ACTION PLAN FORMAT (MICRO PLANNING) FOR MOBILE HEALTH TEAM UNDER RBSK (RASHTRIYA BAL SWASTHYA KARYAKRAM), NHM, KEONJHAR ANNUAL ACTION PLAN ( VISIT PLAN ) FOR THE YEAR : 2019-20 Name of the Block : GHASIPURA MHT NO.: 02 LOCATION POINT OF MHT: KESHADURAPAL CHC MHT UID NO.: 121211 Total Number of Total Number of Total no. of Total Number of Category of Enrolment Children in Enrolment Students in Targeted Distan Children in Enrolment Status(School) Visit - 1 Visit - 2 Visit - 3 Visit - 4 School Status institution Status institution Childeren to Anganwandi Category ce institution(AWC) (Res/NonRes/ (AWC) (School) (+2 Junior (+2 junior College) Name & Contact be Screened Name of /School / of College from Sl. Name of Name of the Orphanage No.(AWW/H.M/Prin Name & Contact No. Name & Contact No. Remar GP/Muncipalit Name of Institution College (Govt./Go assigne No. the SC Village SpecialSchool/ cipal) of ASHA of HW(F) ks y ( Code) vt.aided/P d HQ / Sisumandir/P vt.) MHT 0-3 3-6 Femal Class Class Class Class Class Class Class Class Class Class Fema 2nd Femal School/ vt. Regd. Male Total Male Total 1st yr Male Total AWC Date Day Date Day Date Day Date Day Point yr yr e 1 2 3 4 5 6 7 8 9 10 le yr e College School) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 36 37 38 39 40 41 42 43 44 1 UTKAL DIVAS 01-04-2019 MONDAY Ram Chandra Mohanta 2 Radhikadeipur Kansa Kolhabeda Kolhabeda Sevashram 21060412001 Resendital 12 24 23 17 22 29 17 11 0 0 0 18 125 143 8280433415 9439986274 140 02-04-2019 TUESDAY 13-07-2019 SATURDAY 17-10-2019 THURSDAY ########## TUESDAY 8018845075 KRUSHNA CH SHAW 3 Khaliamenta Khaliamenta Gopinathpur Gopinathpur Sevashram 21060409102 Resendital 10 33 28 33 35 24 14 18 6 0 0 29 162 191 8280433426 9439986263 180 03-04-2019 WEDNESDAY 12-07-2019 FRIDAY 30-10-2019 WEDNESDAY ########## WEDNESDAY 9668407229 RAMAKANTA SAHOO 25-10-2019/26-10- 4 DARADIPAL DARADIPAL KATHAPAL KATHAPAL SS 21060404001 Resendital 7 18 28 48 32 29 34 19 22 0 0 100 130 230 8280433393 9439986276 200 04-04-2019 THURSDAY 2-7-19 3-7-19 TUESDAY/WEDNESDAY FRI/SAT ########## THURSDAY 9438299946 2019 5 Daradipal Daradipal Kathapal Kathapal AWC 5 23 21 26 18 44 Kunjalata Jena 9853967378 8280433393 9439986276 35 03-07-2019 WEDNESDAY Govt. Ashram School, SANATN NAYAK 6 Gohira Gohira Ostapura 21060407801 Resendital 20 38 29 43 24 0 0 0 0 0 0 42 92 134 8280433408 9439986262 05-04-2019 FRIDAY 05-07-2019 FRIDAY 18-10-2019 FRIDAY ########## TUESDAY Ostapura 9438444472 180 Govt. Ashram School, SANATN NAYAK 7 Gohira Gohira Ostapura 21060407801 Resendital 20 0 0 0 0 19 21 19 9 0 0 20 48 68 8280433408 9439986262 06-04-2019 SATURDAY 06-07-2019 SATURDAY 19-10-2019 SATURDAY ########## WEDNESDAY Ostapura 9438444472 8 SUNDAY 07-04-2019 SUNDAY 9 REFFERAL CUM WEEKLY REVIEW MEETING AT CHC 08-04-2019 MONDAY 10 Gohira Gohira Talagaon Govt. HS, Trilochanpur 21060408001 Resendital 26 0 0 0 69 75 78 0 0 0 0 156 66 222 R . K BARIK 8895436850 8280433409 9439986262 09-04-2019 TUESDAY 09-07-2019 TUESDAY 22-10-2019 TUESDAY ########## THURSDAY 11 Gohira Gohira Talagaon Govt. HS, Trilochanpur 21060408001 Resendital 26 0 0 0 0 0 0 86 62 0 0 70 78 148 R . K BARIK 8895436850 8280433409 9439986262 426 10-04-2019 WEDNESDAY 10-07-2019 WEDNESDAY 23-10-2019 WEDNESDAY ########## FRIDAY 12 Gohira Gohira Talagaon Govt. HS, Trilochanpur 21060408001 Resendital 26 0 0 0 0 0 0 0 0 67 45 64 48 112 R . K BARIK 8895436850 8280433409 9439986262 11-04-2019 THURSDAY 11-07-2019 THURSDAY 24-10-2019 THURSDAY ########## SATURDAY Ganeswar Nayak 13 Daradipal Daradipal Baramal Baramal Sevashram 21060403602 Resendital 9 44 30 23 23 32 19 20 14 0 0 36 169 205 8280433393 9439986276 185 12-04-2019 FRIDAY 17-07-2019 WEDNESDAY 16-10-2019 WEDNESDAY ########## FRIDAY 8917470977 14 SRIRAM NAVAMI 13-04-2019 SATURDAY 15 SUNDAY 14-04-2019 SUNDAY 16 GOHIRA GP 15-04-2019 MONDAY Sunamani Tudu 17 Keshadurapal Baripal Koda Sahi Kodasahi AWC 21375040527 10 30 20 27 23 50 8280433472 9439986273 45 16-04-2019 TUESDAY 9178955928 18 Balarampur Balarampur Kainipura Kainipura AWC 21375040319 16 60 36 41 55 96 Nandini Sahoo 9438117526 8280433365 8908208860 74 17-04-2019 WEDNESDAY Soudamini Mishra 19 Biragobindapur Gohira Biragobindapur Biragobindapur AWC 21375040402 26 31 40 35 36 71 8280433410 9439986262 85 18-04-2019 THURSDAY 9556790218 20 Bhandaridiha Bhandaridiha Kumpada Kumpada AWC 21375040208 20 67 25 47 45 92 Prabhati Purty 7684880903 8280433469 9439986295 79 20-04-2019 SATURDAY 21 SUNDAY 21-04-2019 SUNDAY 22 REFFERAL CUM WEEKLY REVIEW MEETING AT CHC 22-04-2019 MONDAY 23 Gohira Gohira Pasimunda Sahi Pasimunda Sahi AWC 21375040430 22 31 22 21 32 53 Nandini Naik 9938854086 8280433413 9439485917 45 23-04-2019 TUESDAY Jemamani Munda 24 Gohira Gohira Ostapura Ostapura AWC 21375040419 17 60 22 46 53 82 8280433408 9439485917 65 24-04-2019 WEDNESDAY 9777494880 Mamina Mishra 25 Deogaon Deogaon Deogaon Harijana Sahi AWC 21375040312 7 14 9 11 12 23 8280433398 8763881266 22 9439517667 25-04-2019 THURSDAY 26 Deogaon Deogaon Deogaon Dehurisahi AWC 21375040332 8 8 7 10 5 15 Urmila Sethy 9853771830 8280433399 8763881266 15 27 Radhikadeipur Kansa Champapal Champapal AWC 21375040504 10 85 34 64 55 119 Golapa Jena 9938500950 8280433431 9439986274 54 26-04-2019 FRIDAY 28 Daradipal Baripal Khalipatia Khalipatia AWC 21375040335 10 21 20 20 21 41 Para Soren 8018945164 8280433472 9439986273 44 27-04-2019 SATURDAY 29 Keshadurapal Baripal Baripal Baripal AWC 21375040503 5 23 22 24 21 45 Babita Sha 9937362919 8280433472 9439986273 43 30 SUNDAY 28-04-2019 SUNDAY 31 REFFERAL CUM WEEKLY REVIEW MEETING AT CHC 29-04-2019 MONDAY 32 REVIEW CUM CAPACITY BUILDING MEETING AT DHH, KEONJHAR 30-04-2019 TUESDAY 33 LABOUR DAY 01-05-2019 WEDNESDAY Annapurna Behera 34 Radhikadeipur Kansa Kansa Kansa AWC 21375040505 11 66 22 42 46 88 8280433417 9439986274 59 02-05-2019 THURSDAY 9938898706 35 Radhikadeipur Khalapal Siaria Siraria AWC 21375040533 8 25 15 11 29 40 Rebati Jena 8093868026 8280443341 9439986275 26 03-05-2019 FRIDAY 36 Radhikadeipur Kansa Khailo Khailo AWC 21375040513 9 39 23 26 36 62 Susama Barik 7894487098 8280433415 9439986274 56 04-05-2019 SATURDAY 37 SUNDAY 05-05-2019 SUNDAY 38 REFFERAL CUM WEEKLY REVIEW MEETING AT CHC 06-05-2019 MONDAY Saraswati Soren 39 Keshadurapal Kansa Huditalasahi Huditalasahi AWC 21375040508 7 34 31 38 27 65 8280433472 9439986273 37 07-05-2019 TUESDAY 9777066820 Subasini Bhuyan 40 Khaliamenta Khaliamenta Khaliamenta Khaliamenta 1 AWC 21375040412 12 116 40 76 80 156 8280433422 9439986263 115 08-05-2019 WEDNESDAY 9777924319 41 Khaliamenta Khaliamenta Khaliamenta Khaliamenta 2 AWC 21375040413 12 102 30 58 74 132 Chhabirani das 8018114861 8280433426 9439986263 64 09-05-2019 THURSDAY Ratnamani Nayak 42 Keshadurapal Keshadurapal Keshadurapal Keshadurapal AWC-2 21375040511 1 74 35 41 68 109 8280433421 9439986277 78 10-05-2019 FRIDAY 9777890894 43 Bhandaridiha Bhandaridiha Banadahi Banadahi AWC 21375040220 20 50 21 34 37 71 Sabita Barik 9439289324 8280433383 9439986295 38 11-05-2019 SATURDAY 44 SUNDAY 12-05-2019 SUNDAY 45 REFFERAL CUM WEEKLY REVIEW MEETING AT CHC 13-05-2019 MONDAY Renubala Panda 46 Deogaon Deogaon Deogaon Deogaon AWC 21375040311 7 52 22 27 47 74 8280433398 8763881266 54 9777287924 14-05-2019 TUESDAY 47 Deogaon Deogaon Deogaon Mukhisahi AWC 21375040313 7 26 15 17 24 41 Arpita Mitra 9668790758 8280433398 8763881266 15 48 BIRAGOBINDAPURA GP 15-05-2019 WEDNESDAY 49 Keshadurapal Keshadurapal Keshadurapal Keshadurapal AWC-4 21375040512 1 75 36 57 54 111 Mamata Ojha 7983471167 8280433420 9439986278 80 16-05-2019 THURSDAY 50 Balarampur Deogaon Naduan Naduan AWC 21375040324 18 48 25 37 36 73 Jhuma Sahoo 9438162107 8280433365 8908208860 55 17-05-2019 FRIDAY Swarnalata Naik 51 Gohira Gohira Rangamatia Rangamatia AWC 21375040432 22 8 11 8 11 19 8280433410 9439986262 9 9668037431 18-05-2019 SATURDAY 52 Gohira Gohira Sitarampur Sitarampur AWC 21375040421 22 48 15 31 32 63 Dulari Tudu 7377177466 8280433413 9439986262 52 53 SUNDAY 19-05-2019 SUNDAY 54 REFFERAL CUM WEEKLY REVIEW MEETING AT CHC 20-05-2019 MONDAY Sahamani Tudu 55 Gohira Gohira Brajasahi Brajasahi AWC 21375040424 18 12 10 18 4 22 8280433413 9439986262 15 7684912868 21-05-2019 TUESDAY 56 Gohira Gohira Mahisa Bahali Mahisa Bahali AWC 21375040415 23 23 22 17 28 45 Reeta Naik 7609018594 8280433413 9439986262 30 57 Bhandaridiha Bhandaridiha Bhandaridiha Bhandaridiha 2 AWC 21375040222 8 21 22 26 17 43 Reenabala Sha 9668637066 8280433390 9439986261 24 Mamata Mohapatra 22-05-2019 WEDNESDAY 58 Bhandaridiha Bhandaridiha Kaianbarei Kainabarei AWC 21375040226 12 14 14 12 16 28 8280433382 9439986261 22 9438026757 59 Bhandaridiha Bhandaridiha Padanapur Padanapur 1 AWC 21375040210 7 91 35 44 82 126 Ahalya Sahoo 9338674053 8280433382 9439986261 85 23-05-2019 THURSDAY Sanjukta Nayak 60 Bhandaridiha Bhandaridiha Bhandaridiha Bhandaridiha 1 AWC 21375040203 8 49 20 22 47 69 8280433390 9439986261 37 24-05-2019 FRIDAY 9938664633 Hiramani Murmu 61 Radhikadeipur Kansa Kolhabeda Kolhabeda AWC 21375040516 12 29 22 25 26 51 8280433415 9439986274 44 25-05-2019 SATURDAY 7894224078 62 SUNDAY 26-05-2019 SUNDAY 63 REFFERAL CUM WEEKLY REVIEW MEETING AT CHC 27-05-2019 MONDAY 64 REVIEW CUM CAPACITY BUILDING MEETING AT DHH, KEONJHAR 28-05-2019 TUESDAY 65 Gohira Gohira Gohira Gohira AWC 21375040405 22 56 38 46 48 94 Tasari Naik 9668092437 8280433413 9439986262 83 29-05-2019 WEDNESDAY 66 Gohira Gohira Bholnuagaon Bholnuagaon AWC 21375040401 17 62 25 37 50 87 Jhunurani Naik 9938186317 8280433423 9439986263 76 30-05-2019 THURSDAY KUNTALA PEREI 67 Bhandaridiha Bhandaridiha