HMIS Bulletin - Volume - 2, Month- April- March FY 2016-17 (Data Updated as on 15 April 2017) National Health Mission Government of

Prepared By : MIS Division State Program Management Unit, Uttar Pradesh. HMIS (National Health Mission Bulletin) Hathras - Uttar Pradesh April- March 2016-17 S. No Sections 1 District Profile 2 District Summary sheet 3 MCTS status 4 HMIS Data Reporting Status 5 Maternal Health 5.1 Antenatal Care 5.2 Delivery & Postnatal care 5.3 High risk preganancy 5.4 Obstetric Complications and C-Section 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 HMIS Bulletin - Summary Sheet District Hathras Month - April- March FY 2016-17 Ante Natal care (ANC) Delivery care

Estimated PW 51816 Estimated delivery 47577

Total number of pregnant women Registered for ANC 48083 Total reported deliveries 43366

Institutional delivery 22218 Total Pregnant Women registered in MCTS 37627 Number discharged under 48 hours of delivery 20556 Of which Number registered within first trimester 31199 Women receiving post partum checkup within 48 hours 33338 Number of pregnant women received 3 ANC check ups 39760 JSY incentive paid to Mothers for institutional delivery 20868 TT2 or Booster 44363 Home delivery 21148 Total number of pregnant women given 100 IFA tablets 44050 Delivery conducted by Non SBA 18745

Number having Hb level<11 (tested cases) 27416 Number of newborns visited within 24 hours of Home… 13191 Pregnant women with Hypertension (BP>140/90) : New 1735 cases Number of mothers paid JSY incentive for Home deliveries 86

0 10000 20000 30000 40000 50000 60000 0 5000 10000 15000 20000 25000 30000 35000 40000 45000 50000

Child care and Immunization Fammily Planning

Estimated live birth 47106 Total unmet need for family planning 163130 Total live birth reported 46276 Total Children registered in MCTS 25599 Total Users using any FP method (Limiting & spacing) 29967 Still birth 171 Newborns weighed at birth 37127 Potential Unmet need for Limiting Method 24077 Newborns having weight less than 2.5 kg 5346 Newborns breast fed within 1 hour 45295 Limiting Metod users (Male & Female sterilization) 1308 Infants 0 to 11 months old who received BCG 42447

Infants 0 to 11 months old who received OPV 0 22021 Potential Unmet need for Spacing Method 32893 Infants 0 to 11 months old who received Hep B 0 12372 Infants 0 to 11 months old who received Measles 40970 Spacing Method Users (IUCD, Oral pill & condom) 28659 children 9 and 11 months fully immunized 40246

0 5000 10000 15000 20000 25000 30000 35000 40000 45000 50000 0 50000 100000 150000 200000 250000 300000 HMIS Bulletin - Summary Sheet District Hathras Month - April- March FY 2016-17  Maternal health: • ANC registration and 3 ANC Checkup reported in HMIS is more than the AHS 12-13 Data • DHQ,, and block TT2 or Booster reported more than District . • and Maho block PW Registration with in 1st trimester is very low as compare to other block. Need to be focus. • DHQ block ANC registration reported more than Estimation. • All block 3 ANC Checkups reported in HMIS is more than AHS 12-13 data. • 45 % Home Deliveries reported in HMIS out of Total Deliveries reported. • 9 % Deliveries is missing against estimated deliveries. HMIS Reported data need to recheck • Most of the block Home Delivery > Institutional Delivery. Need to focus on Institutional Delivery. • Sadabad and Sasni block JSY incentive paid to Mothers is more against Deliveries conducted at facility . • block Missing Delivery is 54% . Need to be focus • 92 % of delivered women discharged within 48 hours . • Maho Block delivered women discharged within 48 hours reporting is 0 . Data need to recheck • Sikandra Rao and DHQ Block Deliveries reported in HMIS more than estimation. HMIS Reported data need to recheck • Most of the block JSY incentive paid to mothers are almost 100% or more than 100 % except DHQ and Maho .Data need to be recheck • Case identified of severely anemic PW is very low, it need to focus at Facility level. • High risk pregnant women not reported at SC level in HMIS portal. • Two block Namly Hasayan and Sikandra Rao Block severe anaemia (Hb<7) treated at institution reported is zero . Need to be focus. • Two block Not reported Hypertansive PW on HMIS Portal. Need to be focus. • Identification of New PW with Hypertension (BP> 140/90) not reported at DH, PHC and SC level. • Most of the block reported HIgh Risk PW in HMIS Portal but MCTS portal shows only 7% reported. Need to Focus on updating HRP on MCTS portal. • DHQ block PW <11 HB level is more than PW registration . Data need to be rechack • Only 2% of PW with complication attended at facility reported in . Need to identify and report on HMIS Portal • Complication treatement not recived by block for PW. Data need to be recheck. • 6 out of the 8 block not reported attended PW comes with complication on HMIS portal Up to March 17 • DHQ Block C Section % is High . Data need to be recheck.  Child Health: • 98 % Breast fed within 1 Hours of births are reported in HMIS is more than AHS 12-13 Data. • "Total Deliveries is =< Live birth + Still Birth" but Sikandra Rao,Sadabad and Sahpau block Not follow this validation rule. Need to be focus in Block Validation committee at Block level. • Newborn weighed at birth reported in HMIS portal is double than AHS 2012-13 • Mursan Block weight at Birth reported More than live Birth. • Newborn weighed at birth need to be focus at Sub Center level because less than 70 % Newborn weighed at birth . • Sadabad block still birth not reported in HMIS Portal up to March 2017 . Data need to be rechack.  Immunization • Number of live birth and BCG given not corresponding in most of the block as per the table. • BCG, OPV 0 , Hep B 0 Doses are given at birth time but reporting shows all three are not given at the time at SC level, it is showing service gap at facility and need focus Monitoring. • "No. of infants (0-11 months old)immunized for measles >= No. of infants(9-11 months old) fully immunized " but Hasayan block reporting fully immunization infants 0 to 11 month is more than measles given to infants 0 to 11 months old. Data need to be chack • Need to be foucs at PHC level regarding Birth Doses. • Sadabad block Fully immunization and Measles Coverage is low other than Block. • Hasayan Block Hep B0 child not reported in HMIS up to March-17. Data need to recheck • Mursan Block Measles and Fully immunization children reported more then Estimeted live birth. Data need to recheck. • Hasayan, Maho and Sasni block measles and fully Immunization data is equal. Data Need to Recheak  Family Planning • Two block not reported limiting Family planning Method cases in HMIS portal . • Sadabad and Sikandra Rao block family planning achivement is very low. Need to be focus. • Sadabad Block IUCD insertion is Very less reporting on HMIS Portal. Need to be focus • Sikandra Rao block Oral Pills Users very less reported in HMIS Portal up to March 2017. Focus to improve. • DHQ and Hasayan Block Condom User very low as compare to Other block. Focus to Improve. • Maho , Sahpau and DHQ block achivement for spacing method is more than District %. Need to recheck. Hathras - MCTS Status on crititical indicator as on 1st April 2017 Registration and Updation

Trend of Registration in MCTS 80 % children received % of % of % of % PW received 3 % PW delivered % HRP 73 % of Children full immunization 70 68 Mother Mother Children ANCs against PW against PW PW against PW 66 63 65 63 63 66 Block Registration- against children 60 59 Registratio Registratio Registration- Estimated in FY Estimated in FY registered in 55 54 MCTS Esimated In FY 2015- 51 n- HMIS n- MCTS HMIS 2015-16 2015-16 2016-17 50 48 16 43 43 42 40 39 41 39 40 30 27 dhq 137 82 253 55 0 0 21 0 20 Hasayan 85 74 79 51 20 8 67 5 13 18 10 Maho 82 75 76 64 11 7 55 8 8 Mursan 94 69 70 53 13 3 46 8 0 Sadabad 93 71 83 63 27 24 85 5 Apr May June July Aug Sept Oct Nov Dec Jan Feb Mar Sahpau 92 74 89 51 11 1 53 9 Sasni 91 75 93 56 26 9 62 7 % Mother Registration % Child Registration Sikandra Rao 91 66 117 41 3 2 44 12 Grand Total 93 73 98 54 14 8 55 7

More than 100 % % of Mother Services against PW Estimated in FY 2015-16 Between 80 - 100 % Between 50 - 80 % 90 82 Less than 50 % 80 70 • Mother Registration is improved from April (13%) to March(73%) 60 • Poor Performning Blocks in Mother registration are Sikandra Rao and Mursan. 50 • Poor Performning Blocks in Child registration are Sasni, Mursan, Sikandra Rao and Hasayan. 40 31 30 • Child registration on HMIS and MCTS is very huge diffrance 54 % shows on MCTS portal and 20 14 HMIS portal shows more than 98 % . Data need to be recheck on HMIS portal 10 6 • Child registrtion is very poor only 54 %. Need to focus on daily basis monitoring for child 0 ANCs 1 ANCs 2 ANCs 3 Full ANCs Registration • DHQ Block HRP not idenitfied and reported in MCTS Portal .

% of Children Services against children Estimated in FY 2015-16 • Mother Services updation is very poor it is Shows ANC 1st is 82 % and ANC 3rd is only 14 %. 70 66 it is 68% ANC are services gaps. 62 60 60 55 55 50

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0 BCG DPT1/Pentavalent1 DPT3/Pentavalent3 Measles Full Immunization District Hathras - Percentage of facilities reported in HMIS by Month FY 2016-17 Total No. of Block Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Facilities dhq 14 100 100 100 100 100 100 100 100 100 86 100 100 Hasayan 33 100 100 100 100 100 100 100 100 100 100 100 100 Maho 32 100 100 100 100 100 100 100 100 100 100 100 100 Mursan 32 100 100 100 100 100 100 100 100 100 100 100 100 Sadabad 41 100 100 100 100 100 100 100 98 100 100 100 98 Sahpau 22 100 100 100 100 100 100 100 95 100 100 100 100 Sasni 36 100 100 100 100 100 100 100 100 100 100 100 100 Sikandra Rao 30 100 100 100 100 100 100 100 100 100 100 100 100 Grand Total 240 100 100 100 100 100 100 100 99 100 99 100 100 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 of the month % Facilities Forwaded data (As on 10th) 100 100

90 82 100 100 100 100 78 80 73 100 70 90 70 65 63 65 60 80 60 55 70 49 50 60 50 40 40 30 30 20 20 10 0 0 0 0 0 0 0 0 10 0 0 0 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar District Hathras - ANC Services Reported in HMIS upto April- March FY 2016-17 ANC Services Trend, Distribution and progress

Trend of ANC registration (in numbers) - Total Number of 10000 % of ANC Of which FY 2016-17 number of % of ANC pregnant % of ANC Propotionat registered Number % of ANC 9000 pregnant registered TT2 or women received Block e estimated to registered received 8000 women within 1st Booster received 3 3ANC PW estimated within first TT2/Booster 7000 Registered trimester ANC check checkups Pregnancy trimester 6000 5473 for ANC ups 4724 4544 5000 4242 4218 4139 3783 3799 dhq 3496 4803 137.4 3741 107.0 3603 103.1 2979 85.2 4000 3625 3572 3519 3608 2968 Hasayan 6505 5537 85.1 2544 39.1 5538 85.1 4981 76.6 2636 2689 2902 2852 3000 2412 2317 2538 2428 2240 2281 Maho 7721 6296 81.5 1985 25.7 6344 82.2 6004 77.8 1773 2000 Mursan 6539 6159 94.2 3964 60.6 6091 93.2 4972 76.0 1000 Sadabad 8012 7476 93.3 5482 68.4 5419 67.6 5807 72.5 0 Sahpau 4416 4045 91.6 2334 52.9 3614 81.8 2878 65.2 April May June July Aug Sept Oct Nov Dec Jan Feb Mar Sasni 7616 6907 90.7 6461 84.8 6834 89.7 5653 74.2 Sikandra Rao 7511 6860 91.3 4688 62.4 6920 92.1 6486 86.3 ANC Registered Reg. within 1st trimester Grand Total 51816 48083 92.8 31199 60.2 44363 85.6 39760 76.7 Monthly estimated ANC AHS (2012-13) 57 56.5 43.3

More than 100 % Between 80 - 100 % Percent Distribution of Registered for ANC by Between 50 - 80 % Type of Facility Less than 50 % Gaps in ANC Registration : DH CHC 6% 1. ANC registration and 3 ANC Checkup reported in HMIS is more than the AHS 12-13 Data 10% PHC 2. DHQ,Mursan,Sikandra Rao and Sasni block TT2 or Booster reported more than District . 5% 3. Hasayan and Maho block PW Registration with in 1st trimester is very low as compare to other block. Need to be focus.

4. DHQ block ANC registration reported more than Estimation.

SC 5. All block 3 ANC Checkups reported in HMIS is more than AHS 12-13 data. 79% District Hathras - Delivery Services Reported in HMIS upto April- March FY 2016-17 Delivery Services Trend, Distribution and progress

Trend of reported delivery in HMIS (in number) FY 2016-17 % of % of Of which % of 12000 Total institution institution Number % of delivered JSY % of JSY number of al al discharge 10000 % delivery delivery women incentive incentive Block Deliveries deliveries deliveries d under reported missed in discharge paid to paid to facility (Home+Inst among among 48 hours

deliveries 8000 Deliveries reporting d within Mothers mothers itution) reported estimated of 48 hours 6000 delivery delivery delivery

Total number of HomeTotalofnumber

Deliveriesconducted at 3903 4142 4149 4365 PropotionateEstimated 3427 3751 3813 3831 4000 3203 3231 3253 dhq 3210 0 8032 8032 250.2 -150 100.0 250.2 7774 96.8 5168 64.3 2298 Hasayan 5973 1895 2822 4717 79.0 21 59.8 47.2 2822 100.0 2822 100.0 2000 Maho 7089 3994 1346 5340 75.3 25 25.2 19.0 0 0.0 1083 80.5 0 Mursan 6004 2435 1695 4130 68.8 31 41.0 28.2 1679 99.1 1695 100.0 April May June July Aug Sept Oct Nov Dec Jan Feb Mar Sadabad 7356 2115 2484 4599 62.5 37 54.0 33.8 2495 100.4 2513 101.2 Sahpau 4055 1487 574 2061 50.8 49 27.9 14.2 521 90.8 551 96.0 Delivery reported Monthly Estimated delivery Sasni 6993 3351 3064 6415 91.7 8 47.8 43.8 3064 100.0 4835 157.8 Sikandra Rao 6897 5871 2201 8072 117.0 -17 27.3 31.9 2201 100.0 2201 100.0 Grand Total 47577 21148 22218 43366 91.1 8.9 51.2 46.7 20556 92.5 20868 93.9 AHS (2012-13) 61.7 68

More than 100 % Percent Distribution of deliveries by type of Between 80 - 100 % Between 50 - 80 % Facility Gaps in Deliveries :- Less than 50 % 1. 45 % Home Deliveries reported in HMIS out of Total Deliveries reported. Missing Discharged under 48 hours 9% 2. 9 % Deliveries is missing against estimated deliveries. HMIS Reported data need to recheck >50 <=50,<=10 <9 CHC 30% 3. Most of the block Home Delivery > Institutional Delivery. Need to focus on Institutional Delivery.

4. Sadabad and Sasni block JSY incentive paid to Mothers is more against Deliveries conducted at facility .

5. Sahpau block Missing Delivery is 54% . Need to be focus

Home 6. 92 % of delivered women discharged within 48 hours . 45% DH 10% 7. Maho Block delivered women discharged within 48 hours reporting is 0 . Data need to recheck

SC 8. Sikandra Rao and DHQ Block Deliveries reported in HMIS more than estimation. HMIS Reported data 4% need to recheck PHC 2% 9. Most of the block JSY incentive paid to mothers are almost 100% or more than 100 % except DHQ and Maho .Data need to be recheck District Hathras - High Risk Pregnancies Services Reported in HMIS upto April- March FY 2016-17 High risk PW reporting Trend, Distribution and progress

Percent of high risk pregnant woman reported for Registered Total Number ANCs Number % of severe Pregnant number of % of having severe 80 having Hb (Hb <7) women with pregnant having anaemia % of PW with 73 Block level<11 anemia Hypertension 70 68 68 women Hb level (Hb<7) hypertension (tested treated rate (BP>140/90) : 60 59 61 61 Registered <11 treated at 55 54 cases) at institution New cases 50 53 52 51 for ANC institution

40 38 dhq 4803 18488 284.2 243 5.1 279 4.3 30 Hasayan 5537 908 14.0 0 0.0 678 10.4 20 Maho 6296 3052 39.5 98 1.6 40 0.5 10 Mursan 6159 541 8.3 6 0.1 0 0.0 9 4 3 1 2 3 7 2 5 4 5 0 1 1 2 1 2 1 1 1 2 1 1 0 Sadabad 7476 814 10.2 119 1.6 171 2.1 April May June July Aug Sept Oct Nov Dec Jan Feb Mar Sahpau 4045 781 17.7 14 0.3 563 12.7 Sasni 6907 2796 36.7 122 1.8 4 0.1 % of PW having Hb level <11 Sikandra Rao 6860 36 0.5 0 0.0 0 0.0 % of PW having severe anemia treated at institution Grand Total 48083 27416 52.9 602 1.3 1735 3.3 % of PW with Hypertension (BP>140/90) : New cases AHS (2012-13)

Percent of high risk pregnant woman reported by Gaps in HRP : facility type 1. Case identified of severely anemic PW is very low, it need to focus at Facility level. 700

600 2. High risk pregnant women not reported at SC level in HMIS portal.

500 3. Two block Namly Hasayan and Sikandra Rao Block severe anaemia (Hb<7) treated at institution

400 reported is zero . Need to be focus.

300 4. Two block Not reported Hypertansive PW on HMIS Portal. Need to be focus.

200 5. Identification of New PW with Hypertension (BP> 140/90) not reported at DH, PHC and SC level.

100 6. Most of the block reported HIgh Risk PW in HMIS Portal but MCTS portal shows only 7% reported. Need 0 to Focus on updating HRP on MCTS portal. CHC DH PHC SC 7. DHQ block PW <11 HB level is more than PW registration . Data need to be rechack % of PW having Hb level <11 % of PW having severe anemia treated at institution % of PW with Hypertension (BP>140/90) : New cases District Hathras - Obstetric Complications and C-Section Reported in HMIS upto April- March FY 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 Sahpau 574 31 5 0 0 0 0 0 0 0 0 0 2 dhq 8032 421 5 421 4 415 31 248 1651 0 0 24 3 Hasayan 2822 0 0 0 0 0 0 0 0 0 0 0 4 Maho 1346 0 0 0 0 0 0 0 0 0 0 0 5 Mursan 1695 0 0 0 0 0 0 0 0 0 0 0 6 Sadabad 2484 0 0 0 0 0 0 0 24 0 0 1 7 Sasni 3064 0 0 0 0 0 0 0 1 0 0 0 8 Sikandra Rao 2201 0 0 0 0 0 0 0 0 0 0 0 Grand Total 22218 452 2 421 4 415 31 248 1676 0 0 9

Gaps Idenified : • Only 2% of PW with complication attended at facility reported in Hathras District. Need to identify and report on HMIS Portal • Complication treatement not recived by block for PW. Data need to be recheck. • 6 out of the 8 block not reported attended PW comes with complication on HMIS portal Up to March 17 • DHQ Block C Section % is High . Data need to be recheck. District Hathras - Child Care Services Reported in HMIS upto April- March FY 2016-17 Child care services Trend, Distribution and progress

Number Trend in Child care services FY 2016-17 Number of of 100 99 100 99 98 Number of % of Newborns % of % of 96 97 97 98 98 98 96 98 Newborn 90 90 Total Live % of still Newborns newborns having newborns newborns 84 86 86 Block Still Birth s breast 80 83 82 83 Births birth weighed at weighed at weight having < breast fed 77 77 76 fed 71 birth birth less than 2.5 kg within 1 hour 70 68 within 1 2 and half 60 hour 50 kg 40 dhq 8041 3 0.0 7740 96.3 1415 18.3 8032 99.9 30 Hasayan 4664 54 1.1 2440 52.3 1047 22.4 4335 92.9 20 21 22 20 Maho 5313 32 0.6 1319 24.8 377 7.1 5313 100.0 14 16 13 Mursan 4156 9 0.2 4159 100.1 15 0.4 4159 100.1 10 10 12 9 9 11 7 Sadabad 6071 0 0.0 4461 73.5 180 3.0 5781 95.2 0 0 0 0 0 0 1 0 0 0 0 0 1 April May June July Aug Sept Oct Nov Dec Jan Feb Mar Sahpau 3580 16 0.4 3047 85.1 547 15.3 3306 92.3 Sasni 6445 7 0.1 6138 95.2 1286 20.0 6421 99.6 % of newborns weighed at birth Sikandra Rao 8006 50 0.6 7823 97.7 479 6.0 7948 99.3 % of newborns having < 2.5 kg Grand Total 46276 171 0.4 37127 80.2 5346 11.6 45295 97.9 % of newborns breast fed within 1 hour AHS (2012-13) 29.4 35.9 29.6 % of still birth More than 100 % Gaps in Child Care: Between 80 - 100 % Child care services by facility type (In Percent) Between 50 - 80 % 120 1. 98 % Breast fed within 1 Hours of births are reported in HMIS is more than Less than 50 % AHS 12-13 Data. 100 2. "Total Deliveries is =< Live birth + Still Birth" but Sikandra Rao,Sadabad and 80 Sahpau block Not follow this validation rule. Need to be focus in Block

60 Validation committee at Block level. 3. Newborn weighed at birth reported in HMIS portal is double than AHS 2012- 40 13 20 4. Mursan Block weight at Birth reported More than live Birth.

0 5. Newborn weighed at birth need to be focus at Sub Center level because less CHC DH PHC SC than 70 % Newborn weighed at birth . % of newborns weighed at birth 6. Sadabad block still birth not reported in HMIS Portal up to March 2017 . Data % of newborns breast fed within 1 hour need to be rechack. District Hathras - Immunization Services Reported in HMIS upto April- March FY 2016-17 Child Immunization Trend, Distribution and progress

Number Trend of Children received Birth doses (In %) Number of % of Number % of children 9 Number of % of Infants of Infants % of Infants % of FY 2016-17 Infants 0 Infants 0 of Infants Infants 0 and 11 140 Infants 0 to 0 to 11 0 to 11 0 to 11 children 9 to 11 to 11 0 to 11 to 11 months Est. live Total Live 11 months months old months months old and 11 Block months months months months fully 120 birth Births old who who old who who months 115 old who old who old who old who immunized 107 received received received received fully 100 97 102 99 101 received received received received (BCG+DPT12 95 BCG BCG Hepatitis- Hep B 0 immunized 85 OPV 0 OPV 0 Measles Measles 3+OPV1) 80 81 83 83 B0 64 dhq 3178 8041 5763 181.3 4252 133.8 4026 126.7 2814 88.5 2734 86.0 60 58 61 53 52 49 49 47 49 Hasayan 5914 4664 4338 73.4 4338 73.4 0 0.0 5404 91.4 5419 91.6 40 42 44 45 35 Maho 7019 26 29 29 29 27 28 29 30 5313 5331 76.0 1319 18.8 817 11.6 5449 77.6 5449 77.6 20 23 23 17 16 Mursan 5944 4156 5152 86.7 1779 29.9 1187 20.0 6354 106.9 6060 101.9 0 Sadabad 7283 6071 5880 80.7 3136 43.1 1663 22.8 5280 72.5 5280 72.5 April May June Jul Aug Sep Oct Nov Dec Jan Feb Mar Sahpau 4015 3580 3304 82.3 2324 57.9 868 21.6 3270 81.4 2920 72.7 % of Infants 0 to 11 months old who received BCG Sasni 6924 6445 6249 90.3 2792 40.3 1856 26.8 6504 93.9 6502 93.9 % of Infants 0 to 11 months old who received OPV 0 Sikandra Rao 6829 8006 6430 94.2 2081 30.5 1955 28.6 5895 86.3 5882 86.1 % of Infants 0 to 11 months old who received Hep B 0 Grand Total 47106 46276 42447 90.1 22021 46.7 12372 26.3 40970 87.0 40246 85.4

Gaps in Immunization: More than 100 % Birth doses by facility type (in Percent) Between 80 - 100 % 100 1. Number of live birth and BCG given not corresponding in most of the block as per the table. Between 50 - 80 % Less than 50 % 2. BCG, OPV 0 , Hep B 0 Doses are given at birth time but reporting shows all three are not given at the time at SC level, it is showing service gap at facility and need focus Monitoring. 60 58 55 3. "No. of infants (0-11 months old)immunized for measles >= No. of infants(9-11 months old) fully 50 immunized " but Hasayan block reporting fully immunization infants 0 to 11 month is more than measles given to infants 0 to 11 months old. Data need to be chack 29 27 25 16 4. Need to be foucs at PHC level regarding Birth Doses. 10 7 5 4 4 5. Sadabad block Fully immunization and Measles Coverage is low other than Block. 0 CHC DH PHC SC 6. Hasayan Block Hep B0 child not reported in HMIS up to March-17. Data need to recheck

% of Infants 0 to 11 months old who received BCG 7. Mursan Block Measles and Fully immunization children reported more then Estimeted live birth. Data need % of Infants 0 to 11 months old who received OPV 0 to recheck.

% of Infants 0 to 11 months old who received Hep B 0 8. Hasayan, Maho and Sasni block measles and fully Immunization data is equal. Data Need to Recheak District Hathras - Family Planning Services Reported in HMIS upto April- March FY 2016-17 Family planning Trend, Distribution and progress

Potential Potential % % of Total new Total Number of Family planning users against need by month unmet % achivement unmet achiveme family IUD Condom Oral Pills need for Block need for for limiting need for nt for planning

Male Insertio Users Users family limiting Female method spacing spacing service

Sterilization Sterilization ns planning 45000 41246 method method method provided 40000 dhq 3163 13 400 13.06 2152 1831 874 582 112.1 15220 24.3 Hasayan 2895 0 0 0.00 4255 1702 955 355 48.3 20473 14.7 35000 Maho 2811 0 74 2.63 4132 2651 1296 295 71.3 19882 21.7 30000 25615 Mursan 2907 0 170 5.85 4274 2407 1402 321 63.8 20562 20.9 25000 Sadabad 3599 3 321 9.00 5290 1024 1566 149 22.2 25454 12.0 19579 Sahpau 1917 12 45 2.97 2817 1564 1303 865 86.2 13556 27.9 20000 17010 1514115742 Sasni 3417 0 270 7.90 5023 2025 1321 304 46.4 24169 16.2 15000 10283 Sikandra Rao 3367 0 0 0.00 4949 2485 1237 146 53.2 23813 16.2 9025 8886 10000 Grand Total 24077 28 1280 5.43 32893 15689 9953 3017 56.9 163130 18.4 3952 5000 3492 2671 0 April May June July Aug Sept Oct Nov Dec Jan Feb Mar More than 100 % Gaps in Family Planning: Between 80 - 100 % Between 50 - 80 % Total family planning service provided 1. Two block not reported limiting Family planning Method cases in HMIS portal . Less than 50 % Monthly need for family planning 2. Sadabad and Sikandra Rao block family planning achivement is very low. Need to be focus.

3. Sadabad Block IUCD insertion is Very less reporting on HMIS Portal. Need to be focus Percent Distributions of new IUD insertions by facility type 4. Sikandra Rao block Oral Pills Users very less reported in HMIS Portal up to March 2017. Focus to improve.

5. DHQ and Hasayan Block Condom User very low as compare to Other block. Focus to CHC Improve. 13% 6. Maho , Sahpau and DHQ block achivement for spacing method is more than District %. DH 12% Need to recheck. PHC 2%

SC 73% List of Indicators covered in HMIS Bulletin FY 2016-17 S.No. Domain Indicator Numerator Denominator Page no. 1 MCTS % of mother registered in MCTS against estimated Total # Mother registered in MCTS Estimated Pregnancies 5 2 MCTS % Children registered against estimated Total # Children registered in MCTS Estimated live births 5 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 5 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 5 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 5 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 5 registered in 2014-15 7 ANC % of ANC registered to estimated Pregnancy Total # ANC Registered Estimated Pregnancy 7 8 ANC % of ANC registered within 1st trimester Total # ANC Registered within 1st trim Estimated Pregnancy 7 9 ANC % of ANC received TT2/Booster Total # Pregnant women received TT2/Booster Estimated Pregnancy 7 10 ANC % of ANC received 3ANC checkups Total # pregnant women received 3 ANC check ups Estimated Pregnancy 7 11 Delivery % delivery reported Total # Delivery reported Estimated Delivery 8 12 Delivery % of Unreported (Missing) Delivery Total # Deliviery not reported Estimated Delivery 8 13 Delivery % of institutional deliveries among estimated delivery Total # Institutional Deliviery Estimated Delivery 8 14 Delivery % of delivered women discharged within 48 hours Total # Delivered women discharged within 48 hours Tota # Deliveries conducted at facility 8 15 Delivery % of JSY incentive paid to mothers Total # JSY Incentives paid to mothers Tota # Deliveries conducted at facility 8 16 HRP % of having Hb level <11 Number having Hb level<11 Estimated Pregnancy 9 17 HRP % of severe (Hb <7) anemia treated rate at institution Total # Severe (Hb <7) anemia treated at institution Total # ANC Registered 9 18 HRP % of PW with hypertension Total # Pregnant women with Hypertension (BP>140/90) Estimated Pregnancy 9 Obstetric % Pregnant women having Obstetric complication attend at Total # Pregnant women having Obstetric complication attend Total number of deliveries conducted at 19 10 Complication facility at facility facilities Obstetric Total number of deliveries conducted at 20 % C-Section Performed Total # C sections performed at facilities 10 Complication facilities 21 Child Care % of Still birth Total # Still Birth Sum of Live birth & Still birth 11 22 Child Care % of newborns weighed at birth Number of Newborns weighed at birth Total # Live Births 11 23 Child Care % of newborns having weight < 2.5 kg Total # newborns having weight < 2.5 kg Total # Live Births 11 24 Child Care % of newborns breast fed within 1 hour Total # newborns breast fed within 1 hour Total # Live Births 11 25 Immunization % of Infants 0 to 11 months old who received BCG Total # Infants 0 to 11 months old who received BCG Total # Estimated Births 12 26 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 12 27 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 12 28 Immunization % of Infants 0 to 11 months old who received Measles Total # Infants 0 to 11 months old who received Measles Total # Estimated Births 12 29 Immunization % of children 9 and 11 months fully immunized Total # children 9 and 11 months fully immunized Total # Estimated Births 12 30 Family Planning % achivement for limiting method Total # Sterilization (Male & Female) Potential unmet need for limiting method 13 31 Family Planning % achivement for spacing method Sum of IUCD and oral Pill users Potential unmet need for spacing method 13 Potential unment need for FP Method 32 Family Planning % of Total family planning service provided Sum of Spacing and Limiting method's users 13 (Limiting & Spacing & Est Condom users & District - Hathras Estimates for Year 2016-17

ANC Delivery Immunization Family planning

Potential Potential Estimated Total Population CBR (AHS Estimated unmet unmet Estimated Block Estimated Estimated Live Traditional current 2012-13) Pregnant need for need for Condom deliveries Births Method need for FP Women limiting spacing Users Users # Yearly method method dhq 116845 27.2 3496 3210 3178 3163 2152 2204 7701 15220 Hasayan 217420 27.2 6505 5973 5914 2895 4255 2965 10359 20473 Maho 258048 27.2 7721 7089 7019 2811 4132 2879 10059 19882 Mursan 218543 27.2 6539 6004 5944 2907 4274 2977 10404 20562 Sadabad 267766 27.2 8012 7356 7283 3599 5290 3686 12879 25454 Sahpau 147602 27.2 4416 4055 4015 1917 2817 1963 6859 13556 Sasni 254558 27.2 7616 6993 6924 3417 5023 3500 12229 24169 Sikandra Rao 251052 27.2 7511 6897 6829 3367 4949 3448 12049 23813 Grand Total 1731834 27.2 51816 47577 47106 24077 32893 23622 82537 163130