HMIS Bulletin - Hardoi Volume - 2, Month-March FY 2016-17 (Data Updated as on 17th April 2017) National Health Mission Government of Uttar Pradesh Prepared By : MIS Division State Program Management Unit, Uttar Pradesh. HMIS (National Health Mission Bulletin) Hardoi - Uttar Pradesh March 2016-17 S. No Sections 1 District Profile 2 District Summary sheet 3 MCTS status 4 HMIS Data Reporting Status 5 Maternal Health 5.1 Antenatal Care 5.2 Delivery & Postnatal care 5.3 High risk preganancy 5.4 Obstetric Complications and C-Section 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 Hardoi - Profile at a Glance Unmet need IMR NMR U5MR MMR TFR CBR Unmet need for limiting District Hardoi (*AHS spacing 2012-13) 81 52 118 311 4.2 27.8 14.7 16.2 Demographic Profile Infrastructure Delivery Points Human resource Training No. of N0. of Medical Medical S.no. Block Total Population Literacy No. of Gram Trained in Trained in Trained in Sex ratio Revenue VHSNC CHC PHC SC Pvt AWCs L1 L2 L3 officers officers SN in block # ANMs #AWW #ASHAs (Census 2011) rate Panchayat SBA NSSK PPIUCD Village formed (MBBS) (AYUSH) 1 Bilgram 237918 856 46 79 113 65 1 2 23 171 1 2 0 6 2 6 23 171 235 4 0 6 2 Harpalpur 172224 848 57 63 98 54 1 2 22 128 5 1 0 2 2 6 19 180 168 1 0 4 3 Kachhuna 174981 882 47 41 46 38 1 2 21 124 0 1 0 5 0 8 20 124 141 2 1 0 4 Madhouganj 199490 877 52 77 104 63 1 3 23 170 2 1 0 5 3 6 25 200 157 2 0 0 5 Pihani 258283 873 41 77 87 65 1 2 23 170 1 1 0 4 1 8 23 170 192 0 0 6 6 Sandila 263186 846 35 74 95 56 1 3 24 155 0 0 1 12 2 8 22 240 191 1 1 10 7 Tandiyanwa 183553 858 55 68 87 62 1 3 19 147 0 1 0 6 2 4 17 147 177 0 0 0 8 Ahirori 237593 859 52 78 93 70 0 5 27 147 1 1 0 4 1 3 24 147 235 0 0 1 9 Barkhani 223494 848 51 90 150 74 0 4 24 134 0 3 0 4 1 5 18 134 202 0 0 3 10 Bawan 216686 857 61 74 126 64 0 5 27 167 0 1 1 3 1 3 26 167 198 0 0 0 11 Behander 171023 883 50 68 122 57 0 3 22 149 0 1 0 7 3 6 25 149 148 4 2 0 12 Bharawan 188101 890 50 65 51 51 0 3 21 124 1 1 0 7 4 5 18 180 159 1 1 3 13 Hariyanwa 172048 855 54 58 49 49 0 2 27 135 0 1 0 4 2 3 24 144 172 1 1 0 14 Kothanwa 185822 866 49 55 86 48 0 4 21 88 0 1 0 3 4 7 16 88 142 0 0 5 15 Malanwan 161883 882 46 54 72 45 0 3 19 133 0 1 0 4 2 10 22 152 139 2 1 10 16 Sahabad 265021 861 37 83 141 69 0 4 21 110 1 1 0 5 0 5 21 110 189 0 0 2 17 Sandi 191280 841 48 65 122 52 0 3 20 176 0 1 0 3 1 6 18 176 150 2 0 0 18 Sursa 210004 864 69 68 81 59 0 3 27 190 0 1 0 2 3 6 30 220 216 1 2 0 19 Tondarpur 183226 870 51 71 141 60 0 3 21 118 0 1 0 1 1 4 21 160 128 2 0 4 20 DH 197029 899 3 2 24 0 0 0 4 0 11 Hardoi Total 3895816 899 72 1308 1864 1101 7 59 432 0 2736 12 21 2 87 35 109 412 3059 3339 23 9 54 HMIS Bulletin - Summary Sheet District Hardoi Month - March FY 2016-17 Ante Natal care (ANC) Delivery care Estimated PW 135405 Estimated delivery 124327 Total number of pregnant women Registered for ANC 120983 Total reported deliveries 91980 Institutional delivery 61978 Total Pregnant Women registered in MCTS 96762 Number discharged under 48 hours of delivery 40025 Of which Number registered within first trimester 53523 Women receiving post partum checkup within 48 hours 59484 Number of pregnant women received 3 ANC check ups 82085 JSY incentive paid to Mothers for institutional delivery 51077 TT2 or Booster 101318 Home delivery 30002 Total number of pregnant women given 100 IFA tablets 118569 Delivery conducted by Non SBA 28362 Number having Hb level<11 (tested cases) 84359 Number of newborns visited within 24 hours of Home… 15100 Pregnant women with Hypertension (BP>140/90) : New 7047 Number of mothers paid JSY incentive for Home deliveries cases 32 0 20000 40000 60000 80000 100000 120000 140000 160000 0 20000 40000 60000 80000 100000 120000 140000 Child care and Immunization Fammily Planning Estimated live birth 123096 Total unmet need for family planning Total live birth reported 88146 Total Children registered in MCTS 70339 Total Users using any FP method (Limiting & spacing) 48971 Still birth 1733 Newborns weighed at birth 81553 Potential Unmet need for Limiting Method 117282 Newborns having weight less than 2.5 kg 8180 Newborns breast fed within 1 hour 82472 Limiting Metod users (Male & Female sterilization) 3294 Infants 0 to 11 months old who received BCG 105492 Infants 0 to 11 months old who received OPV 0 64750 Potential Unmet need for Spacing Method 107117 Infants 0 to 11 months old who received Hep B 0 47002 Infants 0 to 11 months old who received Measles 92597 Spacing Method Users (IUCD&Oral Pills+Condom) 45677 children 9 and 11 months fully immunized 90049 0 20000 40000 60000 80000 100000 120000 140000 0 50000 100000 150000 200000 250000 300000 HMIS Bulletin - Summary Sheet District Hardoi Month - March FY 2016-17 Mother Services: 1. ANC registration of dist. is 89 % and DWH reported <159% although AHS 2012-13 showing ANC registartion 54.6% 2- ANC Registration in 1st trim. is 40 % against registration of 84 % which is performed less as compared to AHS 12-13 . 3- % of ANC recievd 3 ANC checkup is 61% which is double of AHS 12-13(27.9%). MCTS- 1-Mother registration of Hardoi district is 71 % in the financial year 2016-17. 2-Child Registration of district is 57%. 3-Need to focus on Urban entry as it is 12% for mother and 1% in child registration only. 4-Following blocks are poor in MCTS service updation as follows- 3 ANCs- 47% Pregnant womens received 3 ANCs Deliveries-46% PWs reported as delivered on MCTS portal. Full Immunization-45% children were full immunized who have DOB in 2015-16 Gaps in Delivery Services :- 1-74 % deliveries reported against the total estimated deliveries, needs to report rest missing deliveries. 2-67 % deliveries are reported as institutional out of total deliveries(it is 50% against the total estimated deliveries) although AHS 2012-13 reported for Hardoi is 51.6 3-24% deliveries conducted at Home i.e. 1% increase from September and 27% deliveries are not reported against the estimated deliveries. 4-64 % mothers are discharge under 48 hrs of delivery in Hardoi district. 5- % of missing deliveries are heighest of Sursa,Hariyawan,Sandila,Bharawan and Behndar. Gaps in identification of HRP : 1-Except Sandila,Bilgram,Madhoganj,Tadiyawan,Pihani,Kachauna and DH severe anemic pregnant womens are not treated in any block as per HMIS report. 2-Hypertensive cases identification is poor in Pihani,Kachauna,Shahabad,Kothwan and Bharkhani. 3-While in Bharawan PWs hypertensive are 18% and 16% in Bilgram of total PWs identified. Gaps In idenification and treatment of Obstetric complications : 1. Rate of complications attended at facility is very heigh of Ahirori,Shahabad,Hariyawan and Tadiyawan. 2. Complication treatment reporting is poor by majority of the blocks and required to correct as soon as possible. 3. Currently C Sections are performed only in Sandila and Pihani FRU CHCs and DWH. Gaps in Child care : 1-2% still births are reported from the district while Shahabad and Behander reported 3.2% and 2.9% respectively which is heighest in district. 2-94% births are reported as breast fed within 1 hours of births, it is need to check as AHS 2012-13 showing data for Hardoi is 59.4% only. 3-In Hardoi 93% children weight at birth and 10% LBW among them while AHS 12-13 estimated this as 36% & 34.5% respectively. Gaps in Immunization : 1-OPV 0 and Hepatitis 0 are less than 50 % in almost all the blocks which shows that birth doses are not given within 24-48 Hours of delivery. Reason for good coverage of BCG is services given in VHND. 2-As per validation rule Full immunization should be equal to or less than mesales dose but DHQ facilities,Pihani block breaking this rule so they need to correct this data as soon as possible. Gaps in Family planning : 1-Unmet need for spacing method is 16.7 as per AHS 12-13 while achivement of spacing method is 31%. 2-Unmet need for limiting method is 14.2 as per AHS 12-13 while limiting method achievement is 2.31% whihc is very poor need to focus on clinet mobilization for FP limiting services.