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Sfs-Uttar-Pradesh.Pdf Concurrent Evaluation of NRHM - Fact Sheet State: UTTAR PRADESH PRC: IEG, Delhi A. Infrastructure Preparedness A1. District Profile (Based on data reported by District Authorities) Kanpur Sidharth Indicators Shrawasti Pilibhit Ghaziabad Dehat Nagar o. of Total Facilities Existing in the District Sub Centre 234 270 121 199 318 PHCs 32 NA NA 21 NA CHCs 6 7 3 6 7 Sub Divisional Hospital 0 0 0 2 0 District Hospital 1 1 0 1 3 No. of Facilities where IPHS Facility Survey completed Sub Centre 0 0 0 0 0 PHCs 0 0 0 0 0 CHCs 0 0 0 0 0 Sub Divisional Hospital NA NA NA 0 NA District Hospital DK DK 0 DK DK No.of Facilities where IPHS Upgradation Completed Sub Centre 0 0 NA 0 0 PHCs 0 0 0 0 0 CHCs 0 0 0 0 0 Sub Divisional Hospital 0 0 0 0 0 District Hospital 0 0 0 0 0 A2. Sub Centres Kanpur Sidharth Indicators Shrawasti Pilibhit Ghaziabad Dehat Nagar Number of Sub Centres covered in each district 12 12 12 12 12 Infrastructure Functioning in own government building 91.7 41.7 25.0 75.0 75.0 IPHS Facility Survey Done 75.0 8.3 8.3 16.7 16.7 Sub Centres with ANM Quarter 25.0 58.3 58.3 41.7 25.0 % of Sub Centres ANM Staying in Sub Centre 8.3 33.3 8.3 25.0 16.7 Labour Room available 33.3 66.7 33.3 25.0 25.0 Labour Room Currently in Use 33.3 50.0 0.0 16.7 25.0 Manpower Health Worker Male in position 25.0 25.0 41.7 0.0 8.3 Health Worker Female in position 91.7 91.7 83.3 100.0 91.7 % of Sub Centres with Additional ANM Contractual 8.3 8.3 91.7 100.0 91.7 No ANM 8.3 0.0 8.3 0.0 8.3 Services Arrangement for Deliveries and Referral between 8 PM and 8 % of Sub Centres providing AM** 8.3 8.3 0.0 0.0 16.7 specific service ANM been trained on the insertion/ Removal of IUD A380 91.7 33.3 41.7 100.0 75.0 IUCD insersions being carried out using IUD A380 50.0 8.3 33.3 91.7 58.3 ** either conducted at Sub Centre and referred to higher facility, if required or not conducted at Sub Centre but referred to higher facility Performance Average ANC Registered 15 40 45 64 22 Performance based on last three Average Deliveries conducted by ANM at Sub Centre 6 2 0 3 1 months Average JSY cases registered 13 13 16 53 13 Average JSY cases resulted in institutional deliveries 13 6 10 8 12 A3. Primary Health Centres (PHCs) Kanpur Sidharth Indicators Shrawasti Pilibhit Ghaziabad Dehat Nagar umber of PHCs covered in each district 4 4 4 4 4 Infrastructure 4-6 Beds 2 1 1 4 1 Labour Room available 3 0 1 4 0 o. of PHCs with New Born Care Corner 0 0 0 0 0 Names of JSY Baneficiaries maintained in record 4 1 0 32 IPHS Facility Survey done 0 1 0 0 1 85 Kanpur Sidharth Indicators Shrawasti Pilibhit Ghaziabad Dehat Nagar Manpower At least one Medical Officer 3 2 2 4 2 o. of PHCs with MO Ayush 2 0 1 0 1 Services Functioning 24x7 1 0 0 3 0 o. of PHCs providing service of Provide basic obstetric services 2 2 2 2 1 Labour Room currently in use 3 0 0 2 0 Performance Average Monthly ANC Registered 15 8 20 64 35 Performance based on last three Average Monthly JSY Registered NA 4 5 27 13 months Average Monthly Institutional Deliveries 69 4 0 7 23 Average Monthly JSY Deliveries out of total 5 3 0 7 24 A4. Community Health Centres (CHCs) Kanpur Sidharth Indicators Shrawasti Pilibhit Ghaziabad Dehat Nagar umber of CHCs covered in each district 2 2 2 2 2 Infrastructure 30 or more beds 2 0 1 1 0 OT available 2 2 2 2 2 OT used for Gynae. 0 1 1 0 0 o. of CHCs with Labour Room available 2 2 2 2 2 Functioning on 24x7 basis 1 2 2 2 2 IPHS Facility Survey done 1 1 0 0 1 Names of JSY Baneficiaries maintained in record 2 2 2 2 2 Manpower General Surgeon 1 1 1 2 1 Physician 1 0 0 2 2 Obst. & Gynae 1 2 0 2 2 o. of CHCs with Paediatrician 2 2 1 1 1 MO Trained in Obst. 0 1 2 1 1 MO Trained in Anaesthesia 1 0 1 0 1 Anaesthetist 2 1 0 0 1 Services Surgery 0 2 1 1 1 o. of CHCs with specific Blood Storage Facility 0 0 0 0 0 facilities Emergency Care for Sick Children 2 2 2 0 0 Mobile Medical Unit 0 1 1 0 1 Performance Bed Occupancy Rate in last 12 CHC 1 100 12 0 70 50 Months CHC 2 80 13 0 0 100 Average Daily OPD Attendence CHC 1 NA 100 100 166 625 (Based on last three months) CHC 2 NA 100 365 305 100 Average Monthly Institutional CHC 1 628 0 195 31 230 Deliveries CHC 2 109 37 112 88 NA CHC 1 233 455 1785 31 NA Average Monthly ANC CHC 2 397 1053 292 793 61 CHC 1 233 122 573 31 230 Average Monthly JSY Registered CHC 2 111 112 112 793 111 Average Monthly JSY Deliveries CHC 1 628 110 195 31 230 out of total CHC 2 109 68 112 266 NA B. RKS and Untied Funds Kanpur Sidharth Indicators Shrawasti Pilibhit Ghaziabad Dehat Nagar No. of Facilities where RKS Registered (Based on data reported by District Authorities) Sub Centre PHCs 2 6 3 2 5 CHCs 6 7 3 5 5 Sub Divisional Hospital 0 0 0 0 0 District Hospital 1 1 0 2 3 86 Kanpur Sidharth Indicators Shrawasti Pilibhit Ghaziabad Dehat Nagar (Based on Facilities Covered) RKS Registered 2 0 0 1 0 o. of PHCs with RKS Generating Resources 2 0 0 2 0 RKS Registered 2 2 2 2 2 o. of CHCs with RKS Generating Resources 2 2 2 2 2 Received Untied Grant 41.7 66.7 83.3 91.7 66.7 Sub Centre reported expenditure from Untied Grant % of Sub Centres 41.7 66.7 83.3 91.7 66.7 ANM having a joint account with the Sarpanch/any other GP functionary 41.7 58.3 75.0 75.0 66.7 C. JSY Kanpur Sidharth Indicators Shrawasti Pilibhit Ghaziabad Dehat Nagar SC 44.2 12.2 12.2 4.2 35.9 % of JSY Beneficiaries By Social ST 1.9 1.7 1.7 0.0 6.3 Category OBC 46.1 57.4 57.4 62.5 35.9 Other 7.8 28.7 28.7 33.3 21.9 Low NA 73.9 73.9 70.8 23.4 % of JSY Beneficiaries By SLI of Medium NA the Household 18.3 18.3 20.8 39.1 High NA 7.8 7.8 8.3 37.5 Registered for JSY within first Trimester 74.1 8.0 8.0 31.8 28.8 Received JSY Card 75.2 80.9 80.9 94.4 78.1 Place of Delivery With delivery in public health facility (Sub Centre, PHC, CHC, DH/SDH) 99.6 99.2 99.2 47.1 98.3 With delivery in private health facility 0 0 0.0 16.2 1.8 With Home Delivery 0.5 0.9 0.9 36.8 0.0 % of JSY Beneficiaries Type of Delivery Normal 97 97.3 97.3 83.7 93.0 Assisted (Forceps, Vacuum) 1.5 1.8 1.8 4.71.8 Caesarean 1.5 0.9 0.9 11.6 5.3 With ASHA providing specific help during pregnancy 47.6 35.7 35.7 44.4 31.3 Received Cash Incentive 92.6 100 100.0 100.0 100.0 At the time of registration 14.8 0 0.0 0.0 1.8 At the time of antenatal checkups 0.5 0 0.0 0.0 1.8 % of JSY Beneficiaries By time of Before the Delivery 3.2 10.6 10.6 0.0 7.2 receipt of cash incentive by the Immediately after the delivery 3.2 22.1 22.1 4.0 30.4 beneficiary Within a week after delivery 31.7 45.2 45.2 40.0 39.3 Much later 29.6 19.2 19.2 56.0 17.9 Other/ Do not know/husband knows 16.9 2.9 2.9 0.0 1.8 Average number of days spent by the JSY beneficiary in the facility till discharge 1.9 2.0 2.0 1.8 1.6 D. Village Level Impact Kanpur Sidharth Indicators Shrawasti Pilibhit Ghaziabad Dehat Nagar Number of Gram Panchayats covered in each district 19 14 21 18 % of Gram Panchayats Reporting Regular availability of ANM 76.9 86.7 66.7 90.9 63.6 Existence of VHSC in the Gram Panchayat village 33.3 47.4 57.1 4.8 50.0 Regular meetings of VHSC 83.3 88.9 75.0 100.0 88.9 Village health Plan been prepared by VHSC 33.3 55.6 62.5 100.0 55.6 Awareness of the benefits under JSY scheme 94.4 84.2 92.9 85.7 83.3 AHSA in position 94.4 89.5 92.9 95.2 94.4 NRHM brought about any improvement in their area (yes) 55.6 63.2 92.9 66.7 44.4 Type of Improvements brought by RHM Funds available for maintenance of Sub Centres 80 75.0 76.9 64.3 50.0 Community support is available as ASHA worker 20 83.3 84.6 64.3 75.0 Funds/facilities are available under JSY 30 58.3 53.8 57.1 62.5 Better facilities are available for CHCs/PHCs for referred patients 10 58.3 46.2 28.6 25.0 Transport facilities are available 0 33.3 30.8 14.3 NA 87 Kanpur Sidharth Indicators Shrawasti Pilibhit Ghaziabad Dehat Nagar Type of Difficulties faced in Implementation of RHM Interventions Funds not available in time 72.2 78.9 78.6 38.1 66.7 Decision making with the community leaders is difficult 11.1 26.3 64.3 0 27.8 ASHA has not been adequately trained 0 47.4 64.3 23.8 22.2 Adequate facilities for institutional deliveries not available 0 57.9 21.4 76.2 11.1 Type of support required to implement programs more effectively More funds required for maintenance / effective functioning 72.2 73.7 85.7 57.1 72.2 GP should be given direct control over funds 33.3 84.2 64.3 61.9 72.2 More training to be arranged for ASHA and community members 5.6 73.7 71.4 71.4 44.4 SC 29.1 16.1 16.1 6.5 16.9 % Distribution of Households ST 1.5 5.8 5.8 0.3 4.8 surveyed by Social Category OBC 53.5 55.0 55.0 65.7 50.8 Other 15.5 23.1 23.1 27.5 27.5 Availability of Health Workers when needed 35.4 17.1 17.1 39.3 27.1 % of Household Respondent Availability of Health facility at PHC when needed 13.3 9.9 9.9 12.9 5.9 surveyed reporting Heard of NRHM 44.7 7.7 7.7 12.6 20.9 Heard about ASHA 95.8 93.7 93.7 76.2 87.0 Aware about JSY Scheme 83.3 62.4 62.4 48.7 53.1 Reporting awareness about JSY 100.0 100.0 91.7 100.0 100.0 Reporting increase in demand for Institutional delivery after % of AMs implementation of JSY Scheme 91.7 100.0 91.7 75.0 81.8 Reporting Average time taken after birth for JSY payment to beneficiary as less than one week 0.0 58.3 58.3 16.7 63.6 Note: NA: Not Available; DK: Don't Know 88 Key Emerging Issues Issue of Concern; Positive Trend Infrastructure In Sidharth Nagar and Shrawasti, only 41% and 25% of surveyed Sub Centres Functioning in Govt.
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