Mathura City - NATIONAL URBAN HEALTH MISSIONnuhm.upnrhm.gov.in/urban/pip/mathurapip.pdfMathura city...

Mathura City Program Implementation Plan

National Urban Health Mission

Prepared by District Health Officials with support from Urban Health Initiative

NATIONAL URBAN HEALTH MISSION

PROJECT IMPLEMENTATION PLAN (PIP)

2013-14

DISTRICT - MATHURA

–: Submitted by :–

District Health Society, Mathura August, 2013

PREFACE

The Government of India has launched the National Urban Health Mission (NUHM) as a sub-mission under the National

Health Mission (NHM), the National Rural Health Mission (NRHM) being the other sub-mission. National Urban Health

Mission (NUHM) seeks to improve the health status of the urban population particularly slum dwell ers and other

vulnerable sections by facil itating their access to quality health care. National Urban Health Mission (NUHM) would cover

all state capitals, district headquarters and other cities/towns with a population of 50,000 and above (as per census

2011) in a phased manner. Cities and towns with population below 50,000 will be covered under NRHM. Under the

scheme, government proposes to set up one Urban Primary Health Centre for every 50,000 -60,000 population, one

Urban Community Health Centre for five to six urban PHCs in big cities, an Auxiliary Nursing Midwives (ANM) for 10,000

populations and an Accredited Social Health Activist (ASHA) (community l ink worker) for 200 to 500 households.

Mathura, with a population of 2.5 mill ion (Census: 2011), is one of the seventy four districts in Uttar Pradesh. Out of the

total Mathura population for 2011 census, 29.68 percent l ives in urban regions of district. In total 755,993 people l ives in

urban areas of which males are 405,097 and females are 350,896. Sex Ratio in urban region of Mathura district is 866 as

per 2011 census data. Similarly child sex ratio in Mathura district was 861 in 2011 census. Child population (0 -6) in urban

region was 103,145 of which males and females were 55,429 and 47,716. This child population figure of Mathura district

is 13.68 % of total urban population. Average literacy rate in Mathura district as per census 2011 is 74.45 % of which

males and females are 81.47 % and 66.37 % literates respectively. In actual number 486,077 people a re l iterate in urban

region of which males and females are 284,861 and 201,216 respectivel y. As per provisional reports of Census India,

population of Mathura city in 2011 is 349,336; of which male and female are 186,586 and 162,750 respectively.

Mathura city has population of 349,336; Slum population of Mathura city is 259,434 as per DUDA and UHI l isting and

mapping, it contributes 74% population living in slum areas. Total number of notified slums in Mathura are 100 (DUDA)

and 13 un-notified (UHI l isting and mapping). According to AHS, 2010-11, Infant Mortality Rate of Mathura is 46,

Neonatal Mortality Rate is 35, Under five mortality is 61, Maternal mortality Rate as per SRS is 281. Crude Birth Rate

(AHS, 2010-11) 22.7, Crude Death Rate (2010-11)(AHS, 2011) is 7.8 and Total Fertil ity Rate as per NFHS-3 is 3.7.

National Urban Health Mission will complement in the betterment of urban people particularly with the urban poor &

slum dwellers. The NUHM planning is based on the data, surveys and available info rmation at city level, information

provided by Urban health initiative and hoping that systematically we will make the difference in improving the quality of

services of urban people.

Dr. B. S. Yadav Vishal Chauhan (IAS)

Chief Medical Officer District Magistrate

Mathura Mathura

August 2013

ACKNOWLEDGEMENT

National Urban Health Mission Project implementation plan document become possible of hard work,

dedication and perseverance of Health department, DPMU-NRHM team and UHI Mathura. This work of planning

would not have been completed without the help and support of a number of people.

I would like to say that this become possible with valuable support and continuous encourageme nt of District

Magistrate Shri Vishal Chauhan (IAS). His great confidence in team and spurred us into action.

My special regard goes to Dr. B. S. Yadav, Chief Medical Officer, Mathura; a dynamic and enthusiastic

personality. He has always been a source of great encouragement for us. The initiation and completion of this

work would be substantiated only in his sincere and able guidance, expertise and precious opinion, keen

attention, constructive suggestions and constant help. His critical reading of all the parts of the work has helped

shape the NUHM planning in its present form.

I owe my sincere gratitude to Dr. Usha Gangwar, DGM (NUHM) and Dr. Gautam (GM) who have helped us

immensely by providing relevant information, expert suggestions. This planning work got accomplished with

their valuable support and eagerness to help.

I express my gratefulness to Mission Director Shri. Amit Kumar Ghosh, IAS & Additional Mission Director , Dr.

Shashank Vikram (IFS) for guidance and support.

I am privileged to have such great team DPMU-NRHM team Ms. Bharti Verma (DMP, NRHM), Ms. Parul Sharma

(DCPM-NRHM), Mr. Sunil Datt Sharma (DAM-NRHM), Mr. Pushpendra Singh (DDAA-NRHM) and Mr. Som

Sharma, City Manager, Urban Health Initiative (UHI) who have supported, helped, put their great efforts into

planning of NUHM at city level.

I am also pleased to appreciate the precious help of Mr. Subhash Veer Rajput, PO-DUDA, Ms. Pooja Agnihotri,

DPO, Mr. K. P. Singh, EO, Nagar Palika, Officer In-charge, Jal Nigam, Dr. B. D. Bhaskar, Chief Medical

Superintendent of District women hospital, Mathura, Dr. S. C. Gupta, Chief Medical Superintendent District

hospital, Mathura& Dr. Bharat Singh Yadav, Chief Medical Superintendent District combined hospital, Vrindavan

for providing data and support in PIP document.

Last but not the least, all those people who were involved in the planning process directly or indirectly.

Dr. A. K. Shrivastav Dr. Dilip Kumar Jatav

Nodal Officer (NUHM) ACMO (RCH)

Mathura Mathura

August 2013 August,2013

Abbreviations

AIDS Acquired Immuno Deficiency Syndrome FHW Female Health Worker

ANC Ante Natal Care FW Family Welfare

ANM Auxi l iary Nurse Midwife GNM General Nursing and Midwifery Diploma course

ASHA Accredited Social Health Activist GIS Geographical Information System

AWW Anganwadi Worker HIV Human Immunodeficiency Virus

BCC Behavior Change Communication HR Human Resource

BPL Below Poverty Line HUPA Hous ing & Urban Poverty Al leviation

BMP Block Program Manager ICDS Integrated Child Development Services

CBO Community Based Organization ICU Intensive Care Unit

CHC Community Health Centre IEC Information Education Communication

CHP City Health Plan IFA Iron Folic Acid

CHW Community Health Worker IMNCI Integrated Management of Newborn & Chi ld Illness

CPIP City Program Implementation Plan IMR Infant Mortality Rate

CSO Civi l Society Organization IPC Inter Personal Communication

DAM District Account Manager IPHS Indian Public Health Standards

DCPM District Community Process Manager IT Information Technology

DDAA District Data Accountant Assistant IUD Intra Uterine Device

DH District Hospital JNNURM Jawaharlal Nehru National Urban Renewal Mission

DLHS District Level Household Survey KFA Key Focus Areas

DOTS Directly Observed Therapy, Short Course LHV Lady Health Visitor

DPM District Program Manager MAS Mahi laArogyaSamiti

DPMU District Program Management Unit M & E Monitoring and Evaluation

DPT Diphtheria, Pertussis and Tetanus MBBS Bachelor of Medicine and Bachelor of Surgery

MD Mission Director PPP Publ ic Private Partnership

AMD Additional Mission Director QA Qual ity Assurance

MDG Mil lennium Development Goals RAY Rajiv AwasYojana

MMR Maternal Mortality Ratio RE Revised Estimate

MMU Mobi le Medical Unit RI Routine Immunization

MO Medical Officer RKS RogiKalyanSamiti

MoHFW Ministry of Health and Family Welfare RSBY RashtriyaSwasthyaBimaYojana

MoU Memorandum of Understanding SPMU State Program Management Unit

NFHS National Family Health Survey TB Tuberculosis

NGO Non-Governmental Organization ToR Term of Reference

No. Number TSC Tota l Sanitation Campaign

NPSP National Polio Surveillance Project TT Tetanus-toxoid

NRHM National Rural Health Mission U5MR Under-5 Mortality Rate

NSSO National Sample Survey Organization UCHC Urban Community Health Centre

NUHM National Urban Health Mission UFWC Urban Family Welfare Centre

OBS/GYN Obstetrics/Gynecology UHC Urban Health Centre

OPD Out Patient Department UHND Urban Health & Nutri tion Day

PFS Pre Fi l led Syringe UHP Urban Health post

PHC Primary Health Centre UIP Universal Immunization Program

PHN Publ ic Health Nurse ULB Urban Local Body

PIP Project Implementation Plan UPHC Urban Primary Health Centre

PMU Project Management Unit UNICEF United Nations Children’s Fund

PPP Publ ic Private Partnership WHO World Health Organization

SUMMARY OF THE CITY NUHM PLAN : About Mathura:

The city of Mathura in Uttar Pradesh, the nucleus of Brajbhoomi, is the land of Lord Krishna, where he was born

and spent his colorful youth. Mathura is his torically significant as well, attaining the peak of its glory under the Kushan

Empire. The birth place of Lord Krishna, "the best known, best loved and most complex of Lord Vishnu's manifestations" :

Mathura is today an important place of pilgrimage Before the advent of Buddha the territory that Mathura is located in was

called Surasena. In Buddhist l iterature Mathura is called Madhura. It was also known as Mathera. Mathura was a

prosperous city and the capital of a large territory. A Buddhist center was established in Mathura during the reign of the

Mauryas dynasty. This center existed for a few centuries. Emperor Ashoka made many Buddha stupas in Mathura on the

bank of the Yamuna. Emperor Kaniska in the first century BC and his successors constructed many Buddhist stupas and

chaityas.

Mathura borders Rajasthan in the West, Haryana in the North, and the districts of Aligarh, Hathras and Agra in the

East and South respectively. Mathura is a major religious centre, with the Krishna JanmaBhoomi being highly r evered

among the Hindus. Thousands of pilgrims visit this holy place throughout the year. Other important places of interest

include the Dwarkadheesh temple, Vishram Ghat, Jama Masjid and the museum. Mathura is full of stories of Krishna, his

birth and the part of his l ife he spent there with Radha Rani. The land of Braj starts from Kotban near Hodel about 95 km

from Delhi and

ends at Runakuta which is known specially for its association with the poet Surdas, an ardent Krishna devotee long line of

picturesque ghats - with their steps leading to the water's edge, arched gateways and temple spires extending along the

right bank of the River Yamuna, emphasise the sacred character of the town of Mathura.

Location & Geographical Area:

Mathura geography has a major influence on its climate and topography. Mathura lies between the coordinates

27°41'North latitude and 77° 41 ' East longitudes. This city in Uttar Pradesh is located on the beautiful banks of the river

Yamuna. Mathura, popularly known as Brajbhoomi is 145 km south of the capital city of New Delhi. The holy city is just 50

km from Agra, where the beautiful Taj Mahal is located. Mathura and Brij Bhumi is the alternative name of Birth place of

loard Shri Krishna and Radha Rani. Mathura without Lord Krishna is l ike Bethlehem without Christ. Mathura is located on

the western bank of river Yamuna at latitude 27 degree 41 Minute N and 77 Degree and 41 Minuet E. Mathura city is

located at a distance of 145 km south-east of Delhi and 58 km north-west of Agra in the state of Uttar Pradesh.

Topography:

Mathura is a city in the North Indian state of Uttar Pradesh. It is located approximately 50 km north ofAgra, and

145 km south-east of Delhi; about 11 kilometers from the town of Vrindavan and 22 kilometers from Govardhan. It is the

administrative centre of Mathura District of Uttar Pradesh. During the ancient period, Mathura was an economic hub,

located at the junction of important caravan routes. Today, it is a fast expanding city with over 2.5 mill ion residents.

Strategic importance:

Mathura is the home for Indian I Corps (Strike Formation) within the Indian Army's Central Command, hosting

Strike . C orps headquarters in a large classified area in the outskirts of the city known as Mathura Cantonment (Central

Command itself has its headquarters at Lucknow). It hosts Strike Infantry units, Air Defence units, Armoured Divisions,

Engineer brigades, Ariti l lery Units and classified units of Strategic Nuclear Command. Corps I is primarily responsible for

western borders of India. In 2007 during Exercise Ashwamedha, all the armoured, artil lery and infantry divisions performed

a simulation of an overall NBC (nuclear-chemical-biological) environment. The aim was to show operational ability in high

intensity, short duration and 'sudden' battles.

Demographic indicator:-

Mathura city with a population of 6.95 Lakh (Census, 2001) is one of the seventy four districts of Uttar Pradesh

(UP) with huge slums population i.e. 67% of total city

population. Mathura city is having a total number of

100 listed and 12 unlisted slums. The total population

of slums as per DUDA and UHI mapping listing is 4.77

lacs with a decadal growth of 22.53% (Census 2011).

Health scenario of city –

Existing Health infrastructure has its l imitation to cater

the rapidly growing urban population and their health

needs. Presently health services for urban population is

being provided by four Urban health posts created

under Urban RCH in 2013 and two urban family welfare centers running through state budget. The condition of Urban

Family Welfare Centers is not good to provide service. Most of the services from UFWCs are being provided through

outreach as one of them has no building and other one is running from a poor condition bui lding. Other than these primary

health facil ities; one District hospital, one District women hospital, one District combined hospital and one Post-partum

Centre is (FRU). Routine immunization services for pregnant women and children are being provided at Anganwadi centers

by deputing ANMs from rural areas. Mathura city is having 350 ICDS centers.

According to AHS, 2010-11,Infant Mortality Rate of Mathura is 46, Neonatal Mortality Rate is 35, Under five

mortality is 61, Maternal mortality Rate as per SRS is 281. Crude Birth Rate (AHS, 2010-11) 22.7, Crude Death Rate (2010-

11)(AHS, 2011) is 7.8 and Total Fertil ity Rate as per NFHS-3 is 3.7.The overall CPR of Mathura is 29.4% (any modern

method) which mostly includes female steril ization,

condom and pills. The DLHS-3 estimates the unmet

Family Planning need in Mathura is 38.9%, comprising

9.8% unmet need for spacing methods and 29.1% unmet

need for l imiting methods.

1. CITY PROFILE

Name of the City: Mathura

Status of the city: District headquarter

The Urban Health Plan of the Mathura ci ty has been made to improve the health condition of the urban poor communities

by provision of quality health care services through government, NGOs and civil society organizations. The program

implementation plan is prepared based on experiences of urban health initiative program of different cities and emerging

need of the Mathura city.

Situation of the Urban Poor

The environmental condition of some of the slums in Mathura was appalling, because of the open drains which are often

used for urination and defecation. The slum women perceive pregnancy as a natural process associated with risks, which

every woman undergoes in her l ife. Untrained dais, family members and relatives conduct most of the deliveries at home.

Women are taken to hospital, when it becomes unmanageable by the birth attendant to safely carry out the delivery at

home.

Majority of the surveyed slum population were daily wage earners, with a few engaged in business related activities, i .e.,

manufacturing of sports goods (cricket bats, wickets, etc.). Most women who work outside the home were domestic maids

in the surrounding areas. Living conditions vary from il legal settlements with kutchahouses, to low rent dwellings, or owned

concrete houses. The slum areas are characterized by high popul ation density and extremely poor sanitation and hygiene

conditions.

Table 1: Demographic Profile

1.1. (Mathura)

Total Population of city (in lakhs) 349,909

Slum Population (in lakhs) 259,434

Slum Population as percentage of urban population 74%

Number of Notified Slums 100

Number of slums not notified 12

No. of Slum Households 51,887

No. of slums covered under slum improvement program (BSUP,IDSMT,etc.) 43

Number of slums where households have individual water connections* 112

Number of slums connected to sewerage network* 0

Number of slums having a Primary school 18

No. of slums having AWC 112

No. of slums having primary health care facil ity 6

DUDA survey

PCA - Census 2011

1.2. Vrindavan

Total Population of city (in lakhs) 0.63

Slum Population (in lakhs) 0.63

Slum Population as percentage of urban population 100

Number of Notified Slums 100

Number of slums not notified -

No. of Slum Households 12,600

No. of slums covered under slum improvement program (BSUP,IDSMT,etc.) -

Number of slums where households have individual water connections* -

Number of slums connected to sewerage network* -

Number of slums having a Primary school -

No. of slums having AWC -

No. of slums having primary health care facil ity -

1.3. Kosi Kalan

Total Population of city (in lakhs) 0.60074

Slum Population (in lakhs) 0.10625

Slum Population as percentage of urban population -

Number of Notified Slums -

Number of slums not notified -

No. of Slum Households 2125

No. of slums covered under slum improvement program (BSUP,IDSMT,etc.) -

Number of slums where households have individual water connections* -

Number of slums connected to sewerage network* -

Number of slums having a Primary school -

No. of slums having AWC -

No. of slums having primary health care facil ity -

Health Infrastructure in the City

Population of Mathura city is being served by health services of Department of health and family welfare, some of

the charitable hospitals and numerous private hospitals and nursing homes.

Table 2: Health/Morbidity Profile of the City:

Sl. No.

Name of Disease/ cause of morbidity (e.g. COPD, trauma, cardiovascular disease etc.)

Number of cases admitted in 2012 - 13

Remark

1 Injuries and Trauma 1833 Information as per District Male & Combined Hospital, Mathura

2 Self infl icted injuries/suicide 45 As per District Combined Hospital

3 Cardiovascular Disease 1096 As per District Male Hospital

4 Cancer (Breast cancer) NA Not Applicable

5 Cancer (cervical cancer) NA Not Applicable

6 Cancer (other types) NA Not Applicable

7 Mental health and depression 5 As per District Combined Hospital

8 Chronic Obstructive Pulmonary Disease (COPD)

1610 Information as per District Male & Combined Hospital, Mathura

9 Malaria 154 Information as per District Male & Combined Hospital, Mathura

10 Dengue NA Not Applicable

11 Infectious fever (l ike H1N1, avian influenza, etc.)

NA Not Applicable

12 TB 113 As per District Combined Hospital

13 MDR TB 26 As per District Combined Hospital

14 Diarrhea and gastroenteritis 2286 Information as per District Male & Combined

Hospital, Mathura

15 Jaundice/Hepatitis 339 As per District Combined Hospital

16 Skin diseases 115 As per District Combined Hospital

17 Severely Acute Malnourishment (SAM) NA Not Applicable

18 Iron deficiency disorder 151 Information as per District Male & Combined

Hospital, Mathura

19 Others 398 As per District Combined Hospital

20 Others – IMAX 863 As per District Women Hospital

21 Blood Transfusion 258

Type of Facilities

Government Health Facilities

Type of Facilities Number

First Tier (Primary Health Care Facilities)

Urban Family Welfare Centre 2

Urban Health Post 4

ESI Dispensary 1

Railway Hospital 1

Police Hospital 1

Second Tier Facilities

District Hospital 1

District Women Hospital 1

District combined Hospital 1

Post Partum Centre 1

Military Hsopital 1

Private Health Facilities

Private Maternity /Nursing Homes 30

NGO/ not for profit/ Charitable 3

Key issues:

High number of slum population

Unregistered slums.

Migratory population

Lack of existing health facil ities

Current Health programs:

Janani SurakshaYojana

Family planning

Routine immunization and Pulse polio

DOTS

National Leprosy Eradication Program

Blindness control program

BalswasthyaPoshanMah

Table 3: Listing of Slums

Listing and Mapping of slums:

Sl.n

o.

Wa

rd no.

Name of the

slum

Popula

tion

Quality

of housing

Quali

ty of sanitation

Status

of water supply

Location and

distance of nearest AWC * ( All AWC distance is

Location

and distance of nearest Primary

Location and

distance of nearest Primary

(kutcha

/pucca/mixed)

(IHL,c

ommunity toilet

s, OD)

(Piped,

Hand pumps, open

wells, none)

approximate as 500

Mtr)

School *(All

School distance is approximate

as 500 Mtr)

Health

Centre/UHP/UFWC *(All Facil ity

distance is approximate as 500 Mtr)

1 1 Bharatpur gate 9882 1482 1647 1591 AWC - Shruti Jha

MaharshivalmikiPri.

Sch.,Bharat pur gate

2 1 Takhailagali 8946 1421 1426 1440

3 1 Machlimandi 2670 400 385 397 AWC - WalaSaini

4 2 Dareci road 16200 2500 2575 2640 AWC - SarlaChoudhary

5 2 Haiza hospital 14400 2200 2280 2292 Haiza Hospital

6 3 Manoharpura 25728 4031 4097 3913

AWC - Mala Saini, Geeta, Madhu,

Munni Devi (H), Prembati (H), Tehzib Fatima, Manju Rani, KuntiGauram,

Kamlesh (H)

Manoharpur

a

7 4

ShivpuriRamnag

ar 6000 900 950 900

AWC - Babli, Jyotsana, Preeti Chaudhary, Pushpa

Devi 8 4 ChiranjikaNagla 420 60 31 60 AWC - Kirti

9 4 Pratap nagar 9000 1400 1450 1400

AWC - Kamlesh,

SarveshKumari

10 4 Brujpenth 1800 250 250 250

11 5 Yammunapaarbrujpenth area 5400 810 630 810

12 5 Laxminagar Pratap nagar 9000 1400 775 1480

Laxmi Nagar, Yamuna Paar

13 5 Sonaitappa 3600 540 520 540

14 5 PuranaBhatta 3900 600 650 624

15 5 Mira vihar 540 80 18 80

16 5 Kalindrivihar 900 135 135 135

17 5 Abdul Navipur 30000 4500 500 4500

18 5 Ayodhyanagar 1980 300 314 300 AWC - RekhaAgrawal, Geeta Devi

19 6 Rani mandi 6000 950 965 912 AWC - SarojKumari Rani Mandi

20 7 Bankhandi 1638 251 258 251

AWC - SobhaSaraswat,

Bhumika, Rekha

21 7 KathothiKuan 1536 234 242 234 ChahKatauti

22 7 BhainsBhaura 696 105 116 105 AWC - vandanaSaini, Nirmala Devi, Sunita

Sl.n

o.

Wa

rd no.

Name of the

slum

Popula

tion

Quality

of housing

Quali

ty of sanitation

Status

of water supply

(Piped, Hand pumps, open

wells, none)

Location and


approximate as 500 Mtr)

Location


School *(All School distance is approximate

as 500 Mtr)

Location and


Health Centre/UHP/UFWC *(All Facil ity


(kutcha/pucca

/mixed)

(IHL,comm

unity toilets,

OD)

23 7 KishanTeela 1176 177 196 177 AWC - GouriSaini, Mamta Sharma

24 7

BhairogaliBharat

pur gate 480 70 0 51

BhairoGalibh

aratpur gate

25 7 Subhash Nagar 1560 250 50 260 AWC - Pramila, Meena, Hemlata

26 7 Santoshpura 960 150 140 160

27 7 Laxmanghad 180 25 0 5

28 8 Dandra 2795 560 479 355 AWC - Situ, Farzana

29 9 Sanjay nagar 2640 400 440 390 AWC -Vineeta Rajput, Seema

30 9 Ram nagar 3000 450 490 492

AWC - Preeti Chaudhary, Pushpa Devi

31 9 Shastrinagar 2640 400 435 398

AWC -Madhu

Sharma, Garima Sharma

32 11 NayaNagla 2970 446 480 483 NayaNagla

33 11 Jhingurpura 840 124 131 132 AWC - Umesh Dwivedi, Usha Devi Jhingurpura

UHP -Jhingurpura

34 11 Bahadurpura 2135 302 329 348 AWC - Snehlata, Geeta Pal

35 11 Chokichandmari 762 105 9 127

36 12 Ambedkarnagar 1320 200 150 220

AWC - Kamlesh,

Pushpa, Rajni

UFWC - Krishna

Nagar

37 12 Ram Bharosi colony 396 60 58 52

AWC - Rashmi Chaudhary, Reeta

38 12 Rajiv Gandhi nagar 480 70 48 17

39 14 Chaganpura 1650 250 0 250 AWC - Sweta Rani, Manju Rani Chaganpura

40 15 Arjunpura 900 1450 600 1500

AWC - Rani Thakur,

Rinki Devi, Mamta, Vandana Gola

41 16 Kampughat, HarijanBasti 4380 657 730 704

AWC - GeetaBraraj, Maduwala Kampughat

42 17 OmnagarPooja Enclave 5280 800 880 792

AWC - Ganga Devi, Kusum, Ambika

Sharma, Anita, UrvasiGautam, Vavita

Sl.n

o.

Wa

rd no.

Name of the

slum

Popula

tion

Quality

of housing

Quali

ty of sanitation

Status

of water supply


wells, none)

Location and



Location



as 500 Mtr)

Location and




(kutcha/pucca

/mixed)

(IHL,comm

unity toilets,

OD)

43 18 Antapada 2240 334 309 362 AWC - Koshalya Sharma Antapada

44 18 Ganralganj 15000 2250 2475 2485

AWC - SudhaJadaun,

SateyaUpadhyay

45 20 Bodh nagar 2892 458 482 482 AWC - UshaSagar

46 20 Sukhdevnagar 7524 1194 1254 1194 AWC - Rajeshwari Sharma, Madhu

UHP -

Sukhdevnagar

47 20 Ajadnagar 3576 537 596 537 AWC - Rakhi Mahaur, Reeta

48 20 Kaila nagar 660 100 110 110

49 20 BaghKazian 712 108 104 96

50 20 Navneetnagar 2170 417 434 419 AWC - Geeta Sharma

51 20 Anandlok colony 673 128 102 121

52 23 Goal Kuan 4800 700 800 700 AWC -Asha, SarveshKumari

53 23 Jaisinghpura 36000 5400 5150 5400 AWC - Mukesh Kumari Jaisinghpura

54 24 Ganeshdham 3324 499 534 499

55 24 Mohan nagar 3462 550 562 550 AWC -Babli

56 24 Ashanagar 4620 700 700 674 AWC - Sunita Singh

57 24 Bangaloni colony 2400 380 340 400

58 24 Chamunda colony 3960 600 610 570

AWC - Reetu, Rajkumari

59 24

Radheshyam

colony Pushpavihar 3300 500 500 260

AWC - Vidhya Devi, Preeti

UHP-

RadheShyam Colony

60 24 Avaghad Farm 6000 910 985 504 AWC - Niraj, Reena Ray

61 24 Kankaur 2550 402 325 402

62 25

New Radheshyam

Colony 660 100 90 55

63 25 Vikasnagar 12000 1800 1000 1800

64 25

Shankar

Shivajinagar 4620 700 270 34

AWC - ManjuKhagar,

Vinita Parihar, Kavita

65 25 Saraswatikund 6476 897 963 897 AWC - Vijay Laxmi

66 25 Govindpur 2640 400 20 102 AWC - Radha Govindpur UHP - Haiza Hospital

67 25 Ajampur 2970 450 396 495

Sl.n

o.

Wa

rd no.

Name of the

slum

Popula

tion

Quality

of housing

Quali

ty of sanitation

Status

of water supply


wells, none)

Location and



Location



as 500 Mtr)

Location and




(kutcha/pucca

/mixed)

(IHL,comm

unity toilets,

OD)

68 26 Laxminagar Birla mandir 7200 1100 720 705

AWC -Sheela, Nilam Sharma, Vijay Laxmi

Laxmi Nagar Birla Mandir

69 26 Kishorinagar 1200 180 198 150

70 26 AhilyaGanj 2310 351 365 351 AWC - Saroj

71 27 Narayanpuri 2400 350 360 400 Narayanpuri

72 27 Dhaulipiyauharijanbasti 900 50 5 150

AWC- JyotiBaghel, Snehlata DhauliPyau

73 28 Malpura 6000 900 800 895 AWC - Poojashukla

74 28 Govind Ashram 6000 900 950 960

75 31 MayaTeela 900 125 150 113

AWC- Mamta

Agrawal, Sarita Ruhela

76 31 Halanganj 1500 225 250 215 AWC - Nilam Sharma

77 32 Gopalnagar 2115 385 423 388 AWC - Premlata, Sumanlata

78 32 Naglachandrabhan 1950 300 81 78

79 32 Shankarpuri, Naglashivji 6200 1100 480 1065

80 32 Natwarnagar 12200 2000 2200 1880

AWC-

KalpanaPachauri, PoonamBhiromani, KalpanaGautam

81 35 Badpura 2232 372 312 326

AWC- Beena, Pushpa Sharma, Mala Yadav,

Archanasaxena

82 35 Ambakhar 6762 1015 1100 285

83 35 Roti godam 2430 365 371 389 AWC-Anupama

84 35 Mainagadh 924 133 154 154

AWC-Mohini,

Omwati

85 36 Janakpuri 2650 424 412 339

AWC-VimlaGautam, Manju Rani, saroj Yadav, Poonam

Sharma 86 36 Ashapuri 361 76 78 76 AWC-Sunita Singh

87 36 Chandanagar 595 79 85 79

88 36 Dharmlok colony 1188 178 198 178

89 36 Sudhamapuri 270 42 45 40 AWC-Sunita Verma

90 36 Avadhpuri 552 83 92 83

91 36 Bhagwati nagar 630 99 42 99

Sl.n

o.

Wa

rd no.

Name of the

slum

Popula

tion

Quality

of housing

Quali

ty of sanitation

Status

of water supply


wells, none)

Location and



Location



as 500 Mtr)

Location and




(kutcha/pucca

/mixed)

(IHL,comm

unity toilets,

OD)

92 37 Matiya gate 9000 1354 1369 1492

AWC- Bhedlata, Radha Vashney,

Priyanka, Urmila

93 39 Pannapokhar 822 125 0 12

94 39 Devnagar 1176 196 179 196 AWC-Vinodwala 95 40 Theknarnol 2640 400 440 415 AWC-Yashoda Gupta Theknarnol

96 8 Mukerian 562 67 71 41

97 8 Dhobi Mohalla 540 95 92 81

AWC-Parwatidevi,

Kamini

98 8 JaharkhanaMohalla 2448 375 347 342

99 8 JamunaBagh colony 575 103 98 58

AWC-Jyoti, Shele Rani,

100 8 Mali Mohalla 465 90 87 91 AWC-RekhaTiwari, Meenakshi

101 Ajay Nagar 2019

102 Anandpuri 2228 NA AWC-Radha Sharma

103 Deeg Gate 1819 NA

104

Delhi wali boundary

(Hansraj Colony) 4554 NA

105

Delhi wali boundary (Shanti Kunj (Amar Colony)) 2035 NA

106

Delhi wali

boundary (Tulsi Nagar) 210 NA

107

Delhi wali boundary(Mahendra Nagar) 2420 NA

108

Dwarkesh

Colony 2488 NA

109 Indra Puri 1717 NA 110 Jyoti Nagar 2470 NA

111

Kashi Ram

Nagar 5633 NA

AWC-Usha Devi,

ReetaKulshrestha

112 Shankarpuram 415 NA

447714 65646 57524 63041 18

*Slums information as per DUDA survey 2013 (1-100) and As per UHI mapping /listing (101-112)

*Slum wise information of Vrindavan and Kosi Kala information is not available

Table 4: Overview of existing public health facilities

Sl. No.

Name & type of facility (DH, Maternity Home, CHC, other ref. hospital UFWC, UHP PHC,Dispensary etc.)

Managing Authority (Municipal Council,

State Health Department, facilities

functioning on PPP basis)

Location of Health facility

Population covered by

the facility

Services provided

Human Resources available – list type and

number of HR available i.e. ANM, LT, SN, MOs,

Specialists etc.

No. and type of equipment

available: X-ray machine, USG,

autoclave etc.

Remarks

1 District Hospital Male State

Health Mathura

7 MOs, 12 SN,

12 LT, etc

X-RAY &

Almost

2 Name of BMC Hospital NA NA Not

Applicable

Not

Applicable

3 District Women Hospital State

Health Mathura

6 Specialist,

10 SN, etc

USG, Radiant

warmer, Phototherapy etc

4 District Combined Hospital,

Vrindawan, Mathura

State

Health

Vrindawan,

Mathura

10 SN, LMO

1, MO-5, LT-1

Radiant warmer,

Phototherapy etc

Urban Health centres (Total 4 New UHP Started in 2012-13)

5

Urban Health Post - Radheshyam Colony

NRHM Radheshyam

Colony, Mathura 33445

1 MO, 1 Staff

Nurse, 1 ANM,

1Sweeper

Cum Chowkidar

IUCD Kit,

as per required RI

Sesssons, ANCs etc.

6

Urban Health Post - Sukhdev Nagar NRHM

Sukhdev Nagar, Mathura 49901

1 MO, 1 Staff Nurse, 1

ANM,

1Sweeper Cum

Chowkidar

IUCD Kit, as per required

RI Sesssons, ANCs etc.

7

Urban Health Post - Jhingurpura NRHM

Jhingurpura, Mathura 27134


ANM, 1Sweeper

Cum Chowkidar

IUCD Kit, as per

required RI Sesssons, ANCs etc.

Sl.

No.

Name & type of facility

(DH, Maternity Home, CHC, other ref. hospital UFWC, UHP PHC,Dispensary etc.)

Managing

Authority (Municipal Council,



Location of

Health facility

Popula

tion covered by

the facility

Servi

ces provided

Human

Resources available – list type and


Specialists etc.

No. and

type of equipment


autoclave etc.

Rem

arks

8

Urban Health Post - Haiza Hospital NRHM

Govind Nagar, Mathura 30865


ANM, 1Sweeper

Cum Chowkidar

IUCD Kit, as per

required RI Sesssons, ANCs etc.

9

Urban Family Welfare Centre, Krishna Nagar

State Health

Krishna Nagar, Mathura

1 MO, 2 ANM, LHV - 1

IUCD Kit,

as per required RI

Sesssons, ANCs etc.

Renovation

proposed

10

Urban Family Welfare Centre, Gandhi Park

State Health

Gandhi Park, Mathura

1 MO, 2 ANM, LHV - 1

IUCD Kit, as per required

RI Sesssons, ANCs etc.

Renovatio

n proposed

11 Nagar Palika Hospital, Mathura

Municipal Corporation

Lal School

Jamunabagh, Sadar * Only Hospital placed

1 MO (Contractual,

1 SN, 9 Other staff) * All staff attached

various department like bank, Tax

etc but nobody give services for health. Nothing

Trust /Charitable Hospital

12 BrajChikitsaSansthan Trust Dareshi Road

17 Mos, 25 SNs, 4 LT & 82

Aaya/Sweeper etc Almost

13 RamkrishnaMisssion Charitable Hospital Trust Vrindawan

6 Mos, 60 SN, 10 OT Assistant, 74

Sweeper/Dais etc. Almost

Sl.

No.

Name & type of facility

(DH, Maternity Home, CHC, other ref. hospital UFWC, UHP PHC,Dispensary etc.)

Managing

Authority (Municipal Council,



Location of

Health facility

Popula

tion covered by

the facility

Servi

ces provided

Human

Resources available – list type and


Specialists etc.

No. and

type of equipment


autoclave etc.

Rem

arks

14 Milatry Hospital MilatryHosspital

Near Tank Chauraha

Gyne, Paediatritian,

Surgeon, SNs, etc Almost

3. STRATEGIES, ACTIVITIES AND WORKPLAN UNDER NUHM

Urban Health Service Delivery Model

Mathura Urban Health Plan envisages for concerted effort to rationalize and strengthen the existing public health care

system in urban areas of the city and promote effective engagement with the non-governmental sector (profit/not for

profit) for expanding reach to urban poor, along with strengthening the participation of the community in planning and

management of the health care service delivery.

the above table.

1. Key Issues

The Eleventh Plan had suggested Governance reforms in public health system, such as Performance linked incentives and Devolution of powers and functions to local health care institutions and making them responsible for the health of the people l iving in a defined geographical area. NRHM’s strategy of decentralization, PRI involvement, integration of vertical

programs, inter-sectorial convergence and Health Systems Strengthening has been partially achieved. Despite efforts, lack of capacity and inadequate flexibil ity in programs forestall effective local level Planning and execution based on local disease priorities.

In order to ensure that plans and pronouncements do not remain on paper, NUHM UP would strive for system of accountability that shall be built at all levels, reporting on service delivery and system, district health societies reporti ng to state, facil ity managers reporting on health outcomes of those seeking care, and territorial health managers reporting on health outcomes in their area. Accountability shall be matched with authority and delegation; the NUHM shall frame model

accountability guidelines, which will suggest a framework for accountability to the local community, requirement for documentation of unit cost of care, transparency in operations and sharing of information with all stakeholders. The state will incorporate the core principles of The National Health Mission of Universal Coverage, Achieving Quality Standards, Continuum of Care and Decentralized Planning.

Following would be the issues for the cities to address: City Health Planning, Public Private Partnership, Convergence, Capacity Building, Migration, Communization, Strengthen Data, Monitoring and Supervision, Health Insurance, Information Dissemination and Focus on NCDs/ Life-Style Diseases.

After considering the available data, city scenario and analysis, the City planning team has identified issues at both servic e

delivery & demand generation level. Following are the details of issues which would be addressed through NUHM at the

city level:

1) Need of community volunteers (ASHAs) for taking up the community mobilization activities

2) Need of Mahila Arogya Samiti (MAS- a group of 10-12 women) for wider spread of information/ rights and

entitlements

3) Strengthening of ANC, PNC & identification of high risk pregnancies at community level

4) Home based care of neonates at community level

5) Promotion of institutional deliveries

6) Health education for all, especially for adolescent group

7) Complete immunization of pregnant women & children

8) Needs to strengthen the existing health care facil ities by recruiting human resources

9) Need assessment of community in health scenario

10) Need a better convergence with other programs and wider determinants

11) Need of training & capacity building of human resources

12) Need of Strengthened program management structure at district level

13) Need of intensive baseline survey to start the community processes and identifying local needs

14) Involvement of local bodies in decision making and managing the program locally

15) Gap analysis of HR & recruitment

16) Promotion of family planning methods through basket of choice approach & counselling because unmet need for

family planning is high in Mathura.

17) Management of communicable & non- communicable diseases

18) Strengthening AYUSH

19) Constitution of BSGY team for urban areas.

20) Identification & management of SAM children

2. Strategies, Activities and Work plan

The key overarching strategies under NUHM for 2013-14 include data based planning, strengthening of management and

monitoring systems at the state and district level, improving the primary health care delivery system and community outreach through ASHAs, MAS and Urban Health and Nutrition Days (UHNDs).

The key activities at the district level will include convergence with key urban stakeholders, sensitization of ULBs on their role in urban health, strengthening UPHCs for provision of primary health care to urban poor, community outreach through

selection, training and support to ASHAs and MAS, conducting UHNDs and outreach camps to get services closer to the community and reach complete coverage of slum and vulnerable populations.

With the aim to improve the health parameters of urban population in the city, structures and strategies as recommended for the NUHM in its framework will be adopted and operationalized rapidly over the years.

Listing and Mapping of Households in slums and Key Focus Areas

Listing and mapping of households will provide accurate numbers for population their family size and composition residing

in slums. Currently, estimates of population residing in slums are available from District Urban Development Agency (DUDA) and National Polio Surveillance Project as the immunization micro plans (under NPSP) provide updated estimates of slum and vulnerable populations and are expected to be fairly complete. The current plan for covering slums is based on the currently available data of urban population of each city.

Once the ASHA are deployed they will l ist all households and fi l l the Slum Health Index Registers (SHIR) including the

number and details of family members in each household. This data will be compiled for city and will provide the population composition of slums and key focus areas. This will also help the urban ASHA know her community better and

build a rapport with the families that will go a long way in helping her advocate for better health behaviours and link communities to health facil ities under the NUHM. It is expected that once the household mapping is completed in cities, the number of ASHAs will be reviewed and adjusted upwards or downwards and the geographical boundaries of the

coverage area for each ASHA would be realigned. This is due to the reason that the a ctual population may be higher or lower than the original estimate used for planning.

Facility Survey for gaps in infrastructure, HR, equipment, drugs and consumables

Facility survey will be carried out in the public facil ities to assess the gaps in infra structure, human resource, equipment, drugs and consumables availability as against expected patient load. Further planning, particularly for UCHCs, will be based on these gaps. This work will be outsourced to a research agency. Development Partners l ike Health of the Urban Poor project will technically support this effort.

Baseline Survey

The state envisions monitoring progress in health indicators in urban areas and among urban poor over the period of

implementation of NUHM. This proposed Baseline survey will generate data on the health and related indicators which will be reviewed during the course of implementation of the program to assess the impact of implementation and necessary course corrections can accordingly be made and use of resources can be optimised.

Training and Capacity Building

ULB, Medical and Paramedical staff, Urban ASHAs and MAS will be trained. The trainings will have to be followed by periodic refresher trainings to keep these frontline health workers motivated. NUHM will engage wi th development organisations to develop the training modules and facil itate the trainings.

Monitoring & Evaluation

The M&E systems would also capture qualitative data to understand the complexities in health interventions, undertake periodic process documentation and self evaluation cross learning among the Planning Units to be made more systematic.

The Monitoring and Evaluation framework would be based on triangulation of information. The three components would be Community Based Monitoring, HMIS for reporting and feedback and external evaluations.

Strengthening of health facilities

Urban Community Health Centre (U-CHC)-

UCHC would be established/ set up for every 4-5 U-PHCs and shall be initiated with upgrading of the existing 8 BMCs which

are functioning efficiently in the city. Since these facil ities fall short of the services envisaged to be provided by the CHCs, they are being proposed to be strengthened in terms of induction and deployment HR and provision of necessary medical equipment. Further strengthening of the facil ities will be undertaken in the subsequent years.

Urban - Primary Health Centre (U-PHC) –

During the first year of implementation of the program, the existing urban health posts (26 NRHM funded + 11 state funded) will be attempted to be strengthened. Towards this, the UHPs existing in rented accommodations will be shifted to adequately larger premises which would help in rendering the mandated services. A provision of Rs. 10,000/ - per month per UPHC is being proposed for immediate service provision capacity enhancement, but over the period of time the said

rented accommodations will be shifted to owned premises for sustained services. Accommodations belonging to other stakeholder government l ine departments will be explored and then a dopted after entering into necessary agreements/ arrangements with the said department.

Targeted intervention for urban poor –

The process of l isting of households in the KFAs, mapping of KFAs and health facil ities and baseline survey of the KFA households will help determine the scope and extent of services required for targeting of the urban poor. A deliberate effort will be made to identify the vulnerable poor on the basis of their residence status, occupational status and social

status, besides other micro-level indicators, which will further help focusing the health care services to the most deserving.

Mahila Arogya Samiti (MAS)-

MAS will act as community based peer education group in slums, involved in community mobilization, monitoring and referral with focus on preventive and promotive care, facil itating access to identified facil ities and management of grants

received. Existing community based institutions could be util ized for this purpose. City planning team is proposing formation of only one MAS under each ASHA in the first year and the identification of the remaining planned MAS will be undertaken in the subsequent years.

ASHA-

For reaching out to the households ASHAs (frontline community worker) would serve as an effective and demand –generating l ink between the health facil ity and the urban slum population. Each link worker/ASHA would have a well -defined service area of about 1000-2,500 beneficiaries/ between 200-500 households based on spatial consideration.

Outreach services –

Outreach services will be provided to the slum areas and KFAs through ANMs who would be responsible for providing preventive and promotive healthcare services at the household level through regular visits and outreach sessions. Each ANM will organize a minimum of one routine outreach session in her area every month.

Special outreach sessions (for slum and vulnerable population) will be organized once in a week in partnership with other health professionals (doctors/ pharmacist/ technicians/ nurses – government or private). It will include screening and follow-up, basic lab investigations (using portable /disposable kits), drug dispensing, and counselling. The outreach sessions

(both routine and special outreach) could be organized at designated locations mentioned in the aforesaid paras in coordination with ASHA and MAS members

Innovations –

An urban specific IEC strategy covering urban contexts would be developed, field tested and then applied to cover RCH.

The IEC plans should especially focus on interpersonal or group communication which would include a description of expected behaviour change in different community segments. For effective tracking of its implementation, benchmarks and milestones would be developed.

School Health Services

School health program under NUHM has been an important component to provide not only the preventive and curative services to children but also to ensure their contribution in overall health development of the urban communities. It is

envisaged that the active involvement of children in the program will enable them to be a change agent for themselves as well as communities by taking home good knowledge and practices in terms of preventive health care activities. It is planned that children will be engaged through innovative and creative actions to make the learning entertaining and educational.

Objective: To evolve innovative ways to involve children in preventive health care activities to make them a change agent for them and their families. Innovation: An activity called SEEKH (Systematic Effort to Ensure Knowledge on Health) will be implemented in each urban

government school for active involvement of children based on two way education and learning package. Process: To ensure the participation of each and every children in proposed activity, the following process and flow is planned and will be implemented:

A small booklet on primary health information will be developed (or leveraged from SALONI program) for school

going children.

The school health team will distribute the booklet to students during their visit to schools and children will have to

read the booklet in 45 minutes (we can call it SWASTHYA CLASS).

The reading will be followed by fi l l ing up a small questionnaire in 15 minutes

All the students participating in the activity will receive a batch with tagline “Member-Baal Swasthya Sena”.

The three top scorer children will be rewarded as “Nayak-Baal Swasthya Sena” and will be known as class monitor

ti l l the next round

These three will be responsible to ensure that all students are aware about mentioned good health practices

They will also follow up with students that they are talking these points at their households and practicing good

practices (such as Hand wash, Personal hygiene etc)

PPP & CSR –

For Mathura city a few innovative interventions have been planned. Interventions performed under Public Private Partnership (PPP) arrangements and Corporate Social Responsibiltoy (CSR) will be undertaken with the intent to evolve successful models for health care delivery to the urban poor.

Convergence –

Intra-sectoral convergence is envisaged to be established through integrated planning for implementation of various health programmes like RCH, RNTCP, NVBDCP, NPCB, National Mental Health Programme, National Programme for Health Ca re of

the Elderly, etc. at the city level. Inter-sectoral convergence with Departments of Urban Development, Housing and Urban Poverty Alleviation, Women & Child Development, School Education, Minority Affairs, Labour will be established through city level Urban Health Committees headed by the Municipal Commissioner/ Deputy Commissioner/ District Collector.

Activity Plan under NUHM for the state and cities

Act. No.

Activity

Responsibility Months : October'13 - March'14 Remarks

State level

City level O

ct.

No

v.

De

c

Jan

Feb

Mar

1 Induction of city level staff for Urban Health program

2 Meeting of DHS for establishment of City Program Management Committee (UH)

3 Sensitization of new probable members

on NUHM

4 Identification of NGOs for their role under NUHM

5 Establishment & orientation of City Program Management Committee (UH)

6

Identification of groups, collectives formed under various govt. programs (like NHG under SJSRY, self help groups etc.) for MAS

7 Organize meetings with women in slums

where no groups could be identified

8 Formation and restructuring of groups as per MAS guidelines

9 Orientation of MAS members

10 Selection of ASHAs

10 a - Selection of local NGOs for ASHA selection facil itation

10 b - Listing of local community members as

facil itators by NGOs

10 c - Listing of probable ASHA candidates and finalize selection

11 Convergence meeting with govt.

Stakeholders

12 Mapping & listing exercise (for health

facilities and slums)

12 a

- Mapping of all urban health facil ities

(public & pvt.) for services

To

continue in 2014-15

12 b

- Mapping of slums (l isted and unlisted)

To

continue in 2014-15

12 c

- Houselisting of slums/ poor settlements

To continue

in 2014-15

13 Planning for strengthening of health

facilites/ services

- Health Facil ity Assessment (of public facil ities including listing of public facility wise infra & HR requirement)

To continue in 2014-

15

14 Baseline survey of urban poor/ slums (KFAs)

(to determine vulnerability, morbidity

pattern & health status)

15 Meetings of RKS for all the public health

facilites under NUHM

16

Identification of alternate/ suitable locations for UPHCs under various urban

devp. Programs

To continue

in 2014-15

17 Strengthening of public health facilities

- Selection, training and deployment of HR in pub. health facil ities

To continue

in 2014-

15

18 IEC activities

19 Outreach camps & UHNDs (from existing UHPs)

20

Empanelment of Private Health Facilities for health care provisioning

To continue

in 2014-15

21 Involvement of CSR activities

3. Program Management Arrangements

Districts Heath Society will be the implementing authority for NUHM under the leadership of the District Magistrate. District

Program Management Units have been further strengthened to provide appropriate managerial and operational support

for the implementation of the NUHM program at the district level.

District Health Society under the chairmanship of the District Magistra te as the implementing authority for NUHM

Fund flow mechanisms have been set up and separate accounts will be opened at in the district for receiving the

NUHM funds.

Urban Health will be included as a key agenda item for review by the District Health Soci ety with participation of city

level urban stakeholders.

An Additional / Deputy CMO has been designated as the nodal officer for NUHM at the district level. The District

Program Management Unit will co-opt implementation of NUHM program in the district and the District Program

Manager will be overall responsible for the implementation of NUHM. To support this the following additional staff and

funds are proposed for strengthening the District Program Management Units for implementing NUHM:

a. Urban Health Coordinator, Accountant and Data Entry Operators according to the following norms:

District total Urban

population

Additional Staff Proposed

1lakh to 10lakhs 1 Urban Health Coordinator,1 Accountant and 1 Data Entry Operator

b. District Program Manager will be nodal for all NUHM activities so extra incentive and budget for 1 laptop to

each DPM has been proposed for DPM for undertaking NUHM activities.

c. A onetime expense for computers, printer and furniture for the above staff has been budgeted along with the

recurring operations expenses.

d. Onetime expenses have been budgeted for up-gradation of the office of Additional/ Deputy CMO and District

Program management Unit.

The City Program Management Committee will function as an Apex Body for management of the Ci ty Health Plan, which will lead to delivery of Maternal, Newborn, Child Health and Nutrition (MNCHN) and water, sanitation

and hygiene (WASH) services to the urban poor and will work towards the following objectives:

1. Establish a forum for convergence of city level stakeholders for the delivery of MNCHN and WASH services to the

urban poor.

2. Serve as the nodal body for the planning and monitoring of MNCHN and WASH service delivery to the urban poor.

3. Provide a forum for exploring, reviewing and approving PPP initiatives and innovations to address the gaps in

MNCHN and WASH service delivery to the urban poor.

The structure proposed for the City Coordination Committee :

Chairperson - DM/ Municipal Commissioner Convener - CMO Members – Health - ACMO-Urban

Member – ICDS - CDPO Member – Nagar Nigam - Sum Improvement Officer Member – Water & Sanitation - Sup. En. / Ex.En. JalKal Vibhag, Nagar Nigam Member DUDA & UD - Project Officer

Member – ESIC - ESIC Hosp. Superintendent Members – School Education - BSA & DIOS Members – Dev. Partners - Partners working in urban health sector (Janani, PSI, HLFPPT)

Coordinator - Lead Development Partner - UHI

Review Meetings at UPHC and City Level

Nature of Meeting Periodicity Meeting

Venue

Participants

Mahila Aarogya Samiti

Meeting

Once a month for

each MAS

Slum ANM, HV, Community Organizer, Social

Mobilization officer

Review meeting with Link workers and MAS representatives

Once a month UPHC All ANMs, PHN, LMO, Community Organizer, Social Mobilization officer

Meeting of UPHC Coordination Committee

Once a month UPHC LMO, PHN/Community Organizer, Social Mobilization officer,

representative from 2nd

tier facil ity, and reps. From other departments

Meeting with CMO & UH Program Coordinator

Once a month CMO Office

CMO, Program Coord., Asst. Program Coordinator, LMO/ PHN/ Community

Organizer, Social Mobilization officer City Task Force Meeting Once in two months DM’s

office

CMO, Program Coord. UH, Various

departments’ reps. , private partners, NGOs

CITY LEVEL INDICATORS & TARGETS

Mathura

Processes & Inputs

Remarks Indicators

Baseline

(as applicable)

Number Proposed

(2013-14)

Number

Achieved

(2013-14)

Community Processes

1. Number of Mahila Arogya Samiti (MAS) formed * 0 282

2. Number of MAS members trained * 0 2820

3. Number of Accredited Social Health Activists (ASHAs) selected and trained *

0 141

Health Systems

4. Number of ANMs recruited * 0 25

1 UPHCs = 5 ANM

5. No. of Special Outreach health camps organized in the slum/HFAs *

0 35

6. No. of UHNDs organized in the slums and vulnerable areas * 0 282

7. Number of UPHCs made operational * 0 7

8. Number of UCHCs made operational * 0 0

9. No. of RKS created at UPHC and UCHC * 0 7

10. OPD attendance in the UPHCs

11. No. of deliveries conducted in public health facilities

RCH Services

12. ANC early registration in first trimester (expected) 31704

As per CBR Urban Mathura (Source

AHS-2011)

13. Number of women who had ANC check-up in their first trimester of pregnancy (expected)

31704

14. TT (2nd dose) coverage among pregnant women (expected) 31704

15. No. of children fully immunised (through public health facil ities)

31704

16. No. of Severely Acute Malnourished (SAM) children identified and referred for treatment

NA

Communicable Diseases

17. No. of malaria cases detected through blood examination 154 NA

18. No. of TB cases identified through chest symptomatic 113 NA

19. No. of suspected TB cases referred for sputum examination NA

20. No. of MDR-TB cases put under DOTS-plus 26 NA

Non Communicable Diseases

21. No. of Diabetes cases screened in the city NA

22. No. of Cancer cases screened in the city NA

23. No. of Hypertension cases screened in the city NA

Vrindavan

Processes & Inputs

Remarks Indicators

Baseline (as

applicable)

Number Proposed

(2013-14)

Number

Achieved

(2013-14)

Community Processes



3. Number of Accredited Social Health Activists (ASHAs) selected and trained *

0 4

Health Systems


1 UPHCs = 5 ANM

5. No. of Special Outreach health camps organized in the

slum/HFAs * 0 6





Kosikalan

Processes & Inputs

Remarks Indicators

Baseline (as

applicable)

Number Proposed

(2013-

14)

Number

Achieved

(2013-14)

Community Processes



3. Number of Accredited Social Health Activists (ASHAs)

selected and trained * 0 12

Health Systems


1 UPHCs = 5 ANM

5. No. of Special Outreach health camps organized in the slum/HFAs *

0 6





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