DISTRICT HEALTH ACTION PLAN 2011 –...
Transcript of DISTRICT HEALTH ACTION PLAN 2011 –...
DISTRICT HEALTH ACTION PLAN 2011 –
2012
Name of District: - Jehanabad
District Patna
District Patna
Jehanabad
Kako
Modanganj
Ratni Faridpur
Ghosi
Makhdumpur
Hulasganj
District Nalanda
District Arwal
District Gaya
District Patna District Patna
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A c k n ow l e d g em e n t s
This District Health Action plan prepared Under a Short & Hard Process of
about survey of one month and this was a good Opportunity to revisit the
situation of health services status and national programmes in district as well as
to have a positive dialogue with departments like Public Health Engineering,
Women and Child Development, Maternal and Child Health care etc.
This document is an outcome of a collective effort by a number of
individuals, related to our institutions and programmes:-
� Smt. Palka Shahni ,Chairperson of District Health Society, Jehanabad was
a source of inspiration towards this effort vide her inputs to this process
during D.H.S review meetings.
� Dr.Arvind kumar (A.C.M.O) Nodal officer for this action plan who always
supported this endeavor through his guiding words and language.
� Mr. Nimish Manan, District Programme Manager was in incharge for the
development of the DHAP(2011-12) .
� Mr Ravi Shankar Kumar , Distirct Planning Coordinator has given full
time effort in developing DHAP(2011-12).
� Mr. Kaushal Kumar Jha, District Account Manager has put huge effort in
financial Planning.
� Mr. Arvind Kumar, M&E Officer is the technical advisor for the
data introduced inside this DISTRICT HEALTH ACTION PLAN.
� Mr. Manish Mani & Sefali from PHRN have given huge support.
� All district level Programme officer for various Health
Programmes, B.H.Ms, M.O.I .Cs, PHCs, Field Office Staff have
supported with their full participations, cooperation and
learning spirit through out this process.
I on behalf of the District Health Society, Jehanabad acknowledge the
grateful contribution of all those mentioned above.
Dr. Smt. Shashi Rani Smt. Palka Shahni
Civil Surgeon-cum-member secretary, District Magistrate-cum-chairman
District Health Society, Jehanabad. District health society, Jehanabad
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District Patna
District Patna
Jehanabad
Kako
Modanganj
Ratni Faridpur
Ghosi
Makhdumpur
Hulasganj
District Nalanda
District Arwal
District Gaya
District Patna District Patna
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Level 1,2,&3 facilities selected for 24*7 institutional delivery
N
Level1
District Patna
District Patna
Jehanabad Sadar
Kakooo Modanganj
Ratni
Faridpur
Ghosi
Makhdumpur
pur Hulasganj
District Nalanda
District Arwal
District
Gaya
District Patna District Patna
PHC
PHC
PHC
PHC PHC
DedhsaiyBharthu
Dehuni
HSC Badheta
Level 2
Keur
HSC Ikkil
Daraurt
Level 3
N
W
S
E
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STRUCTURE OF DISTRICT PLAN
Chapter I: Introduction, profile of the district and process. PAGE NO
� Introduction …………………………………………………………………………….. 9
� History of District………………………………………………………………………. 10
� District Profile…………………………………………………………………………… 13
� District Planning objective and priorities and planning Process… 18
Chapter II: *SWOT analysis of Part A,B,C,D……………………………………. 22
* HMIS DATA ANALYSIS…………………………………………………. 26
Chapter III: Part A
MATERNAL HEALTH 34
CHILD HEALTH 65
FAMILY PLANNING 74
Chapter IV: PART B
Chapter V:
Part C – Immunization
Routine Immunization/Polio
Chapter VI:
Part D – National Disease Control Programmes
KALAZAR 88
BLINDNESS 91
LEPROSY 93
FILERIA 94
TB 96
NRHM PART “ B”
DECENTRALIZATION 79
INFRASTRUCTURE 81
CONTRACTUAL MANPOWER 82
MAINSTREAMING OF AYUSH UNDER NRHM 84
DE-CENTRALIZED PLANNING 85
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Chapter VII:
BUDGET
NRHM Part A – RCH II
NRHM Part B – Additionalities
NRHM Part C – Immunization
NRHM Part D – NDCP
Summary of Budget
Chapter VIII
Annexure: A…………………………………………………………………………. 122
Annexure: B………………………………………………………………………….. 124
Annexure: C
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CHAPTER 1:
INTRODUCTION, PROFILE OF
THE DISTRICT & PROCESS
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Introduction :
Jehanabad district was carved out of the old GAYA district on 1st
August 1986. Earlier it was a subdivision of Gaya since 1872. It is situated 56
km to the south of the State Head Quarters, Patna and 47 km to the north of
Gaya by road and is well connected to both the stations via an electrified rail-
route as well. Again, in the year 2001, the district of Arwal was created out of
the district of Jehanabad.
Geography :
The district covers 941.4 sq. km. of geographical area in South
Bihar. The town of Jehanabad, which is the HQ of the district, is situated at the
confluence of rivers Dardha and Jamuna. Lying between 25-0’ to 25-15’ degree
north latitude and 84-13’ to 85-15’ degree eastern longitude, the district is
bounded by districts of Patna in the north, Gaya in the south, Nalanda in the east
and Arwal in the West.
Topography and Terrain :
Fertile alluvial soil locally called "Kewal" supports the district's
predominantly agricultural economy and is currently being tilled for production
of paddy, wheat, cane, potato, pulses, vegetables etc. The south-east area of the
district is hilly terrain bounding the district from this site and it offers feverable
terrain for the nexalites to operate and build their bases. Because of geographical
constraints and lack of metalled road communication carrying out of anti naxal
operations becomes a tedious task. Naxalites take shelter in theses areas and they
take advantage of the porous inter district boarders. Naxals run trainings in these
areas and commit crime after which they easily sleep into the border of the
neighboring district. The geographical features become obstacles in the smooth
movement of troops besides being vulnerable to planting of land mines and
becoming easy targets of ambush laid by naxalites. Since, there several
commoflause and concealment places the naxals take shelter in these areas and
convene secret meetings and out spread the extremist ideology.
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History :
Description of Jehanabad in the history is found in the famous book
"AINA-E-AKBARY" wrote by Abul Fazal. The book states that in the 17th
century this place was badly affected by famine and people were dying of
hunger. Moghul emperor Aurangzeb, in whose times the book was re-written
established a "Mandi" for relief of the people and named it 'JEHANARABAD'.
The Mandi was under the direct control of Jehanara and she spent a great deal of
time here. In due course of time, the place became 'JEHANARABAD' and later
'JEHANABAD'
Dialect :
The dialect spoken here is Magadhi (Magahi).
Socio-Economic :
The relatively small sized district is a cauldron of conflict as far as
the socio-economic situation is concerned. There were extreme caste tensions
(with an economic bearing) prevailing in the whole Magadh area (old Gaya
district - now broken into 5 districts of Gaya, Aurangabad, Nawada, Jehanabad
and Arwal) and they were manifested in their worst forms in this district. Thus
this place has been badly affected by Naxalism (PWG, MCC, ML(Lib) etc.) and
has seen the emergence of rival outfits such as Ranvir Sena.
In the result this district has witnessed horrifying spate of large
scale carnages in the past which has resulted in the killing of hundreds of
innocents. Nonhi-Nagwan, Parasbigha, Khagari-Damuha, Laxmanpur-Baathe,
Rampur-Chauram, Senari, Shankarbigha and Narainpur - there is a long list of
villages where big massacres have occurred.
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Natural Resources
The rivers- Falgu, Dardha, Jamuna and Morhar flow by crossing the
district's plan topography. The river Falgu has got religious importance where
'PIND DAN' is offered to their forefather's by the Hindus. All these rivers are
mainly rainfed, have a meagre discharge in the other parts of the year and go dry
in the summers.
As far as minerals are concerned, the district has only minor ones. The
sand available with the river beds in the major part of the year is collected and
transported to other parts of the district besides to the adjoining districts and is
useful in construction work.
The soil is alluvial- textured brown gray which cracks open in the dry
season and gets very sticky in the rains and the mud tracks become unmotorable
during that period. The fertility is reasonably good.
The forest cover of the district is small- 1030 hectares, which is mainly
concentrated near the Barabar Hills. They belong to the category of reserve
forests.
Human Resources
There are about 1.11 lakh cultivators including 92138 small and marginal
farmers, 1.78 lacs agricultural labourers, 7969 skilled labours, 5075 house hold
entrepreneurs and 95755 are engaged in allied agro business. The total
population in the working age group is 358723 out of which there are 236199
males and 122534 females.
Statistical Profile (based on 2001 census)
Sl. No.
Population Male Female Total
1. Bihar 43153964 39724832 82878796
2. Jehanabad 480518 443959 924477
3. Rural Population 420777 391807 812584
4. Urban Population 59741 52152 111893
5. Literacy rate 70.29% 40.43% 55.91%
6. Rural 69.03% 37.94% 53.99%
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7. Urban 78.83% 58.62% 68.42%
District Profile :-
1. Area (in Sq. KM) 941.4 sq.km 2. Decadal growth rate 28.64%
(91 to 2001) 3. Population density 963 PPSK (Person per sq.km) 4. Sex ratio 928 (per 1000 male) 5. Villages Populated - 562
Uninhabited - 43 Total - 605
6. Town 02 7. Municipality 02 8. Rural Families 144199 9. SC Population 124856 10. Cultivator 1.40 Lacs 11. Small and margioner farmers 92138 12. Agriculture labours 1.78 Lacs 13 Skilled labours/ artisan 7967 14. House hold courtage workers 12661 15. Other workers 59716 16. Net area under cultivation 78000 Hec. 17. Gross cropped area 260735.46 acr. 18. Net irrigated area 66450 Hec. 19. Area under forest 1030 Hec. (0.41%) 20. Water area fishery 1176..46 Hec. 21. Total cattle 2.04 Lacs (1982) 22.
Road length Black top/Hard surface - 541.65 km Kacha or mud - 450.90 km
23. Electrified villages 241 24.
Hand tube well Urban- 764 Rural -7997 Total - 8761
25. Drilled tube well Urban - 0, Rural - 31 26. Rural Water supply 11 Schemes 27. Urban water supply 6 Schemes
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BLOCKS OF JEHANABAD DISTRICT
An Introduction:
Administration:
There is one subdivision - Jehanabad and seven blocks in the district
- Jehanabad, Kako, Makhdumpur, Ghosi, Ratni Faridpur, Hulasganj and
Modanganj. There are 93 Gram Panchayats, 7 Panchayat Samities and one Zila
Parishad in this district. One Nagar Panchayat is at Makhdumpur and one Nagar
Parishad at Jehanabad, M.P. constituency - 01, MLA constituency - 3
Infrastructure:
The district is linked to the bigger cities of Patna & Gaya both by
road and rail route. The recently electrified Patna-Gaya branch railway line (P.G.
line) traverses through the district and links the Grand Chord with Patna. There
are four railway stations- Jehanabad, Court, Tehta and Makhdumpur in the 31
km long stretch of the railways. National Highway No. 83 comes from Patna via
Masaurhi, goes directly to Gaya through Makhdumpur and runs almost parallel
to the railway line. There is a network of PWD roads and REO roads across the
district, albeit in a bad shape. The total length of surfaced roads is 541.65 kms
and mud tracks are 450.90 kms. The condition of the roads in the rural parts is
good.
The district has wide network of markets dealing mainly with grains
and vegetables. Major centers of trade and commerce are located in Jehanabad,
Ghosi, Kako and Makhdumpur. Besides in rural areas hats function usually once
in the week. The trade consists mainly of export of oil seeds, rice, gur, stone
chips and vegetables. The principal imports are coal, cement and other
construction materials, clothes, K. oil, tea, tobacco, fresh fruits and other
perishable/ non perishable consumer goods.
The telecommunication network in the district is good. The whole of the
district is either covered by basic or mobile phones.
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The educational infrastructure available in the district can be summarized
as following-
Primary schools - 561
Middle schools - 118
High schools - 43
Sanskrit Schools - 05
Colleges - 02
Besides, the Sarva Shiksha Abhiyaan (SSA) has been started in the district
in a big way and there is a lot of improvement underway in the quality of the
buildings through additional classrooms, toilets, hand pumps, annual repair and
maintenance grants etc. Distribution of Teaching and learning materials, text
books etc. is being simultaneously carried out in a big way.
Credit facilities
Banks - 34 PACS - 62 Hospitals
District Hospital - 1 Sub-Divisional Hospital - 1 Referral Hospital - 2 Block P.H.C. - 7 Addl. PHCs - 32 Sub-centre - 81 T.B. Sanitarium - 1 Leprosy control unit - 1
The district has no big industrial unit but there is a network of
village and cottage industries comprising hand looms, local spinning units, shoe
making, carpenters, brick kiln, stone crushers etc. We have an operational Milk
Chilling Plant with a capacity of 5000 Litres per day which is being run by
COMFED, Bihar.
As far as infrastructure for tourism is concerned, we have a few
places to mention. There are three historical places in the district. The foremost
one of Barabar or "Vanavar", situated 11 kms to the east of the NH - 31 from
Makhdumpur, has the temple of Lord Shiva in the name of Baba Sidheshwar
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Nath, at the top of the hill, about 1100' above M.S.L. There are a few rock cut
caves namely Karna Chaupar and Sudama, relating to the times of Emperor
Ashoka. There is a Lomash Cave, named after a saint. A spring known as Patal
Ganga is said to be built by Ashoka. There is Nagarjuni caves located nearby.
The great Chinese traveler, Huen-Tsang, had visited this place and had described
it in his book. It has been described in E.M. Forster's "A Passage to India". In
recent times the district administration has renovated this place and constructed
two tourist bungalows, a restaurant, a cemented stair case to the top of the hill, a
children's park, boating facilities etc to promote tourism. Another Yatri Niwas is
coming up at the base camp under MPLADS. This place witnesses a huge fair in
the month of "Shravani" and it is estimated that about two to three lakhs of
devotees come to offer their prayers.
Situated 11 km south-east of Jehanabad railway station in Kako
block, Bhelawar is famous for an old temple of Lord Shiva. A big fair is
organised every year on the occasion of Maha Shivaratri. Specimens of art of the
Hindu and Muslim period have also been found here.
Also in Kako itself, which is equally important both for the Hindus
and the Muslims, there is a temple having old statue of Lord Sun in the North-
east of Kako village. It is said that Rani Kekai, wife of King Dasharatha and
step-mother of Lord Rama had domiciled here for sometime. On her name this
village got the name as 'Kako'. There is also a graveyard of a great Muslim Sufi
Lady-Hazrat Kamalo Bibi, aunt of Hazarat Makhdum Sahab of Bihar Sharif,
who is said to have been blessed with divine powers.
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BLOCKS
Sl.No. Variable kako ratni ghoshi makdumpur okhari Jehanabad Hulasga
nj
Total area 33378 142500 102463 100.63 23091
Total
population
145920 215000 70116 126392 77248
Male
population
74000 71250 115219 36038 66010 40013
Female
population
71920 68148 99781 34078 60382 37235
Adolescent
population (10-
19yrs)
38340 15285
Sex Ratio 912 912 1000-866 918
4380 2137 2103
8760 6413 4207
Child
population: 0-6
months
:6mn-2yrs
:2-5yrs
13140 12825 6310
14165 9700 32250 12540 15271 SC population :
Male
: Female
13354 8500
103 00 00 ST population :
Male
: Female
128 00 00
BPL
population
17222 13000 8847
No of Eligible
couples
24820 19950 23138
Total no. of 16 14 10 22 08 14 09
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gram
panchayat
Total no. of
revenue
villages
100 52 100 48
No of APHCs 04 07 06 05 03 05 02
No of HSCs 16 10 11 22 10 13 10
No. of
Anganwadi
centers
143 123 89 215 80 214 77
No of Doctors
No of ANMs
No of Grade A
Nurse
No of
Paramedicals
No. of
Anganwadi
workers
136 120 88 204 80 211 77
No of ASHA 151 135 100 182 80 138 85
Total No. of
SHG/ Mahila
mandals
136 80 76
No. of primary
schools
95 59 15
No. of
electrified
villages
85 13 52
48
275
No. of villages
having source
of drinking
water:
Well
21412
5870
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Planning Objective And Priorities
The Planning Objective for the District Health Action Plan 2011-12 has been decided on the basis of Goals of NRHM, Guidelines of State Health Society and DHAP of 2010-11. Followings are the Objective and priorities of planning of Jehanabad district:
1. Strengthening safe institutional Delivery by JBSY 2. Reducing Maternal and infant mortality rate by adopting tools of maternal
autopsy and increasing focus on neo natal child care by starting SNCU in the district headquarter.
3. Special focus on ARSH Programme by starting separate clinics for adolescents, and training frontline workers to create awareness regarding RTI/STI and UTI.
4. Vulnerable sections to be given priority in all health care facilities. 5. Increasing Immunization Coverage. 6. Family planning and unmet needs of contraceptives to be met with. 7. Increasing community participation in the health system by formation and
strengthening of VHSC, effective functioning of Rogi Kalyan Samiti at PHC and Registration of RKS at APHC level. Proper utilization of untied fund at PHC and HSC level.
8. Training to all frontline facility providers to be given. 9. Awareness and BCC regarding all communicable and vector borne diseases.
Specific and Non-Negotiable Steps to be taken by Je hanabad district in the year 2011-12 with special focus on Blocks situation:
1. Initiating SNCU in the District hospital , Jehanab ad
2. Radiology, Pathology and Ultrasound facilities in a ll PHCs and Referral
hospitals.
3. Up gradation of Blood Bank of Jehanabad.
4. ISO certification for District Hospital, Makdumpur Referral and Kako PHC.
5. Generic Drug Storage at all seven PHC. Presently st orage is only in District
Hospital.
6. To provide special health facility in Naxal affecte d areas of Jehanabad district.
7. Establishment of NRC at district level.
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Planning Process → Planning in the district began in September 2010 with the Fast Track Capacity
building Programme in State health Society, Patna. The District Level planning team was formed and training was given. The Jehanabad training team consisted of:
• DTO • DPM • DPC • DAM • MOIC of PHC Hulasganj.
→ The team after taking State level training organized a workshop in the District in
which MOICs, BHMs and accountant of each block were trained for preparing Block level planning.
→ All the Programme officers of the district participated in the workshop along with District accounts Manager.
Civil Surgeon had energized the workshop by giving his presence and participation throughout the day. ACMO, who is the nodal person facilitated the workshop and announced the district Programme officers as the nodal officers for different blocks. Mr. Manish Mani from NHSRC and Ms. Shefali from PHRN facilitated the process and components of planning. Further formats were discussed by DPM,DPC and queries were solved.
→ Further at each block a workshop was done and all the members of Block PHC and ANMs were sensitized and given orientation regarding the planning. The District Programme officers in charge for the block facilitated the workshop in their blocks.
→ All the blocks filled up the situation analysis format and took out the gaps present in their facilities.
→ Thereby district compiled the data and added the information, goals, issues, strategies, activities and budget of the district and submitted it to the State by 15th December 2010.
Thus the final Draft of District Health Action Plan of Jehanabad district for the year 2011-12. with Block as the basis of planning came in this final shape.
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DISTRICT WORKSHOP: ----------------
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CHAPTER 2
SWOT ANALYSIS OF PART
A,B,C,D
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SWOT ANALYSIS
SWOT ANALYSIS OF PART “A”
STRENGTH *Skilled clinical staff.
* Doctors availibity.
* Blood Bank at DH, and blood storage unit at RH Makhdumpur.
* Better linkage facility to Gaya medical College and PMCH, Patna.
* Ambulance facility at all APHC to quick refer according to requirement.
* Good linkage facility and Pucca road village to PHC and higher level facility.
WEAKNESS • lack of specialist Doctors.
• Lack of all PHC Blood storage unit.
• Lack of proper training to all clinical staff.
• Lack of SNCU at district level.
• Lack of NRC for under nutrition child.
OPPORTUNITY • Opportunity to Start NRC.
• Strengthen All clinical staff after giving training.
• Opportunity to start SNCU.
THREAT • Threat of demotivation of clinical staff due to lack of HR Policies and
NAXAL AFFECTED AREA which will initiate adverse affect.
• Threat of Drought.
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SWOT ANALYSIS OF PART “B”
STRENGTH • Well qualified Management and Administrative wing.
• To manage Asha now we have Block community Mobilizer.
• For Better Planning DPC at district level.
• AYUSH Doctor at APHC to initiate AYUSH Treatment.
• Better cold Chain Status.
• Functioning of RKS at all PHC.
WEAKNESS • Lack of Infrastructure.
• Lack of Functioning of RKS at APHC level.
• Lack of Some selected facility to delivery.
• Lack of proper procurement of Drug.
OPERTUNITY
• We have sufficient land to infrastructure strengthening.
• Opportunity to develop skill of ASHA to deliver Health Facility to
villagers.
• Opportunity to select some facilities for Deliveries.
THREATE
• Threat of Naxalism.
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SWOT ANALYSIS OF PART “C”
STRENGTH • Better Cold Chain status.
• To monitor RI Program better Team as DIO, CS, ACMO, DPM,DCHM,
BHM,JCHM, DPC.
• Special focus to out reach site.
WEAKNESS • Lack of Proper Documentation.
• Lack of vehicle to monitor RI Programme.
• Lack of training to ANM on RI.
OPERTUNITY • Opportunity to insure 100% RI By Providing Vehicle to all Officers.
• By giving training Documentation can be done better,which will
insure improvement in RI coverage.
THREATE
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SWOT ANALYSIS OF PART “D”
STRENGTH • Each separate Unit for each vector born and other disease.
• Additional support of outside agencies in Different programme as like
in TB Damien Foundation India Trust.
WEAKNESS • lack of proper coordination with other internal department.
• Lack of combined approach for improvement of health system.
• Lack of proper Documentation.
OPERTUNITY • NRHM part D component include all other diseases so opportunity to
bring under one umbrella.
• Opportunity to focus on each disease.
THREATE
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Bihar- Jehanabad HMIS DATA ANALYSIS 2009-10
BIHAR-JEHANABAD- Summary-Apr'09 to Mar'10
ANC
ANC Registration against Expected
Pregnancies 318%
TT1 given to Pregnant
women against ANC
Registraion
21%
3 ANC Check ups against ANC
Reigtrations 9%
100 IFA Tablets given to
Pregnant women against
ANC Registraion
2%
Deliveries
Unreported Deliveries against
Estimated Deliveries 34.4%
HOME Deliveries( SBA&
Non SBA) against
Estimated Deliveries
0.3%
Institutional Deliveries against
Estimated Deliveries 65.3%
HOME Deliveries( SBA&
Non SBA) against
Reported Deliveries
0.5%
Institutional Deliveries against
Reported Deliveries 99.5%
C Section Deliveries
against Institutional
Deliveries( Pvt & Pub)
0%
Births & Neonates Care
Live Births Reported against
Estimated Live Births 37%
New borns weighed
against Reported Live
Births
58%
Still Births (Reported) 233
New borns weighed less
than 2.5 kgs against
newborns weighed
9%
Sex Ratio at Birh 1,033
New borns breastfed
within one hr of Birth
against Reported live
Births
26%
Child Immunisation( 0 to 11 mnths) BCG given against Expected Live
Births 92%
Measles given against
Expected Live Births 79%
OPV3 given against Expected Live
Births 87%
Fully Immunised Children
against Expected Live
Births
35%
DPT3 given against Expected Live
Births 87%
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Bihar-Jehanabad- Deliveries Apr'09 to Mar'10
Total Population 10,37,295 Expected Deliveries 31,437
Home SBA Home Non SBA Institutional Total Deliveries
Reported Unreported Deliveries
59 34 20,520 20,613 10,824
Home SBA % Home Non SBA% Institutional % Total Deliveries
Reported % Unreported Deliveries %
0% 0% 65% 66% 34%
Family Planning Family Planning Methods Users (
Sterilisations(Male &Female)+IUD+
Condom pieces/72 + OCP Cycles/13)
8,495 IUD Insertions against
reported FP Methods 36%
Sterilisation against reported FP
Methods 52%
Condom Users against
reported FP Methods 8%
OCP Users against
reported FP Methods 4%
Other Services OPD 4,84,225 Major Operations 50
IPD 110 Minor Operations 11,876
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Bihar-Jehanabad- C sections & Complicated Deliveries Apr'09 to Mar'10
Institutional Deliveries (Public) Institutional Deliveries (Pvt)
20,520 -
C Section 59 -
C Section% 0% 0
Complicated Pregnancies attended 61 -
Complicated Pregnancies attended % 0% 0
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Bihar-Jehanabad - Births - Apr'09 to Mar'10
Live Birth - Males
Live Birth - females
Live Birth - Total
Sex Ratio at birth Still Birth Abortion(
Induced/Spontaneous
5,607
5,792
11,399
1,033
233 13
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Bihar-Jehanabad- Apr'09 to Mar'10
Total Abortions Abortion Rate
101 0.3%
Bihar-Jehanabad-Sterilisations - Apr'09 to Mar'10
Reported %age of Reported Sterilisation
Total
Sterilisation
4,405 -
NSV
2,394 54%
Laproscopic
- 0%
MiniLap
2,011 46%
Post Partum
- 0%
Male Sterilisation
2,394 54%
Female Sterilisation
2,011 46%
Bihar-Jehanabad-FP Methods - Apr'09 to Mar'10
Reported %age of All Reported FP Methods
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Total Reported
FP Methodd (All
types) Users
8,495 -
Sterilisations
4,405 52%
IUD
3,074 36%
Condom Users
684 8%
OCP Users
332 4%
Limiting
Methods
4,405 52%
Spacing
Methods
4,090 48%
Bihar-Jehanabad- Service Delivery - Apr'09 to Mar'1 0
Operation major (General and
spinal anaesthesia)
Operation minor (No or local
anaesthesia) AYUSH Dental
Procedures
Adolescent counselling
services Total OPD
Total
IPD
50 11,876
24 24 - 4,84,225
110
Operation major (General and
spinal anaesthesia) as
%ge of OPD
Operation minor (No or local
anaesthesia)as %ge of OPD
AYUSH as %ge of
OPD
Dental Procedures as %ge of OPD
Adolescent counselling services as %ge of OPD
IPD as
percentage of
OPD
0.0% 2.5% 0.0% 0.0% 0.0% 0%
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33
CHAPTER 3
NRHM PART “A”
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Part A- RCH Maternal Health:
MATERNAL HEALTH
Logical Framework
Sl. Goal Sl. Impact indicators
1 To
improve
maternal
health
1.1 Reduction in MMR
Sl. Objective
s
Sl. Outcome
indicators
Sl. Strategy Sl. ACTIVITES
1.1.1.1 TO make
all PHC
functional
OT and
Labour
room with
equipment
1.1.1.2 All PHC
having
Obestetric
First Aid
medicine
24hrx 7
days
1 To
increase
100%
institutio
nal safe
delivery
by 42.5%
( DLHS3)
to 100%
by year
2012
1.1 % of
institutional
delivery
reported
1.1.1 To make
functional PHC
(24hr x7days) for
institutional
deliveries
1.1.1.3 Grade A
nurse
available
24hrx7days
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1.1.1.4 functioning
all PHC
Neo-natal
care units
1.1.2.1 One FRUs
having
functional
blood
storage
units
linkage with
blood banks
and 24hr
ready
referral
transport
1.1.2.2 No of FRUs
having
EmOc and
CEmOc
facilities
1.1.2.3 No of FRUs
having
specialist
doctors/
multiskilled
Medical
Officers
1.1.2 To make
functional FRUfor
institutional
deliveries
1.1.2.4 No of FRU
having
functional
Neo-natal
care units
1.1.3 To provide
Referral transport
services at FRU
/PHC
1.1.3.1 No of
pregnant
women
availed the
referral
facilities
(pick up and
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drop)
1.1.4 To strengthen
Janani Suraksha
Yojana / JSY
1.1.4.1 Nos
pregnant
women
reecieved
JSY
payments
immediatel
y after
delivery
2 To
increase
safe
delivery
by
trained
SBA
10.6%(
DLHS3) to
100% by
year 2012
2.1 Proportion of
birth
attendent by
skilled health
personnel
2.1.1 To ensure
support of SBA at
home deliveries
2.1.1.1 home
deliveries
attended by
SBA trained
ANM.
3.1.1.1 Almost all
HSCs having
ANMs
3.1.1 To strengthen
HSC for providing
outreach
maternal care
3.1.2 To organise
integrated RCH
camps specially
for hard to reach
areas, isolated
population and
Maha Dalit Tolas
3.1.2.1 f RCH
camps
planned
and held
3 To
increase
ANC
coverage
with
quality
30.6%
(DLHS3)
to 75% by
year 2012
3.1 ANC reported
through HMIS
formats / Form
-7
3.1.3 To improve
adolescent
reproductive and
sexual health
3.1.3.1 No of
pregnant
adolescent
counselled
by ANM/
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AWW/ASHA
so activity
at HSC,
AWW
center.
3.1.4 To accelerate
APHC for OPD
and Fixed AN
clinics
3.1.4.1 Insure of
OPD clinics
organized
at APHC
level.
4 To
provide
safe
abortion
services
at all
facilities
4.1 % MTP cases
reported
through HMIS
formats / Form
-7
4.1.1 To provide MTP
services at health
facilities
4.1.1.1 No of
facilities
having MTP
services
(public and
private
involvemen
t)
5 To
increase
communi
ty
participat
ion in
maternal
care
5.1 % of Mahila
mandal
meetings
conducted.
5.1.1 To strengthen
Monthly Village
Health and
Nutrition Days
5.1.1.1 monthly
Village
Health &
Nutrition
Days
planned
and held
MATERNAL HEALTH
Sl
.
Strategy Sl Gaps Sl Activities
Infrastructure
A
1
To make
functional
PHC (24hr
x7days) for
institution
al
deliveries
1.1 All PHCs are
running with only
six bedded
facility. All of
facilities are not
adequate as per
IPHS norms.(List
attached,
1.1.1 Need based ( Service
delivery)Estimation of
cost for up gradation
of PHCs
Selection of any two
PHCs for ISO
certification in first
phase
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1.2 At present 7 PHC are
working with average
10 delivery per day,
10 FP
operation/emergency
operation and 125
OPD per day in each
PHC. This huge
workload is not being
addressed with only
six beds inadequate
facility.
1.2.1 2. Preparation of priority
list of interventions to
deliver services and insure
use of patograph by ANM.
1.4 The comparative
analysis of facility
survey(08-09) and
DLHS3 facility
survey(06-07) , the
service availability
tremendously
increased but the
quality of services is
still area of
improvement.
1.4.1 2. Sending the
recommendation for the
certification with existing
services and facility detail.
1.5.1 3 Prioritizing the
equipment list according
to service delivery and
IPHS norms.
1.5 Lack of equipments as
per IPHS norms and
also under utilized
equipments.
1.5.2 Purchase of equipments
1.6 Lack of appropriate
furniture
1.6.1 Purchase of Furniture
1.11 Lack of facilities/ basic
amenities in the PHC
buildings
1.11.1 Rennovation of all 7 PHCs
1.12 As per IPHS norms
each PHC requires
the following clinical
staffs:(List attached)
Salary of Contractual
Doctors
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1.12.1 Selection and recruitment
of Doctors on contractual
basis and give priority in
selection those who are
living in same PHC.
1.12.10.1
1.12.10
Salary of Contractual
Grade A+
Selection and recruitment
of grade A for conducting
delivery
Selection and recruitment
of dresser
Selection and recruitment
of Pharmacist.
Three month indication
training of Grade A nurse
under supervision of
District level resource
team.
1.13 1.13.1 Training need Assessment
of PHC level staffs
Honorarium of Block
Accountants
Rent of Data Center
Honorarium of BHM
Mobility support to BHMs/
Accountant
1.14 1.14.1 Appointment of Block
Health Managers,
Accountants in all
institutions.(7 PHCs, 2
Referrals and Sadar
hospital.) and 2 extra
Accountant in Sadar
Hospital and Referral
Hospital, Ghosi)
But the actual
position is not
sufficient as per IPHS
norms List of Human
resource is attached
in Annexure “A”
Process of all recruitments
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Trainings of BHMs on
Health statistics
Training on Program,
Finance management and
HMIS
Drug Supply
1.16 Irregular supply of
drugs because of lack
of fund disbursement
on time.
1.16.1 Ensuring the availability of
FIFO list of drugs with
store keeper. And ABC
Analaysis.
1.17 Only 38 essential
drugs are rate
contracted at state
level .
1.17.1 Implementing
computerized invoice
system in all PHCs
Purchase of Drug invoice
software and one pc.
Lack of fund for the
transportation of
drugs from district to
blocks.
1.17.2 3.Fixing the responsibility
on proper and timely
indenting of medicines(
keeping three months
buffer stock)
1.18 1.18 .Payment from Rogi
Kalyan samiti account.
1.19 There is no clarity on
the guideline for need
based drug
procurement and
transportation.
1.19.1 5. Orientation meetings/
training on guidelines of
RKS for operation.
1.20.1 6. Enlisting of equipments
for safe storage of drugs.
1.20.2 7. Purchase of enlisted
equipments.
1.2 Drugs are not
properly stored
1.20.3 8.training of store keepers
on invoicing of drugs
Performance
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1.21.1 Excessive load on PHC
in delivering all
services i.e. 10
deliveries per day, 4
inpatient Kala-azar,
10 FP
operation/emergency
operations and 120
OPD per day in each
PHC.
1.21.2 Doctor vacancies list
are enlisted in
annexure A
1.21.1 Recruitment of Doctors on
contractual basis
1.22.1 Hiring of rented houses
from RKS fund for the
residence of doctors and
key staffs.
1.22.2 Incentivizing doctors on
their performances
especially on OPD, IPD, FP
operations, Kala-azar
patients treatment.
1.22 All posted doctors are
not regularly present
during the OPD time
so the no of OPDs
done is very less( only
average16 patients
per Doctor per OPD
days, however the
IPHS norms says that
the OPD should be 40
per Doctor.) 1.22.3 Revising Duty rosters in
such a way that all posted
doctors are having at least
8 hrs assignments per day
1.24 07 PHCs are lacking
24 hrs new born care
services.
1.24.1 Ensure 24 hrs new born
care services in all 7 PHC.
1.27 Lack of 24 hrs BEmoC
services.
1.27.1 Ensure 24 hrs BEmoC
services at 07 PHC
Training of Doctor from
each PHC on BEmoC.
Equipments for BEmoC
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1.29 All Phc have T.B lab
Technician. In
addition to this the
regular lab technician
has been deputed for
this purpose.
1.29.1 Deputation of regular Lab
tech at PHC level for
providing free of cost lab
services to all pregnant
women and BPL families.
Training of TB lab
technician on other
pathological tests.
1.3 1.30.1
Purchase reagent
(recurring) for
strengthening lab.
Purchase of equipments/
instruments if needed.
Fund could be rooted
through RKS and if it is not
utilized it could be
diverted to other women
and child friendly
activates.
1.32 Health facility with
AYUSH services is not
being provided
Establishing one
Panchkarm center in Kako.
Establising two
homeopathy centers in
Kako and Makhdumpur.
1.33 Referral Services
1.33.1 No pick up facility for
PW or BPL patients.
1.33.1.1 Provision for pick up &
drop out for pregnant
mothers and BPL families
free of cost using existing
Ambulance services at
PHC level.
Provide EDD list of
pregnant women to
Ambulance driver and
Number of ambulance
deriver and 102 /PHC tell
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No to all Pregnant women
1.33.3 Lack of maintenance
of ambulances
1.33.3.1 Repairing of 2 defunct
Ambulances
1.33.4 Shortage of
ambulances
1.33.4.1 Hiring of ambulances as
per need.
Prepare list of Vehicle
those are utilised in
Monitoring work in PHC
that can be use in pick up
and drooping facility for
PW.
1.34.1 Assigning mothers
committees of local BRC
for food supply to the
patients in govt’s
approved rate.
Rewiev of Cleanliness
activity in all PHC by
Quality assurance
committee and payment
of agency should be link
with it.
1.34 Quality of food,
cleanliness (toilets,
Labour room, OT,
wards etc) electricity
facilities are not
satisfactory in any of
the PHC.
1.34.2 Hiring of workers for
cleanliness of OT and
Labour room in PHC
Perchage equipments and
uniform for clinginess in all
PHC
Training of Workers on
using
machine/equipments and
importance of clinginess .
Develop mechanism for
monitoring of clinginess
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work
1.35 All PHCs have their
own generator sets
but are not in use.
1.35.1 Repairing of PHCs genets
and initiating their use.
1.7 Printing of formats and
purchase of stationeries
1.7.2 Biannual facility survey of
PHCs through BHM as per
IPHS format
1.7 Non availability of
HMIS
formats/registers and
stationeries
1.7.3 Regular monitoring of PHC
facilities through PHC level
supervisors in IPHS format.
1.8.1 Ensuring regular monthly
meeting of RKS.
1.8 Operation of RKS:
1.8.2 Appointment of Block
Health Managers,
Accountants in
institutions.( 01 Referral
Hospital Ghosi.)
1.9 Lack in uniform
process of RKS
operation.
1.9.1 Training to the RKS
signatories for account
operation.
1.9.2 Trainings of BHM and
accountants on their
responsibilities.
1.1 Lack of community
participation in the
functioning of RKS.
1.10.1 Meeting with community
(School children or
other)representatives on
erecting boundary,
beautification etc,
1.10.2 Meeting with local public
representatives/ Social
workers and mobilizing
them for donations to RKS.
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1.36 In serving emergency
cases, there are
maximum chances of
misbehave from the
part of attendants, so
staffs reluctant to
handle emergency
cases.
1.36.1 Meeting in RKS with Local
Police Station in charge to
handle emergency
situation .
Training local
NCC/NYK/Scout &
Guide/NSS etc. volunteers
on identification of
emergency situation. And
deployment of volunteers
at PHC.
1.37 Several cases of theft
of instruments,
computers, and
submersible pumps
etc at PHCs.
1.37.1 Insurance of all properties
and staffs of PHC
1.38 No guidance to the
patients on the
services available at
PHCs.
1.38.1 Pictorial wall painting on
every section of the
building denoting the
facilities and attached
trained volunteers to
guide patients.
Name plates of Doctors 1.39 Non friendly attitude
of staffs towards the
poor patients in
general and women
are disadvantaged
group in particular.
1.39.1
Displaying Name
Photograph and DOB of all
staff of PHC and put
clinginess staff name on
top of the list.
1.41 Lack of counseling
services
1.41.1 LHV experience can be
utilize in counseling work
of women and adolescent
girls after training.
1.42 there is no hot water
facility for PW and
there is no adequate
liting facility at
adjoining area of PHC
1.42.1 Installation of solar heater
system and light with the
help of BDO/Panchayat at
PHC or purchase
equipments from market.
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1.43 Lack of convergence 1.43.1 Convergence meeting by
RKS & DHS
1.44.1 Orientation of the staffs
on indicators of reporting
formats
1.44 Lack of timely
reporting and delay in
data collection
1.44.2 Purchase of Laptops for
DPC with internet facility.
1.45.1 Gardening
1.45.2 Sitting arrangement for
patients
Construction of patients
waiting shade
1.45.3 Installation of LCD
projector for manages
Waite over time of OPD
patients.
1.45.4 Installation of safe
drinking water
equipments/water cooler,
1.45.5 Apron with name plates
with every doctors
1.45.6 Presence of staffs with
uniform and name plates.
1.45 Lack of space for
waiting,
environmental
cleanliness around
PHC, provision for
hospitality etc
1.45.7 Payment of 63 MAMTA
@100 Rs.
2.1.1 Devlop PHC Makhdum,pur
and Sadar Hospital for C-
section facility
2.1.2 Training of MOs of 5 PHCs
in mullti skilling.
2.1 C-Section deliveries
are not conducted in
institution.
2.1.5 Specialist should be
posted at Sadar
Hospital/and above
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mention five PHC
2.1.6 C-section in a month the
incentive money should be
distributed among all staff
of the PHC after the
decision of RKS.
2.1.8 Need based Equipments
and drugs in O.T and
Labour room.
None other of the
PHC provides 24 hour
blood transfusion
services, however
PHC Makhdumpur has
been established
blood storage unit.
Up gradation of district
blood bank.
Training of lab technician
on management of blood
storage
Infection control
protocols is not at all
maintain at all
facilities
2.2.2 Licensing blood storage /
blood bank
2.2.3 Meeting infrastructure
requirements as per
norms Blood BANK.
2.2.4 Training of MO and lab
tech/ staff nurse blood
storage on
grouping /cross matching
and management of
transfusion reactions
stabilized linkages with
mother blood bank.
2.2.5 Provide free of cost Blood
for pregnant women who
need blood transfusion for
severe anemia/ PPH on
prescribed through RKS
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Fund
2.2.11 Organize Blood donation
camps at all institution
and mobilize community
for voluntary blood
donation
2.3.1 Provision of food for the
delivered mothers and
mothers under gone in
tubectomy in all the health
facilities.
2.3.2 Mobilize community
Resources for providing
Free food for PW at
Institution.
2.3 Welcome PW at
Institution and PHC
and FRU
2.3.3 Quality indicators (clean
environment, wards with
clean linen, clean toilets ,
clean labour rooms,
running waters supply, hot
water and protected
water for inpatients, new
born corners, treatment
protocols, aseptic
precautions, immediate
disbursement of
2.4.1 Training of ASHA & ANM
on reporting of Maternal
deaths and conduct
Verbal Autopsy
2.4.2 Incentives for maternal
death reporting by ASHA
@ Rs 50/-per maternal
death
2.4 Reporting of maternal
death Maternal death
reporting is usually
not reported by
worker
2.4.3 Reporting line should be in
five columns – name of
mother, place of death,
date of death, cause of
death and no. of birth.
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2.4.4 Institution and urban
center also to report
Maternal death to the
district CS/CMO.
2.4.5 Maternal Death should be
reported by ASHA AWW,
ANM Staff Nurse &
Doctors to the district data
center .
2.4.6 Investigation of maternal
death by district team. and
third party review(District
magistrate)
2.4.7 Training of ASHA and
investigation team
objective and process of
investigation and review
of maternal death
2.5.1 Procurement of
equipment and staff
recruitment.
2.5 Biomedical waste
management is not
properly taken care
off at all institution 2.5.2 As per example Introduce
color coded buckets for
facilities as per IMEP
4.1 Tracking of pregnant
women from first
Trimester is not done
form the register.
4.1.1 Review of early
registration with 3 AN
checkup ,two TT.100/200
IFA Tab. in ASHA Diwas.
4.2.1 Ensure 100 %Pregnancy
Test Kit is to ASHA and
regular supply.
4.2 Too much
documentation
process. Photo
required for mother
and baby. It cost
Rs.30/- to Rs.60/- .
4.2.2 Direct transfer of funds
from district to PHC
through core banking /
directly from DHS
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4.2.3 Finger print
technology for JSY
beneficiaries at
facility level where
computer with
internet facility is
available. This will
help in financial
monitoring.
4.2.4 The photo system
should be replaced by
some other
alternatives like-
bank account
opening of pregnant
women in first
trimester and directly
transfer the money to
their account after
delivery.
Incentive for
institutional delivery.
5.1.1 Home Delivery should
be conducted by SBA
trained Staff Nurse or
ANM.
5.1.2 Provision of Dai
Delivery kit(DDK) to
TBA where institution
access is poor. And it
should be supervised
by ANM for home
deliveries.
5 To ensure
support of
SBA at
home
deliveries
5.1 Home Delivery is
still prevailing
through untrained
traditional Dai’s
5.1.3 Delivery kit
(equipment,
medicine)for ANM
should be supplied
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5.1.4 Supply of delivery Kits
as per number of
deliveries conducted
in home.
5.2 Reporting of
home delivery is
not done so the
PNC is not
provided
5.2.1 Incentive based
system for reporting
of home delivery by
ASHA and it should
linked with ANM
5.3 Non payment of
Home delivery
through JSY
5.3.1 The JSY money to the
mother who has
delivered baby at
Home paid by ANM.
Infrastructure
6.1 Out of 81HSCs
only 34 are having
own building
6.1.1 Strengthening of HSCs
having own buildings
6.2.1 White washing of HSC
buildings.
6.2.2 Organize adolescent
girls for wall painting
and plantation./hire
local painter for
colorful painting of
HSC walls.
6.2.3 List out all services
which is provided at
HSC level. On the
wall.
6.2 In existing 34
buildings 10 are in
running
comparatively in
good condition,
18 are being
renovated, one is
very poor
condition.
6.2.4 Gardening in HSC
premises by school
children.
6 To
strengthen
HSC for
providing
outreach
maternal
care
6.3 No one building is
having running
water and electric
supply.
6.3.1 Mobilize running
water facility from
near by house if they
have bore well and
water storage facility
and it could be on
monthly
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rental.(Untied fund)
Arrangement of
water supply up to
HSC ( Wiring ) from
water source
6.4.1 Purchase of
Furniture Prioritizing
the equipment list
according to service
delivery(for ANC
/Family planning
/Immunization/)
6.4.2 Purchase of
equipments according
to services
6.4 Lack of
appropriate
equipments and
ANM are
reluctant to keep
all equipments in
HSC .
6.4.3 Purchase one almarah
for keep all
equipment safely and
it could be keep in
AWW / ASHA house.
6.5.1 Strengthening of HSCs
running in rented
buildings.
6.5.2 Estimation of backlog
rent and facilitate the
backlog payment
within two months
6.5.4 Purchase of
Furniture as per need
where building is on
rent
To
strengthen
HSC for
providing
outreach
maternal
care
6.5 Non payment of
rent of 20 HSCs
for more than
three years
6.5.5 Prioritizing the
equipment list
according to service
delivery
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6.5.6 Purchase of
equipments as per
need
6.6.1 Preparation of PHC
wise priority list of
HScs according to
IPHS population and
location norms of
HScs
6.6.2 Community
mobilization for
promoting land
donations at
accessible locations.
6.6 The district still
needs 83 more
HSCs to be
formed.
6.6.3 Meeting with local
PRI /CO/BDO/Police
Inspector in smooth
transfer of
constructed HSC
buildings.
6.7.1 Biannual facility
survey of HSCs
through local NGOs as
per IPHS format
6.7.2 Regular monitoring of
HSCs facilities
through PHC level
supervisors in IPHS
format.
To
strengthen
HSC for
providing
outreach
maternal
care
6.7 Non participation
of Community in
monitoring
construction work
6.7.3 Monitoring of
renovation/constructi
on works through
VHSC members/
Mothers
committees/VECs/oth
ers as implemented in
Bihar Education
Project.
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54
6.7.4 Training of
VHSC/Mothers
committees/VECs/Ot
hers on technical
monitoring aspects of
construction work.
6.7.5 Quarterly Meeting of
one representative of
VHSC/Mothers
committees on
construction work
and other issues
6.8.1 Formation and
strengthening of
VHSCs, Mothers
committees,
6.8.2 “Swasthya Kendra
chalo abhiyan” to
strengthen
community
ownership
One week Training of
Nukkad Natak team
on IPHS
6.8.3 Nukkad Nataks on
Citizen’s charter of
HSCs as per IPHS
6.8 Lack of
community
ownership in the
6.8.4 Monthly meetings of
VHSCs, Mothers
committees
Human Resource
7.1.1 Selection and
recruitment of 67
ANMs
7
7.1 1.Out of 13
sanctioned post
of LHVs only 05
are placed,
2.All 240 posted
ANM are not
trained enough to
deliver services.
3. 67 seats of
7.1.2 Selection and
recruitment of 28
male workers
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55
7.1.3 Training need
Assessment of HSC
level staffs by BHM in
weekly meeting
contractual are
Vacant.
7.1.4 Training of staffs on
various services in the
PHC,
7.2.1 To Start an ANM
Training School in the
District.
7.2.2 Deployment of
required
staffs/trainers
7.2.3 Hiring of trainers as
per need
7.2.4 Preparation of annual
training calendar
issue wise as per
guideline of Govt of
India.
To Open
ANM
Training
School for
providing
regular
training to
ANMs.
7.2
7.2.5 Allocation of fund and
operationalization of
allocated fund
Drug Kit Availability 8 To
strengthen
HSC for
providing
outreach
maternal
care
8.1 No drug kit as
such for the HSCs
as per IPHS
norms.(KitA, Kit B,
drugs for delivery,
drug for national
disease control
program (DDT,
MDT, DOTs,
DECs)and
contraceptives,
8.1.1 Weekly meeting of
HSC staffs at PHC for
promoting HSC staffs
for regular and timely
submission of indents
of drugs/ vaccines
according to services
and reports
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56
8.1.2 Ensuring supply of Kit
A and Kit B biannually
through Developing
PHC wise logistics
route map
8.1.3 Hiring vehicles for
supply of drug kits
through untied fund.
8.1.4 Developing three
colored indenting
format for the HSC to
PHC(First reminder-
Green, Second
reminder-Yellow,
Third reminder-Red)
8.1.5 Hiring of couriers as
per need
No Drug kit for
AWCs(@one kit
per annum,) . No
ASHA kit, only
need based
emergency but
that too being
irregular in supply
8.1.6 Payment of courier
through ANMs
account
Performance
9.1.1 Training of signatories
on operating Untied
fund account, book
keeping etc
9.1.2 Timely disbursement
of untied fund for
HSCs
9.1 Unutilized untied
fund at HSC level
9.1.3 Assigning a person at
PHC level for
managing accounts
9.2.1 Identification of the
best HSC on service
delivery
9 To
strengthen
HSC for
providing
outreach
maternal
care
9.2 No ANC at HSC
level Only 26.7%
PW registered in
first trimester
with three ANCs is
30.6%, TT1
coverage is 54.5%
9.2.2 Listing of required
equipments and
medicines as per IPHS
norms in facility
survey
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57
9.2.4 Honoring the ANM
those who develop
women friendly HSC
in given criteria (list is
attached)
9.3.1 Gap identification of
39 HSCs through
facility survey
9.3.2 Eligible Couple Survey
9.3.3 Ensuring supply of
contraceptives with
three month’s buffer
stock at HSCs.
9.3.4 One day training of
AWW/ASHA on family
planning methods
and RTI/STI/HIV/AIDS
9.3 Family Planning
Status:-Any
method-
28.2%,Any
modern method-
24.01%,No
sterilization at
HSC level,IUD
insertion -
1%,Pills-
0.9%,Condom-
1.6%,Total unmet
need is 39.8%, for
spacing-15.3%
,Lack of
counseling Skill. 9.3.5 Training of ANMs on
IUD insertion
9.4.1 Review of all disease
control programs HSC
wise in existing
Tuesday weekly
meetings at PHC with
form 6.( four to five
HSC per week)
9.4.2 Strengthening ANMs
for community based
planning of all
national disease
control program
9.4.3 Reporting of disease
control activities
through ANMs
To
strengthen
HSC for
providing
outreach
maternal
care
9.4 HSC unable to
implement
disease control
programs
9.4.4 Submission of
reports of national
programs by the
supervisors duly
signed by the
respective ANMs.
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58
9.5 80% of the HSC
staffs do not
reside at place of
posting
9.5.1 Submission of
absentees through
PRI. NO proper
arrangement for stay
over there
9.6.1 Fixed Saturday for
meeting day of ANM,
AWW, ASHA,LRG with
VHSCs rotation wise
at all villages of the
respective HSC.
9.6 Lack of
convergence at
HSC level
9.6.1 Monthly Video shows
in all schools of the
concerned HSC area
schools on health,
nutrition and
sanitation issues.
9.7.1 Training to the field
staffs in filling up
form 6, Form 2,
Immunization report
format, MCH
registers, Muskan
achievement reports
etc
9.7 Lack of
Knowledge and
skill of filled level
staff of data
compilation in
HMIS formats and
format.
9.7.2 Printing of adequate
number of reporting
formats and registers
10.1.1 Identifying Socially
Backward, Slums &
Maha Dalit Tolas.
1
0
To
organize
integrated
RCH camps
specially
for hard to
reach
areas,
isolated
population
and Maha
10.1 Out reach camps
are not organized
in planed manner.
It is totally base
on demand of
organization and
it eventually it is
not reported to
respective HSCs
and PHC.
10.1.2 Hiring trained
alternate vaccinator/
retired ANMs and
Medical officer .hiring
vehicle for fixed day
out reach camps with
drugs.
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59
10.1.3 Fixed day OPD clinics
at APHC level and
adjoining HSC of
respective APHCs.
with dedicated MO
and support staff.
10.1.4 To make calendar for
camps with date and
identified areas. And
link NGOs those who
are willing to
organized Camps.
Dalit Tolas
10.1.5 Community based
reporting system
through SMS. involve
PRI members and
training on reporting
and Camp approach
11.1 No training
Programme for
adolescent
particularly health
and sex.
11.1.1 Multipurpose
counselor can be
used for adolescent
care. For this services
of LHV can be used.
and calendar of
activity could be
develop.
11.2 Preventions of
anemia in
adolescence girls
11.2.1 Linkage with
adolescent anemia
control Programme in
Schools with Unicef.
And training to the
one teacher from the
school
11.3 Marriage before
legal age.
11.3.1 Sensitization of PRI
members particularly
women
1
1
To
improve
adolescent
reproducti
ve and
sexual
health
11.4 Preventions of
teen age
pregnancy and
abortion.
11.4.1 Adolescent
pregnancy should be
addressed with
priority care(
eclampsia, 3 ANC,
anemia, 100 IFA,
100% institution
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60
delivery, low birth
Wight baby, Brest
feeding. PNC with in
48 hours.
11.6.1 Family counseling for
adolescent pregnancy
tracking on above
mention through
ASHA and AWW.
11.6.2 State to develop and
issue guidelines for
implementation of
Kishori Mandals
Formation of Kishori
Mandals by
registration of all
girls(11-18 yrs)
11.6.3 Prepare a monthly
plan of activities for
one day per week
11.6.4 Counseling nutrition,
health and social
issues every week at
AWCs by AWW
11.6.5 Weekly distribution of
IFA Tablets to out-of-
school girls at AWCs
11.6.6 Deworming
adolescent every 6
months
To
improve
adolescent
reproducti
ve and
sexual
health
11.6 Limited
interventions for
empowering
adolescent girls
11.6.8 Initiate family schools
for learning child care
, safe mother hood
life skills and Family
life education
1
2
To provide
MTP
services at
12.1 MTP services are
not available in
Public sectors
12.1.1 Selection of facilities
for provision of safe
abortion services
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61
12.1.2 Location of facility
availability of trained
service provider,
space, equipments.
12.1.3 To Provide
appropriate
equipments at all
facilities and MVA
syringes.
12.1.4 Putting the trained
doctors at
appropriate facilities
to commence the
services
12.1.5 Training of Medical
officers and Para
medical staffs on Safe
abortion services
training including
awareness about
legal aspects of MVA/
EVA and Medical
abortion by IPAS .
12.1.6 Formation of district
level committee (DLC)
to accredit private
sites as per GOI guide
line .
12.1.7 Develop reporting
system of MTP
services in private
and public sector.
health
facilities
12.1.8 Through training
program make the
govt. doctors skilled
to perform MTP in
the approved sites.
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62
12.1.9 To Involve community
to aware about
location of services ,
process and legal
aspects of MTP
services through -
AWW, ASHA & ANM,
LRG and mass
media.(IEC)
12.1.10 The services of
Pregnancy testing
should be strengthen
and it should be
linked with MTP
services.
12.1.11 NGO’s and local
Practitioner should be
involved for
counseling and
information of facility
12.1.12 Assurance of privacy
and link with family
welfare services
counseling at all
facility.
12.1.13 Linkage with MTP
services with NGOs
(PPP) those who are
working in Safe
abortion services. and
create one modal
center at district and
PHC level.
To provide
MTP
services at
health
facilities
12.1.14 Training of ASHA on
medical abortion.
13.1.1 AWC should be
develop Hub of
activities (VHND)
1
3
To
strengthen
Monthly
Village
Health and
Nutrition
13.1 Nutrition and
Counseling
Component is not
visible in VHND
and there is no
monitoring of
VHND activity by
13.1.2 Develop an activity
plan calendar for
VHND as seasonality.
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63
13.1.3 Counseling of
mothers on ANC,
preparation for Child
care ,STI/RTI, and
AYUSH, adolescent
Health
13.1.4 Organize VHND in
Four Table concept
regularly where One
place is for
registration, one is for
weighing, one is for
immunization and
fourth is for
counseling
13.1.4 Meeting of VHSC and
preparation for area
specific
epidemiological
planning and
community based
monitoring.
13.1.5 Skill development
training is required to
ANM , ASHA & AWW
and Dular (LRG)
13.1.6 Develop monitoring
plan map of each
village and displaced
at AWC with
identification of
priority houses with
PW, lactating women
,Malnourish children ,
New born, DOTs and
other services
Days Community.
13.1.7 SMS reporting system
of conducting VHND
and ANM collect Data
from field level and
compile it in
weekly/Monthly
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64
B APHC Infrastructure
To form
/strenghte
n APHC in
Phase
manner
1.3 Out of 32 APHCs
only 11 are having
own building
1.3.1 Registration of RKS
1.4 Existing 11
buildings are not
properly
maintained
1.4.1 Rennovation of
APHCs buildings from
RKS Fund
1.5 Non payment of
rent of 16 APHCs
for more than one
year.
1.5.1 Payment Of Rent of
APHC building
1.6 Lack of
equipments,
1.6.1 Purchase of
equipment as per
service need from
RKS fund
1.7 Lack of
appropriate
furniture
1.7.1 Purchase of Furniture
from RKS fund
Human Resource
2.1 in the district no
any APHC
functioning as per
IPHS norms
2.1.1 Operational sing one
APHC in each PHC by
conducting daily OPD
by Doctor. And
support staff.
2
2.2 2.2.1 Notification from
district for
operational sing APHC
Drug Supply 3
3.1 No drug kit as
such for the
APHCs as per IPHS
norms.
3.1.1 Purchasing 23 listed
OPD Drugs of PHC for
APHC
5 RTI/STI
services at
health
5.1 No regular clinic
at all PHCs &
APHCs.
5.1.1 Trained service
provider on syndrome
management of
RTI/STI (As per GOI
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65
guide line) up to
APHC level.
5.1.2 Logistics of setting of
clinics and free drugs
availability
5.1.3 Integrated Counseling
services in four public
sector facilities by
trained personnel.
facilities
5.1.4 IEC/BCC for
awareness available
RTI/STI services at all
health facilities.
Child Health
Logical Framework
Sl. Goal Sl. Impact indicators
1.1 Reduction in IMR 1
To improve Child health & achieve child survival
1.2 Child performance in the school - enrolment, attendance and dropout
Sl. Objectives Sl. Outcome indicators
Sl. Strategy Sl. Output indicators
1 To increase ORS distribution from 13.6%(DLHS3) to 80%
% increase of ORS distribution .
1.1.1
2 To increase treatment of diarrohoea from 74.7% to 90%
1.1
% increase of treatment of diarrhea within two weeks
IMNCI,Home Based Newborn
Care/HBNC
% of PHC initiated
IMNCI and HBNC
training.
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66
within two weeks
3 To increase treatment of ARI/Fever in the last two weeks from 72.6%(DLHS3) to 95%
% increase of treatment of ARI/Fever in the last two weeks
4 To increase of infant care with in 24hr of delivery from 29.8%(DLHS3) to 50%
% increase of infant care with in 24hr of delivery .
Straitening of Facility Based Newborn Care/FBNC and trained workers on using equipments.
All PHC initiated HBNC with trained MAMTA, ASHA on facility based new born care..
To increase % of breastfeeding from 18.6% to 70% within 1 hr of birth
% increase of breastfeeding within 1 hr of birth .
To increase initiation of complimentary feeding among 6 month of children from 84.5% to 90%
% increase of complimentary feeding among 6month of children.
To increase exclusive breastfeeding among 0-6 month of children from 10.9% to 80%
% increase of exclusive breastfeeding among 0-6 month of children.
To increase immunizatio
% increase of full
1.1.2
Infant and Young Child Feeding/IYCF
No of training
orgnised in PHC on
IYCF
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67
n coverage from47.3% to 70%
immunization coverage .
To increase vit A coverage of received at least one dose (9month to 35 months ) from 66.00% to 80% and include up to 5 years.
To increase Vit A reported adequate coverage among (9m to 5ys )
1.1.3
Management of diarrhea, ARI and Micronutrient Malnutrition through Child survival months
Two round of Child survival Month organized in one finical year.
1.1.4 Care of Sick Children and Severe Malnutrition and strengthen VHND at all AWCs
No of VHND organized vs. Planed.
2
To decrees Malnutrition
form 58%(NFHS III state ) to 30% of the age group of (0 to 5
yrs)
2.1
% of decrease Malnutrition
age group of (0 to 5 yrs)
2.1.1
School Health Programme
No Of school health Programme organized in the PHC
Sl. Strategy Gaps Activities
Assessment of Training
load and prepare
calendar of training
Incorporate ASHA in
IMNCI training team
IMNCI,Home Based Newborn Care/HBNC
Training
Gaps(AWW-
905/925,ASHA-
0,ANM-
150/249,MPW-
0,MO-
100/140,CDPO-
05/7,ICDS Super-
05,Health
supervisors-
15,NGOs-06)
No ASHA is
ASHA kit regular supply
and incorporate use of
ASHA Kit in training
curriculum.
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68
trained on
IMNCI
Division of area among
all trained supervisiore
for revision of IMNCI
activity in their area.
BHM will be responsible
for review of health
supervisor and
LS(ICDS)on given format.
Unicef staff will support
in developing review
mechanism in PHC.
Incorpate IMNCI reports
in HIMS format
Encouraging mother
regarding child care. in
VHND
Frequent checkups of
babies by
Pediatrician.Distribute
telephone number to
AWW and ANM of
respective doctors those
who are supervising
them in the field.
Inadequate monitoring of this activity at field level
Wednesday could be
fixed a day for IMNCI
related work at HSC
level
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69
Community based
Monitoring support
system develop with
SHG in seven PHC
Training of Group
members
seed money to SHG for
referral services and
other need based
services.
only one
institutions has
baby warmer
machines but
maintenance of
machine is not
up to the mark
and.
All PHCs should be
equipped with baby
warmer machines.
ANMs and
Doctors are not
trained to
operate these
machines
Training of Doctors and
ANM to operate baby
warmer machine.
There is no
provision of stay
of mothers of
neonates at
PHC.
Organize training
programme for newborn
care for the nurses in
the district hospitals
Neonatal Care
Unit not up to
mark.
District level Supporting
supervisory team should
be developing with the
responsibility of
nonfunctioning of
neonatal care
unit.Training of team on
monitoring of NCU
Facility Based Newborn Care/FBNC
Untrained of
“MAMTA” at
PHC level.
Training of Mamta and
staff nurse on logistics of
New born Care units. by
district level supervisory
Team.
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70
Colostrums feeding and
breast feeding
inclusively for six
months. Through IMNCI
Training.
Baby friendly hospital
Training of one doctor
form each Nursing
hospital at District Level
Two days training of one
staff nurse from each
private hospital on
counseling skill.
Non awareness
of breast
feeding and
proper diet of
young children.
Accreditation of nursing
home and facility
according to norms of
baby friendly hospital
Development and
Printing of BCC
materials
Preparing adolescent
and pregnant mother
on IYCF by IPC through
AWW, LRP and ASHA
Poor
knowledge
regarding new
born care and
child feeding
practices
Linking JBSY with
colostrums feeding
Infant and Young Child Feeding/IYC
F
Myths and
misconception
s about early
initiation of
breast feeding,
exclusive
breast feeding
and
complementar
Counseling and
orientation of local
priests, opinion
leaders, fathers,
mother in laws by
ICDS/ Health
functionaries in
mothers meetings and
VHSCs meetings
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71
Folk performance to
promote exclusive
breast feeding
y feeding
Uniform message on
radio from state head
quarter
Organize social events
through VHSCs
Strengthening of
Mahila Mandal
meetings- fortnightly
with involvement of
adolescent girl
Organize Mela on
healthy baby shows,
healthy mother /
pregnant woman.
Appreciation and
reorganization of
positive practices in
community. For this
purpose hiring a
documentation
specialist.
Celebration of
“Annaprashan(
Muhjutthi) Day” at
AWC
Lack of
awareness on
importance of
appropriate
and timely IYCF
Demonstration of
recipes.
Exposure visits to
existing NRCs to
observe different
models in the country
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72
Care of Sick Children and Severe Malnutrition
There is not a single unit in the district where severally malnourished children could be treated.
Establish rehabilitation
center in district
hospital, FRU and one
PHC and promote local
available food formula
for nutritional Therapy
as Hadrabad Mix
Procurement of ,ORS ,
Vitamin A
supplementation(9m to
5 years children) with
De-worming pediatric
IFA syrup.
Include coverage of Vitamin A and IFA, children in New HIMS format.
Insure two round of Vitamin A and deworming for the age group of (9m to 5 yrs) & (2 yrs to 5 yers) respectively in the month of April And Oct as per GOI guide line.
Management of diarrhea, ARI and Micronutrient Malnutrition
There is high prevalence of PEM and anemia among children because of Child nutrition is least priporty among service providers.
Involvement of ICDS,
school teachers and PRI
for monitoring and
evolution
No Pre School
Health checkup
& complete
Immunization
card.
Half yearly health
checkup camp for
children in schools
should be organized.
School Health Programme
No training of
school teacher
for basic health
care and
personnel
hygiene.
Training of school
teacher by the medical
personnel with support
administrative person.
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73
No regular
health checkup
camp at school.
Quarterly meetings of
VEC representatives by
attending existing
meetings of VECs
representatives at block
level by the concerned
MOICs and BHMs.
No Training &
Screening of
school’s teacher
for eye sight
test.
Linking existing
ophthalmic paramedics
with this program and
developing school wise
calendar.
School health anemia
control programme
should be strengthen
with bi annually de
worming.
Organizing
competitions/Debates/P
ainting
competitions/Essay/de
monstration and model
preparation of
nutritional food and
health.
Half yearly Health
checkups and health
card of all school going
children.
Films shows on health,
sanitation and nutrition
issues
Social Since Lab
activities.
Rally and Prabhat Phery
in epidemic areas. (Kala-
azar & Malaria)
No other
specific program
has been
formulated in
the district.
Referral system for the
school children for
higher medical care.
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74
Family Planning
Sl. Goal Sl. Impact indicators
1 Population stablisation
1.1 To decrease TFR upto replacement level To increase sex ratio
Sl. Objectives Sl. Outcome indicators
Sl. Strategy Sl. Output indicators
2.1.1 Terminal/Limiting Methods
2.1.1.1 % of terminal/limiting methods use
2.1.2 Dissemination of manuals on sterilization standards & quality assurance of sterilization services
2.1.2.2 No of facilities providing quality manuals on sterilization standard of sterilization services.
2.1.3 Female Sterilization camps
2.1.3.3 No of camps organize for female sterilization.
2.1.4 Compensation for female sterilization
2.1.4.4 % of Female received compensation
2.1.5 IUD camps
2.1.5.5 No of IUD used in Camps
2 To increase female sterilisation from present 20.01% (DLHS3) to 50%
2.1 % increase in female sterilisation
2.1.6 Accreditation of private providers for IUD insertion services
2.1.6.6 No of Private providers accrediation for IUD Insertion services.
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3.1.1
NSV camps
3.1.1.1 No of NSV Camps organize.
3.1.2 Compensation for male sterilization
3.1.2.2 % of Male recived compensation
3 To increase male sterilization from 0.6%( DLHS 3) to 2%
3.1 % increase in male sterilisation
3.1.3 Accreditation of private providers for sterilization services
3.1.3.3 No of Private providers accrediate for Sterilization services.
4.1.1
Promotion to Social Marketing of condoms
4.1.1.1 Insure distribution of Condom through Social Marketing.
4 To increase use of condoms from 1.6% (DLHS3) to 5%
4.1 % increase in the use of condoms
4.1.2
Contraceptive Update seminars
4.1.1.2 No of Seminars Organized on Contraceptive Update.
5 To increase use of pills from present 0.9%(DLHS3) among current married women age 15-49 yrs to 5%
5.1 % increase in the use of pills
5.1.1
Promotion to Social Marketing of pills
5.1.1.1 Pills distribution through Social Marketing.
Sl. Strategy Gaps Activities
Ensure one MO
trained on on
minilap and NSV
up to PHC
Training of nurses
and ANMs on IUD
and other spacing
methods at PHC
level.
Terminal/Limiting Methods
Lack of
knowledge of
small family
norms.
Ensure availability
of contra septives
(indenting ,
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76
logistic
Trained doctors
on laparoscopy.
Procure
Laparoscopy
equipments for
trained doctors
Female Sterilization
camps
Laparoscopy
surgery not
done.
Training of
doctors needed.
NSV camps
Trained doctors
are not
available.
Procurement of
equipment.
Compensation for female sterilization
Immediate
disbursement of
incentive after
sterilization
camps.
Logistic planning is
needed before
organizing camps.
Block Health
manager could be
hire one support
staff for
disbursement for
logistic support.
Immediate
disbursement of
incentive after
sterilization
camps.
Compensation for male
sterilization
Fund for Compensation for sterilization is not available on time at facility.
Logistic planning is
needed before
organizing camps.
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77
Block Health
manager could be
hire one support
staff for
disbursement for
logistic support.
Accreditation of
private nursing
home. As per GOB
IUD camps
Camps not held
Training of ANM &
staff nurse for IUD
insertion.
Procurement of
IUD.
Equipments for
IUD insertion
Accreditation of private providers for IUD insertion
services
No
accreditation of
private
providers for
IUD insertion
services
Accreditation of
private providers
for IUD insertion
services. As per
GOI guide lines.
Social marketing
of need based OC
& IUD.
Social Marketing of contraceptives
Monitoring of Social Marketing is not monitored by PHC.
Increasing access
to contraceptive
through
communities
based distribution
system free of
cost.
seminars for MO
and other through
Professional
bodies (FOGSI.
BMA, Nursing
association etc. on
Contraceptive Update seminars
Not being held.
Copper-t 380-A
should be
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popularized.
Awareness for
emergency
contraceptive.
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CHAPTER 4
NRHM PART”B”
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NRHM PART “B” DECENTRALIZATION
Issues Objective Gaps Strategy Activities
Asha
support
system
Untied
Fund of
HSC ,
APHC, PHC
Village
health and
sanitation
committee
To Strength
Asha and
deliver
quality
services at
village level
Proper
utilization of
untied fund
at all level
Sentisization
On VHSC.
1. Training needed
to Asha on
various model.
2. unavailable of
asha drug kit.
3. lack of
motivation to
Asha.
4. lack of dress
code.
1. problem
of
under
utilizati
on of
untied
fund.
1.lack of knowledge of ANM
and PRI member about
meaning of VHSC.
1.
2. Gap of utilization of fund of
VHSC.
Capacitate
Asha to
better
approach
at village
level.
Empowring
all level by
giving
knowledge
of use of
untied
fund.
2. Training
needed to
all Asha
on various
model.
3. motivatio
nal
package
for those
Asha who
working
best to
motivate
every
month
Asha.
4. Purchase
s of Asha
drug kit.
5. Distributi
on of
sharee to
Asha
1.workshop on utilization
of untied fund to ANM, MOIC.
1. Combined
meeting of
ANM and PRI
member at
block level with
intervention of
District.
2. work shop
at Block
level on
VHSC.
3. Meeting
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Rogi
Kalyan
Samiti.
1. lack of proper interest of
member in RKS meeting.
2. Gap of non functional of RKS
at APHC level.
with PRI
member in
presence of
DM & CS.
1.change of those member who
are more than 2 year.
2.quarterly meeting of RKS
member with DH in the presence
of DM.
3.Regestration of RKS at APHC
level.
1.
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INFRASTRUCTRUE STRENTHING.
ISSUES OBJECTIVE GAPS STRATEG
Y
ACTIVITIES
Infrastructure
stretching
To insure
better
infrastructure
for all level
(HSC,APHC,
PHC, RH,DH)
1.out of 92 HSC
only 34 are
having own
Building.
2.in existing 34
building 10 are
running in good
condition.
3.lack of water
And electricity at
HSC.
4.lack of
equipment
5.There are 32
APHC out of this
11 having own
building that
needed
renovation
Lack of
furniture and
equipment at
APHC level
6. 7 PHC needed land
and new building for
upgradation.
7. DH Hospital
Needed new building
for increase capacity
8.lack of Building for
RH Makhdumpur to
expand but
availability of land
over there.
Special
attention
toward
those
facility
where
needed
building
to satart
24*7
facility
for
Delivery.
1. For 3 HSC
need new
building.
2. for 3 APHC
needed 3
new
construction
of Building.
3. One RH
Makhdumpur
needed
Building.
4. one multiplex
building
needed for
DH.
5. Renovation of
those building
whise needed
at any level(
HSC,APHC,PH
C,RH,DH)
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Contractual Manpower HR status.
Issues Objective Gaps Strategy Activities.
Block
programme
Management
Unit.
District
Programme
Management
unit.
Other clinical
staffs and
doctors.
Training
status of
different
staffs.
To
strengthen
HR and
capacitate to
more quality
work and
maintain
Motivation
level
1. less salary
structure
of all
staffs like
BHM,
BAM,
DPM,
DPC,DAM,
M&E
Officer,
ANM and
other
clinical
staff.
2. lack of
manpowe
r
3.lack of
training to all
clinical staffs.
4.ANM in
sanctioned
307 out of
that 240 in
position.
5.Doctors
Sanctioned
144 out of
that 99 in
position.
Specialists
sanctioned 51
out of that 10
in position.
6.training
Workshop and
training for both
managerial and
clinical personal.
1.BHM salary 18000/-,BAM salary
12000/-,DPM salary3300/-,DPC
salary 30000/-,DAM salary 27000/-,
M&E Officer Salary 22500/-
And 10% increment every year.
2.clinical staffs salary should increase
50%.
3. selection of 67 ANM.
4.selection and recruitment of 7
male workers.
5.Selection of 45 MO.
6. Selection of 41 Specialist.
7. training to clinical and managerial
staffs.
8.training calendar.
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status added
in annexure B
7.One accountant
for DH, one Data
Operator for DH.
8.10 system and
10 personal to
establish
centralize server.
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Mainstreaming of Ayush Under NRHM
Indicators Objective Gaps Strategy Activities
AYUSH Doctors Bringing
Ayush
therapy for
each people
1. Unavailable
of drug for
Ayush.
2. Need
separate
building for
Ayush.
3. No IEC
display.
4. Training for
Ayush
Doctor.
A separate Unit
should be
understand.
1. procurement of Drug.
2.Occupy building at all
APHC for Ayush or
during construction of
building of APHC design
for separate building for
AYYUSH.
3.Training for all AYUSH
Doctor at District level
with the help of state.
4. IEC display at all main
place of villages, wall
painting what the
benefit of Ayush
therapy.
5.A special meeting at
village level with old
peoples also involving
villagers in the
presence of PRI
member in that Ayush
doctor of that APHC will
Involve.
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De-centralized Planning
Indicators Objective Gaps Strategy Activities
Decentralized
planning
DPC
Strengthen
Planning
Process.
1. Less Interest
of all DPO
and all
officer in
Planning.
2. Unavailable
of data for
planning.
3. No system
of
communicat
ion so that
all
information
of District
could reach
to DPC.
4. No assisting
Hand for
data
compilation
and in
collecting of
data.
5. No vehicle
for data
collection
and for
coordination
.
6. less Salary of
DPC.
A separate
important work
could be
understand.
1.Need orientation
to all officer about
planning so that it
could be
understand
important part of
system.
2.There should be
made mandatory
of all Health
related District
information could
also flow to DPC so
that Better
planning could be
done.
3.one data
operator and one
clerical staff
needed for
planning process.
4.one laptop For
DPC with internet
Data card with
printer should be
available.
5.one full time
vehicle should be
available for DPC
so that in
Coordination with
all DPO, PHC and
with other
department could
be done for
convergence and
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data collection for
better planning.
6.One mobile
phone needed to
DPC for data
collection and
Communication.
7.Joint signatory
Power to DPC with
CS of Planning
Budget so that
according to need
fund could used.
8. Salary of DPC
should be 30000/-
pm.
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CHAPTER 6
NRHM PART “D”
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89
PART D- NVBDCP
Kala azar
Gaps Objective Strategy Activities
To
increase the
coverage of
DDT spray in
the endemic
zone , there
should be
proper
monitoring
by the
supervisors,
capacity
building of
the sprayer,
supervisors
and other
healthcare
professionals
1. Ensure planning for timely spray
of DDT in Feb-March and May-June for
40 days in each block
2. Identification of Houses with Kala-
azar patients by ANM & ASHA @ 50/
per village.
3. Two round of spraying scheduled
in Feb-March and May-June should be
strictly observed
Vector
control
through
insecticide
spray in
the attack
area
Monitoring
of the
spraying
squad by
MOIC
4. DDT spray should be at the rate of
1gm/sq. meter upto the height of 6
feet.
1
Poor
coverage of
DDT spray
Less time
spent on
spraying
DDT
Training and
capacity
building for
proper
spraying
Regular capacity building training on
prescribed module for the sprayer to
ensure that very corner of the house is
properly spray up to height of six feet
from ground level.
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Poor
condition
of Sprayer,
pump and
nozzles etc
No of
Pumps
available-
0, No of
pumps
required-
30, No of
bucket
savailable-
70, No of
buckets
required-
70, No of
gallon
available-
21, No of
gallon
required-
49, No of
pond
measure
available-
21, No of
pond
measure
required-
49, .
Regular
checking of
the spraying
pumps for
better
functioning
and timely
replacement
of the faulty
pieces.
Fund allocation and timely release for :
maintanceof old sprayer pumps,
Purchase of new pumps and other
articles needed- buckets, mugs etc.
Inadequate
stock of
DDT, DDT
available-
9.5mt.
(Not
required)
Making
available
DDT during
spraying
round
Ensure adequate Stock of DDT through
proper & timely indenting to improve
the quality of spray
Faulty
payment
plan
Appropriate
fund
allocation for
the payment
of the
spraying of
Fund would be allocated for regular
payment of wages (147 SFW to be
used and 735 FW to be used for
monitoring and spraying work)
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DDT
Early
diagnosis
and
treatment
through
PHC
system
Case
detection
rate should
be increased
with
appropriate
diagnostic
test
Increase efficiency of case detection
through training of Community
workers on signs and symptoms of
Kala-azar: 1) three weeks persisten
fever not responding to antibitics,
malaria being excluded, with palpable
spleen.2) Ensure availability of
aldehyde test at PHC level 3) Purchase
of RK 39 kit for detection of Kalazar
1. Ensuring availability of
Amphotoricin at all level
Loss of wages for KZ patients(case
detection in year 2007-3275)
2. Replacing of medicines on priority
based
2
Poor rate of
case
detection of
Kalazar
Reduction
of kala-
azar
mortality
and
morbidity
Early
diagnosis
and
treatment
through PHC
system
3. Training of ANMs and ASHA for IM
injection
3
Lack of
monitoring
and
supervision
mechanism,
Monitoring
and
supervision
mechanism
Preparation of Monthly visit plan for
supervision :
- Checking spraying schedule
- For supervision & treatment follow
up
Office expenses
1. Fund allocation for training activities 4 Lack of
appropriate
BCC &
Community
Increasing
awareness
for
prevention
Community
participation
in reducing
mortality and
2. Identification of NGO/Private
partner as trainer
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92
3. Knowledge sharing with the
community on signs and symptoms of
Kala-azar through VHSC
4. Training of VHSC/PRI and
community health worker on sign &
symptom of Kala-azar
5. Regular monitoring of IEC
activities
6. IEC activities through nukkad natak,
kalajatha mass media like radio
7.Activity for survilence like polio
survilence
8.Wall painting of Tretment protocole
and provisions for pateints in PHC in
Hindi.
Mobilization. of Kala-
azar
morbidity
due to Kala-
azar
IEC van for each PHC
Blindness
issues Strategy Activities
Staff shortage Recruitment Recruitment of Eye Specialists and surgeons on contractual basis.
Recruitment of Opthalmic Assistants on contractual basis.
Untrained staffs Capacity building Training of Doctors on IOL technique
Training of Opthalmic Assistant
Low achievement Increasing noof camps Organising Operations at District level
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PPP
Accreditation of Nursing Homes capable of doing Cataract surgeries
Establishing another Cataract Operation Center at PHC Kako.
Purchase of equipments and medicines
Lackof awareness Awareness building Assigning LHV/Supervisor counseling work
Organising eye screening camps in villages/ schools
IEC on cataract and its facilities
InvolvingNGOs
Meeting with Local NGOs onthis issue
Lackof adequate referal
services
Strengthening referal
system
Arrangement of carrying patients to the Operation Centers and then taking them back homes
Monitoring and follow up
Monitoring and follow up Mobility support for Visiting homes of the patients tomanage any post treatment complication.
Developing records of cataract cases from OPD registers at PHC level
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Leprosy
Gaps issues Strateg
y
Activities
· Existing PR of the district is 1.1 and the
target is only 1, so the existing program
performance is good.
• Lack of awareness is still a problem with
the Leprosy Program as most of the cases
are detected accidentally.
Lack of
Awarene
ss
Awarenes
s
generatio
n
IEC on Leprosy
• Inadequate staff, Only 6 supervisors and
11 Non Medical Assistants are working while
the requirement of Supervisor is 17 and that
of NMA is 33( One NMAeach in each APHC)
Lack of Human Resource
Staff
Recruitm
ent in
contract
basis
Recruitment of 11
supervisors
• There is no active involvement of the
Medical officers at sector and Block levels. Orientation of Mos
and staffs on
Leprosy
Case validation, to
have check on
wrong diagnosis and
re registration
Prompt and early
detection of the
cases to avoid
deformity and
disability,
• Lack of PHC staff involvement. No
manpower support,
Strength
en
Health
Care
Services
Ulcer care foot ware
reorientation
training of medical &
para medical staff.
No lab testing facility in the district Infrastructure
Establish
ing Lab
Establishing Lab at
district level
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Gap Recurring
expenditure like
reagents
Updation of master
register
Mobility support for
DLO
Lack of monitoring at all level Monitoring Gap
Increasin
g
mobility
Office expenses
Fileria
Gaps issue
s
Strategy Activities
Line listing of the cases
Purchse of equipments for the management of Filaria cases like towel, Bucket, soap, mug etc
DEC distribution through AWCs and paying hon to AWWs for this.
It affects mainly the
economically weaker sections of
communities
1. Single dose DEC
mass therapy once a
year in identified blocks
and selected DEC
treatment in filariasis
endemic areas.
Purchse of DEC
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Training to AWWs/ASHA on DEC distribution and filaria case management
Result in low priority being
accorded by governments for
the control of lymphatic
filariasis.
2. Continuous use
of vector control
measures.
Meeting with VHSC members
Low effectiveness of the tools
used by the control programme
Detection
and
treatment
of micro-
Filaria
carriers,
treatment
of acute
and chronic
filariasis.
The chronic nature of the disease
4. IEC for ensuring
community awareness
and participation in
vector control as well as
personal protection
measures.
Wall paintings
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TUBERCULOSIS----------------------------
ANNUAL PLAN FOR PROGRAMME PERFORMANCE & BUDGET FOR THE YEAR 1ST APRIL 2011 TO 31ST MARCH 2012
District:- JEHANABAD. State :- BIHAR.
Name_Dr. Vijay Kumar Singh, Designation_DTO_ _____
Section-A – General Information about the District
1 Population (in lakh) please give projected population 2009 1154545*
2 Urban population 102061
3 Tribal population -
4 Hilly population -
5 Any other known groups of special population for specific interventions
(e.g. nomadic, migrant, industrial workers, urban slums)
-
(These population statistics may be obtained from Census data /District Statistical Office)
Does the district have a DTC Yes
ORGANIZATION OF SERVICES IN THE DISTRICT:
Please indicate if the
TU is-
No. of MCs S.
No.
Name of the TU Population
(in Lakhs)
Govt NGO Govt NGO Private
1 DTC, Jehanabad. 681323 1 0 4 0 0
2 Ghosi 473222 1 0 4 0 0
DISTRICT 1154545 02 0 08 0 0
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RNTCP performance indicators:
Important: Please give the performance for the last 4 quarters i.e. July 2008 to June 2009
Plan for the next
year
TB Unit
Total
number
of
patients
put on
treatment
Annualized
total case
detection
rate (per
lakh pop)
No of
new
smear
positive
cases put
on
treatment
Annualized
New
smear
positive
case
detection
rate (per
lakh p op)
Cure rate for
cases
detected in
the last 4
corresponding
quarters
Annualized
NSP CDR
Cure
rate
(85%)
Proportion
of TB
patients
tested for
HIV
DTC 723 60% 319 70% 73% 65% 85%
Ghosi 468 53.2% 182 56.6% 85.4% 65% 85%
District 1191 501
Section B – List Priority areas for achieving the objectives planned:
S.No. Priority areas Activity planned under each priority area
1 Training Training of MO's
Training of ASHA, ANM worked in all PHC by STS
2 IEC / Publicity Wall Writing, Hording, Banners, Print Publicity, Mice.
3 Supervision Vehicle Hiring for DTO & MO-TC
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Section C – Plan for Performance and Expenditure under each head:
Civil Works
Activity No.
required
as per
the
norms
in the
district
No.
actually
present
in the
district
No.
planned
for this
year
Pl provide
justification if
an increase is
planned (use
separate
sheet if
required)
Estimated
Expenditure
on the
activity
Quarter in
which the
planned
activity
expected
to be
completed
(a) (b) (c) (d) (e) (f)
DTC 1 1 0
TUs 2 2 0
DMC 8 8 0
Total 15100.00
Laboratory Materials
Activity Amount
permissible
as per the
norms in
the district
Amount
actually
spent in
the last 4
quarters
Procurement
planned
during the
current
financial
year (in
Rupees)
Estimated
Expenditure
for the next
financial
year for
which plan
is being
submitted
(Rs.)
Justification/
Remarks for (d)
(a) (b) (c) (d) (e)
Purchase
of Lab
Materials
150000.00 67798.00 150000.00
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Honorarium
Activity
Amount
permissible
as per the
norms in
the district
Amount
actually
spent in
the last 4
quarters
Expenditure
(in Rs)
planned for
current
financial
year
Estimated
Expenditure
for the next
financial
year for
which plan
is being
submitted
(Rs.)
Justification/
Remarks for (d)
(a) (b) (c) (d) (e)
Honorarium
for DOT
providers
(both tribal
and non
tribal
districts)
200000.00 20000.00 180000.00
200000.00
We have
planed to
distribute the
recommended
insentive to
DOT
Providers for
cured /
completed TB
Patients.
Honorarium
for DOT
providers
of Cat IV
patients
Equipment Maintenance:
Item
No.
actually
present
in the
district
Amount
actually
spent in
the last 4
quarters
Amount
Proposed
for
Maintenance
during
current
financial yr.
Estimated
Expenditure
for the next
financial
year for
which plan
is being
submitted
(Rs.)
Justification/
Remarks for
(d)
(a) (b) (c) (d) (e)
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Office Equipment
(Maintenance includes
computer software and
hardware upgrades,
repairs of photocopier,
fax, OHP etc)
1 11774.00 0.00
30000.00
Binocular Microscopes (
RNTCP)
8 0.00 13500.00
43500.00
Training:
No. planned to be
trained in RNTCP
during each quarter
of next FY
(c)
Activity No. in
the
district
No.
already
trained
in
RNTCP
Q1 Q2 Q3 Q4
Expenditure
(in Rs)
planned for
current
financial
year
Estimated
Expenditure
for the next
financial
year for
which plan
is being
submitted
(Rs.)
Justification/
remarks
(a) (b) (d) (e) (f)
Training of
MOs
Training of
LTs of
DMCs-
Govt + Non
Govt
15000.00
Training of
MPWs
Training of
MPHS,
pharmacists,
nursing
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staff, BEO
etc
Training of
Comm
Volunteers
Training of
Pvt
Practitioners
Other
trainings #
Re- training
of MOs
84 66 20 20 20 20 32000
Re- Training
of LTs of
DMCs
10 10 10 10 5000 20000.00
Re- Training
of MPWs
20000.00
Re- Training
of MPHS
10000.00
Re- Training
of
Pharmacists
Re- Training
of nursing
staff, BEO
Re- Training
of CVs
Re-training
of Pvt
Practitioners
700 700 200 200 150 150 38000.00
TB/HIV
Training of
MOs
10000.00
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TB/HIV
Training of
STLS, LTs ,
MPWs,
MPHS,
Nursing
Staff,
Community
Volunteers
etc
TB/HIV
Training of
STS
Training of
MOs and
Para
medicals in
DOTS Plus
for
management
of MDR TB
Provision for
Update
Training at
Various
Levels(key
staff & MO-
PHIs)
10000.00
Any Other
Training
Activity( Key
staff & MO-
PHIs)
75000.00 75000.00
# Please specify
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104
Vehicle Maintenance:
Type of
Vehicle
Number
permissible
as per the
norms in
the district
Number
actually
present
Amount
spent on
POL and
Maintenance
in the
previous 4
quarters
Expenditure
(in Rs)
planned for
current
financial
year
Estimated
Expenditure
for the next
financial
year for
which plan
is being
submitted
(Rs.)
Justification/
remarks
(a) (b) (c) (d) (e) (f)
Four
Wheelers
- - - -
Two
Wheelers
02 02 19618.18 50000.00 50000.00
Vehicle Hiring:
Hiring of
Four
Wheeler
Number
permissible
as per the
norms in
the district
Number
actually
present
Amount
spent in
the
previous
4
quarters
Expenditure
(in Rs)
planned for
current
financial
year
Estimated
Expenditure
for the next
financial
year for
which plan
is being
submitted
(Rs.)
Justification/
remarks
(a) (b) (c) (d) (e) (f)
For DTO 01 01 66184.00 143816 268800
For MO-
TC
02 02 0.00 58800.00
202616 268800
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105
NGO/ PP Support: (New schemes w.e.f. 01-10-2008)
Activity No. of
currently
involved
in
RNTCP
in the
district
Additional
enrolment
planned
for this
year
Amount
spent in
the
previous
4
quarters
Expenditure
(in Rs)
planned for
current
financial
year
Estimated
Expenditure
for the next
financial
year for
which plan
is being
submitted
(Rs.)
Justification/
remarks
(a) (b) (c) (d) (e) (f)
ACSM Scheme:
TB advocacy,
communication,
and social
mobilization
0.00
SC Scheme:
Sputum
Collection
Centre/s
Transport
Scheme:
Sputum Pick-
Up and
Transport
Service
DMC Scheme:
Designated
Microscopy
Cum Treatment
Centre (A & B)
LT Scheme:
Strengthening
RNTCP
diagnostic
services
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106
Culture and
DST Scheme:
Providing
Quality Assured
Culture and
Drug
Susceptibility
Testing
Services
Adherence
scheme:
Promoting
treatment
adherence
Slum Scheme:
Improving TB
control in
Urban Slums
Tuberculosis
Unit Model
TB-HIV
Scheme:
Delivering TB-
HIV
interventions to
high HIV Risk
groups (HRGs)
TOTAL 0.00
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107
Miscellaneous:
Activity* Amount
permissi
ble as
per the
norms
in the
district
Amou
nt
spent
in the
previ
ous 4
quart
ers
Expendit
ure (in
Rs)
planned
for
current
financial
year
Estimated
Expenditure for the
next financial year
for which plan is
being submitted
(Rs.)
Justification/
remarks
(a) (b) (c) (d) (e)
165000 8768
0
77319 165000
165000
* Please mention the main activities proposed to be met out through this h
Contractual Services:
Activity No.
required
as per the
norms in
the district
No.
actuall
y
prese
nt in
the
distric
t
No.
planned
to be
additional
ly hired
during
this year
Amoun
t spent
in the
previou
s 4
quarter
s
Expendi
ture (in
Rs)
planned
for
current
financia
l year
Estimated
Expenditure for
the next
financial year
for which plan
is being
submitted
(Rs.)
Justifi
catio
n/
remar
ks
(a) (b) (c) (d) (e)
Medical
Officer-DTC
Not to be
filled
- - - -
STS 02 02 00 172226
.00
144000.
00
288000.00
STLS 02 02 00 304284
.00
120000.
00
288000.00
TBHV 00 00 01 0.00 0.00 0.00
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108
DEO 01 01 00 126048
.00
44625.0
0
120000.00
Accountant
– part time
00 00 01 0.00 0.00 36000.00
Contractual
LT
04 00 362801
.00
187000.
00
480000.00
96535
9.00
49562
5.00
1548000.00
Printing:
Activity Amount
permissible
as per the
norms in
the district
Amount
spent in
the
previous
4
quarters
Expenditure
(in Rs)
planned for
current
financial
year
Estimated
Expenditure for the
next financial year
for which plan is
being submitted
(Rs.)
Justificati
on/
remarks
(a) (b) (c) (d) (e)
Printing*
100000.00 26936.0
0
73064.00 100000.00
* Please specify items to be printed
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109
Research and Studies:
Any Operational Research project planned (Yes)
(Post Graduate grant for one research paper from each Medical College)
Estimated Budget (to be approved by STCS).___________________________________
Medical Colleges
Activity Amount
permissible as
per norms
Estimated
Expenditure for the
next financial
year(Rs.)
Justification/
remarks
(a) (b) (c)
Contractual Staff:
� MO (In place: Yes/No)
� STLS (In place: Yes/No)
� LT (In place: Yes/No)
� TBHV (In place: Yes/No)
Research and Studies:
� Thesis of PG Student
� Operations Research*
Travel Expenses for
attending STF/ZTF
meetings
IEC: Meetings and CME
planned
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110
Procurement of Vehicles:
Equipment No.
actually
present in
the
district
No.
planned
for this
year
Estimated Expenditure for
the next financial year for
which plan is being
submitted (Rs.)
Justification/
remarks
(a) (b) (c) (d)
4-wheeler **
2-wheeler
** Only if authorized in writing by the Central TB Division
Procurement of Equipment:
Equipment No. actually
present in
the district
No.
planned
for this
year
Estimated
Expenditure for
the next financial
year for which
plan is being
submitted (Rs.)
Justification/
remarks
(a) (b) (c) (d)
Office
Equipment
(computer,
modem,
scanner, printer,
UPS etc)
Any Other
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111
Section D: Summary of proposed budget for the district –
Budget estimate for the coming FY
2011- 12
S.No. Category of Expenditure (To be based on the planned
activities and expenditure in Section
C)
1 Civil works 15100.00
2 Laboratory materials 150000.00
3 Honorarium 200000.00
4 IEC/ Publicity 75000.00
5 Equipment maintenance 43500.00
6 Training 75000.00
7 Vehicle maintenance 50000.00
8 Vehicle hiring 268800.00
9 NGO/PP support 150000.00
10 Miscellaneous 165000.00
11 Contractual services 1548000.00
12 Printing 100000.00
13 Research and studies 0.00
14 Medical Colleges 0.00
15 Procurement –vehicles 0.00
16 Procurement – equipment 0.00
TOTAL 2840400.00
** Only if authorized in writing by the Central TB Divisio
Annual Action Plan Format Advocacy, Communication and Social Mobilization
(ACSM) for RNTCP
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112
1) Information on previous year’s Annual Action Plan 2011-12
a) Budget proposed in last Annual Action Plan: 100000.00
b) Amount released by the state:20000.00
c) Amount Spent by the district- 0.00
2) Permissible budget as per norm : 75000.00
3) Budget for next financial year for the district as per action plan detailed below: 75000.00
Program
Challenge
s to be
tackled
by ACSM
during
the Year
2009 - 10
WHY
ACSM
Objective
For
WHO
M
Targe
t
Audie
nce
WHAT
ACSM
Activities
When
Time
Frame
By
WHO
M
Monitori
ng and
Evaluati
on
Budget
Based on
existing TB
indicators
and
analysis of
communic
ation
challenges
(Maximu
m 3
Challenge
s )
Desired
behavior
or action
(make
SMART:
specific,
measurabl
e,
achievable
, realistic
& time
bound
objectives
)
Activiti
es
Media
/
Mater
ial
Requi
red
Q
1
Q
2
Q
3
Q
4
Key implementer and RNTCP officer responsible for supervision
Outp
uts;
Evid
ence
that
the
activ
ities
have
been
done
Ou
tc
o
m
es
:
Evi
de
nc
e
th
at
it
ha
s
be
en
eff
ect
ive
Total
expendit
ure for
the
activity
during
the
financial
year
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113
Challenge 1. Low Case Detection (example)
Advocacy Activities
District
Magist
rate/
DHS
√
No cost
involved
Health
and
other
depart
ment
admini
strator
s
√
Cost of
sensitiza
tion
meeting
Private
Health
care
provid
ers
√
Cost of
commun
ication
material
Low Case
Detection
Gaining
Administr
ative
support
from
District
authorities
for
increase
referral
from OPD
1.One
to one
meetin
g
district
author
ities
2.Sens
itizatio
n
meetin
g
3.
Briefin
g
meetin
gs
4.
Progra
mme
inform
ation,
5.
Factsh
eets
6.
World
TB
Day
Public
ation
s
PPT
-
Audio
Visual
Adds
-
Poste
rs-
bookl
ets/br
ochur
e
-
poste
r in
local
langu
age
-
Facts
heets
-
succe
ss
storie
s
√
1.
Distri
ct
Progr
am
Mana
gers
2.
MOTC
( with
suppo
rt
from
WHO
Cons
ultant
)
1.Me
etin
g
Minu
tes
2.Ph
otog
raph
s
3.
Rep
orts
4.
Revi
ew
mee
ting
by
the
auth
oriti
es
1.
In
cr
ea
se
ref
err
al
of
ch
est
sy
m
pt
o
m
ati
c2
Pr
og
ra
m
m
e
Da
ta
Cost of
World
TB Day
activities
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114
Communication Activities
To inform
communiti
es and
care
providers
about the
DOT
services
for early
detection
Develop
1Gene
ral
Public
2.
School
s
3.
Religio
us
bodies
4.
Care
provid
er
Use of
region
al /
cable
chann
els
Partici
pate in
the
biannu
al
health
mela
Bookl
et,
Flip
Book,
Poste
rs,
Stick
ers,
Bann
ers,
Pamp
hlet,
Patie
nt
infor
matio
n
bookl
et
√
√
√
√
Distri
ct
Progr
am
Mana
gers
MOTC
1.De
velo
ped
IPC
Mate
rial
and
evid
ence
of
pre
testi
ng
of
mat
erial
2.
Flip
book
s for
STS
and
CFs
3.
Wall
writi
ngs
4.
Stoc
k
Regi
ster
Cost of
develop
ment of
material
including
Low Case
Detection
Awarenes
s
Generatio
n in
general
public
Genera
l
Public,
school
s,
Wall
paintin
g on
TB
√
DTO,
MO-
TC,
MO,
IEC
Office
r
1.Vis
ible
wall
pain
tings
at
Sub
cent
er
1.I
nc
re
as
e
sel
f
re
po
rti
ng
/
ref
err
al
2.
An
aly
sis
of
da
ta
3.
KA
P
st
ud
y
aft
er
on
e
yr
kn
ow
th
e
Cost of
wall
writings
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115
level
Puppet
shows,
street
play
Script
and
profe
ssion
al
group
s
√
√
DTO,
Com
muni
catio
n
Facilit
ator,
STS,
IEC
Office
r,
NGO
Partn
ers
Doc
ume
ntati
on/
repo
rt
2.
Scri
pt
for
stre
et
play
s 3.
Phot
ogra
phs
4.
Scho
ol
quiz
form
at
Cost of
hiring of
professi
onal
agency(
cost per
play X
no. of
activities
)
News
Paper
Advert
iseme
nt
Adver
tisem
ent
for
news
paper
,
Letter
to
NEWs
Paper
Editor
.
√
√
DTO,
Com
muni
catio
n
Facilit
ator,
STS,
IEC
Office
r,
NGO
Partn
ers
NEW
S
pape
r
Clipp
ings
aw
ar
en
es
s
lev
el
of
ge
ne
ral
pu
bli
c.
Cost of
newspap
ers
writings
Social Mobilization
Low Case
1.Generat
Comm
Comm
Flip
MO-
TC,
Minu
tes
In
cr
Cost of
material
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116
unity
Meetin
g
Chart
and
Poste
rs,
Talks
√
√
√
√
IEC
Office
r,
Com
muni
catio
n
Facilit
ator,
STS
of
Meet
ings
Displ
ay of
Post
ers
Flip
Char
t
ea
se
Se
lf
re
po
rti
ng
in
ch
est
sy
m
pt
o
m
ati
c
+ cost
of
commun
ity
meeting
s total
number
of
meeting
s
planned
Celebr
ation
of
World
TB day
Displ
ay
Mater
ial for
World
TB
Day
DTO,
MO-
TC,
MO,
Com
muni
catio
n
Facilit
ator,
STS
Doc
ume
ntati
on
of l
worl
d TB
Day
activ
ities
Pr
e-
po
st
ev
alu
ati
on
of
W
TB
Da
y
act
ivi
tie
s
wit
h
sp
eci
fic
ob
jec
tiv
es
Budgete
d above
Detection e
Awarenes
s in
general
public
2.
Encourage
early self
reporting
3.
Communit
y Groups.
PRI
unity
Genera
l
Public,
Patient
s,
DOTs
Provid
ers
Exhibit
ions
displa
y
DTO,
-
Doc
ume
In
cr
Cost of
Hiring of
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117
/Mela’
s /
Popula
r
Events
in
Distric
t.
Mater
ial (
Poste
rs,
Stick
ers,
Bann
ers,
Pamp
hlet)
Inter
active
game
s
√
√
MO,
Com
munic
ation
Facilit
ator,
ntati
on
of
activ
ity
Writ
e
ups
/
brief
used
in
play
s
ea
se
Se
lf
re
po
rti
ng
of
TB
pa
tie
nt
s (
KA
P
st
ud
y
aft
er
on
e
yr)
place
and
display
material
& cost
interacti
ve
games,
prizes
etc.
School
Childre
n
Drawi
ng &
Quiz
Compe
titions
Game
s –
Snak
e and
ladde
r,
Chakr
aview
Game
etc.
Pamp
hlets]
IEC
Mater
ial
√
√
√
DTO,
Com
muni
catio
n
Facilit
ator,
STS,
IEC
Office
r,
NGO
Partn
ers
Doc
ume
ntati
on
of
Activ
ities/
Phot
ogra
phs
Pr
e-
po
st
int
er
ve
nti
on
ev
alu
ati
on
Cost of
one
school
activity
X no. of
activities
planned
in the
distict=
Colleg
e &
School
NSS
Studen
TB
Sessio
ns
during
NSS
caps
Game
s –
Snak
e and
ladde
r,
DTO,
Com
muni
catio
n
Facilit
Doc
ume
ntati
on
of
Activ
Da
ta
An
aly
sis
4000
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118
ts in
school
and
college
,
Drawi
ng &
Quiz
Compe
titions
Help
Moha
n etc.
Pamp
hlets]
IEC
Mater
ial
ator,
STS,
IEC
Office
r,
NGO
Partn
ers
ities/
Phot
ogra
phs
Challenge 2: High Default Rate (example 2)
Advocacy Activities
High
Default
Rate
Sensitizin
g district
authorities
about the
importanc
e of
reducing
default
cases &
for their
support
for
necessary
instruction
s to the
Programm
e staff
1.Healt
h care
provid
ers
Public
&
Private
1.Inter
action
Meetin
gs
2.One
to One
Intera
ction
Meetin
gs
3. Use
of
Inform
ation
Bookle
t
Audio
Visual
Adds
-
Poste
rs-
bookl
ets/br
ochur
e
-
poste
r in
local
langu
age
-
Facts
heets
-
succe
ss
storie
s
Distri
ct
Progr
am
Mana
gers
MOTC
Revi
ew
of
defa
ult
case
TU
wise
Reco
rd of
mee
tings
Re
du
cti
on
in
de
fa
ult
rat
e
by
2
%
-
Da
ta
an
aly
sis
St
ud
y
to
do
cu
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119
m
en
t
de
fa
ult
wit
hi
n
on
e
yr
Communication Activities
Patient
s,
Their
Family
Membe
rs,
DOTs
Provid
ers
Sharin
g of
experi
ence
of
cured
patient
s /
Patient
s
during
Treat
ment.
√
√
√
√
MO,
STS
&
Com
muni
catio
n
facilit
ators
High
Default
Rate
To
motivate
patients &
their
families
for
completio
n of
treatment
Comm
unity
TB
Groups
/ NGOs
Patie
nt
intera
ction
meeti
ngs
&
involv
emen
t of
cured
perso
ns
Flip
Chart
Devel
opme
nt
Devel
opme
nt of
mater
ial for
Com
munit
y
DOT
Provi
√
√
√
√
MO-
TC,
STS,
ANMs
Reco
rds
of
mee
ting
Evid
ence
of
mat
erial
deve
lopm
ent
–
pre
testi
ng
Incr
ease
in
no.
com
muni
ty
base
Re
du
cti
on
in
de
fa
ult
rat
e
by
2
%
-
An
aly
sis
of
pr
og
ra
m
m
e
da
ta
Re
du
cti
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120
ders d
NGO
s
invol
vem
ent
on
in
ti
m
e
for
ret
rie
val
of
de
fa
ult
s
One
to one
meetin
g with
the
patient
Interp
ersona
l
comm
unicati
on
with
patient
s
Patie
nt
infor
matio
n
bookl
et
√
√
√
√
MO,
STS,
DOT
Provi
der
Evid
ence
of
such
mee
ting
Patie
nt
infor
mati
on
book
let
Re
du
cti
on
in
de
fa
ult
s
Cost of
patient
informat
ion
booklet
(if not
budgete
d above)
(no cost
for one-
to one
IPC)
Social Mobilization
High
Default
Rate
To link
poor
patient
s to
the
welfar
e
schem
es
Sensiti
zation
of
Depart
ments
Social
welfar
e
schem
es
Poste
rs,
progr
amm
e fact
sheet
,
Prese
ntatio
n
Annu
al
√
√
DTO,
MO
TC
Doc
ume
ntati
on,
Reco
rds
,
Phot
ogra
phs
Data
of
Re
du
cti
on
in
de
fa
ult
s
Do
Cost of
one
meeting
no of
meeting
s
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121
repor
ts
refer
ral
of
TB
patie
nts t
sym
pto
mati
c will
incre
ase
cu
m
en
tat
ion
of
eff
ect
ive
ne
ss
of
su
ch
lin
ka
ge
s
thr
ou
gh
a
st
ud
y
aft
er
on
e
ye
ar
For
mobilizing
support
from
Communit
y groups
Comm
unity
suppor
t
groups
Cured
patient
s
Intera
ction
meetin
gs
Infor
matio
n
mater
ial,
√
√
MO-
TC,
STS,
Com
muni
catio
n
Facilit
ators
For
mati
on
of
TB
supp
ort
grou
ps in
X
no.
of
villa
ges
De
cr
ea
se
in
th
e
no
.
of
de
fa
ult
s
Cost of
such
meeting
s
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122
in
su
ch
vill
ag
es
Challenge 3:-
Advocacy activities
Communication activities
1.
Social Mobilization Activities
TOTAL
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123
CHAPTER 8
ANNEXURE
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ANNEXTURE: A
DISTRIC HOSPITAL GAPS:
Gaps of Blood Bank:::: -------
• Walls and floor needed tiles.
• Through out repairing of blood bank building.
• Water problem Plumbing.
• Need lab renovation.
• Need of some equipments as heamoglobinometer , foam some stationary item
• There is gap of fund transfer to blood bank in charge for proper management of blood bank.
Gaps of District Hospitals:---
# Safety and security and Dignity----1. there is need of patient privacy and during general OPD. 2.
Free movement of patient attended in labor room and Gyne OT as needed guard for that to not
inter in that area.
3. lack of proper documentation. 4. lack of the safety and security to patient personal property.
# Regulatory complains------- 1. No Hospital waste management.
2. X-ray machine are used without AERB clearness as State have to interven in this regard to IGMS
System.
3. No fire safety.
# Administrative problem---------
1. lack of written communication
2. Negligence to medical services.
3. Lack of ABC inventory system so needed one operator and one desktop with all accessories.
4. Lack of Drug .
5. Lack of HR department at District level.
6. Lack of Feed back system so need of one feedback department.
7. Lack of intercom phone connectivity so that one department and other staff could
communicate with them so medical services should be insure properly.
8. Lack of central sterilization services department.
9. Lack of Regular Audit According to IPHS norms. Need quarterly audit after formation of Audit
team.
10. Lack of tries area.
11. Lack of cafeteria.
12. Need of insect cacher .
13. Lack of management in Dietary services Delivery.
14. Lack of Laundry department.
15. Lack of hot water arrangement.
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HR Requirement in Disrict Hospital and some common Department for
District.
Department
name
Required Personal and Expected output.
Filling and Record
maintains
Department at
district Hospital.
Need 10 personal ( in that 4 should be diploma in medical record + 4
clerks and 2 fourth grade staff with 24*7).
HR department for
district
Need 2 Data operator 4 Clerks 2 Managers. Total of 8 personal team
which will work for entire district and proper use of human resource
could be used as DPC could work as HR Head of Department as it is
immense part of Planning.
Data Operator and
Accountant to
Department
TB, NLEP need one Data operator and one Accountant.
Central Sterilization
service
Department for
District Hospital.
4 personal for this department, they all will be master in sertization
OT assistant for
district
30 OT assistant for all district so that C-Section could be Strengthen.
Sanctioned Current working Vacant position
ANM 307 240 67
MO
144 99 45
SPECIALIST 51 10 41
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ANNEXURE “B” Training required for MO.
Facility Name Lsas Emoc Mtp Nssk f-
imnci
Imnci Mini-
lap
Laproscopy Nsv Iucd Ot
he
rs
Sadar Hp 4 4 4 4 4 4 2 2 4 4
RH
Makhdumpu
r
4 4 4 4 4 4 4 4 4 4
PHC Ratni 4 4 4 4 4 4 4 4 4 4
PHC
Hulasganj
2 2 2 2 2 2 2 2 2 2
PHC kako 2 2 2 2 2 2 2 2 2 2
PHC Sadar 2 2 2 2 2 2 2 2 2 2
PHC Okari 3 3 3 3 3 3 3 3 3 3
Total 21 21 21 21 21 21 19 19 21 21
Training Required to ANM.
Facility Name NSSK SBA IMCI IUCD OTHERS
PHC okari 9 6 9 9
PHC Sadar 9 6 9 9
PHC Kako 4 4 4 5
PHC Hulasganj 4 4 4 4
PHC Ratni 3 1 3 3
RH Makhdumpur 8 8 8 8
District Hospital 9 9 9 9
HSC OF all District 100 39 100 100
Total 146 77 146 147
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Month Name of PHC/Hospital OPD Indoor Delivery Referred
Case Emergency Family Planning
General Operation Mother Child Polio
New Born
Childs Polio New Born
Childs
Apr-2010 Jehanabad Sadar 7718 1971 767 65 837 15 202 201 1076 0.91% 390
Apr-2010 Kako 4149 89 83 9 117 13 40 361 1767 0.42% 265
Apr-2010 Ghosi 4161 104 74 16 214 15 106 221 1357 0.85% 198
Apr-2010 Ghosi Refral 2416 80 19 3 186 3 80
Apr-2010 Makhdumpur 5601 259 152 11 181 20 348 425 3003 1.60% 372
Apr-2010 Ratni Faridpur 5103 101 91 21 151 2 37 321 1558 1.60% 210
Apr-2010 Hulashganj 3074 183 80 7 346 18 17 179 1171 0.83% 117
Apr-2010 Okari / Modanganj 2170 67 46 11 134 15 84 189 1138 0.48% 134
Apr-2010 Jehanabad Block 6028 7 0 11 0 7 12 441 2329 0.77% 240
Apr-2010 District 40420 2861 1312 154 2166 108 926 2338 13399 1.00% 1926 May-2010
Jehanabad Sadar 8569 1564 637 93 903 7 174 224 946 1.83% 321
May-2010 Kako 5087 79 71 14 119 7 44 453 1808 1.48% 246
May-2010 Ghosi 4741 157 79 29 258 10 111 247 1150 0.70% 147
May-2010 Ghosi Refral 2914 101 33 3 203 4 91
May-2010 Makhdumpur 6765 314 186 4 282 17 409 523 2857 1.11% 328
May-2010
Ratni Faridpur 4899 99 62 28 173 4 66 357 1342 1.25% 167
May-2010 Hulashganj 3487 245 80 7 409 9 16 224 902 0.48% 121
May-2010
Okari / Modanganj 2475 97 63 16 178 0 132 235 1087 1.36% 114
May-2010
Jehanabad Block 8353 17 0 15 0 17 17 486 2150 1.54% 193
May-2010 District 47290 2673 1211 209 2525 75 1060 2749 12242 1.17% 1637
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Month Name of PHC/Hospital OPD Indoor Delivery Referred
Case Emergency Family Planning
General Operation Mother Child Polio
New Born
Childs Polio New Born
Childs
Jun-2010
Jehanabad Sadar 7255 1002 595 80 1045 0 0 223 1084
Jun-2010 Kako 3436 101 86 13 169 4 46 518 1954
Jun-2010 Ghosi 4859 144 76 30 253 2 105 299 1244
Jun-2010 Ghosi Refral 2654 104 32 2 241 1 124
Jun-2010 Makhdumpur 6399 357 230 8 320 10 449 525 2398
Jun-2010
Ratni Faridpur 6517 86 78 27 215 3 85 408 1313
Jun-2010 Hulashganj 2668 250 81 9 382 17 22 235 1051
Jun-2010
Okari / Modanganj 3200 84 63 48 143 0 174 209 1240
Jun-2010
Jehanabad Block 6333 14 0 8 0 14 10 569 2457
Jun-2010 District 43321 2142 1241 225 2768 51 1015 2986 12741
Jul-2010 Jehanabad Sadar 9916 2405 878 91 1043 6 196 215 1323 1.00% 583
Jul-2010 Kako 5940 112 97 8 159 13 41 413 1653 0.93% 494
Jul-2010 Ghosi 7750 189 85 33 248 21 211 315 1336 0.65% 302
Jul-2010 Ghosi Refral 3764 95 41 1 264 3 207
Jul-2010 Makhdumpur 8879 410 247 2 259 29 537 610 2703 2.29% 707
Jul-2010 Ratni Faridpur 4873 124 103 38 233 10 85 292 1395 0.39% 367
Jul-2010 Hulashganj 3645 232 115 6 518 36 17 244 1156 0.91% 223
Jul-2010 Okari / Modanganj 5934 99 59 28 176 15 44 213 1122 0.87% 226
Jul-2010 Jehanabad Block 9084 26 0 12 0 27 17 526 2252 1.15% 403
Jul-2010 District 59785 3692 1625 219 2900 160 1355 2828 12940 1.12% 3305
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Month Name of PHC/Hospital OPD Indoor Delivery Referred
Case Emergency Family Planning
General Operation Mother Child Polio
New Born
Childs Polio New Born
Childs
Aug-2010
Jehanabad Sadar 11359 2186 1090 106 957 3 176 263 964
Aug-2010 Kako 4307 134 129 14 193 5 51 421 1559
Aug-2010 Ghosi 6647 225 159 28 318 8 323 262 1181
Aug-2010 Ghosi Refral 3703 116 64 3 206 3 161
Aug-2010 Makhdumpur 8642 511 355 18 211 15 523 507 2529
Aug-2010
Ratni Faridpur 7362 153 147 25 306 4 88 363 1428
Aug-2010 Hulashganj 4263 257 173 4 466 15 17 228 1090
Aug-2010
Okari / Modanganj 6631 140 120 25 198 6 82 195 1153
Aug-2010
Jehanabad Block 7279 11 0 8 0 13 17 475 2102
Aug-2010 District 60193 3733 2237 231 2855 72 1438 2714 12006
Sep-2010
Jehanabad Sadar 5974 1345 876 78 808 0 0 149 1150 1.30% 811
Sep-2010 Kako 5252 170 164 17 202 6 52 268 2126 0.91% 919
Sep-2010 Ghosi 6432 213 162 22 299 20 253 224 1507 0.49% 617
Sep-2010 Ghosi Refral 939 103 60 3 245 8 58
Sep-2010 Makhdumpur 8187 511 352 2 203 50 478 451 2918 0.43% 1346
Sep-2010
Ratni Faridpur 6148 160 133 32 260 9 66 353 1525 0.91% 783
Sep-2010 Hulashganj 3615 319 225 0 483 20 21 234 911 0.91% 524
Sep-2010
Okari / Modanganj 4174 119 108 26 186 8 97 200 1243 0.91% 475
Sep-2010
Jehanabad Block 7085 0 0 0 0 0 0 82 513 1.36% 871
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Month Name of PHC/Hospital OPD Indoor Delivery Referred
Case Emergency Family Planning
General Operation Mother Child Polio
New Born
Childs Polio New Born
Childs
Sep-2010 District 47806 2940 2080 180 2686 121 1025 1961 11893 0.86% 6346
Oct-2010 Jehanabad Sadar 9339 1912 893 87 818 13 315 105 1402
Oct-2010 Kako 9064 226 198 16 224 30 0 347 2105
Oct-2010 Ghosi 5446 202 163 26 300 23 167 199 1425
Oct-2010 Ghosi Refral 1312 96 64 2 184 7 37
Oct-2010 Makhdumpur 7529 526 369 5 246 54 486 367 2936
Oct-2010 Ratni Faridpur 8955 164 146 46 266 6 69 246 1723
Oct-2010 Hulashganj 3101 259 206 4 520 29 20 149 1258
Oct-2010 Okari / Modanganj 2935 148 122 43 194 14 47 151 1317
Oct-2010 Jehanabad Block 3895 24 0 0 0 25 6 424 2782
Oct-2010 District 51576 3557 2161 229 2752 201 1147 1988 14948 Nov-2010
Jehanabad Sadar
Nov-2010 Kako
Nov-2010 Ghosi
Nov-2010 Ghosi Refral
Nov-2010 Makhdumpur
Nov-2010
Ratni Faridpur
Nov-2010 Hulashganj
Nov-2010
Okari / Modanganj
Nov-2010
Jehanabad Block
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Month Name of PHC/Hospital OPD Indoor Delivery Referred
Case Emergency Family Planning
General Operation Mother Child Polio
New Born
Childs Polio New Born
Childs
Nov-2010 District
Dec-2010
Jehanabad Sadar
Dec-2010 Kako
Dec-2010 Ghosi
Dec-2010 Ghosi Refral
Dec-2010 Makhdumpur
Dec-2010
Ratni Faridpur
Dec-2010 Hulashganj
Dec-2010
Okari / Modanganj
Dec-2010
Jehanabad Block
Dec-2010 District
Jan-2011 Jehanabad Sadar
Jan-2011 Kako
Jan-2011 Ghosi
Jan-2011 Ghosi Refral
Jan-2011 Makhdumpur
Jan-2011 Ratni Faridpur
Jan-2011 Hulashganj
Jan-2011 Okari / Modanganj
Jan-2011 Jehanabad Block
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Month Name of PHC/Hospital OPD Indoor Delivery Referred
Case Emergency Family Planning
General Operation Mother Child Polio
New Born
Childs Polio New Born
Childs
Jan-2011 District Feb-2011
Jehanabad Sadar
Feb-2011 Kako
Feb-2011 Ghosi
Feb-2011 Ghosi Refral
Feb-2011 Makhdumpur
Feb-2011
Ratni Faridpur
Feb-2011 Hulashganj
Feb-2011
Okari / Modanganj
Feb-2011
Jehanabad Block
Feb-2011 District
Mar-2011
Jehanabad Sadar
Mar-2011 Kako
Mar-2011 Ghosi
Mar-2011 Ghosi Refral
Mar-2011 Makhdumpur
Mar-2011
Ratni Faridpur
Mar-2011 Hulashganj
Mar-2011
Okari / Modanganj
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Month Name of PHC/Hospital OPD Indoor Delivery Referred
Case Emergency Family Planning
General Operation Mother Child Polio
New Born
Childs Polio New Born
Childs
Mar-2011
Jehanabad Block
Mar-2011 District
MONTHS Jehanabad Sadar 60130 12385 5736 600 6411 44 1063 1380 7945 2105
MONTHS Kako 37235 911 828 91 1183 78 274 2781 12972 1924
MONTHS Ghosi 40036 1234 798 184 1890 99 1276 1767 9200 1264
MONTHS Ghosi Refral 17702 695 313 17 1529 29 758
MONTHS Makhdumpur 52002 2888 1891 50 1702 195 3230 3408 19344 2753
MONTHS Ratni Faridpur 43857 887 760 217 1604 38 496 2340 10284 1527
MONTHS Hulashganj 23853 1745 960 37 3124 144 130 1493 7539 985
MONTHS Okari / Modanganj 27519 754 581 197 1209 58 660 1392 8300 949
MONTHS Jehanabad Block 48057 99 0 54 0 103 79 3003 14585 1707
MONTHS District 350391 21598 11867 1447 18652 788 7966 17564 90169 13214
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135
Sl. No. Month Name of
PHC/Hospital OPD Indoor Delivery Referred Case Emergency Family
Planning General
Operation Mother Child Polio New Born
Childs Polio
New Born
Childs
1 Apr-2009 Jehanabad Sadar 8503 1671 456 45 670 20 215 103 1179 1.82% 328
2 Apr-2009 Kako 1947 86 69 18 145 22 81 206 2551 0.75% 276
3 Apr-2009 Ghosi 2880 65 56 8 133 13 57 145 1422 0.36% 186
3 Apr-2009 Ghosi Refral 1541 55 24 2 114 9 60
4 Apr-2009 Makhdumpur 4937 260 172 10 302 27 405 392 3094 1.56% 433
5 Apr-2009 Ratni Faridpur 2198 118 110 29 201 1 54 219 2527 0.38% 226
6 Apr-2009 Hulashganj 2596 94 66 1 375 18 50 121 1255 1.11% 142
7 Apr-2009 Okari / Modanganj 1111 206 186 12 173 8 47 149 939 1.07% 151
8 Apr-2009 Jehanabad Block 3825 0 12 0 13 7 301 2663 1.62% 274
9 Apr-2009 District 29538 2555 1139 137 2113 131 976 1636 15630 1.12% 2016
1 May-2009
Jehanabad Sadar 9220 1585 478 64 884 20 305 158 1176 2.58% 326 1.33% 217
2 May-2009 Kako 2919 106 73 22 203 33 78 272 1758 0.38% 434 0.71% 165
3 May-2009 Ghosi 3148 58 41 26 183 7 107 229 2111 0.38% 303 1.03% 147
3 May-2009 Ghosi Refral 2227 80 25 5 160 17 101
4 May-2009 Makhdumpur 5970 312 140 4 304 93 420 415 3214 1.25% 603 1.07% 241
5 May-2009
Ratni Faridpur 1966 123 112 25 225 0 64 204 2451 0.67% 289 1.54% 147
6 May-2009 Hulashganj 3128 163 67 11 495 54 87 139 1420 1.11% 248 0.40% 89
7 May-2009
Okari / Modanganj 1682 78 56 9 81 0 47 138 1269 0.74% 213 1.72% 92
8 May- Jehanabad 4397 0 15 0 27 9 324 2603 0.37% 338 0.77% 174
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136
Sl. No. Month Name of
PHC/Hospital OPD Indoor Delivery Referred Case Emergency Family
Planning General
Operation Mother Child Polio New Born
Childs Polio
New Born
Childs
2009 Block
9 May-2009 District 34657 2505 992 181 2535 251 1218 1879 16002 0.97% 2754 1.09% 1272
1 Jun-2009
Jehanabad Sadar 11123 1628 519 60 1012 10 245 205 1000 1.33% 258
2 Jun-2009 Kako 3488 98 94 29 181 4 76 329 1463 1.03% 232
3 Jun-2009 Ghosi 5688 89 57 10 205 9 111 227 2183 0.38% 189
3 Jun-2009 Ghosi Refral 2991 55 28 5 130 3 95
4 Jun-2009 Makhdumpur 7266 315 144 18 379 47 354 402 2728 1.00% 300
5 Jun-2009
Ratni Faridpur 2491 113 100 45 269 5 64 266 2110 0.74% 207
6 Jun-2009 Hulashganj 4149 228 64 12 596 49 77 192 1089 0.74% 124
7 Jun-2009
Okari / Modanganj 2591 157 129 5 136 3 13 108 1081 1.07% 136
8 Jun-2009
Jehanabad Block 7087 0 12 3 9 8 385 2588 0.74% 201
9 Jun-2009 District 46874 2683 1135 196 2911 139 1043 2114 14242 0.89% 1647
1 Jul-2009 Jehanabad Sadar 12086 1771 717 67 886 33 235 254 1070 1.33% 258
2 Jul-2009 Kako 4228 143 128 19 189 15 76 427 1720 1.03% 232
3 Jul-2009 Ghosi 5732 134 63 21 248 15 95 281 2699 0.38% 189
3 Jul-2009 Ghosi Refral 3868 71 38 7 140 5 86
4 Jul-2009 Makhdumpur 7789 345 220 9 391 16 418 629 3392 1.00% 300
5 Jul-2009 Ratni Faridpur 2825 148 129 49 280 0 73 367 2509 0.74% 207
6 Jul-2009 Hulashganj 4659 184 84 19 554 15 50 194 1542 0.74% 124
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Sl. No. Month Name of
PHC/Hospital OPD Indoor Delivery Referred Case Emergency Family
Planning General
Operation Mother Child Polio New Born
Childs Polio
New Born
Childs
7 Jul-2009 Okari / Modanganj 2666 163 126 9 113 7 40 221 1641 1.07% 136
8 Jul-2009 Jehanabad Block 7776 0 17 0 34 0 496 2929 0.74% 201
9 Jul-2009 District 51629 2959 1505 217 2801 140 1073 2869 17502 0.89% 1647
1 Aug-2009
Jehanabad Sadar 12349 2098 917 37 867 15 237 228 1056 1.25% 399
2 Aug-2009 Kako 4081 154 129 13 214 54 65 246 1456 1.11% 367
3 Aug-2009 Ghosi 4888 176 110 19 275 9 77 215 2139 0.00% 311
3 Aug-2009 Ghosi Refral 3531 100 57 5 186 7 101
4 Aug-2009 Makhdumpur 7400 449 295 17 480 51 448 401 3080 1.38% 525
5 Aug-2009
Ratni Faridpur 2978 204 181 34 294 25 60 234 2034 0.38% 301
6 Aug-2009 Hulashganj 4532 199 117 10 501 22 54 198 1468 1.07% 193
7 Aug-2009
Okari / Modanganj 2708 142 88 20 184 7 29 201 1218 0.43% 242
8 Aug-2009
Jehanabad Block 7148 0 4 0 56 3 407 2970 1.33% 367
9 Aug-2009 District 49615 3522 1894 159 3001 246 1074 2130 15421 0.92% 2705
1 Sep-2009
Jehanabad Sadar 9350 2059 991 56 902 46 190 226 1366 2.12% 608
2 Sep-2009 Kako 3262 198 160 12 285 66 52 241 1569 0.74% 461
3 Sep-2009 Ghosi 3748 138 106 23 222 11 49 215 2412 0.42% 331
3 Sep-2009 Ghosi Refral 2580 102 62 7 157 13 105
4 Sep-2009 Makhdumpur 5098 559 373 22 561 51 420 527 3426 1.13% 669
5 Sep-2009
Ratni Faridpur 1753 290 265 31 325 20 47 239 2133 1.48% 339
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138
Sl. No. Month Name of
PHC/Hospital OPD Indoor Delivery Referred Case Emergency Family
Planning General
Operation Mother Child Polio New Born
Childs Polio
New Born
Childs
6 Sep-2009 Hulashganj 2930 220 160 6 437 15 57 188 1783 0.80% 233
7 Sep-2009
Okari / Modanganj 1739 135 99 26 181 13 23 165 1396 0.80% 239
8 Sep-2009
Jehanabad Block 5398 0 13 0 71 7 395 2852 0.40% 410
9 Sep-2009 District 35858 3701 2216 196 3070 306 950 2196 16937 1.05% 3290
1 Oct-2009 Jehanabad Sadar 8014 2255 1202 66 757 71 247 177 1805
2 Oct-2009 Kako 2937 219 181 13 242 90 58 263 1703
3 Oct-2009 Ghosi 3590 165 128 14 231 28 50 156 2413
3 Oct-2009 Ghosi Refral 2778 98 62 5 160 20 125
4 Oct-2009 Makhdumpur 6578 693 440 19 607 98 487 353 3021
5 Oct-2009 Ratni Faridpur 1862 326 286 17 362 32 34 207 1817
6 Oct-2009 Hulashganj 2905 220 157 5 512 31 59 123 1484
7 Oct-2009 Okari / Modanganj 1857 189 133 21 208 51 24 120 1668
8 Oct-2009 Jehanabad Block 5426 0 18 0 39 5 295 2679
9 Oct-2009 District 35947 4165 2589 178 3079 460 1089 1694 16590
1 Nov-2009
Jehanabad Sadar 7705 2513 1146 57 636 95 239 205 1558 1.61% 692
2 Nov-2009 Kako 2834 251 163 9 207 92 41 191 1514 0.50% 857
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139
Sl. No. Month Name of
PHC/Hospital OPD Indoor Delivery Referred Case Emergency Family
Planning General
Operation Mother Child Polio New Born
Childs Polio
New Born
Childs
3 Nov-2009 Ghosi 4835 210 118 17 228 59 41 140 1810 0.88% 681
3 Nov-2009 Ghosi Refral 2127 107 57 4 127 34 74
4 Nov-2009 Makhdumpur 6100 542 358 17 439 100 385 259 3000 0.69% 1104
5 Nov-2009
Ratni Faridpur 2036 330 262 24 360 89 47 182 1711 1.86% 775
6 Nov-2009 Hulashganj 2517 239 154 5 321 73 40 73 1416 1.13% 427
7 Nov-2009
Okari / Modanganj 1833 173 108 14 146 75 21 106 1296 1.82% 433
8 Nov-2009
Jehanabad Block 5862 0 0 0 153 7 228 2742 3.55% 770
9 Nov-2009 District 35849 4365 2366 147 2464 770 895 1384 15047 1.36% 5739
1 Dec-2009
Jehanabad Sadar 7786 2287 989 57 599 104 196 176 1717 1.54% 473
2 Dec-2009 Kako 4264 220 117 12 160 102 51 222 1620 1.20% 387
3 Dec-2009 Ghosi 2926 138 79 11 160 42 35 141 2404 0.38% 310
3 Dec-2009 Ghosi Refral 2048 89 50 5 139 22 50
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Sl. No. Month Name of
PHC/Hospital OPD Indoor Delivery Referred Case Emergency Family
Planning General
Operation Mother Child Polio New Born
Childs Polio
New Born
Childs
4 Dec-2009 Makhdumpur 6094 529 320 12 418 141 452 316 3449 0.77% 579
5 Dec-2009
Ratni Faridpur 2216 269 240 23 288 50 38 162 1795 1.27% 314
6 Dec-2009 Hulashganj 2228 216 131 3 336 71 44 116 1769 1.30% 209
7 Dec-2009
Okari / Modanganj 2164 162 78 1 136 23 20 99 1586 1.11% 226
8 Dec-2009
Jehanabad Block 6304 0 0 0 133 20 269 3023 1.47% 378
9 Dec-2009 District 36030 3910 2004 124 2236 688 906 1501 17363 1.15% 2876
1 Jan-2010 Jehanabad Sadar 6070 2625 821 46 571 46 243 176 1216 2.40% 443
2 Jan-2010 Kako 3139 164 106 8 156 69 48 196 1331 0.93% 347
3 Jan-2010 Ghosi 2277 87 68 22 155 26 24 121 1791 0.71% 228
3 Jan-2010 Ghosi Refral 1360 48 29 0 129 9 53
4 Jan-2010 Makhdumpur 4445 411 251 15 123 96 308 215 3083 1.36% 515
5 Jan-2010 Ratni Faridpur 1612 233 212 36 265 39 39 133 1208 1.60% 272
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141
Sl. No. Month Name of
PHC/Hospital OPD Indoor Delivery Referred Case Emergency Family
Planning General
Operation Mother Child Polio New Born
Childs Polio
New Born
Childs
6 Jan-2010 Hulashganj 1628 190 119 8 311 45 35 85 1642 0.91% 209
7 Jan-2010 Okari / Modanganj 1477 105 71 5 78 27 15 86 1334 0.91% 185
8 Jan-2010 Jehanabad Block 4986 0 0 0 65 15 264 2631 1.36% 333
9 Jan-2010 District 26994 3863 1677 140 1788 422 780 1276 14236 1.21% 2532
1 Feb-2010
Jehanabad Sadar 7442 2456 824 27 313 72 224 176 1124 1.20% 382
2 Feb-2010 Kako 3245 142 101 9 134 55 44 214 1289 0.48% 299
3 Feb-2010 Ghosi 4092 84 50 10 131 38 61 121 1875 0.87% 150
3 Feb-2010 Ghosi Refral 2006 58 27 4 106 12 77
4 Feb-2010 Makhdumpur 5742 362 180 5 123 123 391 247 2865 1.19% 305
5 Feb-2010
Ratni Faridpur 2420 207 176 12 204 30 38 188 1752 1.00% 209
6 Feb-2010 Hulashganj 2332 175 82 2 243 73 26 92 1649 0.00% 147
7 Feb-2010
Okari / Modanganj 1903 126 82 11 110 41 53 90 1432 0.95% 143
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142
Sl. No. Month Name of
PHC/Hospital OPD Indoor Delivery Referred Case Emergency Family
Planning General
Operation Mother Child Polio New Born
Childs Polio
New Born
Childs
8 Feb-2010
Jehanabad Block 5517 92 0 0 0 92 13 264 2673 0.91% 273
9 Feb-2010 District 34699 3702 1522 80 1364 536 927 1392 14659 0.88% 1908
1 Mar-2010
Jehanabad Sadar 7653 2711 857 69 921 60 212 181 1339 2.86% 394
2 Mar-2010 Kako 3945 131 97 14 152 62 59 341 1910 1.11% 364
3 Mar-2010 Ghosi 4088 99 55 28 199 14 97 185 1427 1.12% 217
3 Mar-2010 Ghosi Refral 2296 71 21 0 158 11 82
4 Mar-2010 Makhdumpur 5710 279 141 6 171 67 361 434 3043 1.71% 490
5 Mar-2010
Ratni Faridpur 2005 166 140 14 226 41 45 306 1678 0.77% 282
6 Mar-2010 Hulashganj 3101 176 84 3 298 39 29 148 1554 1.34% 152
7 Mar-2010
Okari / Modanganj 2337 110 86 20 146 21 42 153 1164 2.41% 183
8 Mar-2010
Jehanabad Block 6244 68 0 12 1 69 18 408 2590 0.83% 351
9 Mar-2010 District 37379 3811 1481 166 2272 384 945 2156 14705 1.53% 2433
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143
Sl. No. Month Name of
PHC/Hospital OPD Indoor Delivery Referred Case Emergency Family
Planning General
Operation Mother Child Polio New Born
Childs Polio
New Born
Childs
1 MONTHS Jehanabad Sadar 107301 25659 9917 651 9018 592 2788 2265 15606 4561
2 MONTHS Kako 40289 1912 1418 178 2268 664 729 3148 19884 4256
3 MONTHS Ghosi 47892 1443 931 209 2370 271 804 2176 24686 3095
3 MONTHS Ghosi Refral 29353 934 480 49 1706 162 1009
4 MONTHS Makhdumpur 73129 5056 3034 154 4298 910 4849 4590 37395 5823
5 MONTHS Ratni Faridpur 26362 2527 2213 339 3299 332 603 2707 23725 3421
6 MONTHS Hulashganj 36705 2304 1285 85 4979 505 608 1669 18071 2208
7 MONTHS Okari / Modanganj 24068 1746 1242 153 1692 276 374 1636 16024 2287
8 MONTHS Jehanabad Block 69970 160 0 103 4 761 112 4036 32943 3896
9 MONTHS District 455069 41741 20520 1921 29634 4473 11876 22227 188334 29547
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144
Sl. No. Month Name of
PHC/Hospital OPD Indoor Delivery Referred Case Emergency Family
Planning
General
Operation
Mother Child Polio New Born
Childs
1 Apr-2008 Jehanabad Sadar 8167 2262 455 47 753 29 332 54 995 1.78% 250
2 Apr-2008 Kako 2172 97 74 7 213 28 35 17 2069 1.03% 216
3 Apr-2008 Ghosi 4656 99 84 23 353 8 65 210 1688 0.38% 169
4 Apr-2008 Makhdumpur 4516 209 140 16 280 14 270 296 3202 1.48% 314
5 Apr-2008 Ratni Faridpur 1479 31 54 39 148 20 64 152 2966 1.60% 176
6 Apr-2008 Hulashganj 2018 46 46 6 330 19 34 198 1625 0.80% 108
7 Apr-2008 Okari / Modanganj 1809 74 47 15 129 15 66 347 1110 0.40% 119
8 Apr-2008 Jehanabad Block 1850 0 20 24 178 2643 1.54% 179
9 Apr-2008 District 26667 2818 900 153 2206 153 890 1452 16298 1.07% 1531
1 May-2008 Jehanabad Sadar 10509 2346 404 43 836 6 385 85 1036 1.78%
2 May-2008 Kako 3420 127 81 22 217 12 70 297 2072 1.03%
3 May-2008 Ghosi 6432 101 63 33 353 7 126 273 2362 0.38%
4 May-2008 Makhdumpur 5681 221 143 18 304 16 319 744 3643 1.48%
5 May-2008 Ratni Faridpur 2052 91 74 20 161 13 85 232 2654 1.60%
6 May-2008 Hulashganj 2637 60 60 7 416 34 47 342 1969 0.80%
7 May-2008
Okari / Modanganj 2813 68 39 21 104 8 100 187 1317 0.40%
8 May-2008 Jehanabad Block 1869 0 9 27 310 2847 1.54%
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145
Sl. No. Month Name of
PHC/Hospital OPD Indoor Delivery Referred Case Emergency Family
Planning
General
Operation
Mother Child Polio New Born
Childs
9 May-2008 District 35413 3014 864 164 2391 105 1159 2470 17900 1.07%
1 Jun-2008 Jehanabad Sadar 10719 1953 400 43 732 10 337 238 648 0.97% 289
2 Jun-2008 Kako 3900 117 93 11 248 21 53 394 1575 1.07% 273
3 Jun-2008 Ghosi 6402 106 64 28 340 26 109 532 1134 1.03% 168
4 Jun-2008 Makhdumpur 6044 241 149 15 280 17 309 1267 3108 1.07% 391
5 Jun-2008 Ratni Faridpur 2434 78 59 24 140 16 63 310 2579 0.37% 229
6 Jun-2008 Hulashganj 2770 60 60 9 436 13 51 367 1651 0.74% 147
7 Jun-2008 Okari / Modanganj 2861 71 37 19 108 12 84 379 1438 0.71% 146
8 Jun-2008 Jehanabad Block 2300 2 26 19 686 2768 1.67% 251
9 Jun-2008 District 37430 2626 864 149 2284 141 1025 4173 14901 0.95% 1894
1 Jul-2008 Jehanabad Sadar 12254 2504 573 40 952 8 304 273 1020 2.40% 306
2 Jul-2008 Kako 3804 114 108 10 191 7 76 551 1329 1.07% 219
3 Jul-2008 Ghosi 3659 113 75 21 169 0 47 736 1455 0.74% 136
3 Jul-2008 Ghosi Refral 3454 75 33 8 151 11 94
4 Jul-2008 Makhdumpur 7855 316 197 14 350 14 386 1198 2591 0.83% 337
5 Jul-2008 Ratni Faridpur 3013 99 78 32 177 4 71 473 1851 0.83% 191
6 Jul-2008 Hulashganj 3958 123 84 9 490 14 72 359 1242 1.38% 117
7 Jul-2008 Okari / Modanganj 3105 73 52 23 114 11 72 51 944 0.00% 137
8 Jul-2008 Jehanabad Block 2552 0 9 31 568 2623 1.07% 243
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146
Sl. No. Month Name of
PHC/Hospital OPD Indoor Delivery Referred Case Emergency Family
Planning
General
Operation
Mother Child Polio New Born
Childs
9 Jul-2008 District 43654 3417 1200 157 2594 78 1153 4209 13055 1.04% 1686
1 Aug-2008 Jehanabad Sadar 12225 2771 799 62 1059 27 306 195 896 2.40%
2 Aug-2008 Kako 4427 148 135 40 234 48 101 539 890 1.07%
3 Aug-2008 Ghosi 4013 78 80 12 164 19 712 1766 0.74%
3 Aug-2008 Ghosi Refral 3581 99 37 16 137 41 53
4 Aug-2008 Makhdumpur 10360 472 308 32 485 56 457 1113 2590 0.83%
5 Aug-2008 Ratni Faridpur 3203 164 131 40 240 16 60 672 1498 0.83%
6 Aug-2008 Hulashganj 3425 216 123 12 521 51 67 409 949 1.38%
7 Aug-2008
Okari / Modanganj 2882 620 78 26 161 27 79 271 717 0.00%
8 Aug-2008 Jehanabad Block 4542 0 46 19 1044 2495 1.07%
9 Aug-2008 District 48658 4568 1691 240 3001 312 1161 4955 11801 1.04%
1 Sep-2008 Jehanabad Sadar 14777 3441 909 44 975 21 195 208 1092 1.15% 647
2 Sep-2008 Kako 5219 244 218 43 257 70 73 303 1184 0.80% 896
3 Sep-2008 Ghosi 4949 119 112 13 209 70 344 1540 0.40% 610
3 Sep-2008 Ghosi Refral 3888 127 54 13 130 46 50
4 Sep-2008 Makhdumpur 11393 552 404 15 558 72 721 893 2930 0.38% 1210
5 Sep-2008 Ratni Faridpur 3465 200 159 26 253 33 60 622 1718 1.07% 677
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147
Sl. No. Month Name of
PHC/Hospital OPD Indoor Delivery Referred Case Emergency Family
Planning
General
Operation
Mother Child Polio New Born
Childs
6 Sep-2008 Hulashganj 3862 253 166 9 596 73 74 295 926 1.11% 387
7 Sep-2008 Okari / Modanganj 3385 178 109 30 193 42 81 307 584 0.42% 474
8 Sep-2008 Jehanabad Block 3824 0 96 15 917 2384 1.11% 721
9 Sep-2008 District 54762 5114 2131 193 3171 453 1339 3889 12358 0.82% 5622
1 Oct-2008 Jehanabad Sadar 11490 3972 1078 67 957 29 163 200 1495 1.15%
2 Oct-2008 Kako 4203 254 193 25 276 68 98 372 1859 0.80%
3 Oct-2008 Ghosi 3753 145 143 17 235 48 224 2064 0.40%
3 Oct-2008 Ghosi Refral 3145 139 64 4 195 51 112
4 Oct-2008 Makhdumpur 7676 669 561 8 640 57 525 532 3182 0.38%
5 Oct-2008 Ratni Faridpur 3411 239 218 19 312 32 76 541 2549 1.07%
6 Oct-2008 Hulashganj 3814 187 155 8 485 46 60 211 1404 1.11%
7 Oct-2008 Okari / Modanganj 2560 252 151 7 215 34 58 298 1340 0.42%
8 Oct-2008 Jehanabad Block 3617 0 30 100 29 686 3272 1.11%
9 Oct-2008 District 43669 5857 2563 185 3315 417 1169 3064 17165 0.82%
1 Nov-2008 Jehanabad Sadar 11482 3390 914 47 760 73 252 176 1590 1.38% 642
2 Nov-2008 Kako 3570 284 231 13 316 54 142 421 1604 0.38% 811
3 Nov-2008 Ghosi 3268 121 129 10 191 59 226 1933 0.77% 606
3 Nov-2008 Ghosi Refral 2571 93 29 16 120 35 34
4 Nov-2008 Makhdumpur 6956 548 456 9 524 98 427 496 3414 0.97% 1200
5 Nov-2008 Ratni Faridpur 2280 308 313 25 383 45 73 489 2200 1.07% 642
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148
Sl. No. Month Name of
PHC/Hospital OPD Indoor Delivery Referred Case Emergency Family
Planning
General
Operation
Mother Child Polio New Born
Childs
6 Nov-2008 Hulashganj 3356 176 135 1 318 38 60 174 1295 0.74% 407
7 Nov-2008 Okari / Modanganj 2215 188 136 18 187 44 109 210 1042 0.74% 451
8 Nov-2008 Jehanabad Block 5597 0 30 88 12 540 2844 0.71% 856
9 Nov-2008 District 41295 5108 2343 169 2799 475 1168 2732 15922 0.86% 5615
1 Dec-2008 Jehanabad Sadar 11716 3496 949 51 637 90 280 189 1754 1.72% 454
2 Dec-2008 Kako 3294 300 213 13 262 114 121 481 1933 1.49% 588
3 Dec-2008 Ghosi 3032 90 83 18 180 18 42 260 1988 0.36% 387
3 Dec-2008 Ghosi Refral 2856 144 54 5 154 71 70
4 Dec-2008 Makhdumpur 7135 633 422 9 502 141 435 558 3897 1.33% 743
5 Dec-2008 Ratni Faridpur 2156 304 211 24 317 142 53 432 2247 1.29% 466
6 Dec-2008 Hulashganj 3308 230 139 1 429 93 86 214 1430 1.33% 317
7 Dec-2008 Okari / Modanganj 1782 204 161 12 189 96 112 195 1340 1.07% 291
8 Dec-2008 Jehanabad Block 6248 0 23 1 143 16 519 3123 0.38% 534
9 Dec-2008 District 41527 5401 2232 156 2671 908 1215 2848 17712 1.14% 3780
1 Jan-2009 Jehanabad Sadar 5804 2790 663 29 450 20 51 39 559
2 Jan-2009 Kako 2755 230 130 8 186 109 75 415 765
3 Jan-2009 Ghosi 1182 111 79 3 128 51 11 120 1826
3 Jan-2009 Ghosi Refral 653 52 32 3 118 39 26
4 Jan-2009 Makhdumpur 2314 527 326 7 389 129 304 387 1703
5 Jan-2009 Ratni Faridpur 1839 293 187 20 228 88 49 352 1510
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149
Sl. No. Month Name of
PHC/Hospital OPD Indoor Delivery Referred Case Emergency Family
Planning
General
Operation
Mother Child Polio New Born
Childs
6 Jan-2009 Hulashganj 2268 179 96 1 280 171 54 157 1171
7 Jan-2009 Okari / Modanganj 1329 163 87 12 93 82 38 139 846
8 Jan-2009 Jehanabad Block 2290 0 1 0 52 0 122 1049
9 Jan-2009 District 20434 4345 1600 84 1872 741 608 1731 9429
1 Feb-2009 Jehanabad Sadar 10383 2929 641 41 457 65 100 143 1390 5.28% 388
2 Feb-2009 Kako 2820 217 126 8 177 94 70 345 2383 0.69% 446
3 Feb-2009 Ghosi 1998 87 66 9 133 33 19 368 2270 0.38% 324
3 Feb-2009 Ghosi Refral 1428 44 32 3 96 18 25
4 Feb-2009 Makhdumpur 4074 570 363 11 421 162 367 606 3516 1.03% 647
5 Feb-2009 Ratni Faridpur 1786 260 159 26 239 89 50 340 2437 0.71% 381
6 Feb-2009 Hulashganj 2119 124 83 1 290 89 25 166 1552 0.38% 213
7 Feb-2009 Okari / Modanganj 1559 185 122 10 121 61 34 224 1367 1.61% 251
8 Feb-2009 Jehanabad Block 4043 0 3 0 172 2 393 2995 0.94% 421
9 Feb-2009 District 30210 4416 1592 112 1934 783 692 2585 17910 1.52% 3071
1 Mar-2009 Jehanabad Sadar 10529 2774 621 56 709 54 152 206 1351 1.82% 328
2 Mar-2009 Kako 2263 143 120 13 171 38 78 344 1540 0.75% 276
3 Mar-2009 Ghosi 3420 99 66 16 145 14 46 366 1907 0.36% 186
3 Mar-2009 Ghosi Refral 2040 45 27 5 104 18 78
4 Mar-2009 Makhdumpur 5594 380 254 6 341 62 405 767 3326 1.56% 433
5 Mar-2009 Ratni Faridpur 2030 165 119 33 208 31 58 405 1789 0.38% 226
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150
Sl. No. Month Name of
PHC/Hospital OPD Indoor Delivery Referred Case Emergency Family
Planning
General
Operation
Mother Child Polio New Born
Childs
6 Mar-2009 Hulashganj 2907 109 77 4 376 70 86 226 1382 1.11% 142
7 Mar-2009 Okari / Modanganj 1548 189 133 17 149 36 52 287 1395 1.07% 151
8 Mar-2009 Jehanabad Block 4946 0 3 0 104 7 510 2394 1.62% 274
9 Mar-2009 District 35277 3904 1417 153 2203 427 962 3111 15084 1.12% 2016
1 MONTHS Jehanabad Sadar 130055 34628 8406 570 9277 432 2857 2006 13826 3304
2 MONTHS Kako 41847 2275 1722 213 2748 663 992 4479 19203 3725
3 MONTHS Ghosi 70380 2087 1406 276 3805 487 1203 4371 21933 2586
4 MONTHS Makhdumpur 79598 5338 3723 160 5074 838 4925 8857 37102 5275
5 MONTHS Ratni Faridpur 29148 2232 1762 328 2806 529 762 5020 25998 2988
6 MONTHS Hulashganj 36442 1763 1224 68 4967 711 716 3118 16596 1838
7 MONTHS Okari / Modanganj 27848 2265 1152 210 1763 468 885 2895 13440 2020
8 MONTHS Jehanabad Block 43678 0 2 90 1 865 201 6473 31437 3479
9 MONTHS District 458996 50588 19397 1915 30441 4993 12541 37219 179535 25215
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151
National Rural Health Mission
Strategy & Activity Plan with budget
Name of the State/ UT:_JEHANABAD__________________ Activity Plan Budget Plan S
r. N
STRATEGIES
Cod
e (o
nly
at
Out
put
2012
2010-2011FY
2011-2012 FY 2010-2011 FY 2011-2012 FY
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152
Act
ivity
pla
nned
(X
) A
ctiv
ity E
xecu
ted
(Y)
V
aria
nce
(X
~Y)
Rea
sons
for
Var
ianc
e
Act
ivity
pla
nned
incl
udin
g pr
evio
us y
rs g
ap
{Z+(
X~Y
)} =
AP
S
peci
al e
ffort
s to
ove
rcom
e co
nstr
aint
s (P
roce
ss
to b
e ad
opte
d)
time
line
of a
ctiv
ities
Ten
tativ
e U
nit C
ost (
A)
Bud
get P
lann
ed {
X x
(A
)} =
B
Bud
get r
ecei
ved
B o
r C
(<
or
> th
an p
lann
ed)
B
udge
t util
ised
{Y
x (
A)}
= D
(U
PT
O
NO
VE
MB
ER
201
0)
adva
nce
unde
r or
ove
r-ut
ilise
d B
udge
t
{
(B~D
} =E
Bud
get P
lann
ed (
incl
udin
g sp
ill o
ver
amou
nt)
{(
AP
x A
) ±± ±±
E}
= B
P
budg
et fo
r 20
11-1
2
Bud
geta
ry S
ourc
e (o
ther
than
NR
HM
sou
rce)
Remarks
O
1 2 3 5 6 8 9
11 12 13 15
Activities
Q
1 Q2
Q3
Q4
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153
A.1.1
1.1Operationalise facilities (dissemination, monitoring & quality) (details of infrastructure & human resources, training, IEC / BCC, equipment, drug and supplies in relevant sections)
A.1.1.1
1.1.1 Operationalise Block PHCs/ CHCs/ SDHs/ DHs as
2 2 0 342000
684000
684000
211422 4725
78 3256578
3256578
NRHM
RS. 472578
(PREV.YEAR
)
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154
FRUs
A.1.1.1.1
1.1.1 Operationalise FRUs (Diesel, Service Maintenance Charge, Misc. & Other costs) 1.1.1.1 Operationalise Blood Storage units in FRU
0
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155
A.1.1.2
1.1.2 Operationalise 24x7 PHCs (Organise workshops on various aspects of operationalisation of 24x7 services at the facilities @ Rs. 25,000 / year / district)
0 8 8 25,000
0 0 0 200,000
200,000
NRHM
NO ANY WORKSHOP FOR THE FINANCIAL
YEAR
2010-11 , DISTRICT & BLOCK LEVEL WORKSHOP (24X
7)
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156
SHOULD BE CO
MPLETED AT 3RD QUARTE
R FOR THE YEA
R 2011
-2012
A.1.1.
MTP services at 0
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157
3 health facilities
A.1.1.4
RTI/STI srvices at
health facilities
0
A.1.1.5
Operationalise Sub-centres
6
3 APHC & 3HSC
6 200000
0 0 0 0 1200000
1200000
NRHM
NEW
PLAN
A.1.2
1.2 Referral Transport 0
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158
A.1.2.1
1.2.1. To develop guidelines regarding referral transport of the pregnant women and sick new born / children and dissemination of the same @ Rs. 50,000 for the state
0
A.1.2.2
1.2.2. Payment to Ambulances for all PHCs @ Rs. 200 / case of pregnancy for Jehanabad district
0
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159
(Pilot basis)
A.1.3.
1.3. Integrated outreach RCH services
0
A.1.3.1
1.3.1. RCH Outreach Camps in un-served/ under-served areas
##
833
140000
3000 137000
137000
137000
NRHM
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160
A.1.3.2.
1.3.2. Monthly Village Health and Nutrition Days at AWW Centres
1 IN YEAR
0 1 Y
NOT FINAL DATE
112360
112360
0 112360
112360
NRHM
A.1.4
1.4. Janani Evam Bal Suraksha Yojana/JBSY
0
A.1.4.1
1.4.1 Home deliveries (500/-)
102000 1020
00 0 210000
210000
A.1.4.2
1.4.2 Institutional Deliveries
##
##
## #
# 0
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161
A.1.4.2.1
1.4.2.1 Rural (A) Institutional deliveries (Rural) @ Rs.2000/- per delivery for 10.00 lakh deliveries
2000
41,000,000
24,002,203
16997797
67900000
67900000
NRHM
A.1.4.2.2
1.4.2.2 Urban (B) Institutional deliveries (Urban) @ Rs.1200/- per delivery for 2.00 lakh deliveries
1200
250000 2000
00 50000
550000
550000
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162
A.1.4.2.3
1.4.2.3 Caesarean Deliveries (Facility Gynec, Anesth & paramedic) 10.3.1 Incentive for C-section(@1500/-(facility Gynec. Anesth. & paramedic)
1500
150000 100,
000 50000
175000
175000
A.1.4.3
1.4.3 Other Activities(JSY) 1.4.3. Monitor quality and utilisation of services and Mobile Data Centre at HSC and APHC Level
540
540000
0 540000
540000
540000
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163
and State Supervisory Committee for Blood Storage Unit
Total (JSY) 0
A.1.5
1.5 Other strategies/ac
tivities 0
A.1.5.1
1.5.1 Maternal Death Audit 1.1.3 Survey on maternal and perinatal deaths by verbal autopsy method (in two districts) @ 850 per
0 0 0 0 0 250,000
250,000
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164
death
A.2
2. Child Health 0
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165
A.2.1
2.1. Integrated Management of Neonatal & Childhood Illness/IMNCI (Monitor progress against plan; follow up with training, procurement, review meetings etc) 2.1. IMNCI (details of training, drugs and supplies, under relevant sections) 2.1.1. Monitor progress
135000
0
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166
against plan; follow up with training, procurement, review meetings etc
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167
A.2.2
2.2 Facility Based Newborm Care/FBNC in districts (Monitor progress against plan; follow up with training, procurement, view meeting etc.) 2.2.1. Implementation of FBNC activities in districts. (Monitor progress against plan; follow up with training,
38 38,000
0 ###
38000
38,000
38,000
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168
procurement, etc.)
A.2.3.
2.3 Home Based New born care/HBNC
0
A.2.4
2.4 School Health Programme (Details annexed)
3000
2212413 2910
00 1921413
3097379
3097379
A.2.5.
2.5 Infant and Young Child Feeding/IYCF
0
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169
A.2.6.
2.6 Care of sick children & severe malnutrition
469070
1758070
0 0 1758070
1758070
1758070
A.2.7.
2.7 Management of Diarrhoea, ARI and Micro nutrient
25 111000 2364
0 87360
87360
87360
A.3
3.Family Planning 0
A.3.1.
3.1.Terminal/Limiting Methods
0
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170
A.3.1.1.
3.1.1. Dissemination of manuals on sterilisation standards & quality assurance of sterilisation services
22000
22000
0 22000
22000
22000
A.3.1.2
3.1.2 Female Sterilisation
camps 10
00 168000 0 1680
00 168000
168000
A.3.1.3 3.1.2.2.
3.1.3 3.1.2.2. NSV camps (Organise NSV camps in districts @Rs.10,000 x 500 camps)
10000
160000
0 160000
160000
160000
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171
A.3.1.4
3.1.4 Compensation for female sterilisation 3.1.2.3. Compensation for female sterilisation at PHC level in camp mode 3.1.2.1. Provide female sterilisation services on fixed days at health facilities in districts (Mini Lap)
##
##
## #
# 1000
4255000 1351
771 2903229
7158229
7158229
A.3.1.5 3.1
3.1.5 Compensation for male slerilisation
##
20
## #
# 1500
337500 1700
0 320500
320500
320500
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172
.2.4
3.1.2.4. Compensation for NSV Acceptance @50000 cases x1500
A.3.1.6 3.1.3.1
3.1.6 Accreditation of private providers for sterilisation services 3.1.3.1 Compensation for sterilization done in Pvt.Accredited Hospitals (1.50 lakh cases)
4170000 0 4170
000 4170000
4170000
A.3.2
3.2. Spacing Methods 0
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173
A.3.2.1
3.2.1. IUD Camps 1
6 0 1
6 1
6 15
00 240000
0 240000
240000
240000
A.3.2.2
3.2.2 IUD services at health facilites/compensation
50 196998
0 196998
196998
196998
A.3.2.3
Accreditation of private providers for IUD insertion services
0
A.3.2.4
Social Marketing of contraceptiv
es
0 50000
50000
A.3.2.5 3.2.2.
3.2.5 3.2.2. Contraceptive Update Seminars (Organise Contraceptiv
7135
49910 0 4991
0 4991
0 4991
0
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174
e Update seminars for health providers (one at state level & 38 at district level) (Anticipated Participants-50-70)
A.3.3
3.3 POL for Family Planning for 500 below sub-district facilities
129600
7100 122500
125500
125500
A.3.4
3.4 Repair of Laproscopes (Rs. 5000 x 40 nos.)
0
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175
A.3.5
3.5 Other strategies/activities 3.1.4. Monitor progress, quality and utilisation of services 3.5. Establishing Community Based Condom and OCP Distribution Centres (pilot in one district/1 PHC)
0
A.4
4. Adolescent Reproductive and Sexual Health (ARSH)
0
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176
(Details of training, IEC/BCC in relevant sections)
0
A.4.1
Adolescent services at health facilites. 4.1.1. Disseminate ARSH guidelines.4.1.2. Establishing ARSH Cells in Facilities 4.1.2.1. Developing a Model ARSH Cell for the facilities 4.1.2.2. Establishing ARSH Cell at
0
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177
Patna District Hospital 4.1.2.3. Establishing ARSH Cell is 50% PHCs of Patna District 4.2 Conducting ARSH Camps at all PHCs for a week (as ARSH Week) 4.2.2 Establishing Youth friendly health clinics in Urban Area/ Universities Campus / Market Place
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178
A.4.2
4.2 Other strategies/activities
0
A.5
5. Urban RCH 0
A.5.1
5.1. Urban RCH Services (Development of Micro-plans for each urban area already mapped for delivery of RCH services, both outreach and facility based through private agencies/ins
0
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179
titutions/organisations-50lakhs & Operationalising 20 UHCs through private clinics @540000/- pm
A.6
6 Tribal Health 0
A.6.1
Tribal RCH services 0
A.6.2
Other strategies/activities
0
A.7
7. Vulnerable Groups
0
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A.7.1
7.1 Services for Vulnerable groups
0
A.7.1
7.1 Services for Vulnerable groups
0
A.7.2
7.2 Other strategies/activities
0
A.8
8. Innovations/PPP/NGO
0
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181
A.8.1
8.1.PNDT and Sex Ratio 8.1.1. Orientation programme of PNDT activities, Workshop at State, District and Block Level (1+38+533) (amount Rs.50 Lakhs) 8.1.2 Monitoring at District level and Meetings of District level Committee (100 Lakhs)
10 1 9 9 y
25000
250000 2000
0 230000
230000
230000
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A.8.2.
Public Private Partnerships
0
A.8.3
NGO Programme 0
A.8.4
Other innovations (if any)
0
A.9
INFRASTRUCTURE & HR
0
A.9.1
Contracutal Staff & Services
0
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183
A.9.1.1 9.1.1 ANMs
10.1.1.2. Hiring of 1000 Retired ANMs or ANMs from other states for out reach services @ Rs. 5000 / month / ANM
0
A.9.1.2
9.1.2 Laboratory
Technicians
234000
351000 0 3510
00 351000
351000
A.9.1.3
Staff Nurses 12000
7200000
5400000
1800000
9000000
9000000
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A.9.1.4
9.1.4 Doctors and Specialists
(Anaesthetists,
Paediatricians, Ob/Gyn, Surgeons,
Physicians) Hiring
Specialists 1.1.1.1
Operationalise Blood Storage
units in FRU -Salary of Medical Officer -
1,82,40,000/-; 10.1.2.1.
Empeanelling
Gynaecologists for
gynaecology
35000
840000
0 840000
840000
840000
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OPD in under or un
served areas @ Rs. 1000/-
week x 52 weeks ; 10.1.2.3.
Empanelling Gyaneocolo
gists for PHCstoprovi
de OPD services @
Rs. 300/- weekx 52 weeks; 10.1.2.4 Hiring
Anaesthetist positions @ Rs.1000 per
case x 120000; 10.1.2.5. Hiring
Paediatricia
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186
n for facilities
where there are vacant
Paediatricians positions
@ Rs. 35,000/-
month (2 per district); 10.1.2.6 Hiring
Gynaecologists for
facilities that have vacant positions @ Rs. 650 per
case x 75000 cases
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187
A.9.1.5
Other contractual
Staff 9.1 Fast-Track
Training Cell in SIHFW 9.2
Filling Vacant
Position at SIHFW/Hiring Consultant
at SIHFW 10.1.1
Honorarium of Voluntary Workers @ of 1200/- PA x 3106 No.
63157
10900
52257
52257
52257
A.9.1.6
Incentive/Awards etc.
8.2.1 Incentive for
ASHA per AWW center (80000x200 per month)
6918000 3202
931 3715069
6918000
6918000
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and Incentive
toANMs per Aganwari
Centre under
Muskan Programme (@80000 x Rs.150 Per
Month A.9
.2 9.2. Major civil works
(new construction/extension/a
ddition)
0
A.9.2.1
9.2.1 Major Civil works
for operationali
sation of FRUS
0 200000
200000
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189
A.9.2.2
9.2.2 Major Civil works
for operationalisation of 24
hour services at
PHCs
0 700000
700000
A.9.3
9.3 Minor Civil Works 7000
00 0 7000
00 700000
700000
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190
A.9.3.1
9.3.1 Minor civil works
for operationali
sation of FRUs 10.4.1
Facility improvemen
t for establishing
New Born Centres at 76 FRUs
across the state - @ Rs. 50,000 / per
FRU
0
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191
A.9.3.2
9.3.2 Minor civil works
for operationalisation of 24
hour services at
PHCs 10.4.2. Facility
improvement for
establishing New Born Centres at
PHCs across the
state - @ Rs. 25,000 / per
PHC
0
A.9.4
9.4 Operationalise IMEPat
health facilites
1490316
0 1490316
1490316
1490316
A.9.5
9.5 Other Activities 0
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192
A.10
10. Institutional Strengthening
0
A.10.1
10.1 Human Resource Development
0 500000
500000
A.10.2
10.2 Logistics management/improvement
0 300000
300000
A.10.3
10.3 Monitoring Evaluation/HMIS 11.3 Monitoring & evaluation through monitoring cell at SIHFW
292113 1130
0 280813
772926
772926
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193
A.10.4
10.4 11.4 Sub-centre rent and contingencies @ 1770 no. x Rs.500/- x 60 months
96000 3900
0 57000
153000
153000
A.10.5.
10.5. Other strategies/activities TA & DA for the 30 days contact programme
0 300000
300000
A.11
11 Training 0
A.11.1
11.1 Strengthening of Training Institutions
0
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194
A.11.2
11.2 Development of training packages
0
A.11.3
11.3 Maternal Health Training
0
A.11.3.1
11.3.1 Skilled Birth Attendance /SBA 12.1.2 Skilled Attendance at Birth / SBA--Two days Reorientation of the existing trainers in Batches 12.1.3 Strengthening of existing
176220
444400
-
268180
712580
712580
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195
SBA Training Centres 12.1.4 Setting up of additional SBA Training Centre- one per district 12.1.5 Training of Staff Nurses in SBA (batches of four) 12.1.6 Training of ANMs / LHVs in SBA (Batch size of four) 20 batches x 38 districts x Rs.59,000/-
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196
A.11.3.2
EmOC Training 12.1.3 EmOc Training of (Medical Officers in EmOC (batchsize is 8 )
0 50000
50000
A.11.3.3
11.3.3 Life Saving Anaesthesia Skills training 12.1.5 Training of Medical Officers in Life Saving Anaesthesia Skills (LSAS)
0
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197
A.11.3.4
11.3.4 MTP Training 12.1.6.1 Training of nurses/ ANMs in safe abortion 12.1.8 Training of Medical Officers in safe abortion
50000 0 5000
0 5000
0 5000
0
A.11.3.5
11.3.5 RTI/STI Training
0
A.11.3.6
Dai Training 0
A.11.3.7
Other MH Training 0
A.11.4
IMEP Training 0
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198
A.11.5
11.5 Child Health Training
0
A.11.5.1
11.5.1 IMNCI 12.2.1.1. TOT on IMNCI for Health and ICDS worker 12.2.1.2. IMNCI Training for Medical Officers (Physician) 12.2.1.3. IMNCI Training for all health workers 12.2.1.4. IMNCI Training for ANMs / LHVs/ AWWs 12.2.1.6
0 200000
200000
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199
Followup training (HEs,LHVs)
A.11.5.2
11.5.2 Facility Based Newborn Care 12.2.2.1 SNCU Training 12.2.2.2.NSU (TOT)
0 100000
100000
A.11.5.3
11.5.3 Home Based Newborn Care
0
A.11.5.4
11.5.4 Care of Sick Children and severe malnutrition
0
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200
A.11.5.5
11.5.5 Other CH Training (Pl. Specify)
0
A.11.6
11.6 Family Planning Training
0
A.11.6.1
12.6.1 Laproscopic Sterilisation Training
0
A.11.6.2
11.6.2 Minilap Training 12.3.2.1. Minilap training for medical officers/staff nurses (batch size of 4)
70240
0 70240
70240
70240
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201
A.11.6.3
11.6.3 NSV Training 12.3.3 Non-Scalpel Vasectomy (NSV) Training
33900 0 3390
0 3390
0 3390
0
A.11.6.4
11.6.4 IUD InsertionTraining 12.3.4 IUD Insertion (details in Annexure) 12.3.4.1 State level (TOT for the districts) 12.3.4.2 District level training (one district total ) 12.3.4.3 PHC level training (for
169450
0 169450
169450
169450
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202
one district only)
A.11.6.5
Contraceptive Update Training
0
A.11.6.6
Other FP Training 0
A.11.7
11.7 ARSH Training 12.4.1 ARSH training for medical officers 12.4.3 One Day ARSH Orientation by the MOs of 25% ANMs 12.4.4 One Day ARSH Orientation
0
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203
of PRI by the MOs of50% ANMs
A.11.8
11.8 Programme Management Training
0
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204
A.11.8.1
11.8.1 SPMU Training 12.5.4 State PMU to be trained/attend workshops in various areas like HR, Procurement & Logistics, PPP, FRU review and/or undertake study of various programmes in one good and one poor performing districts
0
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205
A.11.8.2
11.8.2 DPMU Training 12.5.1 Training of DPMU staff @ 38 x Rs.10,00012.5.2. Training of SHSB/DAM/BHM on accounts at Head Quarter level @ 6x1500x12=1,08,000/- +DAM=38x1500x4 + BHM=538x1500x4 12.5.3 Training for ASHA Help Desk to DPMs (38), Block level
58000
0 58000
58000
58000
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206
organisers (533) and MOICs (533), @ 1104 x 1000/-
A.11.9
Other Training 0
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207
A.11.9.1
11.9.1 Continuing Medical & Nursing
Education 11.2
Training of 20 (for total
state) regular
Government doctors in
Public Health at
Public Health
Institute, Gujarat or at
Wardha institute or
Vellore institute to increase
their administrative skills @
0
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208
Rs.50,000/-
A.12
12. BCC/IEC (for NRHM Part A, B & C)
0
A.12.1
12.1 Strengthening of BCC/IEC Bureaus (State and District Levels)
244500 4200
0 202500
420000
420000
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209
A.12.2
12.2 Development of State BCC/IEC strategy 13.3 Concept and material development workshops by State BCC/IEC Cell 13.8 Establishment cost of the State BCC/IEC Cell 13.10 Technical support at District level
0
A.12.3
12.3 Implementat
ion of BCC/IEC stretegy
0
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210
A.12.3.1
12.3.1 BCC/IEC
activities for MH
0
A.12.3.2
BCC/IEC activities for
CH 0
A.12.3.3
12.3.3 BCC/IEC
activities for FP
0
A.12.3.4
12.3.4 BCC/IEC
activities for ARSH
0
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211
A.12.4
12.4 Other activities 13.4 State Level events 13.5 District Level events ( Radio, TV, AV, Human Media as per IEC strategy dissemination) 13.6 Printed material (posters, bulletin, success story reports, health calendar,Quarterly magazines & diaries etc) 13.7 Block level BCC
0
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212
interventions (Radio, kalajattha and for IEC strategy dissemination) 13.11 Media Advertisements on various health related days 13.12 Various advertisements/tender advertisements/EOIs in print media at State level 13.13 Developing Mobile Hoarding Vans and A
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213
V Van for State and District 13.14 Hiring an IEC Consultancy at state level for operationation of BCC Strategy. (@ Rs. 50000 x 1 x 12) 13.16 Implementation of specific interventions including innovations of BCC strategy/plans block level 13.17 Implementation of
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214
specific interventions including innovations of BCC strategy/plans District level (Rs. 5000 x 38 x 12) 13.18 Implementing need based IEC Activities in Urban Areas (Support for Organization of need based IEC Activities in Urban Areas) (Rs.50000 x 9 x 2) 13.19 Capacity building of
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215
frontline functionaries (ANM, ASHA) in IPC skills building 13.20 Research, M&E, IEC prototypes etc
Sub-total IEC/BCC 0
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216
A.13
Procurement 0
A.13.1
13.1 Procurement of Equipment
0
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217
A.13.1.1
13.1.1 Procurement of equipment 14.2. Equipments for EmOC services for identified facilities (PHCs, CHCs) @ Rs 1 Lac / facility / year (in two districts - kishanganj and jehanabad) 14.4. Equipments / instruments for Blood Storage Facility /
37200
0 37200
37200
37200
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218
Bank at facilities 14.6. Equipments / instruments, reagents for STI / RTI services @ Rs. 1 Lac per district per year
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219
A.13.1.2
13.1.2 Procuremen
t of equipment :
CH
0
A.13.1.3
13.1.3 Procurement of equipment : FP
0 50000
50000
A.13.1.4
13.1.4 Procuremen
t of equipment :
IMEP
0
A.13.2
13.2 Procurement of Drugs &
supplies 0
A.13.2.1
13.2.1 Drugs & Supplies
for MH 35340
0 35340
35340
35340
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220
A.13.2.1.2
13.2.1.2 Drugs &
Supplies for MH
47820
0 47820
47820
47820
A.13.2.1.3
13.2.1.3 Drugs &
Supplies for MH
30620
0 30620
30620
30620
A.13.2.1.5
13.2.1.5 Drugs &
Supplies for MH
1282625
0 1282625
1282625
1282625
A.13.2.3.1
13.2.3.1 Drugs &
Supplies for FP
105000 0 1050
00 105000
105000
A.13.2.3.2
13.2.3.2 Drugs &
Supplies for FP
5500 0 5500 5500 5500
A.13.2.3.3
13.2.3.3 Drugs &
Supplies for FP
15000 0 1500
0 1500
0 1500
0
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221
A.13.2.2
13.2.2 Drugs & Supplies
for CH 0
A.13.2.3
13.2.3 Drugs Supplies for
FP 0
A.13.2.4
13.2.4 Supplies for
IMEP 0
A.13.2.5
General drugs &
supplies for health
facilities
12496000 0 1249
6000 12496000
12496000
A.14
14. Prog. Manag- ement 0
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222
A.14.1
Strengthening of State Society/SPMU 16.1. Strengthening of State society/State Programme Management Support Unit 16.1.1. Contractual Staff for SPMU recruited and in position 16.5.1. Last pay drawn – Pension = Approx exp of Rs.20,000/-PM @ 20,000x6x12
0
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223
A.14.2
14.2 Strengthening of District Society/DPMU 16.2.1. Contractual Staff for DPMSU recruited and in position
1961120 5610
00 1400120
3361240
3361240
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224
A.14.3
14.3 Strengtheningof Financial Management Systems 16.3.1.Training in accounting procedures 16.3.2. Audits 16.3.2.1. Audit of SHSB/ DHS by CA for 2009-10 16.4 Appointment of CA 16.4.1 At State level 16.4.2 At District level 16.5 Constitution of Internal Audit wing at SHSB
240000
81000
159000
399000
399000
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225
A.14.4
14.4 Other activities (Programme management expenses,mobility support to state,district, block) 16.1.2. Provision of mobility support for SPMU staff @ 12 months x Rs.10.00 lakhs Updgration of SHSB Office 16.2.2.Provision of mobility support for DPMU staff @ 12 months x 38 districts x Rs.69945.17/-
0
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226
Total Prog. Mgt. 0
A.15
Others/Untied Funds 0
Total RCH II Base Flexi
Pool 0
Total JSY, Sterilisation
and IUD Compensation, and NSV
Camps
0
Grand Total RCH II 0
TOTAL
92,085,972.0
0
36,234,027.0
0
55,851,945.0
0
134,409,898.00
134,409,898.00
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Budget Plan
2010-2011FY 2011-2012FY
Sr. NO
Com
pone
nt C
ode
(onl
y at
sta
te le
vel)
Ten
tativ
e U
nit C
ost (
A)
Bud
get P
lann
ed
{
X x
(A
)} =
B
Bud
get r
ecei
ved
B o
r C
(<
or >
than
pla
nned
)
Bud
get u
tilis
ed {
Y x
(A
)} =
D
unde
r or
ove
r-ut
ilise
d B
udge
t
{
(B~D
} =E
adva
nce
Bud
get P
lann
ed (
incl
udin
g sp
ill o
ver
amou
nt)
{(
AP
x A
) ±± ±±
E}
= B
P
budg
et fo
r 20
11-1
2
Bud
geta
ry S
ourc
e (o
ther
than
NR
HM
sou
rce)
Rem
arks
Activities
B NHRM ADDITIONALITIES
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228
Please Note: plan all possible activities you think necessary for your area to realistically operationalise each
strategy.
Consider during planning: Infrastructure, Human Resources- all specialist, Para medics etc, Infection control & Environmental Plan, Logistics Management, HMIS, Mon itoring & evaluation, Training- PMU, Dai, others, B CC/
IEC, Procurement of equipments/ Drugs, Strengthenin g Societies, PMU, RKS, VHSC, AYUSH inputs, initiat ives for quality management
B.1 Decentrlisation
1.11
B.1.11
ASHA Support system
at State level
B.1.12
ASHA Support System
at District Level
695907 695907 347953 347954 1043807 1043807
B.1.13
ASHA Support System
at Block Level
672000 672000 107200 564800 1572800 1572800
B.1.14
ASHA Support System
at Village Level
0 0 0
B.1.15
ASHA Drug Kit &
Replenishment
1650806 1650806 0 1650806 1650806 1650806
B.1.16 Motivation of ASHA
645475 645475 79020 566455 566455 566455
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B.1.18 ASHA Divas
898872 898872 334564 564308 1165200 1165200
B.1.20
Untied Fund for Health
Sub Center,Additional
Primary Health Center
and Primary Health
Center
1637000 1637000 876000 761000 2847000 2847000
B.1.21 Village Health and
Sanitation Committee
6207500 6207500 3912500 2295000 6615000 6615000
B.1.22 Rogi Kalyan Samiti
2100000 2100000 1120980 979020 1400000 1400000
B.2
Infrastrure
Strengthening
0
B.2.1 Construction of HSCs (
315 No.)
15.57
0 0 0 8091000 8091000
bihar govt.
Rs.3420000 as per last year budget 2009-10
B.2.2A Construction of PHCS &
APHCS
75.99
0 0 29175000 29175000
bihar govt.
Rs.6378000 as per
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last year budget 2009-10
B.2.2B
Construction of
Doctor,Staff,and
Nurses(Residential
Quarter) PHC,APHC
AND DISTRICT
HOSPITAL
12000000 12000000
bihar govt.
B.2.4 Up gradation of CHCs
as per IPHS standards
0 0 0 4000000 4000000
Rs 4000000 as per last year budget 2009-10
B.2.5
Annual Maintenance
Grant
1839000 1839000 367,122 1471878 2871878 2871878
B.2.7 Anm Training Schools
0 0 0 0 12000000 12000000 bihar
govt. B.3 TOTAL 0
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INFRASTRUCTURE
strengthening
B.3.2
Block Programme
Mannagement Unit
3481380 3481380 1838163 1643217 7512084 7512084
B.3.4
Additional Manpower
for NRHM : Hospital
Managers in FRUs
450000 450000 45833 404167 1004167 1004167
B.4.3 Advanced Life Saving
Ambulance(call 108)
0 2340000 2340000
B.4.4 Referal Transport in
District
2574000 2574000 403698 2170302 4744302 4744302
B.6
Services of Hospital
Waste Treatment and
Disposal in all
Government Health
facilities up to PHC in
Bihar (IMEP)
0 1016300 1016300
B.7
Dialysis unit in various
Government Hospitals
of Bihar
0
B.8
Setting Up of Ultra-
Modern Diagnostic
Centers in Regional
Diagnostic Centers
(RDCs) and all
Government Medical
College Hospitals of
Bihar
0
B.9
Outsourcing of
Pathology and
Radiology Services
from PHCs to DHs
808333 808333 110625 697708 2217708 2217708
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B.10 Operationalising MMU
0 0 0 8424000 8424000
B.11
Monitoring and
Evaluation (State ,
District & Block Data
Centre)
900000 900000 240525 659475 1559475 1559475
B.14
Strenthening of Cold
Chain (infrastrcure
strengthening)
800000 800000 111180 688820 1488820 1488820
B.15 Mainstreaming Ayush
under NRHM
6025200 6025200 0 6025200 12050400 12050400
B.18.2
Procurement of SCNU
equipment for DH &
Newborn corner
equipments for PHCs
418476 418476 0 418476 418476 418476
B.19 De-Centralised
Planning
455000 455000 135000 320000 835000 835000
B.21 Anm { R } 7392000 7392000 6409857 982143 10800000 10800000
B.22 Incentive for AWW
under Muskan Project
1676000 1676000 375400 1300600 1318600 1318600
0
TOTAL
41,326,949.00 41,326,949.00
16,815,620.00
24,511,329.
00
140,728,278.00
140,728,278.00
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233
Activity Plan Budget Plan
2010-2011 FY 20011-2012 FY 2010-2011FY 2011-2012FY
Out
put 2
012
Act
ivity
pla
nned
(X
)
Act
ivity
Exe
cute
d (Y
)
Var
ianc
e (
X~Y
)
Rea
sons
for
Var
ianc
e
Act
ivity
pla
nned
incl
udin
g pr
evio
us y
rs g
ap {
Z+(
X~Y
)} =
AP
Spe
cial
effo
rts
to o
verc
ome
cons
trai
nts
(Pro
cess
to b
e ad
opte
d)
time
line
of a
ctiv
ities
Ten
tativ
e U
nit C
ost (
A)
Bud
get P
lann
ed
{
X x
(A
)} =
B
Bud
get r
ecei
ved
B o
r C
(<
or
> th
an p
lann
ed)
Bud
get u
tilis
ed {
Y x
(A
)} =
D
unde
r or
ove
r-ut
ilise
d B
udge
t
{
(B~D
} =E
adva
nce
Bud
get P
lann
ed (
incl
udin
g sp
ill o
ver
amou
nt)
{(A
P
x A
) ±± ±±
E}
= B
P
budg
et fo
r 20
11-1
2
Bud
geta
ry S
ourc
e (o
ther
than
NR
HM
sou
rce)
Rem
arks
Q1 Q2 Q3 Q4
2427103 2427103 713165 1713938 4141041 4141041
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234
8549927 8549927 396047
7 4589450 13139377 13139377
0
10977030
10977030
4673642
6303388 0 17280418 17280418
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235
2010-2011 FY 20011-2012 FY 2010-2011FY 2011-2012FY
Act
ivity
pla
nned
(X
)
Act
ivity
Exe
cute
d (Y
)
Var
ianc
e (
X~Y
)
Rea
sons
for
Var
ianc
e
Act
ivity
pla
nned
incl
udin
g pr
evio
us y
rs g
ap {
Z+(
X~Y
)} =
AP
Spe
cial
effo
rts
to o
verc
ome
cons
trai
nts
(Pro
cess
to b
e ad
opte
d)
time
line
of a
ctiv
ities
Ten
tativ
e U
nit C
ost (
A)
Bud
get P
lann
ed
{
X x
(A
)} =
B
Bud
get r
ecei
ved
B o
r C
(<
or
> th
an p
lann
ed)
Bud
get u
tilis
ed {
Y x
(A
)} =
D ti
ll no
v 10
unde
r or
ove
r-ut
ilise
d B
udge
t
{
(B~D
} =E
adva
nce
Bud
get P
lann
ed (
incl
udin
g sp
ill o
ver
amou
nt)
{(A
P
x A
) ±± ±±
E}
= B
P
budg
et fo
r 20
11-1
2
Bud
geta
ry S
ourc
e (o
ther
than
NR
HM
sou
rce)
Rem
arks
3160948 3160948 46000 3114948 3114948 3114948
23640 23640 23640 0 47280 47280
673000 673000 358000 315000 1843640 1843640
432285 432285
115000 317285 749570 749570
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236
744850 744850 0
744850 744850
744850
0
54100 54100 0
54100 54100
54100 432750 432750 398000 34750 467500 467500
2075000 2075000 505000 1570000
2840400 2840400
7,596,573.00
7,596,573.00 1445640
6150933 0 9862288 9862288
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237
BUDGET AT A GLANCE 2011-12
Sl. No, Budget Head Budget Amount % age
1 NRHM PART - A, RCH 134409898 44.47%
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238
2 NRHM PART - B, NRHM Additionalities 140728278 46.56%
3 NRHM PART - C, RI, PP 17280418 5.72%
4 NRHM PART - D, Diseases Control Programme 9862288 3.26%
TOTAL 302,280,882.00 100%
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