MINUTES OF THE (06th ) MONTHLY REVIEW MEETING OF DISTRICT HYDERABAD Monthly Review Meeting (M.R.M) of District, Hyderabad for the Month of April, 2012 was held on 15.05.2012 at meeting Hall of Ex-Zila Nazim Office, Hyderabad. ritten 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: Sr. Names Designation S # Names Designation 1. Agha Shahnawaz Babar D.C Hyderabad 45 Dr. Aruna Kumari FMO 2. Abid Salemm A.D. C, Hyd. 46 Dr. Aqsa Mushtaque FMO 3. Abdul Shakoor Shaikh DSM, PPHI 47 Dr. Rubina Abro FMO 4. Dr. Altaf Khero Act: DHO 48 Dr. Jahan Ara FMO 5. Dr. Iqtedar Hussain DTC Hyd 49 Dr. Naila Sheikh FMO 6. Dr. Qazi Rasheed Ahmed F.P, DHIS 50 Dr. Sadia Pir FMO 7. Mr. Athar Ali Memon Ex: M&E 51 Dr. Rukhsana Dal Sonologist 8. Maqsood Ahmed SO 52 Dr. Farzana Chachar Sonologist 9. Dr. Rafique Ahmed SMO 53 Dr. Shazia Zeeshan FMO 10. Dr. Muhammad Ali MO 54 Dr. Anaila Soomro WMO 11. Dr. Ammnullah Shahani SMO 55 Dr. Rahila Solangi WMO MNCH 12. Dr. Capt: Nasarullah SMO (MS) 56 Dr. Mumtaz Rajper FMO 13. Dr. Azeem Shah SMO I/C 57 Dr. Neelofer Kazi FMO 14. Dr. A. Majeed Samoon SMO I/C 58 Dr. Rubina Sheikh SWMO 15. Dr. Raza Muhammad SMO I/C 59 Dr. Samira Tebani WMO 16. Dr. Muqadus Ali MO 60 Dr. Abdul Hai Dental Surgeon 17. Dr, Thanwar Das MO I/C 61 Dr. Athar Ali Memon Ex: M&E 18. Dr. Khadim Hussain SMO / IC 62 Mr. Maqsood Ahmed SO 19. Dr. Khalid Dawich MO I/C 63 Mr. Waseem Jokhio SO 20. Dr. Nusrat Hussain SMO 65 Mr. M Yousuf SO 21. Dr. Iftekhar Ahmed MO 65 Mr. Shoaib Memon Assistant Admin: 22. Dr. Abullah Nizamani I/C MO 66 Dr. Shahnawaz Dal M O 23. Dr. Manzoor Memon I/C MO 67 Dr. Yasir MO 24. Dr. Sohrab Hisbani S M O I/C 68 Dr. Mehwish FMO 25. Dr. Riaz Ahmed SMO I/C 69 Dr. Fareeda FMO 26. Dr. Qadir Bux Laghari SMO I / C 70 Dr. Shabnum Tunio FMO 27. Dr. Ali Asgher Mangi Dispenser 71 Dr. Liaquat Siyal MO 28. Dr. Ramesh Kumar MO I /C 72 Dr. Farzana Agha WMO 29. Dr. M Qasim Soomro I/C MO 73 Dr. Kapil Dev M O HQ 30. Dr. Muneer Thalo SMO I/C 74 Sanjar Kumar Asst. 31. Dr. Abdul Hamid Mangi SMO I/C 75 Dr. Abdul Rahim SMO 32. Dr. Shewak Ram MO 76 Dr. Yasir Ali MO 33. Dr. Khem Chand SMO I/C 78 Dr. Shahbuddin MO 34. Dr. Pervez Talpur M O 79 Dr. Naveed Soomro MO 35. Dr. Mehboob Qadir M O I/C 80 Dr. Junaid MO 36. Dr. Talib Memon MO 81 Dr. Qasim Bhatti MO 37. Dr. M Asif I/C MO 82 Dr. Liaquat Ali MO 38. Dr. Shoaib Haanif I/C MO 83 Dr. Fareeda FMO 39. Dr. Ahbdul Wali SMO 84 Dr. Sameena Rasheed FMO 1 40. Dr. Shabana Junejo WMO 85 Dr. Sameena Bano FMO 41. Dr. Shahida Din Sonologist 86 Dr. Shabnum FMO 42. Dr. Erij Kamal Abbasi FMO 87 Dr. Azra Skeikh FMO 43. Dr. Sadaf Sheikh FMO 88 Dr. Mehwish Muneer FMO 44. Dr. Wali Muhammad M O 89 The following could not attend the meeting for the reasons stated against each:- S # Names Reasons for absence 1 Dr. Abdul Mjeed Samoon On ill leave 2 Dr. Khalid Siddiqui On Leave 3 Dr. Riaz Ahmed Qureshi 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 66 59 7 43 WMO 13 13 0 FMOs 17 12 0 8 LHVs 4 14 19 1 Male MTs/MAs Female 40 39 34 09 Dispensers 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 1 Clusters of 2 HFs 1 Single HFs 38 Single HFs 38 WITH ONE FMO Previous Month Total Month under Review Total 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 10 Clusters of 2 HFs 10 Single HFs 5 Single HFs 5 2 E. CAPACITY BUILDING 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. 2,133 No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 982 No. of Immunization & Vaccination Administered by out- reach EPI Teams Total vaccination / immunization for the month of April 2012 3115 2. National Immunization Days (NIDs) for Polio Total Target of Percentage of Dates of NIDs Actual coverage coverage coverage 23/24/25 April 2012 3. Other Preventive/Promotional Services S # Service Number 1 Passive Case Detection (APCD) Slides 2 Malaria Metro Survey (MMS) Slides 894 3 Slides 7 4 Follow up 0 (II) MOTHER, CHILD & REPRODUCTIVE HEALTH 1. Female Health NUMBER OF OBSTETRICAL Total PATIENT OPD Total Diagnostic Tests S. NAME OF FMO Post women OPD No Antenatal Natal and (Childs) Women Natal 1st Visit 1st childs PT BS HB visit Total Total Total 1 Dr. Fareeda 409 63 0 8 1155 644 17 8 0 2 Dr. Rubina Abro 764 95 0 16 1222 368 40 16 0 3 Dr. Azra Sheikh 652 130 0 9 730 130 21 0 0 4 Dr. Jahan Ara 1312 152 0 16 1943 631 19 11 16 5 Dr. Yasmeen 211 15 0 5 257 46 0 0 0 Dr. Mumtaz 708 133 0 9 885 177 9 29 0 6 Khatoon DR. Mehwish 256 94 0 6 333 77 2 7 14 7 Muneer 3 Dr. Sameena 127 17 0 0 158 31 0 0 0 8 Rasheed 9 Dr. Aruna Kumari 810 98 0 12 1095 247 51 54 0 Dr. Aqsa 537 77 0 5 705 338 0 0 0 10 Mushtaque 11 Dr. Erij Kamal 567 248 0 6 1601 138 44 32 0 12 Dr. Neelofer Kazi 932 34 0 2 1132 393 12 11 0 13 Dr. Sadaf Sheikh 735 145 2 10 1293 558 28 19 0 14 Dr. Sadia Pir 806 54 0 2 1110 237 3 12 0 15 Dr. Naila Sheikh 491 54 0 16 848 153 21 28 0 16 Dr. Shabnum 32 16 4 2 0 0 0 0 0 17 Dr. Sameena 179 59 5 5 0 0 0 0 0 Dr. Shazia 18 506 70 0 8 614 108 27 0 0 Zesshan Dr. Rubina Sheikh, 19 Dr. Sameera, 2332 184 0 15 2286 677 32 22 0 Dr. Farzana Dr. Mumtaz Soomro, Dr. 20 Aneela Soomro, 0 205 89 210 2023 0 47 104 265 Dr. Fernaz Andleeb Dr. Safia 21 956 43 0 0 1103 147 16 0 0 Dr. Shabana During Month under Review 2. Deliveries Assisted S # Service Number 1 Deliveries Assisted at HFs 91 2 Deliveries Assisted at Homes 3. Lab/ Diagnostic Tests S # Test Number 1 Pregnancy Tests 389 2 Blood Sugar Tests 353 3 Hemoglobin Tests 395 4 Ultra Sound Test 1,771 5 Other 3. Important Discussion on Mother and Child and Reproductive Health during MRM 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. 4 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 District Government 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 411 Oral Pills 178 IUCDs 8 Injections 160 Others 550 Total 1301 (III) COMMUNITY PARTICIPATION During Month under Review 1. Number of Male SGs: 30 Number of Female SGs: 01 2. Performance of Social Organizers Meetings of Support Groups CHSs/SHSs arranged by him Names of Social Organizers conducted by him No.