National Health Mission A REPORT ON MONITORING OF IMPORTANT COMPONENTS OF NHM PROGRAMME IMPLEMENTATION PLAN IN SONBHADRA DISTRICT, UTTAR PRADESH MINISTRY OF HEALTH AND FAMILY WELFARE GOVERNMENT OF INDIA RUBY A SINGH NIRANJAN ROUT POPULATION RESEARCH CENTRE, INSTITUTE OF ECONOMIC GROWTH, DELHI 110007 DECEMBER 2017 NHM Uttar Pradesh PIP 2016-17: M&E Report Sonbhadra District PRC-IEG, Delhi CONTENTS PAGE NO. TABLE OF CONTENTS ................................................................................................................................................................................................................ I LIST OF TABLES ........................................................................................................................................................................................................................ II LIST OF FIGURES ....................................................................................................................................................................................................................... II ACKNOWLEDGEMENTS .......................................................................................................................................................................................................... III ACRONYMS AND ABBREVIATIONS ...................................................................................................................................................................................... IV EXECUTIVE SUMMARY ........................................................................................................................................................................................................... V 1. INTRODUCTION ..................................................................................................................................................................................................................... 1 2. SOCIO-ECONOMIC AND DEMOGRAPHIC PROFILE OF SONBHADRA DISTRICT ..................................................................................................... 2 3. KEY FINDINGS & OBSERVATIONS ..................................................................................................................................................................................... 3 3.1. HEALTH INFRASTRUCTURES ....................................................................................................................................................................................... ..3 4. HUMAN RESOURCES: STATUS & TRAINING .................................................................................................................................................................. 4 5. MATERNAL HEALTH...................................................................................................................................................................................................................5 6. JANANI SURAKSHA YOJANA......................................................................................................................................................................................................7 7. JANANI SHISHU SURAKSHA KARYAKRAM...........................................................................................................................................................................7 8. MATERNAL DEATH..................................................................................................................................................................................................................... 8 9. CHILD HEALTH..............................................................................................................................................................................................................................9 9.1. INFRASTRUCTURES AND SERVICES................................................................................................................................................................................. ..9 9.2. CHILD IMMUNISATION.......................................................................................................................................................................................................... 9 10. RASHTRIYA BAL SWASTHYA KARYAKRAM...................................................................................................................................................................10 11. FAMILY PLANNING.................................................................................................................................................................................................................11 12. ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH...............................................................................................................................................12 13. QUALITY IN HEALTH CARE SERVICES..............................................................................................................................................................................12 14. COMMUNITY PROCESS IN THE DISTRICT.........................................................................................................................................................................13 15. AYUSH.........................................................................................................................................................................................................................................13 16. INFORMATION, EDUCATION AND COMMUNICATION.................................................................................................................................................14 17. BUDGET UTILISATION PARAMETRES..............................................................................................................................................................................14 18. HMIS & MCTS.............................................................................................................................................................................................................................15 19. FACILITY -WISE OBSERVATIONS............................................................................................................................................................................................15 19.1: DISTRICT HOSPITAL, SONBHADRA.............................................................................................................................................................. …………...15 19.2: COMMUNITY HEALTH CENTRE, GHORAWAL............................................................................................................................................................. 17 19.3. PRIMARY HEALTH CENTRE, KAKRAHI.........................................................................................................................................................................20 19.4. SUB-CENTRE, SAHIJANKALA...........................................................................................................................................................................................22 20. CONCLUSIONS AND RECOMMENDATIONS ................................................................................................................................................................. 25 21. APPENDIX..................................................................................................................................................................................................................................29 i | P a g e DECEMBER 2017 NHM Uttar Pradesh PIP 2016-17: M&E Report Sonbhadra District PRC-IEG, Delhi List of Tables Page No TABLE 1:LIST OF VISITED HEALTH CARE FACILITIES IN SONBHADRA DISTRICT, UTTAR PRADESH, 2017 ............................ 2 TABLE 2: KEY SOCIO-ECONOMIC AND DEMOGRAPHIC INDICATORS OF SONBHADRA DISTRICT ....................................... 3 TABLE 3: LIST OF HEALTH CARE FACILITIES AVAILABLE IN SONBHADRA DISTRICT ............................................................. 4 TABLE 4: STATUS OF HUMAN RESOURCES UNDER NHM IN SONBHADRA DISTRICT, UTTAR PRADESH, 2016-17 .............. 5 TABLE 5: BLOCK-WISE PERFORMANCE IN ANTENATAL CARE AND INSTITUTIONAL DELIVERIES, SONBHADRA, UTTAR PRADESH .................................................................................................................................................................... 6 TABLE 6: BLOCK-WISE STATUS OF TT RECIPIENTS AND POSTNATAL CARE IN SONBHADRA , UTTAR PRADESH, 2016-17 . 7 TABLE 7: STATUS OF JSY PAYMENTS IN SONBHADRA, UTTAR PRADESH, 2016-17 ............................................................ 7 TABLE 8: BENEFICIARIES FROM JSSK, SONBHADRA, UTTAR PRADESH, 2016-17 ................................................................ 8 TABLE 9: MATERNAL DEATH STATUS OF SONBHADRA, UTTAR PRADESH, 2016-17 .......................................................... 8 TABLE 10: INFRASTRUCTURE AND SERVICES UNDER NEONATAL AND CHILD HEALTH, SONBHADRA, UTTAR PRADESH, 2016-17 ...................................................................................................................................................................... 9 TABLE 11: STATUS OF CHILD IMMUNIZATION IN VARIOUS BLOCKS OF SONBHADRA, UTTAR PRADESH, 2016-17 ......... 10 TABLE 12: RBSK PROGRESS IN SONBHADRA,