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 : JHUMPURA MHT NO.: 02 LOCATION POINT OF MHT: JHUMPURA CHC MHT UID NO.: 121225 Total no. of Total Number of Total Number of Total Number of Enrolment Targeted Enrolment Children in Enrolment Status(School) Children in institution Students in institution Visit - 1 Visit - 2 Visit - 3 Visit - 4 Category of School Distance Status Childeren to be Anganwandi Category Status (AWC) institution(AWC) (School) (+2 junior College) (Res/ NonRes/ from (+2 Junior Screened /School / of College Name & Contact Sl. Name of Name of Orphanage assigned College) Name & Contact No. Name & Contact No. Remark Name of the Village Name of Institution College (Govt./Gov No.(AWW/H.M/ Principal) No. GP/Muncipality the SC SpecialSchool/ HQ / of ASHA of HW(F) s ( Code) t.aided/Pvt Sisumandir/ Pvt. MHT .) Class School/ 0-3 yr 3-6 yr Male Female Total Class 1 Class 2 Class 3 Class 4 Class 5 Class 6 Class 7 Class 8 Class 9 Male Female Total 1st yr 2nd yr Male Female Total AWC Date Day Date Day Date Day Date Day Regd. School) Point 10 College 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 DIWAS 01-04-2019 MONDAY DASARATHI SAHU GOURAMANI NAIK MANDAKINI MAHANTA 2 TUKUDIHA TUKUDIHA RASBANTALA RASABANTALA HIGH SCHOOL 21060814301 NON RES 21km 0 0 0 0 0 0 0 0 48 45 27 66 93 120 02-04-2019 TUESDAY 9937497368 8280433318 9439998861 3 REFERRAL DAY & WEEKLY MEETING 03-04-2019 WEDNESDAY 04-04-2019 THURSDAY 4 Asanapat Asanapat Asanapat ASANPAT SEVASHRAM 21060800702 RES 22km 33 24 30 46 47 49 43 32 0 0 148 156 304 MANOJ KU NAIK 9556008330 CHANDRAKALA NAIK KALPANA NAIK 202 5 8637201084 BIKASH SIR 8280433174 7894617882 05-04-2019 FRIDAY TILOTTMA MAHANTA CHADRABATI MAHANTA RAJANI PATRA 6 UKHUNDA UKHUNDA UKHUNDA PANCHAYAT GIRLS H/S UKHUNDA 21060815172 NON RES 16km 0 0 0 0 0 0 0 37 47 52 0 136 136 111 06-04-2019 SATURDAY 9438031297 8280433321 9439998860 7 WEEKLY HOLIDAY 07-04-2019 SUNDAY 08-04-2019 MONDAY 8 Asanapat Asanapat Asanapat ASANPAT GOVT GIRLS HIGH SCHOOL 21060800705 RES 20km 0 0 0 0 0 62 51 53 62 55 0 283 283 MANJUSHA DEI 9437745275 DHARITRI BARIK KALPANA NAIK 212 9 8280433175 7894617882 09-04-2019 TUESDAY 10 REFERRAL DAY & WEEKLY MEETING 10-04-2019 WEDNESDAY 11-04-2019 THURSDAY 11 BADANEULI BADANEULI KHUDAPOSI VIDYABHAWAN 21060802052 NON RES 4 K.M 29 32 30 29 30 30 28 29 29 18 170 114 284 PADMA LOCHAN BARIK MALLI MAHANTA PYARI SAY 9439986606 237 12 8763661657 8280433196 12-04-2019 FRIDAY 13 SHREERAM NAVAMI 13-04-2019 SATURDAY 14 WEEKLY HOLIDAY/ MAHA BISUVA SANKRANTI 14-04-2019 SUNDAY 15 PENSION HOLDERS HEALTH CAMP AT GP 15-04-2019 MONDAY MAKARADHWAJA PARIDA SABITA BEHERA MANDAKINI MAHANTA 16 TUKUDIHA TUKUDIHA TUKUDIHA TUKUDIHA NODAL UPS. 21060814501 NON RES 20km 17 30 29 20 38 23 31 41 0 0 115 114 229 186 16-04-2019 TUESDAY 9437632656 8280433315 9439998861 17 REFERRAL DAY & WEEKLY MEETING 17-04-2019 WEDNESDAY GHASINATH MAHANTA GELHAMANI MAHANTA MANDAKINI MAHANTA TUKUDIHA TUKUDIHA BARHAPOSI BARHAPOSI P.S. 21060813601 NON RES 22km 11 34 13 14 20 0 0 0 0 0 47 45 92 85 18 8763368757 8280433317 9439998861 18-04-2019 THURSDAY DHARANIDHARA MAHANTA GELHAMANI MAHANTA MANDAKINI MAHANTA TUKUDIHA TUKUDIHA BARHAPOSI BARHAPASI UP SCHOOL 21060813602 NON RES 22km 0 0 0 0 0 15 13 0 0 0 15 13 28 42 9556618766 8280433317 9439998861 19 GOOD FRIDAY 19-04-2019 FRIDAY MURALIDHAR PARIDA 20 BADANEULI BADANEULI BADANEULI BADANEULI P.S. 21060801901 NON RES 20km 21 18 21 24 18 0 0 0 0 0 57 45 102 ANJALI NAIK 8280433193 PYARI SAY 9439986606 82 20-04-2019 SATURDAY 8895421587 21 WEEKLY HOLIDAY 21-04-2019 SUNDAY GURU CHARAN NAIK UMAMANI MAJHI RAJANI PATRA UKHUNDA UKHUNDA KASIPUR KASIPUR P.S. 21060814901 NON RES 18km 10 6 4 4 3 0 0 0 0 0 11 16 27 25 22 8280257247 8280433322 9439998860 22-04-2019 MONDAY UKHUNDA UKHUNDA SINGMAJUNI SINGMAJUNI NEW PS 21060815001 NON RES 20km 7 9 7 4 7 0 0 0 0 0 14 20 34 LALITA NAIK 9438031238 JASODA NAIK 8280433197 PYARI SAY 9439986606 28 GAHAMI MAHANTA CHANCHALA MAHANTA LOKAPRIYA MAHANTA KHUNTAPADA KHUNTAPADA BALIPOSI BALIPOSI AWC 21375080106 AWC 13km 21 23 18 26 44 27 9439589309 8280433267 9439986579 INDRABATI RANA LOKAPRIYA MAHANTA 23 KHUNTAPADA KHUNTAPADA LAXMIPOSI LAXMIPOSI AWC 21375080114 AWC 14km 20 21 17 24 41 KUNI PURTY 9439589309 22 23-04-2019 TUESDAY 8280433269 9439986579 CHANCHALA MAHANTA LOKAPRIYA MAHANTA KHUNTAPADA KHUNTAPADA BALIPOSI BALIPOSI PRIMARY SCHOOL 21060801301 NON RES 13km 11 6 3 3 4 0 0 0 0 0 8 19 27 Dhanurjay Naik, 9777096212 25 8280433267 9439986579 24 REFERRAL DAY & WEEKLY MEETING 24-04-2019 WEDNESDAY NANDINI NAIK PADMABATI MAHANTA ASANPAT GIDHIBAS DHATIKA DHATIKA AWC 21375080110 AWC 15km 37 34 31 40 71 KOUSALYA NAIK 8018436339 36 25 8280433234 9439986601 25-04-2019 THURSDAY SAKUNTALA NAIK PADMABATI MAHANTA ASANPAT GIDHIBAS GIDHIBAS GIDHIBAS - I AWC 21375080111 AWC 14km 35 28 35 28 63 PRATIMA NAIK 9937867455 29 8280433236 9439986601 JAYANTI BEHERA LOKAPRIYA MAHANTA KHUNTAPADA KHUNTAPADA KHUNTAPADA KHUNTAPADA - I AWC 21375080317 AWC 27 KM 26 31 27 30 57 KALPALATA GIRI 9438292820 27 26 8280433271 9439986579 26-04-2019 FRIDAY JAYANTI BEHERA LOKAPRIYA MAHANTA KHUNTAPADA KHUNTAPADA KHUNTAPADA KHUNTAPADA - II AWC 21375080318 AWC 28 KM 40 35 41 34 75 PRANJALI NAIK 9439114249 35 8280433271 9439986579 SUKANTI MAHANTA PURMANI LOKAPRIYA MAHANTA 27 KHUNTAPADA KHUNTAPADA ANDHARIKHAMAN ANDHARIKHAMAN AWC 21375080501 AWC 25 KM 41 30 35 36 71 37 27-04-2019 SATURDAY 8763720201 MAHANTA8280433265 9439986579 28 WEEKLY HOLIDAY 28-04-2019 SUNDAY KALPANA NAIK ASANPAT ASANPAT BADAPOSI BADAPOSI AWC 21375080105 AWC 8km 31 35 33 33 66 SUKANTI NAIK 8763766909 ABANTI NAIK 8280433177 35 29 7894617882 29-04-2019 MONDAY PRAMILA NAIK RINARANI MAHANTA BARIA BARIA CHHELIANAL CHHELIANAL AWC 21375080905 AWC 6km 25 23 29 19 48 MAUJA NAIK 9439109149 27 8240433208 9439986597 30 MONTHLY DHH REVIEW MEETING 30-04-2019 TUESDAY 31 REFERRAL DAY & WEEKLY MEETING 01-05-2019 WEDNESDAY SUKANTI MAHANTA INDUMATI MAHANTA LOKAPRIYA MAHANTA KHUNTAPADA KHUNTAPADA GOBINDAPUR GOBINDAPUR AWC 21375080113 AWC 25 KM 20 21 17 24 41 25 8895592579 8280433268 9439986579 JASODA MATIA PANKAJINI MAHANTA 32 BADADUMURIA BADADUMURIA BADADUMURIA MANKIDIA SAHI MINI AWC 21375080120 MINI AWC 16km 16 13 14 15 29 AHALYA NAIK 14 02-05-2019 THURSDAY 8280433188 9439986600 JASODA MATIA PANKAJINI MAHANTA BADADUMURIA BADADUMURIA BADADUMURIA BADADUMURIA - II (BEHERASAHI) AWC 21375080107 AWC 8km 13 27 24 16 40 NIHARIKA NAIK 7751979836 28 8280433188 9439986600 BASANTI PATRA SUMITRA BEHERA KHUNTAPADA ASUKI ASUKI ASUKI -I AWC 21375080301 AWC 14 31 35 37 29 66 DROPADI NAIK 9124048222 28 33 8280433185 9439998859 03-05-2019 FRIDAY SARASWATI NAIK KANAKA NAIK SUMITRA BEHERA KHUNTAPADA ASUKI ASUKI ASUKI -II AWC 21375080302 AWC 15 19 25 22 22 44 25 9439203423 8280433184 9439998859 PARIJITA NAIK LOKAPRIYA MAHANTA 34 KHUNTAPADA KHUNTAPADA DURGAPUR DURGAPUR AWC 21375080509 AWC 23 KM 39 44 37 46 83 JAIMANI BEHERA 8658698409 30 04-05-2019 SATURDAY 8280433266 9439986579 35 WEEKLY HOLIDAY 05-05-2019 SUNDAY SUMATI BEHERA SUMITRA BEHERA 36 KHUNTAPADA ASUKI BARKHANDIA BARKHANDIA - I AWC 21375080305 AWC 15 66 45 52 59 111 RANKINI SATHY 7809271736 40 06-05-2019 MONDAY 8280433186 9439998859 MANORAMA NAIK SUMITRA BEHERA KHUNTAPADA ASUKI PARBATIPUR PARBATIPUR AWC 21375080323 AWC 30 33 38 25 63 KANTILATA NAIK 7894839819 37 8280433182 9439998859 PARBATI BEHERA SUMITRA BEHERA 37 KHUNTAPADA ASUKI MAHADEVPUR MAHADEVPUR AWC 21375080320 AWC 17 21 28 23 26 49 TARAMANI DEI 9938262920 26 07-05-2019 TUESDAY 8280433181 9439998859 BAIJAYANTI MUNDA PARBATI BEHERA SUMITRA BEHERA KHUNTAPADA ASUKI MAHADEVPUR DHIPASAHI MINI AWC (MAHADEVPUR) 21375080326 MINI AWC 15km 9 17 10 16 26 15 9556216629 8280433181 9439998859 38 REFERRAL DAY & WEEKLY MEETING 08-05-2019 WEDNESDAY KANCHAN BARIK SUMITRA BEHERA KHUNTAPADA ASUKI BARKHANDIA BARKHANDIA - II AWC 21375080306 AWC 16 27 30 26 31 57 ARATI SETHY 9658146765 37 39 8280433180 9439998859 09-05-2019 THURSDAY BARKHANDIA - III (PRADHANSAHI MINI SUMATI BEHERA LOKAPRIYA MAHANTA KHUNTAPADA ASUKI BARKHANDIA 21375080329 MINI AWC 13km 16 34 29 21 50 TULI PRADHAN 9556616379 22 AWC) 8280433186 9439986579 RAMBHABATI GIRI PRAMILA GIRI SANJULATA BEHERA CHAUTHIA SOLAGODA SOLGUDA SOLAGODA AWC 21375080324 AWC 20 46 30 43 33 76 27 40 9668318131 8280433310 9439986569 10-05-2019 FRIDAY YOSADA MAHANTA SANJULATA BEHERA CHAUTHIA SOLAGODA NUABANIASAHI NUABANISAHI AWC 21375080328 AWC 22 28 32 31 29 60 CHEMI SETHY 7749933372 35 8280433218 9439986569 GOURI MAHANTA SNIGDHA MAHANTA SUMITRA BEHERA 41 BALABHADRAPUR ASUKI ARSALA BALABHADRAPUR AWC 21375080405 AWC 6 26 34 29 31 60 22 11-05-2019 SATURDAY 8280015691 8280433183 9439998859 42 WEEKLY HOLIDAY 12-05-2019 SUNDAY SOUDAMINI BENTAKAR PRAMILA GIRI SANJULATA BEHERA CHAUTHIA SOLAGODA JAMUDISAHI JAMUNDISAHI AWC 21375080327 AWC 25 24 25 27 22 49 26 7894160512 8280433310 9439986569 LABANGALATA MAHANTA SANJULATA BEHERA 43 CHAUTHIA SOLAGODA PURUNAPANI PURUNAPANI MINI AWC 21375080330 MINI AWC 24km 14 12 13 13 26 VACANT 16 13-05-2019 MONDAY 8280433313 9439986569 LABANGALATA MAHANTA SANJULATA BEHERA CHAUTHIA SOLAGODA MADHUPUR MADHUPUR AWC 21375080319 AWC 24 16 29 27 18 45 GULA PRADHAN 7683905614 22 8280433313 9439986569 CHUDAMANI BENTAKAR SANJULATA BEHERA 44 CHAUTHIA SOLAGODA MANADA MANADA AWC 21375080321 AWC 25 42 40 39 43 82 CHUDAMANI DEI 9938796731 36 14-05-2019 TUESDAY 8280433312 9439986569 45 REFERRAL DAY & WEEKLY MEETING 15-05-2019