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District Health Action Plan 2012-13

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District Health Action Plan 2012-13 NATIONAL RURAL HEALTH MISSION PRAKASAM DISTRICT (ANDHRA PRADESH STATE) DISTRICT HEALTH ACTION PLAN 2012-13 1 Table of Contents S N Name of the Scheme / Intervention Page No. 1 Executive Summary 3 2 Process of Plan Preparation 4 3 Situation Analysis 5 4 PART-A: Reproductive & Child Health 12 a) Maternal Health 17 b) Child Health 21 c) Family Planning Strategy 23 d) ARSH Strategies & School Health Programme 25 e) Urban Health 27 f) Tribal Health 28 g) PNDT & Sex Ratio 29 h) Infrastructure & Human Resources 32 i) Training Strategy 34 j) Programme Management 36 k) Vulnerable Groups 37 l) Budget Abstract for RCH Flexible Pool 38 5 PART-B: Mission Flexible Pool 46 6 PART-C: Strengthening of Immunization 55 7 Budget Abstract for NRHM PIP – 2012-13 56 2 DISTRICT HEALTH ACTION PLAN – 2012-13 EXECUTIVE SUMMARY Prakasam (Ongole) District came into existence on 02.02.1970 with the carving out portions of Markapur Revenue Division from Kurnool, Ongole Revenue Division from Guntur and Kandukur Revenue Division from Nellore Districts. It was renamed as PRAKASAM District in 1972 in memory of theeminent freedom fighter, later Chief Minister of the composite Madras State and the first Chief Minister of Andhra Pradesh State, late Sri “TANGUTURI PRAKASAM PANTHULU, ANDHRA KESARI”. The Geographical, topographic, demographic and other socio economic aspects of the Prakasam District are delineated as East : Bay of Bengal West : Kurnool District North : Partly by Guntur and Mahaboob Nagar Districts South : Partly by Nellore and Kadapa Districts. The District occupies an area of 17,626 sq.kms. with a density of 174 persons per Sq.Km. The area of the district is much more in size when compared to other coastal districts of Andhra Pradesh. This district has 102 KMs.of coastline spread over in 10 Mandals. The Government of India initiated the National Rural Health Mission (NRHM) in the year April 2005. NRHM mainly focused on improving the availability and accessibility of quality health care to the rural population, particularly the poor, women and children. The Mission document envisages reduction of Infant Mortality Rate (IMR) to 30 per 1000 live births, by 2012. The Maternal Mortality Ratio (MMR) is sought to be reduced to 80 per 100,000 live births. The NRHM strategy is designed to integrate all Medical Health and Family Welfare Programmes at District and State level into the common programme as ‘District Health Mission’ at District Level and the ‘State Health Mission’ at State level. 3 PROCESS OF PLAN PREPARATION At state level, a design team was constituted by Commissioner of Family Welfare to prepare Project Implementation Plan. A state level stake holders meeting was conducted by inviting participants and suggestions will be solicited from convergent departments for preparation of NRHM State Implementation Plan. The planning process for 2012-13 have been initiated in the month of December, 2011 and conducted district level Workshops and Involved Senior Medical Officers of PHCs, Superintendents of District Hospitals, Area Hospitals, Community Health Centers, District coordinator of Hospital Services, all the Programme Officers, Statistical officers FP & UIP, DPO (DPMU) and the Stewardship of DM&HO and also involve convergent departments like Panchayat Raj, Rural Water Supply, Women Development & Child welfare and Project Director, DRDA. Districts will play vital role in planning and implementation of NRHM activities. To achieve the NRHM goals the proposed plan will help the health providers at village level. 1. Situational Analysis through Secondary Data and Multi-level Consultations 2. Community needs Assessment 3. Capacity Plan. using the decentralized methodology (Village Planning) 5. Development of DHAP 4. Development of Village / PHC 2012-13 plans through ASHA day at PHC Level 6. Integrating DHAP in State Programme Implementation Plan The District Action Plan highlighted the special strategies being proposed facility / institution wise to improve performance in backward areas regarding IMR, MMR, TFR and disease control programmes. 4 SITUATION ANALYSIS Introduction In Prakasam District there are globally identified pockets in and around Chimakurty area for mining malaria. Inspite of multy faceted measures in convergence with Departments like Panchayat Raj Officials, Miniging officials, local bodies. Incidenc of malaria is still alarming because of frequent labour migrations from different states because of ground level hurdles, pre screening of labour could not be done in total. • Over crowding of labour in small rooms could be main reason for spreading of mining malaria for which remedial measures could be planned at higher level. • Similarly there is forest malaria in western part of district but well under control this year because of preventive measure taken. • Recently there is increased incidents of dengue, elisa positive cases ringing bells for an sever epidemic in a future for which concrete action plan should be planned and implemented. • Recently there is suspected deptheria case incident in the district which is alarming. • All other health parameters like IMR, MMR, TFR, health status of students in schools and welfare hostels are within permissible levels. District Map of PRAKASAM DISTRICT 5 District Profile S N 2011 Source 1 Total population 3392764 Census of India 2 Population of Males 1712735 Census of India 3 Population of Females 1680029 Census of India 4 Population of Children less than 1 year 74,641 Census of India 5 Population of Children 1 to 6 years 2,94,831 Census of India 6 Population density (per sq.km.) 192 Census of India 7 Urban population (%) 19.51 Census of India 8 Rural population (%) 80.49 Census of India 9 Scheduled Caste population (%) 21.29 Census of India 10 Scheduled Tribes population (%) 3.86 Census of India 11 No. of Villages 1083 C.P.O., Ongole 17 Size of Village (1-500 population) 222 C.P.O., Ongole 18 Size of Village (501-2000 population) 408 C.P.O., Ongole 19 Size of Village (2001-5000 population) 334 C.P.O., Ongole 20 Size of Village (5000+ population) 119 C.P.O., Ongole 13 No. of Villages without roads 86 C.P.O., Ongole 14 No. of Villages without electricity 100 C.P.O., Ongole 12 No. of Gram Panchayats 1043 C.P.O., Ongole 15 No. of Municipal Corporations 1 C.P.O., Ongole 16 No. of Municipalities 7 C.P.O., Ongole VITAL STATISTICS 17 Expected no. of Maternal Deaths 59 DLHS 18 Maternal Mortality Ratio 134 DLHS 19 Expected no. of Infant Deaths 1751 DLHS 20 Infant Mortality Rate 46 DLHS 6 S N 2011 Source 21 Total Fertility Rate 1.80 DLHS 22 Full Immunization (%) 105% DM&HO 23 3 Antenatal Care visits (%) 85.09 DM&HO 24 Institutional Deliveries (%) 82.00 DM&HO 25 Home Deliveries (%) 14.28 DM&HO 26 Crude Birth Rate 19.20 DM&HO 27 Crude Death Rate 8.32 DM&HO 28 Malaria Mortality Reduction Rate 16.00 DM&HO 29 Dengue Mortality Reduction Rate 4.20 DM&HO 30 Leprosy Prevalence Rate 0.48 DM&HO 31 Tuberculosis cure rate 88.00 DM&HO 32 Tuberculosis detection rate 79.00 DM&HO 33 Sex Ratio (females per 1000 males) 981 C.P.O., Ongole 34 0-6 Years Sex Ratio 951 C.P.O., Ongole SOCIO-ECONOMIC PROFILE 35 Literacy Rate (overall) 63.53 C.P.O., Ongole 36 Literacy Rate (males) 73.53 C.P.O., Ongole 37 Literacy Rate (female) 53.40 C.P.O., Ongole 38 Number of BPL Households 2,31,844 C.P.O., Ongole 39 % Below Poverty Line population 55.85 C.P.O., Ongole Health Institutions S N Health Institution / Facilities Govt. Private Total 1 Specialty Hospitals - 12 12 2 Medical Colleges 1 - 1 3 Maternity Hospitals 1 9 10 4 District Hospitals - - 5 Area Hospitals 3 3 7 S N Health Institution / Facilities Govt. Private Total 6 Community Health Centres 14 14 7 Primary Health Centres 85 85 8 Sub-centre 535 535 9 AYUSH Dispensaries 55 - 55 10 Blood Banks 3 1 4 11 Blood Storage Centres 4 - 4 12 Total Private Hospitals - 177 177 13 Beds in Govt. Hospitals 1574 - 1574 14 Beds in Private Hospitals - 3198 3198 15 Ultrasound Clinics (Registered) 2 114 116 16 Ultrasound Clinics (Un-Registered) - - - Status of Health Facilities: S N Health facility Number Remarks 1 Sub-centres in own building 52 2 Sub-centres in Panchayats / other Govt. 0 buildings 3 Sub-centres in rented buildings 483 4 Sub-centres without electricity 4 5 Sub-centres without water supply - 6 Sub-centres without Toilets - 7 Sub-centres with Staff Quarters 52 Primary Health Centres 8 PHCs in own building 78 9 PHCs in rented buildings 7 10 PHCs without electricity - 11 PHCs without water supply - 12 PHCs without Toilets - 13 PHCs with Staff Quarters - 14 Total beds in PHCs 696 15 No. of deliveries conducted in 2010-11 2805 16 No. of OPD cases during 2010-11 1668226 8 S N Health facility Number Remarks 17 No. of IP during 2010-11 10776 18 Rogi Kalyana Samithies functioning 81 Community Health Centres 19 CHCs in own building 14 20 CHCs in rented buildings 0 21 CHCs without electricity 0 22 CHCs without water supply 0 23 CHCs without Toilets 0 24 CHCs with Staff Quarters 0 25 Total beds in CHCs 220 26 No. of deliveries conducted in 2010-11 2279 27 No. of OPD cases during 2010-11 257830 28 No. of IP during 2010-11 21609 29 Rogi Kalyana Samithies functioning 14 Area Hospitals 30 Total beds in Area Hospitals 300 31 No. of deliveries conducted in 2010-11 1821 32 No. of OPD cases during 2010-11 350234 33 No. of IP during 2010-11 19055 34 Rogi Kalyana Samithies functioning 3 MCH Hospital 35 Total beds in MCH Hospital 50 36 No.
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