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Ukhrul District 2010-11 Integrated District Health Action Plan: Ukhrul District 2010-11 Prepared by: District Planning Team Dr. Jim King Jajo, Dr. Rubinson, Dr. Nelson Vashum, Dr. Chisti, Dr. Kapanring, , Dr. Manik S, I. Rajeev, Rangam K. CONTENTS Preface Message from Deputy Commissioner Message from District Mission Director Executive Summary 1. District Profile 2. Introduction to NRHM About NRHM Components of NRHM Core strategies State Planning Process 3 Situational Analysis 3.1 Public Health Facilities in the state 3.2 Private Health facilities 3.3 Human Resources in the state 3.4 Status of Logistics 3.5 Training Infrastructure 3.6 BCC Infrastructure 3.7 ICDS programme 3.8 Elected representatives of PRI 3.9 NGOs/ CBOs 3.10 District / sub-district variations 3.11 Gender Equity 3.12 HMIS/ M&E 3.13 Convergence/ coordination 3.14 Finance Utilization 3.16 Institutional arrangements 3.17 DP(Door Assisted) 4 Lessons learned: 2005-10 5 Key issues to be addressed 6 Findings from FGD 7 Findings from VHAP 2010-2011 Part “A” --- RCH interventions Part “B” - New Interventions in NRHM Part “C” - Immunisation Strengthening Part “D” - National Disease Control Program and IDSP Part “E” - Inter-sectoral convergence Total Budget for 2008-09 PREFACE The Integrated Program Implementation Plan (PIP) for Ukhrul District of Manipur is prepared for the year 2010-11 as per the Government of India guidelines and directions. A detailed exercise was undertaken for reflecting the Village, Block and District needs in the PIP. The district conducted Household Survey, Consultation meetings, Open Focus Discussion and Facility Surveys for unearthing the problems and issues in the health sector of the respective blocks. At the District level, workshops were done where all the District Level Officers namely Chief Medical Officer,District Program Manager and the District Program Officers of the various National Disease Control Programs were invited. Also desk reviews, analysis of the available district data and indicators, NFHS-2, NFHS- 3 Survey reports, DLHS-2 reports, SRS reports were done for preparing the Distinct PIP. The requirements of the District for NRHM initiatives are projected reasonably in the PIP. Work Plan for the activities, timeline for completion of the activities and budgeting are done as per the guidelines. The District and Blocks will ensure adequate monitoring and evaluation for assessing the improvement in the progress of activities and for taking corrective measures wherever necessary. Specific activities for the vulnerable groups are also reflected in the District PIP. The District is thankful to the Government of India officials as well as State Officials for their timely directions and help without which it would have been difficult to frame the District and Blocks PIP. Also, the District is grateful to the Regional Resource Centre for North-east States (RRC-NE) for their technical support and guidelines during preparation of the Integrated District PIP. Further we also thank to PHRN for their valuable training on District Planning. Message The National Rural Health Mission was launched all over India in April 2005. It is an endeavor to uplift the health status of rural population in India. It also assumed that the health and well being of the population is basic right of citizen and provisioning of services is done by the District in different levels. There also exist the role and equal participation of people in Health care provisioning including Village Authority involvement. Within this context, we belief that National Rural Health Mission having a holistic approach that will enhance utilization of health services and mitigate the gaps deterimental to accountability, effectiveness, affordable and accessible health care system. I truly judge that the District Health Action Plan 2010-11 described here could not have been under taken without the support and commitment of many people. We wish to take this opportunity to express our gratitude to all the people who have contributed to this work for their patience in improving access to health care and quality services for people living in Ukhrul District. This District Health action Plan would not have been as successful, or thorough, without the attention given by Chief Medical Officer and District Immunization Officer and all the Medical Officers at the periphery. And special thanks should go to District Program Manager, DPMU Team and BPMU Team for their consistent inputs in the planning process. Further we all are grateful to Chief Secretary, Commissioner (H & FW), State Mission Director and State Planning Team for bringing into this stage of implementation of NRHM in Ukhrul District. -Sd- (N. Ashok Kumar) Deputy Commissioner/Chairman District Health Mission Society Ukhrul District 4 Message The vision of the National Rural Health Mission at District level is to improve the health services system access to rural population, especially the poor women and children to equitable, affordable, accountable and effective primary and secondary health care. The approach under taken in formulation of District Health Action Plan 2010-2011 is designed as Bottom Up Approach from Village to Block and to District. I am happy that DHAP 2010-11 has been brought out in which the existing status of Health and Family Welfare services in the district is highlighted. The Plan has been evolved after incorporating all the Village, Block and District reality and in-depth analysis of the felt needs of the people has been rationally included in the PIP by the District Planning Team with the guidance and consistent efforts of many, whose individual names have not been able to mention here. I express my gratitude and indebtedness to all of them. The DHAP is a document, first of its kind in the entire district to reform the health services system structurally and functionally to uplift the District Health Status through the process of decentralization and commoditization down to the village and block. I hoped that the DHAP will transform into reality so that, by and by, the people of the District will begin to enjoy its fruit. -Sd- (Dr. Jim King Jajo) District Mission Director/Chief Medical Officer District Health Mission Society Ukhrul District 5 Executive Summary Ukhrul District is one of the 9 Districts in Manipur. It is a hilly District almost 99 per cent populated by Tribal in an area of 4554 sq. Km having a population of 140778 (Census 2001). The District is divided in 5 Sub-divisional Blocks. In the district, there is relatively weak health infrastructure, poor transport and communication facilities and bad law & order situation prevailing in the District. The Health Indicators of the district are very poor than that of the National figure. The second phase of National RCH 2 programme was launched in April 2005. The programme aims to achieve National Population Policy (NPP) goals with reference to IMR, U5MR, MMR and TFR. District RCH PIPs reflect on a set of technical strategies and activities to achieve these goals. RCH components under the National Rural Health Mission (NRHM) was launched to provide effective health care to rural population throughout the District with special focus on rural population and deeper to most vulnerable population in the District with weak public health indicators. It also aim to expedite achievements of policy goals by facilitating enhanced access and utilization of quality health services, with an emphasis on addressing equity and gender dimension. Vision Statement: It is to ‘enhance health care delivery services to rural population, especially to poor mother and child with effective, affordable, accountable and accessible or user friendly services to the community’. The present DHAP 2010-11 under NRHM have five components: 1. Part A - RCH-II 2. Part B - New Initiatives under NRHM 3. Part C - Immunisation Strengthening 4. Part D - Disease Control Program 5. Part E - Program Convergence. The summary budget requirement for components for under NRHM (2010-11) is : Sl. No NRHM Components Rs. In Lakhs 1 Part A - RCH-II 232.285 6 2 New Initiatives under NRHM 1069.961 3 Immunisation Stregthening 8.88 4 Disease Control Program 73.16 5 Program Convergence. - Grant Total 1384.286 1. Ukhrul District Profile Sl. Background characteristics District State No 1 Geographic Area (in Sq. Kms) 4544 22,327 Number of districts 1 09 (5 hilly 2 districts) Number of blocks 5 36 3 No. of Village as per census 2009 198 No. of Village (As per Survey) 198+87 Size of Villages (Census 2001) 1-500 124 229 4 501-1000 41 1653 Above 1000 33 433 Total Population (Census 2001) 23.88 Lakhs -Urban 5,70,410 -Rural 140778 (23.8%) 5 - SC population 18,18,224 - ST population 134493 (76.2%) Projected population 2010 159273 5% 38% Sex Ratio (Census 2001) 6 • Sex Ratio 916 978 • Under 6 Child Sex Ratio 946 957 7 Decadal Growth Rate (Census 2001) 29 30.02% 8 Density- per sq. km. (Census 2001) 31 107 Literacy Rate (Census 2001) 73 % 9 -Male 50,208 77.87% -Female 37,341 59.7% No. ofvillage with at least one primary 198 4089 10 schools 4501 No. of Anganwadi Centres 11 Length of road per 100 sq. km - 49 7 % of villages having access to safe - 32.7 12 drinking water facility (NFHS-3) % of households having sanitation - 95.5 (NFHS-3) 13 facility (NFHS-3) % of household having electricity 78.2 87 (NFHS-3) 14 connection (NFHS-3) 15 % of population below poverty line - 32.1 1DHs, 1 CHC, 1 RIMS,1 SH, 7 6, PHCs, 39 DHs, 16 CHCs, 16 Health Facilities SCs, 2 Pvt. 72, PHCs, 420 Clinics / Hosp. SCs, 33 Pvt. Clinics / Hosp. 1.1 Block Profile SN Variable Chingai Ukhrul Kamjong Phungyar Kasom kl. Total Population 1 1991 18536 61444 12124 10830 6341 2001 25151 79191 12937 13293 10206 Decadal Variation % 36 29 7 23 61 1a Projected Population 28456 89619 14637 15029 11548 2010 1b Projected Pregnant 595 1873 306 314 241 Women 1c Projected Infant 541 1703 278 286 219 0-1 yrs 2 PHC/CHC 65 km 20-24 km 81 km 65 km 185 km Distance from DH PHC- 3PHC CHC- PHC- PHC Chingai Kamjong Phungyar Kasom 4 No.
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