DIRECTORATE OF FAMILY WELFARE GOVERNMENT OF NAHARLAGUN-791110 MFW-2014/03 Dated Naharlagun the 15th May 2017

ANNUAL REPORT ON QUALITY IN STERLIZATION SERVICES

ANNEXURE 2.1 Annxure 2.1: Format for listing empanelled providers for uploading in State/UT website State ARUNACHAL PRADESH Year 2016-17 Empanelment List for Minilap, Lap and Vasectomy. Qualification (MBBS/MS- Type of Facility Postal address of facility where Contact Sl.No Name of District Name of Empanelled Gynae/DGO/DNB/MSSurgery/other Designation Posted empanelled provider is posted number Sterilization Provider Speciality (PHC/CHC/SDH/DH

1 west Siang Dr. Tajum Basar. MBBS,MD (Obst & Gynae) Rtr Private Basar , West . 2 West Kameng Dr. T.C Khirme. MD (Obst & Gynae) DMO DH DH Bomdila 3 West Kameng Dr. Gom Lamu. MD, (Obst&Gnae) Obst&Gynae DH DH Bomdila West Kameng District 9436045061 4 Papum Pare DR.Kartik Nishing. MS,(Surgery) Rtr Private BTM Hopsital (Pvt) 5 Papum Pare Dr. Moji Jini. MS, MCH DME (T&R) TRIHMS Nlg TRIHMS 9436041641 6 Papum Pare Dr. (Mrs) B.Mala Obst&Gynae Obst&Gynae TRSH Nlg Tomo Riba State Hospital Nlg 9774025636 7 Papum Pare Dr. Mari.Basar. MS Rtr Private 8 Papum Pare Dr. Tomar Basar. MD (Obst &gynae) Obst&Gynae TRSH Nlg Tomo Riba State Hospital Nlg 9436223366 9 Papum Pare Dr. Emi Rumi. MS Jt.DHS DHS Office TRIHMS 9436056330 10 East Siang Dr. Bomni Tayeng . MS Trained NSV MS GH GH Pasighat East Siang Dsitrict 9436839156 11 Upper Subansiri Dr.T.Dulom, MD (Obst&Gynae) Obst&Gynae DH Daporijo DH Daporijo 8256942103 12 East Siang Dr.T. Kaki . MS (Surgeon) MS GH GH Pasighat East Siang Dsitrict 13 U/Subansiri Dr.T.Murtem, MBBS SMO DH Daporijo 7085691799 14 U/Subansiri Dr. P.Kadu . MBBS SMO DH Daporijo 7085643044

15 Upper Siang Dr.Kengkang Jopir. MBBS SMO DH 16 Upper Siang Dr. Karo Teng, MD Specialist DH DH Yingkiong Upper Siang 9402646749 17 East Siang Dr. (Mrs) O.Tayeng, MD(obst&Gynae) Rtr Private ASSA Hospital Pasighat 18 East Siang Dr.Johny. Darang. MD (Obst&Gyn) Obst&Gynae GH Pasighat GH Pasighat East Siang Dsitrict 9436251148 19 East Siang Dr. Dilip Dutta, MBBS, DGO Specialist CHC CHC Ruksing East Siang Dsitrict 9435386738 20 East Siang Dr. Kebang Lego .MS(Surgeon) JtDHS (T&R) GH Pasighat GH Pasighat East Siang Dsitrict 9402477086 21 Upper Siang Dr.Gipen Litin MD (Obst&Gynae) Obst&Gynae DH Yingkiong Upper Siang 9402274883 Lower Dibang 22 Dr.Ista Pulu. MD (obst&Gynae) Obst&Gynae DH Valley Lower Dibang Valley 9874776521 23 East Siang Dr. Dangi Perme. MD (Obst&Gynae) Obst&Gynae GH Pasighat GH Pasighat East Siang Dsitrict 8132012880 24 Upper Subansiri Dr. N.Geyi . MBBS DMO DH Daporijo Upper Subansiri 9436202145 25 Papum Pare Dr. C.J. Mangmao, MBBS DDFW Directorate office 8794252502 26 Lohit Dr. W.A Singh, MBBS SMO PHC Sanupra Lohit 27 Lohit Dr. S.Tayeng, MBBS SMO DH DH Lohit 28 Papum Pare Dr. T.Lollen , MBBS (EMOC) SMO TRSH Nlg Tomo Riba State Hospital Nlg 29 Changlang Dr. (Mrs) K.Taism, MBBS SMO CHC CHC Miao 9402220654 30 Papum Pare Dr. L. Wangchuk (Obst&Gynae) DGO Obst&Gynae Private BTM Hopsital (Pvt) 31 Papum Pare Dr. S.Nath. Gen. Surgeon .MS Rtr Heema Hospital (Pvt) Heema Hospital Tanagar 9436050392 Specialist R.K Mission Hospital 32 Papum Pare Dr. Jummo Jini . MS.(Surgeon) R.K Mission Hospital Surgery Itanagar 9436633296 R.K Mission Hospital 33 Papum Pare Dr. Monmon Das MBBS,DGO Obst&Gynae R.K Mission Hospital Itanagar Itanagar 9436040936 34 East Siang Dr. Mayor Mibang, MS (Surgery) MS GH Pasighat GH Pasighat East Siang Dsitrict 9436053022 35 Upper Siang Dr. Etuk Jopir. MD (obst&Gynae) Obst&Gynae DH Yingkiong District Hospital Yingkiong Dr. (Mrs) Bombei Tayeng 36 Papum Pare (Obst&Gynae) Obst&Gynae TRSH Nlg Toko, Tomo Riba State Hospital Nlg 9862432214 Itafort Dispensary 37 Papum Pare Dr. Kabak Tamar . MBBS(EMOC Trained) MO Itafort Dispensary itanagar itanagar 38 Changlang Dr. T Kodia MBBS(EMOC Trained) SMO CHC CHC Jairampur 8413047013

39 West Siang Dr. Jarkar Kayi MBBS, Dipmoa (Obst& Gynae) MO GH GH Aalo 9402443221 40 west Siang Dr.Narang Yam MS (Obst&Gynae) MO GH Aalo GH Aalo 8794971707

Annexure 2.2 Line listing of Sterilization Trained/Empaneled Provider ANNEXURE 2.2 Trained/Empannell Service provided in last one year

ed for

reason for for reason

Remarks

NSV

Sl.No

ty and level) and ty

Minilap

performance performance performance

provider

Name of of Name

- - -

Performed

Qualification

Name of District of Name

Contact Number Contact

Facili

non non non

Number of Minilap Minilap of Number

trained/Empanelled trained/Empanelled

If not performed Surgery Surgery performed Ifnot

If not performed surgery, surgery, performed Ifnot surgery, performed Ifnot

Sterilization performance Sterilization

Laparoscopic Sterilization Laparoscopic

Number of Laparoscopice Laparoscopice of Number

Place of posting( Name of of Name posting( Placeof

pleas quote the reason for for reason the quote pleas

Number of NSV performed NSV of Number

please quote the quote please for reason the quote please Acceptancy by the male Dr.Johny. Darang. MD (Obst&Gyn) GH Pasighat 9436251148 Y Y Y 8 26 0 gender is very 1 poor

2 East Siang Dr. Dilip Dutta, MBBS, DGO CHC 9435386738 Y Y Y 0 78 1 3 Dr. Dangi Perme. MD (Obst&Gynae) GH Pasighat 8132012580 Y Y Y 14 48 2 Tomo Riba State 9774025636/ Dr Bengia Mala (Obst& Gynae Y Y Y 0 8 0 4 Hospital Nlg 9436041965 Tomo Riba State Dr. Tomar Basar. MD (Obst &gynae) 9436223366 Y Y Y 1 5 Hospital Nlg 317 0

Dr. (Mrs) Bombei Tomo Riba State (Obst&Gynae) 9862432214 Y Y Y 0 6 Tayeng Toko, Hospital Nlg 59 0 Tomo Riba State Dr. Goter Doke (Obst&Gynae) 9436032272 Y Y 1

7 Hospital Nlg 274 0 Papum Pare Papum Tomo Riba State Dr. Todak Taba (Obst&Gynae) N N N 0 8 Hospital Nlg 12 0 Tomo Riba State Dr. Millo Bakhang (Obst&Gynae) 9436289807 N N N 1 9 Hospital Nlg 0 0 Tomo Riba State No No Dr. Jyoti Kamda (Obst&Gynae) 9591834193 N N N 0 0 10 Hospital Nlg empanall empanall 0 11 Upper Dr. Etuk Jopir. MD (obst&Gynae) DH Yingkiong Y Y

12 siang Dr.Gipen Litin MD (Obst&Gynae) DH Yingkiong 9402274883 Y Y 23 0 0 No trained West No Dr. Gom Lamu. MD (Obst & Gynae) DH Bomdila 9436045061 Y 0 0 22 0 13 Kameng trained 0 No trained 14 L/D/valley Dr.Ista Pulu. MD (obst&Gynae) DH Roing Y Y 16 1 Non Upper functional Dr.T.Dulom, MD (Obst&Gynae) 9436054179 Y Y 48 Subansiri Lap 15 Machine MBBS , Diploma West Dr. Jarkar Kayi 9402443221 Y 16 (Obst&Gynae) GH Aalo Siang 17 Dr. Narang Yam MS (Obst&Gynae) GH Aalo 8794971707 Y Y Lower Dr. Mechi Tazang MS (Obst&Gynae) 9402220478 7 18 Subansiri GH 19 Lohit Dr. A Tayeng MS (Obst&Gynae) GH Tezu 9436220213 27

ANNEXURE 2.3 Annexure 2.3: Format for Listing SQAC/SISC/DQAC and DISC members in State/UT website State/District Aruncahal Pradesh Year 2016-17 Type of Committee SQACand SISC, Designation in the committee Designation in the state (Chairperson/Vice (Secretary/MD/Director/Joint Member Since Sl.No Name of member Address Contact number Chairperson/Convener/Member Director/Emplanelled (Month/Year Secretary/Member Gynaecologist/Surgeon Etc O/O- Commisioner 1 Kaling Tayeng Chairperson Commissioner (H&FW) Oct-16 H&FW, Civil Secretariate, 9436040026 Itanagar, Pin- 791111 MD NHM ,Govt. of A.P.C- 2 P.N Thungon Vice Chairperson MD NHM Dec-14 9436271634 sector Nlg Director Family Welfare 3 Dr.M Lego Convener Director Family Welfare 1-Jan 9436041710 Govt. of A.P C-sector Nlg Jt. DFW Govt. of A.P C- 4 Dr. Amping Perme Ete Member Secrertary Deputy Director FW Jul-16 sector Nlg 9436057677 Director of Health 5 Dr. Alok Yirang Member Director Health Services Apr-17 Services Director Medical 6 Dr. Moji Jini Member Director Medical Education 9436041641 Dec-14 Education (T&R) Govt. Mrs. Bombei Tayeng Toko Tomo Riba State 9862432214/94368 7 Member Gynaecologist 7/1/2015 (Sr. Gynecologist) Hospital, Nlag 97415 Dr. R. Ronya (Sr. Tomo Riba State 8 Member Surgeon 5/1/2016 9436052156 Surgical Specialist) Hospital, Nlag Dr. Habung Tagyong (Sr. Tomo Riba State 9 Member Paediatrician 5/1/2016 9436041311 Pediatrician) Hospital, Nlag Dr. H. Ambing (Sr. Tomo Riba State 10 Member Medical Specialist 7/1/2015 Medical Specialist) Hospital, Nlag Dr. Dukhum Rania Tomo Riba State 11 Member Medical Superntendent 7/1/2015 9436041290 (Medical Superintendent) Hospital, Nlag Dr. R. Kombo (Sr. Tomo Riba State 12 Member Anaesthetist 7/1/2015 7085692064 Anesthetist) Hospital, Nlag

13 Mr. Anup Sharma Member NGO 7/1/2015 9436228618 14 Mrs Kijum Karga Member DD Nursing 7/1/2015 Nursing Adviser 9402061416 Advot Taba Tagun Office of Director Health 15 (Representative from Member Representative from Legal Cell 7/1/2015 Services, Naharlagun, 9436878098 legal cell/ NO court) Pin- 791115 CHC Doimukh Papum 16 Dr. Lobsang Chuki Member MO I/C Doimukh 7/1/2015 8731078587 Pare District 17 Dr. Jego Ori Member IMA (G. Secretary) 7/1/2015 TRSH Nlg 9436069257 18 Dr. Riken Rina Member IPHA (Chairman) 7/1/2015 PD APSACS 9436256347

Annexure 2.4 Report Format State: Arunachal Pradesh Report Type: (Annual/Biannual) Reporting Period:- 2016-17 1 Family Planning Performance Services Q1 Q2 Q3 Q4 Total 1 Interval Minilap 91 50 34 77 252 2 Laprascopy 59 125 58 588 830 3 PPS 19 35 39 30 123 4 Female Sterilization 169 210 131 695 1205 5 Male Sterilization 2 1 1 0 4 6 IUCD 618 752 491 643 2504 7 PPIUCD 91 151 148 156 546 PPIUCD Acceptance (Out of total Public health 8 3.12% 4.20% 4.43% 5.04% 16.79% institutional deliveries)

ASHA Scheme Performance: Services Q1 Q2 Q3 Q4 Total HDC (percentage distribution of condom 15.06%, OCP condom 14.21%, OCP 57.29% condom 43.72 %, OCP condom 28.41 %, OCP Condom 19.27%,OCP 1 condom,OCP and ECP) 39.72% ,ECP 14.71% ,ECP 27.37% 63.74% ,ECP 14.71% 36.21% ,ECP 16.56% 53.78%, ECP 13.07% ESB Scheme (To be filled by States 2 130 138 54 54 376 where Scheme is implemented) 3 PTK Utilization 23000 14000 19415 33000 89415 Status of Functionality of QAC 1 Number of meeting held 2 Frequency of meeting held (Quarterly/Half yearly): 3 Minutese of the meeting prepare(Yes/NO) 4 Number of death,complication and failure reported 5 Number of Enquiries conducted for each category 6 Remedial steps taken

Status of FPIS Claims:

FRESH/NEW CLAIMS OUTSTANDING OUTSTANDING CLAIMS TILL 31ST CLAIMS PAID IN 2016-17 CLAIMS REJECTED (2016-17) SUBMITTED IN CASE 2016-17 MARCH 2017

2016-17

Sl.No

STATE

mount

A

Death Death Death Death Death

Failure Failure Failure Failure Failure

Amount Amount Amount Amount Amount

Amount Paid Amount Paid Amount Paid Amount

Complication Complication Complication Complication Complication

1 ARUNACHAL PRADESH Nil Nil 5 NIL NIL 3 Nil Nil Nil Nil 2 60000 Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil 3 90000

Number of death audits Number of death attributed Name of State Number of Death report Reason of Death Action taken conducted to sterilization

Arunachal Pradesh Nil Nil Nil Nil Nil