File No. HFW-Z7038/77 /Z018-NHM SEC-Dept. ofH&FW

RESOLUTION OF STATE NUHM REVIEW MEETING

State level meetings on NUHM were held with the District level Officials and representative of ULBs on 19.03.2019, 26.03.2019, 04.04.2019 and 05.04.2019 to review the implementation status of NUHMin presence of the following State level Dignitaries and Officials. 1) Mission Director, NHM& Secretary, 2) Director of Health Services & Ex-Officio Secretary, West Bengal 3) Addl. Mission Director, NHM,West Bengal 4) Programme Officer-Il, NHM& Deputy Secretary, West Bengal 5) Deputy Director of Health Services, PH&CD, West Bengal 6) Asst. Director of Health Services, Maternal Health, West Bengal 7) State Nodal Officer, NUHM, West Bengal 8) Sr. Accounts Officer, NHM,West Bengal 9) Chief Public Health Officer, SUDA,West Bengal 10)SPMU, NUHM,West Bengal

In the first half of the meeting the core activities of NUHM (e.g. infrastructure strengthening, HR recruitment, OPD performance of U-PHCs and outreach activities etc.) was reviewed. Different programme was reviewed in the 2ndhalf by the respective programme officer.

Following decisions were taken in the meeting-

1. It was agreed that OPD foot fall of 500 per U-PHC per month is too poor. All effort will be given to increase the OPD load at least to 1000 per month per U-PHC. Average number of lab test is expected to be 50 per day per U-PHC. Districts and ULBs were requested to make necessary arrangement (e.g. filling-up the vacant position of U-PHC, availability of essentials drugs, lab equipments and IEC & BCC etc.) to improve the performance of U-PHCs in terms of OPD, lab. Test etc.

11. Number of laboratory test for the each and every laboratory must be uploaded and reported in HMIS portal.

111. SUDA and respective Districts were requested to visit the U-PHCs where OPD performance is poor and send a feedback report within 18th May, 2019 NO.ofU-PHC District / ULB Number of U-PHC where average OPD SUDA is < 500 Diamond Diamond Habour 1 1 Habour Municipality MC 11 1 SUDA, MC 18 1 WB Siligiri Me 10 5 MC 27 16 North 24 7 1 File No HFW-27038/77 /2018-NHM SEC-DeUt ofH&FW No.ofU-PHC District / ULB Number of U-PHC where average OPD SUDA is < 500 Parganas Kanchrapara 3 1 Basirhat Basirhat 3 1 HD Malda Old Malda 2 2 Uttar 4 3 Dinajpur

IV. Number of special outreach camps were below the expected number in some of the ULBs. The list of ULBswhere the target of special outreach camp were not achieved is attached as annexure -l. All were requested to conduct the special outreach camp as per plan. v. Districts & ULBs were requested to set a timeline to complete the construction of U• PHCs (new construction & renovation of U-PHCs) and operationalise the same within financial year 2019-20. Otherwise fund release would be a problem for the U-PHCs for late completion. Time line completion and operationalisation needs to be

communicated to SPMU(NUHM)within 10th May, 2019.

VI. Proposal for relocation site for construction of U-PHC at Kotrung Municipality was not approved by the State.

Vll. Rs. 150.73 Lakh was released from the State in favour of concerned DH&FWSs for procurement of lab-equipments for U-PHCs out of total requirement (as per requisition from the district) of Rs. 33l.60 Lakh. Districts were requested to procure the lab• equipments for the U-PHCs. Rest of the fund will be released soon.

Vlll. Basirhat Municipality was requested to start the laboratory services at U-PHC. Standalone laboratory is not encouraged under NUHM.

IX. It is a matter of concern that few ULBs have not completed the activity under Community Process like Formation, Induction Training and opening of Bank account of MAS. All are requested to complete the activities as mentioned above within June 2019. District wise list of ULBs where activity under community process have not been completed are given in the Annexure-L. x. It was noticed that there is a acute shortage of fund in MC. SUDA,West Bengal was requested to release fund to Siliguri MC as early as possible.

Xl. In regards to service delivery it was proposed by some of the districts and ULBs that at least one Medical Officer and one Staff Nurse may be provided to each U-PHC from regular health services as the attrition rate of contractual Medical Officers and Staff Nurses are very high.

Xll. Dedicated Accounts Personnel to be posted at to maintain accounts

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2nd Half of Meeting

Xlll. Districts and ULBs were requested to ensure the availability of all the twenty-four (24) essential items for quality ANC services at U-PHCs in pursuance of the order issued under the joint signature of DHS & DME vide Memo No. H/SFWB/IIM-01-2016/Part 1/ 261, dated: 06.03.2019. In this connection, Districts were requested to share the U•

PHC wise stocktaking report within 30th April, 2019. Districts were requested to take necessary steps to ensure the availability of all the 24 items as per order within June, 2019.

XIV. Districts were requested to furnish the U-PHC wise population as per census 2011. This information is needed to calculate the expected level of achievement (ELA)to monitor the RCH related activities at U-PHCs. Henceforth, the performance of RCH services are being rendered from U-PHCs will be monitored against ELA. xv. Districts and ULBs were also requested to prepare the U-PHC wise ELA as per standard formula shared by the RCH Division. In this regard, handholding support of Sr.PHN & PHN from nearby BPHC/ RH may be arranged by the District for the preparation of ELA.

XVI. Facility based reporting in the HMIS portal is 100%. Districts were requested to review the performance of U-PHCs duly uploaded in the HMIS portal on regular basis.

XVll. HIV screening of all pregnant mothers will be done during ANCregistration and will be reviewed in regular basis.

XVlll. Customised IDSP reporting from the district for urban health facilities must be sent to state in time. Districts were requested to compile the U-PHC wise weekly report and send it to the State IDSP Cell with the copy to State NUHM Cell and SUDA, West Bengal.

XIX. ULB were requested further to maintain the line-list of all the positive cases in respect of dengue and enteric fever in Form-L. xx. As a policy decision, it has been decided that every functional U-PHCs will act as Designated Microscopy Center (DMC)under RNTCP. All DTOs may be requested for taking necessary initiatives so that U-PHCs may function as DMC.

XXI. Districts were requested to ensure requisite equipments and logistical support of RNTCPservices at U-PHCs through DTOs of the respective Districts.

Meetings concluded with thanks from and to the chair and all concerned were requested to take necessary steps as per issues resolved in the meeting.

Mission e''_'''___ est Bengal ******************

Page 3 0[6 File No. HFW-27038/77/2018-NHM SEC-Dept. of H&FW ANNEXURE 1

DISTRICT-WISE AND ULB-WISE STATUS OF MAS FORMATION AND TRAINING

1 Alipurduar 7 7 7 2 Bankura 84 84 84 3 Basirhat HD 38 38 38 4 Basirhat HD Basirhat 89 89 89 5 Birbhum S6 56 56 6 Birbhum Suri 63 leted 7 Bishnupur HD Bishnupur 41 8 Cooch Behar Sl 9 Dakshin Dinajpur 77

10 Dakshin Dinajpur 40

11 Darjeeling

12 Darjeeling Siliguri MC

Diamond Habour Diamond 13 31 HD Habour leted 14 Ho 48 48 48 15 Hooghly 45 45 45 16 Hooghly 127 127 127 17 Hooghly Bhadreswar 127 127 127 formation and training Champdany 18 Hooghly eted Chandernagore 19 Hooghly 92 92 92 MC 20 Hooghly 62 62 62 Hooghly 21 Hooghly 89 89 89 Chinsurah 22 Hooghly 20 20 20 23 Hooghly 101 101 101 24 Hooghly eted

25 Hooghly

26 Howrah 27 Howrah 333 28 jalpaiguri 75 29 HD

30 Kolkata Kolkata MC

31 Malda English Bazar 74 74 74 32 Malda Old Malda 66 66 66

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33 Berhampur 137 137 137 34 Murshidabad Dhulian 132 132 132 35 Murshidabad Jangipur 118 118 118 Jiaganj- 36 Murshidabad 53 53 53 Azi 37 Murshidabad Kandi 40 40 40 38 Nadia Chakdah 79 79 79 39 Nadia Gayeshpur 81 81 81 40 Nadia 20 20 20 41 Nadia Kalyani 103 103 103 42 Nadia Krishnagar 86 86 86 43 Nadia 152 152 152 44 Nadia 50 50 50 45 Nadia Santipur 121 121 46 Nandigram HD 63 Ashoknagar 47 North 24 Parganas 147 Kalyangarh 48 North 24 Parganas

49 North 24 Parganas

50 North 24 Parganas 51 North 24 Parganas

52 North 24 Parganas Bidhannagar 53 North 24 Parganas MC 54 North 24 Parganas 55 North 24 Parganas 56 North 24 Parganas 57 North 24 Parganas 58 North 24 Parganas Kamarhati 59 North 24 Parganas 60 North 24 Parganas Khardah 51 61 North 24 Parganas 68 62 North 24 Parganas 97 New 63 North 24 Parganas 47

64 North 24 Parganas 60 re North Dum 65 North 24 Parganas 122 Dum 66 North 24 Parganas South Dum 67 North 24 Parganas Dum

Page 5 0/6 North 24 Parganas 164 Paschim 69 Asansol MC 655 Paschim 70 MC Bardhaman 71 Paschim Medinipur 37 37 37 72 Paschim Medinipur 241 241 241 73 Paschim Medinipur Medinipur 126 126 126 74 Purba Burdwan Burdwan 91 91 91 75 Purba Burdwan Kalna 55 55 55 76 Purba Burdwan 81 81 81 77 Purba Medinipur 93 93 93 78 Purba Medinipur 38 38 38 79 Purba Medinipur Tamralipta 44 44 44 80 Purulia 92 92 92 formation and training HD Rampurhat 64 81 ted. 82 South 24 Parganas 32 83 South 24 Parganas 84 South 24 Parganas Rajpur 85 South 24 Parganas So ur 86 Uttar Dinajpur Islampur 62 62 62 87 Uttar Dinajpur 45 51 51 88 Uttar Dinajpur Raiganj 149 149 149 TOTAL 11709 9474 7148

State Nodal Officer, NUHM West Bengal

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