Situation Analysis for BLOCK Health Action Plan Name of the Block- Ratni-Faridpur. By: - Medical officer incharge.

Transcription

1 Situation Analysis for BLOCK Health Action Plan Name of the Block- Ratni-Faridpur. Date By: - Medical officer incharge. E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 1 of 76

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3 Preface It is out pleasure to present the Ratni-faridpur Block Health Action Plan for the year The Block Health Action Plan seeks to set goals and objective or the Block Health system and delineate implementing process in the present context of gaps and opportunities for the Ratni Faridpur Block Health team. National rural Health Mision was introduced to undertake architectural corrections in the public Health System of India. Block Health action plan is an integral aspect of National Rural Health Mission, Block Health Action Plan are critical for achieving decentralisation, interdepartmental convergence, capacity building of health system an most importantly facilation people,s part icipation in the health systm s protrammes. Block health Action planning provides opportunity and space to creatively design and utilize various NRHM initaatives such as Flexi context of Ratni Faridpur. I am Very glad to share that all th BHM, MOIC & RKS OF th block along with key block level fuctionaries participation in th planning process. The plan is a result of collection knowledge of each of the block health system functionary. We are sure that the plan wil set a direction and give us an impetus to embark on our mission. E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 3 of 76

4 1. Intoduction 2. Profile of Ratni-Faridpur Table of contents 3. Summary of BHAP process in Ratni- Faridpur 4. Health Profile of Ratni-Faridpur 5. Situation analysis of Health Facilities 6. Situation analysis HSC level Infrastrucre 7. Situation analysis APHC level Infrastructure & Human resource 8. Situation analysis Support Services at PHC 9. Situation anlalysis Block Hospital 10. Reproductive and child Health 11. Situartion analysis ASHA Training 12. Community Participation 13. Capacity Building and Tratining E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 4 of 76

5 Introduction The Naitonal Rural Health Mission (NRHM) is a comprehensive programme launched by Government of India to bring about architectural corrections in the health care delivry systems of India. The NRHM seeks to address existing gaps in the nationa public health system by introducing innovation, community orientation decentralisation. The mission aims to provide quality health care srvices to all section of societ, especially for those residing in rural areas. Women and children, by increasing th resources available tor the public health system optimizing and synergizing human resources, reducing regional imbalances in the health infrastructure. Decentralization and block level management of the health and community participation as well as ownership or the health initiatives. The mission in its approach links various determinats such as nutrition, water and sanitation to improve health outcomes of rural India. Th NRHM regards block level health planning as s significant step achieving a decentralized propor and efficient public health system. Block level health planning and management facilitate improvement of health systems by 1) addressing the local needs and specificities 2) enabling decentralization and public participation smf 3) facilitating interdepartmental convergence at the block level. Rather than funds being allocated to the States for implmetation of the programmes developed at the central government level, NRHM advises states to prepare their perspective and annual based plans on the block health plans developed by RKS. The concept of BHAP Recognises the wide variety and diversity of health needs and interaventions across th block. Thus it internalizes structural and social diversities such as degree of urbanization, endemic diseases, cropping patterns, seasonal migration trends, and the presence of private health sector in the planning and management of public health systems. One area requiring major reforms is the coordination between various departments and vertical programmes affecting determinants of health. BHAP seeks to achieve pooling of financial and human resources allotted through various central and state programmes by bringing in a convergent and comprehensive at the block level. E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 5 of 76

6 Summary of BHAP Process in Ratni-Faridpur The Block Health Action Plan of Ratni-Faridpur has been prepared under the guidance of th MOIC, BHM, Inc. N.P., Block Programme Mangement Unit (BPMU) Rogi Kalyan Samiti, Block Health Educator, the various M.O- PHC ANM & ASHA As well as other concerned departments under a participating process. The field staff of the department have also played significant role. Public Health Resource Network has provided technical assistance and drafting of various components of this plan. Summary Of The Plannig Process Training of block team for preparation of BHAP Preliminary meeting with MOIC Inc. N.P, MO & BHM,ANMCDPO alon with other concerned programme officials Data Collection for situation Analysis- MOIC Inc. N.P,MO and BHM,ANM,CDPO MEETING chaired by MOIC Consultations with PHC,APHC & HSC staff Writing of situation analysis Block Planning workshop to review situation anlysis outline of block health plan-the meeting was chaired by MOIC. The workshop was attended by MOIC,ICNP,MO,ANM,BHM and othe key health functionaries at the block level. E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 6 of 76

7 Situation Analysis of Health Facilities The three tiers of the Indian public health system, namely village level sub cetre, Additional Priamary Health Centre and Priamry Health Centre were closely studied for the block of ratni faridpur on th basis of htree crucial parameters: 1) Infrastructure 2) Human resources and 3) Services offered at each health facility of the Block. The Indian Public Health System (IPHS) norms define that a Village Health Sub centre should be present at the level of 5000 population in the plain rerions and at population in the hilly tribal retions. As most of the ratni faridpur is sitated in the plain terrain, the norm of sub centre per 5000 population is expected to be followed. A sub centre is supposed to have its own building with a small OPD area and an examination room. Sub Centres are served by an centres primary provide community based outreach services such as immunization, antenatal care services (ANC), parenatal and post natal care and management of mal nutrition, common child hood diseases and family planning. It provides drugs for minor aliments such as ARI, Diarrhoae, Fever, worm infection etc. The sub centre building is expected to have provisions for a labour room, aclinic room, an examination room, waiting area and toilet. It is expected to be furnished with essential equipment and drugs for counducting normal deliveries and providing immunization and contraceptive services. In addition equipment for first aid and emergency care, water quality testing and blood smear collection is also expected to be available. E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 7 of 76

8 The primary health centre (PHC) is required to be present at the level of 30,000 population in the plain terrain and at the level of 20,000 population in th region. A PHC is a six beded hospital with an operation room, labour room and an area fo putpatient services. The PHC provides a wide range of preventive, primitive and clinical services. The essential services provided by the PHC include attending to outpatients reproductive and child health servidces including ANC check-ups, laboratory testing during pregnancy, conducting normal deliveries, nutrition and health counseling, identification and management of high risk pregnancies and providing essential newborn care such as neonatal resuscltation and management of neonatal hypothermia and jaundice. It Provides routine immunization services and tends to other common childhood diseases. It also provides 24 hour emergency services, referral and inpatient services. The PHC is headed by an MOIC and served by two doctors. According to the IPHS norms every 24 *7 PHC is wupposed to have three full time nurses accompanied by 1 lady health worker and 1 male multipurpose worker. NRHM stipulates that PHC should have a block health manager, accountant, storekeeper and a pharmacist/dresser to support the core staff. According to th IPHS norms, a Community Health Centre (CHC) is based at one lakh twenty thousand population in the plain areas and at eithty thousand population for the hilly and tribal regions. The Community Helath Centre is a 30 bedded health facility providing specialized care in medicine, obsterics & gynaecology, surgery, anesthesia and paediatrics. IPHS envisage CHC as an institution providing expert and emergency medical care to the community. In Bihar CHCs are absent and PHC serve at the population of one lakh while APHCs are formed to serve at the population level of 30,000. The absence of CHC and the specialized health care it offers has put aheavy toll on PHC as well as district and sub E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 8 of 76

9 district hospitals. Moreover various emergency and expert services provided by CHC cannot be performed by PHC due to non availability of specialized services and human resources. This situation has led to negative outcomes for the overall health situation of the state. E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 9 of 76

10 BLOCK PROFILE No. Variable Data 1. Total area 206 Village 2. Total population Male population Female population Adolescent population (10-19yrs) Sex Ratio 927/ Child population: 0-6 months :6mn-2yrs :2-5yrs 8. SC population : Male : Female 9. ST population : Male : Female BPL population B.P.L. Family 11. No of Eligible couples Total no. of gram panchayat Total no. of revenue villages No of APHCs No of HSCs 12 E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 10 of 76

11 16. No. of Anganwadi centers No of Doctors No of ANMs No of Grade A Nurse No of Paramedicals No. of Anganwadi workers No of ASHA Total No. of SHG/ Mahila mandals No. of primary schools No. of electrified villages No. of villages having source of drinking water: Well Tube-well Pond- river Piped water Any other 27. No of villages having motorable roads 60 E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 11 of 76

12 Health Facilities in the Block INDEX Section A A.1 Infrastructure availability A.2 Infrastructure Condition Section B Section C Section D Section E Section F Section G Section H Human Resource Drugs Availability Services Provided Community Processes Training Activities BCC Monthly Meetings E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 12 of 76

13 Primary Health Centres Objecties To ensure that PHC is functional with full staff strength, functional Operation theaters, Labour Rooms, Wards and laboratory Services, adequate equipment and drugs Situation Analysis: PHC Infrastructure PHC faere well in terms of Infrastructure as compared to APHC and Health Sub Centres Ratni-Faridpur block has 1 PHC having functional OT and functional labour rooms. Yet the condition of the operation theatres and labour rooms needs to be improved in the PHC. Toilets are available in th PHC. PHC having water supply and continous availability of power. The main problem at he PHC level is not the total lack but inadequacy of facilities. As PHC Serves One lakh Fourty Seven thousand population, the level of infrastructure in terms of size of building, number of rooms, and size of wards is cleariy inadequate. The gaps arise as the infrastructure was designed to serve 30,000 populations. As a result Ratni-Faridpur PHC are able to fulfil the demand for inapatient services. E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 13 of 76

14 Section A : Infrastucture Availability and Infrastructural condition Section A.1 : Infrastructural Availability Block Primary Health Centre (BPHC) S.No BPHC Name 1 Ratni- Faridpur Population BPHC required BPHC Present BPHC proposed Further BPHC required Status of building Own Rented Own Availability of Land (Y/N) Y Additional Primary Health Centers (APHCs) S.No APHC Name Population APHC required APHC Present APHC proposed Further APHC required Status of building Availability of Land (Y/N) 1 Shakurabd Own Y 2 Nehalpur Rented N 3 Kaswan Rented N 4. Lakhapur Rented N 5. Noawan Own Y 6. Pandaul Rented N 7. Urrapatti Rented N E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 14 of 76

15 Total Health Sub Centre (HSC) No HSC Name Population HSC required HSCs present HSCs proposed HSCs required Status of building Availability of Land 1. Ratni Rented N 2. Kundila Rented N 3. Kansua Rented N 4. Murhara Own Y 5. Pokhwan Rented N 6. Saraiya Bazar Own Y 7. Sarta Rented N 8. Jhunathi Rented N 9. Dhanadihri Rented N 10. Sohraiya Rented N 11. Barheta Own Y 12. Sesamba Own Y Total E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 15 of 76

16 Section A.2 : Infrastructural Condition Block Primary Health Centre (BPHC) No 1 2 BPHC Name Ratni- Faridpur Total Building ownership (Govt/Pan/ Rent) Building condition (+++/++/#) Assured running water supply (A/NA/I) Continuous power supply (A/NA/I) Toilets (A/NA/I) Functional Labour room (A/NA) Condition of labour room (+++/++/#) No. of rooms No. of beds Functional OT (A/NA) Condition of ward (+++/++/#) Condition of OT (+++/++/#) Govt. +++ A N/A A N/A N/A Govt- Gov/ Rented-Rent/ Pan Panchayat or other Dept owned; Good condition +++/ Needs major repairs++/needs minor repairs-less that Rs10,000-+/ needs new building-#; Water Supply: Available A/Not available NA, Intermittently available-i Additional Primary Health Centers (APHCs) No APHC Name Pop ulat ion ser ved Building ownershi p (Govt/Pan / Rent) Building conditio n (+++/++/ #) Assured running water supply (A/NA/I) Continuous power supply (A/NA/I) Toilets (A/NA/I) Functional Labour room (A/NA) Condition of labour room (+++/++/#) No. of rooms No. of beds Functional OT (A/NA) Conditi on of ward (+++/++ /#) Condition of OT (+++/++/#) 1 Shakura bad 2 NEHALP UR 3 LAKHAP UR 4 KASWA N 5 PANDA UL Govt + A A A A # 4 6 N/A +++ # RENT N/A N/A A N/A # 4 6 N/A # # RENT N/A N/A N/A N/A # 4 6 N/A # # RENT N/A N/A N/A N/A # 2 6 N/A # # RENT N/A N/A N/A N/A # 2 6 N/A # # E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 16 of 76

17 6 NOAWA N 7 UTRAPA TTI Total GOVT ++ N/A N/A N/A N/A # 4 6 N/A # # RENT N/A N/A N/A N/A # 2 6 N/A # # Govt- Gov/ Rented-Rent/ Pan Panchayat or other Dept owned; Good condition +++/ Needs major repairs++/needs minor repairs-less that Rs10,000-+/ needs new building-#; Water Supply: Available A/Not available NA, Intermittently available-i Health Sub Centre (HSC) No HSC Name Po pul ati on ser ve d Buildin g owners hip (Govt/P an/ Rent) Buildin g conditi on (+++/++/ #) Assure d running water supply (A/NA/I) Continuo us power supply (A/NA/I) Toilet s (A/NA/ I) Function al Labour room (A/NA) Conditio n of labour room (+++/++/ #) No. of rooms No. of beds Residence facility for ANM (NA/ HSC/ Rent) 1 RATNI RENT ++ N/A N/A N/A N/A # 1 0 N/A ++ R-N/A Maint enanc e requir ed for reside nce (+++ / ++ /+ ) 2 MURH ARA 3 SARAI YA BAZA R 4 POKH WAN 5 KUNDI LA 6 KANS UA GOVT ++ N/A N/A N/A N/A # 2 0 N/A ++ R-N/A GOVT ++ N/A N/A N/A N/A # 2 0 N/A ++ R-N/A RENT ++ N/A N/A N/A N/A # 1 0 N/A ++ R-N/A RENT ++ N/A N/A N/A N/A # 1 0 N/A ++ R-N/A RENT ++ N/A N/A N/A N/A # 1 0 N/A ++ R-N/A E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 17 of 76

18 7 SARTA RENT ++ N/A N/A N/A N/A # 1 0 N/A ++ R-N/A 8 DHAN ADIHR I 9 JHUN ATHI 10 BARH ETA 11 SOHR AIYA TOTAL RENT ++ N/A N/A N/A N/A # 1 0 N/A ++ R-N/A RENT ++ N/A N/A N/A N/A # 1 0 N/A ++ R-N/A GOVT ++ N/A N/A A N/A # 4 0 N/A ++ R-N/A RENT ++ N/A N/A N/A N/A # 1 0 N/A ++ R-N/A Govt- Gov/ Rented-Rent/ Pan Panchayat or other Dept owned; Good condition +++/ Needs major repairs++/needs minor repairs-less that Rs10,000-+/ needs new building-#; Water Supply: Available A/Not available NA, Intermittently available-i Section B: Human Resources Block Primary Health Centre (BPHC) BPHC Name Populati on Served Doctors ANM Laboratory Technician Pharmacist/ Dresser Nurses E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 18 of 76 Specialists Acc nt/p eon s/s wee per/

19 1 Ratni- Faridpur Sanctio n In Position (R / C ) Sanction In Position ( R / C ) Sanctio n In Position Sanction In Position Sanction In Position Sanction A In Positi on Nig ht Gua rd 2 Total Allopathic (A),Ayush (Ay), Regular (R), Contractual (C)/ ANM(R)- Regular/ ANM(C)- Contractual / O- Outsourced/ I- In sourced/ NA- Not available Additional Primary Health Centre (APHC) APHC Name Populati on Served Doctors ANM Laboratory Technician Pharmacist/ Dresser Nurses Specialists Acc nt/p eon s/s wee per/ Nig ht Gua E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 19 of 76

20 rd 1 Shakurab ad Sanc tion In Positi on (R / C ) Sanctio n In Positio n (R / C ) Sanc tion In Positi on Sanctio n In Position Sancti on In Positi on Sanct ion In Pos itio n Nehalpur Kaswan Lakhapur Utrapatti Pandaul Noawan Total Allopathic (A),Ayush (Ay), Regular (R), Contractual (C)/ ANM(R)- Regular/ ANM(C)- Contractual / O- Outsourced/ I- In sourced/ NA- Not available E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 20 of 76

21 Health Sub Centre (HSC) HSC Name Population Served ANM Male Worker No. of ASHA In Sanction Sanction (R In Position Position Sanction (R / C ) / C ) (R / C ) (R / C ) 1 Ratni In Position Any helper 2 Kundila Kansua Murhara Pokhwan (FPW) Saraiya Bazar Sarta Jhunathi Dhanadihri Sohraiya Barheta E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 21 of 76

22 Total Allopathic (A),Ayush (Ay), Regular (R), Contractual (C)/ ANM(R)- Regular/ ANM(C)- Contractual / O- Outsourced/ I- In sourced/ NA- Not available Section C: Drugs Availability Block Primary Health Centre (BPHC) No. 1 2 Name of BPHC Ratni- Faridpur Ratni- Faridpur Drugs availability Stock outs last year Sanctioned Present Name of Drug Months 23 (OUTDOOR) (INDOOR 24 E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 22 of 76

23 Additional Primary Health Centre (APHC) No. Name of APHC Drugs required Stock outs last year Sanctioned Present Name of Drug Months 1 Shakurabad Kaswan Nehalpur Lakhapur Noawan Pandaul Utrapatti Health Sub Centre (HSC) E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 23 of 76

24 No. Name of HSC Drugs required Stock outs last year Sanctioned Present Name of Drug Months 1 Ratni N/A 13 2 Kansua N/A 13 3 Kundila N/A 13 4 Pokhwan N/A 13 5 Murhara N/A 13 6 Saraiya Bazar N/A 13 7 Sarta N/A 13 8 Dhanadihri N/A 13 9 Jhunathi N/A Barheta N/A Sohraiya N/A 13 Section D: Health Services Delivery Name of the BPHC No. Service Indicator Data % of children 9-11 months fully immunized 78% Child Immunization (BCG+DPT123+OPV123+Measles) % of immunization sessions held against planned 100% Total number of live births Total number of still births % of newborns weighed within one week 9% Child Health % of newborns weighing less than 2500 gm 8% Total number of neonatal deaths (within 1 month of 9 birth) E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 24 of 76

25 Maternal Care Reproductive Health Total number of infant deaths 11 (within 1-12 months) Total number of child deaths 19 (within 1-5 yrs) Number of diarrhea cases reported within the year 56 % of diarrhea cases treated 98% Number of ARI cases reported within the year 173 % of ARI cases treated 92% Number of children with Grade 3 and Grade 4 under 87 nutrition who received a medical checkup Number of children with Grade 3 and Grade 4 under 81 nutrition who were admitted Number of undernourished children 60% % of children below 5 yrs who received 5 doses of Vit A 15% solution5 Number of pregnant women registered for ANC 1925 % of pregnant women registered for ANC in the 1 st 59.9% trimester % of pregnant women with 3 ANC check ups 55.51% % of pregnant women with any ANC checkup % of pregnant women with anaemia 51% % of pregnant women who received 2 TT injections 70.52% % of pregnant women who received 100 IFA tablets 100% Number of pregnant women registered for JSY 1925 Number of Institutional deliveries conducted Number of home deliveries conducted by SBA N/A % of institutional deliveries in which JBSY funds were 100% given % of home deliveries in which JBSY funds were given 0% Number of deliveries referred due to complications 50 % of mothers visited by health worker during the first 95% week after delivery Number of MTPs conducted E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 25 of 76

26 RNTCP Vector Borne Disease Control Programme National programme for control of Blindness National Leprosy eradicaton program Number of RTI/STI cases treated % of couples provided with barrier contraceptive 83% methods % of couples provided with permanent methods 25% % of female sterlisations 95% % of TB cases suspected out of total OP 15% Proportion of New Sputum Positive out of Total New 36 Pulmonary Cases Annual Case Detection Rate (Total TB cases registered 36 for treatment per 100,000 population per year) Treatment Success Rate (% of new smear positive 95% patients who are documented to be cured or have successfully completed treatment) % of patients put on treatment, who drop out of 3% treatment Annual Parasite Incidence Annual Blood Examination Rate Plasmodium Falciparum percentage Slide Positivity Rate Number of patients receiving treatment for Malaria Number of patients with Malaria referred Number of FTDs and DDCs Number of cases detected Number of cases registered Number of cases operated Number of patients enlisted with eye problem Number of camps organized Number of cases detected 37 Number of Cases treated 37 Number of default cases Number of case complete treatment 29 Number of complicated cases 0 Number of cases referred 0 E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 26 of 76

27 9 Inpatient Services Number of in-patient admissions 1118 Apr 2010 to Nov Outpatient services Outpatient attendance Apr 2010 to Nov 2010 No. of the APHCs No. Service Indicator Data % of children 9-11 months fully immunized 78.52% Child Immunisation (BCG+DPT123+OPV123+Measles) % of immunization sessions held against planned 100% Total number of live births 921 Apr 2010 to Nov 2010 Total number of still births 4 % of newborns weighed within one week 100% % of newborns weighing less than 2500 gm 46% Total number of neonatal deaths (within 1 month of 5 birth) Total number of infant deaths 10 (within 1-12 months) Child Health Total number of child deaths 12 (within 1-5 yrs) Number of diarrhea cases reported within the year 56 % of diarrhea cases treated 95% Number of ARI cases reported within the year 205 % of ARI cases treated 200 Number of children with Grade 3 and Grade 4 29 undernutrition who received a medical checkup Number of children with Grade 3 and Grade 4 27 undernutrition who were admitted E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 27 of 76

28 Maternal Care Reproductive Health RNTCP Number of undernourished children % of children below 5 yrs who received 5 doses of Vit A solution Number of pregnant women registered for ANC % of pregnant women registered for ANC in the 1 st trimester % of pregnant women with 3 ANC check ups % of pregnant women with any ANC checkup % of pregnant women with anaemia % of pregnant women who received 2 TT injections % of pregnant women who received 100 IFA tablets Number of pregnant women registered for JSY Number of Institutional deliveries conducted Number of home deliveries conducted by SBA % of C-sections conducted % of pregnancy complications managed % of institutional deliveries in which JBSY funds were given % of home deliveries in which JBSY funds were given Number of deliveries referred due to complications % of mothers visited by health worker during the first week after delivery Number of Maternal Deaths Number of MTPs conducted Number of RTI/STI cases treated % of couples provided with barrier contraceptive methods % of couples provided with permanent methods % of female sterlisations % of TB cases suspected out of total OP Proportion of New Sputum Positive out of Total New Pulmonary Cases Annual Case Detection Rate (Total TB cases registered 95 E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 28 of 76

29 Vector Borne Disease Control Programme National programme for control of Blindness National Leprosy eradicaton program for treatment per 100,000 population per year) Treatment Success Rate (% of new smear positive patients who are documented to be cured or have successfully completed treatment) % of patients put on treatment, who drop out of treatment Annual Parasite Incidence Annual Blood Examination Rate Plasmodium Falciparum percentage Slide Positivity Rate Number of patients receiving treatment for Malaria Number of patients with Malaria referred Number of FTDs and DDCs Number of cases detected Number of cases registered Number of cases operated Number of patients enlisted with eye problem Number of camps organized Number of cases detected Number of Cases treated Number of default cases Number of case complete treatment Number of complicated cases Number of cases referred 9 Inpatient Services Number of in-patient admissions 10 Outpatient Services Outpatient attendance Number of major surgeries conducted Number of minor surgeries conducted Section E: Community Processes Block Primary Health Centre (BPHC) E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 29 of 76

30 S.No. Name of BPHC Community Process Formation No. of meeting held RKS R.K.S 10 Untied Fund VHSC Amount Received Amount Spend Balance Items on which money expended Medicine+ minor repair and other office items Additional Primary Health Centre (APHC) S.No. Name of APHC Community Process 1. Shakurabad RKS 2. Kaswan 3. Nehalpur 4. Lakhapur 5. Pandaul 6. Utrapatti 7. Noawan Untied Fund VHSC Formation Untied Fund Untied Fund Untied Fund Untied Fund Untied Fund Untied Fund Untied Fund No. of meeting held Amount Received Amount Spend Balance Items on which money expended Building Repair Health Sub Centre (HSC) E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 30 of 76

31 S.No. Name of HSC Community Process Formation No. of meeting held Amount Received Amount Spend 1. Dhanadihri Untied Fund Transfer VHSC Transfer 2. Barheta Untied Fund Transfer VHSC Transfer 3. Jhunathi Untied Fund Transfer VHSC Transfer 4. Sarta Untied Fund Transfer VHSC Transfer 5. Ratni Untied Fund Transfer VHSC Transfer 6. Kansua Untied Fund Transfer VHSC Transfer 7. Kundila Untied Fund Transfer Balance Items on which money expended Medical Instrument and other office terms Medical Instrument and other office terms Medical Instrument and other office terms Medical Instrument and other office terms Medical Instrument and other office terms Medical Instrument and other office terms Medical Instrument E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 31 of 76

32 VHSC Transfer 8. Pokhwan Untied Fund Transfer VHSC Transfer Section F: Training Activities Block Primary Health Centre (BPHC) and other office terms Medical Instrument and other office terms S.No Name of Block 1. Ratni- Faridpur Rounds of SBA Trainings held ( ) No. of personn el given SBA Training Rounds of ASHA training Held and topic ( ) No. of ASHAs trained 116 Rounds of IMNCI Trainings held ( ) No. of personnel given IMNCI Training Any specific issue on which need for a training or skill building was felt but has not being given yet Additional Primary Health Centre (APHC) S.No Name of APHC Rounds of SBA Trainings held ( ) No. of personn el given SBA Training Rounds of ASHA training Held and topic ( ) No. of ASHAs trained Rounds of IMNCI Trainings held ( ) No. of personnel given IMNCI Training Any specific issue on which need for a training or skill building was felt but has not E:\for upload on net DHAP & BHAP\BHAP Ratni 12-13\BHAP PHC RATNI-FARIDPUR.doc Page 32 of 76