HMIS Bulletin - Volume - 2, FY 2016-17 ( March - 2017) - As on 10th April- 2017 National Health Mission Government of

Prepared By : MIS Division State Program Management Unit & T.S.U., Uttar Pradesh. HMIS (National Health Mission Bulletin) Faizabad - Uttar Pradesh Mar-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 District Faizabad - Profile at a Glance

Unmet need Unmet need for IMR NMR U5MR MMR TFR CBR District Faizabad spacing limiting (*AHS 2012-13) 88 65 115 364 3.1 24.3 7.4 6.1

Demographic Profile Infrastructure Delivery Points Human resource Training No. of N0. of Medical Medical S.no. Block Total Population No. of Gram Trained in Trained in Trained in Sex ratio Literacy rate Revenue VHSNC CHC PHC SC Pvt. AWCs L1 L2 L3 officers officers SN in block # ANMs #AWW #ASHAs (Census 2011) Panchayat SBA NSSK PPIUCD Village formed MBBS Ayush 1 DHQ 962 72.5 0 5 0 0 0 5 0

2 183618 962 72.5 76 109 56 1 3 25 227 25 4 0 2 29 227 191 0 Amaniganj 3 173629 962 72.5 75 136 59 1 2 22 184 22 2 1 2 26 184 177 0 5 Harington ganj 157544 962 72.5 60 98 55 1 2 18 200 18 3 0 0 22 200 181 0 6 Masaudha 233169 962 72.5 84 93 71 1 4 25 237 25 5 0 2 29 237 216 0 7 Mawai 163073 962 72.5 55 78 47 1 4 20 196 20 5 0 2 24 167 161 0 8 183935 962 72.5 83 109 71 1 3 23 194 23 4 0 3 25 194 206 0 9 192651 962 72.5 78 113 69 1 0 21 230 21 0 1 3 23 230 191 4 10 Poora Bazar 188686 962 72.5 68 103 61 1 3 20 198 20 3 1 3 25 198 196 0 11 258086 962 72.5 97 161 90 1 2 28 208 28 2 1 4 32 208 205 5 12 211891 962 72.5 62 77 53 1 2 25 225 25 2 1 2 29 225 207 1 13 Tarun 207576 962 72.5 97 164 84 1 3 26 192 26 3 0 2 28 221 208 0 14 DH 97 0 District Faizabad 2153858 962 72.5 932 1241 716 11 33 253 2291 253 38 5 25 292 2291 2139 10 Volume - 2, FY 2016-17 ( March - 2017) - As on 10th April- 2017 District at a GlanceMarch Ante Natal care (ANC) Delivery care

Estimated PW 81691 Estimated delivery 75007

Total number of pregnant women Registered for 61878 Total reported deliveries 42716 ANC Institutional delivery 39106 Total Pregnant Women registered in MCTS 47317 Number discharged under 48 hours of delivery 28574 Of which Number registered within first trimester 21349 Women receiving post partum checkup within 48 hours 28216 Number of pregnant women received 3 ANC check 43493 ups JSY incentive paid to Mothers for institutional delivery 21245 TT2 or Booster 56405 Home delivery 3610 Total number of pregnant women given 100 IFA 62735 tablets Delivery conducted by Non SBA 3602

Number having Hb level<11 (tested cases) 28469 Number of newborns visited within 24 hours of Home… 2666 Pregnant women with Hypertension (BP>140/90) : 3167 New cases Number of mothers paid JSY incentive for Home deliveries 17

0 100002000030000400005000060000700008000090000 0 10000 20000 30000 40000 50000 60000 70000 80000

Child care and Immunization Fammily Planning

Estimated live birth 74265 Total unmet need for family planning 258935 Total live birth reported 41874 Total Children registered in MCTS 35274 Total Users using any FP method (Limiting & spacing) 26002 Still birth 751

Newborns weighed at birth 34679 Potential Unmet need for Limiting Method 28040 Newborns having weight less than 2.5 kg 2304 Newborns breast fed within 1 hour 34488 Limiting Metod users (Male & Female sterilization) 1455 Infants 0 to 11 months old who received BCG 54516 Infants 0 to 11 months old who received OPV 0 25534 Potential Unmet need for Spacing Method 32422 Infants 0 to 11 months old who received Hep B 0 15900 Infants 0 to 11 months old who received Measles 54203 Spacing Method Users (IUCD, Condom&Oral Pills) 24547 children 9 and 11 months fully immunized 54660

0 10000 20000 30000 40000 50000 60000 70000 80000 100000 2000030000400005000060000700008000090000100000110000120000130000140000150000160000170000180000190000200000210000220000230000240000250000260000270000280000 Faizabad - FY 2016-17 (April to March) Summary Sheet Maternal health :- 76% ANC registration, in which only 34% ANC registerd with in first trimest againest estimated pregnant woman at HMIS portal 3 ANC check-up only 53% while 100% ANM have logistic's for ANC & she performared ANC check- up but due to lack of proper record keep ANC not recorded .

Complication and HRP :- 35% of registered pregnant woman were having Hb level<11. 4% complications are identified in the district while 75% ANC register over all district. while in MCTS Only 1% per register. 57% deliveries are reported in HMIS out of which 5% is home delivery. and only 24% deliveries are reported in MCTS. 43% deliveries are missing need to be fouces . Out of total reported institutional deliveries only 54.6% JSY payment is done .

Child Health Immunization :- 51% live births are reported in HMIS. 83% are weighed at birth and out of which 7% are low birth weight. 73% infants were given BCG, 34% OPV0 and 21% HepB0 against estimated live birth. 74% full immunization against estimated births.

Family Planning

- 65% of total IUCD perform at Subcenter till month so quality and quantity should be a concern to all Familiy planing mangers. - Total family planning services prvoded is only 9% in the district. Faizabad - MCTS Status on crititical indicator as on 1st April - 2017 Registration and Updation

Trend of Registration 200 % PW received 3 % PW delivered % children received % of % of % of % HRP 150 153 % of Children ANCs against PW against PW full immunization Mother Mother Children against PW 113 Block Registration- registered with registered with against children 100 Registratio Registratio Registration- registered in 76 77 60 69 67 62 62 66 MCTS LMP in FY 2015- LMP in FY 2015- registered with DoB 50 57 57 57 46 49 54 n- HMIS n- MCTS HMIS 2016-17 3 32 33 40 33 16 16 in FY 2015-16 13 0 1 2

DHQ % Mother Registration % Child Registration Bikapur 67 69 54 78 2 0 0 3 Milkipur 74 59 52 53 10 4 1 2 % of Mother Services against PW registedred with LMIP in FY 2015- Poora Bazar 68 79 51 60 45 5 4 6 16 RUDAULI 80 63 55 56 42 19 1 0 150 Sohawal 69 67 57 49 15 0 0 1 100 100 Faizabad 34 54 Amaniganj 73 70 49 63 1 1 4 1 50 23 14 10 Harington ganj 86 56 39 54 13 2 3 4 0 Masaudha 73 60 27 46 6 5 0 4 ANCs 1 ANCs 2 ANCs 3 Full ANCs Mawai 97 85 69 45 1 1 1 2 Maya Bazar 75 59 43 48 3 0 2 1 % of Children Services against children registed with DoB in FY 2015- Tarun 87 63 31 46 10 6 0 5 16 Grand Total 76 66 56 54 14 4 1 3 30 27 >100% 20 14 - There is only 66% of Mother and only 54% of children registerd in the district against the estimated >90, <=100 10 6 number >=70, <=90 3 1 -Among the blocks Masaudha, Tarun are etrmely poor <70 0 - HRP identification most of Block showing very less percentege. Faizabad '- 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

DHQ 97 100 100 99 100 100 100 100 100 100 100 100 100 Bikapur 25 100 100 100 100 100 100 100 100 100 100 100 100 Milkipur 22 100 100 100 100 100 100 100 100 100 100 100 100 Poora Bazar 24 100 100 100 100 100 100 100 100 100 100 100 100 RUDAULI 31 100 100 100 100 100 100 100 100 100 100 100 100 Sohawal 28 100 100 100 100 100 100 100 100 100 100 100 100 Faizabad 5 100 100 100 100 100 100 100 60 100 100 100 100 Amaniganj 29 100 100 100 100 100 100 100 100 100 100 100 100 Harington ganj 21 100 100 100 100 100 100 100 100 100 100 100 100 Masaudha 33 91 91 91 91 91 91 91 91 91 91 91 91 Mawai 25 100 100 100 100 100 100 100 100 100 100 100 100 Maya Bazar 27 100 100 100 100 100 100 100 100 100 96 100 100 Tarun 30 100 100 100 100 100 100 100 100 100 100 100 100 Grand Total 397 99 99 99 99 99 99 99 99 99 99 99 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

Note: All facilities need to report regularly. Faizabad - ANC Services Reported in HMIS during FY 2016-17 (April to March) ANC Services, Trends, Distribution and Performance

Trend of ANC registration (in numbers) - Apr to Mar 2017 Total Number of % of ANC Of which 8000 7469 Propotiona number of % of ANC pregnant % of ANC registered Number % of ANC te pregnant registered TT2 or women received 7000 Block to registered received estimated women within 1st Booster received 3 3ANC 5826 estimated within first TT2/Booster 6000 5599 5555 5520 PW Registered trimester ANC check checkups 5234 5244 5104 Pregnancy trimester 4841 for ANC ups 5000 4250 3948 4000 3288 DHQ 3075 1142 37.1 2450 3425 3000 2550 Bikapur 6269 4187 66.8 1924 46.0 3943 62.9 2923 46.6 2160 Milkipur 6045 4476 74.0 1243 27.8 4326 71.6 2940 48.6 1959 1989 1914 1774 2000 1710 1608 1561 1513 1198 1413 Poora Bazar 6162 4209 68.3 1831 43.5 3942 64.0 3000 48.7 1000 RUDAULI 9588 7645 79.7 2162 28.3 6806 71.0 5900 61.5 Sohawal 6787 4666 68.7 1086 23.3 4070 60.0 2723 40.1 0 Faizabad 9273 3158 34.1 884 28.0 2845 30.7 1175 12.7 Amaniganj 5992 4347 72.5 1851 42.6 3916 65.4 3659 61.1 Harington ganj 5181 4472 86.3 1860 41.6 4167 80.4 2865 55.3

ANC Registered Reg. within 1st trimester Monthly estimated ANC Masaudha 7741 5644 72.9 2271 40.2 5277 68.2 4239 54.8 Mawai 5299 5128 96.8 730 14.2 4773 90.1 3694 69.7 Maya Bazar 6417 4825 75.2 2432 50.4 4345 67.7 3070 47.8 Percent Distribution of Registered for ANC by Type of Facility CHC Tarun 6938 6046 87.1 1933 32.0 5545 79.9 3880 55.9 5% DH Grand Total 81691 61878 75.7 21349 34.5 56405 69.0 43493 53.2 3% AHS (2012-13) 76 46.3 34.9

Gaps in ANC Registration : PHC >100% 18% 1. ANC registration of dist. is 76 % and it is the same as AHS 2012-13 showing ANC >90, <=100 registartion 76%. >=70, <=90 <70 2- ANC Registration in 1st trim. is 34.5 % although AHS 2012-13 showing ANC SC registartion 46.3%. 74% 3- Percentage of ANC recievd 3 ANC checkup is 53% and as per AHS 12-13(34.9%). Faizabad - Delivery Services Reported in HMIS during FY 2016-17 (April to March) Delivery Services, trends, distribution and progress

Trend of reported delivery to estimated deliveries (in number) - April % of % of Of which % of to Mar- 2016 7378 Total institution institution Number 8000 % of delivered JSY % of JSY number of al al discharge 7000 % delivery delivery women incentive incentive 6000 Block Deliveries deliveries deliveries d under reported missed in discharge paid to paid to 5000 facility (Home+Inst among among 48 hours

deliveries 4097 Deliveries 3586 reporting d within Mothers mothers 4000 3192 3521 3415 3297 3312 itution) reported estimated of 2913 2660 2904 48 hours 3000 2441 delivery delivery delivery

Total number of HomeTotalofnumber

Deliveriesconducted at 2000 PropotionateEstimated 1000 DHQ 0 0 6145 6145 0.0 100.0 1442 23.5 7 0.1 0 Bikapur 5756 60 3038 3098 53.8 46 98.1 52.8 2262 74.5 3352 110.3 Milkipur 5550 540 2339 2879 51.9 48 81.2 42.1 1378 58.9 2064 88.2 Poora Bazar 5658 37 2796 2833 50.1 50 98.7 49.4 2790 99.8 1115 39.9

Delivery reported Monthly Estimated delivery RUDAULI 8804 1053 3811 4864 55.3 45 78.4 43.3 3806 99.9 205 5.4 Sohawal 6232 137 3415 3552 57.0 43 96.1 54.8 3412 99.9 2819 82.5 Percent Distribution of deliveries by type of Facility Faizabad 8515 0 5075 5075 59.6 40 100.0 59.6 2405 47.4 4088 80.6 CHC Amaniganj 5502 229 2275 2504 45.5 54 90.9 41.4 2092 92.0 1670 73.4 19% Harington ganj 4757 100 1805 1905 40.0 60 94.8 37.9 1668 92.4 1489 82.5 DH Masaudha 7107 147 1753 1900 26.7 73 92.3 24.7 1086 62.0 1346 76.8 Missing 7% Mawai 43% 4866 922 2449 3371 69.3 31 72.6 50.3 2245 91.7 732 29.9 PHC Maya Bazar 5892 124 2465 2589 43.9 56 95.2 41.8 2470 100.2 2358 95.7 15% Tarun 6370 261 1740 2001 31.4 69 87.0 27.3 1518 87.2 0 0.0 SC Grand Total 75007 3610 39106 42716 56.9 43.1 91.5 52.1 28574 73.1 21245 54.3 Home 11% 5% AHS (2012-13) 66.3 92.4 72 >100% Gaps in Deliveries :- >90, <=100 >=70, <=90 1- 57% deliveries reported against the total estimated deliveries, needs to report rest missing deliveries. <70

2- 91% deliveries are reported as institutional out of total deliveries, AHS 2012-13 reported 66.3 Discharged under 48 hours

3- 5% deliveries conducted at Home and 49% deliveries are not reported against the estimated deliveries. >50 <=50,<=10 <9

4- 75 % mothers discharge under 48 hrs of delivery in the district and AHS 12-13 measure it 92.4% in the same district. Faizabad -High Risk Pregnancies Services Reported in HMIS during FY 2016-17 (Apr to March) High risk PW reporting trends, distribution and progress

Percent of high risk pregnant woman against registered ANCs 50 Number Total number of % of severe Pregnant Number % of having severe 42 42 43 pregnant (Hb <7) women with 40 39 having Hb having anaemia % of PW with 36 38 37 Block women anemia Hypertension level<11 Hb level (Hb<7) hypertension 33 Registered for treated rate (BP>140/90) : 30 30 (tested cases) <11 treated at 26 27 26 ANC at institution New cases institution 20

10 DHQ 3075 621 0 0.0 106 8 Bikapur 6 4 5 4187 1711 27.3 0 0.0 138 2.2 2 4 2 3 3 3 4 0 12 1 1 1 1 1 1 1 1 1 1 1 Milkipur 4476 2916 48.2 0 0.0 133 2.2 Poora Bazar 4209 1758 28.5 27 0.6 269 4.4 RUDAULI 7645 2498 26.1 29 0.4 595 6.2 % of PW having Hb level <11 Sohawal 4666 1972 29.1 42 0.9 58 0.9 % of PW having severe anemia treated at institution Faizabad 3158 6083 65.6 495 15.7 887 9.6 % of PW with Hypertension (BP>140/90) : New cases Amaniganj 4347 1210 20.2 0 0.0 285 4.8 Harington ganj 4472 1957 37.8 0 0.0 110 2.1 Percent of high risk pregnant woman reported by facility type 350 327 Masaudha 5644 2150 27.8 0 0.0 110 1.4 300 Mawai 5128 1812 34.2 0 0.0 117 2.2 Maya Bazar 4825 1372 21.4 0 0.0 64 1.0 250 Tarun 6046 2409 34.7 0 0.0 295 4.3 200 Grand Total 61878 28469 34.8 593 1.0 3167 3.9 AHS (2012-13) 150 Gaps in HRP : 100 49 48 - Instead of VHNDs Amaniganj are reporting mothers having hb <11 below 20%. 50 27 32 38 3 3 0 5 0 4 0 - Hypertensive cases identification < 3 % most of the block in the district. CHC DH PHC SC

% of PW having Hb level <11 % of PW having severe anemia treated at institution % of PW with Hypertension (BP>140/90) : New cases Faizabad C-Section and Complication treated

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 Sohawal 3415 101 3 19 0 19 0 0 0 0 0 0 2 DHQ 6145 0 0 0 0 23 0 0 2626 0 0 43 3 Bikapur 3038 275 9 40 0 12 0 0 0 0 0 0 4 Milkipur 2339 32 1 1 0 60 4 0 0 0 0 0 5 Poora Bazar 2796 70 3 2 0 6 0 0 17 0 0 1 6 RUDAULI 3811 163 4 61 6 64 0 0 4 0 0 0 7 Faizabad 5075 2521 50 3703 80 4510 352 1071 0 0 0 21 8 Amaniganj 2275 162 7 4 0 1 0 0 0 7 0 0 9 Harington ganj 1805 156 9 65 5 46 0 0 0 0 0 0 10 Masaudha 1753 106 6 58 0 18 0 0 0 68 0 4 11 Mawai 2449 6 0 8 0 0 0 0 0 0 0 0 12 Maya Bazar 2465 0 0 0 0 0 0 0 0 0 0 0 13 Tarun 1740 2 0 0 0 0 0 0 0 0 0 0 Grand Total 39106 3594 9 3961 91 4759 356 1071 2647 75 0 10

- Blocks Maya Bazar have not reported even a single of maternal complication attended at facility. There is a need to verify the reocd and ensure that identification of complication must be done at facilities Faizabad - Child Services Reported in HMIS during FY 2016-17 (Apr to March) Child care services trends, distribution and progress

Number Trend in child care services (%) April to March 2016-17 Number of of % of Number of % of Newborns % of Newborn newborns 98 Total Live % of still Newborns newborns having newborns 96 98 97 97 95 97 Block Still Birth s breast breast fed 100 Births birth weighed at weighed at weight having < 84 81 99 99 fed within 1 77 97 95 95 95 99 birth birth less than 2.5 kg 80 71 within 1 hour 2 and half hour 79 79 77 kg 60 69 48 DHQ 6078 68 1.1 56 0.9 3 5.4 55 0.9 40 49 Bikapur 3059 62 2.0 3035 99.2 86 2.8 3058 100.0 Milkipur 2861 55 1.9 2787 97.4 813 29.2 2833 99.0 20 7 8 8 7 8 5 8 8 7 5 4 5 Poora Bazar 2835 14 0.5 2776 97.9 37 1.3 2782 98.1 RUDAULI 4775 109 2.2 4377 91.7 236 5.4 4770 99.9 0 3 2 2 2 1 1 2 2 2 2 2 2 Sohawal 3509 49 1.4 3373 96.1 64 1.9 3378 96.3 Faizabad 4512 153 3.3 4496 99.6 327 7.3 3604 79.9 Amaniganj 2679 56 2.0 2451 91.5 63 2.6 2580 96.3 % of newborns weighed at birth Harington ganj 1860 50 2.6 1860 100.0 247 13.3 1860 100.0 % of newborns having < 2.5 kg Masaudha 1880 21 1.1 1803 95.9 108 6.0 1787 95.1 % of newborns breast fed within 1 hour Mawai 3331 18 0.5 3279 98.4 32 1.0 3293 98.9 % of still birth Maya Bazar 2531 68 2.6 2430 96.0 138 5.7 2525 99.8 Tarun 1964 28 1.4 1956 99.6 150 7.7 1963 99.9 Child care services by facility type (In Percent) Grand Total 41874 751 1.8 34679 83 2304 6.6 34488 82 120 AHS (2012-13) 31.5 13.8 46.5 100 99 99 97 100 92 80 >100% 80 >90, <=100 56 56 Gaps in Child care : 60 >=70, <=90 - # 20 still births are reported from the dist.on 1000 live births and Block H.ganj 40 reported 2.8 % which is heighest in district. <70 20 - 82% births are reported as breast fed within 1 hours of births, it is need to check as AHS 2012-13 showing data for faizabad is 46.5% only. 0 CHC DH PHC SC - In 83% children weight at birth and of which 7 % LBW while AHS 12-13 estimated this as 31.5%& 13.8% respectively. % of newborns weighed at birth % of newborns breast fed within 1 hour Faizabad - Immunisation Services Reported in HMIS during FY 2016-17 (Apr to March) Child Immunization trends, Distribution and progress

children 9 Number Percent of Children received Birth doses - April to Mar Number % of and 11 2017 Number of Number of % of of Infants % of Infants % of 100 % of Infants of Infants Infants 0 months Infants 0 to Infants 0 to Infants 0 to 0 to 11 0 to 11 children 9 88 84 Total 0 to 11 0 to 11 to 11 fully 80 Est. live 11 months 11 months 11 months months months old and 11 77 78 78 76 77 Block Live months old months months immunize 73 birth old who old who old who old who who months 69 69 69 Births who old who old who d 60 received received received received received fully received BCG received received (BCG+DPT BCG OPV 0 OPV 0 Hepatitis- Hep B 0 immunized 44 46 40 43 40 40 Measles Measles 123+OPV 36 36 35 B0 32 29 30 29 1:Total 27 27 24 27 20 22 23 23 DHQ 0 6078 2241 464 10 2830 2983 18 17 17 16 18 13 Bikapur 5699 3059 3365 59.0 1859 32.6 752 13.2 3556 62.4 3556 62.4 0 Milkipur 5495 2861 4179 76.0 2317 42.2 1273 23.2 3968 72.2 3968 72.2 Poora Bazar 5602 2835 4077 72.8 933 16.7 867 15.5 3919 70.0 3922 70.0 % of Infants 0 to 11 months old who received BCG % of Infants 0 to 11 months old who received OPV 0 RUDAULI 8716 4775 6474 74.3 3075 35.3 1856 21.3 6190 71.0 6230 71.5 % of Infants 0 to 11 months old who received Hep B 0 Sohawal 6170 3509 4653 75.4 1373 22.3 1130 18.3 4162 67.5 4162 67.5 Birth doses by facility type (in Percent) Faizabad 8430 4512 5499 65.2 4550 54.0 3765 44.7 2699 32.0 2839 33.7 100 Amaniganj 5447 2679 3418 62.7 2470 45.3 2017 37.0 4077 74.8 4281 78.6 58 Harington ganj 4710 1860 3198 67.9 1509 32.0 806 17.1 3534 75.0 3534 75.0 50 35 31 37 30 12 23 16 23 22 8 5 Masaudha 7037 1880 3451 49.0 1026 14.6 864 12.3 5510 78.3 5472 77.8 0 CHC DH PHC SC Mawai 4817 3331 4632 96.1 3506 72.8 1111 23.1 4371 90.7 4340 90.1

% of Infants 0 to 11 months old who received BCG Maya Bazar 5833 2531 3984 68.3 1244 21.3 705 12.1 3904 66.9 3905 66.9 % of Infants 0 to 11 months old who received OPV 0 Tarun 6307 1964 5345 84.7 1208 19.2 744 11.8 5483 86.9 5468 86.7 % of Infants 0 to 11 months old who received Hep B 0 Grand Total 74265 41874 54516 73 25534 34 15900 21 54203 73 54660 74

Gaps in Immunization : >100% >90, <=100 - BCG given is 73%,. >=70, <=90 <70 - Usually BCG, OPV0 and Hepatitis B0 doses 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. Faizabad - Family Planning Services Reported in HMIS during FY 2016-17 (April to March) Family planning trends Distribution and progress

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

270000 Male Insertio Users Users family limiting Female method spacing spacing service

Sterilization Sterilization ns planning 220000 method method method provided DHQ 0 0 0 0 197 47 132 0 170000 Bikapur 2188 1 113 5.21 2529 707 545 610 73.6 20201 9.8 120000 Milkipur 2110 3 97 4.74 2440 1099 128 206 58.7 19488 7.9 70000 Poora Bazar 2151 1 105 4.93 2487 1125 687 600 97.0 19863 12.7 RUDAULI 3327 0 143 4.30 3846 1504 482 538 65.6 30720 8.7 6139 5538103343655 2746 2265 2273 1948 1780 2978 2994 3544 20000 Sohawal 2366 3 87 3.80 2735 295 331 406 37.7 21845 5.1 -30000 Faizabad 2788 0 109 3.91 3224 768 169 132 33.2 25749 4.6 Amaniganj 2093 1 151 7.26 2420 342 152 87 24.0 19324 3.8 Harington ganj 1814 12 169 9.98 2098 755 347 929 96.8 16756 13.2 Total family planning service provided Monthly need for family planning Masaudha 2693 0 113 4.20 3113 973 308 235 48.7 24865 6.6 Mawai 1855 0 129 6.95 2145 1833 407 510 128.2 17130 16.8 Maya Bazar 2239 0 117 5.23 2588 1183 325 361 72.2 20672 9.6 Percent Distributions of new IUD insertions by facility Tarun 2417 2 99 4.18 2795 1069 305 545 68.7 22323 9.0 type Grand Total 28040 23 1432 5.19 32422 11850 4233 5289 65.9 258935 8.8 CHC, 1513, 13% DH, 568, 5% Gaps in Family planning : >100% >90, <=100 - 65% of total IUCD perform at Subcenter till month so quality and quantity should be a PHC, 2028, >=70, <=90 SC, 7741, 17% concern to all Familiy planing mangers. <70 65% - Total family planning services prvoded is only 9 % in the district. List of Indicators covered in HMIS and MCTS S.No. Domain Indicator Numerator Denominator 1 MCTS % of mother registered in MCTS against estimated Total # Mother registered in MCTS Estimated Pregnancies 2 MCTS % Children registered against estimated Total # Children registered in MCTS Estimated live births 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 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 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 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 registered in 2014-15 7 ANC % of ANC registered to estimated Pregnancy Total # ANC Registered Estimated Pregnancy 8 ANC % of ANC registered within 1st trimester Total # ANC Registered within 1st trim Total # ANC Registered 9 ANC % of ANC received TT2/Booster Total # Pregnant women received TT2/Booster Estimated Pregnancy 10 ANC % of ANC received 3ANC checkups Total # pregnant women received 3 ANC check ups Estimated Pregnancy 11 Delivery % delivery reported Total # Delivery reported Estimated Delivery 12 Delivery % of Unreported (Missing) Delivery Total # Deliviery not reported Estimated Delivery 13 Delivery % of institutional deliveries among estimated delivery Total # Institutional Deliviery Estimated Delivery 14 Delivery % of delivered women discharged within 48 hours Total # Delivered women discharged within 48 hours Tota # Deliveries conducted at facility 15 Delivery % of JSY incentive paid to mothers Total # JSY Incentives paid to mothers Tota # Deliveries conducted at facility 16 HRP % of having Hb level <11 Number having Hb level<11 Estimated Pregnancy 17 HRP % of severe (Hb <7) anemia treated rate at institution Total # Severe (Hb <7) anemia treated at institution Total # ANC Registered 18 HRP % of PW with hypertension Total # Pregnant women with Hypertension (BP>140/90) Estimated Pregnancy % 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 21 Child Care % of newborns weighed at birth Number of Newborns weighed at birth Total # Live Births 22 Child Care % of newborns having weight < 2.5 kg Total # newborns having weight < 2.5 kg Total # Live Births Weighed 23 Child Care % of newborns breast fed within 1 hour Total # newborns breast fed within 1 hour Total # Live Births 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 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 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 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 28 Immunization % of children 9 and 11 months fully immunized Total # children 9 and 11 months fully immunized Total # Estimated Births 29 Family Planning % achivement for limiting method Total # Sterilization (Male & Female) Potential unmet need for limiting method 30 Family Planning % achivement for spacing method Sum of IUCD and oral Pill users Potential unmet need for spacing method Potential unment need for FP Method 31 Family Planning % of Total family planning service provided Sum of Spacing and Limiting method's users (Limiting & Spacing & Est Condom users & District - Faizabad 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 birth Method need for FP Women limiting spacing Users Users # Yearly method method

Bikapur 209520 27.2 6269 5756 5699 2188 2529 4478 11006 20201 Milkipur 202031 27.2 6045 5550 5495 2110 2440 4320 10618 19488 Poora Bazar 205945 27.2 6162 5658 5602 2151 2487 4403 10822 19863 RUDAULI 320458 27.2 9588 8804 8716 3327 3846 6809 16737 30720 Sohawal 226846 27.2 6787 6232 6170 2366 2735 4842 11902 21845 Faizabad 309939 27.2 9273 8515 8430 2788 3224 5707 14029 25749 Amaniganj 200261 27.2 5992 5502 5447 2093 2420 4283 10528 19324 Harington ganj 173164 27.2 5181 4757 4710 1814 2098 3714 9129 16756 Masaudha 258708 27.2 7741 7107 7037 2693 3113 5511 13547 24865 Mawai 177113 27.2 5299 4866 4817 1855 2145 3797 9333 17130 Maya Bazar 214456 27.2 6417 5892 5833 2239 2588 4582 11263 20672 Tarun 231884 27.2 6938 6370 6307 2417 2795 4948 12162 22323 Grand Total 2730325 27.2 81691 75007 74265 28040 32422 57395 141078 258935