HMIS Bulletin - Gonda Volume - 2, FY 2016-17 ( April -March 2017)As on 12 April 2017 National Health Mission

GovernmentPrepared By : ofMIS DivisionUttar Pradesh State Program Management Unit, . HMIS (National Health Mission Bulletin) Gonda - Uttar Pradesh 2016-17 ( April -March 2017) S. No Sections 1 District Profile 2 District Summary sheet 3 MCTS status 4 HMIS Data Uploading and Forwarding status 5 Maternal Health 5.1 Antenatal Care 5.2 Delivery & Postnatal care 5.3 High risk preganancy and obstetric complications 5.4 C Section and Complications attended and treated 6 Child health 6.1 Live Births & New Born Care 6.2 Child Immunization 7 Reproductive Health 8 Indicators and Estimations 8.1 List of Indicators covered 8.2 Estimation sheet Profile

Unmet Unmet District GONDA (*AHS IMR NMR U5MR MMR TFR CBR need need for 2012-13) spacing limiting 71 54 97 366 4 27.4 17.1 23.5

Demographic Profile Infrastructure Delivery Points Human resource Training

No. of N0. of Medical Medical S.no. Block Total Population Literacy No. of Gram Pvt Trained in Trained in Trained in Sex ratio Revenue VHSNC CHC PHC SC DH AWCs L1 L2 L3 officers officers SN in block # ANMs #AWW #ASHAs (Census 2011) rate Panchayat Facility SBA NSSK PPIUCD Village formed (MBBS) (AYUSH)

1 Bamanjeet 214934 955 66.6 66 144 66 1 3 21 4 2 4 4 30 179 170 - 2 Belsar 205794 926 66.6 51 80 51 1 3 19 3 1 165 - 3 Chapiya 190229 963 66.6 81 173 81 1 3 24 6 1 7 5 29 168 195 2 - 4 Hadhermau 173969 915 66.6 61 90 61 1 3 16 2 1 2 18 137 - 5 Itiathok 201437 916 66.6 71 131 71 1 4 20 1 1 161 1 4 6 Quazeedevar 258678 895 66.6 75 140 75 1 4 24 4 1 1 188 1 - 7 KatraBazar 212197 898 66.6 67 98 67 1 3 20 4 1 ]\ 3 2 19 158 125 1 - 8 Colonalganj 177300 888 66.6 65 108 65 1 4 18 6 1 143 4 9 231866 928 66.6 77 162 77 1 4 24 4 1 188 1 - 10 Mujhana 207733 934 66.6 57 83 57 1 3 19 3 1 166 - 11 Nawabganj 184381 925 66.6 61 109 61 1 2 20 8 1 144 - 12 Pandari Kripal 128462 902 66.6 49 83 49 1 2 12 1 1 98 - 13 Parsupur 254627 924 66.6 68 91 68 1 4 26 3 1 206 3 14 Rupaideeh 249143 904 66.6 89 155 89 1 3 21 5 1 184 2 15 Tarabganj 169777 945 66.6 54 74 54 1 3 18 5 1 135 2 16 Wajeerganj 184556 949 66.6 62 97 62 1 2 20 5 1 148 4 17 DHQ 991 66.6 - 2 2 14 182 15 18 Total 3245083 922 67 1054 1818 1054 16 50 322 2 14 64 17 1 2568 19 District at a Glance 2016-17 ( April -March 2017) Ante Natal care (ANC) Delivery care

Estimated PW 113563 Estimated delivery 104271

Total number of pregnant women Registered for ANC 116270 Total reported deliveries 66901

Total Pregnant Women registered in MCTS 87912 Institutional delivery 45824

Of which Number registered within first trimester 32668 Number discharged under 48 hours of delivery 45656

Women receiving post partum checkup within 48 hours 45450 Number of pregnant women received 3 ANC check ups 67057

JSY incentive paid to Mothers for institutional delivery 36170 TT2 or Booster 93728

Home delivery 21077 Total number of pregnant women given 100 IFA tablets 89637 Delivery conducted by Non SBA 19922 Number having Hb level<11 (tested cases) 40653 Number of newborns visited within 24 hours of Home Delivery 13541 Pregnant women with Hypertension (BP>140/90) : New 10310 cases Number of mothers paid JSY incentive for Home deliveries 63 0 50000 100000 150000 0 20000 40000 60000 80000 100000 120000

Child care and Immunization Fammily Planning

Estimated live birth 103239

Total live birth reported 69952 Total unmet need for family planning 424524

Total Children registered in MCTS 63720 Total Users using any FP method 292991 Still birth 1209 (Limiting & spacing)

Newborns weighed at birth 60339 Potential Unmet need for Limiting 144228 Newborns having weight less than 2.5 kg 5033 Method

Newborns breast fed within 1 hour 63903 Limiting Metod users (Male & Female 1909 sterilization) Infants 0 to 11 months old who received BCG 100020

Infants 0 to 11 months old who received OPV 0 38602 Potential Unmet need for Spacing 146280 Method Infants 0 to 11 months old who received Hep B 0 30623

Infants 0 to 11 months old who received Measles 77080 Spacing Method Users (IUCD, condom 291082 & Oral Pills) children 9 and 11 months fully immunized 92288

0 50000 100000 150000 200000 250000 300000 350000 400000 450000 0 20000 40000 60000 80000 100000 120000 Gonda - FY 2016-17 (April-March) Summary Sheet ANC Care

1. ANC registration of dist. is 102% although AHS 2012-13 showing ANC registartion 51%, need to recheck data. 2- ANC Registration in 1st trim. is 28% which is repotred approx equal to AHS 12-13 i.e. 48%. 3 % of PW recievd 3 ANC checkup is 59% which is double of AHS 12-13(32.6%). 67% ANC conducted @ SC so record of 3 ANC need to check.

Delivery Care

1- 65 % deliveries reported against the total estimated deliveries, needs to report rest missing deliveries. 2- 68.5 % deliveries are reported as institutional out of total reported deliveries(it is 44% against the total estimated deliveries) although AHS 2012-13 reported for Gonda is 51% 3- 20 % deliveries conducted at Home and 36% deliveries are not reported against the estimated deliveries. 4- 100 % mothers discharge under 48 hrs of delivery in Gonda district and AHS 12-13 measure it 61% in the same district.

HRP and Complication Detection

1. 35% pw were identified HB <11. 2. Maskanwa reported only 5% of PW with HB <11 3. DWH reported that 68% PWs are having hb<11 which is more than Pregnant womens need check.

Child care : 1. 2% still births are reported from the District. 2. 91% births are reported as breast fed within 1 hours of births, it is need to check as AHS 2012-13 showing data for Gonda is 45% only. 3. In Gonda 86% children weight at birth and of which 8% LBW while AHS 12-13 4. estimated this as 21.5% & 15.7 % respectively.

Immunization :

1. 97% BCG given against total live birth. No. of Live births and BCG given not corresponding in most of the blocks as per the table and reporting aprox. double or > double live births need to be check accurately. 2. DHQ data need to cross check, it is showing 437% fully immmunised while only 56.7% children received measles . 3. only 35% infant receive OPV 0 and 29% received HepB 0. and Fully immunied chidren 87%

Family Planning: 1. 75% of total IUCD perform at Subcenter till month so quality and quantity should be a concern to all Familiy planing mangers. 2. Mujhana,Mankapur block providing less services of Condom in this month for family planning. 3. Only 1.3% are achived as limmiting method. 4. Achivement of spacing methord in 23%.

Gonda -MCTS Status on crititical indicator as on 1st April 2017 Registration and Updation

Trend of registration in MCTS % PW received 3 % children 100 % PW delivered % of % of % of ANCs against received full % HRP 80 74 78 79 74 74 74 82 % of Children against PW 60 67 65 Mother Mother Children PW immunization against PW 53 57 54 56 53 56 44 49 51 47 Block Registration- registered with 40 34 Registratio Registratio Registration- registered against children registered in 11 25 31 MCTS LMP in Apr-

20 n- HMIS n- MCTS HMIS with LMP in registered with 2016-17

0 8 March16 16

Jan Apr-March DoB in Apr-Mar16

-

Feb

March

Apr 16 July

August

May 16 May June 16 June

October 16

December

November September Bamanjeet 91 77 53 65 43 43 55 0 % Mother Registration % Child Registration Belsar 79 78 66 84 13 51 38 0 Colonalganj 105 77 87 56 45 51 38 4 % of Mother Services against PW registedred with LMIP in Apr- Hadhermau 97 78 26 57 36 37 63 0 March 15-16 Itiathok 112 107 76 105 52 52 58 0 200 KatraBazar 98 78 82 70 23 36 37 0 100 Mankapur 99 96 57 72 40 39 41 5 100 42 36 29 Maskanwa 94 83 59 78 44 39 41 1 0 Mujhana ANCs 1 ANCs 2 ANCs 3 Full ANCs 81 71 60 65 24 23 23 3 Nawabganj 94 81 50 68 29 39 43 4 Pandari Kripal % of Children Services against children registed with DoB in Apr-Jan 91 115 45 49 20 51 32 0 15-16 75 66 41 41 41 41 41 0 Quazeedevar 97 105 25 80 19 41 41 0 100 58 55 47 45 44 Rupaideeh 99 88 66 54 43 49 61 0 Tarabganj 96 48 52 39 41 44 59 5 0 BCG DPT1/Pentavalent1 DPT3/Pentavalent3 Measles Full Immunization Wajeerganj 93 91 76 80 48 49 47 3 Grand Total 102 82 68 65 36 42 44 2

102% PW are register against estimated PW where as only 82 % are register on MCTS Portal. >100% Pandari Kirpal and colonganj registered 91% and 105% in HMIS and MCTS registrad only 45 and 87%. >90, <=100 In case of Children Registration 68% were register as per HMIS where as only 65 % children are register in MCTS portal. >=70, <=90 The Delivery Reported Status for pw with LMP in FY 15-16 is 42% <70 Gonda '- Percent of facilities reported in HMIS by Month, FY 2016-17

Block Total No. of Facilities Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17

DHQ 18 100 100 11 100 100 100 100 100 100 94 100 100 Belsar 23 100 100 100 100 100 100 100 100 100 100 100 100 Colonalganj 23 100 100 100 100 100 100 100 100 100 100 100 100 Hadhermau 20 100 100 100 100 100 100 100 100 100 100 100 100 Itiathok 25 100 100 100 100 100 100 100 92 100 100 100 92 KatraBazar 24 100 100 100 100 100 100 100 100 100 100 100 100 Mankapur 29 100 100 100 100 100 100 100 100 100 100 100 100 Maskanwa 28 100 100 100 100 100 100 100 100 100 100 100 100 Mujhana 23 100 100 100 100 100 100 100 100 100 96 100 100 Nawabganj 23 100 100 100 100 100 100 100 100 100 100 100 100 Pandari Kripal 15 100 100 100 100 100 100 100 100 100 100 100 100 Paraspur 31 100 100 97 100 100 100 100 100 100 100 100 100 Quazeedevar 29 100 100 100 100 100 100 100 100 100 100 100 93 Rupaideeh 25 100 100 100 100 100 100 100 100 100 100 100 100 Tarabganj 22 100 100 100 100 100 100 100 100 100 100 100 100 Wajeerganj 23 100 100 100 100 100 100 100 100 100 87 100 100 Grand Total 406 100 100 95.8 100 100 100 100 100 100 99 100 100 Less than 100% Reported facilities are less than number of facilities in HMIS More than 100% Reported facilities are greater than number of facilities in HMIS

% Facilities forwarded data as on 10th of the month % Facilities uploaded data (As on 5th) 50 45 40 35 30 150 96 100 85 87 100 100 92 100 100 25 100 75 74 20 15 50 0 10 0 5 0 0 0 0 0 0 0 0 0 0 0 0

0

Apr

July

May

June

March

August

January

October

February December

% Facilities uploaded data (As on 5th) November September Gonda ANC Services Reported in HMIS during FY 2016-17 ( April -March 2017) ANC Services, Trends, Distribution and Performance

Trend of ANC registration (in numbers) - 2016-17 Total Number of % of ANC Of which 14000 Propotiona number of % of ANC pregnant % of PW 11916 registered Number % of ANC 11426 te pregnant registered TT2 or women received 12000 10475 10985 10602 Block to registered received 9661 9932 estimated women within 1st Booster received 3 3ANC 10000 9010 estimated within first TT2/Booster 8490 PW Registered trimester ANC check checkups 7933 7878 7962 Pregnancy trimester 8000 for ANC ups 6000 3183 2945 2941 3414 DHQ 5850 15382 263 678 4.4 2546 43.5 1060 18.1 4000 2899 2677 2397 2784 2857 2391 2008 2172 Bamanjeet 6961 6339 91 2369 37.4 6341 91.1 3617 52.0 2000 Belsar 6714 5329 79 1900 35.7 4735 70.5 3775 56.2 0 Colonalganj 6700 7016 105 1567 22.3 5618 83.9 3520 52.5 Hadhermau 5515 5349 97 752 14.1 4314 78.2 2751 49.9 Itiathok 6615 7409 112 2732 36.9 7054 106.6 4940 74.7 ANC Registered Reg. within 1st trimester KatraBazar 6803 6671 98 1125 16.9 6118 89.9 4476 65.8 Monthly estimated ANC Mankapur 7887 7820 99 2401 30.7 5674 71.9 4193 53.2 Maskanwa 6426 6031 94 1620 26.9 5563 86.6 3018 47.0 Mujhana 6744 5453 81 1624 29.8 5017 74.4 2182 32.4 Percent Distribution of Registered for ANC by Nawabganj 6670 6242 94 2062 33.0 6180 92.7 4708 70.6 Type of Facility Pandari Kripal 4201 3827 91 921 24.1 3390 80.7 3348 79.7 Paraspur 8352 6272 75 1744 27.8 5464 65.4 4103 49.1 Quazeedevar 8136 7909 97 3115 39.4 7449 91.6 4511 55.4 Rupaideeh 8302 8178 99 3060 37.4 7812 94.1 7977 96.1 CHC Tarabganj 5581 5372 96 1443 26.9 5321 95.3 4709 84.4 16% Wajeerganj 6105 5671 93 3555 62.7 5132 84.1 4169 68.3 Grand Total 113563 116270 102 32668 28.1 93728 82.5 67057 59.0 DH AHS (2012-13) 51 47.7 32.6 13% Gaps in ANC Registration : >100% 1. ANC registration of dist. is 102% although AHS 2012-13 showing ANC registartion >90, <=100 SC >=70, <=90 PHC 51%, need to recheck data. 67% 4% <70 2- ANC Registration in 1st trim. is 28% while it reported in AHS 12-13 as 48%.

3 % of PW recievd 3 ANC checkup is 59% which is double of AHS 12-13(32.6%). 67% ANC conducted @ SC so record of 3 ANC need to check.

Gonda Delivery Services Reported in HMIS during FY 2016-17 ( April -March 2017) Delivery Services, trends, distribution and progress

Trend of reported delivery to estimated deliveries (in number) 2016-17 % of % of % of Of which % of 10000 Total delivery institutiona institutional Number delivered JSY % of JSY number of 8000 6731 6748 % delivery missed l deliveries deliveries discharged women incentive incentive 6177 6062 Block Deliveries 5727 5764 5485 5309 reported in among among under 48 discharge paid to paid to

6000 4732 5032 4947 facility (Home+Inst deliveries 4187 Deliveries reportin reported estimated hours of d within Mothers mothers itution)

4000 g delivery delivery delivery 48 hours

Total numberTotal Home of Deliveriesconducted at 2000 PropotionateEstimated

0 DHQ 5372 0 9955 9955 185 100.0 185.3 11198 112.5 9998 100.4 Belsar 6165 1699 2663 4362 71 29 61.0 43.2 2411 90.5 2129 79.9 Colonalganj 6152 610 4688 5298 86 14 88.5 76.2 4717 100.6 3970 84.7 Hadhermau 5064 681 601 1282 25 75 46.9 11.9 590 98.2 553 92.0 Delivery reported Monthly Estimated delivery Itiathok 6074 1571 3091 4662 77 23 66.3 50.9 3061 99.0 1501 48.6 KatraBazar 6246 3505 1600 5105 82 18 31.3 25.6 1600 100.0 1302 81.4 Mankapur 7242 2621 1468 4089 56 44 35.9 20.3 1427 97.2 572 39.0 Percent Distribution of deliveries by type of Facility Maskanwa 5900 978 2506 3484 59 41 71.9 42.5 1326 52.9 2626 104.8 Mujhana 6193 1391 2260 3651 59 41 61.9 36.5 2410 106.6 1858 82.2 CHC Nawabganj 6124 270 2820 3090 50 50 91.3 46.0 2756 97.7 1571 55.7 27% Pandari Kripal 3858 1073 597 1670 43 57 35.7 15.5 587 98.3 587 98.3 Missing Paraspur 7668 630 2544 3174 41 59 80.2 33.2 2549 100.2 1865 73.3 36% Quazeedevar 7470 1140 674 1814 24 76 37.2 9.0 662 98.2 637 94.5 Rupaideeh 7623 1424 3574 4998 66 34 71.5 46.9 3592 100.5 1222 34.2 DH Tarabganj 5125 402 2265 2667 52 48 84.9 44.2 2258 99.7 2054 90.7 9% Wajeerganj 5605 1834 2418 4252 76 24 56.9 43.1 2412 99.8 2173 89.9 PHC Home Grand Total 103239 21077 45824 66901 65 35 68.5 44.4 45656 99.6 36170 78.9 20% SC 2% 6% AHS (2012-13) 50.7 60.8 69.4 Discharged under 48 hours >100% Gaps in Deliveries :- >50 <=50,<=10 <9 >90, <=100 >=70, <=90 1- 65 % deliveries reported against the total estimated deliveries, needs to report rest missing deliveries. <70

2- 68.5 % deliveries are reported as institutional out of total reported deliveries(it is 44% against the total estimated deliveries) although AHS 2012-13 reported for Gonda is 51%

3- 20 % deliveries conducted at Home and 36% deliveries are not reported against the estimated deliveries.

4- 100 % mothers discharge under 48 hrs of delivery in Gonda district and AHS 12-13 measure it 61% in the same district. Gonda High Risk Pregnancies Services Reported in HMIS during FY 2016-17 ( April -March 2017) High risk PW reporting trends, distribution and progress

Percent of high risk pregnant woman reported for Registered ANCs - 2016-17 Total Number 50 % of severe Pregnant number of % of having severe 45 44 Number having Hb (Hb <7) women with pregnant having anaemia % of PW with 40 Block 38 level<11 (tested anemia Hypertension 38 37 37 women Hb level (Hb<7) hypertension 35 35 35 35 cases) treated rate (BP>140/90) : 33 Registered <11 treated at 30 32 30 at institution New cases for ANC institution 25 26 20 DHQ 15382 10579 68.8 92 0.6 9 0.2 15 13 Belsar 5329 3187 59.8 55 1.0 125 1.8 10 11 11 10 10 11 9 9 7 Colonalganj 7016 3379 48.2 46 0.7 292 4.3 1 1 6 5 2 5 1 4 1 1 1 1 1 1 1 1 Hadhermau 5349 621 11.6 8 0.1 501 7.5 0 Itiathok 7409 2053 27.7 127 1.7 1325 24.0 KatraBazar 6671 1574 23.6 151 2.3 978 14.8 Mankapur 7820 1267 16.2 37 0.5 1144 16.8 % of PW having Hb level <11 Maskanwa 6031 323 5.4 23 0.4 135 1.7 % of PW having severe anemia treated at institution Mujhana 5453 847 15.5 30 0.6 2094 32.6 % of PW with Hypertension (BP>140/90) : New cases Nawabganj 6242 2525 40.5 221 3.5 331 4.9 Pandari Kripal 3827 1124 29.4 12 0.3 144 2.2 Paraspur 6272 2223 35.4 9 0.1 430 10.2 Percent of high risk pregnant woman reported by facility type Quazeedevar 7909 1855 23.5 22 0.3 377 4.5 Rupaideeh 8178 2125 26.0 80 1.0 358 4.4 80 67 Tarabganj 5372 1016 18.9 57 1.1 142 1.7 70 Wajeerganj 5671 5084 89.6 70 1.2 528 9.5 60 54 Grand Total 116270 40653 35.0 1182 1.0 10310 9.1 50 AHS (2012-13) 40 33 30 24 Gaps in HRP :

20 11 7 10 - 35% pw were identified HB <11. 10 6 1 0 0 0 0 - Maskanwa reported only 5% of PW with HB <11 CHC DH PHC SC - DWH reported that 68% PWs are having hb<11 which is more than Pregnant womens need check. % of PW having Hb level <11

% of PW having severe anemia treated at institution

% of PW with Hypertension (BP>140/90) : New cases Gonda C-Section and Complication treated

Complications Treated with C- section conducted Preg. with % Preg. with % of C- Institutional Compl. Compl. IV S. No. Block Section Delivery Attended at Attended at Antihypertens Blood IV Antibiotics IV Oxytocics DH CHC PHC Others performed facilities facilities ive/ Magsulph Transfusion Inj. 1 KatraBazar 1600 822 51 0 0 0 0 0 70 0 0 4 2 DHQ 9955 1751 18 2287 31 434 51 1749 1345 0 0 31 3 Bamanjeet 2100 0 0 0 0 0 0 0 0 0 0 0 4 Belsar 2663 0 0 0 0 0 0 0 0 0 0 0 5 Colonalganj 4688 226 5 108 19 51 0 0 2 0 0 0 6 Hadhermau 601 1 0 1 1 1 0 0 0 0 0 0 7 Itiathok 3091 137 4 54 0 850 0 0 0 0 0 0 8 Mankapur 1468 157 11 108 0 1116 0 0 0 0 0 0 9 Maskanwa 2506 5 0 3 0 5 0 0 0 0 0 0 10 Mujhana 2260 25 1 0 0 3430 0 0 0 0 0 0 11 Nawabganj 2820 0 0 0 0 0 0 0 0 0 0 0 12 Pandari Kripal 597 0 0 0 0 0 0 0 0 0 0 0 13 Paraspur 2544 114 4 394 6 66 0 0 0 0 0 0 14 Quazeedevar 674 60 9 12 0 0 0 0 0 0 0 0 15 Rupaideeh 3574 344 10 233 9 1625 0 0 0 0 0 0 16 Tarabganj 2265 0 0 0 0 0 0 0 0 0 0 0 17 Wajeerganj 2418 0 0 0 0 0 0 0 0 0 0 0 Grand Total 45824 3642 8 3200 66 7578 51 1749 1417 0 0 6.9

 only 8% PW with complication attended at facility in district. 9 Blocks have reported any complication.  only 7% C-section Performed in District.  Except DHQ, Mankapur , Itiyathok , Nawabganj, Paraspur and Rupaideeh no block uses Oxytocine.  Antihypertensive used by only DhQ and Rupaideeh, its showing that PW with hypertention detection is very poor in almost all blocks.

Gonda Child Services Reported in HMIS during FY 2016-17 ( April -March 2017) Child care services trends, distribution and progress

Trend in Child care services (in Percent) - 2016- 100 17 Number of 89 88 89 Number of Number of 84 94 87 87 87 86 84 86 Newborns 80 91 83 93 79 92 92 92 93 91 91 90 Total Live Newborns % of newborns % of newborns Newborns % of newborns breast 89 88 Block Still Birth % of still birth having weight Births weighed at weighed at birth having < 2.5 kg breast fed fed within 1 hour less than 2 and 60 birth within 1 hour half kg 40

20 21 DHQ 13596 477 3.4 13387 98.5 1354 10.1 12682 93.3 9 Belsar 4033 95 2.3 2684 66.6 212 7.9 2665 66.1 9 8 8 7 8 6 5 6 7 0 3 1 2 2 2 2 2 2 24 1 1 2 Colonalganj 5278 80 1.5 4869 92.3 492 10.1 5039 95.5 Hadhermau 1284 2 0.2 970 75.5 55 5.7 1008 78.5 Itiathok 4592 87 1.9 3169 69.0 253 8.0 3967 86.4 % of newborns weighed at birth % of newborns having < 2.5 kg KatraBazar 5087 38 0.7 4622 90.9 540 11.7 4091 80.4 % of newborns breast fed within 1 hour % of still birth Mankapur 4090 26 0.6 3608 88.2 228 6.3 3562 87.1 Maskanwa 3442 42 1.2 3342 97.1 211 6.3 3259 94.7 Child care services by facility type (In Percent) Mujhana 3681 64 1.7 3267 88.8 379 11.6 3546 96.3 Nawabganj 3043 47 1.5 2829 93.0 180 6.4 3005 98.8 120 Pandari Kripal 1729 20 1.1 1696 98.1 224 13.2 1698 98.2 99 98 98 98 96 Paraspur 3139 39 1.2 3104 98.9 267 8.6 3101 98.8 100 92 84 Quazeedevar 1816 19 1.0 808 44.5 61 7.5 1718 94.6 80 Rupaideeh 4953 55 1.1 3643 73.6 164 4.5 4601 92.9 66 Tarabganj 2635 34 1.3 2625 99.6 71 2.7 2634 100.0 60 Wajeerganj 4229 55 1.3 2396 56.7 181 7.6 4009 94.8 Grand Total 69952 1209 1.7 60339 86.3 5033 8.3 63903 91.4 40 AHS (2012-13) 21.5 15.7 45

20 Gaps in Child care : >100% - 2% still births are reported from the District. >80, <=100 0 - 91% births are reported as breast fed within 1 hours of births, it is need to >=50, <=80 CHC DH PHC SC check as AHS 2012-13 showing data for Gonda is 45% only. - In Gonda 86% children weight at birth and of which 8% LBW while AHS 12- <50 % of newborns weighed at birth % of newborns breast fed within 1 hour 13 - estimated this as 21.5% & 15.7 % respectively. Gonda Immunisation Services Reported in HMIS during FY 2016-17 ( April -March 2017) Child Immunization trends, Distribution and progress

Percent of Children received Birth doses - 2016-17

160 % of 145.21 Number of Number of % of % of Infants children 9 and 140 Infants 0 Number of Number of % of Infants 0 Infants 0 to Infants 0 to Infants 0 to 0 to 11 11 months 120 to 11 Infants 0 to 11 Infants 0 to 11 to 11 months % of children 9 Total Live 11 months 11 months 11 months months old fully 105 108 Block Est. live birth months months old months old old who and 11 months 100 100 97 102 96 Births old who old who old who who immunized 90 91 88 old who who received who received received fully immunized 80 81 85 received received received received (BCG+DPT123+ received Hepatitis-B0 Measles Measles BCG OPV 0 OPV 0 Hep B 0 OPV1:Total 60 60.55 BCG 45 46.48 40 39 43 3841 41 38 38 32 36 36 26 28 26 29 31 31 29 31 20 18 20 21 DHQ 5318 13596 10681 200.8 9225 173.5 8663 162.9 3014 56.7 23243 437.0 0 Belsar 6104 4033 5050 82.7 1523 25.0 1696 27.8 4390 71.9 4510 73.9 Colonalganj 6091 5278 6575 108.0 3517 57.7 3728 61.2 4309 70.7 2894 47.5 Hadhermau 5014 1284 3281 65.4 730 14.6 369 7.4 3305 65.9 3076 61.4

% of Infants 0 to 11 months old who received BCG Itiathok 6014 4592 6745 112.2 2121 35.3 1406 23.4 4970 82.6 4587 76.3

% of Infants 0 to 11 months old who received OPV 0 KatraBazar 6184 5087 5918 95.7 4565 73.8 1075 17.4 4344 70.2 4346 70.3 % of Infants 0 to 11 months old who received Hep B 0 Mankapur 7170 4090 5739 80.0 1108 15.5 1003 14.0 4960 69.2 4510 62.9 Birth doses by facility type (in Percent) Maskanwa 5842 3442 5390 92.3 1621 27.7 1558 26.7 4501 77.1 4475 76.6 Mujhana 6131 3681 7212 117.6 2306 37.6 2206 36.0 5383 87.8 4802 78.3 100 Nawabganj 6064 3043 5579 92.0 1023 16.9 350 5.8 4713 77.7 4759 78.5 Pandari Kripal 3819 1729 2313 60.6 659 17.3 390 10.2 3003 78.6 3000 78.5 68 65 Paraspur 7592 3139 6227 82.0 2009 26.5 1994 26.3 4350 57.3 4331 57.0 58 Quazeedevar 7396 1816 5703 77.1 546 7.4 359 4.9 5889 79.6 5529 74.8 50 Rupaideeh 7547 4953 7713 102.2 2369 31.4 1836 24.3 6164 81.7 5354 70.9 28 22 24 Tarabganj 5074 2635 4551 89.7 2111 41.6 1827 36.0 4241 83.6 4175 82.3 16 10 Wajeerganj 5550 4229 4830 87.0 2309 41.6 1888 34.0 4131 74.4 3981 71.7 3 3 2 1 Grand Total 103239 69952 100020 97 38602 37 30623 30 77080 74.7 92288 89.4 0 CHC DH PHC SC

Gaps in Immunization : >100% % of Infants 0 to 11 months old who received BCG >80, <=100 % of Infants 0 to 11 months old who received OPV 0 - 97% BCG given against total live birth. No. of Live births and BCG given not corresponding in most of the blocks as per the table and reporting aprox. double or > double >=50, <=80 % of Infants 0 to 11 months old who received Hep B 0 <50 live births need to be check accurately.

- DHQ data need to cross check, it is showing 437% fully immmunised while only 56.7% children received measles .

- only 37% infant receive OPV 0 and 30% received HepB 0. and Fully immunied chidren 89.4% Gonda Family Planning Services Reported in HMIS during FY 2016-17 ( April -March 2017) Family planning trends Distribution and progress

Number of Family planning users against need by % of Total Potential Potential % months 2016-17 % achivement Total need family unmet need unmet need new IUD Condom Oral Pills achivement Block for limiting for family planning 40000 for limiting for spacing Insertions Users Users for spacing method planning service 35000 method method method

provided Male Male Sterilization

30000 Female Sterilization 25000 DHQ 5483 1 529 9.67 7536 386 402 435 16.2 21870 8.0 Belsar 8648 0 151 1.75 8648 1837 260 200 26.6 25098 9.8 20000 14892 14734 Colonalganj 8630 0 182 2.11 8630 1748 270 282 26.7 25045 9.9 15000 12540 12446 11921 10096 1082910696 11040 Hadhermau 7104 0 35 0.49 7104 266 187 98 7.8 20617 2.8 8764 10000 6213 6021 Itiathok 8521 0 31 0.36 8521 1296 240 381 22.5 24729 7.9 5000 KatraBazar 8762 0 119 1.36 8762 2219 337 380 33.5 25430 12.0 Mankapur 10160 2 150 1.50 10160 665 32 124 8.1 29484 3.3 0 Maskanwa 8277 0 33 0.40 8277 1395 158 112 20.1 24021 7.1 Mujhana 8688 0 82 0.94 8688 804 77 132 11.7 25213 4.3 Nawabganj 8592 69 125 2.26 8592 1322 304 215 21.4 24935 8.2 Total family planning service provided Monthly need for family planning Pandari Kripal 5412 0 0 0.00 5412 933 299 190 26.3 15705 9.1 Paraspur 10758 1 153 1.43 10758 2071 196 346 24.3 31221 8.9 Quazeedevar 10480 10 0 0.10 10480 1528 483 382 22.8 30413 7.9 Percent Distributions of new IUD insertions by facility Rupaideeh 10694 2 112 1.07 10694 2531 210 299 28.4 31034 10.2 type Tarabganj 7189 0 12 0.17 7189 1920 371 412 37.6 20864 13.0 Wajeerganj 7864 9 93 1.30 7864 757 198 252 15.3 22821 5.7 Grand Total 144228 94 1815 1.32 146280 23518 4281 4449 22.0 424524 8.0

CHC, 4905, DH, 283, 1% Gaps in Family planning : 21% >100% PHC, 665, 3% - 75% of total IUCD perform at Subcenter till month so quality and quantity should be a concern to all Familiy planing >80, <=100 >=50, <=80 mangers. SC, 17665, <50 75% - Mujhana,Mankapur block providing less services of Condom in this month for family planning. - Only 1.3% are achived as limiting method. - achivement of spacing methord in 22%. List of Indicators covered in HMIS and MCTS S.No. Domain Indicator Numerator Denominator Page no. 1 MCTS % of mother registered in MCTS against estimated Total # Mother registered in MCTS Estimated Pregnancies 3 2 MCTS % Children registered against estimated Total # Children registered in MCTS Estimated live births 3 Sum of pregnant women having hb<7 and any other maternal 3 MCTS % High risk PW reported in MCTS Total # Registered Mothers in current year 3 complication % of Mother received ANC 3 against registered PW with LMP Total # pregnant women registered with LMP 4 MCTS Mother (LMP 2015-16) received ANC 3 3 2014-15 in 2015-16 Total # pregnant women registered with LMP 5 MCTS % of PW delivered against registered with LMP in 2014-15 Total # Pregnant women (LMP 2015-16) delivered 3 in 2015-16) % of children received full immunization against children 6 MCTS Total # children (DoB 2015-16) received full immunization Total # Children (DoB 2015-16) registered 3 registered in 2014-15 7 ANC % of ANC registered to estimated Pregnancy Total # ANC Registered Estimated Pregnancy 4 8 ANC % of ANC registered within 1st trimester Total # ANC Registered within 1st trim Total # ANC Registered 4 9 ANC % of ANC received TT2/Booster Total # Pregnant women received TT2/Booster Estimated Pregnancy 4 10 ANC % of ANC received 3ANC checkups Total # pregnant women received 3 ANC check ups Estimated Pregnancy 4 11 Delivery % delivery reported Total # Delivery reported Estimated Delivery 5 12 Delivery % of Unreported (Missing) Delivery Total # Deliviery not reported Estimated Delivery 5 13 Delivery % of institutional deliveries among estimated delivery Total # Institutional Deliviery Estimated Delivery 5 14 Delivery % of delivered women discharged within 48 hours Total # Delivered women discharged within 48 hours Tota # Deliveries conducted at facility 5 15 Delivery % of JSY incentive paid to mothers Total # JSY Incentives paid to mothers Tota # Deliveries conducted at facility 5 16 HRP % of having Hb level <11 Number having Hb level<11 Estimated Pregnancy 6 17 HRP % of severe (Hb <7) anemia treated rate at institution Total # Severe (Hb <7) anemia treated at institution Total # ANC Registered 6 18 HRP % of PW with hypertension Total # Pregnant women with Hypertension (BP>140/90) Estimated Pregnancy 6 19 HRP Abortion rate Total # Abortion (spontaneous/induced) Sum of Live birth, Still birth & Abortion 6 % Pregnant women having Obstetric complication attend at Total # Pregnant women having Obstetric complication attend Total number of deliveries conducted at 20 HRP facility at facility public facilities 21 Child Care % of Still birth Total # Still Birth Sum of Live birth & Still birth 7 22 Child Care % of newborns weighed at birth Number of Newborns weighed at birth Total # Live Births 7 23 Child Care % of newborns having weight < 2.5 kg Total # newborns having weight < 2.5 kg Total # Live Births Weighed 7 24 Child Care % of newborns breast fed within 1 hour Total # newborns breast fed within 1 hour Total # Live Births 7 25 Immunization % of Infants 0 to 11 months old who received BCG Total # Infants 0 to 11 months old who received BCG Total # Estimated Births 8 26 Immunization % of Infants 0 to 11 months old who received OPV 0 Total # Infants 0 to 11 months old who received OPV 0 Total # Estimated Births 8 27 Immunization % of Infants 0 to 11 months old who received Hep B 0 Total # Infants 0 to 11 months old who received Hep B 0 Total # Estimated Births 8 28 Immunization % of Infants 0 to 11 months old who received Measles Total # Infants 0 to 11 months old who received Measles Total # Estimated Births 8 29 Immunization % of children 9 and 11 months fully immunized Total # children 9 and 11 months fully immunized Total # Estimated Births 8 30 Family Planning % achivement for limiting method Total # Sterilization (Male & Female) Potential unmet need for limiting method 9 31 Family Planning % achivement for spacing method Sum of IUCD and oral Pill users Potential unmet need for spacing method 9 Potential unment need for FP Method 32 Family Planning % of Total family planning service provided Sum of Spacing and Limiting method's users 9 (Limiting & Spacing & Est Condom users & District - Gonda Estimates for Year 2016-17 ANC Delivery Immunization Family planning

Potential Potential Estimated No. Estimated Total Population Estimated unmet unmet Estimated Block CBR Estimated of infants Traditional current Pregnant need for need for Condom deliveries attaining one Method need for FP Women limiting spacing Users year age Users # Yearly method method

DHQ 195530 27.2 5850 5372 5318 5483 7536 2373 8850 21870 Bamanjeet 232668 27.2 6961 6392 6329 8967 8967 2824 10531 26023 Belsar 224396 27.2 6714 6165 6104 8648 8648 2723 10157 25098 Colonalganj 223920 27.2 6700 6152 6091 8630 8630 2717 10136 25045 Hadhermau 184330 27.2 5515 5064 5014 7104 7104 2237 8344 20617 Itiathok 221094 27.2 6615 6074 6014 8521 8521 2683 10008 24729 KatraBazar 227358 27.2 6803 6246 6184 8762 8762 2759 10291 25430 Mankapur 263611 27.2 7887 7242 7170 10160 10160 3199 11932 29484 Maskanwa 214763 27.2 6426 5900 5842 8277 8277 2606 9721 24021 Mujhana 225418 27.2 6744 6193 6131 8688 8688 2736 10203 25213 Nawabganj 222933 27.2 6670 6124 6064 8592 8592 2706 10091 24935 Pandari Kripal 140418 27.2 4201 3858 3819 5412 5412 1704 6356 15705 Paraspur 279134 27.2 8352 7668 7592 10758 10758 3388 12635 31221 Quazeedevar 271917 27.2 8136 7470 7396 10480 10480 3300 12308 30413 Rupaideeh 277466 27.2 8302 7623 7547 10694 10694 3367 12559 31034 Tarabganj 186543 27.2 5581 5125 5074 7189 7189 2264 8444 20864 Wajeerganj 204040 27.2 6105 5605 5550 7864 7864 2476 9236 22821 Grand Total 3795540 27.2 113563 104271 103239 144228 146280 46063 171801 424524