PRESENTATION FOR THE MONTH OF JULY 2014 KASHMIR DIVISION

Transcription

1 PRESENTATION FOR THE MONTH OF JULY 2014 KASHMIR DIVISION

2 Gap Analysis Using Swasthya Slate for online filling

3 Started in 6 high priority districts. Now all 22 districts covered. Training imparted to District Monitors and District M&E Officer for Kashmir Division and Jammu Division. Swathya Slate provided to all for uploading of data online. (District M&EO s and District Monitors) Gap analysis data being uploaded from 1st week of August Maximum institutions uploaded by District Monitor Bandipora and District M&E Ganderbal

4 Flow of Information - Initially Flow of Information Using Swasthyaslate Questionnaire Recommendations Questionnaire Field Assessment Presentation Digitization Data collation Digitization Recommendations

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6 Status of uploading of data on line for Gap Analysis as on Name of the District DH FRU CHC PHC SC Total Anantnag Bandipora Baramulla Budgam Doda Ganderbal Jammu Kargil Kathua Kishtwar Kulgam Kupwara Leh Poonch Pulwama Rajouri Ramban Reasi Samba Shopian Srinagar Udhampur

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12 Institution wise / date wise reporting

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14 District Wise National Health Mission, J&K Kashmir Division ACTIVITY WISE MONTHLY PROGRESS ENDING Jul 2014 S. No Activity Target ( ) Achieve ment Ending Jul 2014 %age ach. Against the target of 4 Months 1 Total Deliveries % 2 Institutional Deliveries % 3 Institutional Deliveries escorted by ASHAs % 4 Mother beneficiaries for JSY incentive % 5 VHNDs Conducted %

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16 Contractual Manpower engaged under NRHM in Kashmir Division Category of Post Permissibility Ending Jun-2014 In Position Ending Jul-2014 Vacant Ending Jul-2014 Doctors and Paramedics Specialists MBBS Doctors MBBS Doctors(MMU) ISM Doctors ISM Dawasaaz Staff Nurse Lab. Tech OT Tech X-ray Tech Pharmacist (MMU) Second ANM (Excess 13 in District Kupwara MPHWs Total

17 Category of Post Contractual Manpower engaged under NRHM in Kashmir Division Permissibility Ending Jun-2014 In Position Manpower under RBSK Ending Jul-2014 Vacant Ending Jul-2014 Specialists MBBS Doctors Dental Surgeon ISM Doctors Physiotherapist Psychologist Audiologist Speech Therapist Staff Nurse Lab. Tech Dental Tech Ophthalmic Tech Pharmacist ANM Total District Wise

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19 S.No District 1 Srinagar (GB Pant) National Health Mission, J&K Infant Death Review July 2014, Kashmir Division Number of Infant Deaths Reported during the month (July 2014) Number of Infant Deaths Reported w e f April 2014 up to the reporting month Number of Infant Deaths Reviewed during the reporting month (July 2014) Number of Infant Deaths Reviewed w e f April 2014 up to the Reporting Month NA NA 2 Budgam Ganderbal Anantnag Kupwara Kulgam Baramulla Pulwama Bandipora Shopian Kargil Leh TOTAL

20 National Health Mission, J&K SNCU Facility Assessment-July 2014 INDICATOR MCCH Anantnag DH Leh DH Kargil DH Baramulla DH Handwara JLNM Srinagar DH Budgam DH Pulwama TOTAL Live Births at Hospital Admissions Inborn Outborn Referrals No. of cases died

21 National Health Mission, J&K District-wise Human Resource (under NRHM) in SNCU's of Kashmir Division S No. Name of District Paediatrician (No.) Medical Officer(No.) Staff Nurse / ANM (No.) DEO (ARSH/SNCU) Lab Technician Sanc. IP Sanc. IP Sanc. IP Sanc. IP Sanc. IP 1 Anantnag Baramulla Budgam Pulwama Srinagar Kupwara Leh Kargil

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23 National Health Mission, J&K Status of RBSK in Kashmir Division- July 2014 S no. District Hiring of Pharmacists No. of Children Screened during the month No of Children found positive for selected health conditions No of Children referred to higher centres 1 Anantnag Applications received Bandipora Hired Baramulla Screening test on 19 th August Budgam Hired Ganderbal Applications received Kargil Screening Test Postponed

24 National Health Mission, J&K Status of RBSK in Kashmir Division- July 2014 S no. District Hiring of Pharmacists No. of Children Screened during the month No of Children found positive for selected health conditions No of Children referred to higher centres 7 Kulgam Hired Kupwara Hired Leh Hired Pulwama 11 Shopian Applications Received. Applications Received Srinagar Hired

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26 National Health Mission, J&K JSY : Achievements (ending July) S.No Activity Target for the year (Kashmir Division) Kashmir Division upto July 2014 %age ach. Against the target of 4 Months a. b. Mother beneficiaries given incentive under JSY Institutional deliveries escorted by ASHAs % %

27 National Health Mission, J&K JSY : Achievements Govt Medical Colleges 1 st Quarter Institution Activity Physical Achievement ending June 2014 Lal Ded Hospital G B Pant Hospital SMGS Hospital Beneficiaries (Rural) 1669 Beneficiaries (Urban) 230 Beneficiaries (Rural) 34 Beneficiaries (Urban) 29 Beneficiaries 232

28 S.No Activity Target for the year (Kashmir Division) * 1. Beneficiaries given free treatment a. Pregnant Women Kashmir Division upto July 2014* %age ach. Against the target of 4 Months % b. Sick Infants % 2. Beneficiaries provided free transport (PW + Sick Neonates) a. Home to Health Institutions % b. Drop Back % c. Referral to higher facilities National Health Mission, J&K JSSK : Physical Achievements ending July % *Data excluding of LD Hosp, GB Pant, SKIMS, Bemina for the month of July, 2014

29 National Health Mission, J&K District MDs reported during July 2014 Total MDs reported Maternal Deaths Reviewed by CMO MDs reviewed by MDR Committee of DM 1 Anantnag Bandipora Baramulla Budgam Ganderbal Kulgam Kupwara Kargil Leh Pulwama Shopian Srinagar Sub Total (Kmr) Maternal Death Review (MDR) ending July 2014 Kashmir Division

30 S.N O National Health Mission, J&K Delivery Points 1 st Quarter INSTITUTION NUMBER OF INSTITUTIONS 1 Sub Centres 32 2 PHCs 24x Other than 24x7 PHCs conducting >10 deliveries per month 5 4 CHCs (Non FRUs) conducting >10 deliveries per month 3 5 FRUs conducting more than 20 deliveries per month 53 6 DHs conducting more than 50 deliveries per month 23 Total 160

31 National Health Mission, J&K Gap Analysis: Key Performance Indicators Delivery Points C-Sections C- Sections in 6 FRUs are not being conducted either due to non availability of the team for conducting C-Sections or due to non availability of functional OT in these institutions.

32 National Health Mission, J&K Gap Analysis: Key Performance Indicators Delivery Points Non Functional OT/ Absence of Team in FRUs: S.NO DISTRICT INSTITUTION TEAM AVAILABILITY FUNCTIONAL OT 1 Anantnag CHC Shangus NIL Yes 2 Kulgam CHC D H Pora Only Gynaecologist NIL 3 Kupwara CHC Kralpora NIL NIL 4 Kupwara CHC Langate NIL NIL 5 Anantnag CHC Dooru NIL Yes 6 Kulgam CHC DH Pora NIL Yes

33 Mother and Child Tracking System (MCTS

34 Registration Status OF MOTHER s UPTO July 2014 * 80% % age 73% 70% 60% 59% 60% 64% 64% 50% 48% 50% 51% 40% 40% 41% 41% 30% 26% 20% 10% 0% * Data as on 01 August, 2014

35 Registration Status OF Children UPTO JUly 2014* % age 60% 53% 54% 54% 50% 40% 38% 40% 40% 41% 30% 30% 31% 22% 24% 20% 16% 10% 0% * Data as on 01 August, 2014

36 Service Delivery Status (%) ANCs and deliveries * Anantnag Badgam Bandipore ANC1 ANC2 ANC3 ANC4 3 ANC's Full ANC Deliveries Reported Baramula Ganderbal Kargil ANC1 ANC2 ANC3 ANC4 3 ANC's Full ANC Deliveries Reported * Services delivered to the pregnant women registered with LMP in July 2013

37 Service Delivery Status (%) ANCs and deliveries * ANC ANC ANC ANC ANC's Full ANC 0 Deliveries Reported Kulgam Kupwara Leh (Ladakh) ANC1 ANC ANC Pulwama Shopian Srinagar 2 10 ANC4 3 ANC's Full ANC Deliveries Reported * Services delivered to the pregnant women registered with LMP in July 2013

38 Service Delivery Status (%) BCG, Measles & Full Immunization BCG Measles All Vaccination 0 Anantnag Badgam Bandipore BCG Measles All Vaccination 0 Baramula Ganderbal Kargil * Services delivered to the Children registered with DOB in July 2013

39 Service Delivery Status (%) BCG, Measles & Full Immunization * BCG Measles All Vaccination 0 Kulgam Kupwara Leh (Ladakh) BCG Measles Pulwama Shopian Srinagar * Services delivered to the Children registered with DOB in July 2013

40 Contact Details Verification - ANMs Anantnag Bandipora Budgam Baramulla Ganderbal Kargil

41 Contact Details Verification - ANMs Kulgam Kupwara Leh Pulwama Shopian Srinagar

42 Contact Details Verification - ASHAS Anantnag Bandipora Budgam Baramulla Ganderbal Kargil

43 Contact Details Verification - ASHAS Kulgam Kupwara Leh Pulwama Shopian Srinagar

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45 % 1st Trimester registration to Total ANC Registrations upto july ( ) Leh Ladakh Kargil Baramula Shopian Srinagar Bandipora Kupwara Anantnag Kulgam Pulwama Badgam Ganderbal

46 120 % JSY registration to Total ANC Registration upto july ( ) Srinagar Baramula Kargil Leh Ladakh Anantnag Bandipora Kupwara Ganderbal Kulgam Badgam Pulwama Shopian

47 250 % Pregnant Woman received 3 ANC check ups to Total ANC Registrations upto july( ) Leh Ladakh Kargil Kupwara Shopian Srinagar Anantnag Badgam Baramula Kulgam Pulwama Ganderbal Bandipora

48 500 % Pregnant women given 100 IFA to Total ANC Registration upto july ( ) Srinagar Anantnag Baramula Leh Ladakh Pulwama Ganderbal Kargil Kulgam Kupwara Bandipora Shopian Badgam

49 100 % Institutional Deliveries to total ANC registration upto july ( ) Badgam Shopian Srinagar Ganderbal Baramula Kulgam Pulwama Bandipora Anantnag Kupwara Kargil Leh Ladakh

50 105 % Institutional deliveries to Total Reported Deliveries upto july ( ) Kulgam Shopian Kargil Kupwara Bandipora Baramula Ganderbal Leh Ladakh Pulwama Badgam Anantnag Srinagar

51 14 % Home deliveries to Total Reported Deliveries upto july ( ) Srinagar Anantnag Badgam Leh Ladakh Pulwama Ganderbal Baramula Bandipora Kupwara Kargil Shopian Kulgam

52 108 % Total Reported Live Births to Total Deliveries upto july ( ) Baramula Badgam Bandipora Kupwara Anantnag Kulgam Leh Ladakh Pulwama Ganderbal Shopian Srinagar Kargil

53 120 % Newborns weighed at birth to live birth upto july ( ) Srinagar Kargil Baramula Kulgam Shopian Kupwara Bandipora Pulwama Badgam Ganderbal Anantnag Leh Ladakh

54 120 % Newborns breast fed within 1 hour of birth to Total live birth upto july ( ) Srinagar Pulwama Leh Ladakh Baramula Kargil Kupwara Badgam Kulgam Bandipora Shopian Anantnag Ganderbal

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56 PERCENTAGE OF ADOLESCENT GIRLS REACHED IN July 2014 District Actual calculated AGs as per Census 2011 TOTAL *AGs POP POP Target Adolesce ent girls shown by the District AGs reached in in July June 2014 % of AGS REACHED Bandipor % 6.65% ra a Baramull % 4.8% la a Kupwara % 1.2% * 22 % of Total population are adolescent & 47% of that will be adolescent girls

57 Financial Achievement in MHS Districts Total Stocks received till Jul 2014 Stock distribut ed till Jul 2014 Amount to be recouped to the SHS Amount recouped to the SHS till date Balance with districts Bandipora Baramulla Kupwara

58 District Wise

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60 OBSERVATIONS DH Anantnag Dental X-ray films and 10 x12 X-ray films were purchase for Rs from SBS traders Anantnag when the rates quotated by the dealer was not lowest as per the comparative statement X-Ray developer was purchased from 3B Medicine Services Anantnag for Rs per unit when the rate quotated by the same dealer was Rs per unit only. Dental equipments has been purchased for Rs from SN traders Anantnag without performing codal formalities. Optical Ocular Lens were purchased from Intra Ocular Care Vododra for Rs without performing codal formalities.

61 PHC B. Kalan Block Bijbehara OBSERVATIONS Condt.. Genset has been purchased out of RKS funds for which quotations were called on 10th March The dates mentioned on quotations are 15th March 2014, Supply order was placed on 20th March 2014 but the date mentioned on bill of cost is 15th March 2014, that is 5 days prior to date of supply order. PHC Ashmuqam Block Mattan, Air Conditioner has been purchased for labour room for Rs , but the rates quotated by the dealer were not lowest. CHC Kokernag Block Larnoo Both the RBSK teams were in the HQ till AM. Driver of team A said he has to pick up doctors from their residence which gets late. Tour plans were not available. SC Panzgam Block Larnoo The service delivery for ANC and Immunization is getting affected as the concerned ANM has to visit NTPHC Kherpora on alternate Wednesday for ANC checkups and Immunization.

62 OBSERVATIONS Condt.. District Shopian In District Hospital,JSSK drugs need to be purchased in consulation with the Gynecologists, as Gynecologist prescribe those medicine which are not available at the hospital under JSSK. FMPHW of Sub centre Memander had been attached to sub-centre Reshi Nagar, due to which the target of ANC is not been achieved as there is MMPHW posted. Sub Centre Zawoora was closed on dated at 12:30 pm. In PHC Berthipora, Medical officer incharge,dental technician, Basic Health Worker was present rest of staff was not available at 10:30 am. Sub centre ANMs are put at night due to which routine work of Sub Centre suffers.

63 OBSERVATIONS Condt.. District Pulwama In NTPHC lethpora, the registers of MCTS were not properly maintained. In PHC Khalil, no IEC is displayed outside the building or around the area. In CHC Tral, Blood storage is not established. In CHC Tral, labour room is not having autoclave,led lights. Proper management of Biomedical Waste Management is not available at all level. RCH registers of Sub centres were not properly filled. ANMs need to be oriented on RCH register.

64 OBSERVATIONS District Kulgam Condt.. Blood Storage Unit at CHC Qazigund, which is also an accidental hospital has not been established yet. Segregation and disposal of BMW is very poor across all the facilities in district Kulgam. Children referred under RBSK are not provided free diagnostic tests and medicines. Gynaecologist is not available at CHC Qazigund & CHC Yaripora. Most of the cases from these FRUs get referred to MCH Anantnag. Codal formalities for procuring drugs/ supplies and other equipments are not being observed as per the financial guidelines and Rate Contract of District Purchase Committee of District Kulgam at most of the health facilities. One firm S.Z. Scientific Traders, Anantnag was found at many institutions supplying drugs and equipments at higher rates than approved by District Purchase Committee, Kulgam. At CHC Qazigund, various items like baby warmer, Phototherapy Units, OT lights, Suction Apparatus, etc. amounting to Rs /- were procured from M/s S.Z. Scientific Traders Anantnag vide bill No & 8408 dated without taking approval from the RKS, Committee and without calling any quotations for the same products.

65 OBSERVATIONS District Kulgam Condt.. At CHC Yaripora, Inj. Epidosin approved by District Purchase Committee, Kulgam to Chemi Health Diagnostics, per ampoule has been purchased from Rainbow Traders (Bill No dated: per ampoule plus 5% VAT. At PHC Qaimoh, 2 no. X-ray tray purchased out of RKS funds from S.Z. Scientific Traders which is not approved by DPC, per tray vide bill No In the same bill, episiotomy set has been per set whereas approved rate of DPC, Kulgam is Rs.650/- per set. However, at PHC Frisal, X-Ray tray has been has been purchased from Dawood Medical per tray only. At CHC DH Pora, as per the comparative statement of five firms for procurement of Semi Automatic Biochemistry Analyzer (BTS-350), purchased from R.K Enterprises for Rs /- which is higher than the rate quoted by M/s S.Z. Scientific Traders Anantnag (Rs /-) having the same specification, which is against the financial norms. MOs & other staff are doing night duties for 3 consecutive days and are taking night off for next 4 days. ANMs posted at SCs have been put on night duties, which affects the functioning of SC.

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67 National Health Mission, J&K Flow of Funds to State Health Society during Details: GoI Sanctioned- Releases through Treasury Route on 18 th July Releases to SHS till August ending: (State Share out of Rs Cr sanctioned) Amount (Rs in Crores) Approximate requirement of funds per month: (excluding the Infrastructure Development works) Note: For releases of 2 nd installment from GoI, Rs Cr needs to credited to the account of SHS

68 National Health Mission, J&K Appointment of Concurrent Auditors of District Health Societies for the financial year , shall be made as per guidelines of Govt. of India and direction from the office of Mission Director, NHM.(in this regard letter has issued on 25/8/2014) Annual Audit of Rogi Kalyan Samities of District Health Society Bandipora, Baramulla, Ganderbal, Kargil and Kupwara pending. However, reports are still awaited from all the District Health Societies of Kashmir division. Tax Deduction Account Numbers (TAN) is yet to be obtained by the District Health Society Kargil and Pulwama. Observations of Concurrent Auditor for 4 th quarter of , were shared with District Health Society Budgam, Baramulla, Ganderbal, Kulgam, Kargil, Leh, Pulwama, Srinagar and Shopian. Replies of awaited from said districts.

69 National Health Mission, J&K Functionality of 102 Ambulance Services: Performance of M/s Esteemed industries (agency hired for implementation of 102 service in the state) with regards to the fitting of GPS devices in the ambulances & functioning of 102 Call Centre is very poor. DHS(K) has been asked to take action against the concerned agency and ensure the full implementation of the service.

70 National Health Mission, J&K Work Done of MMUs S.No Name of District Total Patients Total Diagnostics 1 Baramulla Anantnag Kupwara Leh

71 National Health Mission, J&K Functionality of Rashtriya Bal Swasthya Karyakram: Establishment of DEICs need to be expedited as none of the 09 approved DEICs is functional till date. Pharmacists under RBSK have not been hired by District Anantnag, Baramulla, Ganderbal, Pulwama & Shopian till date. Vehicles hired under RBSK are not being managed properly as the tendering has been done at District Level and their payment is also made at District Level which leads to the misuse of vehicles beyond working hours as BMOs have no control over the vehicles.

72 National Health Mission, J&K Functionality of National Urban Health Mission: NUHM has not been rolled out in the State till date. Information regarding Status of planning and mapping of the cities, progress in Human resource recruitment and capacity building, status of civil works, location and progress in establishment of UPHCs & KIOSKs and the DPRs and the time of completion for the upgradation of 2 UPHCs into UCHCs. has been solicited by GoI which needs to be furnished at an earliest.

73 Maternal Health JSY Line listing of beneficiaries for the Ist Quarter of not provided by District Baramulla, Bandipora and Srinagar. JSSK Line listing of beneficiaries for the 1st Quarter of not provided by District Kupwara. MDR District Pulwama has reviewed only 2 Maternal deaths out of 7 MDs reported during this FY Child Health National Health Mission, J&K No progress for SNCU sanctioned in SKIMS Medical College Bemina.

74 National Health Mission, J&K RKSK The Report of ARSH which should come by 5 th of every month is always delayed.. With reference to the letter no SHS/JK/NHM/ dated no funds have been recouped on account of sale of sanitary napkins to State Health Society till date from district Baramulla and Bandipora.

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