IMPORT~.N1. f!\ 1

Government of TnpuraNational Health Mission

Office of the Chief Medical Officer, Gomati District, UdaipurErnail: crno.qornaucnqmau.co.n: pll~' ; :- 0382.1 226:}26') J

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Chaired by:- Smt. Sonal Goel, lAS, District Magistrate & Collector(Cncw!wr,:>on Distnct Quality AsscJance Committee), Gornat: DI';tn·. \

Date & Time:- 30" June 2016; 2 30 PH

Venue:- Conference Hall, O/U " Cilstnct r-IJdgistl'(1te (,' c. ')Ik, tor, (;ol'lat.1District, Udaipur, Tripura

Participants:-.:. Dr, Niru Mohan Jcynati,1 (hlef 1\1t't, Cel! ()"I'e~ r:;()tndti ')1•...\'1·.:. Dr', Sibapeda Cr akrabortv. [v1ecllcJi »upcnntcndcnt C;lllii )1" [Jic,c' lct

Hospital, Teparua. Udaipur.:. Dr'. Debashic, Da:· D str ,ei r tcalth (1~f I. • I J.j,!IPLl' ~)LII. ~ '·1, tllu}1

Officer, Udaipur! Programme Ofticer PI'~r\. P.:. Dr'. Subhendu Dcbbarrna, SDtv10, AmarpU'.:. Dr, Sujit Sutradhar. MD (rV1edicinc), Dls"" t Hospital CJor~ldti.:. Sri S. N. Das, rcs, OC - General, C;Onl21t' District Adrrurustrat . d-.:. Dr, Chandan Mallik, MS, Surgical, Medical Officer, Gomati District IIOspi\(]1.:. Dr. Kajal Kumar Das, MD, Gynaccology, McdiG11 Officer, Gomat. District

Hospital.:. 01. AbhlJIL Ddttd, ['vD, i-'dC'c.Jidtncs, r·1ecJl.al)1flcer, (Jolndtl UI:.rr,( ilU~'r.'L".:. Dr. Pradip Jarn.ina. HD, Anesthesia. 1'1edlca! Offict-r. Gorruti f')1~,t• jet

Hospital.:. Dr. Subrata Deb, Distr«: Imrnurusetton Otfrcer lI11 ClI,H(j")

.:. Dr' Dhanaman: Trioura. Ivledical Office' .n Charge Rarnkun-er f\J::-:lilha ('-i(

- Karbook.:.. [)I fv1i1a"lbhaKta dr">l(i: i.. ( :.!ll j 1ft t 'H'Cl I':"lt J 1t (1

.:. Dr'. Jovshankar fvlcJjurid"1 r'\c(il· ..'l. \ "r ,) vr ar.« ~u"FY' ,! 'L

.:. Dr. Shyam Debbarma, 1'1edlcal Offl' \~r:r .harqe. C)r'pi PH

.:. Dr. Md. Akrarn Hossain Sarkar, Medical ('ttlcer; Mallaran' PHC

.;. Dr. Santanu Chowdhury, Medical Offlcel ij Charge, Atharobnota 'rl\

.:. Dr. Sukanta Sahel, Medical Officer In Chc1tye, Kakraban Plfe

.:. Dr, Tanrnov Dey, 1'1edical Ofticer II' Charge, Chandranur PhC

.:. Dr. Manidipa Das Choudhury. tvlediu·t! Ot'I(('.'·, C-jdr-],,;·,PHC

.:. Dr. Arabil Reang, Medical Officpr' 1n 01(11'9'':' Killd Pile

.:. Smt. Shikha Dey (Dasgupta), Sister (on berialf of ?rlrlCIoal ;>,Jci'-Sl' q C.Wlu,r

.:. Sri Shubhadeep iodh, District Proqrarnrne r·1antlger, (Jomall Dlstr rt

.:. Sri Jayanta Chakr aborty. District fv1ccJia t.xpcrt. Gornat: Drstnc t

Minutes of Gornatt District Ouauty Avsurance Cnmnlltti-'p ~,1pet1l19 illllP 16

After wide range of Discussion following decisions have been taken tofollow:-

1) it 15 mfor 1'1",", I' th« Meer ng t'latj~ ! ~ cue It r t"",r']v' '. I" \ t d" '11() ,receivmq IJC) III or.vate chamber 0') d,"' gnated :-"~pcjlcal )rfi,!, ,. c; IPljl}I'PcJ to

confirm that trlS numbers would be ir1(!.Jded If1 DistriCt's JCI, (:,,(,11\0r'( oftioall, II'

this regard, (MO, Gcmat: Distnct shall seek a c anfrcanon from State Quality

Assurance Committee I MiSSion Directo: NHM, Tnpura

2) It has been reported that barber IS not ovarlable II' 01 Dlsrr.(t r!O',[)ltai (J()'ni1t,

which is hampering the services of 01 There are two barber s posted III Gomat

District Hospital but at present they are deputed to TS SOH, Udaipu: Nuw CMO,

Gomati District shall withdraw one barber from TS SOH - Udaipur and post him

again in the District Hospital, Go nan wlthl'-I two dav-

3' Supply of IUCD Chain should remain reql,lar to the UistflC' r' rt I ,; d Loqist«

Specialist and Pharmacist shall review the matter and arrdrlgf' to col late the

adequate numbers of IUCO (Cu 38oa) from State Level for distribution to District

Hospital, all SOHs & all PHCs regularly, District Hospital, SOI-h, RH / (He, PH(s

shall submit monthly indent to the Medicine Store, Gomati District Hospital with

a copy to the CMO, Gomati District (([1'0 gornatl@qrnail,com)

(Action:- MS - Gomati Distrrct Hospital, SDMOs,

MOles, Logistic Specialist and Pharmacist)

4) Action Plan for Sterilization Services:-NSV & LL Camp:- District Quality Assurance Committee is apprecratmq the

efforts being taken by Atharobhola Pr+C, Ma'lClI-anl PHC, TS SDH - .!cJrliPW, Ki'lkri'lbilfl

Hospital Gornat: & IGM Hospital, Agclt'tala) to yedl up r~lr? ,,~S, ':'pr.;!( t', II triP

NSV Service

An Action Plan for ~~SV & LL. Camps up to tile pel Iud of ,),1 oDel )(1l6 to

provide Sterilization Services from Orstr.ct f-lospital- Gornan Dlst! lit, rr:purcl wh.rh IS

only accredited Centre of the District 15 hereby finalized The Schedulp of NSV & Ll

Camps is given below:

Minutes of Gomati District Quality Assurance Committee Meeting June 16 P lCJl' 2 ot ()

Family Mobilization &Stabilization Fortnight 20~6

th th(27 June to 24 July 201.6)

~ I August 201.6

8'" ;~IY I ~~ I 29'"

_JUI:~ J:} JUIY~I ~

I

Nameof

FamilyPlanni

ng st~

ServicJu

es _ I July

--~y-----NSVCamp

(shall I

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lnstit; ~-nons)

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Yes ~Jo

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alpu

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No NO

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September201.6

October20:16

2 Sept2016

28 Oct2016

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,\P1sl",-"

{JI ~ ·~·t·~c. 1,1 )"'<.1' ,J

u ()tJh16 Sept1::' .:. I

Oct14SOH, 16:-Udaipur Holiday23th .:. 21 OctSept. 16Chandra TulamufpurPHC d PHC

.\ ' ~r ')1 r

AI)'l~; , 13 RH ~~I I(N CHC

th3) 19 Aug:·

___ ----''--_L-__ '--_--l __ ~ __ ........1 " _

/ ,

Tulamura

JO Aug:-GarjeePHC

Further it has been discussed that Monday is the ciay when 5ur91(<')1 OT of GOinat,

District Hospital is open for public as per availability of Surgeon, It is decided that as peravailability of surqeor, Dr (f"and2!l Mallrck, \\"0 15 ernpanelied by State dl'thor'l:y l ;

he rebv empowered to [1" lvi, Ie ~'IC;\ SCrVIC eo' ~/ " 'a, d '- 1,(' CHI"" ,\,,'\ 'I I (of, ( "',' t

District Hospital ma-nta 'l11lC) a: orotocols of (\;\:1111 'li" E'dffIHr\;pd by G')Vf'f["IH'" ,)1 r,d d,

If Jily c'lom apDroachcc;'o rc'cc\(' :hc ('IC'I·'t

IUeD:- It s dec.neo tha~ ,: 'iea r 1 isu: 'i, 51';lil, C:'Ii;ct luet) l\'- , ,-'I, 1:1.11(1+

fld':> a 1':>0 been decide" all Hf-dltl1111stltutlOflS sh i'I_~JfI(.!Lir:t Mt'(ja IUCD CM!!;;.;I 1(',lst nile/'

II~ a month in an effort to nuuqate the lJ"1i11Ct nc'en ,): Gon at: Dlsmct

~~ur5es specially from ') sn ct He-spital GOr1'ldt r'JdtullbaZclr RY, 1<1<1\1n1'

·:e~:~J(.!

\ i.~ ~, I l' • (. f • \ j

who arc providing pp J~D Se', ccs Sut It S (I('CI,;('(j ail trar: C'C MO' & S~ltf nJ'~)t':., ;:ill

ge()r Lip the PPIUlD Seni'Ce If) the District As proposed by Dr i<aJJI Kr [Jo',;, fv1[J

Gvnaer oloqv & Obstr-tr« s. SDMOs, all MeCJici'l1Officers, Staff Nurses fro 1<1 Mi'ltpll'lIty

Minutes of Gomati District Quality Assurance Comrmttc« i\1eetlng rune 16

-------"-,--"---------

wa-o & MCH Clinic shall also f'mpnasise on proper counselling fOf IfI(iPilSIil(.! of PfJU,! 1

PPIUCD Forcep, If requ.red may be purchased t)'( rt. <,:k'dIVC mstu uuo-is fro»: R~S i unci

(A( non p.d C.' 'I «'f' I'd;

~ Manuals:- DH&FWS, Gornan shall provide hard copy of all Farf:I/V Manuais pl.,hil"ileci bvGovernment of lnd.a In 201C to ,ill Hearth tnsnrut.ons immed dfPly In (rl~P nf 11)';1.11"1

requirement concerned health Institutions call download It from tll( \\I,'lhl','

(www.nrhm.gov,in), Tr-ese manuals should be followed by all concerned to rn.unt.ur. rbc

.rotocol the family plili,illn(j "er\ii(t'~ fhf'S'" !;llr~J;ll<; hd"e bet'll dl"l 'I' I" lilt'

Iledl '~I

Essential Tests:- PUd' l ;. :1 Jf r/() j~) t -"'~I--r t i TI +r, ,-i It ~·t:

e ssent al Te sts may be cone as; ~\I other' tht 'j', f'It.Scrl'Jt.'(' hi \1('\'1 I' 't~,l

gUldeline:- ex:- ABO Grouping, Rh Typing, Hb %, ST, CT, HBsAg, PPBS, VORL, HIV 1

& 2, Urine for Albumin, Urine for HCG / Pregnancy (for LL), Sperm Count Tests (forfollow up of NSV) etc. facilrtv should be available Irl HCOdlth IlIstltutll)lJ':, hr n, !,rll (j'f'I\1

rut of pocket expenditure of clror ts Wherever these tests are not done, available,

respective Health Institution can arrange the materials for these tests either from

contingencies fund or RKS Fund. But no client before Sterilization services or after

sterilization should be deprived of any kind of essential tests for ensuring

sterilization, The matter should be dealt very seriously, (Actron AI (n(f~11 ee!

7) LL I BTL after delivery:- AI! protocols and records (Consent CUI')'l application 10rTI':,

Medical F~ecnrd<;1 Posr Steri'iz ation lnstrurtro: C wI<; err) -hou cI I,p IlidIIL-lI' Hi 11',';U\PI111:, \VdrrJ I) D, t : : ':1 ~p :" ,')'1. II "

ifter cehverv It ShOLJIC :,..(,:' t) f)',':e ,:r" u.,)Istnct shall ensure the :' ren~ ,IE' to cuent is, r110:'\-,'(;

(Actior e,IS - Distil(: H ,5I),t6, 1 III 1:'. ,~

Matcrnti 'Nard of [),',tr,c\ Hosp t\l,' (''''Jt \

I '

,I It

8) Drinking Water, Sitting Arrangement nearby OT of Gomati District Hospital> It IS

"1(onVellle!1( Eo' (l nd U'1V,,_ ~l ;)' ')U'Prli', or ,Ivr'•.I ;I,,) d: I I ( ;' \( 'Ilj ;.:I It "I, ',' tt I'I!) dr' li'ql'~ I"': t

'11 OT Premise of Distnr t HOC,Pltdl, Gornau. I [)IS S verv unfortunate tnI'll) .nst.tut.on

which got Kavakalp AV'JJrd where Rs 50 lakh IS9IVf':-' for further development iY,C staff

ncentive for better hospn al service Medical Superintendent IS hereby drrect=d to lI]<;t;,,11

all these said facillties in nearby OT Premises adequately within 15 days wuhout fa IThese arrangements may be done either from f~KS or KZlV(]killp ,Wn)l(i<; fU'J(j

n-rneuiatelv CI'f!1b. n : 'ic,'C)l ;;:. ':', I 1"on1l1S ,;~ ," -;('1 ;IC,' :)[,)';I(!\'I", ,1\1) 11,1 " t ' ,r)'

IJ"usual & s'1Iall probierr.s II! raClllt\ (("lrrC' v.l-«. 'el', '<2':k; t o ,':1'.( 01 'Iii!'.' ,! <' t, ,')'"j

hence affect Oil farrulv pla 'li!1 q ,.er'f'ces. .Act, 1I. "v1S U .tnr: Hr;' p,t I )( mat..

q) Follow up of NSV & LL Clients;. All Health lnstuut.ons \SDH'I ( IIC " ">, le,,1 al t,"1

desrqnated person (preferably (lfPS) for rerrundtnq +onvators (ASI-IA, R (11t'1'!' !~\j(;\j ;<,

er-cou raqeme ot and brlrl'::]1'1'::] qUdl ty of ,;,('Ill! at te, <;,'I',-/t(P5. \ (-\( t 'Oil ,l d\.-1 1_''- • 1\ '1_ ,.'

.;;Ii CHCs & PHCs),

Minutes of Gomati District Quality Assurance Committee Meeting June 16 Page 4 ot 6

io) Reporting:- As per Cj'.J,dei,nes of Hori'ble SU!J'( n e Lou t ot : Jld, I' \1 " r • 1)( 1 ' :i

have to be publrsnso Dy DOA( Now el.1 Healt" r st.tutror« if )",trl t Hot,,),' -' ,Ii d, IS

SDH- Udaipur, Arnarpur SOH, All CHCs, All 01-1(:,) shal submit the (WI;t" Ildl!,,,,, aqe,

numbers of livln9 ch ldren, address, contact no etc to the CMO Office In soft and hard

CODy Immediately after sterilization, It report IS Nil then Nil Report shall ",hi' to bt'· s(>,tof actio', from DO/\( ('\)'1 ,,1' Ai

concerned are directed to adhere to this ITijX'Iial't cJf-~('Slur) (iI, I~ i:' tl)(. ':uldellne of

Hon'ble Supreme Court of India (Actlon.- fvb District Hosp: "I (;(, 'ldl, Sr)~/IOs,MOICs of all (HCs & PHCs & (MO Gornati)

11) PPIUCD Training :- The Medical Officers & Staff NursE'S posted In Healtn n',j:tl);lons

where institunonal dehverv I~,conparatrvolv tll/' shali be 'npc"ted PPiLC

Irammq will bo done uncle' the ~ur)ervl')'()n ('f ' " () C~c," d' ::'1' I(Action:- l0.1(l - G, MS Cvllldl,' I. (t !-i)'I) t.i],

SDMOs, MOles)Others:-

e- Kayakalp practice s+ould be started fro III TS SDH -- Udaipur, i<I,ICl Pill, Rk N (HC

Karbook with prion-v & other health mstituuons wili Initiated the process IIN1!eckltely(Actlon- SDMO- Udapur, MOIC - RKN (He ,< 1'3 PYC & 01;C()'I(Plfled)

,. RD 1~lt is also required .n MedlClr',0 Deprll t· l'ellt of DI'jtnd -1GSj)ltd

ernerqency purposes as proposed by Dr. SUJlt C;utradhar (MD rvecl ( nel

CMO / DMO - Gornati)

;- Special focus should be given at Silar ha- , k..arbookl Amaroui & Ornpi arr.]'o to CO'itcl n

malaria & water borne diseases. (Action, AI Concerned)

,. DOT Spray should be 5' oervised stnctlv and reguiivly (A( l,on~outh Chellag()l1g •..jC; ~ -La clt)ie '1 the san". i lye w"v r ?rV {) ...I,P.

Chellaqanq HS( snou.o be 'TlC'rgp:'1 with ChE'!ic1"dllg F'HC ell,cl rC'f..;l}rtI1l" 't. U C :W dCi'.'

accordrnqlv (Actlor MOle Cneliaqanq PriC'

The Meeting ended with thanks to all partie ipants.

tA~\~{ \·x 1 (E) -- - \\ I \ 6Srnt. So al Goel, 'IAS

Distrrct Magistrate & Collector

Copy to:-

1) The Medical Superintendent, Gomati District Hospital, Teparua, Udaipur fer k ndinformation and necessary action accordingly

..- The SDMO - Udaipur & Arnarpur for information and necessary action

..- The Medical Officer In Charge-a, RanJl<.ur al ~,iF2h;1 CHC -I\df') ,,"Iltl.nt)--j,"j ~:'i "'p 1<' ,

b) Silachan PHCI (r'ellagJng Pre J irthenu kh PH'=: r'la',l dll Plle

Chandapu- PHC Gane e ;"I-Ie, r I) d"l'),-a DHCI ,. akcabd'i PI'" "I ,'c,/)t () "PHC, killd PHC -- FOR !NfORMA r IOf\j & r\JECtSSA.f<Y AC J II.. ,

..- Dr, Sujit Sutradhar, MD - MedicinE, MOl D'str«t Hospital, Gornat for nfO-'lv1t on andnecesserv action

,e",) I-P, I 'lI' JI\C

Goman District, J noura

Minutes of Gornati District Quality Assurance Committee Meeting June 16

...--.------

•. Dr Kajal Kumar Das, MD, Gynaecology, Medlc::)i Officer Goma': ) st .: -11)SDftd i. I

.nforrnauon and necessary action.- D' Abhijt Datta. (VC' PcH:,d'atncs, Medical :)hcp,-, l-lOIl'dtl ") -,' r

information and nec essarv action.- Dr Pradrp Jarnatra, M:), Anesthesia. Medical Officer, Gornati Distr.ct rio<,pltai ~()I

information and neees~dry action.- Dr Chandan Malllk, MS, Surgical, Medical Officer, Gornati District Hosp te)· tor

mforrnation and necessary actionor Sri Sankar Narayan Das, res, OC, Development Gornat: District Adm.mstra'ron.- Smt Shikha Dey (Ddsq',ptd), 5'ster (on behalf)f") 'ICipal [\.jl·r "nC] Offeci.- 1 he Principal NurSing Oftl( fl, Gomarl Dismc t 'Aiaipul for If 011' dt.I(l') ell1 '1('(("",(lly

action please•. The Matron, Gornati Distrct Hospital, 'j eparua for mforrnaticn and neccssc1"\, j',tf'.)ll

t ! .•. '\,

•.. The Medicine Store In Charge, Logistic Specialist, Pharmacist - Distnct Medicine

Store, Tepania for information and necessary action..- The DPM, DAM, DME SDAcDl>, Ama purfor 1"0 ,r at.on ,we I,pct",SJry ch 1 I I

Copy also to,-.:. The MISSion Director, t~atlonal Health M 55101', ,-,Ov.:rnment 01 11IP('[" fc): 1.1,,),· ! K 1:(1

Information

.:. The Disrnct Magistrate & Conector GLJf'Jatl Distnr t, 'Jda'pul fOI 12'10UI of k nd ,l\f,,)llll 1110n

.:. r he Director, Directorate of Famdy Welfare & Preventive Merhr mc, Government ot r npura 101'

favour of kind information

.:. ThE' JOint Director, Directorate of Health Services, Government o' Irrpua fcn ~IJ( ,Idormiltlon

and necessary action p.ease

.:. The Member Secretary, State Health & Family Welfare Society, Agartala for kind mforrnatron

and doing the needful please

.;. The State Programme :Jfficer ,. ReH I BO NhM Family Plannmq fOI trilOmhltiol! arid

necessary action please

.:. The DFWO, Gornatt Distr ct, Udaipur for kind informat '0," and necessarv act Of]

.:. "he Secretary, IMA, for Information

Copy also forwarded to:-~ The Prir cipal Secretarv +ealth & Family Wpl[.,~!p DepaltTIPclt, Coverrvne o! ,\1 T pu "

Agartala for kind I"forn.'ll Of''v The Secretary, '_<h·V JCrlJrtrne'1t, Government of (('PL:ld for Iavour of kind .rtormauon

I - •~i'\'

,,1-('

/ ,.r 1e. .-)c"t

t:.."".,/

Minutes of Gomati District Quality Assurance Committee Meeting June 16 Page 6 of G

Minutes of the Meeting of State Quality Assurance Committee (SQAC) under theChairmanship of Principal Secretary, Health, Govt. of Tripura held on 9th September 2016 at4:00 PM at the Conference hall No -III at Secretariat building:

Participant:l.Dr. Shailesh Kumar Yadav, lAS, Mission Director, NHM Tripura2.Dr. J.K Dev Varman, Director of Health Service, Govt of Tripura3.or. N. Darlong , Director FWPM, Govt. of Tripura.4.Dr. S.K Chakma, Member Secretary, SH&FWS, TripuraS.Or. Kamal Reang, State Programme office ,RCH6.0r. Radha Debbarma, Medical Superintendent ,IGM Hospital7.DT. Anup Kumar Saha, HOD dept of Surgery, AGMC&GBPH8.0T. Jayanta Roy, Associate Professor, Dept of Gynecology, AGMC & GBPH9.or. Nilratan Majumdar, Associate Professor, Dept of Pediatrics, AGMC&GBPH10.Dr. Achinta Nath, Gynecologist, IGM Hospital11.Dr. Narayan Bhowmik, HOD dept, Tripura Medical College and DRAM hospital12.Dr. T.K Das, Medical Officer, Dept. of Pediatrics, Tripura Medical College and DRAM HospitalB.Dr. Dipyan Sarkar, Representative ATGDA Tripura14.Mrs. Nabaruta De, Consultant - SHFWS.Is.Mr. Tapash Saha, State MIS Manager, SHFWS Tripura.16.Dr. Anirban Hore, Consultant - Quality Assurance, SHFWS Tripura.17. Mr. Arindam Saha, State Facilitator, RRC-NEs

At the outset Dr. Kamal Reang -SPO (RCH) express welcome to all participant and discussed thepresent status including initiatives taken-up, issues and concern of Quality Assuranceprogramme under NHM with detail power point presentation. After detail discussion followingdecisions has been taken:

1. Time line has been decided for the completion of the following activities:a.Detail report of NQAS Assessment of IGM Hospital, Gomati DH, Khowai DH and Belonia SDHhas to be prepared by 30th Sep 2016.

(Action: State Facilitator·RRC~NE,Consultartt QA SHFWS)

b.Cleanliness and Infection Control Committee should be formed at all levels of the Hospitalwith in 1()t.h Oct 2016.

(Action: Concern MediC41 Superintendent, SDMO and MOlIc)

c. Collection and monitoring of KPI (Key performance Indicators) from all the District Hospitalfrom October 2016. 1

(Action: SPOt RCH/ Consultant QA, SHFWS)d.Service pro~ider training on quality assurance has to be completed by 25th Oct' 2016 'tJ thsupport of trainers form RRC-NEs. WI 1 e

e.swac.ha Bharat Abiyan training of trainer for service provider has2016 WIth the support of trainers form RRC-NEs. to be completed by 30th Oct'

(Action: SPO, RCH)

(Action.: SPO, Rem

f. Formation of District level Award Committee by 30th S€p'2016.

(Actioll: CMO, all Districts)

g.Circulation of updated version of Biomedical Waste management Rules (2016) to all the Listedfacilities for KA YAKALP Award by 25th Sep' 2016.

(Action: SPO, RCHjConcem CMO)

7. Under Kayakalp initiative commendation award will be given to all the facilities that will score morethan 70% in external assessment. Accordingly proposal for commendation award money of 4 DistrictHospitals, 4 SDH/CHC and 3 PHCs for each district has to be incorporated in supplementary PIP.

(Action: Ste facilitator RRC-Nf, Consultant QA, SHFWS)

8. Funds for gap filling on the baseline assessment have to be proposed in the supplementary PIP.

(Action: Consultant QA, SHFWS)

9. Assessment for NQAS is to be conducted in identified hospitals (IGM, Gomati, Belonia, Khowai) inevery 3 month.

(Actioll: SPO, RCH)

10. State level Kayakalp award felicitation should be completed by 30th Nov. 2016.

(Action: Member Secretary, SHFWS)

11. One District level official to be identified to look after Quality Assurance related activities includingmonitoring and supervision of Quality Assurance programme at district level.

(Actio~ Member Secretary, SHFWS)

12. Gap Analysis report to be communicated to the DHS and DFWPM for the necessary action by them.

(Actio~ MD, NHM)

The meeting ended with Vote of thanks from the Chairman.

Sdj-(Mr. M. Nagaraju, IAS)

Principal Secretary (Health)Government of Tripura

F.3 (5-2929)-FWPM/SHIWS/l015-16 (/ 3y t? -State Health & Family Welfare Sodet

National Health Mission: Tripura, Agartala

To:1.All the participants2.The Director RRC-NEs, MoHFW, Govt. of India for kind information.

Co1!Yalso forwarded to;1.The PS to the Hon'ble Health Minister for kind information.2.The PS to the Principal Secretary (Health), Govt. of Tripura {or kind information.3.The CMO -WestjDhalaijUnakottijNorthjKhowaijGomatijSipahijalajSouth for kind information

and for necessary action. ~:P~ c,(Dr. Shail h KYa~v1AlS)11

Missio ector, NHlvtGovernment of Tripura

Government of TrrpuraNational Health MIssion

District Health & Family Welfare Society, Gomati Distrrct Udaipur

Chaired by" Sri Raval Hamendra Kumar. IAS Dis tricr Ma~listrate & Coltoctorf~ha:"'pe s,)r" "')i~t"f.''' I .r"" jall",,- .L-.,,,, ,: ar . ~ r: -.''''")1 "' t·t" ";Cr"ldt .: ~!,

DatuS Tlmc,-

VenlJC-ParllClpants:-

.:. S'I Ammosr D<l~, :i.s (\rjd,llonal Distnct rv'laqlstrat() & Collecto: Comau [ 1J',lfI(:1'.' DI Niru Mollan .Jaruaua Cluef Medical Office! Go:nat. Orstnct':' Dr Siba pada Chakraborty Medical Supenrlendeut Comaf District Hosp tal ICP;]rll<l

Udaipur'.' fJ, Kaliol Kuma: Pay DI~tllcl r rllTlIlV "/..'el1;'(e '''fl.u:'r (;1)1' t, I!

.:' IIr Subhendu rler)[)a'ira ~.,Df';l,)(,:r'd'pL••:. Dr Ohrubha O<1S IV1,) 1SSDt I l.CdlfXII

'.' I)' f)!ldl;clfll H ' ~ ,I.-l U"d', d (,if"", I' ' I ~,1' '\rlfl'h,n 'lIf'J;lI.,lIl<i '':. L!I i\1llcHlt)flClkld 'HI 1\,(1 f'vk~: (,Ii OfflU" ili r :Iq,; '\nll'l: 1/:1' "II.:. UI .iovshankar G.l;,ljIH110er I';k,(jl( <-11',)lflU'1 1'1 'HUb 1 .. ld'IHJ'd ')'1\,~

.:. Dr Shyam Debbarrna Medlc,,1 Offlc er In C' ri lqe Ompi I~I ''.' DI Mci Akrarn Hossain Sarka! f\/lcd,ctlIO'1lc('I f'vldl'lilf<:lf11 l'lle.;, DI Santanu Chowdlurv Mecltell OffICf,' II" "d ql l\tild'cn'!()I,', f'l !

.:. Dr Sukanta SC1ha ~v'pdlCnl ()i!lcel II) C'tlrHG( k,;:lkrnban P:-'C

'.' Dr lanmoy Dev :Vh dica) Officer Ifi Chalge '" iJ sndrapur PI IC.;, Dr Mailldlpd Ua" Choudhury Me(kalOilieR' (':~IJec fJ; «:':' Dr Ashrt Kr Paul MOle Cllcllagang PHC':. f)r, Arabil Reang vledrca: Officer In Charge, Kilia PHC.:. Dr Ratnabir Sinha District NVBDCP Consultant.:. Sri Sru.bha cieer I 0<111 District Proqiarnrne rVlan~l~lcr Cornat. Drstru.:.:. SI'I AnjClr1 KUlTliJI Sana D:stllct ,\CCOUfih r'.'l,;w'~yt:' COI11,'];1

.:. Sri Sajrb Biswas District Data Assistant C;orlldti Uistrici

.:. Smt ~i1C:l'lgal,j,J,l(n,~lIClDlslr,,'j r\Sf-l/, fJr,lCJI<lr"ll E- r,,'1('l'ld~JC!

.:. Sri Javanta Chah'ah !["ty [,r~t'I,:t fVjctJ'C1 L KpC r' ~')I'wtl f},<;rl'ct

.;. f)r Alok Kr D'lcH kill (AYUSII, S Idd'dll Pt Ii

.:. [), Radal D(:r'hArn'(i flU it\YU~3! n RflSf< ":1'11 JoI<lIP;JI

.:. SI I SflY,lmal PISW;)S f'.1iS f XV'I' CV'ldtl [' I

Altf~r Wide range of DiSCUSSion following decisions have been taken to follow

Family Planning:

Laparoscope Machine in District Hospital - Gomati:- It IS reported that 011ly

one l.aporascope IS working Onlv (WE: 'aparoscone P1;:JCI1111C' r-, I'C)' SIJff,c!0r';

for provrdinq JO'2quale Sc'1 .' (x' At ledst ono more laparo s cope IS rcqurre dto meet the demand of LL and also required to mamtam safety

measures, So Mission Director - National Health MISSICH1. Governmentof Trtpura & Director of Health Services are cordtally requested toarrange one more laparoscope to be supplied to District Hospital --Gomati District. (Action - All Concerned)

Facility should also develop in Amarpur SDH, TS SOH - Udaipur & RKNCHC - Karbook so 'hat gene'll (cer.nanerr ['1 'hue -I"'f tneir r or "'. I r : . t. !'L.'j '.1 ,It, (-1\ ,i )~"p,Natunbaz ar k..Jd..."lUI<. ndvC: I' torrnec , I rr)t r<-" dr, ,if •.,te'; !,)I-., ",,' "'E-" j1t:' notwilling to COtn-:: tu Distr.ct -rosp.ta ,J,' la,' Y- \ JLcrdj,:P(' r" '.- '" 'dif'li,/

planrunq services of Oistnct So MISSlor Ulrel,;O NHM ~ ill,' ci )Ij'cL,C C'Family Welfare & Preventive Medicine, Government of Irtpura are requestedto develop sucn facility (In OT Room) !fl Amarpur SDH, TS SOH Udaipur &RKN CHC - Karbook Only one accredited centre is not sufficientenough to meet the demand of acceptors.

\(-\d!J~ SUMO~ fJ'UIC - R"'''.; II Vdfcom, MD- NHM, Trtpura, SH&FWS Tripura and Df-WPM

deveiopmq such fdeility 111 these "Il:. lltrl 'I sun.n )i s .Drinking Water In front of OT Room of District Hospital. Comau It IS rcncratec matMedical Supeuntendent of District Hospital COIllAt' ">11<.111arranqr rJi 1'1kinq \N,]1ei 1:1

-- Orstncr HOSPll8 Comdti'

Acuon Plan Tor ~.l and NS oJ l~amp tor November ano Decernbei )0 -16Sfl(HJJa De

prepared by C~vl0 - Gomat: District nnmeuratnlv .Act«, ( (MO

Ail uarneo 'llt::)I' 81 offlcelS dlld stdff ,llll","C, ':.i' 1 ")f)l~ [1 '111'.11.' : Ii' c. •.. ; I j I''''

women for acceptance PPILCD and <1il n amed personnel "Ildii i'((!r' !f) Ci)' (hlct

PPIUCD henceforth It should be further qCC:HCCj up Ouallty servic., shou.d II(! qivcnInto the PPIUCD & IUClJ IUCD camp may also conduct at Sub Centre levi,.,1 If .invfurther orrentation IS required CMO shall conduct such orientation proqranune togear up the PPIUCD & IUCD services as the Drstnct h8S already resource persons

(ActiO!' /\l: '~()n(_l;rrH,'(j)

Quality Ii'1 r--.,S\i B. I i CdP I t It' comorornr.e i at a I'y ex 1 ('ltt)C" d t· I I" t i IHj

documents or It ne 01) qUCl:IlV services jrtl(] operatrnq crntrr- MS Gornatt Districtand Assistant Hospital Adrrurustration of District Hospital shall VISit OT Roomto ensure that everythmq and all safety measures ar e lJCI11~] taken In or Room

(Actlon:- MS 1]15111ct '-10Sr~i!(L ",'!'rld:,

It IS reported that concerned ~)[)Hs & rf rCs <'lfP faCing few prourem-. 0:' ill'l:y up

formats, In this 'eQ8rcJ all formats (medica' record 10 milt, conscn: !','fll~dt ;". "Yreceipt format fO' acceptor cine se: vrcc .Jfevrde' post OPPldllofl (\;1 d <;" did twsvnclu oruzec Into one Pari to make il sr-t [','f one ac(>!,t(ll cnsen: i III dt IllU,lCy

receipt format for acceptor and service provider [)ChI ooeratron vt j bihnqual(English & Bengali) format should be prepared in Dis trict Level & drstnbuteaccordingly so that local people, ASHA and acceptors could understand theformat. II IS Important for bringing quality if) service Expenditure from avauablo iundof DH&FVVS Coman Will be utll17ed for this purpose (Action:, eMU

KAYAKALP (Hygiene & InfectiQE! ~QilJ!9J1'As per recent kaY8haip case 111(>survey t r1i:l~ r)(~(:n uoucso Hut i .,)11:"'':' ,'\ '1,'",1 ur

control at a,' :nc laC-I,llles fron: [),str'W' 'liiSOlial TO r -1(';) bH',)lth ",ttp 'j 10 "d''~c)riC'.err1

81u MeOiCdl ,'\",.Jt:>tf:- rr ana~lt;"lt,"n: i,ll"

Immediately Before discard all the wastomandatoryRegular Use or nyoocnlonde sotuuon ,;;jj

should be ensuredEnsure availability of hub cutter glovesDOHlt ,)f the facility:,-:lhJllIr19 staffs ,.;11()"iej th '.)lIl(;8(; ie)'\ji;"'intpr:t('F'~ ·'1r ~f r' Il r',1,. -' •. ""'(~P \' ,-! r I

, (ulo [Y.. i .il'ow- 'u at

sourCE- of Wilsie hy the' ''';CIvice PIr)Vlcler<::

puncture p.oo! waste 1)111'- \\Ith lid el! "v('r y

Maternal Death, Infant Deaths Revlew:- r/UI\ ::; liv11"': at ',,~,.1( I'V','I "i~Oflli 1'0

completed irnrnedratelv After tile completion of IPv'ew at eMf) ('vel tlH I)' 1'1, r \VIII il\ p:lI

up before DfV1& Collector All formats in this reqard may be printed from CMO Gomatiand circulated to all for implementation of MOR & IMR which are Importantprogramme to save mothers and children Available UI10 uf Ui I&t·'.fv~, (;,mld'i 'NI! beutihzed fOI trns purpose A quality workshoo should aiso 0(' uone In L),';II :e! r~;,' s : !he);quahtv could 1,(';oiouqru uuo thr- il!dte:Il<-11 Iflle'lIll ,111(; l:llll,l rt',,;;'\'V

Action L~J1'~ C,.J! WO ',J

Ine Meeting ended With thanks to all partrcrpants // »:

.()//~/ \\1Y"•...../ \0 \ v

Raval Harnend~ Kumar, IASDistrict Magistrate & Collector

iChiJ rp('r~()" )1)"

_) I r; 1 ),~!, I( I 1

Copy to-2) The Medical Superintendent, (~om:lil lustnct ii()"PI1:~1 iepalll;'; Ud.upi.r I, 'I' ,j

Information and necessary action accoi (JlIlgiy.,.. The SOMO -Udaipur &Amarpur tor mforrnanon and necessary action.,.. The Medical Officer In Charge -

c) RamkumaiNanaha CHe Karbook Na,W1llant Ri, O"lll RId) Sllash<l11 PHC -'::hellilS!<lI"J p, 't. I Irtll<l'l ,IK" !" ( r,' l' "iI -i" II

Cnandrapur PHC C;<lrjE~ePi,Clul;.ln:ur;'l [)IIC 1<:lKrdll;lil ;,)! I 'd'i,j' )il'U!d

PHC Kilia PHC - For~ INFOF~MAliON & f\jf: (f SS;\f~Y i\C II(lN

'" :)r Slip! Sutradh a r. MD - Meo icrne. MO Drstrirt f lospual Corwlt fm .morrnat.or anenecessary action

.,.. Dr Kajal Kumar Oas MD Gynecology Madrca: Officer Coman Distuc: Hospu.i: l:ormtorrnatlon and necessary action

'" lJl 13111 l3rlattacharYclc1 GYllecoluq!s! ill'll! Ut)c;lf'I'ICc, Mr.' CUll) III I 11~.'llr' "I I I "r Ii

.ntorm.iuon dnd ner.essa: y adlC,l,., ,)( Brkasn f\lf1jllmcJr:' r'.1S ,.~Y'l' (l ,"C'1i'" ,,' -:

rtorrnauon ,1110 neceS!<i"1 ,)C \;('1'

•• ,)1 Abllljl! Datta !\j'D Pcledldtr\. " rV1e(j"'ClI ,)1';.,,(

J!")I !"I 't t '\ <r t j I,.

and necessary action

., Dr Pradip Jamatra MD Anesthesia 'v1ecilcalOff;ce' Gorra: -; stile t H()Si t 1 '.I"': I I ,',,11'111d 'l",':eS<.;;.1IY ddl(',I'

• Dr Chandan Mall k vb ~)l;ICJIC,ll MorjIC;.11:.J!f,,"1 {,(yn:lli 11~,j:IC! !O:'flilil t"l lif~ r',1 'lliOt

Clnd necessary action

"ne P"tlc.oai NUl ::''')~ ::lff U;I . JUI!Jdl. _*.~r' : ,'FJDV r

pledse..,.. T'I(~ Matron Gornat: C}stfiCi '·-;CSPlti:.il -r epaua -'j< qfOfl'ld'li)1' d[iO W;Ct,~SS,.I·, ,I<.:iul

• ~'rr")\ ,1 (j J r 1 ••• , •• ; t J; ~ f;' t J{ 1,1) t)

•. The Medicine Store In Charge, Logistic Specialist, Pharmacist .- District MedicineStore, Tepania for information and necessary action

., The DPM DAM, DMF, SDAcDi" ' Arnarpur for Information dllc! necessary dCIIOII

Copy also to:-'.' The Mission Director National t+ealtf MISSion (30verrllnen! of .npura rrv '(ll/()UI Ji krno

information

-,' The Director Directorate of f-anllly Welfare & Preventive Medicine \JovPIlIf1'1er't ot Trip ita

for favour of kind Illformation

Information

.:. The Member Secretary, State Health & Family Welfare SOCiety, Agartala for kind

information and doing the needful please

.:. The JOint Director Directorate of Health Services. Government of i upu: ,I 'O! klflU

mfonnatron anc necessary action please

'.' The State Programme Officer - RCH! 80 ~NHM !Family Planning tor information and

necessary action please

'.' The DFWO Gornan Distncr. Uoaipur for k:nd mforrnation and necessary ,KTlOr

.:. "Ihe Secretary If\~A. tor mtormatron

Copy also forwarded to:-Irie P' ncipal ':)\:clctar\ HOrll!!' S. .:11""

Trrpur a Agaltala for f.incJ mforrnauou, f'

\~<l\,,\\lRaval Ham;~dra Kumar, IAS

District Magistrate & Collector,Cl1C.wperso'~ ["I )I--..c

,._;,jllli.lti [lJ<:;t· ,'~: • r,p,ita

IIII\

\

I\

\

\

\

IIIIIIII\\

Government of TripuraNational Health Mission

District Health & Family Welfare Society, Gomati District, Udaipur

'. ~ ~'~ ~c~-~~~v: '~~A: ~r~o~~ ~O~5 .: __t~i: )~",~J ~ _O'_2~',i I

Minutes of District Level Meeting of Quality Assurance Committee of Gomati District,~-------------------------------------------Chaired byVenueDateParticipants

Chairperson (Block Panchayat Samiti IBlock Advisory Committee»• S"I BiJan Chekraaorty Honble Charperson Tep'il"l Block Panchayat Samiti• S''ll Sunlt: Roy Hen be Chairperson Kakraball B'cck Panchayat Sarniti• Sn Nutan De), '-'on ~It: Ice Cr.alf'nar Amarpu: D,,)C"C1'/ill ;,(ll11li'

• Sri Sadhurrr :(,cHlq !'n'1:r'112n, <akraban B,\~

Sri Raval Hamendra Kumar, IAS District Md~ilstr3le & Collector Co-nat- Jlstr:ct,I ~

• Sri Tanedra R8~;n~J,'Jldl'f.'(Hson (",n)ook 3/,Official-

,/' Dr, Suiit Krmar Cnakma Member Secretary State Heaith & Family ,Velfare Society hpur;)Dr Kamal Reang S~3te prograrnrre Officer RCr'

r-: Dr Nlru Mohancemans Chief Medica, Officer Comati District., Dr Kalia, Kumar Roy Drst'let Family Welfare Off:cer (District Nodal Officer - PMSM.A,jit Sri M Reang D,s(nct P8~ci'ayat Ofker Gomat ):s:riCi

Or Debasbis Das Suo Clv",onal Me(JIea jff,('E" '1'1'1),

" Dr Subhencu (:ebbar"na (;(111 DI\;h u,," f'ilH1C" Ii ce';mdlpLJ

Dr Narayap Chandra Gas iF O,st"C' -'OS81ta , "a"

c: Dr Tam Bt1ilttd(r'~'Vdd;l'ICieColo{,I'1 ' t\l'''''''' :I-ll fY' ~:I":I ' j('~~"di ,;)"1(;',

'l DI Kaja! "l.rnar Ja$. :\·F' 1...)y"'dt:CO!C~lY ~ t]C:;t2' ..~, . t'.'!8 J:st' ~(' --Osp-tdj, GO!Ld1

.J Dr. AbhlJl\ Dalta MD -- PaediatriCS - ivlO Dtsirict hospita Gornan;r Or, Bikasn MaJumder, MS Gynaeco,ogy & Obstetrics - MO, District Hos:)ital Gomaur,' Dr Dhanaman. T'PU'il, \1edlca' Office' if! Charqe RKN CHC - r: 'If[)OI)k

Dr tv1iiannllakla .amaue \1eolcal C:ffiCH I" ~:r,j ",ri'"Il[)J:',~! F h

'I Sn Gayaran' f~eang [3[)() -<BroCO, PO 30t>'" Sri Rajib Debbarroa BDC. Stachan RD Blod

Smt SLJrpila Cha~.'aDortv BDJ. t<C1~ri:llJa'l~'D i:;;ir",f Sn San!l: Jebbaf"'3 SDU -<II'e ~D BI,d;f Sri SanJiDCnakma BOO. Tepania RD Blad,r Dr Sukanta Saha, \1ed!cai Officer In Charge- Kak'aba1 PHC1!' Dr. ShY3r.., Debbarrna ~/O - Ornp RH(:,' Dr Tanmov De/ ~:1p,a:c:a,()ffice .~C~';r~r~~(,.:').:1fJ"j .A.~('"

tt : Dr' JOY$iHIlKd" t,:~a/II-'der t'le:w:a Utfrr:';;f !' ~t d't;,,' .uanu.ra :)""., Dr Ashl' PaLl i,1edlC8' Officer Ii Charge !,~he laJ;.Jr'tj P"Lr Dr Shya:~'t?~-;L~::~!(H¥2 '.h. ,~/1.:2··,\ ~~...<-: ' .... r)' i F''-+-'

Sri Subr ~Jrlt!st) C.IStl t If' ~pec:,y s~~':It('; ~·j'_lj: j,:.....Hl!dll ~'i~:r I

SII Pancnapaoa npu-a V:le) coucauo: .Jel"J'I!'lv:1 Com(lll qlstnc:,d Sm; Sh:ka Roy, Pt\O .:1 -::'laroe (Actng)

Sri Armda-n Saha, Stale Facilitator RR.C NRHRCDr \Janda!' Debnari M() !RBSf,' Cf;;1()Chef' ~r r-J'. Jlst'lct

,'" Sr! ;\ni1 Cr.adra Das Pan~h(lyat Extersior ,::;ICC: f ~ )r,t:all RD S:(Jc~" S: Subhaleen .,)d" DISi',,:1 Prcgrar'nie r';,3n,1(,r ,"1.1' ;-}sl'<;," Sf! Naban,ta Jey Corsul'ilrt SH&F\VSr: 5'1 Af1JanSa~a Cls:rict ;\ccounts r'hwa~er GC'''d ~ stlC!

Sf; Javanla Chaxrabo-ty Distnct Media Expe-t :-;0%'111 D smctSrnt Mangaia Jamat.a. District A,SriA Programme f/anagerSmt. Rupanwita Saha DEle Manager Gornati Distr ct

PJ\GE NO - 2After discussion, following decisions have been taken in the Meeting:-

• Meeting of Quality Assurance Committee'· The-e i" '1 JUil'l\ t.ssurar,rJ "om:nt!p" I ~""", -1", II d' l V8'yi-h~al!r·. :nstltutic', (CLstnci --in:;f.' j~! •...,rH ~~i"" I (,;,!iaL ...onouc' 'J' 1 • t

1'18 meeting should be seu ", ""t, Drc':'I()

Family Planning :.'", IUCD Camp should oe held ,n SDH . RH i PHC & Health Sub Centre There IS need to pruvideUCD

Family Piannlns ser ,ce \Actlon:- All Head of Healtillistitutions;'" PPiUCD· The Medical 8tfcers & Staff Nurses Wll0 are trained 0'1 PP'UCD srail couosel rhe clients and

provide PPiUCD Serv.ces Ttre trerd of PPIUCD Services IS needed to Increase-c, District Hospital, Gomati shall immediately look into the matte: of shortage of eourpmsnts and

fulfil the gap by f(;painng equiprnents or instal!:nq rew one (example· OT Ilgnt erc· RKS F.;ndshould be,ltdizea iO' t'1S pl;rpose ",." ,\. ~ -OJ! 'W' ,;c, ,. c, I, ,

ollallhaJ8lot)Pll:", f(; r- '"~I t o: ~~'-. Be'''' ;" -':";'./<:;"tI '.,,,'H;I:,

Oistncl HOspital - 1eparua)',- After JE vaccr-anon campaqn & ,poI Programme "Iore 0taff r\urses [";1el-" Cl.ruc stal' \if 11)5['/1(11 Will [)8

oriented on Family 0'al1l1:n9 Programmes to mamtar coc.unentauons and implementatu .J' :he servcesproperly :0 avoid errors (Acuon - DFWO & D\1l' '"ornat!,

Revision and Realignment of NSV & LL Camp Fund:- he Fund auotted fOI NSV Camp ano .l "ill'T has [,Hen

reviewed if' detail 1;1view of oast expenence Ol the came ,1'8 fll~'; :lr(,a~ JO ')f !(;'ill funD co·yppt .1,1' ~t 0 s , , r, ~ :),'j"

Camp IS recuireo to revhed c:lni 'eaLg'··pci :~CItrIa: Can'p 'y"IC)r~, r, c;nin,,;thiy ~'·~~~'~iHy: fJ"'<i' ") l.

fund break up or DUlse:,,!) r ('''Slur, f..;· ,,2c 'i N~;V & .L ,,~ ,'i": De 1'''~II''''ienled 11'();, ';'.' J::)j~'1! Jlctn·..!'~nedla_\ely _. l'---- Fund for Camp .

Particulars of I . ,,--- ,--, ,Expen~~:~~=_s ~ltpCt~tl~~~_~a;~_~,. __. ,

1) For Oistri.~.t.H_()spital::__ .__' __ ..... 'r a) . Transportation Cost i "'---,---

ot Service Providers NO ;1250000 z, '~."3:"1 '-XI'" ,! . , '"

•

•

: earn!)' (,OlltlllgfjI1CY Funo '" ..

l)iS!lIct Hospitat~;Clnat!

~I Refresnrncnt 0:

Servce providers, durincI-'----~

;I 1~()( < 15CO JC

jl t.ao TechnlClants) pel, bend'clary bensuc iVy

tJt£or SOH IP8.~i~~C:-_'~ ,a) POL I Transport for ~ scroo: ~ 500001

Ii Connnqeocv for::'OH C>iC :JHC ~ 1 '1')0 «

2 ~ - '),peo

')e',er'~ldr-\

.t .

III\\

j"::'(~.ld(Y"'~~fflleeti!1q at e ../f'i ',~,p )lr'(~."f

u~,'j'J!I Ad neao ,\. k -11!ll!lst!tLnor'.!

Remarks

L1eJ;C>'i~ 'Jftlccr~... 1\' Stalt _'l.pGlnt'I.(i s:atl :!tJd(irCV\1

!eC.1rIClali:'

@ ~ 5 CC oer bene7IC!~:r'yfor ~)Ji 'P"';'PA'll(~r{h"(.i ;b'(~l" II ;iPg.OR ::)ta ~ ':JOC:0(' i)e' :an;; ifr;, ',II t j'~' ;:;',P .•. "t It :H';~I

~''"L.t (! 'Ie ~ep',r~ 'lc~,;d be :jl,Hj !,. 11f1 '\ h··df 'i

t" 't i d''1l:'r~:rr te(;""!Ctnr;~~ ~~) nUf.!fl~;q: (jl"';"~rrnt '. 'lCS :)1

~:: . (~:r"l,)' tests II ~)H. (:C:11.3'1 I' Sl;rr ;)<;, dls J Iy 'i i Lie

p8r ~€n(·nC!Gry Nt! be '::i::)'Ii(HJ !O sene: III! "r~'e !Jl'(re:rtl ':ill b&

Iccne n;;;n\'lly oasis 1)0 t'ie afQ,;no o: re~Ofl "r'(j r(!'~IS'f' Ir' .""

iecnncian ,hi ougrl banK ~CC()uI'tS .ransicr l" ":;c. Fdyl:0 I'

__ ~_c:,!!.qU(;S <

~, 'C' ,,' "r - 8h.l:f,S d'.lr' , U: (' ", I" '"'(, .' rl,':1d') c·"(~(~H \ I' .•.• ., 'r ,'I .1.,. ',Y1'

,r>j If :)(;'](')·1,':'" -~r~.' ~' rp (1'1"'1~1'1, J' ')1 ):'

c,"':) ck"(. L' rl.' :''(;~If;n~l:: \ fc '11, rr'con''',t""'''\,jr, , ,OR ·~t1 "

~(l~ (:\ \ pe' Sdrnp "to all L.~1!ltfl(:Jnes, s! ..hf-~'..r~1 8:;~Li.lt\orat0j Tectnaar 3r13!l r';.:et1" nn!p'alr, ;c~;)qra:t;: '(~~hte'Eel:] "l.(·"wt the repo"! ID I.hi-: ",(.",' 1)1 -led I I". 'floG" in;II': ,,' •.'d ~:fa~:th':!- ·",a-eril". I (In.

" - I . .,if" . 1 < 'J:,It:.J '~e(ll'r- "\i:' JI !I (h

>·-::"~i di i Ivl t'E~:: J'y' •.I.:'~ .c ,3,;'\,' ~,~:tL I r: (jf1~ de +e 0; f::-; ~t;,;.. ?os 'f« 'J("'0n!).:, ·t~.H" •

c. -r , 1.J')con~.A~ljlti {/ ' :H.i(l;DtV~) "'e(,'~:i!'! l~, :It!s:r'' ,:.

; ...at ,,1.I~li lo( pro,!lde ~re;;Il(H'r;r :es:s arn..l fC: dl ( !'ie ',:av c'~:)e :'3rn~~~tgfett'~}2f; prJce~dl:)gto tne D!"iiL'~'i-ospta

T') be C0'1ilfJIJ8eJ-

.••. :".l ..Page No 3

Fund for CampLL Camp (Up [0 "l' NSV Camp (up to II

._. ~- -...])_~or GomaJl..Pistri~l Healt~_&_Faml!YW~I~!!.!:~Society>

A) Advertisement through Cab.e T\, InfotEimrnent chanreiIcanet preparation & d'str buuons lhr()u~h ASh'; \'e'Nspape"veneers _~r (!t IS .!9 iJejon_e '.':e:1oc'c« 0' NS\' Camp:

Particulars of Expenditures

NO

• Reporting'- Ail Healtr Inst,l, 'C"IS "',:,\, be =port 11(1 ;;r' i;, ~ I j"nn~; ,e',I'"t"S , 'n 'I' ;'", '" f:e

115'11'9 of oenehoanes and r'~[)()'1 ,,[ reneuciarv st ~;r'di,'Si I)'." tr) t", 'j()"C. I'lC' "", ' "S .1S ~';'3C' ::i>~format Wt11Ch was earli8" CIU:-!iiJte:1 :,:\ctron MS UIStllC' H(1S1)'tii ';011'8" f," H' 1I'if' 0' -: '),W ~:-:I'N:s f,1i',,1()CSi

• KAYAKALP:- Kayakalp .s \',;;;,elf 'f 'fie f110St 1I"~VtJn: " ) ":)'.o;,C:"[S tnde'd1IUI',JI .-if,' "'~I '" I' ':asbeen reported that Internal asscssmeo.s of "iealt'l 1'1S:ltl}'rJI)S "ave been oone .n Hea!tt' Instl',UhYlal 'ev-lPeer assessment IS also berr-g crr'c ::;5 hell"re rnaner nas ;11S0 beef' discussed !'.I; ~edlt' Ilistritltons Shellernpnas.s ,")!' prOVIO!'lg ..lJa11t1 -:.f:-'!~, i-S ~I. ?::. p(r:e~\'-; ~!'-'1·(. ~:·','l:::'Fq":lnq. '~'!paq!n~-) '1 ':'f . i ,~ ,'''' 'T ~ t-~'I'I<

:-(r"l(;,)[,'ler(:l lfl d drt •.J'IC ' Ii +' I:: ~Y , .• l '.1) f--'~'.) ~ ~:.';' ill l.1"f ~ '"'.'-., \ {. ;.i. 'I.~Uj.CiFYl ~ 1"1. ~ '~l p t : .:~(.<.',j Ci T'" i1 'I

Pie rJeetlng eodec '::I:t' :nakS Ie 3i1 r;,;nIClpJr'iS\L. / \\ ,'/\ 1 v

Raval Harr;en~ra Kumar IAS[)Istrrct \18951rale C, ' "leel!')1

(Chauman , D+'v'It"Cor-laL Cist'lcl I J:1+fL'

To.......c; Medica! ~ur::erl'"~te~~(l8f't Dl~"'lct t~;}~;Pitd (, V'h1:1 "'),'qtc"n'al); .& rh:cus~:a) )(:h.: r:I(.;~(:

'" -'1e District Healll' & Farni'y weuare Of!ice Gcma: CISt"~l '0' ,[1'J'f1il(C" a':1 'lecessal: actiorTile Sub Divisional Medical Officer - Udaiour & Arnarpur for nfo'fl'atlofl and 'Itjcessary actio')

<2) rhe Head of Department Maternity VVar,1 ~);strct Hospital GJrntl UISlne! '01 nlrrrnauo: and nece: ~(1I'i l(tlOI1il'i -he Palhotoqy Oepann eru The i\kroLdogy Departme1t of Chtne! r'osp,t<11 (,0 nau - eDiilHd 'e" ,'!lOI%llioPIIIll

necessary action:), "':aiai Kurra: Oas MO Drslnct f1os~lta, '.;ol"'at Tecan.a '01 -rormauo: Jnd o-cessa-v ileVi

~·stnct ~:)Ddll!d f~;r 'lfn"f01d!Klf" Vi I' \.:€' 'jr < .J' I! 'f

D ,....hader r....1alhcr,. t-/~ ::';J"qC01l fvY.) =)i~t!.) ·'']5!. ttli )rl a: ·f...in d· •... r ,,: ' .•...' r j. ~ r1 ...• I 11, l rTn8 \1edical Oif'C8rr Charqe 'T J "t'''' "l()Sf:,ta ';(,Iril; Tf",: Y ;;; fC), hp'j "',: 1 ,I"," ,.n. I, 'E:""',

-, A,i MOle CH:.. '::"1~ fo,' 1,'fi.yp1allr)1 \)... • \;'~~~d'-' f II 1 iC t r'C t;"l v

'., Tho lo1CH Chruc. District Hospna' ..,!.;':;mat - coar-a for I"fonnatlc.'" '1"<.1nccessa Y;,Ult,r cJr' )'0" cl,The riCH Clinic TS SOH, lJdal[l.ir 10' rnional!or ann r ecessary i1C'!O'l accorc!ln~ly"he MCrl ehrlc, Amarpur SLID DIViSional HOS::Ht,,',A,maroc,r lor in'orrnauon ana necessary acnon ae,,<Jt.ln9ij~'ie JP[) - f/ed!ene Jls:r!;,"~·'CSpt{ai - .;:)rn~t ....ep'.Fl;a 'or '~t~)~nd' C'n ar:c rleCf~~a. (-]Ct,(' ~ -1C..~, j , ,

r ',p '.;1~lr"l1 :>15~"ICf..,r:'f' 'a ,~~'al -, ,)d"'" "'I ""1"") "(10

rile DPMSU Staff for info1'l13!1C!' and l'p('ess:1"y set-onflli Concerned

Copy to:.• Tl'e Drector of Health Servces Cove '1'lI';I1\.:f TfIlJurii ;:'-Sdrtald ,: J'~' clt;d5:r fe ,!'Ie !lI'QUOdll)1

• Tt-e Director 01 Family Welfare & Preventr.e 1"eolcl"e 0m'effl""'ent y Irpura Gurknabasu A,gClrtal:r Ii)' 'n,~ l'i'OrrrT"'1• r~e MI55101' Director Nation? Hea th vussion Goverrmen' ci T'i('U2 'or ~'~d I'1for11131.10"• Tr'e Merncel Secretary Srl:~;: \', S -, pu. h ~,f1(j nicrfP31l(,'"• ~t·_:. .,)L;I". r~(-; ~'ttPl,r~1 'c f~·' 'p'at':r-'

I

I\

~ :I'

RavalHa;~~l~turn:rD'stT' ',1ilgsra:,; ~

I(:t I 1Ir"l':,rl H:V.

IAS

\

\

III\

A meeting of District level Quality Assurance cofnmittee is tw\don 29/11/2016 at 3 p.M. regarding sterilization failUre cases in

the chamber of the CMO (W) iOocuments submitted T Opinion of theby the claimanti \-II \ QAC I

II \

l--------~-------+---------- __--------1

\ .Smt. Parbin BegamWIO- Hasen Miah,Vil\- East Chandinamura,po_Madhya Bhubanban

Agarta\a.West Tripura.

Name of the claimant Date ofster\\i:z.ation \1~ ....~ cz.~

\1L¥I~~lkL /5>t.1- L-.fU II( \ ,~) u4

4 Urine test report \e ' \\ 5. D'lSchargc Certificate. 'i

------r:-----~ULdo

neon I I.elaim form filled in I hvS·M;d~ \

11/02/16 at lons;na\. \' ," -VV n •• -kIGM \-Iospital 2.\)Octor's coupon boo

k(\) \ ~

\

J. USG Report. \-to t.v.xr(..;<J..:J"1I 4 Urine teStreport. '" v' '( - I\~. \

\ \\ \\ \

l.L. done on I \ .Claim form filled in

26/11/13 and origina\'\4/05/16 at '2. Doctor's coupon\GM Hospital. 000\o:.s(2nos)

3.Concen\ form.

2 Srnt- lhuma Saodakar.

\

w 10- Bipul Sabdakar.ViII. Amta\i. SanitiHapo+PS- AmtaliAgartalaWest Tripura.

\\

\\\. I \

\ \

L--------- _.-1--- ------------- -~- ------

~£jr,(~G~~6\bgist

----------------------------- -- -

Government of TnpuraNational Health Mission

District Health & Family Welfare Society, Gomati District, Udaipur'J ' "R 8e) - DH&FWS DeAr.:; CMO - Co ;In' 5 h - 1t/ It (.Jtl ':-, ']'20"

Minutes of District Level Meeting of Quality Assurance Committee of Gomati District,--------------------------------------------Chaired byVenueDateParticipants

Chairperson (Block Panchayat Samili f Block Advisory Committee):-• 5'1 Bijan Chakraborty Hon ble Chauperson Teprna Bloc,", Pancoayat S3'11111

• Srnl Surlltl Roy, Hen b.e Chairperson Kakraban SUI Panchayat Santi• Sn Nutan Dey, Hon ore Vice Chairman Amarpu: Paocnayat ~)aI11lt;

Sri Raval Hamendra Kumar, lAS, District Magistrate & Collector, Gornan District

Conference hall of Gomati Zdla Pa':'1eJ J~,i1ID'.

6:'1 January 201?

• Sn Sadhurrr qeang, '~h'1;rman "akraban B,'\.• SI'I Taneora Rp.3n!j :"II;J'T(JI',OIl K;rov'" 1:",

Official.-J Dr. SUJil K,W1ar Chakrna Me!l1t}er Secretary State r'eaith & Family vVelfarc Society Inpt.ra,I Dr Kamal Reang, State Programme Officer RCh- Dr Nlru Mohan .arnatra Chief r.:1edlca' Officer GW1C1t Distnct.of Dr. Kalia! Kumar Roy Dlst'lef Fanuly Welfar8 Otkel \Olsfrlct Nodal Jrker - PMsr;lAI".. Sri M Reang. Dislnct Panchayat Officer -, Gomau Jlsmct.• Or, Debashis Oas Sub Divisional Medical Officer .- Udaipur." Dr Subhendu Debbarma Sub DIVIson3 Med'cai ~JffICf:r - Arnarpur

Dr Narayar Cnandra Jas Me D,sirrct r.o5:Jlla' c>ul'ati.<'" Dr. Tani Bhattacharyaa. C;Y'laecologlst & Obstetnuao . MO Cistnct Hospital 'vomatl

Dr KaJall\umar Das, MD· Gynaecology & Obstemcs, . MO, Crstnct rosp:tdl, GOIl:a1;

.; Or. AbhlJlt Datta, MD Paeoiatncs - fvl0 Dismct Hospitai, Goman:J Dr. Blkash MaJumder, MS. Gynaecoiogy & Obstetncs . MO, District Hosoital Gornatiff Dr Dhanarnaru Ir-pura, Medical Officer In Charge- RKN CHC - Karbooka Dr Milanbhakla Jarnaua . Medical Cfficer In Charge Natunbazar Rf-l

Sf! Cavarar» ~Fang J-.[' K,iirV0~ PC 3"., ,31 Ra it •.)f:ota 1"3 ')), ''1:, '1.'1, ;:::' e I.',

Srrt SUrJ1tta ;:.'1dKf'atJL,rty 1),...1'...,., "dl' c1(;cl'l r _ -,s: Sn Sanjl~ Jebbann(l, 80:) ~I'ii ~[) Block.t Sri SanJib Crakma, BOO Teparua ~D BlOck.r Dr Sukanta Saha, Med!cai Officer In Charge, Kakraba'l PHC.sr Dr Shyam Debbarma ~!O - Omp ~H" Or. Tanrnov Dey ~"leoicaiOffice' n Ci1Ci'ge Garlee DhCI- Dr Joyst1ankar r,:1ajur1CJer f/;e::lio;,l' Offrr:er c Ct'drc;e T 1i81nU8 !)>-{'~

r DI Shyai~:till'l. Acharva ',k' i:o I'"S" :'.i"?roDI1n~p.,Cit Sn Subir Ghosh, District lnspecto- of SOCIa Eoucauon, Gornau Dlstroot," SriPanchapada Tripu:a, OSO, Eoucator Departnent Comati District

.C Srn~. Shika Roy PNO in Charge (.Acting)ir Sri Annda-n Saha, State Facilitator. RRC NRHRC,- Dr. Nandar Oebnath, MO (RBSK). UAO Office Gornati District('> Sri Anii Cbadra Das. Panchayat Extersron Cfilcer f!{J!a~an RO Blocx

S, Subna.Jeer )di"l Dr3t'>:·! p., g'"?pirja ":'/.'1rl,:V'·

()ri ~;,aha~t:~'~'e:" ~onSJ::~wt . "'\(.= T\"-~

S'I AnJan )Zl"a ulstnc t,e, )l;r'5 k'a'iiSv v: ~', :::',I 0('

Sn Jayar~td Cnakraborty t:)lstr;ct MuLa EAr.e''! .. " 11' [) ql'ct

Srnt Mangaia Jarnana Drstnct ;',Srlil PrograrnmE' r':a~age'"" Smt. Rupanwita Sana, DE!e Manager, Comau Chir ct

l' i~l .:

PAGE NO- 2After discussion, following decisions have been taken in the Meeting:,

• Meeting of Quality Assurance Committee;. The'e 1'3 '1 :• .Ially ;',:>sur~111~, •• Jm:n,t!8·,' -1'-',":-! ,,' vey

>-1ea!tr Institution (District -iospita'. SOH R.r I sl',all conduct qt.:; Ity assurance meeting at E'Vf'Y r 'tr n'e ". I U'r'\ j

Ihe meeting should be SOl! 10 thE:Drsrtct Ii·, :(,<)1' 4" Hedc ,-" ·1'HIt') !11St!IUI,Onc,

• Family Planning :-'", IUCD Camp snculd oe Ileid 'I SDH PH DH'-~c. r"edltf> Sub':entrp There IS f't;W' f.lu)!I(J() JCC

Family Pia'l!WlS serv.ce (Acuon All l1ead of Hea!tfl nstltutlons;PPiUCD - The Medical Ctf cers & Staff Nurses wile are trained on PfJlUCD srail counsel [he dlcf'ls andprovide PPiJCO S~I J ces The irerd of PPIUCO Services s needed \, Increase

" District Hospital, Gomati shall immediately look into the matter of shortage of equipments andfulfil the gap by repairing equipments or installing new one (example:- OT light etcj, RKS Fundshould be utilized for this purpose, Moreover adequate sitting arranqernerts & pure drll1KII'~1 watershall have to be installed In front of OT :or Benefclal.es, ASHA, Health workers ,A lion 1/8District Hosprtal - Tepama)

'" After JE vaccr anon campaign & 'POI Progran1P1C ')\1)('; Stan r.urses MCH Gnle 51dl' '"s~,n "".I' n"Oriented on Family Plannng Proqrarrmes to r"1(lll1ta n cocumentauons and n1plementili:ul J :'i8 servicesproperly :0 avoid errors (flctlon,- Or=WO & D\1[ Gornau:

• Revision and Realignment of NSV & LL Camp Fund:- ''i' eund allotted Ior r~svCamp anc ,I. .ill"[ h,lS hpenreviewed ir detail i'1 view Of cast exper'(1)Ce Of fhe carrp t"" fu: G oreak up of Ic'al (unci CC1'1cppt.lal see h, r~,;\' 'l,d ~.LCamp is recuired to revrsed and reallg"'ej so ma; Canu. W'J'k~,r ',smoothly i<';'w Wide '~nge (' :,S~ ':;;;' ," ' ,i!('NI"0fund break up or budge:ary provision fer escn NS\/ & LL i, amp :tii oe 1"'::!lementeci tirOl, 'ile I ,"I" -It ')I<lwtirn~12tl9Iate.iL_.,_

, i Fund for CampParticulars of I ,. lp'TN"'"'-' .,Expen~~~~.r:~_I_~LtpCt~~Tu~;a~~ +

1) ". For Distri..ct Ho~_e!.!.al::_.. _ 'a) T'ansportahon Cos

Of Service PrOViders I NOTeam~.-. """-" .- -"--" ._---

b) Contingency Fund for,Dlstnct Hospital

Remarks

~ 250000

'? 5000C ~ 50000

I

~ TOm cu~j,s ~~~-t~~;e~tIIJzed 101 P"f'I'11 f'h'Jl0COPV1'() 0:I / " ~~"rPla'~ GO(;,'"'lem, :;1<'11117<11,0:1 C 611 f ,\;)" ]I,;, .,

,_._-'Gcrnat

:;) Refreshment ofServ:ce providers

f .__ durins'{ 1tJOC 1500 DC

I Uea ,,:;, ~)ff,ccr~,• I;;~'!nlual IS

t~~~GCPCI

tenef 111,

@ 7 ~,Qr per be<le~·(·'~)'"v 1:)[ (i'l (V'OP~"'lr.(· jl , '''':~:'':I ' '~'f Cl<

IOR uta '{ 500 or; De' '_af'1~ ifu all [:';1,,', ':'ie' ,,' \Ii' dP'r,N!"creVe' 'S less l.aooratcry TpClll'!(;lar ';;:311 '18,,0 I:' ITldlli,',,"~:pp~Y~Heregiste' and suomu jt~i-, 'epQn Ii. tt'1~ \1~~ ..".-~Irl' •

';',,: ",,' "'he 'er()[' '~'lCl.ld t,c :..,,11":'1'" dlv' 'j, c ',bi,·,·, r •. ·1.'~, ',' ,t I ,

}

; I

l:~LFor SOH lp~.~~!c~~/~~_:~~.--~'a) POL iTransport for < 5000,00__ Acceptors .. -----4.

It; 'l,i)n:rlly :'oStS '".r· t'1f Sr..;",!iO ,'.~ r-:?: Jr~ ar:j '(!':t)~F!(' 'l"~It 'l~~!~!ar:rr,..)u~.ji:'-i:'H''', aC:COlJ:'!" O( '~''::('r '" t-' i)+;f, Icrle~Le~

.._- r

i< 5000,00 I As p.::r actus: exp':ndltut!

'-+pC"Chase ot n:eO'Clnes dUring beior', ,~,,,PrP( CI,' I "

-e~ ,,'foCI '1 ""'1:\') 0!1u:WJerlcy I'Pl:O '" ',p,,,,;,, ,:i:J', '.l'''It I t +ent )f oene·\CtAr e~·,.pue d(lnklnq \<Vd!~' L,r )~V" l~:'( ,~

~ 150000b) Contingency forSDH CHe DHC

{ 15l ' CO

G.l Lab Iechruciarus)@ < 500

pelbeneficiary

cg z 5eO perbeneficra-v

~t'I 'if) it' Ldlt"I:;:,"! fv al: fl:con'''1f'1dp'' =sts OR iota ~~( ! 'I, P€~ '\lrJ'P tr " all bPIlE/ic Srl0S tit h: .•r~f ~(~S~_w oratory Ted" ~I(H' snau reeo ",-fl);l:1 laIr '(,'D:V~:L ((~qbt(-:2"" subm t Ihe repor I" It)p. "'l~O 01 -led ,'Ill.'or 'r"i'}ID'1 sno.nc De ,lLlhc~l:ca:ed cv 3 I"'(;o,c;:' 'llS(;' I' ()lflWI"':te~'I'1 ';CiW1S de t.rldertai<.~ ciffereT «nds c: it, l' "If,r y ~I:"S!" J')P

CO'1(""red Ileal'h n,W,JII:lr ,II ~"I:''l C.1<,(1<- ',,? J

r:

'.~f

to' l~ r 'llr" l";rd;·;

T UP::0ntVltlelJ -

- - - ----------------

Page No 3T Fund for Camp

LL Camp (Up to ~l NSV Camp (Up to ~IParticulars of Expenditures

--.1) J~Go_f!1a.!iili~!!"i0_ Health & F_ami!yWelfare Society:-

h) Adve trsernent Ihrouqr Cable T\ i,i!')(i':rlr'Cf't ~[,d ,r-".ea-et prepa-auon c. j s(' bU~loIS th_,U£f' ;'~,>-~\t NSi.df;i

,epC'~CJ's~r .!! 1:-: to ::8 ~,'~r·':ip:1 bo'c', c' 'L,' , rll'li\

• Reporting:- All Health Institutions shall be iepYllng ~r :3' :1,,' p,al'!1irl~ ~;e"Jlces '1 'nOT", I. i~,,, i'l,neIIS11119of beneficiaries and report of beneficary isl shal also have to be done I'lonthly oas s as CfC:SCD8Cformat which ,;'1as earlier Circulated (f\ctIOIl MS District Hosmtai Gou-at MCH Cliruc 0' (;:F'1illl ';JI',j( 'S f;11',1Q:es

• KAYAKALP'· k3yafz.ID S :'12 ont- ,'f 'h, "('3-, wVJ'I:n' .: r'~')n",":, i, t' 'di')' a - ' c

been ropcneo 'I'at .rtorna' asscssnx-vs GI ..,eal'') "lS:I:l,>",fb ';iN8 beer C.,lle I' fI, lit' ,,' :,JI .1' iO 1'1Peer assessment IS -lso being done as well he mauer has also been discusseo Ail -ed' 111 IIiSilllJlops "it'd!

empnasis Of' prOV:OI'l~ ..;uality ser.ces 10 r-e ra'er';s~i:e1j;:, S'vveepl'l;) Cleaning 'n'il[ H c,lig Y 'lyg;PI'I(atmosphere In a arouio I wards & eci :'fl'8'1:S "!~:+en diets dress '1 \t'e nospua c lU IIOSp.:,"1 Sclera1,\,;,11;(lISO (,lI,cliorl- MS - District hospital - GO[T'(ll' , tv1C~C'mic 0' GOI'latl SDMOs A 1I'';(:C51

The Meeting ended with thanks to all parucipants /~:. /

t:-J. )\<1Raval Ha~e~~;aKumar IAS[)iSfnc: \l?}SlIdle (-(I tll~:~t('1

na rIl',," [;"1 ';," '.

,~ '~at~ 1:;"1'1 I ',I

To" '-pc t·AecllcalSupenrtenoen! Dlst'1cl H ~~;Jlla "O"la:1 -'1' '!fG'p :i! I) 6 n::'ces,:a) let- 1..1"",,,,:",., ~he Drstnct Health & Family Welfare ()flee' GOlr,atl Clstflct io: ,fl'O'!'1atJc" a;'(l necessary 2.;tl)1"'!o The Sub DIVISional Medical Officer - Udaiour & Arnarpur for nfonr ation and nt'ces ;31'1 act.o«~; 1he Head of Department Maternity V~arri Drstrct Hosp'tal GClr'ati [)'srnr:f for nformauon "I'd necpr -H, !,;:i> I''if. "he Patllolcgy Depann en: . The t:IUOI;,cbJy Departme 11\.,1 :)~I:lct h)~}f.1ltdi ,3c nail ";;""1(: ,,'Ollldli(;1 .!III,

cecessarv action,;', D' -<alai <un-ar Das fv10 Drstnct Hoscita '.:lor~at Ieoan.e 'or "I' I'n"tIO" awl rec'?ss:l', ':)C:'"

(~. D- Tarn Bha.tacbaryaa MO Dr, NwaYi;r; ,.'h'I"dra ')2S M(: Dr Bik,;5" i,1ClJV".lu I,ll' - r"15:' ,I r+ ~r"':;i ," "Iiltl

DistriCt. Teparua for Information ana necessary action:;., Dr Chandan Mallick, r,j,s Surgeon, MO -- District Hospital. Coman. Teparua io' kad mtor-naro and I1(;CUSSar'yacton

The Iv1edicalOfficer 'n Charge 8T D'st"ict -lospilal Coman Tepa-.a for kind ntormauor and lE:Ce~Sa', '1Cl,On

,t,. MOle CHe ;,),j(' fer ,,'formatltY' g "'('"",n ;', ;, ",., Tt'JC tv'CH 01in1C.District rlospna - Gornat ~'JPc'"'' tor I'''')f'ra:ic'' T j nccessav ,L\IO" de Hl' c+,t' The MCH Chruc. T8 SOH - ddalpllr lor Iflforrlat'on and recessary ,W"O'l accordingly..',' The t,1C'1Chrlc, Arnarpur Sub DIVISionalHosPlta' '\m?'DV fe' Il1fOr"13tlor ato r ecessary action

"re OfJD - t/edlc!ne. OIS:flC: r<>Jspllal-;:;r:'l1 ~epin'l :~'r ',t~)'" (,' ;;'18"C ';ecessill; act.o dr::(,,'j "C i

Tile ~kltron, Distnct Hospita' - G0rlal - ,,;1an'1 '(;1 d)·n;no'" -11 l"-eSSa"y ae: C I ,,, .: "'];"(11"

Ihe DPMSU Staff for mfor-natior and recessay action

Copy to:·• The Jrector of r-iealth S\:""ces {;ov,,""lJ';il: _f TIIl'l_'" ':'~,,"dd ' ',dt;,b!, fe; "'I.., 11\'1 H\I J

• Ir-e Director of Fan"ly Weilare & 0reven~",e r,'e~lc";i' ;:,er['~ef,i ,,' Tnpura ,)Id' it';,stl"c;,;ria!i' f:; -r'; ,'l'xrr r 'I

• Ire \:115S101'Director Nation,,' Hea th \lIS"lon Gc'v"'" ')(;'1',' T' r'.I" 'or K'rd If::;''II,,I!()''• "he Member Secretary :>rl&;: \\'S 'i '.p,], " t:;' fUI;d ilil,!lIi(J;IlJ

• The SPU, RCH Tnpura to' miorrnat on• The Sub Divisional Magis!Jate - Amarpcr. :,Jr)aipur & Karbcok for in'ormat on• .1\11BOOs for informanon and necessary action.• T'1o Secretary - Indian Medical A,sSOCI2tio0 FO()~)I ,AT'JGA - GOf11aliDrstnct L:dap,:r for IntOi'lIiJllo'

IASS:sI"'" ',1aq!s-ralC 6. ",:r I

,Ci"W1'cln ['H&I :,i'L,OITdtl D:"tril:t .~'(i! •• :