MINUTES OF THE (14th ) MONTHLY REVIEW MEETING OF DISTRICT HYDERABAD Monthly Review Meeting (M.R.M) of District, Hyderabad for the Month of January, 2013 was held on 13.2.2013 at meeting Hall of DG Health 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 S Names Designation Names Designation # # 1. Abdul Shakoor Shaikh RPD-I 38 Waseem jokhio SO 2. Dr Qaisar Qaimkhani DOH(M&PH) 39 Dr. Mumtaz Rajper FMO 3. Mr. Mustafa Kamal Tagar DSM, PPHI 40 Dr. Neelofer Kazi FMO 4. Dr Kashif Ali Channar Asstt Professor 41 Mr. Athar Ali Memon Ex: M&E 5. Dr.Farzana Chachar Sonologist 42 Dr Atif MO 6. Dr. Sono Khan Bhurgri T.H.O Hyd Rural 43 Dr. Yasir MO 7. Dr. Naila Sheikh FMO 44 Dr. Mehwish FMO 8. Dr. Sadia Pir FMO 45 Dr. Fareeda FMO 9. Dr. Shabnum DDO 46 Dr. Shabnum Tunio FMO 10. Dr. Rafique Ahmed MO 47 Dr. Rukhsana Dal Sonologist 11. Dr. Ammnullah Ogahi SMO 48 Dr. Farzana Agha WMO 12. Dr. Azeem Shah SMO I/C 49 Dr. Kapil Dev M O HQ 13. Dr. A. Rahim Khatian SMO I/C 50 Sanjar Kumar Asst.Store 14. Dr. Raza Muhammad SMO I/C 51 Dr. Yasir Ali MO 15. Dr. Muqadus Ali MO 52 Dr. Ashok Kumar MO 16. Dr. Khadim Hussain SMO / IC 53 Mr.Atif Abbas Ex(F&A)HYD 17. Dr. Khalid Dawich MO I/C 54 Dr. Sameena Bano FMO 18. Dr. Iftekhar Ahmed MO 55 Dr. Ashok Kumar MO 19. Dr. Abullah Nizamani I/C MO 56 Mr. M Yousuf SO 20. Mr. Waseem Jokhio SO 57 Mr.Faheem Bukhari SO 21. Dr. Sohrab Hisbani S M O I/C 58 Dr.Attaullah SMO 22. Dr. Riaz Ahmed SMO I/C 59 Dr Saleem bhai SMO 23. Dr. Ramesh Kumar MO I /C 24. Dr. M Qasim Soomro I/C MO 25. Dr. Abdul Hamid Mangi SMO I/C 1 26. Dr. Khem Chand SMO I/C 27. Dr. Pervez Talpur M O 28. Dr. Mehboob Qadir M O I/C 29. Dr. Muhammad Ali MO 30. Dr.Hafiz Zohaib I/C MO 31. Dr. Noor Nabi WMO 32. Dr. Erij Kamal Abbasi FMO 33. Dr. Sadaf Sheikh FMO 34. Dr. Aruna Kumari FMO 35. Dr. Abida FMO 36. Dr. Rubina Abro FMO 37. Dr. Shazia Zeeshan FMO The following could not attend the meeting for the reasons stated against each:- S # Names Reasons for absence 1 Dr AZeem Shah On Leave 2 Dr Parvez Talpur 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 65 52 13 WMO/FMO 26 10 16 LHVs 29 20 9 MTs/MAs Male 3 3 0 2 Female Dispensers 46 29 17 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 2 Clusters of 2 HFs 4 Single HFs 39 Single HFs 37 WITH ONE FMO Previous Month Total Month under Review Total E. 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 8 Single HFs 7 Single HFs 8 CAPACITY BUILDING E. CAPACITY BUILDING Capacity building session: 1. Capacity Building Session on Recent advances in the Contraception by Professor Firdous Mumtaz a. OBJECTIVES b. Risk factors c. CLINICAL CASES d. DISCUSSION e. CONCLUSION 2. Capacity Building Session on SCLERODERMA by Dr Thanwadas Medical Officer @ RHC Hoosri a. Definition b. Classification c. Clinical Features d. Diagnosis e. Treatment 3 3. Capacity Building Session on Hepatitis B,C by Professor Firdous Mumtaz. f. Definition g. Classification h. Clinical Features i. Diagnosis a. Treatment. 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. 1021 Children <12 months received 3rd pentavalent vaccine 1123 Children <12 months received 1st measles vaccine 1044 No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 620 Total vaccination / immunization for the month of January- 2013 3808 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 1119 3 +ve Slides 1 4 Follow up 0 MOTHER, CHILD & REPRODUCTIVE HEALTH 1. Female Health. S. old patient NUMBER Total Total OPD NAME OF FMO OBSTETRICAL children & Diagnostic Tests No OF OPD Women& 4 PATIENT women Childs (Childs) Post Antenatal Women Natal Natal 1st 1st Visit PT BS HB visit Total Total Total 1 Dr. Erij/Sameena 789 121 3 25 311 86 1186 62 12 11 2 Dr. Neelofer Kazi 876 29 0 9 90 439 1315 11 10 0 3 Dr. Sadaf Sheikh 1079 47 6 14 50 544 1623 30 16 19 4 Dr. Sadia Pir 343 20 0 0 34 82 459 2 15 0 5 Dr. Naila Sheikh 602 30 0 24 63 196 861 6 40 28 6 Dr. Shabnum 111 25 37 3 69 6 117 0 0 0 7 Dr. Sameena 596 50 15 10 0 0 596 50 100 100 8 Dr. Shazia Zesshan 687 45 1 4 40 229 916 51 35 29 9 Dr. Rubina Sheikh, 1609 89 2 39 570 1745 3354 44 55 50 Dr Sameera 10 Dr. Mumtaz 2372 170 119 130 0 0 2372 167 100 199 Soomro Dr 11 751 34 0 4 227 308 1059 14 15 32 Dr Yasmeen 12 Dr. Mehwish 692 40 3 5 53 753 1445 7 18 16 Dr Shabana 13 Dr.Fareeda 1253 114 2 7 16 973 2226 21 9 0 14 Dr.Rubina 649 52 0 12 150 413 1062 23 9 2 15 Dr.Azra Shaikh 1334 61 5 8 143 332 1883 45 13 8 16 Dr.Jhan Ara 2466 130 1 12 90 923 3622 28 38 17 17 Dr.Mumtaz khatoon 730 83 1 12 103 261 1094 29 44 0 18 Dr.Rahila 252 28 0 0 44 87 383 3 2 0 19 Dr.Aruna Kumari 791 40 0 14 204 271 1266 43 34 40 20 Dr.Abida Ishtiaque Total 17982 1208 195 332 2257 7648 26839 636 565 551 During Month under Review 2. Deliveries Assisted S # Service Number 1 Deliveries Assisted at HFs 128 2 Deliveries Assisted at Homes 0 3. Lab/ Diagnostic Tests 5 S # Test Number 1 Pregnancy Tests 641 2 Blood Sugar Tests 701 3 Hemoglobin Tests 590 4 Ultra Sound Test 1932 5 Other 6 TOTAL 3864 3. Important Discussion on Mother and Child and Reproductive Health during MRM&Polio 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 1368 Oral Pills 4180 IUCDs 21 Injections 2120 Others Total 7689 (III) COMMUNITY PARTICIPATION During Month under Review 1. Number of Male SGs: 34 Number of Female SGs: 02 2. Performance of Social Organizers 6 Meetings of Support Groups CHSs/SHSs arranged by him Names of Social Organizers conducted by him No. of No. of No. No. Participants Participants Wasim Jokhio 4 160 9 360 Yousuf Seelro 5 193 9 342 Faheem Bukhari Total 1. School Health Sessions & Community Health Sessions S.H.SESSION C.H.SESSION S. Name of Health NAME OF FMO # Facility No of Child Child Treated Session Participant Session Examined 1 Dr. Neelofer Kazi DCD Noor Khan 2 27 8 2 38 Ch 2 Dr. Sadaf Sheikh MCHC Jhando 1 150 20 1 90 Kh 3 Dr.