DISTRICT VISIT REPORT “ DAUSA”

DISTRICT VISIT REPORT “ DAUSA”

Visit bySushma Dixit (PO-HRD)Rekha Sharma (ASHA Coor.)

23rd to 26th Oct 13

National Rural Health Mission

Objective of Visit

To see overall progress of the project

To see proper utilization of fund

To identify weakness and gaps if any

Staff status To see status of building construction (ANM Quarter at

Sub-Center)


Places Visited

CHC - Bandikui, Lalsoth, Mandawar, Mahua, Sikrai, Ramgarh Pachwara.

PHC - Santha, Didwana, Khedla bujurg, Bhairavanda, Manpur Sub-center - Gandrawa, Dhakariya, Indawa, Ramgarh Rasidpur MMU/MMV -Lalsot Ambulance 108 -Lalsot Upper primary / Secondary School - Prahladpura, Ram Nagar

Khedi, Pichupada Khurd (Bandikui), Govt. Girls School Didwana


Basic Information

Population : 1634409 Male : 857787 Female : 776622 No. of CHCs : 15 No. of PHCs : 40 No of Sub-Centers : 318 No. of MMU/MMV : 1 (MMU), 2

(MMV) No of Ambulance 108 : 7 National Rural Health Mission

Financial Status


CHC/PHC/Sub-Center Untied Fund (Utilization)

AMG (Utilization) Corpus Grant (Utilization)

CHC Bandikui 59685 65456 64665

CHC Lalsoth 28279 10000 10000

CHC Sikrai 19975 97412 51236

CHC Mahua 65608 35000 98174

CHC Mandawar 6732 18500 31795

PHC Santha 25000 NIL 40000

PHC Didwana 2660 26562 NIL

PHC Khedla bujurg 15697 27543 16790

Financial Status


CHC/PHC/Sub-Center Untied Fund (Utilization) AMG (Utilization) Corpus Grant (Utilization)

PHC Bhairavanda Not Received because this is a new PHC, as per norms PHC will get fund by CMHO only when it is 2yrs to 2.5yrs old. All PHC Expenditure are made by MRS Fund (Told by PHC incharge)

PHC Manpur (Block Sikrai) 1893 2200 7165

S-C Ramgad Pachwara 2016 1410 86270

S-C Gandrawa, 4785 Nil Nil

S-C Indawa, NIL NIL NIL

S-C Dhakariya 2275 Nil Nil

S-C Ramgarh (Rasidpur) 18000 Nil Nil

Major Finding’s

CHC Bandikui Permanent leakage in labor room, floor is full

with water anytime and the room is too much unhygienic,

NBCU which is just beside labor room is also effected and is full of moisture in the walls,

There is no mattress on the labor table, There is no facility of conducting operations as

told by Dr.HK Meena Gynecologist (MS),National Rural Health Mission

Major Finding’s

CHC Lalsot There is no trained staff at MTC center,CHC Mahua Due to non availability of license the blood

bank is not functional, Due to non availability of surgeon and

Anesthetists there is no ‘C’- cases in this CHC, Due to non availability of trained staff the

NBSU is non functional,National Rural Health Mission

Major Finding’s

CHC Mandawar Due to non availability of license the blood

bank is not functional, Due to non availability of trained staff the

NBSU is not functional,CHC Sikrai Unhygienic condition, Permanent water leakage, Lack of trained staff


Major Finding’s

PHC Bhairawanda, Block Sikrai There is no water pipe line facility nor electricity for

conducting deliveries,(They are using light in a ill-legal way)

There is no fund allotted, they are using MRS fund for day to day expenses and are in a very critical condition,

There is no 4th class, (The 4th class is deputed to some other PHC ),

There is not facility of staff quarters,


Major Finding’s

PHC Didwana Due to bad condition of

building the deliveries at this PHC is stopped from 1 Sep 13,

Infact after writing many letter there is no action on the problems,

Average deliveries at this PHC was 12 before 1 Sep 13,


Major Finding’s

PHC Bhairavanda Payment of VHSC is not been made from 2

yrs,Indawa Sub Center No facility at the sub center although there is

SBA trained ANM, There is no toilet facility nor electricity,


Major Finding’s

Ramgarh Rashidpur Sub Center Labor room is found unhygienic, There is no water facility nor electricity for

conducting deliveries, There is no mattress on labor table, Labor table is also not in a proper condition, it

is supported by bricks,


Major Finding’s

Gandrawa Sub Center(PHC Bhairavanda) There is no government vehicle for referral

cases, JSY cheque are not distributed on time,Molai, Mahanwali, Pharaspura Sub Center In these sub center the immunization /

vaccination is done on the interval of 4 to 5 months,

There is no ANM posted,National Rural Health Mission

Status of building construction (ANM Quarter at Sub-Center)

PHC Pavta, work till DPC completed, PHC Ramgarh, no land available till date, PHC Khedla, no land available till date, PHC Bansrakhurd, no land available till date, PHC Degariya, no land available till date, PHC Hudla, no land available till date, CHC Sikrai, no land available till date,


Status of WIFS program

In all school monitors (Pichupada Khurd (Bandikui), Govt. Girls School Didwana) the WIFS program is functional except of Prahladpura, Ram Nagar Khedi. In these two schools Prahladpura, Ram Nagar Khedi only pills of D worming is provided.


Photo’s of Bandikui CHC


Photo’s of Didwana CHC


Challenges

Lack of proper knowledge of all program, No orientation / training of the monitors sent in

the districts, Non availability of orders issued of the

program, No proper visit plan in advance (visit of district

was told in the evening, and next day monitors rushed for visiting district,


Solution

Proper visit plan should be shared with the monitors in advance, so that they can make their arrangements

Persons related to the program should be send for monitoring as they have hold on the program and its orders,

Proper training / orientation session should be done for the monitors other than that program cell,



THANK YOU

DISTRICT VISIT REPORT “ DAUSA”

Documents

Transcript of DISTRICT VISIT REPORT “ DAUSA”