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NOTE
I am happy to note that the District Health Action Plan (DHAP) for the financial year 2010-11 of Karbi Anglong District has been prepare and placed to the State Health Society, Assam. As per my approval, the District Health Action Plan (DHAP) planning team headed by the Joint Director with the cooperation of other members took the effort to prepare the comprehensive and precise District Health Action Plan (DHAP). The District Health Action Plan has addressed many core issues relating to Health Status of this Hilly Terrain, out reach areas, inhibited of mainly Tribal Community and Malaria being a major issue. The Plan also incorporated the intersectional convergence partner Departments, NGOs etc. with an aimed to achieve the desired Goals. I am submitting the DHAP and its budget requirement to the State Health Society, Assam for onward approval from the Ministry of Health & FW, Govt. of India.
(M.C.Sahu, IAS) Principal Secretary, KAAC cum Chairman, Dist. Health Society Karbi Anglong.
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NOTE
I am glad to forward the District Health Action Plan (DHAP) for 2010-11, which have been prepared by the District Planning Team (approved by the Chairman cum Principal Secretary, KAAC, Diphu). As per approval, the team headed by the undersigned and others members prepared/ Examined/ Scrutinized/research and submitted District Health Action Plan (DHAP), Karbi Anglong for further approval.
(Dr. U. C. Narzary) Jt. Director of Health Services Cum Member Secretary, District Health Society, Karbi Anglong. P a g e | 3
Contents
Sl. No Contents Page no Background of the District 1 (District at a Glance)
Situational Analysis a) Health Indicator 2 b) Infrastructure c) Manpower
Component Wise (5 Component) • Goal • Objective • Strategy
I. RCH-II 3 II. Strengthening of Immunisation III. NRHM Additionalities IV. Intersectoral Convergence.
4 Monitoring and Evaluation
5 IEC/BCC
6 Budget (Component Wise)
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a. BACKGROUND :
The Government of India has recently launched National Rural Health Mission , which aims to integrate all the rural health services and to develop a sector based approach with effective intersectoral and intrasectoral coordinnation.To translate into reality, concrete district level planning in term of improving the service situation is envisages, as well as developing adequate capacities to provide those services.This include health infrastructure, facilities, equipment and adequately skill and placed manpower as well as planning for each programme. District has been identified as the basic co-ordination unit for planning and administration. This Integrated Health Plan document of Karbi Anglong district has been prepared in this context. 1.1. DISTRICT AT A GLANCE : The Karbi Anglong district is one of the two hills district of Assam with its Head Quarter at Diphu was created on 17 th November 1951 together with North Cachar Hills district. The Karbi Anglong Autonomous Council (KAAC) was created in the year1952 had celebrated its 50 years of glorious existence on 23 June, 2003. At present it has 26 elected and 4 nominated member headed by Chief Executive Member. The KAAC has 30 different government departments under its administrative control including Health and Family Welfare. The districts with dense tropical forest covered hills and flat plains is situated in the central part of Assam between latitudes 25 033 and 26 035 North and longitudes 92 010 and 93 050 East and share its border with Golaghat district in the East, Meghalaya and Morigaon district in the West, Nagaon and Golaghat district in the North and N.C. Hills and Nagaland in the South. Karbi Anglong means the Hills of the Karbies or the home land of the Karbi. The Karbies also call themselves as “ARLENG” which literally means a man. Racially Karbies belongs to the Mongoloid groups. The same Karbi inhabited Pockets are found in North Cachar Hills, Kamrup, Marigaon, Nagaon and Sonitpur district also. Besides the original Karbi tribes there are also a large number of other tribal communities residing in the district. The prominent among them are. Dimasa in Dhansiri/Mohendijua Bodos in Langhin Area Kuki/Thadou/Hmar tribes in Singhason and Kailamayi areas Tiwas in the area bordering Nagaon and Morigaon district P a g e | 5
Garo in Hamren Sub Division. Man-tai speaking community inhabiting in Bokajan Sub-Division Some Kahsi tribes inhabiting in areas adjoining Meghalaya mostly in Hamren sub- division Scattered population of Chakmas mostly in Borlangphar area Rengma Nagas in Nilip Block area. Total Area : 10,434 Sq. Km (As per 2001) Rural Area : 10,397 Urban Area : 37 Sq. Km. Total Population : 8,12,320 (As per 2001) Urban Population : 92751 Rural Population : 719569 Male : 4, 22,599 Female : 3, 89,721 Density of Population : 78 per Sq. Km. Sex Ration : 922 females/1000males (As per 2001 census) Total No. of Villages : 2563 (As per 1991 census) Literacy rate : 58.83 %
Map of Karbi Anglong District (Assam)
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HEALTH INSTITUTION IN THE 1) Civil Hospital : 1 2) Sub Divisional Hospital : 1 3) Community Health Centre : 5 4) Primary Health Centre : 23 5) State Dispensary : 8 6) Subsidiary Health Centre : 7 7) Medical Sub-Centre : 9 8) FW Sub- Centre : 136 ACHIEVEMENT (2009 -10) (09-10 Upto Nov 09) (Assume Upto Mar.10) a) No of ASHA Trained : 813 813 b) No of Mother benefited by J.S.Y. : 6912 10368 c) No of Children fully immunized : 46% 72% d) No of Pregnant Mother immunized : 45% 72% e) No of Health Day organized : 4798 7200 f) I. U. D. inserted : 1083 1625 g) Condom Users : 1578 2367 h) Sterilization Method adopted : 42 63 i) Oral Pill users : 1147 1721 j) MMU Camp : 65 98 k) No of Construction for 24x7 : l) No. of Institutional Delivery : 8678 13017
Sub-Division :- The District has three Sub-Division. Namely 1. Diphu (Sadar Sub-Division, H.Q. Diphu) 2. Bokajan (Civil Sub-Division, H.Q. Bokajan) 3. Hamren (Civil Sub-Division, H.Q. Hamren) Rivers: P a g e | 7
Kopili, Amreng, Borpani, Kolioni, Dhansiri, Dikharu, Nambor, Deopani, Jamuna, Patradisha, Longnit and Doigrung rivers are the important rivers in the district.
Forests: About 4922.019 Sq. Km. area of the district is covered by forest with 14 Nos. of State Reserve Forest and 17 Nos. of District Council Reserve Forest . Highest Mountain Peak: Singhason Peak is the highest point in the district at about 1360 meters above the sea level. Natural Resources: Natural resources available in the district are Lime stone, China-clay, Feldspar and Coal. Agriculture: The district is basically depends on paddy cultivation and a considerable number of people follow Jhum Cultivation. Road & Communication: The district is well connected with other district through various routes. The National Highway-36, 37 and 39 is connected the district with the other parts. Railways: The N.F. Railways passes through the district touching Hawaipur, Lammsakhang, Borlangfer, Langsoliet, Nilalung, Diphu, Dhansiri, Rongaphar, Khotkhoti & Bokajan. Topography: The altitude of Karbi Anglong district varies from 600 meters in the North range to 900 meters in South range, while that of the valley area range from 75 meters to 150 meters . Administrative Set-up : The Principal Secretary; KAAC is the administrative head of the district. The Deputy Commissioner looks after Law and order of the district. He also acts as a District Magistrate in the Dist. Climate and Rainfall:- The average maximum and minimum temperature of the Karbi Anglong district are 30 0C and 18 0C respectively. The winter days are foggy, cold and dry. During summer the areas that fall within the rain shadow area of Meghalaya, receive moderate rainfall due to the influence of the monsoon. The average rainfall is 1,200mm approximately.
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i) Bokajan Cement Plant ii) Karbi Chemical Mini Cement (under construction) iii) Rubber Plantation Industry iv) Citronella Plantation Industry v) Tea Garden : There are total of 12 numbers of tea Garden in the district Total Nos. of College :- 14 including one Government College Total Nos. of Schools: Higher Secondary :- 11 Nos. Govt. Higher Schools :- 167 Nos. M.E. Schools :- 339 Nos. L. P. School :- 1417 Nos.
PLANNING PROCESS : THE APPROACH : The Plan has been prepared under the leadership of the Jt. Director, Health Services with the joint effort of the DPMU Staff, Addl. C.M & H.O (F.W), Different District Programme officer like Malaria, Leprosy, Blindness Control, T.B, Block Medical Officers as well as the other concerns department under a participatory process.
INTRODUCTORY WORKSHOP : The team led by Dr. N. Shyam (DIO i/c) along with DPM, DME and DEMO attended the 3rd Capacity Building workshop at SIHFW on the 10 th to 13 th Nov ‘09 . The District also organise a workshoop on BHAP on the 19 th Nov’09 at IDSP Conference Hall.
FORMATION OF DPMU : i) Chairman – Mr. M.C. Sahu, Principal Secretary, KAAC ii) Member Secretary – Dr. U.C. Narzary, Jt. Director of Health Services iii) Joint Secretary – Dr. U.C. Narzary, i/c Addl.C.M & H.O (FW) iv) Dist. Programme Manager – Mr. S. Hanse. v) Dist. Media Expert – Mr. M. Singh. vi) Dist Accounts Manager – Mr. B.C.Saikia vii) District Data Manager – Mr. K. K. Das. vi) Computer Assistant – Mr. S. S. Paul.
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2. SITUATIONAL ANALYSIS
Manpower indicator at the District Head Quarter
Designation In position ( Yes/NO) Joint Director Yes Addl. CM & HO (FW) Yes Chief Medical Communicable Diseases No DTO Yes DLO No DMO Yes DPM (Blindness Control Society) Yes District Immunization Officer No SDM&HO (HQ) No Superintendent, Civil Hospital Yes DPM, NRHM Yes
Various Indicator Of Diphu Civil Hospital Services Indicator Medicine Yes Surgery Yes O&G Yes Pediatrics No Eye Yes Orthopedics No ENT Yes Emergency services (24 Hours) Yes 24 - hour delivery services including normal and Yes assisted deliveries Emergency Obstetric Care including surgical interventions like Caesarean Sections and other Yes medical interventions New-born care Yes Emergency care of sick children Yes Full range of family planning services including No Laparoscopic Services Safe abortion services Yes Treatment of STI / RTI Yes Essential Laboratory Services (Specify the type of Yes lab tests conducted) Blood Bank facility Yes Referral transport service Yes New-born resuscitation room Yes Neonatal wards with no. of beds No Septic Ward No Availability of ECG facilities Yes X-Ray facility Yes Ultrasound facility Yes
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Infrastructure Indicator
Is a designated government building available for the DH? Yes (Yes / No) Emergency Room / Casualty Yes Separate wards for males and females Yes Operation Theatre available Yes Labour room available? Yes Blood Bank available) Yes Is there an incinerator? Yes Vehicles on road Yes
Residential Facility Indicator
Physician Yes Obstetrician / Gynecologist Yes Pediatrics No Anesthetist Yes ENT specialist Yes Orthopedist No Pathologist No Radiologist No Psychiatrist No Dermatologist No Eye Surgeon Yes ANM/Staff Nurse Yes
Equipments Indicator
Sphygmomanometer Yes Stethoscope Yes Baby weighing machine Yes Adult weighing machine Yes Foetal stethoscope Yes Instrument sterilizer Yes Plain thumb forceps Yes Dressing forceps Yes Kidney tray Yes Sponge bowls Yes Urine pot Yes Bed pan Yes Clinical oral thermometer Yes Radiant warmer Yes Photo therapy machine / unit Yes Syringes and needles Yes Suture needles & materials Yes IV stand Yes Scissors Yes Stitch cutting scissors Yes Adult ventilator bag & musk Yes Baby ventilator bag & musk Yes Oxygen cylinder Yes Oxygen flow meter Yes Oxygen trolley Yes Microscope Yes Suction machine (for MTP) Yes Suction machine Yes Ventouse Yes Diathermy Yes P a g e | 11
ILR Yes
General Indicator
Bed Sanctioned 200 Bed Functioning 200 HMS 2005
Services Indicator Medicine Yes Surgery Yes O&G Yes Pediatrics No Eye Yes ENT Yes Emergency services (24 Hours) Yes General OPD Yes Evening OPD Yes 24 - hour delivery services including normal and Yes assisted deliveries Emergency Obstetric Care including surgical interventions like Caesarean Sections and other Yes medical interventions New-born care Yes Emergency care of sick children Yes Full range of family planning services including No Laparoscopic Services Safe abortion services Yes Treatment of STI / RTI Yes Essential Laboratory Services (Specify the type of Yes lab tests conducted) Blood Bank facility Yes Referral transport service Yes New-born resuscitation room Yes Neonatal wards with no. of beds Yet to start the Process Availability of ECG facilities Yes X-Ray facility Yes Ultrasound facility Yes
Equipments Indicator Sphygmomanometer Yes Stethoscope Yes Baby weighing machine Yes Adult weighing machine Yes Foetal stethoscope Yes Instrument sterilizer Yes Plain thumb forceps Yes Dressing forceps Yes Kidney tray Yes Sponge bowls Yes Urine pot Yes Bed pan Yes Clinical oral thermometer Yes Radiant warmer Yes Photo therapy machine / unit Yes Syringes and needles Yes Suture needles & materials Yes IV stand Yes Scissors Yes Stitch cutting scissors Yes Adult ventilator bag & musk Yes P a g e | 12
Baby ventilator bag & musk Yes Oxygen cylinder Yes Oxygen flow meter Yes Oxygen trolley Yes Microscope Yes Suction machine (for MTP) Yes Suction machine Yes Ventouse No Diathermy Yes ILR Yes Operating Microscope for Cataract Operation Yes
Norms lay down for IPHS of Doctors for 101- 201 bedded Hospital
Sl. No Personnel IPHS Norms Current Available Remarks/ Suggestion/ Gap 1 Hospital Superintendent 1 1 0 2 Medical Specialist 3 1 (NRHM) 2 3 Surgery Specialists 2 3 0 4 O&G specialist 4 4( 1 from NRHM 0 5 Psychiatrist 1 0 1 6 Dermatologist / Venereologist 1 0 1 7 Paediatrician 2 0 2 8 Anesthetist (Regular / trained) 2 2 0 9 ENT Surgeon 1 2 (1from NRHM) 0 10 Ophthalmologist 1 2 (1from NRHM) 0 11 Orthopedecian 1 0 0 12 Radiologist 1 0 1 13 Microbiologist 1 0 1 14 Casualty Doctors / General Duty Doctors 6 17 0 15 Dental Surgeon 1 1 0 16 Forensic Expert 1 0 1 17 Public Health Manager 1 0 1 18 AYUSH Physician 2 1 1 19 Pathologists 2 0 2
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Norms lay down for IPHS Standard of Paramedics for 101 – 200 bedded Hospital
HR As per Govt. In Vaca Gap filled Present IPHS Sanctioned position ncy during Gap/Requ Remarks Statu 2009-10 by irements s NRHM
GNM 75 to 100 48 48 0 5 22 ANM 6 3 3 0 0 3 Lab Tech 12 6 6 0 0 6 Pharmacist 5 9 9 0 0 0
Various Indicator Of Community Health Center (CHC) Services Indicator
CHC Bokajan Donkamukam Bokolia Howraghat TOTAL 1 2 3 4 Population covered 149314 164374 75629 186730 576047 Specialist services available Medicine No No No No 0 Surgery No No Yes No 1 OBG No No No No 0 Pediatrics No No No No 0 Emergency services (24 Hours) Yes Yes Yes Yes 4 24 - hour delivery services including normal and assisted Yes Yes Yes Yes 4 deliveries Emergency Obstetric Care including surgical 0 interventions like CS and other medical interventions No No No No
New-born care No No No No 0 Emergency care of sick children Yes Yes Yes Yes 4 Full range of family planning services including No No No No 1 Laparoscopic Services Safe abortion services Yes Yes Yes Yes 4 Treatment of STI / RTI Yes Yes No Yes 3 Essential Laboratory Services Yes Yes Yes Yes 4 Blood storage facility No No No No 0 Referral transport service Yes Yes Yes Yes 1
Bed Occupancy Rate in the last 12 months (1- less than > 60 pc < 40 pc > 60 pc > 60 pc 4 40%; 2 - 40-60%; 3 - More than 60%)
Average daily OPD Attendance 200 70 130 10 4 Male 120 42 52 60 4 Female 80 28 78 40 4 Types of Surgeries performed (specify) Minor Minor No No 2
Service Availability
Ante-natal Clinics Yes Yes Yes Yes Post-natal Clinics Yes Yes Yes Yes Immunization Sessions Yes Yes Yes Yes Number of cases of caesarian delivery (During last one No No No No year) Total number of pediatric beds Is separate septic labour room available No No No No 0
Availability of facilities for out-patient department in Yes Yes Yes Yes 4 Gynecology/ Obstetric
Board /Name plates to guide the clients No No No No 0 Adequate working space No No Yes Yes 2 P a g e | 1
Facility for counseling Yes Yes Yes Yes 4 Separate toilet with running water No No Yes Yes 2 Facility for Sterilizing instruments No No No No 0 Male specialist No No No No 0 Female specialist No No No No 0
Investigative Facilities
Availability of ECG facilities No No No No 0 X-Ray facility Yes No Yes Yes 3 Ultrasound facility No No No No 0 Appropriate training to a nursing staff on ECG No No No No 0 Lab test facilities Yes Yes Yes Yes 4
Physical Infrastructure (As per specifications) Is a designated government building available for the Yes Yes Yes Yes 4 CHC? What is the present stage of construction of the building Complete Complete Complete Complete 4 Separate Public Utilities No No Yes No 1 Family Welfare Clinic No No Yes Yes 2 Waiting room for patients No Yes Yes No 2 Emergency Room / Casualty No No No No 0 Separate wards for males and females Yes Yes Yes Yes 4 No. of beds : Male 20 10 18 20 No. of beds : Female 10 15 12 10 Operation Theatre Operation Theatre available Yes Yes Yes Yes 4 If OT is present, are surgeries carried out in the No No No No 0 operation theatre? If OT is present, but surgeries are not being conducted there, then what are the reasons for the same? a. Non-availability of doctors / anesthetist / staff Yes Yes Yes Yes 4 b. Lack of equipment / poor physical state of the Yes Yes Yes Yes 4 operation theatre c. No power supply in the operation theatre No No No Yes 1 d. Other Reason 0 If operation theatre is used for gynecological purpose No No No No 0
Labour room
Labour room available? Yes Yes Yes Yes 4
If labour room is present, arc deliveries carried out in the Yes Yes Yes Yes 4 labour room? If labour room is present. but deliveries are not being conducted there, then what are the reasons for the same? a. Non-availability of doctors / staff No No No No 0 b. Seepage in the labour room No No No No 0 P a g e | 2 c. No power supply in the labour room No No No No 0 d. Other 0 X-ray room with dark room facility Yes No Yes Yes 4 Laboratory Yes Yes Yes Yes 3 Are adequate equipment and chemicals available No Yes No Yes 2 Is laboratory maintained in orderly manner? ) Yes Yes Yes Yes 3
Blood Storage Unit
Blood Storage Unit available No No No No 0 Is there an incinerator? No No No No 0 Electricity Yes Yes Yes Yes 4 Stand by facility (generator) available Yes Yes Yes Yes 1
Communication facilities
Telephone (Yes/No) Yes Yes No Yes 0 Personal Computer (Yes/No) No No No No 0 NIC Terminal No No No No 0 E.Mail No No No No 0 Vehicles ( on road) 1 1 1 1 4
Quality Control Hospital Management Committee/Rogi Kalyan Yes Yes Yes Yes 4 Committee
Manpower Position (As per Facility survey) CHC Identified Bokajan Donkamukam Bokolia Howraghat TOTAL Gap 1 2 3 4 Clinical Manpower General Surgeon 0 0 1 0 1 3 Physician 0 0 0 0 0 4 Obstetrician/Gynecologist 0 0 0 0 0 4 Pediatrics 0 0 0 0 0 4 Anesthetist 0 0 0 0 0 4 Public Health Program Manager 0 0 0 0 0 4 Eye Surgeon 0 0 0 0 0 Other Specialist 1 0 0 0 1 General Duty officers (Medical Officer) 8 2 2 5 17 Support Manpower Public Health Nurse 0 0 0 1 1 3 ANM 2 4 4 2 12 8 Staff Nurse/Nurse/Midwife 4 4 5 6 19 9 Dresser 1 1 1 1 4 Pharmacist 2 2 1 2 7 Lab Tech. 1 2 2 2 7 Radiographer 1 0 1 1 3 1 Ophthalmic Asst. 1 0 1 1 3 1 Ward Boy/Chowkider/Sweeper/OPD 5 9 13 6 33 attendant P a g e | 3
Statistical Assistant/Data Entry Operator 0 0 0 0 0 4 OT Attendant 0 0 0 0 0 4 Registration Clark 0 0 1 0 1 3 Any Other Staff 0 0 0 0 0
Furniture/Equipments (As per Facility survey) CHC Bokajan Donkamukam Bokolia Howraghat TOTAL 1 2 3 4 Examination Table 4 1 6 4 15 Delivery Table 1 2 2 1 6 Foot Step 3 4 8 1 16 Bed site screen 1 0 2 1 4 Stool for patient 2 4 4 1 11 Arm board for adult & child 0 0 0 0 0 Saline Stand 10 3 4 10 27 Wheel chair 0 0 0 0 Stretcher on trolley 0 0 2 0 2 Oxygen Trolley 0 0 0 0 0 Height measuring stand 0 0 1 0 1 Iron bed 30 29 40 22 121 Bed side locker 0 0 10 0 10 Mayo trolley 0 0 1 0 1 Instrument cabinet 0 0 0 0 0 Instrument trolley 0 0 0 3 3 Bucket 4 12 5 0 21 Attendant stool 0 0 0 0 0 Instrument tray 4 5 1 2 12 Chair 12 16 10 10 48 Wooden table 8 10 8 3 29 Almirah 11 8 12 1 32 Swab rack 0 0 2 2 4 Mattress 10 34 15 10 69 Pillow 12 11 15 10 48 Waiting bench for patients/attendant 4 6 2 1 13 Medicine cabinet 0 1 1 0 2 Side rail 0 0 0 0 0 Rack 6 6 2 1 15 Bed side attend chair 0 0 0 0 0
Residential Facility (As per Facility survey) Residential Facility for the staff with CHC living condition Bokajan Donkamukam Bokolia Howraghat TOTAL 1 2 3 4 General Surgeon 0 Physician 0 Obstetrician / Gynecologist 0 Pediatrics 0 Anesthetist 0 General Duty Medical Officer 1 1 1 1 4 Public Health Program Manager 0 Eye surgeon 0 P a g e | 4
Public Health Nurse 0 ANM 0 1 1 1 3 Staff Nurse 1 1 1 1 4 Nurse/Midwife 0 Note : Dentaghat CHC is not reflected in the above Facility Survey by State
Infrastructure Adequacy in Sanctioned Facilities (As per District Sources)
CHC name Sanctioned At present Run in Govt. Rent Remarks Bldg. Bokajan 1 1 -Do- 0 30 beded Howraghat 1 1 -Do- 0 30 beded Bokulia 1 1 -Do- 0 30 beded Dentaghat 1 1 -Do- 0 30 beded Donkamokam 1 1 -Do- 0 30 beded In the given Table above shows that the 5 CHC have their won building in the district. No rented building is shown for CHC.
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Norms lay down for IPHS Standard for CHCs CHC Categories As per Govt. In Vacanc Gap filled Present Remarks Name IPHS Sanctione positio y Status during Gap/Requ for all d (total) n (Total) 2009-10 by irements CHC (Total) NRHM (Total) (Total) Doctor 7 General Surgeon 1 1 General Physician 1 1 Though there are 3 Gynecologist 1 1 medical officers appointed by the Pediatrician 1 4 3 1 0 1 Anesthetic 1 1 State Govt. but all the three (3) MOs Public Health 1 1 are general MBBS Program Manager Eye Surgeon 1 1 GNM 7 6 6 1 0 1 Bokajan CHC ANM 1 0 0 0 0 1 PHN 1 0 0 0 0 1 Lab Tech 1 2 2 0 0 1 excess Pharmacist/Compoun 1 2 2 0 0 1 excess der Opthalmic Assitt. 1 Dresser 1 OPD Attendant 1 Statistical 1 Assistance/Data Entry Operator Howraghat CHC Doctor 7 P a g e | 6
General Surgeon 1 1 General Physician 1 1 Gynecologist 1 1 Though there are 3 medical officers appointed by the Pediatrician 1 4 3 1 0 1 Anesthetic 1 1 State Govt. but all the three (3) MOs Public Health 1 1 are general MBBS Program Manager Eye Surgeon 1 1 GNM 7 7 7 0 0 0 ANM 1 0 0 0 0 1 PHN 1 0 0 0 0 1 Lab Tech 1 2 2 0 0 1 excess Pharmacist/Compoun 1 2 2 0 0 1 Excess der Opthalmic Assitt. 1 0 0 0 0 1 Dresser 1 0 0 0 0 1 OPD Attendant 1 0 0 0 0 1 Statistical 1 0 0 0 0 0 Assistance/Data Entry Operator Doctor 7 General Surgeon 1 1 General Physician 1 1 Though there are 4 Gynecologist 1 1 medical officers Donkamokam Pediatrician 1 1 appointed by the CHC 5 4 1 0 Anesthetic 1 1 State Govt. but all the Four (4) MOs Public Health 1 1 are general MBBS Program Manager Eye Surgeon 1 1 GNM 7 7 7 0 0 0 P a g e | 7
ANM 1 0 0 0 0 1 PHN 1 0 0 0 0 1 Lab Tech 1 1 1 0 0 0 Pharmacist/Compoun 1 2 2 0 0 1 excess der Opthalmic Assitt. 1 0 0 0 0 1 Dresser 1 0 0 0 0 1 OPD Attendant 1 0 0 0 0 1 Statistical 1 0 0 0 0 1 Assistance/Data Entry Operator Doctor 7 General Surgeon 1 0 General Physician 1 1 Except General Gynecologist 1 1 Surgeon appointed Pediatrician 1 1 by NRHM, all the 4 5 4 1 1 medical officers Anesthetic 1 1 appointed by the Public Health 1 1 State Govt. are Program Manager general MBBS Eye Surgeon 1 1
Bokalia CHC GNM 7 5 4 1 0 3 ANM 1 1 1 0 0 0 PHN 1 0 0 0 0 1 Lab Tech 1 1 1 0 0 0 Pharmacist/Compoun 1 1 1 0 0 0 der Opthalmic Assitt. 1 0 0 0 0 1 Dresser 1 0 0 0 0 1 OPD Attendant 1 0 0 0 0 1 Statistical 1 0 0 0 0 1 Assistance/Data Entry Operator P a g e | 8
Doctor 7 General Surgeon 1 1 General Physician 1 1 Except 1 ENT Gynecologist 1 1 Surgeon appointed Pediatrician 1 1 by NRHM, all the 2 3 2 1 1 medical officers Anesthetic 1 1 appointed by the Public Health 1 1 State Govt. are Program Manager general MBBS Eye Surgeon 1 1 GNM 7 7 7 0 0 0 Dentaghat CHC ANM 1 0 0 0 0 1 PHN 1 0 0 0 0 1 Lab Tech 1 1 1 0 0 0 Pharmacist/Compoun 1 1 1 0 0 0 der Opthalmic Assitt. 1 0 0 0 0 1 Dresser 1 0 0 0 0 1 OPD Attendant 1 0 0 0 0 1 Statistical 1 0 0 0 0 1 Assistance/Data Entry Operator
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24 x 7 status Medical Officer GNM ANM (in Pharmacist (in nos.) Lab. Tech. (in nos.) (in nos.) nos.) Bed s Pres Additio Additi Sl. Name of 24 Additio Pres Sanc Pres Sanc Pres San Prese Additio (in Sanct ent Sanct nal onal No. x 7 PHC nal MO ent tione ent tione ent ctio nt nal LT nos. ioned Posit Gap ioned GNM Gap Phar Gap Gap from Posit d Posit d Posit ned Positi from ) Post ion Post from from NRHM ion Post ion Post ion Post on NRHM NRHM NRHM
Hamren SD 1 50 4 4 0 0 2 2 2 0 2 2 2 2 0 0 1 1 0 0 Haopital 2 Manja PHC 10 2 1 0 1 0 0 0 0 1 1 1 1 1 0 0 0 0 0 Chowkihola 3 6 3 2 1 0 0 0 1 0 1 1 1 1 0 0 0 0 0 0 PHC Boithalangso 4 6 3 1 0 2 0 0 1 0 4 4 1 1 0 0 0 0 0 0 PHC Umpanai 5 6 3 2 4 0 0 0 0 0 4 4 1 1 1 0 0 0 0 0 PHC Deithor 6 1 0 0 1 0 1 1 1 1 0 0 1 1 0 0 MPHC 2 1 0 0 Dolamara 7 0 1 1 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 0 MPHC Balipathar 8 10 1 0 1 0 0 0 0 0 1 1 1 1 0 0 1 1 0 0 MPHC Dokmoka 9 10 0 0 1 0 1 1 1 0 1 1 1 1 0 0 1 1 1 0 MPHC Kheroni 10 0 1 1 0 0 0 0 1 0 1 1 1 1 0 0 1 1 0 0 SHC 11 Balijuri SHC 0 1 0 3 0 0 0 0 0 1 1 1 1 0 0 1 1 0 0 Rongmong 12 2 1 1 0 1 0 0 2 0 0 0 0 0 0 0 0 0 1 0 ve MPHC
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24 x 7 Infrastructure
Name of Compound OPD Registrati F.W. Waiting Emergen Separa te Operation Labour Toilet Power General Institution Wall room on Clinic Room cy Room ward for Theater Room Facility supply Store Own Counter Male/ with Bldg Female power backup Manja Own None available Available available adequate Yes No Not available Available Yes Yes available Chowkihola Own None available Available available adequate Yes No Not available Available Yes Yes available Own None available Available Not Not No No Not available Available Yes No Not Boithalangso available adequate available Umpanai Own All around available Available available adequate Yes No Not available Available Yes Yes Available Own None available Available available adequate No Yes available Available Yes No Not Hamren SDH available Own All around available Available available adequate No No Not available Available Yes Yes Not Deithor MPHC available Dolamara Own None available Available available adequate No No Not available Available Yes No Not MPHC available Balipathar Own All around available Available available adequate No No Not available Available Yes No Not MPHC available Dokmoka Own None available Available available adequate No No Not available Available Yes No Not MPHC available Own None available Available available adequate No No Not available Available Yes No Not Kheroni SHC available Own None available Available available adequate No No Not available Available Yes No Not Balijuri SHC available Rongmongve Own None available Available available adequate No No Not available Available Yes No Not MPHC available P a g e | 11
Name of BPHC Surgery carried out 24 Hrs. Running water Immunization, Family Planning & Waste disposal Jeep or Ambulance in OT Supply Counseling area available Manja No Yes Available Burnt and Berried Yes Chowkihola No No Available Burnt and Berried Yes Boithalangso No No Available Burnt and Berried Yes Umpanai No Yes Available Burnt and Berried Yes Hamren SDH No Yes Available Burnt and Berried Yes Deithor MPHC No Yes Available Burnt and Berried Yes Dolamara MPHC No Yes Available Burnt and Berried Yes Balipathar MPHC No Yes Available Burnt and Berried No Dokmoka MPHC No Yes Available Burnt and Berried Yes Kheroni SHC No Yes Available Burnt and Berried Yes Balijuri SHC No Yes Available Burnt and Berried Yes Rongmongve MPHC No Yes Available Burnt and Berried Yes
NRHM Additional Manpower situation in the 24 x 7 PHCs
Name of BPHC BPM BAM ABPM Office Assistant Remarks Present Present Present Present Required Required Required Required position position position position Manja 1 0 1 0 0 0 0 1 Others Manpower Chowkihola 1 0 1 0 0 0 0 1 P a g e | 12
Boithalangso 1 0 1 0 0 0 0 1 reflected in the 24 x 7 Umpanai 1 0 1 0 0 0 0 1 Manpower position Hamren SDH 0 1 1 0 0 0 0 1 table. Deithor MPHC 0 0 0 0 1 0 0 0 Dolamara MPHC 0 0 0 0 1 0 0 0 Balipathar MPHC 0 0 0 0 1 0 0 0 Dokmoka MPHC 0 0 0 0 1 0 0 0 Kheroni SHC 0 0 0 0 1 0 0 0 Balijuri SHC 0 0 0 0 1 0 0 0 Rongmongve MPHC 0 0 0 0 1 0 0 0 P a g e | 13
Manpower Status in PHC level
BPHC GNM MPHC name MO Pharmacist (in nos.) Lab Tech name (in nos.) ANM
Addi Addi San Pres San Pres tion San Prese Additi Presen tiona Prese Addition ctio ent ctio ent al ctio Sancti nt onal Sanctio t l MO Ga Ga nt Ga al MO ned Posit ned Posit MO ned oned Positi MO ned Positio Gap from p p Positi p from Pos ion Pos ion from Pos Post on from Post n NRH on NRHM t t NRH t NRHM M M 1(MB BS) 1 1 0 0 0 0 0 1 1 1 1 0 0 1 1 1 0 Rongchek MPHC +1(R HP) 1(A) +1(M Rongmandu MPHC 0 0 BBS) 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 +1R HP Voksong MPHC 1 0 0 1 0 0 0 0 1 1 1 1 0 0 1 1 1 0 Boithalangso 1(A) +1(M 0 Khanduli Sd 1 0 BBS) 0 0 0 0 0 1 1 1 1 0 0 0 0 1
+1R HP Amreng Traveling 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 dis 1(A) + Rongpangbong 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1(MB BS) 1(A) + Balipather MPHC 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1 0 0 1(MB BS) Bokajan 1(MB Dillai SD 1 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 BS) 1(MB Borpathar SD 1 1 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 BS) 1(A) Chowkihala Deihori MPHC 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 + P a g e | 14
1(MB BS) Malasipathar 1 1 0 0 0 0 1 0 1 1 1 1 0 0 0 0 0 0 MPHC Taradubi MPHC 1 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1 0 0 1(MB Sildubi PHC 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1 1 0 BS) 2 (1 from Donkamoka Mailoo SHC 1 0 1(A) 0 0 0 0 0 1 1 1 0 0 1 1 1 0 NRH m M) Tumpreng SHC 1 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1 1 0 1 Kolonga Sd 1 1 (RHP 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 ) 1 Centerbazar MPHC 1 1 0 0 0 0 0 0 0 (NRH 1 1 0 0 1 1 1 0 M) Langhing MPHC 1 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1 0 0 Phuloni MPHC 1 1 0 0 1 1 0 0 1 1 1 1 0 0 1 1 1 0 Dengaon MPHC 1 1 1(A) 0 0 0 0 0 1 1 1 1 0 0 1 1 0 0 Razapathar MPHC 2 2 0 0 1(A) 1 + Samuguri MPHC 0 0 0 0 0 0 0 0 (NRH 0 0 0 0 0 0 1 0 1(RH Howraghat M) P) 1(A) + Jaipong PHC 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1 1 0 1(RH P) 1(MB Okreng SHC 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1 1 0 BS) 1(A) Tekelangjun SHC 1 0 +1(R 0 0 0 0 0 1 1 1 1 0 0 1 1 1 0 HP) 1(A) +1(M Borolangfer MPHC 1 0 BBS) 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 Manja +1(R HP) Dhansiri MPHC 3 0 0 3 0 0 0 0 1 1 1 1 0 0 1 1 1 0 Mohendijua SHC 1 1 0 0 1 1 0 0 1 1 1 1 0 0 1 1 1 0 Borgaon MPHC 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 Umpanai 1(MB Ouguri MPHC 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1 1 0 BS) P a g e | 15
1(A) Rongjangphong 1 0 +1(R 0 0 0 0 0 1 1 1 1 0 0 1 1 1 0 MPHC HP) Putsari MPHC 1 1 2 (A) 0 0 0 0 0 1 1 1 1 0 0 1 1 1 0 1(A) Zirikindeng Zirikindeng PHC 3 1 +1(M 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 BBS)
Equipments Status in MPHC Level (as per facility survey) P a g e | 16
Uristix for Equipment for Facility for Sterilization urine Emergency Drugs Normal Delivery assisted IV Stand Suction Machine Oxygen Equipment albumin and Tray with all 9 item Kit (KIT-G) Forceps Administration autoclave sugar BPHC name MPHC name Delivery analysis No. No. No. No. No. No. No. No. No. No. No. No. No. No. No. No. Functio available Functional available Functional available Functional available Functional available Functional available Functional available av ailable Functional nal Rongchek MPHC 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 Rongmandu MPHC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Boithalangso Voksong MPHC 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 Khanduli Sd 0 1 1 2 0 1 0 1 0 1 0 0 0 1 1 1 Amreng Traveling SD 1 1 1 1 0 0 0 0 0 1 1 1 1 0 0 0 Balipather MPHC 3 2 1 1 1 1 0 0 0 0 0 0 1 0 0 0 Bokajan Dillai SD 0 0 0 0 0 1 0 1 0 1 0 0 0 1 1 1 Borpathar SD 0 2 1 0 2 2 1 1 1 1 0 0 0 1 1 1 Deihori MPHC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Chowkihala Malasipathar MPHC 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 Taradubi MPHC 1 1 1 1 0 0 0 0 0 0 1 1 0 0 0 0 Sildubi PHC 0 1 1 1 1 1 0 0 0 0 0 1 1 0 0 0 Donkamokam Mailoo SHC 1 1 0 0 0 1 1 1 0 1 0 1 0 1 0 1 Tumpreng SHC 0 0 1 1 2 0 2 1 1 1 1 1 1 0 0 0 Kolonga Sd 1 1 1 1 1 0 0 0 0 01 2 1 2 1 0 1 Centerbazar MPHC 1 1 1 0 0 0 1 0 1 1 2 2 1 1 0 0 Langhing MPHC 1 1 1 1 0 0 0 0 1 1 1 1 1 1 0 0 Phuloni MPHC 1 1 1 1 0 0 1 1 0 0 1 1 1 1 0 0 Dengaon MPHC 4 2 1 1 1 1 1 0 1 0 1 1 1 1 0 0 Howraghat Razapathar MPHC 2 3 2 1 2 1 0 0 0 0 0 1 1 1 1 1 Samuguri MPHC 2 1 2 1 1 1 1 0 0 0 0 1 1 1 1 1 Jaipong PHC 1 1 1 1 1 2 2 2 0 3 1 1 0 0 0 0 Okreng SHC 1 1 1 0 0 0 0 1 1 1 1 0 0 0 1 1 Tekelangjun SHC 1 1 1 2 3 1 2 3 2 1 3 1 2 0 0 0 Borolangfer MPHC 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Manja Dhansiri MPHC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Mohendijua SHC 3 3 1 1 0 0 1 1 1 1 1 1 0 0 0 0 Borgaon MPHC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Ouguri MPHC 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 Umpanai Rongjangphong MPHC 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Putsari MPHC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 P a g e | 17
Zirikindeng Zirikindeng PHC 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0
BPHC name Equipment for Weighing Phototherapy Table lamp with RPR test kit for Radiant MVA/MTP IUD insertion Foetal Machine for Unit 200 watt blub syphilis MPHC name Warmer for suction Kit Stethoscope Infant (warming new Born baby Aspirator Device) No. No. No. No. No. No. No. No. No. No. No. No. No. No. No. No.
available Functional available Functional available Functional available Functional available Functional available Functional available Functional available Functional Rongchek MPHC 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 Rongmandu MPHC 0 1 1 1 1 0 0 0 1 1 0 0 1 1 1 1 Voksong MPHC 1 1 0 0 0 1 0 0 1 1 0 0 1 0 1 0 Boithalangso Khanduli Sd 1 1 0 0 1 1 0 0 0 1 1 1 0 0 1 1 Amreng Traveling SD 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 Rongpangbong 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Balipather MPHC 1 1 0 0 1 1 1 1 0 0 1 1 0 0 0 0 Bokajan Dillai SD 0 1 1 1 1 0 0 0 1 1 0 0 1 1 1 0 Borpathar SD 1 1 0 0 1 1 0 1 0 0 1 1 0 0 0 0 Deihori MPHC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Chowkihala Malasipathar MPHC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Taradubi MPHC 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 30 Sildubi PHC 1 1 0 0 0 1 1 0 0 1 1 0 0 0 0 0 Donkamokam Mailoo SHC 0 1 1 0 1 0 0 1 1 0 0 0 1 1 1 1 Tumpreng SHC 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 Kolonga Sd 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 Centerbazar MPHC 0 0 1 1 2 2 1 1 0 0 0 0 0 0 0 0 Langhing MPHC 0 0 1 1 0 0 3 3 0 0 0 0 0 0 0 0 Phuloni MPHC 1 0 1 0 0 1 1 0 0 1 1 1 1 0 0 1 Dengaon MPHC 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 Howraghat Razapathar MPHC 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 1 Samuguri MPHC 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Jaipong PHC 1 1 0 0 1 1 0 0 0 1 1 0 0 0 0 1 Okreng SHC 0 0 1 1 0 0 0 1 1 3 3 0 0 0 0 0 Tekelangjun SHC 0 0 0 0 0 1 1 1 0 1 0 0 1 1 1 0 Borolangfer MPHC 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 Manja Dhansiri MPHC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Mohendijua SHC 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 P a g e | 18
Borgaon MPHC 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Ouguri MPHC 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 Umpanai Rongjangphong MPHC 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 Putsari MPHC 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 Zirikindeng Zirikindeng PHC 0 1 1 1 0 1 0 0 1 1 1 0 0 0 1 1
Basic Facility Available at PHC (As per District Sources)
BPHC name MPHC name Bed Drinking Water Electricity Toilet Phone Ambulance Labour Room Laboratory Staff Quarter Manja MPHC 6 Nos. Yes Yes Yes Yes No. Yes Yes 13 Nos Manja Dhansiri MPHC 10 Nos. Yes Yes Yes No. No. Yes Yes 12 Nos Borolangfer MPHC 10 Nos. Yes No. Yes No. No. No No .Nil Bokajan MPHC 30 Nos. Yes Yes Yes Yes No. Yes Yes 5 Nos. Bokajan Balipather MPHC 10 Nos. Yes Yes Yes No. No. On Process No 5 Nos. Chowkihala MPHC 10 Nos. Yes No. Yes No. No. Yes Yes 16 Nos Deithor MPHC -- Yes No. Yes No. No. On Process Yes 4 Nos Chowkihala Dolamara MPHC -- Yes Yes No. No No On Process Yes 1 No Rongmongwe MPHC -- Yes No. Yes No. No. No No 1 No Malasipathar MPHC -- Yes Yes Yes No. No. No No 1 No Howraghat MPHC 30 Nos. Yes Yes Yes Yes No. Yes Yes 36 Nos. Centerbazar MPHC 10 Nos. Yes Yes Yes No. No. Yes Yes 1 No Langhing MPHC 10 Nos. Yes Yes Yes No. No. Yes Yes 7 Nos
Phulani MPHC -- Yes Yes Yes No. No. No Yes 8 Nos
Dokmoka MPHC -- Yes Yes Yes No. No. On Process No 4 Nos Howraghat Dengaon MPHC -- Yes Yes Yes No. No. Yes Yes Razapathar MPHC -- Yes Yes Yes No. No. No Yes 1 No Samuguri MPHC -- Yes No. Yes No. No. No Yes 5 Nos Donkamoka Donkamokam MPHC 30 Nos. Yes Yes Yes Yes No. Yes Yes 32 Nos. m Taradubi MPHC -- Yes No. Yes No. No. No No No Boithalangso MPHC 6 Nos. Yes Yes Yes No. No. Yes Yes 15 Nos P a g e | 19 Rongchek MPHC -- Yes No. Yes No. No. No No No Boithalangs Rongpangbong MPHC -- Yes No. Yes No. No. No No No o Voksong MPHC -- Yes No. Yes No. No. No No No Rongmandu MPHC -- Yes No. Yes No. No. No No No Zirikinding Zirikinding MPHC 6 Nos. Yes Yes Yes No. No. Yes Yes 14 Nos Umpanai MPHC 6 Nos. Yes Yes Yes No. No. Yes Yes 7 Nos Borgaon MPHC -- Yes Yes Yes No No No No No Umpanai Putsari MPHC -- Yes No. Yes No. No. No No 2 Nos Rongjangphong MPHC -- Yes No. Yes No. No. No No No Ouguri MPHC -- Yes No. Yes No. No. Yes Yes 4 Nos
NRHM Additional Manpower situation at PHC Level
BPM BAM ABPM Office Assistant BPHC name MPHC name Remarks Present Present Present Present Required Required Required Required Position Position Position Position Rongchek MPHC 0 0 0 0 0 1 0 0 Rongmandu MPHC 0 0 0 0 0 1 0 0 Boithalangso Voksong MPHC 0 0 0 0 1 0 0 0 Khanduli SD 0 0 0 0 0 1 0 0 Amreng Traveling SD 0 0 0 0 0 1 0 0 Balipather MPHC 0 0 0 0 1 0 0 0 Bokajan Dillai SD 0 0 0 0 1 0 0 0 Borpathar SD 0 0 0 0 1 0 0 0 Deihori MPHC 0 0 0 0 0 1 0 0 Chowkihala Malasipathar MPHC 0 0 0 0 1 0 0 0 Taradubi MPHC 0 0 0 0 1 0 0 0 Sildubi PHC 0 0 0 0 0 1 0 0 Donkamokam Mailoo SHC 0 0 0 0 1 0 0 0 Tumpreng SHC 0 0 0 0 0 1 0 0 Kolonga Sd 0 0 0 0 0 1 0 0 P a g e | 20
Centerbazar MPHC 0 0 0 0 1 0 0 0 Langhing MPHC 0 0 0 0 1 0 0 0 Phuloni MPHC 0 0 0 0 1 0 0 0 Dengaon MPHC 0 0 0 0 1 0 0 0 Howraghat Razapathar MPHC 0 0 0 0 1 0 0 0 Samuguri MPHC 0 0 0 0 0 1 0 0 Jaipong PHC 0 0 0 0 0 1 0 0 Okreng SHC 0 0 0 0 1 0 0 0 Tekelangjun SHC 0 0 0 0 1 0 0 0 Borolangfer MPHC 0 0 0 0 0 1 0 0 Manja Dhansiri MPHC 0 0 0 0 0 1 0 0 Mohendijua SHC 0 0 0 0 1 0 0 0 Borgaon MPHC 0 0 0 0 0 1 0 0 Ouguri MPHC 0 0 0 0 0 1 0 0 Umpanai Rongjangphong MPHC 0 0 0 0 0 1 0 0 Putsari MPHC 0 0 0 0 1 0 0 0 Zirikindeng Zirikindeng PHC 1 0 1 0 0 1 0 1 P a g e | 21
Sub Center Status under BPHCs
BPHC Name Building Position Additional ANM/2 nd ANM on contract basis Sl. Sl. ASHA position at Name of Sub Center Remarks No. No. SC NRHM Own Bldg. Rented Govt. Present additional Required Sanctioned Position Manpower 1 Mohendijua 1 Govt. Building 1 1 0 1 Yes
2 Disobai 2 Govt. Building 1 1 0 1 Yes Manja BPHC 3 Dhansiri 3 Govt. Building 1 1 0 1 Yes 4 Doldoli 4 Govt. Building 1 1 0 1 Yes 5 Rongapahar 5 Govt. Building 1 1 0 1 Yes 6 Borlangfer 6 Govt. Building 1 1 0 1 Yes 7 Langsoliet 7 Govt. Building 1 1 0 1 Yes 8 Taralangso 8 Govt. Building 1 1 0 1 Yes 9 Kherbari 9 Govt. Building 1 1 0 1 Yes 10 Upper hapjan 10 Under Construction 1 1 0 1 Yes 11 Tissom gaon 11 Under Construction 1 1 0 1 Yes 12 8.KM Lumding Rd. 12 Under Construction 1 1 0 1 Yes 13 Thekerajan 13 Under Construction 1 1 0 1 Yes Under Processing 1 1 0 1 Yes 14 Chotalangfer 14 for new Building Under Processing 1 1 0 1 Yes 15 Upper Dillaji 15 for new Building Under Processing 1 1 0 1 Yes 16 Rongkhelan 16 for new Building Under Processing 1 1 0 1 Yes 17 Geeta Nagar 17 for new Building 18 Mijungdisa kania 18 Under Processing 1 1 0 1 Yes P a g e | 22
Terang Gaon for new Building Disama khorsing Under Processing 1 1 0 1 Yes 19 19 Terang gaon for new Building Under Processing 1 1 0 1 Yes 20 Longbrik Rongpigaon 20 for new Building 21 Khonbamon 21 Rented Building 1 1 0 1 Yes Bokajan 1 Upper Deopani 22 Govt. Building 1 1 0 1 Yes BPHC 2 Deopani 23 Govt. Building 1 1 0 1 Yes 3 Barpother 24 Govt. Building 1 1 0 1 Yes 4 Senso Bey gaon 25 Govt. Building 1 1 0 1 Yes 5 Sarihajan 26 Govt. Building 1 1 0 1 Yes 6 Safapani 27 Govt. Building 1 1 0 1 Yes 7 Gharial dubi 28 Govt. Building 1 1 0 1 Yes Bornoria Ronghang 1 1 0 1 Yes 8 29 Govt. Building gaon 9 Santipur SC 30 Govt. Building 1 1 0 1 Yes 10 Khotkhoti 31 Govt. Building 1 1 0 1 Yes 11 Dilawjan 32 Govt. Building 1 1 0 1 Yes 12 Hidipi MSC 33 Govt. Building 0 0 0 2 Yes 13 Tinglijan MSC 34 Govt. Building 1 1 0 1 Yes 14 Amarajan Garampani 35 Under Construction 1 1 0 1 Yes 15 Mora Kordoiguri 36 Under Construction 1 1 0 1 Yes Kera gaon Under Processing 1 1 0 1 Yes 16 37 (Longkather) for new Building Under Processing 1 1 0 1 Yes 17 Moh-khuti 38 for new Building Under Processing 1 1 0 1 Yes 18 Saijong 39 for new Building P a g e | 23
Bornoria Mauzader Under Processing 1 1 0 1 Yes 19 40 Gaon for new Building 20 Saibal Villages 41 Rented Building 1 1 0 1 Yes Howraghat 1 Uttar Borbill 42 Govt. Building 1 1 0 1 Yes BPHC 2 Parakhuwa 43 Govt. Building 1 1 0 1 Yes 3 Sildharampur 44 Govt. Building 1 1 0 1 Yes 4 Virvar 45 Govt. Building 1 1 0 1 Yes 5 Kunjuk Athoi 46 Govt. Building 1 1 0 1 Yes 6 Palam Engti 47 Govt. Building 1 1 0 1 Yes 7 Donghap 48 Govt. Building 1 1 0 1 Yes 8 Langsomepi 49 Govt. Building 1 1 0 1 Yes 9 Phonglokpet 50 Govt. Building 1 1 0 1 Yes 10 Ghorajan 51 Govt. Building 1 1 0 1 Yes 11 Centre- Bazar 52 Govt. Building 1 1 1 0 Yes 12 Tekelanjun 53 Govt. Building 1 1 0 1 Yes 13 Bheloghat 54 Govt. Building 1 1 0 1 Yes 14 Dighali Majgaon 55 Govt. Building 1 1 0 1 Yes 15 Jaipong 56 Govt. Building 1 1 0 1 Yes 16 Samaguri 57 Govt. Building 1 1 1 0 Yes 17 Panditghat 58 Govt. Building 1 1 0 1 Yes 18 Cherakani 59 Rented Building 1 1 0 1 Yes 19 Basa-Tiplong 60 Govt. Building 1 1 0 1 Yes 20 Kasojan 61 Totally Damage Rented Building 1 1 0 1 Yes 21 Samelangso 62 Govt. Building 1 1 1 0 Yes 22 Hatipura 63 Govt. Building 1 1 0 1 Yes P a g e | 24
23 Hidibonglong 64 Govt. Building 1 1 0 1 Yes 24 Phongbrik 65 Govt. Building 1 1 0 1 Yes 25 Manikpur MSC 66 Govt. Building 1 1 0 1 Yes 26 Langlokso MSC 67 Govt. Building 1 1 0 1 Yes 27 Parkup Pahar MSC 68 Govt. Building 0 0 2 0 Yes 28 Eragaon paharline 69 Govt. Building 1 1 0 1 Yes 29 Molesbosti 70 Govt. Building 1 1 0 1 Yes 30 Hanbuka 71 Under Construction 1 1 0 1 Yes Borgonga Kehai 1 1 0 1 Yes 31 72 Under Construction Terang 32 Amoni 73 Under Construction 1 1 0 1 Yes 33 Habe Kro gaon 74 Under Construction 1 1 0 1 Yes Under Processing 1 1 0 1 Yes 35 Padum pukhuri 75 for new Building Under Processing 1 1 0 1 Yes 36 Dumukhi Jaljuri 76 for new Building Under Processing 1 1 0 1 Yes 37 Pachim Sunpura 77 for new Building Under Processing 1 1 0 1 Yes 38 Lutumari 78 for new Building Under Processing 1 1 0 1 Yes 39 Godabori 79 for new Building 40 Chokroghat 80 Rented Building 1 1 0 1 Yes Chapong Khorsing 1 1 0 1 Yes 41 81 Rented Building Kro gaon 42 Goneshpothar 82 Rented Building 1 1 0 1 Yes 43 Nopakghat 83 Rented Building 1 1 0 1 Yes 44 Kaliveti 84 Under Construction 1 1 0 1 Yes 45 Selabor Natun Gaon 85 Rented Building 1 1 0 1 Yes P a g e | 25
Chowkihola 1 Mera Bheti 86 Govt. Building 1 1 0 1 Yes BPHC 2 Dirring 87 Govt. Building 1 1 0 1 Yes 3 Koilamati 88 Govt. Building 1 1 0 1 Yes 4 Rongagora 89 Govt. Building 1 1 0 1 Yes 5 Silimkhowa 90 Govt. Building 1 1 0 1 Yes 6 Deithor 91 Govt. Building 1 1 0 1 Yes 7 Dolamara 92 Govt. Building 1 1 0 1 Yes 8 Rongmongwe 93 Govt. Building 1 1 0 1 Yes 9 Upper Panjan 94 Govt. Building 1 1 0 1 Yes Under Processing 1 1 0 1 Yes 10 Deopani Balijuri 95 for new Building Under Processing 1 1 0 1 Yes 11 Mouzeder gaon 96 for new Building 12 Tarapung 97 Rented Building 1 1 0 1 Yes Donkamokam 1 Jengkha 98 Govt. Building 1 1 0 1 Yes BPHC 2 Borthol 99 Govt. Building 1 1 0 1 Yes 3 Mailoo 100 Govt. Building 1 1 0 1 Yes 4 Taradubi 101 Govt. Building 1 1 0 1 Yes 5 Hanlokrok 102 Govt. Building 1 1 0 1 Yes 6 Hawaipur 103 Govt. Building 1 1 0 1 Yes 7 Bithung Rongthema 104 Govt. Building 1 1 0 1 Yes 8 Derajuri Killing Gaon 105 Govt. Building 1 1 0 1 Yes 9 Sildubi MSC 106 Govt. Building 0 0 0 2 Yes 10 Doyangmukh 107 Under Construction 1 1 0 1 Yes 11 Satgaon 108 Under Construction 1 1 0 1 Yes P a g e | 26
Under Processing 1 1 0 1 Yes 12 Phangthengthrang 109 for new Building Under Processing 1 1 0 1 Yes 13 Langchithing 110 for new Building Killing Rongsopi 1 1 0 1 Yes 14 111 Rented Building (Deramokam) 15 Linchika 112 Rented Building 1 1 0 1 Yes 17 Serlangso (Ronghidi) 113 Rented Building 1 1 0 1 Yes 18 Karbi Rongsopi 114 Rented Building 1 1 0 1 Yes 19 Lamsakhang 115 Rented Building 1 1 0 1 Yes Boithalangso 1 Rongchek 116 Govt. Building 1 1 0 1 Yes BPHC 2 Badong 117 Govt. Building 1 0 0 2 Yes 3 Voksong 118 Govt. Building 1 1 0 1 Yes 4 Borkok 119 Govt. Building 1 1 0 1 Yes 5 Tikka 120 Govt. Building 1 1 0 1 Yes 6 Dikisir MSC 121 Govt. Building 0 0 0 2 Yes 7 Rongmandu MSC 122 Govt. Building 1 1 0 1 Yes Hongkram Kathar 8 123 Govt. Building 1 1 0 1 Yes Banglow MSC 9 Punja Borpother 124 Under Construction 1 1 0 1 Yes 10 Dalimbari 125 Govt. Building 1 1 0 1 Yes Under Processing 1 1 0 1 Yes 11 Hatigorh 126 for new Building Under Processing 1 1 0 1 Yes 12 Kungripi 127 for new Building 13 Longpai 128 Rented Building 1 1 0 1 Yes 14 Longleloboi 129 Rented Building 1 1 0 1 Yes 15 Tahpet 130 Rented Building 1 1 0 1 Yes 16 Phongjangre 131 Rented Building 1 1 0 1 Yes P a g e | 27
16 Durong 132 Rented Building 1 1 0 1 Yes Umpanai 1 Umpanai 133 Govt. Building 1 1 0 1 Yes BPHC 2 Umsowai 134 Govt. Building 1 1 0 1 Yes 3 Ulukunchi 135 Totally Damage Rented Building 1 1 0 1 Yes 4 Ouguri 136 Govt. Building 1 1 0 1 Yes 5 Umlapher 137 Govt. Building 1 0 0 1 Yes Under Processing 1 1 0 1 Yes 7 Morten 138 for new Building Under Processing 1 0 0 2 Yes 8 Krokengdang 139 for new Building 9 Umwang 140 Rented Building 1 1 0 1 Yes 10 Bogajamin 141 Rented Building 1 1 0 1 Yes 11 Romphom 142 Rented Building 1 1 0 1 Yes 12 Umchiken 143 Rented Building 1 1 0 1 Yes Zirikinding 1 Panimur 144 Govt. Building 1 1 0 1 Yes BPHC 2 Umkhermi 145 Govt. Building 1 1 0 1 Yes P a g e | 28
NRHM Manpower situation in the district (DPMU office)
Sl. No. Post Sanctioned In position Required 1 Dist. Program Manager 1 1 0 2 Dist. Media Expert 1 1 0 3 Dist. Accounts Manager 1 1 0 4 Dist. Data Manager 1 1 0 5 Computer Assistant 1 1 0 6 Peon 1 1 0 7 Choukider 1 1 0 8 Cold Chain Handler 0 0 1 9 Office Assistance 0 0 1
ASHA Position in the district
Block No ASHA Total Yet to Total Trained Train (from Total. Selected In Position upto 5 th Module 1st Module to 5th Module) Diphu Civil 53 50 3 53 Hospital Manja 91 70 21 91 Bokajan 129 120 9 129 Chowkihala 67 60 7 67 Howraghat 262 230 32 262 Donkamokam 162 150 12 162 Boithalangso 87 70 17 87 Zirikinding 35 23 12 35 Umpanai 50 40 10 50 Total 936 813 123 936
In the given Tables above shows the additional man power situation in the district for the smooth functioning of the NRHM programmes. It has been found that 123 nos. of New ASHA is required to be trained to work in the remote and hilly areas of this big geographical area of the district.
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2.9 Structure of Health Department (Family Welfare)
Joint Director of Health Services | ______Addl. Chief Medical & Health Officer (FW) | ______| | | | DI O DE&MO/Dy/DE &MO SI (FW/UIP) DPHNS | . ______SDM & HO i/c Block PHC | ______Sr. M & H O M & H O | ______BEE HE LHV Male supervisor | ______ANM FW HW(M) | ______ASHA MSS TBA ORS (Depot Holder)/ . Contraceptive (Depot Holder )
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3. I. RCH-II
Situational Analysis Objectives Activities Strategies Budget Requirements
P a g e | 31
Maternal Health Situational Analysis Sl. Indicators Source HMIS (2008 -09) No. MMR 480 0 Mothers registered in the first trimester when they 31.5 (DLHS – 3) 28.78% were pregnant with last live birth/Still birth (%) Mothers who had at least 3 ANM visits during the 44.1% (DLHS – 3) 61.74% last pregnancy Mothers who got at least one TT when they were 63.4 % (DLHS – 3) 79.91% pregnant with their last live birth/still birth Institutional Birth 37.6 (DLHS – 3) 45.74% Delivery at home & other places assisted by a 12.2 (DLHS – 3) 25.40% doctor/nurse/LHV/ANM Mother’s who received post natal care within 48 hrs. 34.1 (DLHS – 3) 18.51% of delivery of their last child Motivated for delivery at Health Facilities 12.3 (DLHS – 3) 0 Motivated for Anti Natal Care (ANC) 17.6 (DLHS – 3) 0 Mothers who had atleast 3 ANC visits for their last 36.3 (NFHS – 3) 61.74% birth Mothers who consumed IFA for 90 days or more 15.6 (NFHS – 3) 83.14% when they were pregnant with their last child (%) Birth assisted by a Doctors/Nurse/LHV/ANM/Other Health 31.2 (NFHS – 3) 25.40% personnels Mothers who received postnatal Care (PNC) from a doctors/Nurse/LHV/ANM/others health 13.8 (NFHS – 3) 18.51% personnels within two days of delivery for their last birth (%) Pregnant woman age 15 -49 who are anaemic (%) 72.0 (NFHS – 3) 0
Objectives: To reduce MMR from 480 to 450 by 2010-11 (source state survey 2006 ) Strategy Activities proposed 1. Early detection and 1. Updating of eligi ble couple register through intensified home registration of Pregnant women visit by ANM/ASHA at SC level. 2. Availability of Pregnancy test Kit to ANM/ASHA 3. Training to ANM/ASHA for detection of pregnancy 4. Strengthening of Home Visit by issuing Home visit card to Pregnant Mother by ANM and ASHA. 2. Early detection of high risk 1. Ensure minimum three Antenatal check -up for e ach pregnant P a g e | 32
pregnancies at SC level mother by ANM/ASHA by promoting Mamoni in the due time. 2. Availability of Hemoglobin Testing Kit facility at SC level 3. Strengthening of referr al Transportation facilities for carrying Pregnant Mothers from services. village to nearest Health Institutions (24 x 7) by engaging Private Vehicle owner and payment will be made as per mileage or as per local feasibility. 4. To promote Institutional 1. JSY incentives to the mothers and ASHAs delivery 2. SBA training for all GNM, ANM & LHVs. 3. Provision of Baby Kit containing Soap, Powder, Baby oil, to the child as gift who will stay at hospital minimum of 24 hrs after delivery. 5. Post Natal Care services 1. At -least 3 (three) Post Natal Check -up (as per guide line) by concerned ANM during Home visits. 6. Community awareness 1. Strengthening of Health Day regularly through IEC/BCC activities to 2. Audio-Visual production and show at periphery level. promote Institutional delivery 3. Display board on ANC/PNC at Health Institution and to discourage home 4. Monthly meeting with VHS Committee delivery 5. FGD with target group (like ASHAs, Pregnant women, Lactating Mothers, Mother-in-laws etc). 6. Street play at Block level 7. Hoarding/ Wall painting 8. Leaflet, Flex Poster, Information Board, Kiosk board 9. Involvement of NGOs/FBOs/CBOs/SHGs etc 10. IEC/BCC orientation for ASHA/ANM/GNM/MO/BEE/HE/ LHV /BPM/ABPM 11. Miking 4. Monitoring & Supervision 1. Incorporated in Monitoring chapter
Child HeHealthalth Situational Ananlysis Sl. No. Indicators Source HMIS (2008 - 09) Birth rate 23.9 (SRS 2009) 0 Infant mortality rate 64 (SRS 2009) 0 IMR (Under 5) 85 (NFHS – 3) 0 Early Neonatal Mortality Rate 26 (SRS – 20 06) 0 Peri -natal Mortality Rate 35 (SRS – 2006) 0 Still Birth Rate 9 (SRS – 2006) 0 Neo -natal Mortality Rate 35 (SRS – 2006) 0 Fully immunized Children 56.8 (DLHS – 3) 67.3% P a g e | 33
Institutional Birth 37.6 (DLHS – 3) 45.74%
Children (12 -23 mnt) who have received BCG 80.9 (DLHS – 3) 0 % Children (12 -23 mnt) who have received 3 65.5 (DLHS – 3) 0 doses of Polio Vaccine Children (12 -23 mnt) who have received 3 68.3 (DLHS – 3) 0 doses of DPT Vaccine Children (12 -23 mnt) who have received 74.5 (DLHS – 3) 0 Measles Vaccine Children (9 -35 mnt) who have received at 75.6 (DLHS – 3) 58.01% least one dose of Vitamin A Children (above 21 mnts) who have received 68.5 (DLHS – 3) 20.84% three doses of Vitamin A Children had checkups within 24 hrs. after 34.2 (DLHS – 3) 2194 delivery (based on last live birth) Children with D iarrhoea in the last two 38.5 (DLHS – 3) 0 weeks who received ORS (%) Children with Diarrhoea in the last two 59.1 (DLHS – 3) 7858 weeks who were given treatment Children with Acute Respiratory 73.2 (DLHS – 3) Infection/fever in the last two weeks who 4485 were given treatment (%) Children breastfed within one hour of birth 76.2 (DLHS – 3) 0
Children (age 6 months above) exclusively 39.8 (DLHS – 3) 0 breastfed Children (6 -24 monts) who received solid or 98.6 (DLHS – 3) 0 semisolid food and still being breastfed Children unjder 3 years who are underweight 40.4 (NFHS – 3) 0 Children age 6 -35 months who are anaemic 76.7 (NFHS – 3) 0 Nutritional Status (NFHS – 3) Height for age (Mean Z -score SD) -1.8 0 Weight for Height (Mean Z -score SD) -0.8 0 Weight for age (Mean Z -score SD) -1.6 0 Prevalence of Anemia in Children (Percentage (NFHS – 3) of children age 6 to 69 months classified as having anemia 2005-06 Mild 28.7 0 Moderate 38.7 0 Severe 2.2 0
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Objectives : To reduce IMR from 64 to 62 by 2010-11 (Source NFHS – 3) Strategy Activities 1. Provisio n of sick neo -natal care unit at 5 nos. of 24 x 7 services center (Dillai, Rongmongve, Balijuri, 1. Provision for Neonatal care facilities Tekelangjun & Voksong) 2. Refresher training of MO and GNM 2. Strengthening of early detection and 1. Orientation and reorientation training of GNM/ANM 2. Strengthening of referral system for sick child. referral of sick child 3. Ensure Post-natal Care by ANM 1. Recruitment of 13 nos. of Counselor on contractual basis for 3. Strengthening of ORT corner the 13 nos. of ORT Corner. 1. Reorientation training of GNM/ANM on RTI for Early Detection & Prompt Treatment (EDPT) 4. Early detection of RTI & Malaria 2. Availability of Malaria RD Kit to ANM & ASHA for EDPT 3. To ensure the availability of Medicine for RTI & Malaria 1. Exclusive breast feeding upto 6 month and proper weaning 2. Promotion to take nutritious diet to mother by locally available fruits, vegetables etc. 3. Promotion of Institutional Delivery 4. Strengthening of Health Day regularly 5. IPC by ASHA and other Health worker on Child Health 6. Audio-Visual show on RTI, Diarrhoea, Malaria (Pf) etc. at village level. 5. IEC/BCC on Child Health 7. FGD with target group by HE & BEE 8. Street play at Block level 9. Hoarding/Wall painting 10. Leaflet, Flex Poster, Information Board, Kiosk board 11. Involvement of NGOs/FBOs/CBOs/SHGs etc. 12. Baby show 13. Miking 14. IEC/BCC orientation for ASHA /ANM /GNM /MO /BEE /HE/LHV/BPM/ABPM 5. Monitoring & Supervision 1. Incorporated in Monitoring chapter
Adolescent Health Situational Analysis Sl. Indicators Source HMIS (2008 -09) No. Percentage of girls marrying before completing 1 8 yrs. 10.0 (DLHS – 3) 0 Percentage of births to woman during age 15 -19 out of 11.5 (DLHS – 3) 0 total births P a g e | 35
Percentage of MTP before marriage - 0 Percentage of abortion before merriage - 0 Percentage of Adoloscent on safe sex - 0 Knowledge of HIV/AIDS among adolescent - 0 Knowledge of personal hygine among adolescent - 0 Knowledge of impact of antoxication among adolescent - 0 Knowledge of using Sanitary Nepkin by adolescent girl - 0 Knowledge of deworming/I FA programe among 0 adolescent
Objectives: 1) To Increase awareness among the adolescents. Strategies Activities 1. Promote awareness and sensitization of a. Tr aining of teachers on adolescent health parents/ guardians/ Teachers on Physical, issues mental, Social & Spiritual wellbeing of b. Meeting with Parent/ guardian at village level Adolescents. on Adolescent health with the active involvement of VHSC a. Meeting wit h the adolescent group to sensitize 2. To increase the awareness regarding about marriage below 18 yrs is prohibited by disadvantages of early marriage and child law as it is harmful bearing. b. Workshop for Mahila Samity, Youth Clubs, SHGs, NGOs, Gaonbura, c. . Meeting with parents/ guardians a. Sensitize th e target group to attend Adolescent clinic through Youth Clubs, VHSC, NGOs b. Utilizing the Adolescent clinic as a platform for the Target group through Audio-Visual. c. Adolescent clinic during general OPD/O&G OPD hours in a separate room. 3. To Strengthen adolescent’s clinics. d. Counseling on puberty, HIV/Aids, STD,
personal hygiene, substance abuses, early marriage & early pregnancy etc. through AIDS Counselor (AIDS counselor at block level e. Training & incentive provided to AIDS Councilors for the said purpose in district level & block level. a. Audio Visual on puberty, HIV/Aids, STD, personal hygiene, substance abuses, early marriage & early pregnancy etc at market day/ School on Saturday/ Place of public gathering 4. IEC/ BCC etc. b. Leaflet, Poster, Banner, Wall Painting, Hoarding in local language etc c. GD with target group, Street-play P a g e | 36
d. To conduct block level youth club meeting e. To sponsor Rural Sports events for Adolescent Health publicity f. Miking a. To conduct School Health Day on Adolescent Health/ Sex education. 5. School Health Program b. To Organize Essay/ Quiz/ extempore speech/ art competition amongst school students. 6. Monitoring & Supervision 1. Incorporated in Monitoring chapter
Family Planning Situational Analysis a) Current Use Sl. No. Indicators DLHS -3 Distr ict Data
Any Method 48.9 0 Any Modern method 39.1 0 Female Sterilization 13.4 15.02% Male Sterilization 0.4 0 IUD(%) 2.8 123.42% Pill(%) 21.1 89.03% Condom (%) 1.1 108.57%
b) Unmet need for Family Planning Sl. No. Indicators DLHS -3 District Data Total unmet need (%) 16.2 0 For spacing (%) 2.6 0 For limiting(%) 13.6 0 c) Other related Health Indicators (Source SRS bulletine, 2002-04)
Sl. No. Indicator DLHS – 3 HMIS report 1 Couple protection rate 3.83% 0 2 By spacing 0.04% 0 3 By Sterilization 4.24% 0 4 Birth Rate 26.6 0 5 TFR 2.42 0 6 Death Rate 11/1000 0 Woman use of Family Planning 7 4.4 0 Methods(%)
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Objective :- To control birth rate from 23.9 to 22 (SRS Bulletin 2009)
Strategies Activity 1. Adoption of various a. Sterilization camps at CHC level family planning b. Deginated MTP Center to be open at 5 BPHC and 4 CHC level, 1 methods SDCH & 1 DH c. Doctors to be trained for 5 BPHC and 4 CHC, SDCH d. Availability of D&E Kit for 5 BPHC and 4 CHC, SDCH & DH e. Counseling eligible couples on spacing and permanent sterilization method (post partum, mini lap, laparoscopic sterilization and NSV. f. Trg on NSV for DH Doctors where already 2 doctors traigned and another of two doctors needed to be trained. g. To strengthen IUCD activities Trg. Should be given On IUCD 380 A to MO/ANM/GNM/LHV h. Availability of oral pills, condom, IUCD, E-Pill on SC Kit and at same time in PHC Kit. i. Introduction of Open Bucket system for Condom user for better acceptance j. ASHA to be used as depot holder for condom and Oral pill. k. Availability of 2 sets laparoscopic sterilization machine at DH and all 3 CHCs (Bokajan, Howraghat & Bokalia) . 2. IEC/BCC a. Counseling on adoption of FP method to eligible couples b. Leaflet, Poster, Banner, Wall Painting, Hoarding in local language etc. c. GD with target group, Street-play d. Miking e. Family planning awareness mela (for eligible & married couple) e. IEC/BCC orientation for ASHA/ ANM/ GNM/ MO/ BEE/ HE/ LHV/BPM/ABPM f. Miking 3. Monitoring & Supervision Incorporated in Monitoring chapter
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Tribal Health/Tea garden/ Underserved and Unreach areas:
Situational Analysis Sl. Indicators Present position Gap/Required No. 1 ASHA Trained upto 5 th module till date 813 0 2 ASHA to be trained 6 th module 813 0 3 ASHA to be trained upto 5th module till date 123 0 4 New ASHA required 0 5 Radio distributed to ASHA till date 813 123 6 Umbrella distributed to ASHA 813 123 7 Special training on Malaria provided to ASHA 0 936 8 Health facilities provided in the Outreach areas 230 9 No. of VHSC constituted 936 0 10 No. of training for VHSC conducted 0 11 Position of ASHA Facilator/ASHA Supervisor 0 94
Objectives: o To promote Awareness among the community on Health issues. o To reach out to the Outreached areas.
Strategies Activities a. 230 Outreach Health Camps (as per microplan submitted by the blocks)to be conducted at under served & difficult areas to provide health care a. Outreach Health camps b. Mobile Medical Team will be providing health camp in large scale atleast for 4 mostly outreach areas in this year. c. Additional Incentive to those engage in Out Health camp/Programme. a. Meeting with Village head man, influential person, opinion leaders and elders. b. Production and display of documentary/audio-visuals on various health issues in tribal dialect. b. IEC/BCC c. Strengthening of health day and house visit of ASHA for IPC d. Awareness campaign during traditional tribal festivals e. Drama/street plays in tribal traditional ways f. Strengthening of miking in tribal remote hilly area P a g e | 39
g. Printing of pictorial IEC materials for health day and other programmes h. IEC/BCC orientation for ASHA/ANM/GNM/MO/BEE/HE/LHV/BPM/ABPM c. Additional Mobility a. Provision for 1 (one) 4 x 4 Wheel drive vehicle in all 8 BPHC Support b. Provision for hiring of Horse/elephant/donkey. c. Strengthening and Recruitment of Additional ASHA for every 3km radius at Outreach areas. d. Provision for performance base incentive for outreach area d. Additional ASHA ASHA who provide IFA tablet, Pregnancy test, distribution of Oral pill, Condom, ORS. e. Training for the Additional ASHAs as per modules. e. Monitoring & Supervision Incorporated in Monitoring chapter
Work Plan: Sl. Activities 20 10 201 1 Q1 (1 1 12) Q2(1 Person No Q1 Q2 Q3 Q4 2 13) Responsible
1. 100 Outreach Health Camps to be √ √ √ √ District HQ/BPMU conducted at under served & difficult areas to provide health care 2. Additional Incentive to those engage in Out √ √ √ √ District HQ/BPMU Health camp/Programme. 3. Meeting with Village head man, influential √ √ √ √ VHSC person and elders. 4. Production and display of documentary/audio-visuals on various health issues in tribal dialect. 5. Display of documentary/audio-visuals on various health issues in tribal dialect. 6. Strengthening of health day and house visit of ASHA for IPC 7 Awareness campaign during traditional tribal festivals 8 Drama/street plays in tribal traditional Incorporated in IEC/BCC Chapter ways 9 Strengthening of miking in tribal remote hilly area 10 Printing of pictorial IEC materials for health day and other programmes 11 IEC/BCC orientation for ASHA/ANM/GNM/MO/BEE/HE/LHV/BP M/ABPM 12 Provision for 1 (one) 4 x 4 Wheel drive √ √ √ √ District H Q/State vehicle in all 8 BPHC P a g e | 40
13 Inflatable boat for Manja BPHC √ √ √ √ District HQ 14 Provision for hiring of √ √ √ √ Horse/elephant/donkey District HQ 15 Strengthening and Recruitment of √ √ √ √ Additional ASHA for every 3km radius at District HQ Outreach areas. 16 Provision for performance base incentive √ √ √ √ for outreach area ASHA who provide IFA District HQ tablet, Pregnancy test, distribution of Oral pill, Condom, ORS. 17 Training for the Additional ASHAs.
District Programme Management Objectives: • To improve over all managements of the Health Programme for proper implementation and utilization of available resources and co- ordination of Dist. Level Planning Team. • To Improve the Financial management situation to a level where funds flow is proper, accounts and book keeping are transparent as possible and responsive. • To fill the Gap of manpower for service delivery.
Strategies: • The DPMU and the other programme officer of the district will work hand in hand to avoid duplicity of the different vertical programme in the district. • Regular review meeting of the performance and evaluation of the job assign to the person concern. • To build up a computerized web-interfaced accounting system so that quarterly and eventually monthly financial statement are submitted to the state level on time and there are no delays due to weaknesses in the accounting system. • To ensure accurate, proper and errorless reporting system from PHC level upto District level, Internet facility with active involvement of BEE, HE, ABPM, BAM, LHV & BPM is needed so that report are submitted to the state level on time.
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Strengthening of
Immunization
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Objective : 1. To Increase fully immunize from 56.8 to 60 % (source DLHS – 3)
Strategy Activities proposed 1. Strengthening of R.I 1. To ensure of R.I session as per Plan. 2. ANM to ensure that there is no drop-out/ Left-out in respective areas and proper maintenance of Tickler Bag and followup (home visit) . 3. Refresher training on RI for all ANM/GNM & LHV 4. Refresher training on RI reporting system for periphery reporting unit. 5. Mobilization of Drop out/ left-out children by ASHAs to nearest R.I session with constant supervision of ANM. 6. Incentive to ASHAs for fully Immunization 7. Supportive Supervision and monitoring by Block and Dist. Level monitoring team. 8. Involvement of all Peripheral Medical Officer to Monitor R.I with Mobility support. 9. Active involvement of ABPM for monitoring/reporting in R.I. with mobility support. 10. Existing Computer Assistant salary with increment and the monthly contingency 11. Blockwise yearly once training for ASHAs who completed 5 th module trg. For providing better service to the people in the village level. 12. formation of Mobile Team comprising 1 MO, 2 ANM, 1 Supervisor and male worker at Block PHC level to cover the concerned uncovered/underserved/outreach area of the block with mobility support and honorarium 2. Strengthening of Cold Chain a. Purchasing of 4 wheeler Vaccine Carrier for smooth delive ry system at District and of vaccine to the periphery cold chain center. Peripheries b. Provision of PoL fund, Vaccine loading & unloading fund and driver DA c. To enhance the reporting system of Cold Chain, provision of additional contingency fund. d. Provision of contingency/maintenance fund at periphery level on monthly basis for smooth functioning of the periphery cold chain center e. Availability of 5 nos. of solar ILR & deep freezer in no electric Zone. f. Purchase of Generator (15 to 20 HP) for District Cold Chain Center with Pol and occasional minor repairing fund. g. Extension of existing District Cold Chain Room (12” by 12”) with proper infrastructure and electrification. h. Recruitment of Contractual Cold chain handler. i. Monthly running repairing fund for existing Cold Chain Equipments for smooth functioning of Cold Chain System.. j. Availability of 5 electric Deep freezer 5 electric ILR, 10 cold P a g e | 43
box, 500 Vaccine carrier, 20 stabilizer for existing ILR & Deep Freezer, 3000 pc ice pack and 20 Thermometer. k. Opening of 5 New cold chain centre with necessary equipment and maintenance fund. 3. Capacity building on cold a. Refresher training for Cold chain handler chain management 4. Special R.I for difficult area a. Conduct Immunization Session for uncovered area. b. Provision for mobility support to ANM with incentive. c. Service delivery fund for ASHA/AWW to mobilize the beneficiaries. 5. IEC/BCC a. Miking b. Banner, Poster, leaflet, wall painting, hoarding c. Meeting with Pregnant women/ lactating mother/ eligible couple on the importance of Vaccine on Health Day. d. IPC/ GD by ANM prior to Immunization Session. e. Baby show f. FGD with target group
Plan for Mobile Team in the BPHC is 4 time minimum visit in the uncovered area (Maximum for 6 site) Plan for Routine Immunization per ANM Name of Block PH C No. of Covered Area Uncovered Tea ANM Fixed Out reach session in Garden session session difficult area session Bokajan BPHC 39 29 117 40 13 Umpanai BPHC 11 6 33 41 2 Donkamokam BPHC 24 21 72 77 Boithalangso BPHC 14 10 42 68 Chowkihola BPHC 19 11 57 72 4 Manja BPHC 36 33 108 52 Howraghat BPHC 81 44 243 69 Zirikindeng BPHC 0 0 0 31 Diphu Civil Hospital 21 42 63 0 Total 245245245 196196196 735735735 450450450 191919 Note : The plan for Uncovered Session in Difficult Area and Tea Garden session will be conducted at Friday by 2 nd ANM.
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Detailed Budget : 2010 2011 SL. Budget Head Baseline Unit Physical Target Rate Fund Proposed for 2010 2011 Unspe FFFund Remarks No /Current of nt Propose Status Mea Balan d sure ce on Q Q Q3 Q4 Total Q1 Q2 Q3 Q4 Total 1 2 Annua (rs./Unit) Annual l S1 To ensure of Performin Per √√√ √√√ √√√ √√√ 0 0 0 0 0 g Monthly ANM R.I session as Routine mont per Plan Immuniza hly 5 tion as – 7 per sites surveyed microplan ANM to ensure Perfor √√√ √√√ √√√ √√√ 0 0 0 0 0 that there is no ming drop-out/ Left- Home visit out in respective areas and proper maintenance of Tickler Bag and followup (home visit) . Refresher All 8 √√√ √√√ @ Rs 11637 1163 232750 0 232750. training on RI Trained bloc 245X950 5 75 .00 00 ks (including for all RP Hon, ANM/GNM & TA, DA, Est. cost, LH V Lunch)
Refresher All 8 √√√ √√√ @Rs 400 X 10600. 1060 21200. 21200.0 Trained bloc 53 nos of 00 0.00 00 0 training on RI trainees reporting system ks P a g e | 45 for periphery reporting unit.
Mobilization of √√√ √√√ √√√ √√√ 0 0 0 0 0 Drop out/ left- out children by ASHAs to nearest R.I session with constant supervision of ANM
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BUDGET: Sl. Activities Units Per Unit 20 10 2011 Total No Cost Q1 Q2 Q3 Q4 1. Ensuring of R.I session as per Plan . 931 x 12 Vaccine carrying 279300 279300 279300 279300 1117200 100 Pol money for difficult areas 469 x 12 2000/- 234500 234500 234500 234500 11256000 Incentive for mobilization 1400 x 50 210000 210000 210000 210000 840000 of children by ASHA 12 Incentive for mobilization 50 1400 x 210000 210000 210000 210000 840000 of children by AWW 12 2 ANM to ensure that there is no drop-out/ Left-out in 0 0 0 0 0 0 0 respective areas 3 Mobilizat ion of Drop out/ left-out children by ASHAs 0 0 0 0 0 0 0 to nearest R.I session. 4 Incentive to ASHAs for 24000 250 1500000 1500000 1500000 1500000 6000000 fully Immunization 5 Supportive Supervision and
monitoring by Block and Dist. Level monitoring Incorporated in Monitoring chapter team. 6 Involvement of all
Peripheral Medical Officer Incorporated in Monitoring chapter to Monitor R.I. 7 Provision for Mobility of Incorporated in Monitoring chapter peripheral M.O 8 Active involvement of Incorporated in Monitoring chapter ABPM for monitoring in R.I. 9 Existing Salary of 12 9800 29400 29400 29400 29400 117600 Computer Assistant Contingency for Computer 12 5000 15000 15000 15000 15000 60000 Assistant 9 Availability of 5 nos. of solar ILR & deep freezer in 0 0 0 0 0 no electric Zone 0 10 Availability of 5 electronic Deep freezer, 5 elct. ILR, 30 cold box, 100 Vaccine 0 0 0 0 0 carrier, 20 stabilizer 1000 0 0 pc ice pack and 20 P a g e | 47
Thermometer 11 Opening of 5 New cold chain centre with necessary 5 0 0 0 0 0 0 equipment. Recruitment of Contractual 34 center 35700 3500 357000 357000 357000 1428000 Cold chain handler x 12 mnt 0 12 . Training M.O/LHV 71 MO + 96 x 43200 43200 25 LHV 450 Training for Cold chain 34 center 34 x 11900 11900 handler 350 13 Conduct Immunization 0 0 0 0 0 0 0 Session uncovered area. 14 Provision for mobility support to ANM with 0 0 0 0 0 0 0 incentive. 15 Incentive for ASHA/Link worker/AWW to mobilize 0 0 0 0 0 0 0 the beneficiaries. 16 Miking Ban ner Poster Leaflet Wall painting (6 sq.fts.) Hoarding (5x10 sq.fts.) Information board (2x4 Incorporated in IEC/BCC Chapter sq.fts.) 17 Meeting with Pregnant women/ lactating mother/ eligible couple on the importance of Vaccine on Health Day. 18 IPC/ GD by ANM prior to Immunization Session Total 21713900
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5. NRHM Additionalities
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Goal: To Increase access and Utilization of Quality Health Care Services to the Community. Objective Strategy Activities 1. To i mprove Physical New Building for the Rental SC. • a) 25 nos of SC will be constructing by Infrastructure of Upgradation of SC to PHC in some 20010-11. SC/PHC/CHC/SDH/ area b) 3 nos of SC (Borkok, Rongmandu & DH Upgradation of PHC into IPHS Umkhermi SC) will be Upgraded into standard. PHC level. Upgradation for SDH • a) 3 nos of PHC (Dokmoka, Kheroni, Repairing and Renovation for staff Deithor) will be upgraded into Quarter with Proper water supply. IPHS New Construction for Post Partum b) 1nos of SDH (Hamren) will be upgraded Ward at PHCs, CHCs & DH. with basic facility Construction of Meeting Hall at • Repairing and renovation for 11 nos BPHC Level Staff Quarter with running water Construction of BPHC warehouse facility.(Borpathar, Rongmongve, for systematic arrangement of Deihori, Ouguri, Dhansiri, Phuloni, storing of Medicine Kheroni, Center Bazar, Langhin, Bokalia CHC & Tekelangjun) • 10 nos. of Post Partum Ward will be constructed. (Dokmoka, Balijuri, Kheroni, Voksong, Manja, Boithalangso, Zirikindeng, Chowkihola, Bokajan & Diphu Civil Hospital • 8 nos of Conference Hall will constructed at all BPHC (Manja, Bokajan, Howraghat, Donka, Chowkihola, Boithalangso, Umpanai, Zirikindeng) • 8 nos. of Block Ware House to be constructed (all BPHC) 2. To Improve and Provision for transportation to the • 1nos of School buses to be purchased Strengthening of Nursing student for their to and fro from for GNM school School hostel to Hospital • 1nos of School buses to be purchased
Provision for transportation to the for ANM for their field visit student for their field work 3. To strengthen the Providing Untied Grant and • 145 nos. of the sanctioned SC will be Management committees Maintenance fund to SC provided with Untied Fund amounting of all Health Institution Providing maintenance cost to the to Rs.10,000/- annually. Hospital Management Committee/ • 120 nos. of SC in Govt. Build. Will be Society (RKS, Maintenance and provided with 10,000/- as maintenance Untied fund) grant per year. • 17 nos. of 24 x 7 institutions, 21 PHCs, P a g e | 50
5 nos of BPHC, 5nos of CHC, 1nos of SDH and 1 no of DH will be provided with maintenance cost. 4. Strengthening of Providing of grant to VHSC • 936 VHSC will be provided with Village Health and Workshop for VHS Committee Rs.10,000/- annually Sanitation Committee in • 10 nos. Workshop per BPHC will be the District organized in the 8 different BPHC
5. To support mobility of Provide bicycle to all the ANMs. • 249 nos. of bicycles with carrier will be of ASHA provided for improvement of ANMs mobility during Immunization week, Polio, Health Day, Health camp etc. 6. To improve Provision for 24 x7 of Delivery • 8 nos. of PHC will be upgraded to 24x7 institutional delivery facilities delivery facilities.(Dhansiri, facilities SC Kits for All ANMs Borlangpher, Putsari, Rongjangphong, Supply of medicine to all the health Borgaon, Center Bazar, Phuloni, institutions. Taradubi) • 145 nos. ANMs will be provided with SC kit. • Purchase of medicine for PHCs, CHC, SDH, DH. 7. To provide fund for Repairing and maintenance of the • 22 nos. of vehicles to be repaired and making the existing vehicle maintenance vehicles functional 8. To accelerate the To conduct District Level Review • Once a month District Level Review functioning of Health Meeting Meeting Systems To conduct Block Level Review • Once a month Block Level Review Meeting Meeting 9. To promote Post Natal Construction of Septic Ward • Construction of 7 nos of Septic Ward (at Care services 5 CHC, 1 SDH and 1 DH) 10. To Strengthen the To Provide Generator for power • 17 Generator to be purchase for the Power back-up facilities back-up in the 24 x 7 service 24x7 in the 24x7 services To Provide PoL in the 24 x 7 • 100 liter PoL per centre in the 17 Health centre services Institution.
11. To stre ngthen the To recruit Manpower for smooth • 1 DDSM existing Salary existing Drug Store running of the warehouse • 8 BDSM to be recruited for all BDWH System To sustain the existing warehouse with their salary with Power back-up • 2 packer to be appointed for DDSWH To Provide Medicine carrying Van and 8 nos. of packer for all BPHCs with Purchase of Rack, Computer & their salary. Wire less Bar Code at BPHC level • 20000 rent per month • 1 Generator will be purchase P a g e | 51
• 1 nos. of Freeze to be purchased • 1 nos of Carrier Van to be hired on monthly basis @ 15000 per month • 8 nos. of Computer, 8 nos. of Wire less Bar Code to be purchased for all BPHC ware house. 12 . To Strengthen the Recruitment of Doctors • 27 nos of specialist doctor need to be Human Resources Recruitment of GNM recruited both in CHC and DH Recruitment of ANM • 30 M.O (MBBS) need to be recruited Recruitment of ABPM • 34 GNM need to be recruited. Payment for the existing ANM • 40 ANM need to be recruited (Contractual) • 8 ABPM (1 MPHC, 6 SD & 1 SHC) Payment for the existing GNM need to be recruited. Regularization of Payment for • 24 ANM existing Salary existing BPM, BAM, Laboratory Technician, Doctors, Specialist, • 26 GNM existing Salary Pharmacist, ABPM • 9 BPM existing Salary • 11 BAM existing Salary • 24 Lab Tech existing Salary • 15 MO (Ayur) existing Salary • 4 MO (MBBS) existing Salary • 5 MO (Specialist) existing Salary • 8 Pharmacist existing Salary • 26 ABPM existing Salary 13. To strengthen the Payment for existing MOs • 2 MO (MBBS) existing Salary MMU services Payment for existing GNM, • 1 GNM existing Salary Pharmacist, Lab. Tech, • 1 Pharmacist existing Salary Radiographer, Driver & • 1 Lab. Tech existing Salary Handyman • 1 radiographer existing Salary Maintenance cost of MMU • 3 Driver existing Salary Vehicle • 2 handyman existing Salary MMU Contingency • Maintenance cost of 3 MMU Vehicle • PoL for MMU vehicle for camps • Monthly MMU contingency for three vehicle 14 . To promote Hospital Refresher Training to M.O, • District TOT will train the Block level on waste Management GNM, ANM etc in all Health Waste Management practices in the health Institution in the district. • Block TOT will train periphery level institutions Regularization of Waste health care provider Management in all health • Ensuring application of treatment and institutions. disposal methods of health care waste categories • Monitoring by the district infection control team and HMC P a g e | 52
5.1 Work Plan for NRHM Additionalities Sl. Programme 2010-2011 Q1(2011- Q2(2012- Responsible No Q-1 Q-2 Q-3 Q-4 2012) 2013) Person 1 New Con struction for rented SC √√√ √√√ District HQ 2 Up gradation of SC into PHC √√√ District HQ 3 Up gradation of 1nos CHC into √√√ District HQ IPHS 4 Up gradation of 5nos of PHC √√√ District HQ 5 Up gradation of 1 SDH √√√ District HQ 6 Up grada tion of DH √√√ District HQ 7 Boundary Wall √√√ √√√ District HQ 8 Main Gate of PHC √√√ √√√ √√√ √√√ District HQ 9 Repairing and renovation for √√√ √√√ √√√ District HQ 15nos of staff quarter with running water facility 10 Purchase of School Bus for GNM √√√ District HQ School 11 Purchase of School Bus for ANM √√√ District HQ School 12 Fund for Management committee √√√ District HQ (Untied, Maintenance and RKS) 13 Fund for VHSC √√√ District HQ 14 Workshop for VHSC √√√ √√√ District HQ 15 Bi -Cycle for ANM √√√ District HQ 16 Construction of Labour room √√√ District HQ 17 Purchase of SC Kits √√√ District HQ Purchase of PHCs Kit √√√ District HQ Purchase of CHCs Kits √√√ District HQ Purchase of SDH Kits √√√ District HQ Purchase of DH Kits √√√ District HQ 18 Vehicle repairing √√√ District HQ 19 Dist. Level Review Meeting √√√ √√√ √√√ √√√ District HQ BPHC Review Meeting √√√ √√√ √√√ √√√ District HQ/BPMU 20 Construction for Post natal care √√√ District HQ Unit 21 Cons truction of Septic Ward √√√ District HQ 22 Purchase of Generator √√√ District HQ P a g e | 53
23 PoL for Generator √√√ √√√ √√√ √√√ District HQ 24 Construction for 8nos warehouse √√√ District HQ at BPHC 25 2 packer to be appointed √√√ District HQ 26 2000 0 rent per month √√√ District HQ 27 Purchase of 1 Generator √√√ District HQ 28 1 nos. of Freeze to be purchased √√√ District HQ 29 1 nos of Van to be purchased √√√ District HQ 30 27 nos of Specialist Doctor need √√√ District HQ to be recruited both in CHC and DH 31 30 M.O (MBBS need to be √√√ District HQ recruited 32 34 GNM need to be recruited √√√ District HQ 33 40 ANM need to be recruited √√√ District HQ 34 8 ABPM (1 MPHC, 6 SD & 1 √√√ Dist rict HQ SHC) need to be recruited 35 24 ANM existing Salary √√√ √√√ √√√ √√√ District HQ 36 26 GNM existing Salary √√√ √√√ √√√ √√√ District HQ 37 9 BPM existing Salary √√√ √√√ √√√ √√√ District HQ 38 11 BAM existing Salary √√√ √√√ √√√ √√√ District HQ 39 24 Lab Tech existing Salary √√√ √√√ √√√ √√√ District H Q 40 15 MO (Ayur) existing Salary √√√ √√√ √√√ √√√ District HQ 41 4 MO (MBBS) existing Salary √√√ √√√ √√√ √√√ District HQ 42 5 MO (Specialist) existing Salary √√√ √√√ √√√ √√√ District HQ 43 8 Pharmacist existing Salary √√√ √√√ √√√ √√√ District HQ 44 26 ABPM existing Salary √√√ √√√ √√√ √√√ District HQ 45 2 MO (MBBS) existing Salary √√√ √√√ √√√ √√√ District HQ 46 1 GNM existing Salary √√√ √√√ √√√ √√√ District HQ 47 1 Pharmacist existing Salary √√√ √√√ √√√ √√√ District HQ 48 1 Lab. Tech existing Salary √√√ √√√ √√√ √√√ District HQ 49 1 radiographer existi ng Salary √√√ √√√ √√√ √√√ District HQ 50 3 Driver existing Salary √√√ √√√ √√√ √√√ District HQ 51 2 handyman existing Salary √√√ √√√ √√√ √√√ District HQ 52 Maintenance cost of 3 MMU √√√ √√√ √√√ √√√ District HQ Vehicle 53 PoL for MMU vehicle for camps √√√ √√√ √√√ √√√ District HQ 54 Monthly MMU contingency for √√√ √√√ √√√ √√√ District HQ three vehicle 55 Training on waste Management √√√ √√√ District HQ for BPHC 56 Training of periphery level to √√√ √√√ BPMU health care provider 57 Formation of infection control √√√ BPMU task force team in all the health institutions P a g e | 54
58 Ensuring application of treatment √√√ √√√ √√√ √√√ BPMU and disposal methods of health care waste categories 59 Monitoring by the district √√√ √√√ √√√ √√√ District HQ infection control team and HMC P a g e | 55
Budget for NRHM Additionalities
Sl. Programme Unit 1st 2nd 3rd 4th Total No. Quarte Quarte Quarte Quarte r r r r 1 New Contruction for rented 21 8250000 7500000 15750000 SC(@7.5lac) 2 Upgradation of SC into PHC 1 1500000 1500000 3 Upgradation of 1nos CHC into 1 4000000 4000000 IPHS 4 Up gradation of 5nos of 5 3500000 3500000 PHC(7lac) 5 Upgradation of SDH 1 10000000 10000000 6 Up gradation of DH 1 20000000 20000000 7 Boundary Wall (@2.5 lac) 10 12500000 12500000 25000000 8 Main Gate of PHC (@ 25000/ -) 10 62500 62500 62500 62500 250000 9 Repairing and renovation for 15 5000000 5000000 5000000 15000000 15nos of staff quarter with running water facility 10 Purchase of School Bus for 1 1200000 1200000 GNM School 11 Purchase of School Bus for 1 1200000 1200000 ANM School Fund for Management committee (Untied, Maintenance and RKS) SC (@10000/ -) (untied) 145 1450000 1450000 SC (@10000/ -) (Maint.) 92 920000 920000 SD (@95000/ -) 8 760000 760000 SHC(@95000/ -) 7 665000 665000 MPHC (@1.75) 23 4025000 4025000 PHC (@1.75 Lac) 8 1400000 1400000 CHC (2.5 lac) 5 1250000 1250000 SDH 1 300000 300000 DH 1 500000 500000 12 Fund for VHSC (@10,000/ -) 936 9360000 9360000 13 Workshop for VHSC (@ 5000/- 80 200000 200000 400000 ) 14 Bi -Cycle for ANM (@2000/-) 249 498000 498000 15 Construction of Labour room 5 3000000 3000000 (6lac) 16 Purchase of SC Kits (@18135/ -) 249 4515615 4515615 Purchase of PHCs Kit 28 840000 840000 (@30000/ -) Purchase of CHCs K its (@10 5 5000000 5000000 lac) Purchase of SDH Kits (@ 10 1 1000000 1000000 Lac) P a g e | 56
Purchase of DH Kits (@ 30 Lac) 1 3000000 3000000 17 Vehicle repairing (@25000) 22 550000 550000 18 Dist. Level Review Meeting Incorporated in monitoring chapter BPHC Review Meeting Incorporated in monitoring chapter 19 Construction for Post natal care 16 6720000 6720000 Unit (4.2Lac) 20 Construction of Septic Ward (@ 7 2940000 2940000 4.2lac) 21 Purchase of Generator (@ 5lac) 10 5000000 5000000 PoL for Generetor (100 lit x 10 10 80000 80000 80000 80000 320000 G. Set x 32 Rs x 12 ) 22 Construction for 8nos 8 4000000 4000000 warehouse at BPHC @ 500000 (aprox) 23 1 DDSM Existing salary (@ 12 180000 180000 15000/-) 24 2 packer to be appointed 2 x 12 84000 84000 (Salary @ 3500) 25 20000 rent per month 12 240000 240000 26 1 Generator will be purchase (5 1 500000 500000 Lacks) 27 1 nos. of Freeze to be 1 20000 20000 purchased @20000 28 1 nos of Van to be purchased 1 500000 500000 @500000 29 27 nos of Specialist Doctor 27x12 12312000 12312000 need to be recruited both in CHC and DH (38000/-) 30 30 M.O (MBBS need to be 30x12 10080000 10080000 recruited (28000/-) 31 34 GNM need to be recruited 34x12 3672000 3672000 (9 000/-) 32 40 ANM need to be recruited 40x12 2880000 2880000 (6000/ -) 33 8 ABPM (1 MPHC, 6 SD & 1 8 x 12 768000 768000 SHC) need to be recruited (@8000/-) 34 24 ANM existing Salary 24 x 12 x 2592000 648000 648000 648000 2592000 6000 per mnt. x 6000/- months 35 26 GNM existing Salary 26 x 12 x 702000 702000 702000 702000 2808000 9000 36 9 BPM existing Salary 9 BPM x 297000 297000 297000 297000 1188000 12 mnt x11000 37 11 BAM existing Salary 11 BAM x 297000 297000 297000 297000 1188000 12 mnt x 9000 38 24 Lab Tech existing Salary 24 x 12 576000 576000 576000 576000 2304000 mnt x P a g e | 57
8000 39 15 MO (Ayur) existing Salary 14 x 12 x 845000 845000 845000 845000 3380000 20000 40 4 MO (MBBS) existing Salary 4 x 12 x 336000 336000 336000 336000 1344000 28000 41 5 MO (Specialist) existing 5 x 12 x 570000 570000 570000 570000 2280000 Salary 38000 42 8 Pharmacist existing Salary 8 x 12 x 216000 216000 216000 216000 864000 9000 43 26 ABPM existing Salary 26 x 12 x 624000 624000 624000 624000 2496000 8000 44 2 MO (MBBS) existing Salary 2 x 12 x 168000 168000 168000 168000 672000 28000 45 1 GNM existing Salary 1 x 12 x 24000 24000 24000 24000 96000 8000 46 1 Pharmacist existing Salary 1 x 12 x 27000 27000 27000 27000 108000 9000 47 1 Lab. Tech existing Salary 1 x 12 x 24000 24000 24000 24000 96000 8000 48 1 radiographer existing Salary 1 x 12 x 24000 24000 24000 24000 96000 8000 49 3 Driver existing Salary 3 x 12 x 54000 54000 54000 54000 216000 6000 50 2 handyman existing Salary 2 x 12 x 24000 24000 24000 24000 96000 4000 51 Maintenance cost of 3 MMU 3 x 12 x 45000 45000 45000 45000 180000 Vehicle 5000 52 PoL for MMU vehicle for 15 camp x 900000 900000 900000 900000 3600000 camps 12 x 20000 53 Monthly MMU contingency for 3 x 12 x 45000 45000 45000 45000 180000 three vehicle 5000 54 Training on waste Management 2 trag x 8 80000 80000 160000 for BPHC BPHC 55 Training of periphery level to 2 trg x 8 48000 48000 96000 health care provider BPHC x 3 batch 56 Formation of infection control 0 0 0 0 0 0 task force team in all the health institutions 57 Ensuring application of 0 0 0 0 0 0 treatment and disposal methods of health care waste categories 58 Monitoring by the district 0 0 0 0 0 0 infection control team and HMC Grand Total 213089615
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Intersectoral Convergence Activities
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Goal: To Increase better co-ordination with Intersectoral & intersectoral.
Objective Strategy Action 2. To achieve Include all the earlier mentioned deptt. • To arrange a trimester meeting effective co- in District Rural Health Mission and with the Head of the other dept. ordination between ensure regular meeting for a better coordination to reach health deptt. and all Health Day at AWC comprising out the peoples other deptt. like ANM, AWW, ASHA and other key • To conduct several village wise ICDS, PHE, field workers. Health Day Programmes with the Education, Tribal Other school health program help of ANM, AWW, ASHA and welfare and NGO’s HIV/AIDS awareness programme. other key field workers. working for health & Support various health related • To conduct HIV/AIDS related sectors. intervention by other deptt. Awareness Programmes in 3. Ensure regular A common trimester achievement various School/Study centers to interaction and report by all these deptt. Coordinated convince the pupils essential reporting by and prepared by CM & HO and between all these RCH mother NGO under Dist. deptt. Mission.
1. For availability of safe drinking water Intersectoral convergence would be made with the PHE Department . 2. For upgradation of nutrition status for children and mothers, Intersectoral convergence would be made with the ICDS and Social Welfare Departments. 3. For Disease Control Programme, Intersectoral convergence would be made with NGOs, SHG, NYK, Field Publicity, Educational Department, Dist. Information & Public Information Department & Autonomous Council, etc. 4. Sensitizing health awareness Programs, Intersectoral convergence would be made with Tea Garden & Industry Management for better health care of the underprivileged workers.
Budget Sl. Programme Unit 1st 2nd 3rd 4th Total No Quarter Quarter Quarter Quarter 1 Meeting 4 5000 5000 5000 5000 20000 2 PPP with 12 300000 300000 300000 300000 1200000 NGOs Grand Total 1220000.00
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4. Monitoring and Evaluation
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Objectives: To make an effective Programme Implementation .
Objectives :
Strategy Activities proposed 1. Formation of District 1. District/Block/Sector level monitoring activities to be carried out at Level/Block Level/Sector least once or twice a week by using the Monitoring Checklist. Level Monitoring team of 2. Observation report to be submitted to the District HQ to identify the all stack holder. gap for addressing the issue. 3. Block level review meeting in every month as well as sector level to address the issue locally. 4. District level review meeting to be held at least once a month to address the issue locally.
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5. IEC/BCC
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IEC/BCC Goal: - To create awareness for demand generation and to promote health schemes and healthy behaviour and to provide communication support to the health care service provider, stake holder for successful implementation of health programmes.
Objective:- • To create awareness and promote health schemes/ services for greater acceptability & demand • To identify communication need through audience research/evaluation and developed area specific affable IEC/BCC strategy considering the literacy, cultural, ethnic, linguistic background of the target people • To motivate and build capacity through discussion,workshop,orientation,training of health service provider, stake holders about health services • To sensitize the community for healthy behaviour. Strategy Activities proposed 1. Strengthening of Village To maintain regular conduct of Village Health & Nutrition Day Health & Nutrition Day (VHND) with meaningful discussions. (VHND)
2. IEC support to health Production and distribution of leaflet, pamphlet, book-let, newsletter, workers,/NGOs stake holders banner, flip chart, annual report, poster, calendar etc. etc.
1. Community awareness 1. Production of audio-visuals materials and Screening at through communication-mix periphery level. and other means. 2. Miking
(Malaria/ITBN/DDT/immunization/Village Health & Nutrition Day (VHND)/ polio /MMU/ awareness camp)
3. Group Discussion by BEE/HE/LHV during VHND 4. Awareness camp 5. Rally, school quiz competitions, exhibitions 6. Baby show 7. Sponsorship of Sports Competitions/socio-cultural functions 8. Street play (Malaria/Family Planning Mamoni/Majoni/Hygiene/VHSC/Tobacco/ Adolescent Health/Breast Feeding/Mother-Child care/TB/ Hand Washing/Iodized Salt/ ) 9. Awareness Mela 10. Advertisement in local dailies/radio/Cable TV
2. Display of information on 1. Installation of hoardings, information boards, Kiosk board, health services wall writing in all the BPHC area.
2. Auto Stickers
3. Capacity building workshop IEC/BCC Orientation, workshop/training/meeting for /sensitization meeting & ABPM/BEE/HE/LHV/ASHA/AWW/GBs/NGOs/Community Social mobilization. Leaders/Youth Organizations/Stake Holders at Block level
4. Emergency IEC Emergency IEC support in case of outbreak of diseases. P a g e | 64
5. Monitoring & Evaluation 1. Conduct a Audience research
2. Regular monitoring of IEC/BCC activities
Work Plan: Sl. Activities 2010 2011 Q1 (11 Q2(1 0 Person No Q1 Q2 Q3 Q4 12) 11) Responsible
1 Strengthening of Village Health & √ √ √ √ BPMU Nutrition Day (VHND) 2 Leaflet √ √ √ √ DPMU/ District HQ 3 Pamphlet √ √ √ √ DPMU/ District HQ 4 Booklet √ √ √ √ DPMU/ District HQ 5 Newsletter √ √ √ √ DPMU/ District HQ 6 Annual Report √ DPMU/ District HQ 7 Poster √ √ √ √ DPMU/ District HQ 8 Banner √ √ √ √ DPMU/ District HQ 9 Flex Poster √ √ √ √ DPMU/ District HQ 10 Miking √ √ √ √ BPMU/ District HQ 11 Production of audio-Visual √ √ DPMU/ District HQ materials for periphery level. 12 Video Show/Screening at √ √ √ √ BPMUDPMU periphery level. 13 Conducting of Group Discussion √ √ √ √ LHV/HE/BEE with target group (ASHAs, BPMU/District HQ Pregnant women, Gaon Bura, school teachers, opinion leaders,youths etc 14 Awareness camp,rally,quize, √ √ √ √ DPMU/BPMU school competitions,sports competition, exhibition 15 Baby Show √ √ √ √ BPMU 16 Street play at Block level in √ √ √ √ DPMU/BPMU different issues 17 Awareness Mela √ √ √ √ DPMU/BPMU 18 Print advt. in local dailies Media √ √ √ √ DPMU/ District HQ 19 Radio/Cable TV advt. √ √ √ √ DPMU/ District HQ 20 Hoarding (5 ft x 10 ft) √ DPM U/ District HQ 21 Information Board (3 ft x 2ft) √ √ DPMU/ District HQ 22 Information Board (4 ft x 6ft) √ DPMU/ District HQ 23 Kiosk board √ √ DPMU/ District HQ 24 Wall Writing √ √ DPMU/BPMU 25 Autoriskaw Stickers √ √ 26 IEC/BCC Orientation √ √ √ DPMU/BPMU 27 Sensitization meeting with Gaon √ √ √ √ DME/DCM/BEE/HE/ Bura/Community Leaders/youth LHV leaders etc. 28 IEC Contingency for √ √ √ √ DPMU/BPMU transportation etc. P a g e | 65
29 IEC Logistics √ √ √ √ DPMU/BPMU 30 Audience Research √ DPMU/ District HQ
31 Monitoring √ √ √ √ DPMU/BPMU
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IEC/BCC Budget:-2010-11
Per 2010 2011 Sl. Unit No Activities Units Cost Q1 Q2 Q3 Q4 Total Strengthening of Village Health & Nutrition Day 1 regularly 0 0 0 0 0 0 0 50000 x 8 2 Leaflet =400000 3 300000 300000 300000 300000 1200000 10000 x 3 Pamphlet 8=80000 4 80000 80000 80000 80000 320000
4 Booklet 500x8=4000 10 10000 10000 10000 10000 40000 5 Newsletter 4x1=4 55000 55000 55000 55000 55000 220000 6 Annual Report 1 60000 60000 60000 1000 x 7 Poster 8=8000 5 10000 10000 10000 10000 40000
8 Banner 200x8=1600 200 80000 80000 80000 80000 320000
9 Flex Poster 500 x 8=4000 120 120000 120000 120000 120000 480000 10 Miking 50x8=400 1200 120000 120000 120000 120000 480000 Production of audio-Visual materials for periphery 11 level 4 100000 200000 100000 100000 400000 Video Show/Screening at 12 periphery level. 12x8=96 1500 36000 36000 36000 36000 144000 Conducting of Group Discussion with target group at VHND (Pregnant women, Gaon Bura, Eligible Couple , school teachers, opinion leaders, youths etc). by LHV,HE & 38x4x12=182 13 BEE 4 300 136800 136800 136800 136800 547200 14 Awareness camp 12x8=96 3000 72000 72000 72000 72000 288000 15 Rally 4x8=32 5000 40000 40000 40000 40000 160000 School Quize/ Essay 16 Competition 3x8=24 3000 18000 18000 18000 18000 72000 Sponsorship of Sports 17 Competition 12 10000 30000 30000 30000 30000 120000 18 IEC Exhibition 8 5000 10000 10000 10000 10000 40000 19 Baby Show 8 5000 10000 10000 10000 10000 40000 Street play at Block level 20 in different issues 12x8=96 2500 60000 60000 60000 60000 240000 21 Awareness Mela 8 10000 20000 20000 20000 20000 80000 Print advt. in local dailies 22 Media 12x9=108 1000 27000 27000 27000 27000 108000 23 Radio/Cable TV advt. 12x2=24 2000 12000 12000 12000 12000 48000 24 Hoarding (5 ft x 10 ft) 7x8=56 12000 168000 168000 168000 168000 672000 Information Board (2 ft x 25 3ft) 150 500 18750 18750 18750 18750 75000 Information Board (4 ft x 26 6ft) 150 2000 75000 75000 75000 75000 300000 27 Kiosk board 200 200 10000 10000 10000 10000 40000 28 Wall Writing 10x8=80 1500 30000 30000 30000 30000 120000 29 Autoriskaw Stickers 500 200 50000 50000 100000 ASHA 936 200 187200 187200
IEC/BCC ANM/ABPM 234+23=257 400 51400 51400 102800 Orientati BEE/HE/LH 30 on V 4 25000 25000 25000 25000 25000 100000 P a g e | 67
Sensitization meeting with Gaon Bura/Community 31 Leaders/youth leaders etc. 8x2=16 5000 20000 20000 20000 20000 80000 IEC Contingency for 32 transportation etc. 12x8=96 3000 72000 72000 72000 72000 288000 33 IEC Logistic 8 15000 30000 30000 30000 30000 120000 Emergency IEC support in case of outbreak of 34 diseases 8 blocks 50000 400000 35 Audience Research 1 100000 100000 100000 36 Monitoring 200000 50000 50000 50000 50000 20000 Total Rs. 8152200