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Home , Ambedkar Nagar district, Chitrakoot district, Etah district, Hathras district, Kanpur Dehat district, Kasganj district

Section‐VII

Essential Drugs and Supplies 7. Essential Drugs and Supplies

7.1 EDL available and displayed‐ State level

Availability and prominent display of essential drug list (EDL) are important means to ensure all required/ essential drugs are available at the FRU. The ELD was found to be displayed at 100 percent SDHs, while over a fourth of BMCs, CHCs, DWHs and MCs either did not have the EDL or did not display it.

EDL available and displayed‐ Division wise

Division wise analysis of availability and display of essential drug list (EDL) shows that one in every four facilities in the state did not comply with the instructions of displaying the EDL prominently. Gonda on the other hand was the only division with 100 percent compliance. (36%) followed by (50%) and (50%) were at the bottom of the chart.

In DWH , , Mau, , Deoria, Jhansi, Hardoi, , Mirzapur, . In CHC Farah (), (Kasganj), Bilariyaganj (Azamgarh), Ghosi (Mau), (), Bisalpur (), Khalilabad (Sant Kabir Nagar), (Sant Kabir Nagar), Rath (Hamirpur), (), (Ambedkar Nagar), Jagdishpur (Amethi), Sahjanwa (Gorakhpur), Pipraich (Gorakhpur), (Deoria), Salempur (Deoria), Kasia (), KALYANPUR ( Nagar), Anoopshahar (Bulandshair), (GB Nagar), HAPUR (Hapur), Najibabad (Bijnour), (), Fatehpur (Saharanpur), Chakiya (Chandauli), Badlapur (Jaunpur), Shahganj (Jaunpur), Saidpur (). In DCH Maharajganj, Kannuj, Veerangna Awantibai Mahila Chikitsalya , (). In BMC Faizabad Road (Lucknow), Silverjublie (Lucknow) Essential Drug List was not available. 109

7.2 Computerized Inventory management‐ State level

The graph portrays a grim picture of use of computerized inventory management, an important management tool for overall supply chain management in . Only 56 percent of DCHs, 41 percent of DWHs and a very small number of CHCs and BMCs were found to be accessing/using the computerized inventory management. None of the SDHs was found to be accessing it.

Division wise‐

The overall situation of computerized inventory management in the state needs major improvement with little over one fourth facilities in the state doing it. division presents the best picture with one in every two facilities having access to and using computerized inventory management while Basti and Jhansi have none.

In Sub Divisional Hospital and (Bulandshair), DWH Mathura, , Firozabad, Etah, Pratapgarh, Azamgarh, Mau, , Budaun,, Sidharth Nagar, Basti, Hamirpur, , Faizabad, Sultanpur, , , Gorakhpur, Jhansi, , , , Hardoi, , Meerut, , Muzaffar Nagar, Chandauli, Ghazipur, Varanasi, Farah (Mathura), Ghosi (Mau), Rasra (Ballia), Bisalpur (Pilibhit), Khalilabad (Sant Kabir Nagar), Mehdawal (Sant Kabir Nagar), Rath (Hamirpur), Tanda (Ambedkar Nagar), Jagdishpur (Amethi), Sahjanwa (Gorakhpur), Pipraich (Gorakhpur), Gauri Bazar (Deoria), Salempur (Deoria), Kasia (Kushinagar), Anoopshahar (Bulandshair), HAPUR (Hapur), Najibabad (), Deoband (Saharanpur), Fatehpur (Saharanpur), Chakiya (Chandauli), Badlapur (Jaunpur), Shahganj (Jaunpur), Saidpur (Ghazipur), DCH (Firozabad), District Combined Hospital (Kaushambi), District Combined Hospital (Chitrakoot), District Combined Hospital (Ambedkar Nagar), District Combined Hospital (Maharajganj), M.K.R. HOSPITAL (Kanpur Nagar). In BMC District Combined Hospital (Auriya), Rani Laxmi Bai Combned (Lucknow), District Combined Hospital (GB Nagar), DCH Sonebhadra (Sonebhadra), LBS (Varanasi). In BMC Chandernagar (Lucknow), N.K.Road (Lucknow), Faizabad Road (Lucknow), (Lucknow), Redcross (Lucknow), Tudiaganj (Lucknow), Aishbagh (Lucknow) computerized inventory is not available.

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7.3 IFA Tablets‐ State level

Availability and access to adequate quantity of IFA tablets is critical for managing high level of anemia prevalent in the state, particularly among pregnant women and adolescent girls. SDHs and BMCs are the only facilities ensuring 100 percent availability of IFA tablets while at all other facilities the percentage availably was in eighties.

Division wise‐

The graph shows the division wise availability and access to IFA tablets. On average 13 percent facilities in the state reported stock out of IFA tablets at the time of survey, while there were 6 divisions where the availability was 100 percent. was an exception with more than 83 percent of its facilities not having IFA stock available which is alarming.

In DWH Mau, Banda, Jhansi, Jalaun, , Rae

Bareli, Rampur, Varanasi. In CHC (Aligarh), Kasganj (Kasganj), Husainganj (Fatehpur), (Faizabad), (Faizabad), (Barabanki), Ram Snehi Ghat (Barabanki), Jagdishpur (Amethi), Amethi (Amethi), Babina (Jhansi), (Lalitpur), KALYANPUR (Kanpur Nagar), Badalpur (GB Nagar). In DCH District Combined Hospital (Maharajganj), District Combined Hospital (Kannuj), DCH‐Sanjay Nagar () IFA tablets were not available.

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7.4 IFA tablets (blue) ‐ State level

Availability of blue IFA tablets shows all SDH facilities had the same available while all other facilities had much less. Only 13 percent of the BMCs reported having blue IFA tablets in their stock.

Division wise‐

Division wise availability of blue IFA tablets shows that little over one third FRUs had the same available. None of the divisions have reported more than two third of facilities with Blue IFA supply. Jhansi and Mirzapur divisions have reported complete stock‐out of the same at all of their facilities.

In DWH , Mathura, Mainpuri, Etah, Azamgarh, Mau, Budaun, , Sidharth Nagar, Banda, Barabanki, Bahraich, Deoria, Jhansi, Jalaun, Etawah, Sitapur, Unnao , , Meerut, Ghaziabad, Mirzapur, Rampur, Moradabad,Muzaffar Nagar, Chandauli, Jaunpur, Varanasi. In CHC Farah (Mathura), (Firozabad), (Firozabad), Atrauli (Aligarh), SADABAD (), Sarai Akeel (Kaushambi), Husainganj (Fatehpur), Kunda (Pratapgarh), Patti (Pratapgarh), Bilariyaganj (Azamgarh), Ghosi (Mau), Bisalpur (Pilibhit), Uska Bazar (Sidharth Nagar), Khalilabad (Sant Kabir Nagar), Haisar Bazar (Sant Kabir Nagar), Mehdawal (Sant Kabir Nagar), Bikapur (Faizabad), Sohawal (Faizabad), POORABAZAR (Faizabad), Haidergarh (Barabanki), Ram Snehi Ghat (Barabanki), Tanda (Ambedkar Nagar), Kadipur (Sultanpur), Jagdishpur (Amethi), Amethi (Amethi), (Balrampur), Kaisarganj (Bahraich), Sahjanwa (Gorakhpur), Pipraich (Gorakhpur), Partawal (Maharajganj), Babina (Jhansi), TALBEHAT (Lalitpur), BHIDNOO (Kanpur Nagar), KALYANPUR (Kanpur Nagar), Jaswant Nagar (Etawah), PUKHRAYA (Kanpur Dehat), KAKORI (Lucknow), Gosaiganj (Lucknow), FRU (Sitapur), Nawabganj (Unnao ), Gola (Kheri), Sardhana (Meerut), (Baghpat), Badalpur (GB Nagar), Bhangel (GB Nagar), HAPUR (Hapur), Chunar (Mirzapur), Chopan (Sonebhadra), (SRNo‐ Bhadohi), (Sambhal), Najibabad (Bijnor), Fatehpur (Saharanpur), (Muzaffar Nagar), Sakaldiha (Chandauli), Chakiya (Chandauli), Badlapur (Jaunpur), Kerakat 112

(Jaunpur), Shahganj (Jaunpur), Saidpur (Ghazipur), Arajiline (Varanasi). In DCH District Combined Hospital (Chitrakoot), District Combined Hospital (Maharajganj), District Combined Hospital (Auriya), District Combined Hospital (Kanpur Dehat), District Combined Hospital (Kannuj), Rani Laxmi Bai Combned (Lucknow), BRD Hospital, Mahanagar (Lucknow), DCH‐Sanjay Nagar (Ghaziabad), District Combined Hospital (GB Nagar), DCH Sonebhadra (Sonebhadra), DCH (SRNo‐ Bhadohi), DCH (Amroha), Pt. K.P.T District Hospital (Chandauli). In BMC LBS (Varanasi). In BMC Chandernagar (Lucknow), N.K.Road (Lucknow), Faizabad Road (Lucknow), Silverjublie (Lucknow), Aliganj (Lucknow), Redcross (Lucknow), Tudiaganj (Lucknow) IFA (Blue) tablet is not available.

7.5 IFA syrup with dispenser ‐ State level

The availability if IFA syrup with dispenser shows 100 percent SDH facilities have it in their stock, followed by BMC (88%). Only 20 percent medical colleges had IFA syrup with dispenser and less than 50 percent CHCs and DCHs have reported availability of the same.

Division wise‐

The divisional analysis of shows a little over half of the facilities in the state have reported the availability of IFA syrup with dispenser. Chitrakoot was the only division with 100 percent availability at all it facilities, while Azamgarh, Jhansi, Mirzapur and Faizabad divisions had less than 20 percent facilities reporting stock availability of IFA syrup with dispenser.

In DWH Mainpuri, Azamgarh, Mau, Budaun, Shajahanpur, Faizabad, Barabanki, Sultanpur,

Bahraich, Jhansi, Jalaun, Sitapur, Unnao , Mirzapur, Rampur, Muzaffar Nagar, Chandauli, Ghazipur, Varanasi. In CHC Jasrana (Firozabad), Atrauli (Aligarh), Kasganj (Kasganj), Sarai Akeel (Kaushambi), (Fatehpur), Husainganj (Fatehpur), Lalganj (Azamgarh), (Azamgarh), Bilariyaganj (Azamgarh), Ghosi (Mau), Rasra (Ballia), Khalilabad (Sant Kabir Nagar), Haisar Bazar (Sant Kabir Nagar), Mehdawal (Sant Kabir Nagar),, Bikapur (Faizabad)

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POORABAZAR (Faizabad), Haidergarh (Barabanki), Ram Snehi Ghat (Barabanki), Dewa (Barabanki), (Ambedkar Nagar), Tanda (Ambedkar Nagar), Kadipur (Sultanpur), Jagdishpur (Amethi), Amethi (Amethi), Colonelganj (Gonda), Tulsipur (Balrampur), Kaisarganj (Bahraich), Sahjanwa (Gorakhpur), Pipraich (Gorakhpur), Partawal (Maharajganj), Babina (Jhansi), TALBEHAT (Lalitpur), BHIDNOO (Kanpur Nagar), KALYANPUR (Kanpur Nagar), Jaswant Nagar (Etawah), KAKORI (Lucknow), Gosaiganj (Lucknow), Sidhauli FRU (Sitapur), Nawabganj (Unnao ), Gola (Kheri), Mawana (Meerut), Daurala (Meerut), Sardhana (Meerut), (Baghpat), Baghpat (Baghpat), Chunar (Mirzapur), BHADOHI (SRNo‐ Bhadohi), Najibabad (Bijnor), Jansath (Muzaffar Nagar), Sakaldiha (Chandauli), Chakiya (Chandauli), Shahganj (Jaunpur), Saidpur (Ghazipur). In DCH District Combined Hospital (Ambedkar Nagar), District Combined Hospital (Maharajganj), District Combined Hospital (Auriya), District Combined Hospital (Kannuj), Rani Laxmi Bai Combned (Lucknow), BRD Hospital, Mahanagar (Lucknow), RML Hospital,Gomtinagar (Lucknow), DCH‐ Sanjay Nagar (Ghaziabad), DCH Sonebhadra (Sonebhadra), DCH Gyanpur (SRNo‐ Bhadohi), DCH Amroha (Amroha), Pt. K.P.T District Hospital (Chandauli), LBS (Varanasi). In BMC Tudiaganj (Lucknow) IFA Syrup with dispenser was not available.

7.6 Vitamin A syrup ‐ State level

Vitamin‐A syrup is an important drug supplement for the growth and wellbeing of a child. 100 percent SDHs have reported availability of the Vit A syrup while DCH on the other hand had 44 percent facilities reporting stock out of Vit A syrup.

Division wise‐

The divisional analysis of availability of Vit A syrup shows that about 17 percent facilities in the state reported stock‐out, while Saharanpur was the only division with 100 percent facilities reporting availability of Vit A stock.

In DWH Mau, Sidharth Nagar, Farrukhabad, , CHC Atrauli (Aligarh), Kasganj (Kasganj), Husainganj (Fatehpur), Ghosi (Mau), Rasra (Ballia), Bisalpur (Pilibhit), Uska Bazar

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(Sidharth Nagar), PUKHRAYA (Kanpur Dehat), Sardhana (Meerut), Bikapur (Faizabad), Colonelganj (Gonda), Sahjanwa (Gorakhpur), Partawal (Maharajganj), Chunar (Mirzapur), Shahganj (Jaunpur). In DCH District Combined Hospital (Kaushambi), District Combined Hospital (Chitrakoot), District Combined Hospital (Maharajganj), M.K.R. HOSPITAL (Kanpur Nagar), District Combined Hospital (Auriya), District Combined Hospital (Kannuj), Veerangna Jhalkaribai Mahila Hos.273 (Lucknow), Rani Laxmi Bai Combned (Lucknow), DCH‐Sanjay Nagar (Ghaziabad), DCH Amroha (Amroha), Pt. K.P.T District Hospital (Chandauli), Chandernagar (Lucknow) Vitamin A Syrup was not available.

7.7 ORS Packets ‐ Sate level

ORS was found to be universally available across all facilities with some stock‐out reported by medical colleges (30%), DWH (11%), CHC (6%) and DCH (4%).

Division wise‐

Divisional analysis on availability of ORS packets shows that on an average 92 percent facilities had ORS, with 8 divisions having 100 percent supply. was an exception with only one in every two facilities having ORS supply.

In DWH Faizabad, Barabanki, Jalaun, Sitapur, Rampur. In CHC Ghosi (Mau), Rudauli (Faizabad), BHIDNOO (Kanpur Nagar), Dadri (GB Nagar), Deoband (Saharanpur), Fatehpur (Saharanpur) ORS packets was not available.

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7.8 Zinc Tablets ‐ State level

Zinc tablet is an important drug for effective control of diarrheal diseases. While the SDHs have ensured 100 percent availability of zinc tablets, 50 percent of the medical colleges did not have zinc tablets in their stock.

Division wise‐

The divisional analysis of the availability of zinc tablets shows little over half (55%) of the facilities having it in their stock. None of the facilities in Jhansi division had stock of zinc tablets followed by where over 90 percent facilities reported stock‐out.

In DWH Agra, Mathura, Mainpuri, Firozabad, Azamgarh, Mau, Ballia, Bareilly, Budaun, Sidharth Nagar, Faizabad, Barabanki, Sultanpur, Gonda, Bahraich, Gorakhpur, Deoria, Jhansi, Jalaun, Farrukhabad, Sitapur, Meerut, Ghaziabad, Moradabad, Muzaffar Nagar, Chandauli, Ghazipur, Varanasi. In CHC Farah (Mathura), Kurawali (Mainpuri), Kasganj (Kasganj), Sarai Akeel (Kaushambi), Bindki (Fatehpur), Husainganj (Fatehpur), Phoolpur (Azamgarh), Bilariyaganj (Azamgarh), Rasra (Ballia), Uska Bazar (Sidharth Nagar), Panwari (Mahoba), Rudauli (Faizabad), Haidergarh (Barabanki), Ram Snehi Ghat (Barabanki), Amethi (Amethi), Colonelganj (Gonda), Tulsipur (Balrampur), Sahjanwa (Gorakhpur), Pipraich (Gorakhpur), Gauri Bazar (Deoria), Salempur (Deoria), Kasia (Kushinagar), Partawal (Maharajganj), Babina (Jhansi),, TALBEHAT (Lalitpur), Kayamganj (Farrukhabad), KAKORI (Lucknow), Gosaiganj (Lucknow), Nawabganj (Unnao ), Mawana (Meerut), Daurala (Meerut), Sardhana (Meerut), Badalpur (GB Nagar), Bhangel (GB Nagar), Chunar (Mirzapur), Chopan (Sonebhadra), Deoband (Saharanpur), Fatehpur (Saharanpur), Sakaldiha (Chandauli), Chakiya (Chandauli), Shahganj (Jaunpur), Saidpur (Ghazipur), Cholapur (Varanasi). In DCH District Combined Hospital (Ambedkar Nagar), District Combined Hospital (Maharajganj), M.K.R. HOSPITAL (Kanpur Nagar), Veerangna Jhalkaribai Mahila Hos.273 (Lucknow), Rani Laxmi Bai Combned (Lucknow), BRD Hospital, Mahanagar (Lucknow), LBRNoHospital (Lucknow), DCH‐Sanjay Nagar (Ghaziabad), DCH Sonebhadra (Sonebhadra), DCH Gyanpur (SRNo‐ Bhadohi), DCH Amroha (Amroha), LBS (Varanasi). In BMC Silverjublie (Lucknow) Zinc tablets was not available.

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7.9 Injection Magnesium sulphate ‐ State level

Ensuring availability of injection magnesium sulphate is critical in the management of labour and PPH. All SDH facilities reported availability of mag‐sulph injection while one in every two BMcs reported stock out of the same followed by 46 percent of CHCs and 28 percent DCHs.

Division wise‐

On an average two thirds of the FRUs had injection magnesium sulphate in their stock. While Saharanpur was the only division with 100 percent availability reported, on the other had less than one fourth facilities reporting availability of mag‐suph injection.

In DWH Banda, Sultanpur, Jhansi, Jalaun, Raebareli, Chandauli, Ghazipur. In CHC Farah (Mathura), Kurawali (Mainpuri), Atrauli (Aligarh), Kasganj (Kasganj), Husainganj (Fatehpur), Kunda (Pratapgarh), Patti (Pratapgarh), Phoolpur (Azamgarh), Bilariyaganj (Azamgarh), Ghosi (Mau), Rasra (Ballia), FAREEDPUR (Bareilly), Uska Bazar (Sidharth Nagar), Panwari (Mahoba), Bikapur (Faizabad), POORABAZAR (Faizabad), Ram Snehi Ghat (Barabanki), Jalalpur (Ambedkar Nagar), Tanda (Ambedkar Nagar), Colonelganj (Gonda), Kaisarganj (Bahraich), Pipraich (Gorakhpur), Gauri Bazar (Deoria), Salempur (Deoria), Kasia (Kushinagar), Partawal (Maharajganj), BHIDNOO (Kanpur Nagar), KALYANPUR (Kanpur Nagar), Jaswant Nagar (Etawah), PUKHRAYA (Kanpur Dehat), BAKSHI KA TALAB (Lucknow), KAKORI (Lucknow), Gosaiganj (Lucknow), Nawabganj (Unnao ), Daurala (Meerut), Sardhana (Meerut), (Ghaziabad), Baghpat (Baghpat), Dadri (GB Nagar), HAPUR (Hapur), Najibabad (Bijnor), Sakaldiha (Chandauli), Badlapur (Jaunpur), Kerakat (Jaunpur), Shahganj (Jaunpur), Saidpur (Ghazipur), Arajiline (Varanasi), Cholapur (Varanasi). In DCH District Combined Hospital (Ambedkar Nagar), District Combined Hospital (Kannuj), Rani Laxmi Bai Combned (Lucknow), DCH Gyanpur (SRNo‐ Bhadohi), DCH Amroha (Amroha), Pt. K.P.T District Hospital (Chandauli), LBS (Varanasi), N.K.Road (Lucknow), Faizabad Road Lucknow, Aliganj Lucknow, Tudiaganj Lucknow injection magnesium sulphate was not available.

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7.10 Injection Oxytocin ‐ State level

Injection oxytocin is another critical lifesaving drug used in safe delivery care services and its availability across facilities shows a mixed picture with BMCs, DCH and SDHs reporting 100 percent availability. About 14 percent CHCs on the other had reported stock out of the same. Surprisingly 10 percent medical colleges too have reported stock out.

Division wise‐

Divisional analysis of the availability of oxytocin injection shows as almost 92 percent facilities in the state having its availability with about 8 divisions reporting 100 percent availability.

In DWH Atrauli (Aligarh), Kasganj (Kasganj), Patti (Pratapgarh), Ghosi (Mau), Uska Bazar (Sidharth Nagar), Rudauli (Faizabad), Jalalpur (Ambedkar Nagar), Tanda (Ambedkar Nagar), Amethi (Amethi), Pipraich (Gorakhpur), BAKSHI KA TALAB (Lucknow), KAKORI (Lucknow), Sardhana (Meerut), Dadri (GB Nagar), Badlapur (Jaunpur), Saidpur (Ghazipur) Injection Oxytocin was not available.

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7.11 Misoprostol Tablets ‐ State level

Tablet misoprostol is another critical lifesaving drug in safe delivery care specifically in managing PPH. The BMCs and SDHs have ensured this was available at all their facilities while about 46 percent CHCs reported stock out of misoprostol tablets.

Division wise‐

On average 30 percent FRUs in the state reported stock out of Misoprostol tables‐ a lifesaving drug in managing PPH/ safe delivery care. Huge inter‐ divisional variation reported in stock status of misoprostol tables in the state with Basti at its lowest with two third facilities reporting stock out. division had 93 percent facilities maintaining the stock of misoprostol.

In DWH Hathras, Sidharth Nagar, Basti, Faizabad, Sultanpur, Bahraich, Rampur, Chandauli. In CHC Kheragarh (Agra), Kurawali (Mainpuri), Tundla (Firozabad), Jasrana (Firozabad), Atrauli (Aligarh), SADABAD (Hathras), Kasganj (Kasganj), Patti (Pratapgarh), Lalganj (Azamgarh), Phoolpur (Azamgarh), Bilariyaganj (Azamgarh), Ghosi (Mau), Rasra (Ballia), FAREEDPUR (Bareilly), Bisalpur (Pilibhit), (Shajahanpur), Uska Bazar (Sidharth Nagar), Haisar Bazar (Sant Kabir Nagar), Panwari (Mahoba), Rudauli (Faizabad), POORABAZAR (Faizabad), Dewa (Barabanki), Jalalpur (Ambedkar Nagar), Kaisarganj (Bahraich), Gauri Bazar (Deoria), Salempur (Deoria), Babina (Jhansi), TALBEHAT (Lalitpur), KALYANPUR (Kanpur Nagar), BAKSHI KA TALAB (Lucknow), Gosaiganj (Lucknow), Sidhauli FRU (Sitapur), Mawana (Meerut), Sardhana (Meerut) Baghpat (Baghpat), HAPUR (Hapur), Chunar (Mirzapur), Chopan (Sonebhadra), Fatehpur (Saharanpur), Sakaldiha (Chandauli), Saidpur (Ghazipur), Arajiline (Varanasi), District Combined Hospital (Chitrakoot), M.K.R. HOSPITAL (Kanpur Nagar), District Combined Hospital (), DCH Gyanpur (SRN ‐ Bhadohi), LBS (Varanasi) do not have misoprostol tablets.

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7.12 Mifepristone tablets ‐ State level

The availability of mifepristone tablets was highest in medical colleges (60%) followed by DWH (52%) and SDH (50%). Only 13 percent BMCs had mifepristone tablets in their stock.

Division wise‐

Little over one third FRUs were found to be having mifepristone tablets in their stock with huge inter divisional variation reported. Bareilly had only 13 percent facilities maintaining the stock while Allahabad had 71 percent facilities reporting availability of this drug.

In DWH Agra, Firozabad, Hathras, Pratapgarh, Azamgarh, Mau, Bareilly, Budaun, Shajahanpur, Basti, Barabanki, Sultanpur, Gorakhpur, Jalaun, Etawah, Sitapur, Unnao , Kheri, Meerut, Ghaziabad, Rampur, Moradabad, Chandauli,

Varanasi, CHC kheragarh (Agra), Farah (Mathura), Kurawali (Mainpuri), Tundla (Firozabad), Jasrana (Firozabad), Atrauli (Aligarh), SADABAD (Hathras), Kasganj (Kasganj), Bindki (Fatehpur), Husainganj (Fatehpur), Patti (Pratapgarh), Lalganj (Azamgarh), Phoolpur (Azamgarh), Bilariyaganj (Azamgarh), Rasra (Ballia), FAREEDPUR (Bareilly), (Budaun), Bisalpur (Pilibhit), Tilhar (Shajahanpur), Uska Bazar (Sidharth Nagar), Haisar Bazar (Sant Kabir Nagar), Mehdawal (Sant Kabir Nagar), Panwari (Mahoba), Rudauli (Faizabad), Bikapur (Faizabad), Haidergarh (Barabanki), Ram Snehi Ghat (Barabanki), Dewa (Barabanki), Jalalpur (Ambedkar Nagar), Tanda (Ambedkar Nagar), Amethi (Amethi), Colonelganj (Gonda), Tulsipur (Balrampur), Utraula (Balrampur), Pipraich (Gorakhpur), Gauri Bazar (Deoria), Salempur (Deoria), Kasia (Kushinagar), Partawal (Maharajganj), Babina (Jhansi), TALBEHAT (Lalitpur), KALYANPUR (Kanpur Nagar), (Kanpur Nagar), Jaswant Nagar (Etawah), PUKHRAYA (Kanpur Dehat), MOHANLALGANJ (Lucknow), BAKSHI KA TALAB (Lucknow), KAKORI (Lucknow), Gosaiganj (Lucknow), Gola (Kheri), Mawana (Meerut), Daurala (Meerut), Sardhana (Meerut), Muradnagar (Ghaziabad), Anoopshahar (Bulandshair), Baghpat (Baghpat), HAPUR (Hapur), Chunar (Mirzapur), Chopan (Sonebhadra), BHADOHI (SRNo‐ Bhadohi), Najibabad (Bijnor), Deoband (Saharanpur), Fatehpur 120

(Saharanpur), Jansath (Muzaffar Nagar), Sakaldiha (Chandauli), Chakiya (Chandauli), Badlapur (Jaunpur), Kerakat (Jaunpur), Shahganj (Jaunpur), Saidpur (Ghazipur), Arajiline (Varanasi), Cholapur (Varanasi). District Combined Hospital (Chitrakoot), District Combined Hospital (Ambedkar Nagar), District Combined Hospital (Maharajganj), M.K.R. HOSPITAL (Kanpur Nagar), District Combined Hospital (Kannuj), Veerangna Jhalkaribai Mahila Hosp (Lucknow), Rani Laxmi Bai Combned (Lucknow), BRD Hospital, Mahanagar (Lucknow), RML Hospital,Gomtinagar (Lucknow), LBRN Hospital (Lucknow), DCH Sonebhadra (Sonebhadra), DCH Gyanpur (SRNo‐ Bhadohi), LBS (Varanasi), Chandernagar (Lucknow), N.K.Road (Lucknow), Faizabad Road (Lucknow), Silverjublie (Lucknow), Redcross (Lucknow), Tudiaganj (Lucknow), Aishbagh (Lucknow) mifepristone tablets was not available.

7.13 Availability of Antibiotics ‐ State level

The analysis of availability of antibiotics shows BMCs, MCs and SDHs reporting 100 percent stock availability with 4‐6 percent stock out reported in other FRUs.

Division wise‐

Division wise analysis of availability of antibiotics portrays a better picture with 11 divisions maintaining 100 percent stock across facilities with a state average of 95 percent facilities keeping the antibiotics in their stock.

In DWH Hathras, Mau, Jhansi, CHC Atrauli (Aligarh), Lalganj (Azamgarh), Ghosi (Mau), Rudauli (Faizabad), Shahganj (Jaunpur). In DCH M.K.R. HOSPITAL (Kanpur Nagar) antibiotics was not available.

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7.14 Labelled Emergency Tray‐ State level

Availability of properly labeled emergency tray is a critical lifesaving practice in attending emergencies. All BMCs, MCs and SDHs have maintained the same as per norms while 92 percent CHCs have been following this practice.

Division wise‐

The divisional analysis of availability of properly labeled emergency tray shows that 94 percent facilities in the state are complying with it. Basti division had one in three facilities not following this norm while there was 100 percent availability in 11 divisions.

In DWH Hathras, Sidharth Nagar. In CHC Kurawali (Mainpuri), Atrauli (Aligarh), Lalganj (Azamgarh), Ghosi (Mau), Uska Bazar (Sidharth Nagar), Rudauli (Faizabad), Tulsipur (Balrampur), Saidpur (Ghazipur) labeled emergency tray was not available.

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7.15 Drugs for hypertension, Diabetes, common ailments e.g PCM, metronidazole, anti‐allergic drugs etc‐ State level

Most of the FRUs had stock available for drugs for hypertension, diabetes, common ailments like PCM, metronidazole and anti‐allergic drugs while 25 percent BMCs reported stock out.

Division wise

Over 91 percent FRUs in the state were found to be maintaining stock of drugs for hypertension, diabetes, common ailments for instance PCM, metronidazole and anti‐allergic drugs . At least 6 divisions reported 100 percent availability while Azamgarh had three fourth facilities maintaining it.

In DWH Firozabad, Hathras, Pratapgarh, Mau, Banda, Jalaun, Farrukhabad, Chandauli, CHC Lalganj (Azamgarh), Uska Bazar (Sidharth Nagar), Rudauli (Faizabad), POORABAZAR (Faizabad), Jalalpur (Ambedkar Nagar), Tulsipur (Balrampur), Sakaldiha (Chandauli). In Redcross (Lucknow), Aishbagh (Lucknow) drugs for hypertension, Diabetes, common ailments e.g PCM, metronidazole, anti‐ allergic drugs etc were not available.

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7.16 Adequate Vaccine Stock available ‐ State level

Ensuring availability of adequate stock of all essential vaccines as per the National UIP norms is an important preventive care measure against several avoidable diseases. Most FRUs in the state had a good stock of the vaccines with 100 percent SDHs reporting its availability and 82 percent CHCs reporting availability of the essential vaccines.

Division wise‐

The graph shows that about 15 percent FRUs in the state have reported stock out of all or few essential vaccines as per the national UIP norms. There were only 3 divisions which have reported 100 percent stock of vaccines while Jhansi division reported one in every two FRUs as not maintaining the stock of vaccines.

In DWH Hathras, Pratapgarh, Basti. In CHC Kurawali (Mainpuri), SADABAD (Hathras), Sarai Akeel (Kaushambi), Husainganj (Fatehpur), Lalganj (Azamgarh), Rudauli (Faizabad), Bikapur (Faizabad), Tanda (Ambedkar Nagar), (Kanpur Dehat), Baghpat (Baghpat), Sambhal. In District Combined Hospital (Chitrakoot), Veerangna Jhalkaribai Mahila Hos.273 (Lucknow), LBRN Hospital (Lucknow), BMC Chandernagar (Lucknow) adequate vaccine stock was not available.

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7.17 Pregnancy Testing Kits ‐ State level

Availability of pregnancy test kits is an important intervention in early identification and management of pregnancy. Only 50 percent of SDHs and 20 percent of the medical colleges have reported stock out of the pregnancy test kits.

Division wise‐

The divisional analysis of availability of pregnancy test kits shows 90 percent FRUs maintaining the same, with 5 divisions having 100 percent stock availability. Aligarh and Basti divisions on the other hand had one third of their FRUs reporting stock out.

Pregnancy testing kits was not available at District Women Hospital Mau, DWH Sidharth Nagar, DWH Faizabad, CHC kheragarh (Agra), Atrauli (Aligarh), Uska Bazar (Sidharth Nagar), Rudauli (Faizabad), Poorabazar (Faizabad), Kakori (Lucknow), Jansath (Muzaffar Nagar), Kasganj (Kanshiramnagar), District Combined Hospital Kaushambi, DCH Sonebhadra, SDH Sikandrabad (Bulandshair) and BMC Aishbagh Lucknow.

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7.18 Urine Albumin and Sugar Testing Kits ‐State level

Most of the health facilities across the state are having the availability of urine albumin and sugar testing kits with 100 of the BMCs reporting its stock availability. However, there was stock out of the kits in 50 percent of the sub‐divisional hospitals.

Division wise‐

The divisional analysis of availability of urine albumin and sugar testing kits shows 88 percent FRUs across the state maintaining the same, with 4 divisions having 100 percent stock availability.

Urine albumin and sugar testing kit was not available at District Women Hospital Mau, District Women Hospital Bareilly, CHC kheragarh (Agra), Kurawali (Mainpuri), Atrauli (Aligarh), (Aligarh), Husainganj (Fatehpur), Kunda (Pratapgarh), Patti (Pratapgarh), Rudauli (Faizabad), Bikapur (Faizabad), Pukhrayan (Kanpur Dehat), Kakori (Lucknow), Sardhana (Meerut), Dadri (GB Nagar), Kasganj (Kanshiramnagar), District Combined Hospital (Maharajganj) and SDH Sikandrabad (Bulandshahar).

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7.19 Oral contraceptive Pills ‐ State

While sub‐divisional hospitals had 100 percent stock availability of the oral contraceptive pills followed by 90 percent of the medical colleges, about two fifths of the district community hospitals and district women’s hospitals did not have its availability.

Division wise‐

About 71 percent of the health facilities in the state were found to be maintaining the stock of oral contraceptive pills. A large number (about three‐fifth) of the facilities in Gonda division and one in every two health facilities in Azamgarh and Saharanpur divisions were not found to be stocking OCPs.

OCPs was not available at District Women Hospital Mainpuri, Etah, Hathras, Pratapgarh, Azamgarh, Mau, Bareilly, Sidharth Nagar, Basti, Faizabad, Barabanki, Sultanpur, Gonda, Bahraich, Sitapur, Unnao, Meerut, Mirzapur, Muzaffar Nagar, Varanasi, CHC Kurawali (Mainpuri), Jasrana (Firozabad), Atrauli (Aligarh), Husainganj (Fatehpur), Phoolpur (Azamgarh), Bilariyaganj (Azamgarh), Tilhar (Shajahanpur), Poorabazar (Faizabad), Jalalpur (Ambedkar Nagar), Colonelganj (Gonda), Utraula (Balrampur), CHC Pukhrayan (Kanpur Dehat), Kakori (Lucknow), Daurala (Meerut), Baraut (Baghpat), CHC HAPUR (Hapur), Fatehpur (Saharanpur), Jansath (Muzaffar Nagar), Sakaldiha (Chandauli), Shahganj (Jaunpur), Arajiline (Varanasi), District Combined Hospital (Kaushambi), Ambedkar Nagar, (Kushinagar), Maharajganj, Kannuj, Rani Laxmi Bai Combined (Lucknow), DCH (Sonebhadra), DCH Amroha (Amroha), Pt. K.P.T District Hospital (Chandauli) and BMC Aishbagh (Lucknow).

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7.20 Emergency Contraceptive Pills ‐ State level

Hundred percent of the sub‐divisional hospitals, seventy five percent of the BMCs and seventy one percent of the CHCs were found to be stocking emergency contraceptive pills. However, a large number of district community hospitals (three fifths) and almost half of the district women’s hospitals in the state had a stock‐out of the ECPs.

Division wise‐

Around three‐fifths of the health facilities in the state were found to be stocking emergency contraceptive pills. Division wise analysis shows a great variation‐ from 28 percent facilities in stocking the ECPs to as high as 83 percent facilities in Saharanpur division stocking emergency contraceptive pills.

Emergency contraceptive pills are not in stock in DCH Shikohabad (Firozabad), DCH (Kaushambi), District Combined Hospital (Chitrakoot), District

Combined Hospital (Ambedkar Nagar), DCH Padrauna (Kushinagar), District Combined Hospital (Maharajganj), District Combined Hospital (Kannuj), Rani Laxmi Bai Combned (Lucknow), BRD Hospital, Mahanagar (Lucknow), RML Hospital,Gomtinagar (Lucknow), DCH‐Sanjay Nagar (Ghaziabad), DCH (Sonebhadra), DCH Amroha (Amroha), Pt. K.P.T District Hospital (Chandauli), CHC Kurawali (Mainpuri), Jasrana (Firozabad), Atrauli (Aligarh), khair (Aligarh), Husainganj (Fatehpur), Kunda (Pratapgarh), Tilhar (Shajahanpur), Ram Snehi Ghat (Barabanki), Jalalpur (Ambedkar Nagar), Tanda (Ambedkar Nagar), Amethi (Amethi), Colonelganj (Gonda), Utraula (Balrampur), Sahjanwa (Gorakhpur), Pipraich (Gorakhpur), Ghatampur (Kanpur Nagar), CHC Pukhrayan (Kanpur Dehat), Kakori (Lucknow), Daurala (Meerut), Baraut (Baghpat), Baghpat (Baghpat), CHC, Najibabad (Bijnor), Fatehpur (Saharanpur), Badlapur (Jaunpur), Shahganj (Jaunpur), Arajiline (Varanasi), District Women Hospital (Agra), District Women Hospital (Mainpuri), District Women Hospital (Hathras), District Women Hospital (Azamgarh), District Women Hospital (Mau), District Women Hospital (Bareilly), District Women Hospital (Budaun), District Women Hospital (Sidharth Nagar), District Women Hospital (Basti), District Women Hospital (Banda), District Women Hospital (Faizabad), District Women Hospital (Barabanki), District

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Women Hospital (Sultanpur), District Women Hospital (Bahraich), DWH URAI (Jalaun), Dr. RML District Female Hospital (Farrukhabad), District Women Hospital (Sitapur), District Women Hospital (Unnao ), District Women Hospital (Meerut), District Women Hospital (Ghaziabad), District Women Hospital (Mirzapur), District Women Hospital (Rampur), District Women Hospital (Moradabad), District Women Hospital (Bijnor), DWH Mughalsarai (Chandauli), District Women Hospital (Varanasi), BMC Tudiaganj (Lucknow) and BMC Aishbagh (Lucknow).

7.21 IUCDs ‐ State level

Stock of Intra‐Uterine Contraceptive device was found at 100 percent of the sub‐divisional hospitals and BMCs and at a high number of other health facilities in the state. However, only 64 percent of the district community hospitals were found to be stocking IUCDs.

Division wise‐

On an average 86 percent of the health facilities in the state were found to be stocking IUCDs. While Basti, Jhansi, Meerut and Mirzapur divisions have 100 percent facilities stocking the contraceptive device, has more than 33 percent facilities not having its stock.

IUCDs are not in stock at District Combined Hospital (Kaushambi), District Combined Hospital (Ambedkar Nagar), DCH Padrauna (Kushinagar), District Combined Hospital (Maharajganj), District Combined Hospital (Kannauj), Rani Laxmi Bai Combined (Lucknow), CHC Kurawali (Mainpuri), Atrauli (Aligarh), Husainganj (Fatehpur), Colonelganj (Gonda), CHC Pukhrayan (Kanpur Dehat), Kakori (Lucknow), Fatehpur (Saharanpur), Shahganj (Jaunpur), Arajiline (Varanasi). In DWH District Women Hospital (Etah), District Women Hospital (Hathras), District Women Hospital (Mau), District Women Hospital (Bareilly), and District Women Hospital (Sitapur).

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7.22 Sanitary Napkins ‐ State level

While 100 percent of the BMCs and SDHs across the state are having stocks of sanitary napkins,almost half of the DCHs and 30‐33 percent of the DWHs and CHCs were not found to be stocking them.

Division wise‐

While Saharanpur and Jhansi divisions have 100 percent health facilities stocking sanitary napkins, only one‐fourth of the facilities in Azamgarh, little more than two‐fifth in Kanpur Nagar and fifty percent of the health facilities in Chitrakoot divisions were found to be stocking them.

Sanitary napkins are not in stock at District Women Hospital (Hathras), District Women Hospital (Azamgarh), District Women Hospital (Mau), District Women Hospital (Bareilly), District Women Hospital (Budaun), District Women Hospital (Basti), District Women Hospital (Banda), District Women Hospital (Faizabad), District Women Hospital (Barabanki), District Women Hospital (Bahraich), District Women Hospital (Etawah), District Women Hospital (Sitapur), District Women Hospital (Unnao ), District Women Hospital (Mirzapur), District Women Hospital (Bijnor), DWH Mughalsarai (Chandauli), District Women Hospital (Varanasi), CHC Farah (Mathura), Kurawali (Mainpuri), Atrauli (Aligarh), khair (Aligarh), Husainganj (Fatehpur), Lalganj (Azamgarh), Phoolpur (Azamgarh), Bilariyaganj (Azamgarh), Ghosi (Mau), Tilhar (Shajahanpur), Rudauli (Faizabad), Fatehpur (Barabanki), Ram Snehi Ghat (Barabanki), Dewa (Barabanki), Tanda (Ambedkar Nagar), Kaisarganj (Bahraich), Kalyanpur (Kanpur Nagar), Ghatampur (Kanpur Nagar), Pukhrayan (Kanpur Dehat), Kakori (Lucknow), Gosainganj (Lucknow), Daurala (Meerut), Sardhana (Meerut), Baghpat (Baghpat), Badalpur (GB Nagar), Bhangel (GB Nagar), Sakaldiha (Chandauli), Kasia (Kushinagar), Kasganj (Kasganj), District Combined Hospital Chitrakoot, Ambedkar Nagar, Padrauna (Kushinagar), Maharajganj, Auriya, Kannuj, Rani Laxmi Bai Combned (Lucknow), BRD Hospital Mahanagar Lucknow and LBS Varanasi.

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7.23 Gloves, mackintosh, pads, bandages, gauze, cord clamp and mucus extractor etc‐ State level

Essential consumables like gloves, mackintosh, pads, bandages, gauze, cord clamp and mucus extractor etc. were found to be available in 100 percent of the BMCs, SDHs and MCs and in high number of CHCs and DCHs.

Division wise‐

Ninety three percent of the health facilities in the state, on an average, were found to be having the availability of essential consumables, with 100 percent of the health facilities in 8 divisions namely Allahabad, Azamgarh, Basti, Gorakhpur, Jhansi, Lucknow, Mirzapur and Saharanpur having them.

Gloves, Mackintosh, Pads, bandages, and gauze, cord clamp, mucus extractor etc are not in stock in District Women Hospital (Hathras), District Women Hospital (Bareilly), CHC Kurawali (Mainpuri), Rudauli (Faizabad), Jalalpur (Ambedkar Nagar), Baraut (Baghpat), Dadri (GB Nagar), Sakaldiha (Chandauli) and Saidpur (Ghazipur).

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