HMIS Bulletin - Volume - 2, FY 2016-17 (April - March 2017) - As on 13 April 2017 National Health Mission Government of

Prepared By : MIS Division State Program Management Unit, Uttar Pradesh. HMIS (National Health Mission Bulletin) Kasganj - Uttar Pradesh April to March 2016-17 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 District Kasganj - Profile at a Glance

District Kasganj IMR NMR U5MR MMR TFR CBR Unmet need spacing Unmet need for limiting (*AHS 2012-13) 67 48 86 256 4.2 27.6 15.9 9.4

Demographic Profile Infrastructure Delivery Points Human resource Training

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

1 Amapur 156696 861 53.8 57 97 57 1 6 23 0 301 1 1 0 3 2 4 23 272 198 2 6 4

2 Ganjdunwara 239099 867 41.3 55 114 55 1 4 22 0 370 0 1 0 3 3 7 22 313 129 4 5 4

3 Kasganj 210449 895 54 71 104 71 1 4 26 10 349 4 1 0 4 5 9 28 290 177 8 13 9

4 178823 855 53.6 42 82 42 1 5 26 0 323 1 1 0 2 3 5 25 274 124 3 6 4

5 160659 878 43.7 43 83 43 1 3 26 0 276 0 1 0 2 4 5 26 245 135 2 4 4

6 152233 886 55.4 51 97 51 1 3 20 0 320 2 1 0 3 3 4 20 289 146 2 4 3

7 247318 861 45.2 75 141 71 1 4 27 0 375 3 1 1 3 2 5 25 334 171 2 6 2

8 DHQ 101277 901 65.1 0 0 0 0 2 0 0 131 2 0 1 0 1 3 9 131 12 0 0 1

9 WH 3 1 7 0 0 0 3 6 2

Total 1446554 880 61.02 394 718 390 7 31 170 10 2445 13 7 2 23 24 49 178 2148 1092 26 50 33 HMIS Bulletin-Summary Sheet District At a Glance April-March Ante Natal care (ANC) Delivery care

Estimated PW 47596 Estimated delivery 43702

Total number of pregnant women Registered for ANC 40307 Total reported deliveries 31693

Institutional delivery 23795 Total Pregnant Women registered in MCTS 38801 Number discharged under 48 hours of delivery 10796 Of which Number registered within first trimester 17113 Women receiving post partum checkup within 48 hours 12675 Number of pregnant women received 3 ANC check ups 24798 JSY incentive paid to Mothers for institutional delivery 16027 TT2 or Booster 31386 Home delivery 7898 Total number of pregnant women given 100 IFA tablets 29455 Delivery conducted by Non SBA 7747

Number having Hb level<11 (tested cases) 21504 Number of newborns visited within 24 hours of Home… 2663 Pregnant women with Hypertension (BP>140/90) : New 5602 cases Number of mothers paid JSY incentive for Home deliveries 17

0 5000 10000 15000 20000 25000 30000 35000 40000 45000 50000 0 5000 10000 15000 20000 25000 30000 35000 40000 45000 50000

Child care and Immunization Fammily Planning

Estimated live birth 43269 Total unmet need for family planning 197737 Total live birth reported 31112

Total Children registered in MCTS 31021 Total Users using any FP method (Limiting & spacing) 10257 Still birth 732

Newborns weighed at birth 23658 Potential Unmet need for Limiting Method 25347 Newborns having weight less than 2.5 kg 2157

Newborns breast fed within 1 hour 23835 Limiting Metod users (Male & Female sterilization) 1060 Infants 0 to 11 months old who received BCG 38316

Infants 0 to 11 months old who received OPV 0 19480 Potential Unmet need for Spacing Method 42823 Infants 0 to 11 months old who received Hep B 0 13049

Infants 0 to 11 months old who received Measles 34921 Spacing Method Users (IUCD,Oral Pills & Condom) 9197 children 9 and 11 months fully immunized 30006

0 5000 10000 15000 20000 25000 30000 35000 40000 45000 50000 0100002000030000400005000060000700008000090000100000110000120000130000140000150000160000170000180000190000200000210000 HMIS Bulletin-Summary Sheet District Kasganj Month-March FY-2016-17

 Maternal Health : • ANC Registration Reported in HMIS in the month of April-March against estimated is 84.7% . According to AHS it is 44.6% which considerably better value. Contribution of SC in ANC registration is 84% which explicitly reveals good outreach coverage whereas ANC registration in DH is considerably very low (2%). DHQ which consists of WH and Urban PHC which caters good amount of population but still it is lowest performing amongst all blocks i.e. 34.1%. • As compared to HMIS, MCTS is reporting ANC registration of 82% against estimated in the month of April- March which shows an opportunity gap. This is suggestive of poor MCTS entries by blocks. All the blocks except Sahawar & Patiyali have poor ANC registration. Major difference is seen in Sahwar (33%). • District is reporting 42 % early ANC registration as compared to AHS data of 54.3%, which is relatively low. This is suggestive of under reporting or perception of FLWs about registering a pregnant women after TT injection. • Percentage of 3 ANC checkups reported in HMIS (52%) as compared to AHS data (37.3%) is low which raises an issue of under reporting. Data needs to be verified. MCTS service updation of 3 ANC is also poor (45 % ) against Estimated PW in FY 2015-16 , need to be keep on priority. • Delivery reported is 72 %, a huge chunk of delivery is missing against estimated. Even pregnant women which are registered (84% ANC registration) are not tracked till March(gap of 12%). Situation in MCTS reporting is much poorer (41%) against Estimated PW in FY 2015-16. • According to AHS Home delivery in district is 39%, whereas only 18 % home deliveries are being reported, this shows reporting gap. If this gap is covered around 21% missing deliveries can be covered. • Except for Kasganj and Sahawar rest other blocks have large number of missing deliveries. One of the cause is most of the delivery points are situated in Kasganj block. Hence there is a great need to activate delivery points in other blocks. • In MCTS child registration Improved 2 % from last month .  Child Health: • Among estimated live births 72 % live births are reported in HMIS and 72% in MCTS. Kasganj and Soron difference in HMIS and MCTS is around 58 & 12%. Need to address this issue to the particular blocks. patiyali block HMIS portal live birth reported 59 and MCTS 81 % is shows in HMIS portal underreporting or in MCTS portal Duplicate Reporting. • Percentage Newborn weight at birth reported by district is 74.7 % where as in AHS it is 30% , difference is more than double which is suggestive of over reporting. Similarly, percentage LBW reported is 9.4 % and according to AHS is 31% which is less than half of it indicative of underreporting. Need to flag the issue and verify the records. • DHQ and Amapur Block Newborns having weight less than 2 and half kg is very high . Data need to be rechack  Immunization • Immunization of birth dose is decorating i.e. BCG 88.6 % since it can be administrated till one year, OPV0 is 45% and Hep B0 is 30%. Thus it reflects that birth doses are not given at higher facility level like CHC and DH where antigens are available 24X7. Need to address the issue to the MOIC of Kasganj ,Sahawar and Ganjdundwara Block. • Full Immunization status in MCTS is very poor which only 44 % is whereas district is reporting 69.3 % in HMIS. Block poor in full immunization in HMIS are DHQ, Sidhpura and Ganjdundwara. WHO Monitoring data shows 69 % children is fully immunized in District Kasganj. and District CBTS Survey shows 47.9 % • Sahawar & Patiyali Block BCG reported more than 100 % . data need to be recheck.  Family Planning • % FP services (limiting and spacing) are provided in district against potential unmet need which is very poor. Contribution of limiting method is 4% and spacing method is 21% . Hence need to strengthen FDS points and community mobilization. • In Shawar and Amapur block IUCD insertion report is low need to focus on. Number of IUCD insertion is very low need to focus to increase the service & utilization at Sub center & CHC because mostly couple accept IUD for family planning from SC & CHC. At CHC level PPIUCD need to be focused. • DHQ block reported Condom User are 48 need to verify the data for under reporting or availability of commodity. • Ganjdundwara and Patiyali block IUCD Insertion Data is very high as compare to other block. Data need to be chack. Kasganj - MCTS Status on crititical indicator as on 1st April 2017 Registration and Updation

Trend of Registration % PW received 3 % PW delivered % children received 90 % of % of % of % of Children ANCs against PW against PW full immunization % HRP against 82 Mother Mother Children 80 79 Block Registration- Estimated PW Estimated PW against children PW registered 75 76 75 76 Registratio Registratio Registration- 70 70 70 72 MCTS with LMP in FY with LMP in FY Estimated with DoB in 2016-17 67 67 66 68 n- HMIS n- MCTS HMIS 63 62 2015-16 2015-16 in FY 2015-16 60 58 58 58 50 53 44 44 40 Amapur 93 98 66 79 49 38 51 7 34 30 DHQ 34 34 37 37 2 4 0 1 18 20 Ganjdunwara 85 87 55 75 51 53 46 11 15 10 Kasganj 80 79 129 71 69 63 53 11 0 Patiyali 86 94 59 81 50 43 59 8 April May June July Aug Sept Oct Nov Dec Jan Feb Mar Sahawar 111 78 78 87 43 28 45 8 % Mother Registration % Child Registration Sidhpura 84 79 57 59 32 31 40 13 % of Mother Services against PW registedred with LMP in FY Soron 97 93 62 78 36 41 37 7 2015-16 Grand Total 85 82 72 72 45 41 44 9 90 84 81 80 >100% 70 >80, <=100 60 >=50, <=80 50 45 <50 40 30 20 15 Gap In MCTS:- 10 0 • Up to March child Registration is 72 % and HMIS portal Shows 72% this is very good Condition. ANCs 1 ANCs 2 ANCs 3 Full ANCs • Kasganj and Sidhpura Block Mother registration focus on MCTS portal % of Children Services against children registed with DoB in FY 2015-16 • Sidhpura Block Child Registraion is only 59% focus on child registration and Services on MCTS Portal. 60

49 • Patiyali Block Child registration gap is very high this is 22% . Need to be focus on MCTS and recheck for duplicate entry. 50 48 47 45 44

40 • All block Child registration is more than HMIS Child registration . Data Need to be rechack .

30

20

10

0 BCG DPT1/Pentavalent1 DPT3/Pentavalent3 Measles Full Immunization Kasganj '- Percent of facilities reported in HMIS by Month, FY 2016-17

Total No. of Block Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Facilities DHQ 3 100 100 100 100 100 100 100 100 100 100 100 100 Amapur 30 100 100 100 100 100 100 100 100 100 100 100 100 Ganjdunwara 27 100 100 100 100 100 100 100 100 100 100 100 100 Kasganj 41 100 100 100 90 90 90 90 100 100 100 100 100 Patiyali 32 100 100 100 100 100 100 100 100 100 100 100 100 Sahawar 30 100 100 100 100 100 100 100 100 100 100 100 100 Sidhpura 24 100 100 100 96 100 100 100 100 100 100 100 100 Soron 32 100 100 100 100 100 100 100 100 100 100 100 100 Grand Total 219 100 100 100 98 98 98 98 100 100 100 100 100

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 Uploaded data as on 5th of the month % Facilities forwarded data as on 10th of the month 100 100 100 95 98 98 97 98 98 100 100 100 98 98 100 100 100 100 90 100 90 80 71 80 70 67 70 60 60 50 50 40 40 30 30 20 20 10 10 0 0 0 0 0 0 0 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar District Kasganj - ANC Services Reported In HMIS Up to April-March FY-2016-17 ANC Services, Trends, Distribution and Performance

6000 Trend of ANC registration (in numbers) 5232 Total Number of 5000 % of ANC Of which 4381 Propotiona number of % of ANC pregnant % of ANC 4390 4038 registered Number % of ANC te pregnant registered TT2 or women received 4000 Block to registered received 3285 3441 estimated women within 1st Booster received 3 3ANC 3042 estimated within first TT2/Booster 2807 PW Registered trimester ANC check checkups 3000 2713 2634 Pregnancy trimester 2468 2465 for ANC ups 2045 2174 2042 2000 1753 1296 1199 DHQ 4419 1508 34.1 468 31.0 1106 25.0 697 15.8 1065 1053 1074 999 1045 1000 779 Amapur 4861 4538 93.3 1622 35.7 4125 84.9 3090 63.6 Ganjdunwara 6362 5404 84.9 2104 38.9 4310 67.7 4434 69.7 0 Kasganj 8561 6816 79.6 3631 53.3 5140 60.0 4676 54.6 April May June Jul Aug Sep Oct Nov Dec Jan Feb Mar Patiyali 5525 4764 86.2 2306 48.4 4016 72.7 2871 52.0 Sahawar 4848 5393 111.2 2759 51.2 3543 73.1 3052 63.0 ANC Registered Reg. within 1st trimester Sidhpura 5709 4804 84.2 1662 34.6 3600 63.1 2872 50.3 Monthly estimated ANC Soron 7311 7080 96.8 2561 36.2 5546 75.9 3106 42.5 Grand Total 47596 40307 84.7 17113 42.5 31386 65.9 24798 52.1 Percent Distribution of Registered for ANC by AHS (2012-13) 44.6 54.3 37.3 Type of Facility >100% >80, <=100 >=50, <=80 DH <50 CHC 2% 11% PHC 3% Gaps in ANC Registration : 1. ANC registration reported in HMIS is More than AHS 12-13

2. Sahawar Block ANC registration is more than 100%. Data need to be check.

3. ANC registration is low in DHQ & Kasganj block. Need to be focus.

4. Identification of first trimester PW is very low in Sidhpura, Amapur and Soron Block as compare to other SC 84% Block. Need to focus. 5. Pregnant women received 3 ANC check ups is very low in DHQ , Soron and Patiyali Block.

6. 84 % of registered PW for ANC at SC that shows out reach Services is implemented properly. District Kasganj-Delivery Services Reported in HMIS Up to April-March FY-2016-17 Delivery Services, trends, distribution and progress

Trend of reported delivery to estimated deliveries (in number) % of % of Of which % of 4000 Total % of institutional institutional Number delivered JSY % of JSY number of 3251 % delivery delivery deliveries deliveries discharged women incentive incentive Block Deliveries reported missed in among among under 48 discharged paid to paid to 2900 2869 2836 2812 2876 facility (Home+Inst

3000 deliveries 2762 2773 2749 Deliveries reporting reported estimated hours of within 48 Mothers mothers itution) 2487 delivery delivery delivery hours

Total number of Home Home of number Total

Deliveries conducted at Deliveries conducted 1931 Estimated Propotionate 2000 DHQ 4058 0 1521 1521 37.5 63 100.0 37.5 895 58.8 1852 121.8 1447 Amapur 4464 1093 1838 2931 65.7 34 62.7 41.2 1102 60.0 1118 60.8 Ganjdunwara 5841 1141 2101 3242 55.5 44 64.8 36.0 758 36.1 1387 66.0 1000 Kasganj 7860 611 9768 10379 132.0 -32 94.1 124.3 4544 46.5 4666 47.8 Patiyali 5073 1122 1865 2987 58.9 41 62.4 36.8 452 24.2 1307 70.1 Sahawar 4451 1104 2369 3473 78.0 22 68.2 53.2 70 3.0 2185 92.2 0 Sidhpura 5242 1067 1907 2974 56.7 43 64.1 36.4 592 31.0 1829 95.9 April May June Jul Aug Sept Oct Nov Dec Jan Feb Mar Soron 6713 1760 2426 4186 62.4 38 58.0 36.1 2383 98.2 1683 69.4 Grand Total 43702 7898 23795 31693 72.5 27.5 75.1 54.4 10796 45.4 16027 67.4 Delivery reported AHS (2012-13) 56.1 68.8 Monthly Estimated delivery >100% >80, <=100 >=50, <=80 <50 Percent Distribution of deliveries by type of Facility Discharged under 48 hours >50 <=50,<=10 <9

Gaps in Deliveries : Missing 1. 27.5 % of deliveries are non-reported in HMIS portal. 27% CHC 2. Kasganj block paid to JSY incentive to Mother reported is low as Comparison to other block. Data need to be recheck. 44% 3. 45 % Delivered woman are Discharge with in 48 Hours. But Soron Block almost 98 % Women Discharge in with in 48 Hours

4. GanjDundwara , Patiyali , Amapur, Soron and Sidhpura Block Institutional Delivery is very Low. Need to be focus Activating Delivery Points.

5. Patiyali, Sahawar, Ganjdundwara and Kasganj Block Home delivery Reported in HMIS is low as Comparison to other Block. Need to focus at Home block level 18% DH 6. Institutional deliveries among reported delivery is high as compare AHS 2012-13. this is good indicator for district. SC 3% 7% 7. District Hospital ( Birla Mahila Chikitsalay) Delivery reporting is Decrease as compare to last FY (7 % to 3 %.) PHC 1% 8. Home Delivery and CHC Delivery reporting Is increasing as compare to last FY ( HD 13 % to 18% & CHC 28 % to 44 %) 9. Missing Dellivery is decrease as compare to last FY (43% to 27%) District Kasganj - High Risk Pragnancies Services Reported in HMIS Up to April-March FY-2016-17 High risk PW reporting trends, distribution and progress

Percent of high risk pregnant woman reported for Registered ANCs Total Number Number % of severe Pregnant number of % of having severe having Hb (Hb <7) women with pregnant having anaemia % of PW with 80 69 Block level<11 anemia Hypertension 66 women Hb level (Hb<7) hypertension 62 61 (tested treated rate (BP>140/90) : 54 55 55 Registered <11 treated at 50 cases) at institution New cases 45 48 for ANC institution 42 40 40 DHQ 1508 3772 85.4 67 4.4 2 0.0 17 17 18 15 13 14 14 13 16 Amapur 4538 1739 35.8 0 0.0 966 19.9 8 10 9 1 1 1 3 1 1 0 0 1 1 Ganjdunwara 5404 3535 55.6 22 0.4 127 2.0 0 2 0 Kasganj 6816 3611 42.2 101 1.5 1399 16.3 April May June Jul Aug Sep Oct Nov Dec Jan Feb Mar Patiyali 4764 3461 62.6 55 1.2 40 0.7 Sahawar 5393 1600 33.0 77 1.4 681 14.0 % of PW having Hb level <11 Sidhpura 4804 2318 40.6 30 0.6 2208 38.7 % of PW having severe anemia treated at institution Soron 7080 1468 20.1 44 0.6 179 2.4 % of PW with Hypertension (BP>140/90) : New cases Grand Total 40307 21504 45.2 396 1.0 5602 11.8 >100% >80, <=100 Percent of high risk pregnant woman reported by Gaps in HRP: >=50, <=80 500 facility type <50 1. No. of cases identified of severely anemic PW is very low block level, it need to 400 focus at facility level and Amapur and Ganjdundwara block are 0 or few cases reporting of severely anemic PW . 300 2. DHQ Block No cases are identified of Hypertensive pregnant women and Ganj 200 Dundwara and Patiyali Block Identification of Hypertensive pregnant women is 100 Very low Other than Other Block.

0 3. DHQ Block having Hb level<11 (tested cases) is more against pregnant women CHC DH PHC SC Registered for ANC. % of PW having Hb level <11 4. Severely Anemic PW treated at institution is not reported or few cases reported % of PW having severe anemia treated at institution in Amapur, Patiyali, Soron and Ganjdundwara Block. % of PW with Hypertension (BP>140/90) : New cases 5. CHC and DH PW with Hypertension New case not reported need to be focus. District Kasganj - Obstetric Complication and C-Section Reported in HMIS Up to April-March FY-2016-17

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 Sidhpura 1907 57 3 38 0 0 0 0 0 0 0 0

2 Amapur 1838 206 11 11 0 15 0 0 0 0 0 0

3 DHQ 1521 367 24 267 18 269 0 0 0 1 0 0

4 Ganjdunwara 2101 130 6 24 21 119 0 0 0 0 0 0

5 Kasganj 9768 30 0 0 0 2 0 0 323 0 0 3

6 Patiyali 1865 165 9 27 0 19 0 0 0 0 0 0

7 Sahawar 2369 51 2 0 0 0 0 0 0 0 0 0

8 Soron 2426 60 2 0 0 23 0 0 0 0 0 0 Grand Total 23795 1066 4 367 39 447 0 0 323 1 0 0.0

• 323 C-Section Case is reported at Private Facility and no case reporting at public facility since surgen not avalibility.

• DHQ block Urban PHC reported 1 C-Section reported in March 2017 . Data need to be recheck.

• Kasganj, Sidhpura , Ganjdundwara and Soron Block PW complication Identification and Attended at facilities is very low.

• Ganjdundwara block PW Complication treatement more than complication Reported. Data need to be recheck.

• Kasganj Block complicated PW attended is reporting is only 30 PW attended and only 2 PW treated at facility till Mar 2017 . Need to be focus District Kasganj - Child Care Services Reported in HMIS upto April-March FY 2016-17 Child care services trends, distribution and progress

Number Trend in Child care services (in Percent) Number of of % of 100 Number of % of Newborns % of Newborn newborns Total Live % of still Newborns newborns having newborns Block Still Birth s breast breast fed Births birth weighed at weighed at weight having < 80 fed within 1 birth birth less than 2.5 kg within 1 hour 2 and half 60 hour kg 40 DHQ 1479 45 3.0 1350 91.3 195 14.4 1248 84.4 Amapur 2901 43 1.5 2862 98.7 400 14.0 2889 99.6 20 Ganjdunwara 3197 86 2.6 2893 90.5 156 5.4 3022 94.5 Kasganj 10076 331 3.2 4965 49.3 232 4.7 4962 49.2 0 Patiyali 2955 36 1.2 2382 80.6 177 7.4 2577 87.2 April May June Jul Aug Sep Oct Nov Dec Jan Feb Mar Sahawar 3425 41 1.2 2629 76.8 258 9.8 2420 70.7 % of newborns weighed at birth Sidhpura 2949 67 2.2 2936 99.6 316 10.8 2922 99.1 % of newborns having < 2.5 kg Soron 4130 83 2.0 3641 88.2 423 11.6 3795 91.9 % of newborns breast fed within 1 hour Grand Total 31112 732 2.3 23658 76.0 2157 9.1 23835 76.6 AHS (2012-13) 30 31.2 32.4 % of still birth >100% >80, <=100 Child care services by facility type (In Percent) >=50, <=80 100 <50 90 80 Gaps in Child Care: 70 1. 76.6 % breast fed within 1 hours of births are reported in HMIS is more than double AHS (2012-13) 60 50 2. Most of block taking arround 80 to 100 % percent weight at birth of newborns but Kasganj, Patiyali and Sahawar 40 block weight at birth is low other than block. 30 20 3. Identifications of low birth weight is very poor in Kasganj and Ganjdundwara Block. 10 0 4. Weight at birth are reported Very high as comperision AHS (2012-13) CHC DH PHC SC 5. Newborn having weight less than 2.5 Kg is very less reporting as compare to AHS (2012-13) % of newborns weighed at birth 6. DHQ , Amapur and Soron Block Newborns having weight less than 2 and half kg is very high . Data need to be % of newborns breast fed within 1 hour rechack District Kasganj - Immunization Services Reported in HMIS upto April-March FY 2016-17 Child Immunization trends, Distribution and progress

Percent of Children received Birth doses children 9 Number of Number of % of Number of % of % of Number of % of and 11 % of Infants 0 to 120 Infants 0 to Infants 0 to Infants 0 to Infants 0 to Infants 0 to Infants 0 to Infants 0 to months children 9 102 104 103 11 months 96 96 Est. live Total Live 11 months 11 months 11 months 11 months 11 months 11 months 11 months fully and 11 100 94 Block old who 87 85 birth Births old who old who old who old who old who old who old who immunized months 81 82 81 received received received received received received received received (BCG+DPT1 fully 80 Hepatitis- BCG BCG OPV 0 OPV 0 Hep B 0 Measles Measles 23+OPV1:T immunized 56 58 58 B0 60 52 55 otal 49 48 43 42 43 44 40 40 38 40 32 33 DHQ 4018 1479 1967 49.0 1185 29.5 1089 27.1 1417 35.3 744 18.5 29 28 29 29 29 24 22 22 Amapur 4419 2901 3874 87.7 1995 45.1 1873 42.4 3965 89.7 3668 83.0 20 13 Ganjdunwara 5783 3197 4879 84.4 2550 44.1 1704 29.5 4353 75.3 3497 60.5 0 April May June Jul Aug Sept Oct Nov Dec Jan Feb Mar Kasganj 7782 10076 7197 92.5 3954 50.8 1545 19.9 7811 100.4 6709 86.2 % of Infants 0 to 11 months old who received BCG Patiyali 5023 2955 5344 106.4 2311 46.0 1911 38.0 4705 93.7 4271 85.0 % of Infants 0 to 11 months old who received OPV 0 Sahawar 4407 3425 4925 111.7 2688 61.0 1430 32.4 3053 69.3 3014 68.4 % of Infants 0 to 11 months old who received Hep B 0 Sidhpura 5190 2949 4375 84.3 1925 37.1 1672 32.2 3484 67.1 3354 64.6 Soron 6646 4130 5755 86.6 2872 43.2 1825 27.5 6133 92.3 4749 71.5 Grand Total 43269 31112 38316 88.6 19480 45.0 13049 30.2 34921 80.7 30006 69.3

Birth doses by facility type (in Percent) >100% 100 Gaps in Immunization: >80, <=100 >=50, <=80 80 1. Number of live birth and BCG not corresponding in most of the block as per the table. <50 66 2. BCG, OPV 0, Hep B 0 doses are given at birth time but reporting shows all three are not given at the birth time at CHC 61 and DH level, it is showing service gap at facility and need focus Monitoring. 50 3. Kasganj, Soron and Sahawar Block Hep B 0 very less as comperision other Block. 33 27 4. BCG 0 doses are not given every child at CHC level only 33% live birth received at birth and 4% at DH level. Need to be focus. 11 8 4 6 5. Sahawar and Patiyali Block BCG reported more than 100 % . data need to be recheck. 2 1 1 0 CHC DH PHC SC % of Infants 0 to 11 months old who received BCG

% of Infants 0 to 11 months old who received OPV 0

% of Infants 0 to 11 months old who received Hep B 0 District Kasganj - Family Planning Services Reported in HMIS upto April-March FY 2016-17 Family planning trends Distribution and progress

Potential Potential % % of Total new Number of Family planning users against need by month unmet % achivement unmet achiveme Total need family IUD Condom Oral Pills Block need for for limiting need for nt for for family planning

Male Male Insertio Users Users limiting Female method spacing spacing planning service

Sterilization Sterilization ns method method method provided 20000 DHQ 1352 0 72 5.33 2235 382 48 35 20.8 10114 5.3

16000 Amapur 2702 0 143 5.29 4571 319 260 114 15.2 21128 4.0

12000 Ganjdunwara 3536 0 84 2.38 5980 1157 89 62 21.9 27645 5.0

8286 Kasganj 4758 6 233 5.02 8047 883 593 108 19.7 37200 4.9 8000 7264 7076 6612 Patiyali 3071 0 86 2.80 5194 958 312 185 28.0 24009 6.4 4626 4898 4300 3932 4000 3015 3266 1818 1978 Sahawar 2694 0 130 4.83 4557 248 177 310 16.1 21065 4.1

0 Sidhpura 3173 0 148 4.66 5367 566 294 535 26.0 24808 6.2 April May June Jul Aug Sept Oct Nov Dec Jan Feb Mar

Soron 4063 1 157 3.89 6872 428 930 204 22.7 31767 5.4 Total family planning service provided

Monthly need for family planning Grand Total 25347 7 1053 4.18 42823 4941 2703 1553 21.5 197737 5.2

Gaps in Family Planning: Percent Distributions of new IUD insertions by facility >100% type 1. Amapur and Sahawar block IUCD insertion report in HMIS is low. focus on IUCD Insertion >80, <=100 >=50, <=80 at facility. <50 2. Number of IUD insertion is very low but need to focus to increase the service & utilization at Sub center & CHC because mostly couple accept IUD for family planning from SC & CHC.

SC, 1473, 30% 3. DHQ Block 24 number of Condom User reporting in HMIS Portal Up to December 4. Condom Distribution is very low In Ganjdundwara and DHQ as comperision to other Block CHC, 3063, PHC, 29, 0% 62% 5. Ganjdundwara and Patiyali block IUCD Insertion Data is very high as compare to other

DH, 376, 8% block. Data need to be chack. 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 - Kasganj Estimates for Year 2016-17 ANC Delivery Immunization Family planning

Potential Potential Estimated Total Population Estimated unmet unmet Estimated Block CBR Estimated Estimated No. Traditional current Pregnant need for need for Condom deliveries of Live Birth Method need for FP Women limiting spacing Users Users # Yearly method method

DHQ 147705 27.2 4419 4058 4018 1352 2235 1351 670 10114 Amapur 162479 27.2 4861 4464 4419 2702 4571 2702 11153 21128 Ganjdunwara 212621 27.2 6362 5841 5783 3536 5980 3536 14594 27645 Kasganj 286116 27.2 8561 7860 7782 4758 8047 4758 19638 37200 Patiyali 184674 27.2 5525 5073 5023 3071 5194 3071 12674 24009 Sahawar 162036 27.2 4848 4451 4407 2694 4557 2694 11120 21065 Sidhpura 190801 27.2 5709 5242 5190 3173 5367 3173 13096 24808 Soron 244348 27.2 7311 6713 6646 4063 6872 4063 16769 31767 Grand Total 1590780 27.2 47596 43702 43269 25347 42823 25346 99714 197737