Government of Nepal Ministry of Health and Population Phone: 071-520260 Department of Health Services 071-520142 071-525331 Western Region Health Directorate Fax: 071-520840 District Public Health Office Email: [email protected] Rupandehi Acknowledgement It is my great pleasure to publish the Annual Report of District Public Health Office, Rupandehi of the year FY 2070/071. This report is the summary of performance of each program with trend analysis of last 3 fiscal years' services provided by the health facilities (SHPs, HPs, PHCs, and Hospitals), PHCs/ORCs, EPI Clinics, I/NGOs and Nursing homes and private and teaching hospitals. This report is prepared with untiring efforts and co-operation of many institution and individuals. I would like to extend my sincere gratitude to Mr. Bal Krishna Bhusal, Director of Western Regional Health Directorate (WRHD), Pokhara for his valuable direction and guidance provided during district level monitoring visits in different time periods. My sincere thanks go to Mr. Rishi Ram Sigdel, Statistical Officer of WRHD and Mr. Mukti Khanal, Section Chief from Department of Health Services, Mgmt Division, HMIS section for their technical assistance on time and again and in particular during annual review meeting. Additionally, I take this opportunity to express appreciation to all DPHO Supervisors including Admin and Finance staff, Health Workers, Local bodies, Volunteers (FCHVs), Health Facility Management Committees, District level partners working for the quality assurance and enhancement of health services. I would like to thank Mr. Prayash Khanal, Executive Director of Unity for Sustainable Community Development and SUAAHARA program (Rupandehi) team, Mr. Dinesh Poudyal, Team Leader of Namuna Integrated Development Council and Mr. Om Prakash Gupta, Stastistical Officer for their diligent efforts in making the publication of Annual Report a success. I express my sincere thanks to Mr. Bal Krishna Panthi, Chief District Officer for his continuous and valuable suggestion and guidance on health services delivery and also I am grateful to Mr. Bishow Prakash Aryal, Local Development Officer, DDC, Rupandehi and his team for timely releasing of budget, providing managerial guidance and support to DPHO. I am also thankful to Dr. Tara Nath Paudel, Medical Superintendent (MS) of Lumbini Zonal Hospital, Dr. Manohar Joshi, MS of Bhim Hospital and all Doctors and health professionals including all staffs for supporting us in delivering public health services at the district. Finally, I hope that this profile would provide valid information to those who are interested to use the health indicators to plan, implement and evaluate health programs accordingly and also will be of enormous help to planners, researchers, managers, service providers and relevant students. I sincerely thanks to all political parties, stakeholders, members of civil society, NGO and private partners and Media people for their valued participation, technical and moral support and suggestion in the delivery of health care services. I want to dedicate this achievement to all the stakeholder and partners. I would also like to thank Mr. Sagar Dahal for his strong leadership in bringing this result. At last but not the least, my sincere thanks goes to the general population of the districts who are the beneficiaries of the service offered by the DPHO. Rishi Prasad Lamichhane Senior Public Health Administrator DPHO, Rupandehi | Annual Report 2070/71 1 Government of Nepal Phone: 071-521423 Ministry of Federal Affairs and Local Development 071-523577 District Development Committee Fax: 071-520160 Email: [email protected] Rupandehi Message It has given me immense pleasure to know that District Public Health Office (DPHO), Rupandehi is preparing to publish its Annual Report for the year 2070-71 after reviewing its Public Health programs. I‟m confident that the DPHO, Rupandehi has achieved all its target set for the year and based on the lesson learned striving hard to deliver preventive, promotive and curative services to the people of Rupandehi from its various service outlets starting from PHC/ORC to immunization centers, Sub Health Posts, Health Posts and Primary Health Care centers respectively. Actually, the leadership always plays crucial role in achieving the target and winning the people confidence on the services delivered. The leadership flourishes motivation of the team members of an institution to deliver optimum service delivery. Concerning public health services I think that the FCHVs and health staff roles are very much important to bridge the gap between the government health service and the community need. This would increase access of the people in obtaining the services and once people started to enjoy free and quality health service this ultimately promote feeling of good governance presence at the doorsteps of the people who are living at remote areas of a district. I appreciate & congratulate the DPHO team for efficient management of Public Health Program with a very good co-ordination with all stakeholders and wishing all the best in performing great task over the years to achieve new milestones in district health development that ultimately would contribute in Nepal‟s commitments towards achieving Millennium Development Goals by 2015. On behalf of District Development Committee - Rupandehi, I would be happy in any way to support all the endeavors of the DPHO that ultimately contribute to enhance health of the people of Rupandehi district. Thank you! _______________________ Mr. Bishow Prakash Aryal Local Development Officer District Development Committee, Rupandehi DPHO, Rupandehi | Annual Report 2070/71 2 DPHO, Rupandehi | Annual Report 2070/71 3 Table of Contents Acknowledgement .......................................................................................................................... 1 Table of Contents ............................................................................................................................ 4 List of Tables .................................................................................................................................. 6 List of Charts................................................................................................................................... 8 Acronyms ........................................................................................................................................ 9 Health Service Coverage Fact - Sheet .......................................................................................... 11 Fiscal Year 2068/69 - 2070/71 (2011/12 - 2013/14) .................................................................... 11 1. Rupandehi District: Brief Overview of the District .................................................................. 14 2. Health Services ......................................................................................................................... 15 3. Child Health Program ............................................................................................................... 17 3.1 National Immunization Programme (NIP) .................................................................... 17 3.2 CB-IMCI Program ............................................................................................................ 23 3.3 Nutrition Program............................................................................................................. 25 4. Family Health............................................................................................................................ 33 4.1 Safe Motherhood Programme ............................................................................................. 33 4.2 Family Planning Program ............................................................................................... 37 4.3 FCHV Programme ........................................................................................................... 41 4.4 PHC Outreach-clinic Programme .................................................................................. 43 5. Disease Control Programme ..................................................................................................... 45 5.1 Malaria Control Programme ........................................................................................... 45 Malaria species ................................................................................................................... 45 5.2 Dengue Control Program ............................................................................................... 53 5.3 Tuberculosis Control Program ....................................................................................... 54 5.4 Leprosy Control Programme .......................................................................................... 59 Objectives ................................................................................................................................ 60 5.6 Filariasis Elimination Campaign .................................................................................... 64 5.7 Rabies ............................................................................................................................... 64 5.8 Snake Bite......................................................................................................................... 64 5.9 HIV/AIDS Program .........................................................................................................