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 Email: [email protected] District Public Health Office Rupandehi Acknowledgement It is my great pleasure to publish the Annual Report of District Public Health Office, Rupandehi of the year FY 2069/070. 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), PHC/ORC, EPI Clinic, NGO 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 Dr.Ashok Kumar Chaurasia, 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 and Mr Rajendra Paudel of WRHD; and Mr. Mukti Khanal,Section Chief and Mr. Surya Khadga 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. Deepak Tiwari, Project Manager of CARE Nepal and team, Mr. Om Prakash Gupta and Ramjanma Kurmi, 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. Peshal Kumar Pokhrel, 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 professional 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. Maheshwor Shrestha 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. Sagar Dahal 1 Senior Public Health Administrator Government of Nepal Ministry of Local Development Phone: 071-521423 071-523577 District Development Committee Fax: 071-520160 Email: [email protected] Rupandehi Message from Local Development Officer 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 2069-70 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. 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 remotest areas of a district. I appreciate the management skills of Mr. Sagar Dahal , Senior Public Health Administrator of Rupandehi district who through his leadership quality is able to bring Government and Non Government sectors in a common platform in order to achieve positive health indicators in the district. I also congratulate District Public Health Office, Rupandehi team for their achievement and wishing best in performing great task over the years to achieve new milestones in district health development that ultimately would contributes 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. Peshal Kumar Pokhrel Local Development Officer District Development Committee, Rupandehi. 2 Phone: 061-520390 Government of Nepal 061-520068 Ministry of Health & Population Fax: 061-520330 email: [email protected] Western Regional Health Directorate Pokhara Few Words From Regional Director It is my great pleasure to have Annual Report of the F/Y 2069/70 BS of the District Public Health Office, Rupandehi at expected time. I am pleased to know that the District Pulic Health Office, Rupandehi has been publishing the Annual Report regularly after completion of the district annual performance review workshop. I found this report to be very comprehensive. It covers most of the health services activities carried out in the last fiscal year 2069/70 including the activities of other national and international government and nongovernment partners. It also includes the contributions of priv ate sector. Regular progress reviewing is important not only for being satisfied in achieving the set targets but also identifying the gaps and actions to be taken for future improvement. This kind of report not only presents the past performance but also support for robust and evidence based planning exercise. I believe that the information provided in this report will be of immense help to planners, researchers, managers, service providers and concerned students. I am confident that a competent and effici ent health care delivery system is in place and all the relevant data from community to district level are included in this report. We should be aware that sustained efforts are needed to accelerate the progress of the programme. I deeply appreciate the ha rd work done by the team of District Public Health Office, Rupandehi including FCHVs working at the various levels of health institutions in a difficult situation. All the volunteers, health workers, personnel engaged in health sector and the stakeholders and partners deserve thanks and congratulations too. To conclude, I extend my sincere thanks and congratulations to the Chief of District Public Health Office, his team and all concerned personnel for publication of the report. 3 Table of Contents Acknowledgement .......................................................................................................................... 1 Message from Local Development Officer..................................................................................... 2 Few Words From Regional Director ............................................................................................... 3 Table of Contents ............................................................................................................................ 4 List of Tables .................................................................................................................................. 6 List of Charts................................................................................................................................... 7 Acronyms ........................................................................................................................................ 8 Health Service Coverage Fact - Sheet .......................................................................................... 10 1. Rupandehi District: Brief Overview of the District .................................................................. 12 2. Health Services ......................................................................................................................... 13 3. Child Health Program ............................................................................................................... 15 3.1 National Immunization Programme (NIP) .................................................................... 15 3.2 CB-IMCI Programme ......................................................................................................