FORM-IV REGIONAL OFFICES OF HEALTH & FAMILY …rltrird.cg.gov.in/pdf/ROHFW/field activities/Year...

FORM-IV REGIONAL OFFICES OF HEALTH & FAMILY WELFARE

DATA COLLECTION FORMATS FOR REVIEW OF PERIPHERAL INSTITUTES Name of the Regional Office: Regional Office for Health and Family Welfare, Raipur (C.G.) Report for the Month of: June 2010

Visited District-Bastar

1. ASSURED SERVICES:

Sl. No. Assured Services State District District District

I Formation of Programme Management

Unit (PMU) Yes

ii Plan and execute Health Related

Activities Yes

iii Formation of Health Planning & Health

Monitoring Committees No, Separate

iv Release and account the funds to

subordinate Offices under NRHM Yes

v Development/Upgrade the peripheral institute as per IPHS

Yes

vi

Arrange for procurement of the logistics

required for the implementation of the planned activities.

Yes

vii Implementation of National Health

programme

NRHM Yes

NVDDCP Yes

RNTCP Yes

NLEP Yes

NBCP Yes

HIV/AIDS Yes

NIDDCP Yes

IDSP Yes

viii Non Communicable Diseases

Tobacco control No

Injuries and Trauma No

CVD No

Mental Health No

NOHP No

Diabetes control No

ix IEC activities related to National Health programmers

Yes

x Develop training institutes for providing appropriate training to strengthen the skills of the staff.

Yes (No)

xi Work towards achievements of Set Mile stones

Yes

xii Generate Performance related indicators

Yes

xiii Generate Indicators under Millennium Development Goals (MDGs)

No/Yes

xiv Monitoring and quality control Yes, Quality control

Total Activities undertaken

% of activities undertaken

2. OTHER SERVICES

2.1. Accessory services State District District District

Citizen's charter Yes

Electricity supply Yes

Emergency Lights Yes

Civil engineering Yes

Fire protection No

Water supply Yes

Waste disposal Yes

Total 6/7

%age 86%

3. INFRASTRUCTURE DEVELOPMENT

3.1. Formation of Programme management Units

Sl. No. Particulars State District District District

I Whether PMU formed Yes

ii Adequate Official Accommodation available

No

iii Planning unit Yes

iv Financial Management unit Yes

v IEC management unit Yes

vi Training Unit Yes

vii Management Information System Unit

Yes

viii Other (Specify) IEC-BMO

ix Other (specify) -

Total Units formed 7/8

% Units formed 88%

3.2. Man power available at PMU of State HQ/ District HQ

Sl. No. Manpower category-wise State District District District

I Programme managers

DPM-1, BADA-7 (12) BPM-3 (12)

ii Technical Officers DDO

iii IT personnel No

iv Statistical personnel No

v Other Support staff

Account Manager-1, Immunization Camp-1

vi Other -

Total Staff

% of staff available

3.3. Logistics available in PMU (State & District)

Sl. No. Logistics State District District District

Office logistics (Specify)

I Necessary Furniture Yes

ii Computers Yes

iii Printers Yes

iv Telephones Yes

V Faxes Yes

Vi Storages Yes

Vii Vehicle for Mobility (specify) No (PMU)

Total 6/7

%age 86%

3.4. Constitution of Health Planning & Monitoring Committee (HP&MC)

I Whether HP&MC are constituted No (as per

program NHP)

ii Whether the composition is as

the guidelines. Yes

iii Whether HP&MC convening

meeting regularly Yes

iv If Yes, at what interval Monthly

v Whether Discussion as agenda

are undertaken. Yes

vi Whether the Minutes prepared &

circulated Yes

vii Whether feed back on minutes is

received. Yes

Total 5/6

%age 83%

3(a). HEALTH INFRASTRUCTURE IN THE VISITED STATE/DISTRICT

3.5. Health Infrastructure available in the Stat/Districts


I # Districts 1

ii # District Hospitals 1

iii # Sub-Divisional Hospitals 2

iv # CHCs 10

v # PHCs 56

vi # SHCs 316

vii # Health NGOs 4 + 1

viii # instts. providing disability care services

1

ix # CHC/PHC strengthened for BEmoNC facilities

1

x # CHC/PHC strengthened for CEmoNC facilities

-

xi # CHC/District Hospital Strengthened for FRUs

3

xii # SHCs Strengthened with 2 ANMs No

xiii # ASHAs functioning 5002 (inc. Narayanpur)

xiv # AWWs Functioning 4636

Total Number of Units

% units Strengthened

3.6. Staff Strength available against the sanctioned strength in the entire state/District visited


I # Programme Officers 1

ii # Medical Specialists 0/10

iii # Surgical Specialist 0/10

iv # Pediatricians 0/10

v # O&G Specialists 0

vi # Anesthetics 0/10

vii # Eye Surgeons 0

viii # Dental Surgeons 0

ix # Medical Officers 26/112

x # Ayush Medical Officers 87

xi # Health Supervisors -

xii # LHVs 0

xiii # Key Technical staff -

xiv # Paramedical staff 1062/1264

xv # Ministerial Staff -

Total Staffs

% staff available

4. BUDGET ALLOCATION AND UTILIZATION


1

Balance from the previous

Years

Information not available

2 Funds received under NRHM 3,63,56,533.35

3 Funds utilized under NRHM 3973844.00

4 Balance at the end 32382689.35

5 % Utilization funds 10.93%

5. JOB SATISFACTION


PMU

District staff

6. QUALITY MONITORING


i HIS Established

Diseases are classified as per

ICD-10 pattern

MPR Format Developed Yes

QPR format developed -

Half yearly report format developed

-

Annual Report Format

developed -

Monitoring Indicators Identified -

All Necessary Records Registers maintained

Yes

a NRHM Yes

b RNTCP Yes

c NLEP Yes

d NBCP Yes

e NVBDCP Yes

f

ii Admin Monitoring

Monthly Reports submitted Yes

Quarterly Reports submitted

Half yearly Reports submitted

Annual Reports Prepared Yes

Monitoring indicators developed

If prepared, provide a copy of

the Report for the last

Month/Quarter/year?

iii Int. Audit

Monthly Review meeting organized

Yes

Quarterly meeting organized Yes

Half Yearly Review meeting Organized

Yes

Annual Meeting Organized Yes

National Review meeting organized

Yes

If yes, provide a copy of ATR on

the minutes

iv

Patient care (# Developed

complications)

Ante-natal cases

Post natal complication

New born/Infants

IOL cases under NBCP

TB cases

Leprosy cases

other cases

If yes, provide a copy of the ATR

v

Medical Audit (# Deaths reported &reviewed)

Maternal Deaths

Child deaths

Malaria deaths

Tuberculosis Deaths

Others (specify)

If undertaken, provide a copy

of the ATR

vi

Supervisory visits by State/National Prog.

manager

what was checked

what gaps were found

what instructions were given

what administrative directions

given

Provide a copy of the follow up action taken

vii External Audit

Independent Review

Review by Expert Groups


of the ATR

7. PERFORMANCE

7.1. Milestone on Achievement since Date of implementation of NRHM activities in the States & Districts:

Sl. No. Action points State District District District

I Whether district Rural Health Mission has been set up? Yes

ii Whether HFW societies have been merged into one society? Yes

iii

Whether State and District Plans are prepared for

implementation of the identified

activities.

Yes

iv

Whether Project Management Teams are in place and

provided the necessary

training.

Yes

v Whether mobile medical units are sanctioned and

functionalized.

No

vi Whether main streaming of AYUSH ha been undertaken.

No

vii Whether networking with NGOs has been made.

Yes

viii

Whether Public Private Partnership has been established for referring the BPL cases and out sourcing of some of the activities

No

ix Whether JSY scheme is launched and practice of reporting every maternal death to DM is followed.

Yes

x Whether Quality Assurance Committee is Operational zed. Yes

xi

Whether BEmONC facilities (including Civil hospitals, CHCs and PHCs) are strengthened with 03 staff nurse to provide service guarantee as per IPHS.

Yes (1)

xii

whether CEmONC institutions ( PHCs & CHCs) strengthened with 7 Specialists with 9 Staff nurses to provide service guarantee as per IPHS.

No

xiii

Whether Sub-Centers Strengthened by providing 2 ANMs and UNTIED funds of Rs. 10000/+ are given

No

xiv

Whether Rogi Kalyan Samiti (RKS) at District/CHC/PHC are formed and one time support to RKS are provided

Yes

xv

Whether streamlining of provisions for drug logistics at CHC, PHC and SHC for common ailments has been made under mission.

Yes

xvi

Whether access to Universal Immunization through introduction of Autosyrings, alternate delivery of vaccine is ensured.

Yes

xvii

Whether involvement of PRIs is ensured in the implementations of Health Schemes at the village level (i.e. immunization, JSY, sanitation, drinking water, etc.)

Yes

xviii Whether strengthening of Anganwadi through involvement of AWW in MCH programme is done.

Yes

xix

Whether selection and training of ASHA @ 1 ASHA per 1000 population is done and ASHA Kit is given.

Yes

xx Whether Village Health & Sanitation Committee are constituted and UNTIED grant is provided.

Yes

xxi

Whether SHC/PHC/CHC/DH are fully equipped to develop intra-Health sector convergence, coordination & services guarantees for FW, NVBDCP, RNTCP, HIV/AIDS, etc.

Yes

xxii Annual need for FW and RCH services has been calculated in

the district as per operation

manual and monitoring of state programme implementation

plans?

Yes

xxiii Whether performance report is

submitted by the district in revised MIES Formats

Yes

xxiv whether Annual State and

District Specific Public Reports

on Health are Published

Yes

xxv

Whether institute wise assessment of performance

against assured services

guarantee carried out. Inspection carried out for

Yes

Total Number of activities completed

20/25 (80%)

% miles stones completed

7.2. Achievements of the MDGs at the end of previous year

Sl. No. Particulars State Dist distt Distt

Target 5 - Reduce by 2/3rd between 1990 and 2015, the under five mortality rate

13 Under Five mortality rate

14 infant mortality rate

15 proportion of 1 year-old children immunized against measles

Target 6 - Reduce three quarters, between 1990 and 2015, the maternal mortality ratio

16 Maternal Mortality ratio

17 Proportion of births attended by skilled health personnel

Target 7 - Have halted by 2015 and begun to reverse the spread of HIV/AIDS

18 HIV prevalence among women aged 15-24 years

19 Condom use rate of the contraceptive prevalence rate

19A Condome use of last high risk sex

19B percentage of population of aged 15-24 years with comprehensive correct knowledge of HIV/AIDS

19C Contraceptive prevalence rate

20 Ratio of school attendance of orphans to school attendance of no-orphans aged 10-14 years

Target 8 - Have halted by 2015 and begun to reverse the incidence of Malaria and other major diseases spread of HIV/AIDS

21 prevalence and death rate associated with malaria

22 Proportion of population in malaria risk areas using effective malaria prevention and treatment measures

23 Prevalence and death rates associated with Tuberculosis

24 Proportion of tuberculosis cases detected and cured under DOTS

No. of Indicators Developed

%age


DATA COLLECTION FORMATS FOR REVIEW OF NATIONAL HEALTH PROGRAMME

Name of the Regional Office: Report for the Month of:

REVIEW OF NATIONAL HEALTH PROGRAMMES AT THE DISTRICT HQ LEVEL

Sl. No. Assured services under NHP NRHM NVBDCP RNTCP NLEP NBCP NACP NIDDCP IDSP NCD

I ASSURED SERVICES

1.1 NHPs implemented in the

District

I Human Control

I Diagnostic Services Yes

ii Treatment Yes

iii Disability management No

II Vector Control

I Interval Residual Spray Yes

ii Space spray No

iii Impregnated Bed Net Provision Yes

III Biological Control

I Maintenance of Hatcheries Yes

ii Release of Anti-larval Fishes Yes

iii Others -

IV Chemical Control

I Oil spray on water surface No

ii Others -

iii Others -

V Others Activities

I Health Education Yes

ii Training Yes

iii Conversance Yes

Total Services provided

% services provided

1.2. NRHM

1 Ante-natal Care Services Yes

I Intra-natal care services Yes

ii Post natal care services Yes

iii JSY care Services Yes

iv Immunization of Children Yes

v Full Range of FP Services Yes

vi Health Education Yes

vii Training Yes


% services provided

2 Essential Services Expand

2.1 Support services

2.1.1 Health Education

I Individual - HE Material Yes

ii Group - HE Material Yes

iii Mass media - HE Material Yes

2.1.2 Training

I Training Material Yes

ii Training Insstts No

iii TOT

iv Training Equipments Yes

2.1.3 Conversance

I Allied Departments No

ii NGOs No

iii Pvt. Institutes No

iv Others

Total No. of support services

% support services

3

ESSENTIAL

INFRASTRUCTURE

NRHM NVBDCP RNTCP NLEP NBCP NACP NIDDCP IDSP NCD

3.1 Physical Structures

3.1.1

Infrastructure of Diagnostic

Services

I # Facilities undertaking active surveillance

ii # Facilities undertaking passive surveillance

iii # Programme dedicated facilities

iv # Treatment proving centers

v # Residual Spray teams employed

vi # Space spray teams

vii # Oil spray teams

viii # Bed-net Impregnation teams

ix # hatcheries maintained

x # water bodies released ant larval

fishes

3.1.2 Laboratory Services

I Pathology (Clinical Laboratory)

ii Bacteriology Laboratory

iii Hematological laboratory

iv Serological Laboratory

v Biochemistry Laboratory

vi Ophthalmologic Laboratory

vii Imaging/Radiological Laboratory

3.1.3 Disability prevention services

I Physical Rehabilitation

ii Medical Rehabilitation

iii Surgical Rehabilitation

iv Vocational Rehabilitation

v Social Rehabilitation

Total I/S Items available

% I/S Items available

3.2 Manpower

I Specialists

ii Doctors

iii Technicians

iv Others

Total Health staff in place

available

% staff in place

3.3 Logistics

3.3.1 Equipments (Specify)

I OPD equipment

ii Laboratory equipment

iii Vector control equipments

iv Chemical control equipments

v Biological control Appliances

3.3.2 Drugs, chemicals and others

I Availability of adequate quantity

of Routine Programme Drugs

ii

Availability of drugs for

management of complicated,

resistant, relapsed cases, etc.

iii Availability other supportive drugs

required under programme.

iv

Availability of Chemicals &

insecticides

v Bed nets

vi Biological (anti-larval fishes)

3.3.3 Referral & Mobility

I Vehicle/s

ii other modes of transport

Total Logistic items available

% Logistic Items available

4 Funds utilization NRHM NVBDCP RNTCP NLEP NBCP NACP NIDDCP IDSP NCD

I Funds allocated

ii Funds Utilized

iii % Utilization

5 Cross-checking

I Laboratories

ii Blood/sputum slides of Malaria

6 Satisfaction studies

I Staff

ii Beneficiaries

iii Therapeutic efficacy studies

iv Entomological studies

7 SUPERVISION, M&E

Sl. No. Particulars

i MIS Established

Diseases are classified on ICD-10

pattern

MPR Format Developed

QPR format developed


Annual Report Format developed

All Necessary Records Registers

maintained

Monitoring Indicators Identified

If MIS is functional, provide a copy of the consolidated Report of

last month

ii(a) Necessary Registers &Records maintained

A

B

C

D

E

F

ii Admin Monitoring

Monthly Reports submitted



Annual Reports Prepared


If prepared , provide a copy of the

Report for the last year?

iii Int. Audit

Monthly Review meeting

organized

Quarterly meeting organized


Annual Meeting Organized

National Review meeting

organized

If yes, provide a copy of ATR on the minutes

iv Patient care (# Developed

complications)

Ante-natal cases


New born/Infants


TB cases

Leprosy cases

other cases


v Medical Audit (# Deaths

reported &reviewed)

NRHM NVBDCP RNTCP NLEP NBCP NACP NIDDCP IDSP NCD

Maternal Deaths

Child deaths

Malaria deaths

Tuberculosis Deaths

Others (specify)

If undertaken, provide a copy of

the ATR

vi Supervisory visits by

State/National Prog. manager

what was checked



what administrative directions

given

If provided, a copy of the follow

up action taken

vii External Audit

Independent Review


If undertaken, provide a copy of the ATR

Total No. of Monitoring items

% Monitoring Items

8

PERFORMANCE OF

INDICATORS

Sl. No. Particulars

8.1 Current Status

1 NCDR

2 PR

3 Proportion of Sever cases

4 Proportion of Child cases

5 Proportion of Female cases

6 Proportion of Deformity cases

7 # Put on treatment among NCD

8 # Relapsed & Resistant cases

9 # completed the treatment

10 # Under treatment at the end

11 # Deaths

12 IMR

13 MMR

14 Under Five Mortality rate

8.2 Trends of New Cases

I NRHM

IMR

MMR

ii NVDDCP

iii RNTCP

iv NLEP

v NBCP

vi HIV/AIDS

vii NIDDCP

viii IDSP

ix NCD


DATA COLLECTION FORMATS FOR REVIEW OF PERIPHERAL INSTITUTES


1. ASSURED SERVICES

Sl. No. Services CHC 1 CHC 2 CHC 3 CHC 4 Total

i Specialists medical Care services available

ii Care of routine & emergency cases of surgery

iii Care of routine & emergency cases of Medicine

iv Care of routine & emergency cases of Obstetrics

v

Care of routine & emergency cases of Sick

Children

vi 24 Hrs Delivery Services

vii Safe abortion services

viii New Born Care Services

ix Full Range of Family Planning Services

x Other Medical care for management of nasal packing, Snake bite, dog bite, etc.

xi Blood Storage Unit

xii Implementation of NHP activities

NRHM

NVDDCP

RNTCP

NLEP

NBCP

HIV/AIDS

NIDDCP

IDSP

xiii Non Communicable Diseases

Tobaccos control

Injuries and Trauma

CVD

Mental Health

NOHP

Diabetes control

Total Assured Services

% Assured Services

2. Other Services


2.1 Support Services

i Standards Treatment protocols

ii IEC Material

iii Training manuals

iv Skill Strengthening Training of staff

v Diet to patients

vi Sterilization room

vii Central Sterilization storage Depot. (CSSD)

viii Laundry

ix Storage

2.2. Accessory Services

i Citizen's charter

ii Electricity supply

iii Emergency Lights

iv Telephone

v Civil engineering

vi Fire protection

vii Water supply

viii Waste disposal

ix Mortuary

2.3. Diagnostic Laboratory) (180 Sq. Mts)

i Pathology (Clinical Laboratory)

ii Bacteriology Laboratory

iii Hematological laboratory

iv Serological Laboratory

v Biochemistry Laboratory

vi Cardiac laboratory (ECG)

vii Ophthalmologic Laboratory

viii Imaging/Radiological Laboratory

2.4. Activities of NHP

I Human Control

I Diagnostic Services

ii Treatment

iii Disability management

II Vector Control CHC 1 CHC 2 CHC 3 CHC 4 Total

I Interval Residual Spray

ii Space spray

iii Impregnated Bed Net Provision


I Maintenance of Hatcheries

ii Release of Anti-larval Fishes

iii others

IV Chemical Control

I Oil spray on water surface

ii Others

iii Others

V Others Activities

I Health Education

ii Training

iii Conversance

2.5 NRHM

1 Ante-natal Care Services

I Intra-natal care services

ii Post natal care services

iii JSY care Services

iv Immunization of Children

v Full Range of FP Services

vi Health Education

vii Training


% services provided

3. INFRASTRUCTURE AVAILABLE

3.1. Physical Infrastructure (1503.32 Sq Mts)


I Review by VH&SC

i Whether VH&SC are constituted

ii Whether the composition of the VH&SC is as the

guidelines.

iii Whether VH&SC are convening the meeting

regularly

iv If Ye, at what interval

v Whether Discussion as agenda are undertaken.

vi Whether the Minutes opf the meeting are prepared

and circulated to all the concerned

vii Whether the feed back on the minutes is received.

viii Village Health day & Health camps are organized

ii Entrance Zone: (72 Sq. Mts)

Location & Floor Area

Registration & Records

Pharmacy

Drugs Storage

Public Utility

Circulation space

iii Ambulatory Zone (OPD) (321.4 Sq. Mts)

Causality/Emergency

GDMO Room

AYUSH MO Room

8 Specialists Room

Treatment Room

Refraction Room

Nursing station

Causality/Emergency

Dress Room

Injection Room

Female Injection Room

Public Utilities

Waiting Room

iv In-Patient Zone (313.76 Sq. Mts) CHC 1 CHC 2 CHC 3 CHC 4 Total

Male Wards

Female wards

Private Room

Isolation Room

Nursing station

Patient areas

Ancillary areas

Rest Rooms

v Critical Zone (Operation Room/Labour Room)-(240 Sq. Mts)

Patient Area

Staff Area

Supply areas

OT/LR area

Public Utility

Circulation area

vi Administration Zone ( 60 Sq. Mts)

General administration

Establishment

Accounts

General Store

Total No. I/S items Present

% of I/S items Present

3.2. Manpower available in the CHCs as per IPHS

Sl. No. Categories of staff CHC 1 CHC 2 CHC 3 CHC 4 Total

Specialist Staff

I General Surgeon

ii Physician

iii O&G

iv Pediatrics

v Anesthetist

vi Public Health manager

vii Eye Surgeon (1for every 5 CHC)

viii Dental Surgeon

Total # Staff

% staff against sanctioned

Key Essential Staff

ix GDMOs with at least 2 female MO)

x Specialist of AYUSH

xi GDMO (AYUSH )

xii Staff Nurse

xiii PHN

xiv ANM

xv Pharmacist/Compounder

xvi Pharmacist – AYUSH

xvii Lab. Technician

xviii Radiographer

xix Ophthalmic Assistant

xx Dresser

Total # Staff

% staff against sanctined

Other staff CHC 1 CHC 2 CHC 3 CHC 4 Total

xxi Ward boy /Nursing orderly

xxii Sweeper

xxiii Chowkidar

xxiv Dhobi

xxv Mali

xxvi Aya

xxvii Peon `

xxviii OPD attendant

xxix Registration Clerk

xxx Statistical Assistant /Data entry operator

xxxi Accountant/Administrative Assistant

xxxii OT Technician

Total


Grand Total # Staff


3.3. Logistic Support

Sl. No. Logistics CHC 1 CHC 2 CHC 3 CHC 4 Total

3.3.1 Logistics - Vehicle/Referral transport Model

i Bicycles/ Mopped

ii Ambulances

iii Call vehicles

iv Out sourced vehicles

3.3.2 Logistic Equipments

i Surgical Instruments Set I

ii Surgical Instruments Set II

iii Surgical Instruments Set III

iv Surgical Instruments Set IV

v Surgical Instruments Set V

vi Surgical Instruments Set VI

vii IUD insertion Equipment Kit

viii Normal Delivery Kit

ix Equipment for Anesthetic

x Equipment for Neonatal Resuscitation

xi Material Kit for Blood transfusion

xii Equipment for OT

xiii Equipment for LR

xiv Equipments for Radiology

3.3.3 Logistics- Drugs

i Routine Drugs

ii Tablets

iii Capsules

iv Injections

v vaccines & antiserum

vi Ayurvedic drugs

vii Unani drugs

viii Sidha Drugs

ix Homeopathic drugs

x Programme related drugs

Programme related drugs

NRHM

NVDDCP

RNTCP

NLEP

NBCP

HIV/AIDS

NIDDCP

IDSP

NCD

Total No. of Logistic Items Present

% logistic items present

4 Funds allocation & Utilization CHC 1 CHC 2 CHC 3 CHC 4 Total

I Funds allocated

ii Funds utilized

iii % funds utilized

5 CROSS-VERIFICATION/FIELD VERIFICATION

I Malaria Slides CHC 1 CHC 2 CHC 3 CHC 4 Total

# +ve slides cross examined

# Discrepancies found

# -ve blood slides cross-examined


Total Slides cross-examined

Total discrepancies found

% discrepancies found

ii Peripheral Laboratories

Adequacy of Infrastructure of the laboratories

Trained Technician in-position

Adequate testing equipments in place

adequate chemicals in place

Average no. of tests undertaken per day

Is it overburdened

Adequacy of records maintained

Validity of results by cross checking

Quality of slides and tests

SOP/ Guidelines in place

Test results are given on the same day.

% of quality items present

6 SATISFACTION STUDIES CHC 1 CHC 2 CHC 3 CHC 4 Total

I Job Satisfaction (as per format)

ii Patient's Satisfaction (as per format)

7. SUPERVISION & MONITORING

Sl. No. Particulars CHC 1 CHC 2 CHC 3 CHC 4 Total

i MIS Established

Diseases are classified as per ICD-10 pattern




Annual Report Format developed

Monitoring Indicators Identified

If MIS is functional, provide a copy of the

consolidated Report of last month

All Necessary Records Registers maintained

a

b

c

d

e

f

g

h

i

j

k

l

m

ii Admin Monitoring CHC 1 CHC 2 CHC 3 CHC 4 Total






If prepared , provide a copy of the Report for the

last year?

iii Int. Audit





National Review meeting organized

If yes, provide a copy of ATR on the minutes

iv Patient care (# Developed complications) CHC 1 CHC 2 CHC 3 CHC 4 Total

Ante-natal cases


New born/Infants


TB cases

Leprosy cases

other case


v Medical Audit (# Deaths reported &reviewed)

Maternal Deaths

Child deaths

Malaria deaths

Tuberculosis Deaths

Others (specify)


vi Supervisory visits by State/National Prog.

manager

what was checked



what administrative directions given

Provide a copy of the follow up action taken

vii External Audit

Independent Review



vii Whether the feed back on the minutes is received.

viii Village Health day & Health camps are organized

Total No. of Monitoring Items present

% Monitoring Items Present

8 Performance of services CHC 1 CHC 2 CHC 3 CHC 4 Total

8.1 Hospital performance

# patients reported in OPD in last one year

# days hospital OPD operated

# Patient days in Hospitals

# Patients admitted in Hospital

# of Bed days

# patients died in hospital

# Patients Discharged

# Live births occurred in hospital during reference period

# of infant deaths

# of Maternal Death

# of abortions

8.2 Hospital Performance Indicators

Average daily Attendance in OPD in last one year

Average duration stay in hospital

Bed Occupancy Ratio

Bed Turn over rate

Death rate

IMR

MMR

8.3 NHP

Prevalence rate

New cases detection rate

Prop. Of Sever cases

Prop. Of Child cases

Prop. Of female cases

Prop. Of Deformity cases

Prop. Of cases put on treatment among the new

cases

Number of cases completed treatment among those put on treatment

Number of Prevalent cases on record at the end of

report month

Number of resistant/relapse cases

# of CHCs developed Indicators


DATA COLLECTION FORMATS FOR REVIEW OF PRIMARY HEALTH CENTERS


1 ASSURED SERVICES:

Sl. No. Assured Services Under

PHCs PHC 1 PHC 2 PHC 3

PHC 4 PHC 5 PHC 6 PHC 7

1.1 Medical Care Services

I OPD services

ii Emergency Services (24 Hrs)

iii Referral services

iv In-patient Services

1.2 Treatment of Specific cases

I Cataract surgeries

ii Primary management of Wounds

iii Primary management of

Fractures

iv Minor Surgeries

v

Primary management of

Poisoning, snake bite, dog bite,

etc.

vi Primary management of Burns

1.3 MCH & FP Services PHC 1 PHC 2 PHC 3 PHC 4 PHC 5 PHC 6 PHC 7

I ANC

ii INC (24x7 Hrs services)

iii PNC

iv JSY

v Immunization

vi MTP services

vii RTI/STD management

viii FP methods

ix New Born care

x Sick child care

1.4 Other Services

I Nutritional Services

ii School Health Services

iii Safe drinking water

iv Control of locally endemic diseases

v Surveillance & control of

epidemic diseases

vi Collection of vital Statistics

vii Health Education

viii AYUSH services

ix Rehabilitation services

1.5 National Health programme PHC 1 PHC 2 PHC 3 PHC 4 PHC 5 PHC 6 PHC 7

I NRHM

ii HIV/AIDS

iii NVBDCP

iv RNTCP

v NLEP

vi NBCP

vii NIIDCP

viii IDSP

iv NCD-Newer initiatives

1.6 Field Activities

Monitor activities of the SHCs

Activities of the ASHAs

MO to visit all SHC once in a

month

HS/LHV to visit once a week

Total activities undertaken

% of activities against total

2 Other Services PHC 1 PHC 2 PHC 3 PHC 4 PHC 5 PHC 6 PHC 7

2.1 Basic Laboratory Services

I Routine -Urine, stool & blood

ii BT&CT

iii Bacteriology-RTI, Sputum

iv Blood smear for malaria parasite

v Rapid test for pregnancy

vi RPR test Syphilis/yaws

vii Rapid Diagnostic test for

Typhoid

viii Rapid test kit for fecal

contamination of water

2.2 Support Services

i Standards Treatment protocols

ii IEC Material

iii Training Manuals

iv Skill Strengthening Training of staff

v Diet to patients

vi Sterilization room

vii

Central Sterilization storage

Depot. (CSSD)

viii Laundry

ix Storage

2.3 Amenities/Accessory Services PHC 1 PHC 2 PHC 3 PHC 4 PHC 5 PHC 6 PHC 7

Citizen's charter

Adequate Residential

Accommodation with all amenities

Lecture Hall for training

Electricity with adequate back-up

Adequate water supply

Telephone

Garden

Waste disposal facilities

2.4. Activities of NHP PHC 1 PHC 2 PHC 3 PHC 4 PHC 5 PHC 6 PHC 7

I Human Control

I Diagnostic Services

ii Treatment

iii Disability management

II Vector Control

I Interval Residual Spray

ii Space spray

iii Impregnated Bed Net Provision


I Maintenance of Hatcheries

ii Release of Anti-larval Fishes

iii others

IV Chemical Control

I Oil spray on water surface

ii Others

iii Others

V Others Activities PHC 1 PHC 2 PHC 3 PHC 4 PHC 5 PHC 6 PHC 7

I Health Education

ii Training

iii Conversance

2.5 NRHM

1 Ante-natal Care Services

I Intra-natal care services

ii Post natal care services

iii JSY care Services

iv Immunization of Children

v Full Range of FP Services

vi Health Education

vii Training

Total activities undertaken

% of activities against total

3. ESSENTIAL PHYSICAL INFRASTRUCTUR IN PHCs

Sl. No. Infrastructure PHC 1 PHC 2 PHC 3 PHC 4 PHC 5 PHC 6 PHC 7

3.1 Review by HP&HM

Committee/RKS

i Whether VH&SC are

constituted

ii Whether the composition of the

VH&SC is as the guidelines.

iii Whether VH&SC are convening the meeting

regularly


v Whether Discussion as agenda

are undertaken.

vi Whether the Minutes opf the

meeting are prepared and

circulated to all the concerned

vii Whether the feed back on the

minutes is received.

viii Village Health day & Health

camps are organized

3.2 Physical Infrastructure PHC 1 PHC 2 PHC 3 PHC 4 PHC 5 PHC 6 PHC 7

I PHC Building

Easily accessible within locality

Building government or rented

Wheel chair friendly

Well Lit & Ventilated

Plinth Area 375 to 450 Sq. mtrs

Boundary wall/fence

ii Entrance

Registration and Record Room

Drug dispensing room

Waiting area for patients

Ramps at the doorways

iii Waiting area

Adequate seating

Display of HE Material

Separate Public utility

Facility for drinking water

Proper sign boards

Complaint box

clean surrounding, no water logging

iv Outpatient Department PHC 1 PHC 2 PHC 3 PHC 4 PHC 5 PHC 6 PHC 7

Separate consultation &

examination room

Privacy for physical

examination

Public utility

v In-patient Wards

4-6 beds separate wards for

Male & females

Facility for drinking water

clean toilet

separate nursing duty room

Nursing station

clean linen

provisions of Diet

Cleaning of wards

vi Operation Theater

change room

Separate storing sterile &

other material

Adequate Equipments

Simple Surgical Procedures

vii Labour Room

Separate septic & aseptic

deliveries

well lit & ventilated

toilet

Drinking water

separate storing of dirty &

clean linen

Baby care room

viii Minor OT

Minor surgeries

Emergencies/causality management

well equipped to handle

emergencies

ix Laboratory

Sufficient space

Separate areas for collection

& Screening

should have marble /stone

tables & bash basins

x General Stores

Separate sterile & common linen, drugs etc.

well lit & ventilated

Sufficient space

dispensing cum store

Vaccine & antiserum

Grand total Infrastructure Facilities

% of physical infrastructure Facilities

3.3. MANPOER IN PHC

Sl. No. Action points PHC 1 PHC 2 PHC 3 PHC 4 PHC 5 PHC 6 PHC 7

I Medical officer

(Exiting-1, Recommended -3)

AYUSH Practioner


Account Manager


ii Pharmacist (Exiting-1, Recommended -2)

iii Nurse – Midwife/Staff Nurse


iv Health Worker (female)


v Health Educator (Exiting-1, Recommended -1)

vi Health Assistant (1 (M), 1 (F)


vii Clerks


viii Laboratory technician (Exiting-1, Recommended -2)

ix Driver


x Class IV


TOTAL

(Exiting-15, Recommended -

24/25)

3.4. LOGISTICS SUPPORT IN PHC

Sl. No. Logistics PHC 1 PHC 2 PHC 3 PHC 4 PHC 5 PHC 6 PHC 7

I Equipment:

Physical Examination in OPD

Ophthalmologic examination &

Eye care

Equipment required under NHP

Set for Labour Room for Normal/assisted delivery

Equipment for IUD

Equipment for pap smear

Equipment for laboratory

Necessary Furniture

ii Drugs

General Drugs

Ayush drugs

Drugs for RCH programme

Drugs for RTI/STI

Ayurvedic Drugs

Unani medicines

Sidha Medicines

Homeopathy medicines

iii Transport Facilities

Referral facilities for

emergency patients

Supervision & other out reach activities

4

FUNDS ALLOCATION &

UTILIZATION

I Funds allocated

ii Funds Utilized

iii % utilization

5 CROSS-VERIFICATION/FIELD VERIFICATION

I Malaria Slides PHC 1 PHC 2 PHC 3 PHC 4 PHC 5 PHC 6 PHC 7

# +ve slides cross examined

# discrepancies found

# -ve blood slides cross-

examined


Total Slides cross-examined

Total discrepancies found

% discrepancies found

ii Peripheral Laboratories

Adequacy of Infrastructure of the laboratories

Trained Technician in-position

Adequate testing equipments in

place

adequate chemicals in place

Average no. of tests undertaken

per day

Is it overburdened

Adequacy of records maintained

Validity of results by cross

checking

Quality of slides and tests

SOP/ Guidelines in place

Test results are given on the same day.

% of quality items present

6 SATISFACTION STUDIES

I Job Satisfaction (as per format)

ii Patient's Satisfaction (as per format)

7. SPERVISION & MONITORING

Sl. No. Particulars PHC 1 PHC 2 PHC 3 PHC 4 PHC 5 PHC 6 PHC 7

i MIS Established

Diseases are classified as ICD-

10 Pattern



Half yearly report format

developed

Annual Report Format

developed

Monitoring Indicators

Identified

If MIS is functional, provide a copy of the consolidated Report

of last month

All Necessary Records

Registers maintained

a

b

c

d

e

f

g

h

ii Admin Monitoring






If prepared , provide a copy of

the Report for the last year?

iii Int. Audit



Half Yearly Review meeting

Organized


National Review meeting

organized

If yes, provide a copy of ATR

on the minutes

iv Patient care (# Developed

complications)

Ante-natal cases


New born/Infants


TB cases

Leprosy cases

other cases

If yes, provide a copy of the

ATR

v Medical Audit (# Deaths

reported &reviewed)

Maternal Deaths

Child deaths

Malaria deaths

Tuberculosis Deaths

Others (specify)


of the ATR

vi Supervisory visits by

State/National Prog. manager

what was checked




Provide a copy of the follow

up action taken

vii External Audit

Independent Review



of the ATR

Total No. of Monitoring

Items present

% Monitoring Items Present

8 Performance of services

8.1 Hospital performance

# patients reported in OPD in last one year

# days hospital OPD operated

# Patient days in Hospitals

# Patients admitted in Hospital

# of Bed days

# patients died in hospital

# Patients Discharged

# Live births occurred in hospital during reference period

# of infant deaths

# of Maternal Death

# of abortions

8.2

Hospital Performance

Indicators

Average daily Attendance in

OPD in last one year

Average duration stay in

hospital

Bed Occupancy Ratio

Bed Turn over rate

Death rate

IMR

MMR

8.3 NHP

Prevalence rate

New cases detection rate

Prop. Of Sever cases

Prop. Of Child cases

Prop. Of female cases

Prop. Of Deformity cases

Prop. Of cases put on treatment among the new cases

Number of cases completed

treatment among those put on

treatment

Number of Prevalent cases on

record at the end of report month

Number of resistant/relapse

cases


DATA COLLECTION FORMATS FOR REVIEW OF SUB-HEALTH CENTERS


1. ASSURED SERVICES BY HSC:

Sl. No. Services SHC 1 SHC 2 SHC 3 SHC 4

1.1 Maternal Health

Antenatal Care

Intranasal care

Postnatal Care

JSY Scheme

1.2 Child Health:

Newborn Care Services

Promotion of exclusive breast feeding

Full Immunization of Children

Vitamin A prophylaxis

Assistance to school health services

Prevention & control of Childhood diseases

1.3 Family planning & Contraceptive:

IEC to ECs for adopting FP methods

Provision of contraceptives

Follow up services to Ecs adopting CCs

1.4 Counseling for safe abortion (MTP) &

proper referral

1.5 Assistance for School Health Services

1.6 Control of locally endemic diseases

1.7 Disease Surveillance & Control:

Surveillance of abnormal increase of cases

Weekly reporting of information on

syndromes surveillance

High level of alertness for unusual events

& action

1.8 Water Quality Monitoring

Disinfections of water

testing of water quality

1.9 Promotion of sanitation & disposal of garbage

1.1 Curative Services

Treatment of minor ailments

Proper referral

Organizing Health days

Provide treatment as per AYUSH

Total

%age

2 Other Services

2.1 Support services

Availability of the Guidelines

Laboratory -Routine tests

Regular Skill development training/CME

IEC material

Waste disposal

2.2 Accessory Services

Availability of Regular Electricity

Availability of safe drinking Water

Telephone

Transport

Citizen's Charter

2.3 Others field activities

field visits

Community need assessment

Training

Records of vital events

2.40 National Health programme

NRHM

HIV/AIDS

NVBDCP

RNTCP

NLEP

NBCP

IDSP

NCD & Cancer Control

Total

%age

3 INFRASTRUCTURE

REQUIREMENTS:

3.1 Review by VH&SC

i Whether VH&SC are constituted

ii Whether the composition of the VH&SC is as the guidelines.

iii Whether VH&SC are convening the

meeting regularly


v Whether Discussion as agenda are undertaken.

vi Whether the Minutes of the meeting are

prepared and circulated to all the

concerned

vii Whether the feed back on the minutes is

received.

viii Village Health day & Health camps are

organized

3.2 Physical Infrastructure

I Building

SHCs located within locality

Government building for SHCs

Compound wall / Fencing gate

Residential facility for HW (F)?

Separate public utilities for M&F

Plinth area (73.50 to 100.20 Mtrs)

Present condition of building.

Condition of plaster on walls

Condition of floor.

Whether the cleanliness is maintained

ii Waiting Area

Prominent display boards in local language

Visit Schedule of ANM

Suggestion / complaints box

Display of IEC material

Seating arrangements

iii Clinical Room

Examination table

OPD Equipment (stethoscope, BP apparatus, Weight Machine, etc)

Necessary furniture

iv Labour room available

Labour room available

Lithotomy table

Equipment trolly

Linen

Delivery Set

Suction apparatus

Newborn case set

v Residential Accommodation

Living Room - 2

Kitchen

W.C.

Bath Room

ANM Stays at Sub-center

HW(M) stays at Sub-center

3.3 Man power

ANM

Additional ANM

HW (Male)

AWW

ASHA

Volunteer Worker

Total

%age

3.4 LOGISTIC SUPPORT

I Equipments

OPD set

Delivery Set

IUD set

First Aid set

DDKs

Furniture

ii Drugs

Drug Kit-A (ORS, IFA, Vit.A,Co-tri)

Drug kit-B (Drugs related to delivery)

Additional drugs (used for sever infection)

Other Drugs & vaccine (UIP Vaccine)

NHP drugs (Malaria, MDT, DOT

Contraceptive supplies (Nirodh, OP, Cu.T)

AWW drug Kit

ASHA drug Kit

iii Referral Services

Provisions of referral

Total

%age

4 Funds allocated & Utilization

Un-Tied Funds of Rs. 10000/annum

Funds allocated & Utilization

Funds utilized

% utilization

4 Field verifications

4.1 Field Verification CC Users

Sterilization

IUD

Oral Pill

Nirodh

4.2 Field verification of the Mothers

ANC

PNC

JSY mothers

4.3 Field Verification of the Children

5 Satisfaction studies

5.1 Client satisfaction

Client satisfaction towards ANM

Client satisfaction towards ASHA

Satisfaction of PRI

5.2 Job Satisfaction

SHC staff

PHC staff

CHC staff

6 Record Maintenace

Sl. No. Registers Maintained SHC 1 SHC 2 SHC 3

I Eligible Couples Register

ii Maternal & Child Health Register

a Antenatal, Intra-natal, postnatal

b Under five Register - Immunization

c Under five Register - Growth Monitoring

iii Birth & Death Register

iv Drug Register

v Equipment/Furniture Register

vi Communicable diseases/ Epidemic Register

vii Passive surveillance register for malaria

cases

viii Register for record pertaining to JSY

ix Register for maintenance of account

including untied funds

x Register for water quality and sanitation

xi Minor ailments Register

xii Records/registers as per various National

Health Programme guidelines

No of Register Maintained properly

% of Maintained properly

7 SPERVISION & MONITORING

Sl. No. Particulars

i HIS Established

Diseases are classified as per ICD-10

Pattern

Monthly Progress Report Format used

MPR received from all reporting units

MPR Summarized & Reviewed

Feedback on MPR given

ii Admin Monitoring





iii Int. Audit





iv Medical Audit (# Deaths/complications

reported and reviewed iro)

Maternal Deaths

Child deaths

Malaria deaths

Tuberculosis Deaths

Others (specify)

v Supervisory visits by State/National

Prog. manager

what was checked




what follow up action taken

vi External Audit

Independent Review


8 Performance Indicators

I

# ECs using CCs methods for more than 6

months continuously.

ii # ANC mothers Registered

iii # Mothers gone through the delivery

iv # mothers have hospital deliveries

v # Children upto 23 months immunized

vi # Infant deaths

vii # Maternal Deaths

viii # Malaria cases treated

ix # TB cases under treatment

x # Leprosy cases under treatment

xi

# cases blindness & refractive errors treated

xii # HIV/AIDS cases under treatment

MONTHLY PERFORMANCE REPORT ON TECHNICAL ACTIVITIES FOR ROH&FW

INFORMATION ON SHCs

Name of the ROH&FW:

Report for the Month of:

5.1. Field verification Children for fully immunization at SHCs

Sl. No. Action points

1 Total beneficiaries selected

2 Total beneficiaries contacted

3 Beneficiaries could not be contacted due to

A) No such person living in the area.

B) Left the place temporarily.

C) Left the place permanently

D) Dead

E) Wrong /Incomplete address

F) Others

Total

4 No. of beneficiaries confirmed with full doses

5 No. of beneficiaries not confirmed with dose

6 Discrepancies in entries in the age of beneficiaries

7 Children have Complication after receiving the

services

8 Satisfied with the services

5.2. Field verification of ANC and PNC mothers at SHCs


1 Total No of beneficiaries selected


3

Beneficiaries could not be contacted due to




D) Dead

E) Wrong/Incomplete address

F) Others

Total

4 Discrepancy in age of beneficiaries

5 TT received during the pregnancy

6 IFA tablet received during the pregnancy

7 IFA consumed as per instruction

8 Received three Ante natal check up

9 No of women have gone through delivery

9.1. No. of Instts Deliveries

10 DDK used during delivery

11 Child fed within 30 minute of delivery

12 Used colostrums as per advise

13 Exclusive Breast feeding

14 Three post natal check up

5.3. Field verification of JSY beneficiaries at SHCs


1 Total No of beneficiaries selected


3

Beneficiaries could not be contacted due to




D) Dead

E) Wrong/Incomplete address

F) Others

Total

4 Discrepancy in reporting of beneficiaries

5 TT received during the pregnancy

6 IFA tablet received during the pregnancy

7 IFA consumed as per instruction

8 Received three Ante natal check up

9 Three post natal check up

10 Monetary benefit under JSY

11 Satisfied with services

5.4. Field verification of Clients practicing Contraceptive methods – Sterilization

Sl. No. Action points SHC 1 SHC 2 SHC 3

1 # of selected cases

2 # of contacted cases

3 Cases not contacted due to

a NSP

b IA/WA

h PO

d TO

e Others

Total

4 Discrepancy

a Age of acceptors

b Age of spouse

d No. of Total child

e No.of Male child

Total

5 Ineligible Cases

6 Denial/ Fake

a Denial cases

b Fake cases

c Double reported cases

Total

7 Follow up by Staff out of found genuine cases

8 Pregnancy during the use of method out of found genuine cases

9 Complaints if any out of found genuine cases

10 Satisfied with method out of found genuine cases

5.4. Field verification of Clients practicing Contraceptive methods – IUDs





a NSP

b IA/WA

h PO

d TO

e Others

Total

4 Discrepancy

a Age of acceptors

b Age of spouse


e No.of Male child

Total

5 Ineligible Cases

6 Denial/ Fake

a Denial cases

b Fake cases


Total





5.4. Field verification of Clients practicing Contraceptive methods - Oral Pills





a NSP

b IA/WA

h PO

d TO

e Others

Total

4 Discrepancy

a Age of acceptors

b Age of spouse


e No.of Male child

Total

5 Ineligible Cases

6 Denial/ Fake

a Denial cases

b Fake cases


Total





5.4. Field verification of Clients practicing Contraceptive methods – Condom





a NSP

b IA/WA

h PO

d TO

e Others

Total

4 Discrepancy

a Age of acceptors

b Age of spouse


e No.of Male child

Total

5 Ineligible Cases

6 Denial/ Fake

a Denial cases

b Fake cases


Total





MONTHLY PERFORMANCE REPORT ON TECHNICAL ACTIVITIES FOR ROH&FW

INFORMATION ON community satisfaction

Name of the ROH&FW:

Report for the Month of:

6.1. Community satisfaction of Mother for Work of ANMs


1 ANMs visited village regularly

2 Mothers had some problem in last pregnancy

3 Mothers received timely advices for getting treatment

4 Institutional deliveries

5 Babies weighed after birth

6 Mothers aware about JSY

7 Mothers received three PNC

8 Mothers advised regarding colostrums

9 Mothers get information about proper breast feeding

10 Mothers have knowledge about the dangerous sign of ARI-

11 Mothers have knowledge about fluid that is to be given during diarrhea

12 Mothers have knowledge about schedule of Child immunization

13 Mothers aware about the disease for which immunization given to their child -

14 Mothers aware about the immunization against measles to be given in the 9th month

15 Awareness of mothers about the contraceptive method -

16 Mothers aware about the side effect of the contraceptive.

17 Awareness about the ideal gap between two children

6.1. Community satisfaction of Mother for Work of ASHAs


1 ASHA visited mothers during period from pregnancy to delivery

2 Mothers Received three ANC

3 Mothers had some problem in last pregnancy

4 Mothers received timely advices for getting treatment

5 Institutional deliveries

6 Babies weighed after birth

7 Mothers received three PNC

8 Mothers get information about proper breast feeding

9 Mothers have knowledge about the dangerous sign of ARI.

10 Mothers have knowledge about fluid that is to be given during diarrhea

11 Mothers have knowledge about the immunization given to their child

12 Mothers nave knowledge about that the immunization against measles given in the ninth month

6.1. Key Information from sarpanchs on the work of ANMs


No. of Pancvhayat Members contacted

1 Do you know about NRHM?

2 Activities of NRHM are smoothly functioning ?

3 Whether the JSY benefited to all the villagers?

4 Do you know about untied funds?

5 Do you have a Joint account with ANM in bank for untied funds?

6 Is there proper utilization of untied funds?

7 Are the Villagers are benefited out of the untied funds?

8 In your village when and where the health camps are organized?

9 Who is ASHA in your Village?

10 You know about the functioning of ASHA?

11 Know about the how many Link Worker are working in your Village?

12 In your village whether the cases of Institutional deliveries are increased?

13 Any Polio case found in your Village?

14 Is there regular immunization of children from time to time in your Village?

JOB SATISFACTION

S. No Particulars

1 Organization

i Clear Goal’s & Targets

ii Reporting structure very easy and clear

iii Feedback is given on important issues

iv Facilitate Team work

v Employees are considered as an assets

2 General Working Conditions

i Hours worked each week

ii Activities involves field tours

iii Location of work/safe working conditions

iv Paid vacation/sick leave offered

v Stress free working condition

3 Pay & promotion potential

i salary - timely payments

ii Opportunity of promotion

iii Compensation for additional work

iv Job Security

v Recognition of work

4 Work Relationship

i Relationship with coworkers

ii relationship with supervisors

iii relationship with subordinates

iv Discuss and acceptance of views

v Accountability to Boss

5 Use of Skills and Abilities

i Opportunities to utilize skills & talents

ii Opportunities to learn new skills

iii Support for additional training

iv It is a challenging Job

v Provides all resources& Logistics

6 Work Activities

i Variety of job responsibilities

ii Independence of your work Role

iii Opportunities for periodic changes in duties

iv Flexibility of Scheduling

v Fixed duty rosters

7 Personal

i Residential accommodation provided

ii Transportation arranged for duties

iii benefits for children education

iv Health insurance of family members

v Risk coverage/life insurance

Patient’s SATISFACTION

S. No Particulars P1 P2 P3 P4 P5 P6 P7 P8 P9 P10

1 Socio-economic correlation

i Age

ii sex

iii education

iv race

v marital status

vi facility size

vii occupation

viii income

ix social class

2 Art of Care

i friendliness

ii Patience, sincerity

iii Consideration, concern

iv Disrespect,

embarrassment

v Hurt, insult

vi making worry,

abruptness

2 Technical Quality of Care

i Ability, accuracy

ii Experience, thoroughness

iii training

iv defective equipments

v over prescribing

vi outdated regimens

vii taking unnecessary risk

3 Accessibility/Convenience

i easy appointment

ii care facility is far

away(>3Km)

iii Lot of time and efforts

to get care

iv convenience location

v conveyance timing

vi long waiting time

vii telephonic consultation

available

viii home care provided

4 Finance

i Care services are free

of cost

ii Drugs are provided free

of cost & adequate

iii

Investigations are undertaken in hospital

free of cost

iv Have to pay

consultation fee

v have to pay for drugs

vi have to pay for tests

vii have to bribe to get

services

5 Physical Environment

i Pleasant atmosphere

ii comfort of seating

iii Attractiveness of

waiting room

iv clarity of sign &

directions

v good lighting

vi quite

vii Neat & clean

viii Orderly facility &

equipment

6 Availability of care

i Adequate # care

providers

ii Adequate # of

facilities/clinics

iii Adequate quantity of

drugs

iv adequate counselors

v adequate lab facilities

7 Continuity of care

i care is available

regularly

ii It is on fixed timing and

days

iii it is available occasionally

iv not available

v Medical records are

maintained

8 Efficacy/outcome of care

i Disease cured

completely

ii Developed

complications

iii developed resistance

iv disease has relapsed

v spreaded to other

contacts

FORM-IV REGIONAL OFFICES OF HEALTH & FAMILY …rltrird.cg.gov.in/pdf/ROHFW/field activities/Year...

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Transcript of FORM-IV REGIONAL OFFICES OF HEALTH & FAMILY …rltrird.cg.gov.in/pdf/ROHFW/field activities/Year...