Percentage of pregnant women who received 3 ANC or 4 ANC check-up ......................... 19 Table 6: Pregnant women who received TT2 or Booster to total ANC registration ........................ 20 Table 7: Pregnant women given 100 IFA to Total ANC Registration (180 IFA for 2018) ................... 20 Table 8: Pregnant women having severe anaemia (Hb<7) treated at institution ............................ 21 Table 9: Percentage of skill birth attendance (SBA) attended home deliveries .............................. 21 Table 10: Percentage of Mothers paid JSY incentive for home deliveries ........................................ 22 Table 11: Percentage of Women discharged in less than 48 hours of delivery ................................. 23 Table 12: Percentage of Institutional deliveries to Total Reported Deliveries .................................. 23 Table 13: Percentage of Home deliveries to Total Reported Deliveries ............................................ 24 Table 14: Percentage of C-section deliveries (Public and Private.).................................................... 24 Table 15: Percentage of Deliveries conducted at Public Institutions ................................................ 25 Table 16: Percentage of women receiving post-partum check-up within 48 hours of delivery ...... 25 Table 17: Percentage of total reported live births to total deliveries................................................ 26 Table 18: Percentage of live birth to reported birth ............................................................................. 27 Table 19: Percentage new-born having weight less than 2.5 kg to new-borns weighted at birth .. 27 Table 20: Percentage of newborns breast fed within 1 hour of birth to total live birth .................. 28 Table 21: Percentage newborn within 24 hrs of home delivery to total reported home delivery ... 28 Table 22: Number of infants given OPV 0 (Birth Dose) ...................................................................... 29 Table 23: Number of infants given BCG .............................................................................................. 29 Table 24: Number of infants given DPT1 ............................................................................................. 30 Table 25: Number of infants given DPT2 ............................................................................................. 30 Table 26: Number of infant given DPT3 .............................................................................................. 31 Table 27: Number of infants given pentavalent 1 ............................................................................... 31 Table 28: Number of infants given pentavalent 2 .............................................................................. 32 Table 29: Number of infants given pentavalent 3 .............................................................................. 32 Table 30: Number of infants given measles ....................................................................................... 33 Table 31: Percentage newborns given OPV0 at birth to reported live birth ..................................... 33 Table 32: Percentage newborns given BCG to reported live birth .................................................... 34 Table 33: Percentage Infants 0 to 11 months old who received measles vaccine ............................ 34 Table 34: Number of fully immunized children (9-11 months) ........................................................... 35 Table 35: Percentage drop out between BCG & measles .................................................................. 35 Table 36: Vitamin - A dose 1 ................................................................................................................. 36 Table 37: Percentage children given Vitamin A dose1 to reported live birth .................................... 36 Table 38: Percentage Children given Vitamin A Dose 9 to Children given Vitamin A dose1 ............ 37 Table 39: Percentage of Immunisation sessions where ASHAs were present to immunisation sessions planned .................................................................................................................................