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MINUTES OF THE (10th ) MONTHLY REVIEW MEETING OF DISTRICT HYDERABAD Monthly Review Meeting (M.R.M) of District, Hyderabad for the Month of August, 2012 was held on 13.09.2012 at meeting Hall of Ex-Zila Nazim Office, Hyderabad. Written invitations to participate were sent to the Administrator/ DCO, the D.H.O, all Focal persons of Vertical Programs, District Population Officer i.e EPI, TB DOTS,MNCH, National Program, Malaria Control, Hepatitis, DHIS & DEWS, representatives WHO, all I/c Medical Officers/ FMOs/LHVs etc. List of Participants: S Sr. Names Designation Names Designation # 1. Mr. Mustafa Kamal Tagar DSM, PPHI 41 Dr. Shazia Zeeshan FMO 2. Dr. Ahmed Ali Talpur A: DHO 42 Dr. Anaila Soomro WMO 3. Dr. Qazi Rasheed Ahmed F.P, DHIS 43 Dr. Mumtaz Rajper FMO 4. Dr. Sono Khan Bhurgri T.H.O Hyd Rural 44 Dr. Neelofer Kazi FMO 5. Dr. M Ayoub Unar Dist: T.B Coor. 45 Dr. Rubina Sheikh SWMO 6. Dr. Naveed Ahmed Eye Specialist 46 Dr. Samira Tebani WMO 7. Dr. Shabum DDO 47 Dr. Yasir MO 8. Dr. Rafique Ahmed MO 48 Dr. Mehwish FMO 9. Dr. Ammnullah Ogahi SMO 49 Dr. Fareeda FMO 10. Dr. Azeem Shah SMO I/C 50 Dr. Shabnum Tunio FMO 11. Dr. A. Rahim Khatian SMO I/C 51 Dr. Liaquat Siyal MO 12. Dr. Raza Muhammad SMO I/C 52 Dr. Farzana Agha WMO 13. Dr. Muqadus Ali MO 53 Dr. Kapil Dev M O HQ 14. Dr. Khadim Hussain SMO / IC 54 Sanjar Kumar Asst. 15. Dr. Khalid Dawich MO I/C 55 Dr. Yasir Ali MO 16. Dr. Iftekhar Ahmed MO 56 Dr. Shahbuddin MO 17. Dr. Abullah Nizamani I/C MO 57 Dr. Naveed Soomro MO 18. Dr. Manzoor Memon I/C MO 58 Dr. Junaid MO 19. Dr. Sohrab Hisbani S M O I/C 59 Dr. Qasim Bhatti MO 20. Dr. Riaz Ahmed SMO I/C 60 Dr. Sameena Rasheed FMO 21. Dr. Ramesh Kumar MO I /C 61 Dr. Sameena Bano FMO 22. Dr. M Qasim Soomro I/C MO 62 Dr. Mehwish Muneer FMO 23. Dr. Abdul Hamid Mangi SMO I/C 63 Dr. Attulah Shahani SMO 24. Dr. Khem Chand SMO I/C 64 Dr. Capr: Nasarullah SMO 25. Dr. Pervez Talpur M O 65 Dr. Saleem Akhter I/C MS 26. Dr. Mehboob Qadir M O I/C 66 Dr. Rai Chand MO 27. Dr. Talib Memon MO 67 Dr. Ashok Kumar MO 28. Dr. M Asif I/C MO 68 Mr. Athar Ali Memon Ex: M&E 29. Dr. Shabana Junejo WMO 69 Mr. Maqsood Ahmed SO 30. Dr. Shahida Din Sonologist 70 Mr. Waseem Jokhio SO 31. Dr. Erij Kamal Abbasi FMO 71 Mr. M Yousuf SO 32. Dr. Sadaf Sheikh FMO 72 Mr.Niaz Hussain Channa Ex:M&E Jamshoro 33. Dr. Aruna Kumari FMO 34. Dr. Abida FMO 35. Dr. Rubina Abro FMO 36. Dr. Jahan Ara FMO 37. Dr. Naila Sheikh FMO 38. Dr. Sadia Pir FMO 39. Dr. Rukhsana Dal Sonologist 40. Dr. Farzana Chachar Sonologist 1 The following could not attend the meeting for the reasons stated against each:- S # Names Reasons for absence 1 Dr Muhammad Ali Absent 2 Dr Aftab On Leave 3 Dr sadia pir On leave 4 On leave 5 On leave A. HFs WITH PPHI RHC: 03 BHUs: 13 MCHCs: 03 Dispensaries: 22 TOTAL: 41 B. Population of the Catchments Area: 385,898 C. STAFF STRENGTH Sanctioned Government PPHI Vacant Working Posts (Govt.) Employees Contract (Sanc-Govt) MOs 66 52 14 WMO/FMO 25 10 15 LHVs 29 23 6 Male MTs/MAs Female 49 40 9 Dispensers D. CLUSTERS OF HFs WITH ONE MO Previous Month Total Month under Review Total Clusters of 6 HFs Clusters of 6 HFs Clusters of 5 HFs Clusters of 5 HFs Clusters of 4 HFs Clusters of 4 HFs Clusters of 3 HFs Clusters of 3 HFs Clusters of 2 HFs 1 Clusters of 2 HFs 2 Single HFs 40 Single HFs 39 WITH ONE FMO Previous Month Total Month under Review Total Clusters of 5 HFs Clusters of 5 HFs Clusters of 4 HFs Clusters of 4 HFs Clusters of 3 HFs Clusters of 3 HFs Clusters of 2 HFs 9 Clusters of 2 HFs 9 Single HFs 6 Single HFs 6 E. CAPACITY BUILDING Capacity building session: 2 1. Capacity Building Session on Acute Diarrhea And Gastroenteritis in Childhood, By Dr. Mansoor Saleem Bohra,. a. Clinical Presentation b. How to Evaluate c. Presenting Diagnosis d. Differential Diagnosis 2. Capacity Building Session on Antepartum Haemorrhage Placenta Previa , By Dr. Mehwish Muneer FMO PPHI. a. Defination b. Classification c. Clinical Features d. Diagnosis e. Treatment 3. Routine Immunization and role of I/c Medical Officer: (By: Dr. Sono Bhurgri, T.H.O, Rural) a. Immunization Dozes and Role of NIDs. b. Current status of Immunization coverage through Fix/Mobile and LHW program. c. Issues and Problems. d. How to monitor Work Plan of Vaccinator viz a viz targets. F. REVIEW OF THE PERFORMANCE (I) PREVENTIVE HEALTHCARE During Month under Review 1. Vaccination / Immunization No. of Doses of Immunization Administered to Children at Health Facilities. 2102 No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 608 No. of Immunization & Vaccination Administered by out- reach EPI Teams - Total vaccination / immunization for the month of August 2012 2710 2. National Immunization Days (NIDs) for Polio Total Target of Percentage of Dates of NIDs Actual coverage coverage coverage ----------- ------------------------------------- ---- --------- 3. Other Preventive/Promotional Services S # Service Number 1 Passive Case Detection (APCD) Slides -- 2 Malaria Metro Survey (MMS) Slides 539 3 +ve Slides 37 4 Follow up 0 (II) MOTHER, CHILD & REPRODUCTIVE HEALTH 1. Female Health. 3 NUMBER OF OBSTETRICAL Total PATIENT Total Diagnostic Tests S. NAME OF OPD OPD No FMO Post Women& Antenatal Natal childs Women Natal (Childs) 1st Visit 1st PT BS HB visit Total Total Total Dr. Erij 1194 96 0 11 522 1823 37 25 0 1 Kamal/Sameena Dr. Neelofer 2 649 31 0 0 318 998 6 15 0 Kazi 3 Dr. Sadaf Sheikh 1014 45 0 14 543 1616 29 19 0 4 Dr. Sadia Pir 573 9 0 7 222 811 2 5 0 5 Dr. Naila Sheikh 442 15 0 14 134 605 6 12 0 Dr. Shabnum 70 13 12 4 1 100 0 0 0 6 Tunio 7 Dr. Sameena 464 28 10 14 0 516 0 0 0 Dr. Shazia 8 445 41 3 10 120 619 31 17 49 Zesshan Dr. Rubina Sheikh, Dr. 9 1825 82 0 29 616 2552 22 31 0 Sameera, Dr. Farzana Dr. Mumtaz Soomro, Dr. 10 Aneela Soomro, 1945 260 100 210 0 2515 84 226 229 Dr. Fernaz Andleeb 11 Dr Yasmeen 635 55 0 8 993 295 9 8 0 Dr. Safia 937 58 0 4 1073 74 3 0 0 12 Dr. Shabana 13 Dr.Fareeda 566 48 0 3 456 1027 4 18 0 14 Dr.Rubina 708 42 0 15 324 1089 16 14 0 15 Dr.Sameera 503 18 0 9 223 753 11 22 3 16 Dr.Jhan Ara 1412 59 0 24 664 2149 16 18 16 Dr.Mumtaz 508 62 0 5 126 701 16 58 0 17 khatoon 18 Dr.Mehwish 540 31 0 0 147 718 12 2 3 19 Dr Yasmeen 635 55 0 8 993 295 9 8 0 Dr.Aruna 20 516 51 0 9 191 767 24 27 10 Kumari Dr.Abida 21 264 93 0 15 231 603 6 0 0 Ishtiaque Dr.Aqsa 172 26 0 2 154 354 2 6 0 22 Mustaque Total 5316 437 125 82 5094 8382 107 165 32 During Month under Review 2. Deliveries Assisted S # Service Number 1 Deliveries Assisted at HFs 208 2 Deliveries Assisted at Homes 00 3. Lab/ Diagnostic Tests 4 S # Test Number 1 Pregnancy Tests 327 2 Blood Sugar Tests 515 3 Hemoglobin Tests 310 4 Ultra Sound Test 1541 5 Other 391 3. Important Discussion on Mother and Child and Reproductive Health during MRM a. Pre-diagnosis screening of patients for vaccine should be done religiously. b. Where vaccinator are provided under National Program, the duty roster should be signed by I/c Medical Officer and absence report should immediately be sent to Focal Person. c. Pregnant females should be encouraged for delivery at BHU. d. F.P advice should be part of diagnosis and separate record be maintained. e. Sonologists shall furnish their presentation on the findings, referral and follow up. f. MNCH record and Growth monitoring record should be maintained by FMOs where LHV is not provided. In all cases, record should be legible, complete and traceable. g. Baby Weighing Scales/ Adult Bath Scales, Hemoglobin Meters and Height Charts have been provided. Ensure proper usage of the equipments and report of out of order weight machines should be immediately conveyed to I/C MO in writing. h. Training on Hemoglobin meters have been provided to all Medical and Paramedical Staff for blood tests preferably for pregnant women and same will be repeated for retention. i. Focal Person (EPI) has declined to provide EPI vaccinators during FMO Days at the places where FMO cover is provided. The Vaccinator at all FMO covered facilities for that day used to bring vaccines in carrier and remarkable increase had been achieved in coverage for TT and BCG vaccines. But, now such matter will thoroughly be discussed with EDO (Health). 3. Provision of Family Planning Services during the Month S # Name of the Items / Service Number Consultation / Advice 618 Oral Pills 215 IUCDs 11 Injections 200 Others 321 Total 1365 (III) COMMUNITY PARTICIPATION During Month under Review 1.
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