Arm phc annual report 2013

PHC ANNUAL PROGRESS REPORT 2012-13

ANNUAL PROGRESS REPORTANNUAL PROGRESS REPORTANNUAL PROGRESS REPORTANNUAL PROGRESS REPORT

2012201220122012----2013201320132013

Primary Health Center (N)

Paschimabad, Jaleswar

Balasore, Odisha

Supported By:

National Rural Health Mission (NRHM)

Govt. of Odisha

Managed By:

Alternative for Rural Movement (ARM)

Baliapal, Balasore-756026

Mob:9040127260


P R E F A C E

Health is an important social issue in rural packets of Odisha. Though

Govt. of Odisha has provided a lot of facilities and services in rural areas

but still there is a gap. The reasons are many and this gap can be only

minimized through positive mindset, proactive approach, massive

awareness, strategic planning, commitment, dedication etc. National

Rural Health Mission (NRHM) launched in the year 2005 with a mission

to provide acceptable, affordable, and quality healthcare to the rural population. With a view to

improve the health care services by the poor and underserved population one new initiative

called Public Private Partnership (PPP) was started in the year 2007. Alternative for Rural

Movement (ARM), Baliapal selected to manage the Paschimabad PHC (N) of Jaleswar Block

under the PPP programme to carter the health service in the unreached areas. Since then ARM

is managing the PHC in a holistic manner and providing committed service to the periphery

area. ARM involved in organizing various Outreach Programmes, awareness campaigns, RCM

camps, Diabetic camps, Health Camps time to time to enhance the awareness and acceptance

among the community. The involvement and ownership by the community is explained in the

report. Also provision of Ambulance service to the PHC is a value addition in the field of health

service.

It gives me immense pleasure in presenting before you “Annual Progress Report 2012-2013”, a

document that highlights our efforts, activities, achievements, initiatives, innovations and best

practices, carried out by Alternative for Rural Movement (ARM), Baliapal in partnership with

NRHM, Govt. of Odisha.

RAJENDRA KUMAR RANA

Coordinating Member, ARM


Paschimabad PHC (N) – A new

dimension in Health Services

Paschimabad PHC (N) started with a mission to

bring constructive transformation in the rural

health situations by involving the public and the

health providers in a participatory mode towards

socio economic development. In the process NRHM

joined hands with ARM in the year 2007 to provide

better health facilities to the rural community.

NRHM PRINCIPLES OF PHC (NEW)

PASCHIMBARD

Scope:

Effective planning and delivery of services in the PHC on behalf of the State Health dept.

Provide curative preventive and promotive service at the PHC

Total participation in all the National health programmes

Strengthen referral services for secondary health care centers like SHD

Promote client centered integrated PH communication strategy to bring about a change in

the perception and practices of local population through Community Health Partnership

Programme (CHPP )

Encouraging institutional services for pregnant women, family planning and sterilization etc.

Objectives:

• To provide preventive, promotive and curatives health services through PHC management.

• To enhance the quality, accessibility, availability, acceptability and efficiency of rural health

services.

• To exchange the skills and expertise between public and privet sector

• To mobilize additional resources for better health services

To strengthen the existing health system by improving the management, planning and

strategies.

• To widen the range of services and number of services provided. • To define, delineate and share the risks • To widen the range of services and number of services provided.


• To define, delineate and share the risks • To emphasize the community ownership or acceptance of health services

The major thrust areas of Paschimabad PHC are:

• Reduction in child & maternal mortality ratio • Provision of community health services like MCH, drinking water, sanitation, immunization

and nutrition for local people. • Prevention and protection chronic / endemic disease with emphasize on communicable and

total diseases. • Provision of integrated and widespread health services to all the target population. • Population control and gender balance measures. • Revitalization of local health practices and brings AYUSH into the mainstream health efforts. • To encourage healthy living and lifestyle in the rural communities.

PHC operational Area:

The Paschimabad PHC operates in 2 Gram Panchayats of Jaleswar Block named Paschimabad

and Baganbadia. The details of villages with serving population is given below:

Sl.

No.

Name of

Block

Name of GPs Villages Total Population

1 Jaleswar

Paschimbad

Debkumar

Rela

Namkana

Paschimbad

Kismat Paschimbad

8175

Baiganbadia

Jharipimpal

Baiganbadia

Kalikapur

Ghantiadi

Chhotkhanpur

Akna

Kantapal

9265

Total 2 12 17440

Treatment record of patients from Apr 2012 to Mar 2013:

The above table describes that 21963 no of patients treated for various diseases from Apr 12 to

Mar 13 in the PHC, which shows that on an average 1830 nos of patients are visiting the PHC

per month. This nos encourages us to do more in the field of health services.

Month Fever Malaria Diarrhea Sca-

bies

Mea-

sles

ARI Blood

Dysentery

Common

Diseases

Total

Patients April 36 03 14 26 03 30 0 1466 1578

May 55 04 29 47 02 39 1 1438 1593

June 44 07 37 22 03 39 2 1448 1602

July 54 01 63 32 04 24 2 2305 2485

Aug 32 02 22 38 02 29 01 2457 2522

Sept 15 02 12 16 0 14 0 1957 2018

Oct 31 02 14 29 0 26 0 2041 2143

Nov 30 02 12 35 0 09 0 1680 1768

Dec 12 01 08 23 0 07 01 1409 1460

Jan 15 01 09 24 0 16 0 1430 1495

Feb 11 0 14 36 0 08 01 1483 1605

Mar 22 0 19 31 0 20 0 1572 1694

Total 357 25 253 359 14 261 08 20686 21963


The below mentioned table speaks about the nos of female and children benefited out of

the service provide by the PHC.

Patients Treated (Male, Female & Children):

The table mentioned above shows that about 34.53 % of female members and 23.25 % of chil-

dren out of total patients registered are benefited out of the services provided by the PHC.


Month Patients Total Patients

Male Female Children

Apr 529 653 396 1578

May 581 681 331 1593

Jun 556 656 390 1602

July 871 1035 579 2485

Aug 810 941 771 2522

Sept 690 832 496 2018

Oct 738 909 496 2143

Nov 657 767 344 1768

Dec 512 652 296 1460

Jan 531 689 275 1495

Feb 539 729 337 1605

Mar 570 728 396 1694

Total 7584 9272 5107 21963


The above graph shows that the PHC is more useful to women community members than oth-ers, which also means that the objective behind the function of PHC is in right direction and need some more effort to reach the unreached. Facts and figures of PHC (N) 151 Institutional delivery conducted in the PHC

238 cases referred to Jaleswar hospital for further treatment

694 Indoor patients registered in the PHC

21269 Out Door patients registered in the PHC

75 nos of RTI/STD patients treats in the PHC

443 nos of people availed the ambulance service

210 ANC cases treated at the PHC

1455 nos of patients have carried out their pathological test at the PHC

Record of pathological test conducted in PHC:

The following table depicts the nos of patients benefited at the PHC for various types of patho-

logical tests.


The graph below shows that large nos of patients gone for various types of pathological tests at

the PHC which also describes the accessibility of the PHC by the community members of the ar-

ea.

Month Stools Urine

(General)

Urine

(Pregenan

cy)

Bloo

d

(MP)

Blood

(DC)

Blood

(FBS/

PPBS)

Blood

(BTCT) Blood

(CRT) Blood

(TLC) Blood

(HB) Blood

(ESR) Blood

(Grouping) Total

Apr 09 27 0 17 22 0 01 01 07 06 0 0 90

May 16 29 0 19 23 0 0 0 13 06 0 02 108

June 12 25 0 0 13 0 03 03 05 07 0 02 70

July 10 38 0 25 38 0 02 02 0 03 0 126 244

Aug 11 91 0 84 91 01 02 02 0 03 0 06 291

Sept 19 66 0 62 72 02 01 01 02 03 0 05 233

Oct 04 58 0 50 48 01 02 02 0 07 0 05 177

Nov 03 33 0 25 28 0 0 0 01 09 0 04 103

Dec 05 13 0 04 06 0 0 0 0 07 0 06 41

Jan 15 17 0 14 16 0 0 0 0 05 0 06 73

Feb 02 07 0 02 05 0 0 0 0 05 0 04 25

Mar -- -- -- -- -- -- -- -- -- -- -- -- --

Total 106 404 0 302 362 04 11 11 28 61 0 166 1455


Health Extension Activities:

Focus Group Discussion: 20 nos of Focus Group Discussions were conducted at various plac-

es under the PHC serving area. 553 nos of community members orientated on various aspects

of PHC such as NRHM Mission, aim & Objectives of PHC, scope of the PHC, Role of ASHA and

AWWs, Malaria awareness, prevention & control, control of STD / RTI, control of Diarrhea, ANC

& PNC, safe motherhood tips, promotion of breast feeding, family planning, promotion of insti-

tutional delivery system, early management of motherhood problems etc. The details of FGDs

organized are given below:

Sl. No

Village Venue Total Par-ticipants

Sl. No

Village Venue Total Partic-ipants

1 Devkumar.

Dt: 14.09.12 Majhi jena sahi

U.P School 20 11 Paschimbad

Dt: 21.11.12 Pira Masjit

32

2 Jharpipol.

Dt: 20.09.12 Mahadev Mandir

29 12 Chhutkhanpur

Dt: 23.11.12 M.E.

school 20

3 Kalikapur

Dt: 26.09.12 U.G.M.E School

42 13 Devkumar

Dt: 27.11.12 Gouridi

Patna 29

4 Rela

Dt: 01.10.12 Hurshikesh Nodal

Upra Bidyalaya 42 14 Devkumar

Dt: 28.11.12 Satagariya

Sahi 26

5 Namkana

Dt: 02.10.12 Prathamika Bidya-

laya 32 15 Akna

Dt: 29.11.12 Majhi Sahi

22

6 Kantapal

Dt: 03.10.12 Anganbadi

36 16 Kismat Paschimbad

Dt: 30.11.12 Anganbadi

Center 21

7 Baiganbadia


laya 36 17 Jharpipol

Dt: 22.02.13 Majhi Sahi

27

8 Paschimbad

Dt: 16.10.12 Paschimbad U.P

School 32 18 Rela

Dt: 02.03.13 Acharya

Sahi 16

9 Akna

Dt: 17.10.12 Giri Sahi

28 19 Baiganbadia

Dt: 23.03.13 Mahadev

Mandir 23

10

Ghantiyadi


laya 21 20

Namkana

Dt: 28.03.13 Patnayak

Sahi

19

Sub Total 318 Sub Total 235

Grand Total 553


Photographs of the Focus Group Discussion:

PHC ANNUAL PROGRESS REPORT

Health Awareness Campaigns:

Seven nos of Out Reach Programmes conducted under the PHC at various places in which

196 participants participated & oriented. The details of outreach programme conducted are

given below:

RCH MELA

Two nos. of Reproductive Child Health (RCH) Mela or

camps conducted under the PHC programme. One con-

ducted at Paschimabad on the occasion of Subarna-

rekha Mahotshab on 7th Jan 2013 whereas the other

one conducted at Baiganbadia Panchayat Office,

Baiganbadia, Jaleswar on 21st Mar 2013. There are 310

nos and 308 nos of patients treated in the camps re-

spectively.

Free health checkup and medicines distributed to

the patients on the occasion. Dr. Bishnupriya

Dash, Dr. Laxman Jena, Dr. Sapan Kumar Mo-

hanty, Dr. A Islam, Dr. Uttar Kumar Dandapat

were present in the RCH camps and checked the

patients and medicines were distributed to the

patients.

Sl.

No

Village Date Venue Total Par-

ticipants

1 Kalikapur 23.09.12 Majhi jena sahi 19

2 Kalikapur 26.09.12 Behera Sahi 23

3 Rela 29.09.12 Acharya Sahi 27

4 Ghantiyadi 30.09.12 Sahu Sahi 26

5 Baiganba-

dia 02.10.12 Mahadev Mandir 41

6 Kantapal 07.10.12 Jhadhaswar Saskrit Bidyalaya 32

7 Akna 18.10.12 Palasai U.P School 28

Grand Total 196


Diabetes Treatment Camp

One Diabetic camp was conducted on

27th Mar 2013 at PHC New Paschima-

bad. In the camp 102 nos of patients

treated. Dr. Pravas Sundar Nayak &

Dr. Bishnupriya Das were present on

the occasion and treated the Diabetic

Patients.

IEC BCC WORKSHOP

One workshop on IEC BCC conducted

at Gram Panchayat Office, Paschima-

bad on 30th Mar 2013, in which 41

participants attended the programme

out of them mostly are ASHA and An-

ganwadi Workers. The workshop

aimed at the skill development of var-

ious stakeholders on health education

material, advocacy on health rights,

the need for coordination to serve the

community better. In the workshop

Mr. Kabi Prasad Sahu (BPM), DR. Ad-

hip Kumar Bera, Dr. Dayanuidhi

Khatua & Sarpanch Mr. Rabi Ray, Mr. Ashwini Kumar Dasadhikari, Mr. Pramod Kumar

Bhuyan, Programme Officer, ARM participated in the discussion and oriented other partici-

pants on the necessity of Information Education Communication materials and the aspects

of Behavioral Change Communication.


PHC staff in Service:

The following staffs are in readiness to serve the people under the PHC area.

There are also AWWs and the ASHA workers are providing service to the community under the

PHC area. The details are given below:

Sl.

No Name Designation

Mobile number

1 Dr. Adhip Kumar Bera Medical Officer 09178181012

2 Mr. Pradosh Kumar Chand Project Coodinator 09937600401

3 Mr. Sujay Kumar Das Pharmacist 09937836230

4 Miss Namita Sahoo ANM 09777168414

5 Mr. Parimal Sen Attendant cum Sweeper 07873160964

6 Dr. D ayanidhi Khatua Ayush Doctor (Govt. Appointed) 09776834768

Sl. No

Name Village Designation

Mobile number

1 Namita Pattnayak Namkana Asha 09938340832 2 Basanti Barik Devkumar Asha 08658061349

3 Asha lata Acharya Rela Asha 08018283030 4 Priyanka Jena Devkumars Asha 09237498227 5 Manjulata Jena Devkumar Asha 09237342285

6 Gulubadan Bibi Paschimbad Asha 09937240805

7 Sarathi Sahu Paschimbad Asha 09937097096

8 Kanakanjali Mohanty Chutkhanpur Asha 09776544526 9 Saraswati Jena Kalikapur Asha 08598088790

10 Chabi Rani Sahu Ghatiyadi Asha 08457064642 11 Jharana Das Jharpipol Asha 07873349322

12 Ranjulata Majhi Akna Asha 09777756939 13 Snehalata Jena Kantapal Asha 09583814340

14 Minati Pradhan Baiganbadia Asha 09178231920 15 Tapaswani Das Paschimbad AWW 09938555573

16 Rita rani Mohapatra Kismat Paschimbad AWW 09668831077

17 Champabati Barik Pirapada AWW 08018228918

18 Sitamani Giri Akna AWW 09238838763

19 Sumati Dalai Deb Dalaisahi AWW 07873072691

20 Swarnalata Pradhan Devkumar AWW 07894025103

21 Mamata Andia Chhotkhanpur AWW 08337913096

22 Minakshi Giri Ghantiadi AWW 08456945076 23 Bishnupriya Jena Kalikapur AWW 09556946829

24 Annapurna Rana Akna AWW 09438048827

25 Sumati Dhal Namkana AWW 08457926489

26 Arati Roul Rela AWW 09237333320

27 Minati Pradhan Debkumar AWW 09237217938

28 Banalata Mahana Jharpipol AWW 09178098728 29 Sangita Mohanty Namkana AWW 08018539095 30 Nirupama Giri Baiganbadia AWW 09938062773


The Road Ahead:

• More emphasis needs to be concentrated on the involvement of women community mem-

bers in the process. • Special attention needs to be given to the children in respect of their health and treatment

by providing the Child Specialists in the PHC. • Infrastructural development needs to be done to accommodate more patients. • Equipment along with the skilled manpower need to be provided to the PHC so that better

service can be provided to the community. • Massive awareness campaigns needs to be carried out in the periphery villages to aware the

community about the facilities, services and schemes available to benefit the communities. What they Says………

Damayanti Sahu:

Damayanti Sahu aged about 45 of village Devkumar said that, ARM in part-nership with Govt. of Odisha now protecting the community from various diseases by providing good health facilities and free medicines to the poor. Basically she praises the effort of providing free medicines those who have no money to purchase medicines for the shop. Sometimes also awareness campaigns taken up PHC helps us to meet the doctor and get the medicines at our doorsteps.

Pitamber Pradhan:

Pitamber Pradhan aged about 48 of village Devkumar explained his experience with Paschimabad PHC (N). He said

when the PHC was managed by Govt. of Odisha, we hardly get any doctor, pharma-

cist, ANM in the PHC. They always used to remain absent in PHC which really created a lots of difficulty to get the health facility. But after ARM has been tied up with Govt.

and taken the responsibility of the PHC, now the things have changed and at least we are getting service in odd hours also which is really very essential for the poor families

of the villages. Now health services increased in PHC along with the Ambulance ser-

vice, which really helped the community to come to the PHC and utilize the services available.

Rebati Sahu:

Rabati Sahu aged about 30 of Village Paschimabad says that, before the PHC handed

over to ARM we faced a lots of problem on our part to get treatment within our periphery. We have to go a long

distance and used to spend a lot of money even for small diseases. But after

ARM has taken charge of this PHC we are getting quality medical service in time.

Thanks to ARM and his efforts which really help us in getting health facilities at

our doorstep. Before this building was like a devils house, but now it becomes

the most worshiped place for all of us. Because we are getting the service even

in the odd hours for everybody starting from children to the old member of our

families.


Management Arrangement:

NATIONAL RURAL HEALTH MISSION (NRHM)

DISTRICT PROJECT MANAGEMENT UNIT

(DPMU)

BLOCK PROJECT MANAGEMENT UNIT

(BPMU)

PRIMARY HEALTH CENTER (PHC)

ROGI KALYAN SAMITY (RKS)

Sub-Center

GKS (12)

Health Extension Activities in Feeder

Area

ALTERNATIVE FOR RURAL MOVEMENT

• Increased Health Aware-ness among the community

• Community Involvement in the overall process

• Proper utilization of health services

• Acceptance by the commu-nity

• Involvement in the decision

SUPERVISION

MANAGEMENT

FINANCE

SKILLED HR

Document Title

PRIMARY HEALTH CENTRE(New)

AT/PO:Paschimbad

Via:Baliapal

Dist:Balasore,Odisha-756026

INDIA

Mob:9040127260,9238553968,9937600401


Arm phc annual report 2013

Health & Medicine

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