National Rural Health Mission

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National Rural Health Mission

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National Rural Health Mission. The Challenges in health sector. Under funded public health system High and prohibitive out of pocket expenditure Poor distribution of skilled manpower Poor quality services in public health system Poor community participation - PowerPoint PPT Presentation

Transcript of National Rural Health Mission

  • National Rural Health Mission

  • The Challenges in health sectorUnder funded public health systemHigh and prohibitive out of pocket expenditurePoor distribution of skilled manpowerPoor quality services in public health systemPoor community participationPeoples needs different from what system offersLarge unregulated private sectorUnwillingness to look for structural change and governance reformIMR/MMR is high and not declining fast enough

  • Priorities for health under Common Minimum ProgramRaise public spending on health to 2-3% of GDPA national scheme for health insurance for poor familiesResponsibility for development schemes to village womenSpecial attention to poorer sections in matters of health care. Food and nutrition securityLife saving drugs at reasonable prices

  • IntroductionNational Rural Health Mission was launched by on 12 th April, 2005 with an objective to provide effective health care to the rural population, the disadvantaged groups including women and children by Improving accessEnhancing equity and accountability Promoting decentralization

  • CoverageThe NRHM covers the entire country, with special focus on 18 states where the challenge of strengthening poor public health systems and thereby improve key health indicators is the greatest. These are Uttar Pradesh, Uttaranchal, Madhya Pradesh, Chhattisgarh, Bihar, Jharkhand, Orissa, Rajasthan, Himachal Pradesh, Jammu and Kashmir, Assam, Arunachal Pradesh, Manipur, Meghalaya, Nagaland, Mizoram, Sikkim and Tripura.

  • 1. CommunitizationCommunity ParticipationCommunity MonitoringCommunity Ownership and Health Action by community At the village level : Involvement of PRI, village level committee and SHGsASHAAt the facility level: hospital management committeesAt the management level health societies

  • ASHA Accredited Social Health Activist

    A long felt need For every village/ covers 1000 populationChosen by and accountable to the PanchayatAct as the interface between the community and the public healthcare system Part of the team responsible to prepare and implement the Village Health Plan along with AWW, ANM under VHSC.Performance based incentives

  • *Village Health & Sanitation CommitteeGram Panchayat members from the village ASHA, Anganwadi Sevika, ANMSHG leader, the PTA/MTA Secretary, village representative of any Community based organisation working in the village, user group representative

    Chairperson: a Panchayat member Convenor: ASHA / Anganwadi SevikaFormed at level of revenue village

  • *PHC Level Committee 30% members : representatives of Panchayati Raj Institutions20% members - non-official representatives from VHSCs with annual rotation to enable representation from all the villages20% members representatives from NGOs / CBOs in the area30% members representatives of providers, MO, ANM

    Chairperson: a Panchayat representatives, Executive chairperson: Medical officer of PHCSecretary: one of the NGO / CBO representatives.

  • Decentralized PlanningDistrict Health Mission at the District level and the State Health Mission at the state levelDistrict Health Plan would be a reflection of synergy between Village Health Plans, State and National priorities for Health, Water Supply, Sanitation and Nutrition.Involvement of PRIs in planning process

  • 2. IPHS Standards: monitor progress against standardIndian Public Health Standards (IPHS) are set of standards envisaged to improve the quality of health care delivery in the country under the National Rural Health Mission.

  • Sub-centre strengtheningEach sub-centre will have an Untied Fund for local action @ Rs. 10,000 per annum.Postings of Additional ANMs wherever neededMaintaining Logistics: Supply of essential drugs to the Subcentres.3. Strengthening Public Health Care

  • PHC strengtheningInfrastructure Strengthening as per IPHS guidelinesProvision of Rogi Kalyan SamitiAdequate and regular supply of essential quality drugs and equipmentProvision of 24 hour service in 50% PHCs

  • CHC strengtheningInfrastructure strengthening by implementation of IPHS standards Promotion of Rogi Kalyan Samitis for hospital managementDeveloping standards of services and costs in hospital care.

  • 4. Improved Program ManagementDistrict Program Management UnitBlock Program Management UnitNHSRC/ SHSRC/ DRG/ BRG

  • 5. Flexible FinancingIssues with financingFund allocation to health sectorThe problem of absorption and appropriate use of funds in disadvantaged areas is a critical bottleneck

  • Health Financing NOW20% public expenditure (0.9% GDP), often inefficient and ineffective.

    80% private expenditure, mostly out of pocket

    15-20% MoHFW expenditure rest by StatesBy 201240% public expenditure with improved accountability and efficiency ( 2-3% GDP)Private expenditure by risk pooling/insurance

    40% GoI expenditure rest by States

  • Innovative Financial MechanismsFunds to all States and UTs being sent electronically.Time taken in fund transfer brought down from 1-3 months to 1-2 days.Sanction letters uploaded on website along with e-transferUtilization of the principle of money follows the patient.

  • *Supplementary StrategiesRegulation of Private Sector: To ensure quality of service to citizen (includes the informal rural practitioners).Promotion of Public Private Partnerships: For achieving public health goals.Mainstreaming AYUSH.Reorienting medical education: To support rural health issues including regulation of Medical care and Medical Ethics.Effective and viable risk pooling: To provide health security to the poor by ensuring accessible, accountable and good quality hospital care.

  • Chiranjeevi Scheme - Gujarat

  • Broad IssuesNon - availability of O & G specialistsAccessibility of services-Tribal and urban slumsPoor utilization of services- Low felt need of health & medical servicesLack of user friendly & quality public health servicesCostly private health and medical servicesNo health insurance coverage

  • Chiranjeevi Yojna - Options Service Coverage through outsourcing- voucher system Emergency Obstetric Care & Neonatal Care

    Private Gynecs in their facilityPayment to Gynecs for working in government hospital

  • SERVICE PACKAGE

    ServiceNo. of casesRate Per CaseCost Normal delivery 8580068000Complicated cases Eclampsia 1000 Forceps/vacuum/breech 310003000 Episiotomy800 Septicemia230006000Blood transfusion310003000 Cesarean (7%) 7500035000 Predelivery visit 10010010000 Investigation 100505000 Sonography 301504500 Dai100505000 Transport10020020000Grand total179500

  • Outcome of Chiranjeevi Scheme: Mothers & New Born babies saved Normal Deliveries:175805C-Section: 12414 (6.17%)Complicated Deliveries: 13092 (6.50%)Private specialist enrolled: 872/2000

    Total Deliveries under Chiranjeevi schemeExpected Maternal DeathMaternal death reported under Chiranjeevi schemeMothers saved under Chiranjeevi schemeExpected New born death New born death reported under Chiranjeevi schemeNew born saved2013118053976676508296820

  • Institutional deliveries trend

    Chart1

    37

    46

    55

    67

    78

    90

    Gujarat

    Sheet1

    1992-931998-992005-062006-072007-082008-09

    Gujarat374655677890

    Sheet1

    Gujarat

    Sheet2

    Sheet3

  • *AP Rural Emergency Health Transport24x7 Toll-free No. 108502 ambulances in 1107 mandals.Average time for reaching hospital 16 min. in Urban & 22 min. in Rural areas.Total emergencies attended per day is 2,806 (97% are Medical)In two years, REHTS has saved 20,394 lives by attending to them in the crucial Golden hour

  • *Andhra PradeshToopran PHCBefore InterventionAfter Intervention

  • *Gujarat Institutional deliveries

    Gandhi. Reg

    GandhinagarMehsanaPatanSabarkanthaBanaskanthaGandhinagar Region

    2001-022002-032003-042004-052005-062006-072001-022002-032003-042004-052005-062006-072001-022002-032003-042004-052005-062006-072001-022002-032003-042004-052005-062006-072001-022002-032003-042004-052005-062006-072001-022002-032003-042004-052005-062006-07

    Expected ANC Registration38500382003850038600401003800045000500005150052000250003300033000333003530064000620006200059300628007400072000730007320080000239500250200256500255900270200

    ANC registration (Nos.)30852356213685437081363284591847220469694760445841312243280829021323803118360580658056201064341667576786368257695527039474106236437249711244406251800254215

    ANC registration (%age)80.1493.2595.7296.0690.59120.84104.9393.9492.4388.16124.9099.4287.9497.2488.3494.66106.14100.02108.50106.3091.7194.8095.2896.1792.6398.7299.8095.2898.4094.08

    First trimester ANC registration (Nos.)14073172121787418671191172340727165281942822327703145401445613193166291757627091343502982735327382172708526487273372878731232106196119670116425127637133845

    % age of First Trim ANC Reg.45.6148.3248.5050.3552.6250.9857.5360.0359.2960.4346.5744.0645.4651.3656.3644.7252.2048.1054.9157.2539.9138.8039.3040.8942.1544.9247.9247.6450.6952.65

    ANC coverage 3 checkups ( Nos.)20772198492161822318220052964219849312503217531093173101854218104188142271350155573225229346011419055783755512571055607060901175716171074180370175388178617

    ANC coverage 3 checkups (% age)67.3355.7258.6660.1960.5764.5542.0466.5367.5967.8355.4456.5262.3858.1072.8482.7987.1184.3371.5162.7785.2381.3382.1079.6582.1874.3268.5173.8069.6570.26

    TT 2 + Booster31046332803501934290338694515745008435464553542530308803111329945314203092661457587136215659595617266741467916681406942570384235954236030238806240265239435

    % as against Exp. ANC Reg.80.6487.1290.9688.8384.46118.83100.0287.0988.4281.79123.5294.2890.7494.3587.6196.0394.70100.25100.5098.2991.1094.3393.3494.8487.9898.5294.3493.1093.8988.61

    % as against Actual ANC Reg.100.6393.4395.0292.4793.2398.3495.3292.7195.6592.7898.9094.83103.1897.0499.18101.4589.22100.2492.6292.4699.3499.5097.9798.6294.9899.8094.5297.7195.4294.19

    IFA Tablets21157301701314917579161074797233707321162354720608270623645828444178593023959884623326247753447649456442759377660624113036038220502222044202248153562167937

    High risk pregnancy24393854351540175261422053116165524437933228335734832245362425655654616367125986528264627350658666951773424638266762480425359

    Refared2138931082984283170324603375228135181841232767316522471660122729382442230792283164636635500436672984

    of these how many delivered by SBAs24393854351540175261422053116165524437933228335734832245362425655654616367125986528264627350658666951773424638266762480425359

    Promoting deliveries by SBAs

    Expected Deliveries34650343803465034740360903420040500450004635046800225002970029700299703177057600558005580053370565206660064800657006588072000215550225180230850230310243180

    Deliveries28301290453203029957299554062342130414484154139324279842890126641283872783755165566275691952911549586326161314619036067865745215334218017218941213474217819

    Private

    Private1129213508171451430916446182062950030581272413141614225147201353511877164562162724629275982381528226185192175022180234883077483869104107111039100730123318

    Hospital00000

    Clinic00000

    Government6024398751567665672810770374539308396416218282596205961222155132298550695370647297724343465044541761733909423224231423466426515

    CeMOCs00000

    BeMOCs57057311461109831376

    Dist. Hos./ PPC etc.2350140416402864274311365510110780270570573202711461109831376329214992873485383212273732

    CHCs710748172853774784205398986357881217107891937051181662356518781661166923554211134022501595187111617587468721954711889

    PHCs919118511831349112423472060231422641971413426431449396241329191292168915502268244023842989188883609030760487406929

    Sub Centre2045650605653393205933124323419467111112555975224146117822044264043556641083326598303119315243193589

    Total Institutional Del.17316174952230121974231742897633245345113563735578160531731615594179991861134856331793455130879355232576226096272242890536947122963127331134181135394149833

    Home1098511550972979836781116478885693759043746119311158511047103889226203092344822368220321943537499352183467931773287989237190686847607808067986

    Untrained Dai27246211187710276204428426272551166712832204354165283714444251378026161939112594627820543340361874

    Trained Dai734174646885561347364082357729132436174457915650624564875917119221347613461122711069919144188282009519008181594828048995495994581541255

    ANM337240402842236920445688428134043026191835133384313526183089795295568379939082921410412610119681082695143462933871297282822924857

    Institutional deliveries %61.1960.2369.6373.3577.3671.3378.9183.2685.7990.4757.3659.9158.5363.4166.8663.1858.5960.7058.3664.6440.7242.5643.9847.6456.2057.1058.4061.2963.4268.79

    Deliveries at home by SBAs %37.8539.6130.3726.6422.6324.0518.6515.2413.159.3133.2531.2635.2132.0732.3536.0340.6738.3740.9434.5652.5651.2751.8049.1742.0938.5038.0136.2334.6930.35

    Deliveries by untrained dais %0.960.160.010.000.004.622.441.501.060.219.398.836.264.520.790.790.730.930.700.816.726.164.233.201.714.393.592.481.890.86

    Public / Private ratioGovt Share in inst.34.7922.7923.1234.8829.0337.1711.2611.3923.5611.7011.3914.9913.2034.0111.5837.9525.7720.1222.8820.5428.1216.6518.5318.7416.7131.7918.2417.2525.6017.70

    Share of private.65.2177.2176.8865.1270.9762.8388.7488.6176.4488.3088.6185.0186.8065.9988.4262.0574.2379.8877.1279.4671.8883.3581.4781.2683.2968.2181.7682.7574.4082.30

    Complications reported1212139610751296176728400284618471701148710210352391229427151922678407682123220526454797414869056614

    Referal - DeliveryNo.6871261106965212529100580375322311217883618481676233671750541573569897421513547349142873396

    Missing deliveries%8.2718.4613.0919.2117.5411.5310.7811.7512.7414.2210.3811.918.2012.3310.738.9413.958.2117.7617.676.7810.1711.0013.8011.288.9312.6910.4215.2214.32

    Comparison with same period last years

    2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY

    MaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotal

    Pregnancy Outcomes1679714211310081718114180313612170117807395082294018794417341471613232279481535013329286792963025138547682794424915528593574331374671173307228880619521185871017622203491164871000982165851.71

    No. of Live Birth165871405930646169301396430894-0.81214221756038982226751858441259-5.84145011303327534149501299827948-1.502922124809540302747424462519363.883532630989663153267928519611987.72117057100450217507114708985272132351.96

    No. of Still Birth210152362251216467-29.012792475262652104759.70215199414400331731-76.57409329738470453923-25.074173858023933617545.99153013122842177915713350-17.87

    Order Birth0000

    1 st6697551212209538748991028615.75812066001472077296245139745.074828415089784720384285624.6311256101552141141354060819561.7311830942421254865263571500929.3842731358417857230623254035602628.69

    2 nd553148261035746814231891213.95714458101295469025683125852.854804436891724624430689302.64949991001859936793737741660.13119241054322467906482391730322.9838902346477354928950261965514625.02

    3 rd and 3+4576386184374047362776749.0461555150113056274520611480-1.554975454295174763438291453.91728673561464224792992547162.63118661117823044956288511841320.1034858320876694527125250585218322.05

    Weight of new born0000

    < 2.5 kg.151014522962171315173230-9.05291126335544359133556946-25.2912189892207156813622930-32.76367432276901374733907137-3.42385337047557474442068950-18.43131661200525171153631383029193-15.98

    > 2.5 kg.1501012677276871280995632237219.20182671477533042177201537033090-0.151338411886252701341411597250111.022505521067461222316321059442224.1231241274045864526529237115024014.331029578780919076693635813001749358.30

    Meternal death reported / expected2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    Institutional00

    During pregnancy00

    During delivery00

    Within 6 weeks00

    Total00

    Non-Institutional00

    During pregnancy00

    During delivery00

    Within 6 weeks00

    Total00

    Total00

    During pregnancy10711989581054438

    During delivery10121212812141112145661

    Within 6 weeks46122213103619185162

    Total24253543293122254137151161

    Expected119120160160109109202210238238829846

    As % of expected20.1320.8021.8126.7926.6728.5110.8911.8917.2215.5418.2019.03

    In comparison with prev year (less or more)0.674.981.841.01-1.680.82

    Audit of maternal death carried out (Y/N)NNNNNN

    Neo Natal care (sick new born care2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    Treated45569017641710655739849061064158821998158

    Referred6305951475698297503842138998596542294150

    Post Natal (who received 3 check-ups)25526264763851535181197872327842595425485364858226180071185709

    RTI / STI00

    Treated1050810857327802943311928147781423119390901352511415958299572

    Referred119534622329100151156316857816778119410451165524468

    MTP00

    Total MTP cases272792699187213896454861515583718125080

    No. of cases treated00

    MTP cases referred0000000

    Complications reported0000000

    Death due to MTP00000

    Benefit of JSY given

    Rs. 500

    Rs. 200

    2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    Sancd.FilledVacantSancd.FilledVacantSancd.FilledVacantSancd.FilledVacantSancd.FilledVacantSancd.FilledVacantSancd.FilledVacantSancd.FilledVacantSancd.FilledVacantSancd.FilledVacantSancd.FilledVacantSancd.FilledVacant

    Posting staff nurses in PHCs25322924253228253963455139231577242199432892395051645363498489943638254394337571843160823518261608218

    SBAs - ANMs Trained in safe delivery0000NANA396396NA

    FRUs operationalisedSanOper.SanOper.SanOper.SanOper.SanOper.SanOper.

    BeMOC48514940

    CeMOC42423152542111

    PHCs / CHCs having facility for 24 hrs delivery

    Doctors trained

    Anesthesia000112

    Fogsi100113

    Delivery per...2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    Per staff nurse*43.8238.4733.1119.3043.9221.9436.3231.8842.5246.5539.1131.95

    Per ANM15.7913.6312.107.6713.1615.5223.8921.1030.2426.5820.9118.41

    Per CHC896.2797.3482.3101.4731.1237.492.7130.8122.7143.9349.1212.3

    Per PHC54.045.047.241.115.013.227.225.046.729.538.230.3

    Per CeMOC

    Per BeMOC

    Pathways to Maternal Heath

    Programme DimensionMother care Programme2001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-06

    Internal Impect IndicatorInstitutional Delivery61.1960.2369.6373.3577.3671.3378.9183.2685.7990.4757.3659.9158.5363.4166.8663.1858.5960.7058.3664.6440.7242.5643.9847.6456.2057.1058.4061.2963.4268.79

    Beneficiary CoverageANC registered / Exp pregnancy80.1493.2595.7296.0690.59120.84104.9393.9492.4388.16124.9099.4287.9497.2488.3494.66106.14100.02108.50106.3091.7194.8095.2896.1792.6398.7299.8095.2898.4094.08

    Service Reach3 ANC Visit / Exp pregnancy53.9551.9656.1557.8254.8878.0144.1162.5062.4859.7969.2456.1954.8656.5064.3478.3792.4584.3477.5966.7378.1677.1078.2376.6076.1373.3768.3770.3268.5466.11

    Service QualityIFA theraphy given / Severe anemia cases

    Service EfficacyHigh risk indectified / Exp. High risk0.530.720.640.720.970.610.750.880.730.550.690.680.800.460.770.280.570.660.700.600.520.630.700.620.600.500.660.730.660.67

    Service DemandGovt. Hospital Del. / Total Inst. Del.34.7922.7923.1234.8829.0337.1711.2611.3923.5611.7011.3914.9913.2034.0111.5837.9525.7720.1222.8820.5428.1216.6518.5318.7416.7131.7918.2417.2525.6017.70

    Clients C omplianceEarly registration / Exp pregnancy36.5545.0646.4348.3747.6761.6060.3756.3954.8053.2858.1643.8139.9849.9449.7942.3355.4048.1159.5760.8636.6036.7937.4539.3339.0444.3447.8345.3949.8849.54

    Service delivery progressCases referred / HR indentified28.1732.7230.4116.2323.802.160.000.0011.069.890.990.690.320.942.1532.5932.6827.1934.8011.989.566.4210.0010.6014.5512.1314.4013.0917.2813.39

    Service delivery CapacityANM residing at Sub-centre village

    CHC61271813

    PHC2548306264

    * Includes ANM, FHW, LHV and contractual staff nurse

    &C&"Arial,Bold"&16Maternal Health

    Page &P&R&A

    A'bad Reg

    AhmedabadKhedaAnandSurendranagarAhmedabad CorporationAhmedabad Region

    2001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-06

    Expected ANC Registration555006550067300674007000054500575006120056900590004950046000520005220053100420004000040000440004400084500953009550010250098000286000304300316000323000324100

    ANC registration (Nos.)60212689406822168696722034983057258611735864260381543864827953936534874965039138362273681340967413249339097956938199175294002296956308660313962313544317560

    ANC registration (%age)108.49105.25101.37101.92103.1591.4399.5899.96103.06102.34109.87104.95103.72102.4793.5093.1990.5792.0393.1193.92110.52102.7998.2489.5195.92103.83101.4399.3697.0797.98

    First trimester ANC registration (Nos.)25457305403082434336361992589330063351433359534150297622654529965299682914318096183771787520610196891973523410275654509848650118943128935141372163607167831

    % age of First Trim ANC Reg.42.2844.3045.1849.9850.1451.9652.5057.4557.2956.5654.7254.9855.5656.0358.7046.2450.7348.5650.3147.6521.1323.9029.3849.1551.7540.0541.7745.0352.1852.85

    ANC coverage 3 checkups ( Nos.)40575682156909450208466064219345510397693791746686314613208835407327783429126058221372281928314317858428159019837598037486861224568226969250848229591246229

    ANC coverage 3 checkups (% age)67.3998.95101.2873.0964.5584.6779.4865.0164.6677.3257.8566.4665.6561.2869.0766.5861.1161.9969.1176.9290.2560.2589.2887.6092.4075.6273.5379.9073.2277.54

    TT 2 + Booster58724680716732469710718596096460200587016061959164523474899152009504734837437509363133538740277394078584696848971669662996810295390310423310587317708315614

    % as against Exp. ANC Reg.105.81103.93100.04103.43102.66111.86104.7095.92106.54100.28105.75106.50100.0296.6991.1089.3190.7888.4791.5489.56101.59101.62101.7494.2798.79103.28102.0198.2998.3697.38

    % as against Actual ANC Reg.97.5398.7498.69101.4899.52122.34105.1495.96103.3797.9896.25101.4796.4394.3697.4395.84100.2496.1398.3295.3691.9298.87103.57105.32102.9999.47100.5798.93101.3399.39

    IFA Tablets61340633616212441222660766429759867360742754641636495124651048463215421993925748554875192421620269563006582286750968507881811230962307511273681197008236418

    High risk pregnancy74391395566068858066881513623572579369482540855355333511055303924378937254133458621801931079502776626273204432485927664

    Referal - Pregenancy232022482590168622916151547605684819348819813222288050546536313602004325511441130624008539972681367816559

    of these how many delivered by SBAs74391395566068858066881513623572579369482540855355333511055303924378937254133458621801931079502776626273204432485927664

    Promoting deliveries by SBAs

    Expected Deliveries54190.86204661398.961826.464982.74484751532.255055.752777.854342.948947.443451.148542.448138.34468535224.232604.333131.736870.337191.68405188160.484437.182576.884601.8267260.4277794282565.8282189.6285804

    Deliveries55526619706146361848647385230251805563295117659675495064610549199447684239331907313623144133712360568261876362845538259682073271859267604282985274100284935

    Private

    Private110911599223470270963198252685832138705621163741859517486218691890518230138414425038945383688723339900010521072853594595551671969

    Hospital00000

    Clinic00000

    Government14001153879289635570281432515271125201526017944120221246211657119551207782599725107427890115944560340907558773773741285316786935119795115233122771

    CeMOCs00000

    BeMOCs

    Dist. Hos. / PPC etc23914000157310312850925648660940332286204513851395282823208719796357514560340907558773773741281715247870871337465079568

    CHCs4674783654778375330175116461264745260251264225038565418494551366672800767421029201282518404186042044926592

    PHCs46065577916444933706414326653831317347214446411640834181260365282357314091479609784299158161

    Sub Centre64762896146037711077377638341982397747133751372123002315242340601474156237014043110526216102198450

    Total Inst.250923137932759334513901019593211032639020881343183061729948335263086030307964398691099211784169777343267489755877377374128158377159788179254170749194740

    Home30434305912870428397257283270930702299393029525357188891615715673139081208622264214932044921928190799186887389668823794511348210781610373110335190195

    Untrained Dai37001750586256376557031001811800560830514615184425415489774024128347314155

    Trained Dai23405232422186121692201442436922173253842577321424160391384113432118099720149101432414992153481447400020627897872373580756697482868551

    ANM6992734968436530558477545966379044653933281923162241208123657336716954576524460588174128448419210022578230212267792379217489

    Institutional deliveries %45.1950.6453.3054.0960.2637.4640.7446.8540.8057.5161.8564.9668.1468.9371.4930.2231.4734.9634.9547.0988.8888.3889.4089.3290.3258.2659.7163.3462.2968.35

    Deliveries at home by SBAs %54.7449.3646.7045.6339.7461.4254.3251.7959.0942.4938.0935.0431.8631.0328.5169.7268.5365.0464.8852.911.079.719.995.324.6238.4438.7936.2035.9830.20

    Deliveries by untrained dais %0.070.000.000.280.001.124.951.360.110.000.060.000.000.040.000.060.000.000.170.0010.051.910.615.365.063.301.500.451.731.46

    Public / Private ratioGovt Share in inst.55.8049.0428.3619.0018.0273.1172.3647.4473.0852.2939.2741.6134.7738.7439.8585.6598.5497.7366.9668.296.2150.51100.00100.00100.0033.5754.4166.8367.4963.04

    Share of private.44.2050.9671.6481.0081.9826.8927.6452.5626.9247.7160.7358.3965.2361.2660.1514.351.462.2733.0431.7193.7949.490.000.000.0066.4345.5933.1732.5136.96

    Complications reportedNo.1656260516743473265236330353628657765562949982472311125452357542500000037864082294453374202

    Referal - DeliveryNo.1722256016721936229163325025610152752153845479682611125452351771420000039883893261730103786

    Missing deliveries%7.7810.119.919.9710.34-4.969.527.9212.731.178.974.508.7816.3014.6218.4813.4314.5917.7112.7511.5322.049.889.9812.698.4513.309.8712.5810.27

    Comparison with same period last years

    2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY

    MaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotal

    Pregnancy Outcomes343963048064876327362950862244368512282459675269232482851751229381945642394240792072744806193411676436105171691647833647443643770982073459533723383186157890127233285123146860128774275634

    No. of Live Birth3424030331645713248529275617604.3536468225375900526669246175128613.08225041908641590236812041844099-6.031916816654358221707916410334896.51438993734081239456383695482592-1.671562791259482822271455521276742732263.19

    No. of Still Birth156149305251233484-58.6938328767025421146530.6043437080439830970712.06173110283906815844.1746536983431527959428.7816111285289613081100240816.85

    Order Birth

    1 st1384311402252459692101601985221.3615263852423787900879411694928.75874672651601185517071156222.43733761621349944573843830038.5116527155253205213650126012625118.10617164887811059445358416168697421.36

    2 nd11771853020301796186091657018.3813326881122137704961801322940.24760664931409974756523139980.72620755301173737703486725638.18142261335927585151791401229191-5.8253136427239585941434388108024416.29

    3 rd and 3+10822835219174754983621591117.027134594713081573949731071218.1161355316114516390569912089-5.57562449621058636653617728231.21115891084622435141201303427154-21.034130435423767273746335685731484.66

    Weight of new born

    < 2.5 kg.324730626309501146259636-52.7354502566801626662487515335.721744160533491658152031785.1110939782071614618123240.51159511505631007191101764136751-18.52274852326750752290592689155950-10.24

    > 2.5 kg.29089254985458722566204374300321.2230329206605098918959163863534530.68205211724237763206381779338431-1.7718075156763375111079103852146436.4027060254555251523781220544583512.72125074104531229605970238705518407819.83

    Meternal death reported / expected2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    Institutional

    During pregnancy8686

    During delivery27262726

    Within 6 weeks6363

    Total41354135

    Non-Institutional

    During pregnancy

    During delivery

    Within 6 weeks

    Total

    Total

    During pregnancy8426188142922

    During delivery17141022721666043

    Within 6 weeks181013124624398055

    Total432825209153101900169120

    Expected24025120023017216213013932131610631098

    As % of expected17.9011.1512.538.7153.0532.767.6813.6312.7611.0815.9010.93

    In comparison with prev year (less or more)-6.75-3.82-20.295.96-1.69-4.97

    Audit of maternal death carried out (Y/N)NNNNNN

    Neo Natal care (sick new born care2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    Treated739928713202715773924756456527107091003114701

    Referred71566345690813513813393446527614593888441

    Post Natal (who received 3 check-ups)49421464054435857447335693500131645281957427679813233269246861

    RTI / STI

    Treated73221397142699728858892034973653347097701278224996988

    Referred1169100209237116203338884136039686287873314796

    MTP

    Total MTP cases8311975796951754302883473493257353664242

    No. of cases treated

    MTP cases referred

    Complications reported

    Death due to MTP

    Benefit of JSY given

    Rs. 500

    Rs. 200

    2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    San.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacant

    Posting staff nurses in PHCs271246253983257340835256409370393653382738135328316260563162605600001360119616415041308196

    SBAs - ANMs Trained in safe delivery130428488344

    FRUs operationalisedSanOper.SanOper.SanOper.SanOper.SanOper.

    BeMOC6587260

    CeMOC1074243532315

    PHCs / CHCs having facility for 24 hrs delivery

    Doctors trained

    Anesthesia01012

    Fogsi00000

    Delivery per..2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    Per staff nurse52.3838.8156.0459.1341.5340.9155.4462.300.000.00116.24107.23

    Per ANM24.8321.2314.3612.657.628.6636.2425.580.000.0023.1717.03

    Per CHC93.0592.2677.5547.7541.8494.5674.21029.20.00.0511.2664.8

    Per PHC38.211.576.663.595.097.212.811.20.00.060.549.8

    Per CeMOC

    Per BeMOC

    Pathways to Maternal Heath2001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-06

    Programme DimensionMother care Programme

    Internal Impect IndicatorInstitutional Delivery45.1950.6453.3054.0960.2637.4640.7446.8540.8057.5161.8564.9668.1468.9371.4930.2231.4734.9634.9547.0988.8888.3889.4089.3290.3258.2659.7163.3462.2968.35

    Beneficiary CoverageANC registered / Exp pregnancy108.49105.25101.37101.92103.1591.4399.5899.96103.06102.34109.87104.95103.72102.4793.5093.1990.5792.0393.1193.92110.52102.7998.2489.5195.92103.83101.4399.3697.0797.98

    Service Reach3 ANC Visit / Exp pregnancy73.11104.15102.6774.4966.5877.4279.1564.9866.6479.1363.5669.7668.0962.7964.5862.0455.3457.0564.3572.2499.7461.9387.7178.4188.6378.5274.5979.3871.0875.97

    Service QualityIFA theraphy given / Severe anemia cases

    Service EfficacyHigh risk indectified / Exp. High risk0.820.130.550.670.741.181.590.620.901.050.660.760.660.640.740.670.700.670.670.740.160.130.000.060.000.620.570.430.530.58

    Service DemandGovt. Hospital Del. / Total Inst. Del.55.8049.0428.3619.0018.0273.1172.3647.4473.0852.2939.2741.6134.7738.7439.8585.6598.5497.7366.9668.296.2150.51100.00100.00100.0033.5754.4166.8367.4963.04

    Clients complianceEarly registration / Exp pregnancy45.8746.6345.8050.9451.7147.5152.2857.4259.0457.8860.1357.7157.6357.4154.8843.0945.9444.6946.8444.7523.3624.5628.8644.0049.6441.5942.3744.7450.6551.78

    Service delivery progressCases referred / HR indentified23.15183.5129.5428.1228.407.181.844.471.275.569.639.728.5115.5814.9428.3414.386.314.283.100.000.000.0014.3614.8212.8012.1113.69

    Service delivery CapacityANM residing at Sub-centre village

    No of CHC9111010

    NO of PHC43504328

    * Includes ANM, FHW, LHV and contractual staff nurse

    &C&14MATERNAL HEALTH

    Page &P&R&A

    BARODA Reg

    VadodaraPanchmahalDahodBharuchNarmadaVadodara CorporationVadodaraRegion

    2001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-06

    Expected ANC Registration605006300062000669006200067500600006000058000666005500046000491004820060200372003750038000392004000015000150001500014500158003600033500350003740038000268700256500261500264800244600

    ANC registration (Nos.)553906116567085651976099159719619746276059630653834552646381491615421657875353873524735574360164018815047156711562715249146863312236121366233244633792247190257061262653264100239123

    ANC registration (%age)91.5597.09108.2097.4598.3788.47103.29104.60102.8198.1782.77100.83100.12112.4896.1495.1393.9993.6291.88100.47100.31104.47104.18105.1792.9592.01107.82104.6486.7588.9391.99100.22100.4499.7497.76

    First trimester ANC registration (Nos.)219052327432140293342886422295239022706529761314991625220217225462501829903149751500714554176142239870057126739180748061121121197912550124401468594411102076116136124486120725

    % age of First Trim ANC Reg.39.5538.0547.9144.9947.3337.3338.5743.1249.9148.1835.7043.5945.8646.1551.6742.3242.5840.9148.9155.7346.5545.4747.3052.9554.8936.5733.1634.2738.3443.4638.1939.7144.2247.1450.49

    ANC coverage 3 checkups ( Nos.)29530408584566646448461123219326144289083178035344392682405132195347074068014021275282504325499308608239854995321045394021901221238247081946317555144489151838160807166442162398

    ANC coverage 3 checkups (% age)53.3166.8068.0771.2475.6053.9142.1946.0653.3054.0686.2551.8665.4964.0270.2939.6278.1070.4070.8076.7954.7654.5561.0068.5564.0257.4058.8067.4759.9951.9558.4559.0761.2263.0267.91

    TT 2 + Booster283635736055581603905693756195555225878057741609984728946034490575195957595351313528237167386583821714613153801529015052141223032426601336523407231995208192243230249947255795227869

    % as against Exp. ANC Reg.46.8891.0589.6590.2791.8383.2592.5497.9799.5591.5985.98100.0799.91107.8095.6794.4494.0997.8198.6295.5497.42102.53101.93103.8189.3884.2379.4196.1591.1084.2077.4894.8395.5896.6093.16

    % as against Actual ANC Reg.51.2193.7882.8592.6393.3594.1089.5993.6696.8393.29103.8799.2599.7995.8499.5299.28100.10104.48107.3495.1097.1298.1497.8498.7196.1691.5573.6491.89105.0194.6884.2294.6295.1696.8695.29

    IFA Tablets5131655761489773520454148423664697743580340712025923338426585321113547694586543067644499469324083213788150101518713556116851642216035112221410212398205497202304171666153515134618

    High risk pregnancy2893408431288934913430338940695506620831673875458547855298829982739125953165004990240016961913175315365261767280928192330520112227152744323250

    Of these referal1651903130260699529372248182287529224193249417452638296948652917418718321736302924388337791174

    of these how many delivered by SBAs2893408431288934913430338940695506620831673875458547855298829982739125953165004990240016961913175315362277918345199062462423250

    Promoting deliveries by SBAs

    Total Deliveries471625130351693465175280549682536295300251221506274072440455507045511154628322813089432014318403398513322139021372913452124572370021788220692228922365184990190179202896203667196877

    Private

    Private507810535117356177157673319907595051282715588226932291100895976645550079849765101141042111931492148616484682758324618459240512319136933480914441448425

    Hospital

    Clinic

    Government1234581207770839112337926962194374417837197962730399011540420602615145244758481579001596211820261950314315332139051629216633173143125922503249273521340076

    CeMOCs

    BeMOCs

    District Hos./ PPC etc.23488841154125929572719319716021972212821276623170034532043211922552814878103212811163163386697750121511206211965

    CHCs65554349416141524613209918221431248526282370339448151222216303110715711743196445333014733805691181469237814141457153491621315750171012674129258

    PHCs1982173318392176249423618618998277361368865198725653033869497417411404116291122106128105774600074424247526460856795

    Sub Centre146011546168042273209033944266913414032787826171266722413479185149301322243112201914162800076042506256223874023

    Total Inst.17423186551950514568281041258815294138791700519307102311053220909250012724711651125081452314929183212789361035123598314722159197372091021225213655445059436730187962788501

    Home29739326483218831949247013709438335391233421631320304932992329795301102738120630183861749116911156641053310292102179854931015412051115910641000130540130743129878124040108376

    Untrained Dai599719717721229277221436296064133103215746936914392191444371172734347214154983831754420290529382361614

    Trained Dai22974240682369023748175692630728712292162572824042204741944518333193361615813476120731176712323103047276721469286852657010124896386818259099692150906158881274643

    ANM6166786177817480690310510940294718192727893781014711462107711120265805620503341495339234326352578227523975714723003512435688363253286733119

    Institutional deliveries %36.9436.3637.7331.3253.2225.3428.5226.1933.2038.1425.1226.0341.2445.3649.8836.0940.4945.3646.8953.9120.9425.9725.5826.7525.2693.5090.5994.7595.2395.5329.4331.2535.9939.1044.95

    Deliveries at home by SBAs %61.7962.2460.8867.1346.3474.1171.0772.9966.2261.8673.3073.1558.7654.6350.0862.1357.2752.4851.7346.0372.2070.8569.2467.8571.984.512.923.003.063.6968.1867.2262.5659.7454.74

    Deliveries by untrained dais %1.271.401.391.550.430.560.410.820.580.001.570.820.000.010.041.782.242.161.380.066.863.195.185.402.751.996.492.261.720.782.391.531.451.160.31

    Public / Private ratioGovt Share in inst.70.8543.5339.8457.6043.9073.6340.6631.5224.5719.2677.8269.3447.3561.6175.6152.7936.1732.7632.2543.1257.2258.6757.6954.2099.8769.1970.4577.9178.3781.0457.4137.8634.1444.2245.28

    Share of private.29.1556.4760.1642.4056.1026.3759.3468.4875.4380.7422.1830.6652.6538.3924.3947.2163.8367.2467.7556.8842.7841.3342.3145.800.1330.8129.5522.0921.6318.9642.5962.1465.8655.7854.72

    Complications reported6224900144524427847465076930438043810158111148445586901805288174177828169818591141360437

    Referal - DeliveryNo.32249001445183278474645133289376340104214892445586901805288174174178121619091172373437

    Missing deliveries%14.8516.1222.9428.6513.4216.8113.4715.5514.1022.5710.5512.78-3.14-1.655.618.7812.3510.0111.5915.4311.4611.2912.1511.7815.1828.4539.6839.7431.3033.8225.1626.0222.7522.8817.67

    Comparison with same period last years

    2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY

    MaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotal

    Pregnancy Outcomes27823246535247628767258295459626894238065070026277249595123628551261585470928850266315548117509164393394816032154023143464396059124986928639613324120321033322365116411074522386117549119480237029117599121603239202

    No. of Live Birth272592421051469283812547253853-4.63265582355850116260522475850810-1.38282762591954195285572636054917-1.331731916259335781589515281311767.1563626010123726887635813245-7.06118101011121921114121053421946-0.11115885117877213142116306120175236481-10.95

    No. of Still Birth564443100738635774326.2233624858422520142627.05275239514293271564-9.7319018037013712125830.27774912641387937.302222224442292114400.901664160328301293142827213.85

    Order Birth

    1 st999090561904610808958420392-7.0794608071175319471862018091-3.19898180281700989077899168061.19674163731311455007109126093.85224320394282252123284849-13.245108435794654787441892052.75417724303275769416254474586370-13.99

    2 nd91698467176369787868018467-4.7185007738162388509795116460-1.3789968472174689146844217588-0.69568453801106443685850102187.65222221034325235921784537-4.90404926436692396736617628-13.99372143885270698378304072978559-11.12

    3 rd and 3+776170261478778156930147450.28857178491642080457656157014.381030694121971810677985520532-4.134893450693994359425186108.39190618593765212119584079-8.34265321114764264824445092-6.88355483541666737354613574271203-6.69

    Weight of new born

    < 2.5 kg.171915073226176416283392-5.152088196540531858180736659.57376934697238451241648676-19.8761865985121716615646513080-7.4770260313058337691602-22.76180717153522196518133778-7.27161791705129958173951861136006-20.19

    > 2.5 kg.243572227146628258092382349632-6.442440521662460672330320665439684.562449222293467852344421640450843.648307814016447727371571443012.2655125255107675789534411133-3.401000383961839993318614179452.4795469980201760259423296574190806-8.40

    Meternal death reported / expected2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    Institutional

    During pregnancy

    During delivery

    Within 6 weeks

    Total

    Non-Institutional

    During pregnancy

    During delivery

    Within 6 weeks

    Total

    Total

    During pregnancy1619111091112173520197062

    During delivery211614141918910648128162

    Within 6 weeks17281311720212471277284

    Total546338353549425116103038223208

    Grand Total

    Expected20920019819521421112113152488585920920

    As % of expected25.7831.4719.2317.9516.3823.2434.6339.0531.0520.7835.1444.5124.2422.61

    In comparison with prev year (less or more)5.69-1.276.864.41-10.289.37-1.63

    Audit of maternal death carried out (Y/N)NNNNNNN

    Neo Natal care (sick new born care2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    Treated652124415341152581364558157314820920614536416823

    Referred2586789301096484222858157380852914524784660

    Post Natal (who received 3 check-ups)4426043383351433617738901540452672428952989489101572815240170162171467

    RTI / STI00

    Treated299582051613637160082396911801124070103764394036487834652089

    Referred279856424288421182426611605217621390407674714726

    MTP00

    Total MTP cases645478607446469653471486901036442545877402166

    No. of cases treated00000000000064425458

    MTP cases referred000000000000090

    Complications reported001000000025025

    Death due to MTP0000000000000

    Benefit of JSY given

    Rs. 500

    Rs. 200

    2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    San.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacant

    Posting staff nurses in PHCs5854671186095041055214358648941178404375294043752925423519242236616111447161114470000001925162629919051640265

    SBAs - ANMs Trained in safe delivery001700220

    FRUs operationalisedSanOper.SanOper.SanOper.SanOper.SanOper.SanOper.

    BeMOC12101073420

    CeMOC7242313221198

    PHCs / CHCs having facility for 24 hrs delivery

    Doctors trained00

    Anesthesia1000010

    Fogsi11010

    Delivery per..2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    Per staff nurse33.9938.1728.4426.7669.8084.8138.1456.1037.0648.600.000.0041.8744.63

    Per ANM17.6816.3223.3420.7434.0935.4521.1727.2421.2622.400.000.0023.5923.78

    Per CHC259.5288.3177.5187.71111.11482.1245.5566.6142.3295.30.00.0504.5552.0

    Per PHC28.632.812.911.542.049.710.510.45.06.10.00.023.326.0

    Per CeMOC

    Per BeMOC

    Pathways to Maternal Heath2001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-06

    Programme DimensionMother care Programme

    Internal Impect IndicatorInstitutional Delivery36.9436.3637.7331.3253.2225.3428.5226.1933.2038.1425.1226.0341.2445.3649.8836.0940.4945.3646.8953.9120.9425.9725.5826.7525.2693.5090.5994.7595.2395.5329.4331.2535.9939.1044.95

    Beneficiary CoverageANC registered / Exp pregnancy91.5597.09108.2097.4598.3788.47103.29104.60102.8198.1782.77100.83100.12112.4896.1495.1393.9993.6291.88100.47100.31104.47104.18105.1792.9592.01107.82104.6486.7588.9391.99100.22100.4499.7497.76

    Service Reach3 ANC Visit / Exp pregnancy48.8164.8573.6569.4374.3747.6943.5748.1854.7953.0771.4052.2865.5772.0167.5737.6973.4165.9065.0577.1554.9356.9963.5572.0959.5152.8163.4070.5952.0446.2053.7759.2061.4962.8666.39

    Service QualityIFA theraphy given / Severe anemia cases

    Service EfficacyHigh risk indectified / Exp. High risk34.824.454.2829.5438.1638.2936.4643.2261.5663.3046.3855.7062.1858.8461.03156.35156.48171.01176.42107.83221.09102.1072.3583.6379.5830.929.7132.1757.7255.6162.8552.1657.6669.2764.82

    Service DemandGovt. Hospital Del. / Total Inst. Del.70.8543.5339.8457.6043.9073.6340.6631.5224.5719.2677.8269.3447.3561.6175.6152.7936.1732.7632.2543.1257.2258.6757.6954.2099.8769.1970.4577.9178.3781.0457.4137.8634.1444.2245.28

    Clients ComplianceEarly registration / Exp pregnancy36.2136.9451.8443.8546.5533.0339.8445.1151.3147.3029.5543.9545.9251.9049.6740.2640.0238.3044.9356.0046.7047.5149.2755.6851.0233.6435.7635.8633.2638.6435.1439.8044.4147.0149.36

    Service delivery progressCases referred / HR indentified11.1312.010.000.0041.395.348.2011.6511.712.149.139.707.422.174.0410.755.386.429.4512.385.777.2510.269.3069.3712.3717.309.7313.2815.500.000.000.000.000.00

    Service delivery CapacityANM residing at Sub-centre village

    No of CHC1614118453

    NO of PHC7664613921261

    * Includes ANM, FHW, LHV and contractual staff nurse

    &C&"Arial,Bold"&14MATERNAL HEALTH

    Page &P&R&A

    Surat Reg

    SuratValsadNavsariDangsSurat CorporationSurat Region

    2001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-06

    Expected ANC Registration452005650059500780007600032500365003800041400392002750027000280003460027900620062006400540075006650066500670007560078000177900192700198900235000228600

    ANC registration (Nos.)475925776653440601106086733567369663632135814385532765325229254092720624253635765206712681573886537567123667057005275549180544193604188587199997206610

    ANC registration (%age)105.29102.2489.8277.0680.09103.28101.2895.5886.5198.35100.5693.4490.7578.6386.93102.53105.16104.88126.2098.5198.31100.9499.5692.6696.86101.49100.4794.8185.1190.38

    First trimester ANC registration (Nos.)2316436558353033978739244128851575715241148421606712097117061193713544161343675389437813844444014317215934536336603314416613889508111625108620107326

    % age of First Trim ANC Reg.48.6763.2966.0666.1964.4838.3942.6341.9641.4441.6843.7546.4046.9849.7866.5257.8159.7256.3356.4060.1021.9032.1768.0152.2541.6236.6346.2359.1954.3151.95

    ANC coverage 3 checkups ( Nos.)335114314545128472634640527885269252518820994200542106318623196082048823386437944324147457749071756541019620946271360547104403134144156165156035155299

    ANC coverage 3 checkups (% age)70.4174.6984.4578.6376.2483.0772.8469.3558.6252.0276.1773.8277.1775.3196.4368.8867.9861.7867.1666.4226.8761.1193.0989.5280.1457.8369.2982.8178.0275.17

    TT 2 + Booster452915650650938566625780236578331643457131321335562646424711234522335922160647758106225637371166697368620686627161776528181783188811183848189332197162

    % as against Exp. ANC Reg.100.20100.0185.6172.6476.06112.5590.8690.9875.6585.6096.2391.5283.7667.5179.43104.4793.7197.27118.0294.88100.71103.19102.4894.7398.11102.1897.9892.4380.5786.25

    % as against Actual ANC Reg.95.1797.8295.3294.2694.96108.9789.7195.1887.4587.0495.7097.9592.3085.8691.37101.8989.1192.7493.5196.32102.44102.23102.93102.23101.30100.6997.5297.4994.6795.43

    IFA Tablets416685165647010312155859445528394083505514255295923860431901276032197510928556855425913241523105677465239655846712272368188142193746181165136982173792

    High risk pregnancy55275152572168875814250125912252312539533468331125202712402027131030157661813491437822425392931311612801190181583914698

    Of these referal17892423194930102626611483041014204605712201395653735653316011527924628425352780257936233758

    of these how many delivered by SBAs55275152572168875814250125912252312539533468331125202712402027131030157661813491437822425392931311612801190181583914698

    Promoting deliveries by SBAs

    Expected Deliveries428335198948096540995478030210332693268932233346982488822706228682448521828572158686041613466495883860411600356304767994162490174244169728179997185949

    Deliveries424184988146691499675027130131320103276622433313692404221270212372316221211548655865816597465215769257541591015933559619159769166288165611160871168991

    Private

    Private1032218229192342143120184163021961620856538419367100831080113226130219087622422126245156383323342234779356938192586980867427483684593

    Hospital00000

    Clinic00000

    Government7090947967847785965142043338296679363644681135631748455492423902463342775959354166432271021007202272784933269345424155943359

    CeMOCs

    BeMOCs

    Dist Hosp./ PPC etc.229214711263248434291593256239741105895270310778251219284102149701039354166432271021007202271941821175254382446025088

    CHCs23593798312331473789721131811666435235738633825433247594354911313637103501550346561304214111

    PHCs15501065783782752149615761500132411094635224173754094946494496035583209274925252366

    Sub Centre8893145161513721681394188611036867003020224923272513723382169915321794

    Total Inst.1741227708260182921629835205062295423822133202301116894143641497417575183294522483384988575451054975561325578655920109774120249121284116395127952

    Home2500622173206732075120436962590568944911383587148690662635587288250345338547854765664318225662969354936994999546039443274447641039

    Untrained Dai7961331012101738597908051311117983693728049344423022327773953146860957329701967164123812202

    Trained Dai169551450713762143081416971016526688968016379572151844904418410864095448149824968499914619341096135713473533331632316333161827980

    ANM7255753368106233609416651740125010018001344165313221375179644641326628538898211011405158317791169212440110531047710857

    Institutional deliveries %41.0555.5555.7258.4759.3568.0671.7172.7059.3873.3670.2767.5370.5175.8886.418.244.445.818.3413.1494.4895.5494.9894.0293.8068.7172.3173.2372.3575.72

    Deliveries at home by SBAs %57.0744.1944.0641.1140.3129.0925.8224.8434.7822.8929.3932.1429.3224.0013.5982.7787.6190.2387.9382.614.233.544.234.955.2429.4326.5025.7726.1722.98

    Deliveries by untrained dais %1.880.270.220.420.342.852.472.465.843.760.350.320.170.120.008.997.953.953.734.251.280.920.791.030.961.861.180.991.481.30

    Public / Private ratioGovt Share in inst.40.7234.2126.0726.6532.3520.5014.5412.4559.5815.8440.3224.8111.6725.9150.4286.2899.1998.8255.6269.4317.1630.2740.4637.6636.1725.3727.6728.4835.7133.89

    Share of private.59.2865.7973.9373.3567.6579.5085.4687.5540.4284.1659.6875.1988.3374.0949.5813.720.811.1844.3830.5782.8469.7359.5462.3463.8374.6372.3371.5264.2966.11

    Complications reported1773195925042505282687910139581326033030445443257481021878453331539101797538353610545541074522

    Referal -DeliveryNo.10243142596385491511013867124373172964393723282880111012094266280377

    Missing deliveries%10.8713.6512.6316.8717.4110.2413.419.7937.3618.6313.0615.6916.4214.8612.5413.7014.3313.3512.3411.7411.7514.2811.4015.3021.0911.5114.1112.1819.5618.21

    Comparison with same period last years2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY

    MaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotal

    Pregnancy Outcomes24055218294588424138261495028716377150243140113868120822595011247996921216121951099323188328332666549327232646536309102870959619294272609655523858727879716466982899.7678584.2456445

    No. of Live Birth238462166145507239612595849919-8.8416220149053112513741119742571517.3811080985420934120301087222902-9.40323432236457325232516503-0.713082028636594562928425968552527.07852007827916347982268.1278022.885525266.20

    No. of Still Birth2091683771771913682.4515711927612710823514.86167115282165121286-1.4249439220133364.139073163143128271-66.2667251811906325611193-0.25

    Order Birth

    1 st9770915018920102761113221408-11.62624556091185450814669975021.58497141379108144812092657242.7911459822127777641141850.00166211604532666221371885740994-20.3238752359237467539718.8436508.16114393.84-34.72

    2 nd84568450169068707943218139-6.80575354261117946134337895024.91450341458648126412432507244.9589110011892675642131743.668453859617049518660901127651.2028056276185567420444.7221744.284218931.96

    3 rd and 3+52124846100585155558510740-6.3542213871809234153241665621.571616157931955805241104189.40119212352427882864174639.0050554879993433762877625358.8717296164103370613408.213090.82649927.20

    Weight of new born

    < 2.5 kg.145512462701130814162724-0.84275225635315363331526785-21.67181717003517206820064074-13.673212785992522965489.319647913918786100818583186640.6515992149263091817341.5215453.4832795-5.72

    > 2.5 kg.224102039642806226592454747206-9.3213183122962547911620106152223514.5992248194174189809900518814-7.4228562685554118961730362652.812087619384402602002719223392502.57685496295513150466010.8865120.121311310.28

    Meternal death reported / expected2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    Institutional

    During pregnancy

    During delivery

    Within 6 weeks

    Total

    Non-Institutional

    During pregnancy

    During delivery

    Within 6 weeks

    Total

    Total

    During pregnancy134774832433124

    During delivery15205119131193342

    Within 6 weeks813190736121337

    Total3637132713169961477103

    Grand Total

    Expected19417710012189812525215231215636

    As % of expected18.5420.9013.0022.3014.5919.6535.5835.832.796.0535.8316.20

    In comparison with prev year (less or more)2.369.305.060.253.26-19.63

    Audit of maternal death carried out (Y/N)NNNNNN

    Neo Natal care (sick new born care2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    Treated178420735274512431341208843125661153115210

    Referred17842073456318728711611324647423783010

    Post Natal (who received 3 check-ups)457334360921284234101979621246412549595533256159146270149383

    RTI / STI

    Treated13663158745815507530521031221338331489270985423258742

    Referred1568624656501797253760812528800189985158

    MTP00

    Total MTP cases556354714793145414514141904145846324070

    No. of cases treated00

    MTP cases referred00

    Complications reported00

    Death due to MTP00

    Benefit of JSY given

    Rs. 500

    Rs. 200

    2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    San.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacant

    Posting staff nurses in PHCs696601956966019541236052452388643553163935531639989269791600001561136919216001396204

    SBAs - ANMs Trained in safe delivery106381290

    FRUs operationalisedSanOper.SanOper.SanOper.SanOper.SanOper.

    BeMOC12881290

    CeMOC73313311148

    PHCs / CHCs having facility for 24 hrs delivery

    Doctors trained

    Anesthesia21000

    Fogsi11000

    Delivery per..2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    Per staff nurse23.3226.2024.8311.4518.7634.936.1110.800.000.0038.0138.84

    Per ANM11.9911.723.502.805.066.606.068.260.000.007.657.78

    Per CHC185.1222.9643.5235.7332.4759.4136.0371.00.00.0343.2371.3

    Per PHC10.09.633.928.410.411.46.313.70.00.015.814.8

    Per CeMOC

    Per BeMOC

    Pathways to Maternal Heath2001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-06

    Programme DimensionMother care Programme

    Internal Impect IndicatorInstitutional Delivery41.0555.5555.7258.4759.3568.0671.7172.7059.3873.3670.2767.5370.5175.8886.418.244.445.818.3413.1494.4895.5494.9894.0293.8068.7172.3173.2372.3575.72

    Beneficiary CoverageANC registered / Exp pregnancy105.29102.2489.8277.0680.09103.28101.2895.5886.5198.35100.5693.4490.7578.6386.93102.53105.16104.88126.2098.5198.31100.9499.5692.6696.86101.49100.4794.8185.1190.38

    Service Reach3 ANC Visit / Exp pregnancy74.1476.3675.8560.5961.0685.8073.7766.2850.7151.1676.5968.9770.0359.2183.8270.6371.4864.8084.7665.4326.4161.6892.6882.9577.6258.6969.6178.5166.4067.93

    Service QualityIFA theraphy given / Severe anemia cases

    Service EfficacyHigh risk indectified / Exp. High risk77.4259.4671.3776.3863.6849.6746.7341.3458.1768.3683.6187.4966.1266.46110.5028.4231.7029.9056.3555.7713.7614.2782.1924.162.5948.4344.0867.2352.8047.43

    Service DemandGovt. Hospital Del. / Total Inst. Del.40.7234.2126.0726.6532.3520.5014.5412.4559.5815.8440.3224.8111.6725.9150.4286.2899.1998.8255.6269.4317.1630.2740.4637.6636.1725.3727.6728.4835.7133.89

    Clients C omplianceEarly registration / Exp pregnancy51.2564.7059.3351.0151.6439.6543.1740.1135.8540.9943.9943.3642.6339.1457.8359.2762.8159.0871.1959.2021.5332.4767.7148.4240.3137.1846.4556.1246.2246.95

    Service delivery progressCases referred / HR indentified18.536.094.539.269.446.0439.1038.503.970.949.148.9417.4213.728.1610.332.580.001.911.628.906.543.2311.03128.670.000.000.000.000.00

    Service delivery CapacityANM residing at Sub-centre village

    CHC171010138

    NO of PHC7839367160

    * Includes ANM, FHW, LHV and contractual staff nurse

    &C&"Arial,Bold"&14MATERNAL HEALTH

    Page &P&R&A

    Bhav. Reg

    BhavnagarAmreliJunagadhPorbandarBhavnagar CorporationBhavnagar Region

    2001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-06

    Expected ANC Registration57200570005700056000560004300040000410003840039000750006950060000695006650016700150001500015100149001500016000160001600016000206900197500189000195000192400

    ANC registration (Nos.)45131473634445649856500473327338641383674326738337526386418262660570835587611287117361160312530172521489217537171141667017973157221179459174200179406179485

    ANC registration (%age)78.9083.0977.9989.0389.3777.3896.6093.58112.6798.3070.1892.35104.4382.1384.0267.5978.2477.3582.98115.7999.28109.61106.96104.19112.3375.9990.8792.1792.0093.29

    First trimester ANC registration (Nos.)12368111021552716961184431237315464155472389917283229782555625406291433588740854195417848806732566765446420601056825747162861670788089384027

    % age of First Trim ANC Reg.27.4023.4434.9334.0236.8537.1940.0240.5255.2445.0843.6539.8240.5551.0564.2336.1935.7436.0138.9539.0238.0537.3237.5136.0531.6136.5535.0338.5145.0946.82

    ANC coverage 3 checkups ( Nos.)3296024584329913321432370140431889019094200182345543973477524356938229445764866824378797267913124191733215799156161620198261116801119332114344125733

    ANC coverage 3 checkups (% age)73.0351.9174.2166.6264.6842.2148.8949.7746.2761.1883.5474.4069.5366.9779.7843.1170.2467.9058.0052.9316.2498.8392.3293.6890.1462.5065.0968.5063.7370.05

    TT 2 + Booster35958500465152544418452963335041888372193222633695541265678056209526805556912393129131192512458150741521117572166041604520684151038179199173482157827170318

    % as against Exp. ANC Reg.62.8687.8090.3979.3280.8977.56104.7290.7883.9286.4072.1781.7093.6875.8083.5674.2186.0979.5082.50101.17101.41109.83103.78100.28129.2873.0090.7391.7980.9488.52

    % as against Actual ANC Reg.79.67105.66115.9089.0990.51100.23108.4097.0174.4887.89102.8388.4789.7092.2999.45109.80110.03102.7899.4387.38102.14100.2097.0296.25115.0896.0799.8699.5987.9794.89

    IFA Tablets12801229724267919509167843338551251340791533031831486115831069843248846176813682128281314313903939493761496715189103731267211785516032817493383999132449

    High risk pregnancy40343883823039418392285925522774197226681514607244034805056275376783908537000019286827418142271030116845

    Of these Referal2958841749462575052243428261515329597965077610002424000001208905183014502040

    of these how many delivered by SBAs40343883823039418392285925522774197226681514607244034805056275376783908537000019286827418142271030116845

    Promoting deliveries by SBAs

    Expected Delivery40618426274001044870450422994634777345303894034503473745776456394513755028810158105621044311277155271340315783154031500316176141499161513156780161465161537

    Deliveries37202411974216141829411913139233016344653252631456478655254048441492914749010583104221080311064151991688420405170251404218881143926157580152895148752154217

    Private

    Private1222814167530751005168821412738313545685641360752107673639149155532167413099136701431032251943321150210271015518782

    Hospital

    Clinic

    Government537268177005809271487545818897139614105091380113403138141492316200425037213881356482119282931012195121403189635060344134838854208

    CeMOCs

    BeMOCs

    Dist hos. / PPC Etc784480002270287428172233673064195792135920272440679232519712796928293112195121401244612907114141554716996

    CHCs656227028272995319936033205439130115353388648386138784780952218492126294988836611162135681448221635

    PHCs231415719922356188991013871168216517632022160713264410503432155617412816955675121366090598855

    Sub Centre2324297227062741206076272213374416336011635395581307104412681637117083625855175870577193006722

    Total Inst.5494681978199767102238550987611854123521364418369190441742120133238734889387040364096988514027166011431012195153655132956210554405854372990

    Home317083437834342320623096822842231402261120174178122949633496310202915823617569465526767696853142857380427151847351692597101370974559020981227

    Untrained Dai378355815255431034082306324201736191883904102925336848054865015263764958140711256378656729068164098

    Trained Dai1200188971047210106102231160211610111249164842515768185031647715184116821893238520331802144714461549116181916664271042944412673707533443

    ANM1592419900186151764617337110101146711485105909214131091311013639129451168234333687418645163715774160697362117384425049770488984631843686

    Institutional deliveries %14.7716.5518.5523.3524.8227.2429.9134.3937.9843.3738.3836.2535.9640.8550.2746.2037.1337.3637.0265.0483.0881.3684.0586.8581.3835.6635.6736.2639.3647.33

    Deliveries at home by SBAs %75.0669.9068.9966.3566.9172.0369.9065.6060.7356.0860.3360.1762.1757.0749.2050.3358.2657.5757.1033.9613.1515.4612.5310.2518.0360.4258.8458.9756.0650.01

    Deliveries by untrained dais %10.1713.5512.4610.308.270.730.190.011.290.551.293.581.872.090.533.484.615.075.871.003.773.183.412.900.593.925.494.774.582.66

    Public / Private ratioGovt Share in inst.97.7899.9789.5982.8569.9288.2582.9181.9477.8377.0275.1370.3879.3074.1267.8686.9396.1596.1687.0183.076.6217.660.00100.0079.0162.1462.3762.0782.6574.27

    Share of private.2.220.0310.4117.1530.0811.7517.0918.0622.1722.9824.8729.6220.7025.8832.1413.073.853.8412.9916.9393.3882.34100.000.0020.9937.8637.6337.9317.3525.73

    Complications reported4635001751774223786692465512281204266531836145661639159611157411050000016342114385350325162

    Of these Referal157013358091685749924655352644187411694492246500000000010981335268416532575

    Missing deliveries -% age17.5713.025.1616.1017.705.6514.5610.1724.8217.959.0718.1422.6913.6515.016.2411.206.8911.7011.90-13.38-16.350.5215.76-5.058.4612.1912.2317.0914.08

    Comparison with same period last years2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY

    MaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotal

    Pregnancy Outcomes229671944342410220301906941099167511430431055164921371630208248282233747165258162371749533784567331457853355011103461111575961871100083506704131539196967361513131186

    No. of Live Birth2266819243419112174518825405703.201665414213308671610813363294714.52244172200546422254102333448744-5.007598661914217532749981032527.38111107592187021402125.03824476967215211968590605201431315.91

    No. of Still Birth299200499285244529-6.019791188384353737-292.02411332743406383789-6.192471143618132194.1854901059741180010839932076-15.33

    Order Birth

    1 st7027613813165571349111062419.30575557481150343495627997613.27946792361870393309130184601.3030002608560819961926392230.06421627516967029465264815594621388215944298223.17

    2 nd648258021228449274819974620.6646015157975835134412792518.7878507307151578044786915913-4.9925422251479317411662340329.00411026076717025585231244870918225187623698724.07

    3 rd and 3+7343683914182547353551082823.6549834817980031733976714927.05725970281428769307102140321.7820791754383315451516306120.14302920405069024693224784717117121179493507025.65

    Weight of new born

    < 2.5 kg.111010052115129011492439-15.3219561886384213301258258832.6440943822791634943569706310.786135751188829017285.52285620994955010629938720016619660661226238.74

    > 2.5 kg.19452167773622914132124232655526.701536711658270251079792512004825.8213102173903049213177124582563515.936898613013028827874170186.9483695498138670631885745312064138933350067393938.71

    Meternal death reported / expected2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    Institutional

    During pregnancy

    During delivery

    Within 6 weeks

    Total

    Non-Institutional

    During pregnancy

    During delivery

    Within 6 weeks

    Total

    Total

    During pregnancy772247011317

    During delivery10988118343229

    Within 6 weeks1074377102217

    Total27231413222245006763

    Grand Total

    Expected15816311512019018140555573557592

    As % of expected17.1114.1112.2110.8311.6012.189.969.040.000.0012.0310.65

    In comparison with prev year (less or more)-3.00-1.390.58-0.920.00-1.39

    Audit of maternal death carried out (Y/N)NNNNNN

    2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    Neo Natal care (sick new born careTreated265394799986149916002693160028323296

    Referred1703785069861094985169970019392446

    Post Natal (who received 3 check-ups)337873115925406310543922143874902612229927317344116713135660

    RTI / STI

    Treated2330729423535446961264431240073049036

    Referred114628436618789639841300021493458

    MTP

    Total MTP cases2020649698851104438432513941229

    No. of cases treated00

    MTP cases referred00

    Complications reported00

    Death due to MTP00

    Benefit of JSY given

    Rs. 500

    Rs. 200

    2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    San.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacant

    Posting staff nurses in PHCs43735285437352853152526328926326509448614754383799881199881100001360114022013001141159

    SBAs - ANMs Trained in safe delivery19684840

    FRUs operationalisedSanOper.SanOper.SanOper.SanOper.SanOper.

    BeMOC129123360

    CeMOC61435311168

    PHCs / CHCs having facility for 24 hrs delivery

    Doctors trained

    Anesthesia211004

    Fogsi100001

    Delivery per..2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    Per staff nurse*73.1269.5680.1774.9962.2163.6691.82135.5283.0885.80

    Per ANM58.6257.6048.1441.8835.8632.3655.7545.8640.6338.29

    Per CHC213.9228.5231.6411.8523.1539.7209.71662.7321.8480.8

    Per PHC56.145.061.950.483.295.012.816.964.763.3

    Per CeMOC

    Per BeMOC

    Pathways to Maternal Heath2001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-06

    Programme DimensionMother care Programme

    Internal Impect IndicatorInstitutional Delivery14.7716.5518.5523.3524.8227.2429.9134.3937.9843.3738.3836.2535.9640.8550.2746.2037.1337.3637.0265.0483.0881.3684.0586.8581.3835.6635.6736.2639.3647.33

    Beneficiary CoverageANC registered / Exp pregnancy78.9083.0977.9989.0389.3777.3896.6093.58112.6798.3070.1892.35104.4382.1384.0267.5978.2477.3582.98115.7999.28109.61106.96104.19112.3375.9990.8792.1792.0093.29

    Service Reach3 ANC Visit / Exp pregnancy57.6243.1357.8859.3157.8032.6647.2346.5752.1360.1458.6368.7172.6255.0167.0329.1454.9552.5348.1361.2816.13108.3398.7497.60101.2647.4959.1463.1458.6465.35

    Service QualityIFA theraphy given / Severe anemia cases

    Service EfficacyHigh risk indectified / Exp. High risk59.5954.66123.4252.70111.7957.2844.0348.2030.3846.4019.176.3025.9640.6460.3216.2421.3644.9948.3120.750.000.000.000.007.1236.8127.5654.4538.2862.57

    Service DemandGovt. Hospital Del. / Total Inst. Del.97.7899.9789.5982.8569.9288.2582.9181.9477.8377.0275.1370.3879.3074.1267.8686.9396.1596.1687.0183.076.6217.660.00100.0079.0162.1462.3762.0782.6574.27

    Clients C omplianceEarly registration / Exp pregnancy21.6219.4827.2430.2932.9328.7738.6637.9262.2444.3230.6436.7742.3441.9353.9724.4627.9727.8532.3245.1837.7840.9040.1337.5635.5127.7831.8335.4941.4843.67

    Service delivery progressCases referred / HR indentified3.890.0016.2220.5320.0826.2036.2123.6117.8524.1412.3567.7128.4414.144.871.820.000.000.000.000.000.000.000.000.0012.6518.0018.8716.0515.29

    Service delivery CapacityANM residing at Sub-centre village

    No. of CHC141315345

    NO of PHC42355310140

    * Includes ANM, FHW, LHV and contractual staff nurse

    &C&"Arial,Bold"&14MATERNAL HEALTH

    Page &P&R&A

    RAJ Reg

    RajkotJamnagarKutchRajkot CorporationJamnagar CorporationRajkot Region

    2001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-06

    Expected ANC Registration49500460004400064000519004050039600400004200042000440004500048000440004650020000220002500028100289001270012700135001280013100166700165300170500190900182400

    ANC registration (Nos.)4060540745393844764547543274063073133647357773578435574389414256841262403492039521474212072318227513108058883844282328890134785140774145248156098160079

    ANC registration (%age)82.0388.5889.5174.4591.6167.6777.6084.1285.1885.2080.8586.5488.6893.7886.77101.9897.6184.8382.5095.2085.0869.9462.5364.3167.8680.8585.1685.1981.7787.76

    First trimester ANC registration (Nos.)226262355321939292002822611453139591576218682191891367314788169471658317631838484417806895012341192015961515149011185805662337639697490578505

    % age of First Trim ANC Reg.55.7257.8155.7161.2959.3741.7945.4246.8552.2253.6238.4437.9839.8140.1943.7041.1139.3136.8138.6144.8617.7717.9717.9518.1012.5843.0744.2844.0447.9949.04

    ANC coverage 3 checkups ( Nos.)4144541036386534340942973222612435329121272152589323100318763516230411319578634142057336154971583347483958412932946107100188115428114401119826122763

    ANC coverage 3 checkups (% age)102.07100.7198.1491.1190.3981.2379.2586.5576.0772.3664.9481.8682.6073.7079.2042.3366.1534.5966.8557.5543.9444.5648.9140.0168.7074.3382.0078.7676.7676.69

    TT 2 + Booster43301406984055544225409422885429216323633474831998388783668339879372483528319002202911942622886244891132410140893282328890141359137028141155147339141602

    % as against Exp. ANC Reg.87.4888.4792.1769.1078.8971.2473.7880.9182.7376.1988.3681.5283.0884.6575.8895.0192.2377.7081.4484.7489.1779.8466.1664.3167.8684.8082.9082.7977.1877.63

    % as against Actual ANC Reg.106.6499.88102.9792.8286.12105.2895.0796.1897.1289.42109.2994.2093.6890.2787.4493.1794.4991.6098.7289.01104.80114.15105.80100.00100.00104.8897.3497.1894.3988.46

    IFA Tablets28639276523644628247533343101029479314592241018573338473523934300332473770524030267742221831373143601132410140893275658063128850129284133355122842132035

    High risk pregnancy3313339744263116358322833777429746833918402446865081392444141025524528423200000972211915140491175116147

    Of these Referal6300379671532397439134166158296995083288800002650000011771366138925522485

    of these how many delivered by SBA3313339744263116358322833777429746833918402446865081392444141025524528423200000972211915140491175116147

    Promoting deliveries by SBAs

    Deliveries37983382683847540445409292311925958291023065830459291773314033808304323229820757222412331024149243031238212575124831266812842123418132182137178138352140831

    Private

    Private6753808310333992898714041751178941304017387852218411629167861592918414209571544416404548400021833244833469414903579339261

    Hospital

    Clinic

    Government602096137036113671499050096108944210582142296094824172596520807616101440060926200615411823117331190498882488737225354704646553383

    CeMOCs

    BeMOCs

    Dist hos. / PPC Etc86241878153003871773156321792881429722301778193447970016101440060925738615411823117331190498881262920791166612165621010

    CHCs37164191448097371354616014015672772067519266247313667412351670000000797912937148742106626232

    PHCs49288414139215111025377341374115359710708451270128800004620021142331259925653414

    Sub Centre9503513284095466101531951211260605662813648921000000021651166133611782727

    Total Inst.127731769617369212952486154137859112311471218246997213462156701281114862175391985420957215362260411638118231173311904120715733570694769608225892644

    Home252102057221106191501606817706180991787115946122131920519678181381762117436321823872353261316997447527507647716608361488602185609448187

    Untrained Dai470216482039103376715211518129212701112562476296219202020000067853644362725222081

    Trained Dai1076410465103929617817781288532841376606055103091033511126113361135816194864087244517447117507647713156430529310893010126812

    ANM97448459867585007124805780498166701650468334886767166066587615991899194518891248410002773427315255022347119294

    Institutional deliveries %33.6346.2445.1452.6560.7423.4130.2838.5947.9959.9034.1840.6246.3542.1046.0284.5089.2789.9189.1893.0193.9994.0293.9993.9794.0046.4653.4856.1059.4665.78

    Deliveries at home by SBAs %53.9949.4549.5644.7937.3870.0163.8856.9747.8736.4563.9057.9452.7757.1853.3615.5010.7210.0910.826.996.015.986.016.036.0048.0543.7641.2538.7232.74

    Deliveries by untrained dais %12.384.315.302.551.876.585.854.444.143.651.931.440.880.720.630.000.010.000.000.000.000.000.000.000.005.502.762.641.821.48

    Public / Private ratioGovt Share in inst.47.1354.3240.5153.3860.3092.5477.7284.0771.9377.9861.1161.2246.3250.8954.349.187.250.0028.2927.4352.88100.00100.00100.0081.9243.4152.6646.0956.4957.62

    Share of private.52.8745.6859.4946.6239.707.4622.2815.9328.0722.0238.8938.7853.6849.1145.6690.8292.75100.0071.7172.5747.120.000.000.0018.0856.5947.3453.9143.5142.38

    Complications reported011435311759394673183571341363512055910941539185526570311151303413000008521694291953586842

    Of these Referal325043636441130635797712899560110948778442600036000000535932145122902857

    Missing deliveries In percentage6.466.082.3115.1113.9115.6415.5313.5114.3114.8817.9814.9020.5826.2519.95-1.77-3.57-9.92-4.1711.67-14.60-41.56-47.87-53.89-44.458.436.105.5611.3712.02

    Comparison with same period last years2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY2005-062004-05(+ or -) OPY

    MaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotalMaleFemaleTotal

    Pregnancy Outcomes2228518857411422184219031408730.661624614555308011578114567303481.491676215556323181671715431321480.531266411679243431227111328235993.1555135673111866576609212668-11.70734706632013979073187664491396360.11

    No. of Live Birth2202218642406642156318813403760.711599914371303701561114410300211.161642215254316761631115058313690.981255211572241241214911216233653.2554885650111386576609212668-12.08724836548913797272210655891377990.13

    No. of Still Birth263215478279218497-3.8224718443117015732731.80340302642406373779-17.59112107219122112234-6.412523480000.0098783118189778601837-1.03

    Order Birth

    1 st911075831669390747504165780.69628855761186460085546115542.685322452398455227482610053-2.07434139918332193217843716124.22275828045562302626075633-1.2627819244775229625267222674753410.02

    2 nd727059931326371875843130301.795206477799835218481610034-0.514914465195654866449193572.22356834777045182016013501101.23220022084408237820664444-0.812315821106442642146918817402869.87

    3 rd and 3+58525193110456149555211701-5.614456421786734494414886420.36614362011234462675784120512.4323762034441016721544321637.131211153227431324120525298.462003819177392151990618233381392.82

    Weight of new born

    < 2.5 kg.19171641355816231424304716.771133107322061093100821015.00108711582245119511022297-2.2648224258908036103333694330.782219234045592379213945180.91111781047021648990090061890614.50

    > 2.5 kg.1987516597364721913215480346125.3714748172933204114517134002791714.77152611404529306105011969430195-2.94535650531040935293485701448.4029753150612523952151454634.73582155613811435350074542101042849.66

    Meternal death reported / expected2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    Institutional

    During pregnancy

    During delivery

    Within 6 weeks

    Total

    Non-Institutional

    During pregnancy

    During delivery

    Within 6 weeks

    Total

    Total

    During pregnancy6891312630003027

    During delivery97111551044002936

    Within 6 weeks57412302148004348

    Total202224404737111200102111

    Grand Total

    Expected15715811711812212391944949536536

    As % of expected12.7313.9120.5533.8638.5230.0312.1012.790.000.0019.0320.71

    In comparison with prev year (less or more)1.1713.31-8.490.680.001.68

    Audit of maternal death carried out (Y/N)NNNNNN

    2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    Neo Natal care (sick new born careTreated674783772626523610516227808124854378

    Referred525649411463426587167290013782428

    Post Natal (who received 3 check-ups)42448415672889127894287362804619381177411266812549132124127797

    RTI / STI

    Treated13621180169972123706822696105665003041543012

    Referred2816288582442832112812010200700121888925

    MTP

    Total MTP cases832631114797545559468861108181337543964

    No. of cases treated0000

    MTP cases referred0000

    Complications reported0000

    Death due to MTP0000

    Benefit of JSY given

    Rs. 500

    Rs. 200

    2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    San.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacantSan.FilledVacant

    Posting staff nurses in PHCs51647739511470414293319842933198291224672912246700001236103220412311025206

    SBAs - ANMs Trained in safe delivery14070173

    FRUs operationalisedSanOper.SanOper.SanOper.SanOper.

    BeMOC1186250

    CeMOC7453531710

    PHCs / CHCs having facility for 24 hrs delivery

    Doctors trained

    Anesthesia211004

    Fogsi110002

    Delivery per..2004-052005-062004-052005-062004-052005-062004-052005-062004-052005-062004-052005-06

    Per staff nurse41.6547.0553.1758.2356.1962.290.000.000.000.0067.7770.90

    Per ANM25.9121.7232.0423.0430.7929.830.000.000.000.0022.7418.82

    Per CHC572.8796.8655.1683.5343.6430.60.00.00.00.0526.7655.8

    Per PHC21.411.910.432.034.334.80.00.00.00.022.129.4

    Per CeMOC

    Per BeMOC

    Pathways to Maternal Heath2001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-062001-022002-032003-042004-052005-06

    Programme DimensionMother care Programme

    Internal Impect IndicatorInstitutional Delivery33.6346.2445.1452.6560.7423.4130.2838.5947.9959.9034.1840.6246.3542.1046.0284.5089.2789.9189.1893.0193.9994.0293.9993.9794.0046.4653.4856.1059.4665.78

    Beneficiary CoverageANC registered / Exp pregnancy82.0388.5889.5174.4591.6167.6777.6084.1285.1885.2080.8586.5488.6893.7886.77101.9897.6184.8382.5095.2085.0869.9462.5364.3167.8680.8585.1685.1981.7787.76

    Service Reach3 ANC Visit / Exp pregnancy83.7389.2187.8567.8382.8054.9761.5072.8064.8061.6552.5070.8473.2569.1268.7243.1764.5729.3455.1554.7937.3931.1730.5925.7346.6260.1069.8367.1062.7767.30

    Service QualityIFA theraphy given / Severe anemia cases

    Service EfficacyHigh risk indectified / Exp. High risk54.3955.5874.9243.6050.2455.5481.9485.1487.2672.9975.4180.2279.5763.4072.933.331.717.700.81102.550.000.000.000.000.0048.0956.4364.4850.1967.25

    Service DemandGovt. Hospital Del. / Total Inst. Del.47.1354.3240.5153.3860.3092.5477.7284.0771.9377.9861.1161.2246.3250.8954.349.187.250.0028.2927.4352.88100.00100.00100.0081.9243.4152.6646.0956.4957.62

    Clients ComplianceEarly registration / Exp pregnancy45.7151.2049.8645.6354.3928.2835.2539.4144.4845.6931.0832.8635.3137.6937.9241.9238.3731.2231.8542.7015.1212.5711.2211.648.5334.8337.7137.5239.2443.04

    Service delivery progressCases referred / HR indentified0.090.740.0013.9910.1618.008.108.3120.8632.902.3612.8321.5322.3519.1225.490.000.000.008.510.000.000.000.000.005.507.8210.3319.4917.69

    Service delivery CapacityANM residing at Sub-centre village

    No of CHC17111240

    NO of PHC433637116

    * Includes ANM, FHW, LHV and contractual staff nurse

    &C&"Arial,Bold"&14MATERNAL HEALTH

    Page &P&R&A

    State

    2001-022002-032003-042004-052005-062006-07

    ANC registration125013413287671333233136359913908611365681

    First trimester ANC registration39.9842.546.349.4450.8355.3

    ANC coverage 3 checkups67.6269.4274.0470.6672.5269.78

    TT 2 + Booster12488801286644129731513103431323995

    % as against Exp. ANC Reg.92.6394.2693.3389.5089.46

    % as against Actual ANC Reg.99.996.8397.3196.0995.19

    IFA Tablets108921012200301153168849512982548

    High risk pregnancy107833101834116829114979126262

    of these how many delivered by SBAs10783310183411682964.83126262

    Promoting deliveries by SBAs

    Deliveries11211631151926117934311551481191569

    Private345071356706367874328077363428

    Hospital

    Clinic

    Government231548256186291005330757390131

    CeMOCs

    BeMOCs85835122262163684146755189570

    CHCs679726927075245114549135065

    PHCs3649934687297183888936521

    Sub Centre4124229967223583056428975

    Total Inst.576619612892658879658834753559811963

    Home544544539034520464496314438010

    Untrained Dai3750629933223272305515199

    Trained Dai328129319681319079307341272738

    ANM178909189420179058165918150073

    Institutional deliveries %51.4353.2155.8757.0363.2467.63

    Deliveries at home by SBAs %45.2244.2042.2440.9735.48

    Deliveries by untrained dais %3.352.601.892.001.28

    Public / Private ratioGovt Share in inst.40.1641.8044.1750.2051.77

    Complications reportedShare of private.59.8458.2055.8349.8048.23

    Missing deliveriesNo.128971176841153890208451199292

    %10.3213.3111.5415.2914.33

    Comparison with same period last years

    2005-062004-05

    MaleFemaleTotalMaleFemaleTotal(+ or -)

    Pregnancy OutcomesOPY

    No. of Live Birth631050550258118130842225573618311584381.94

    No. of Still Birth74236151135746001832314324-5.53

    Order Birth

    1 st2430062112474542531506662882294388953.38

    2 nd2074571867153941721354442373823728265.42

    3 rd and 3+1742791593023335811256282041983298261.13

    Weight of new born

    < 2.5 kg.947218555318027476029126411202440-12.30

    > 2.5 kg.5150594610029760613509065568219077277.00

    Meternal death reported / expected2004-052005-06

    InstitutionalDuring pregnancy

    During delivery

    Within 6 weeks

    Total

    Non-InstitutionalDuring pregnancy

    During delivery

    Within 6 weeks

    Total

    TotalDuring pregnancy226215

    During delivery314311

    Within 6 weeks282313

    Total822839

    Grand Total

    Expected45954506

    As % of expected17.8918.62

    In comparison with prev year (less or more)1 % more

    Audit of maternal death carried out (Y/N)

    2004-052005-06

    Neo Natal care (sick new born careTreated2454837609

    Referred2167425280

    Post Natal (who received 3 check-ups)9790971032117

    RTI / STI

    Treated412420362723

    Referred6271371938

    MTP

    Total MTP cases2966928115

    No. of cases treated

    MTP cases referred

    Complications reported

    Death due to MTP

    Benefit of JSY givenRs. 500

    Rs. 200

    Prev monthThis monthRemaining

    Posting staff nurses in PHCs

    SBAs - ANMs Trained in safe delivery

    FRUs operationalised

    BeMOC

    CeMOC

    PHCs / CHCs having facility for 24 hrs delivery Doctors trained

    Anesthesia

    Fogsi

    Prev monthThis month(+ or - )

    Per staff nurse

    Per ANM

    Per CHC

    Per PHC

    Per CeMOC

    Per BeMOC

    Pathways to Maternal Heath

    Programme DimensionMother care Programme

    Internal Impect IndicatorInstitutional Delivery

    Beneficiary CoverageANC registered / Exp pregnancy

    Service Reach3 ANC Visit / Exp pregnancy

    Service QualityIFA theraphy given / Severe anemia cases

    Service EfficacyHigh risk indectified / Exp. High risk

    Service DemandGovt. Hospital Del. / Total Inst. Del.

    Clients C omplianceEarly registration / Exp pregnancy

    Service delivery progressCases referred / HR indentified

    Service delivery CapacityANM residing at Sub-centre village

    Chart1

    11211635766193450712001-022001-022001-022315482001-022001-022001-022001-022001-02544544

    11519266128923567062002-032002-032002-032561862002-032002-032002-032002-032002-03539034

    11793436588793678742003-042003-042003-042910052003-042003-042003-042003-042003-04520464

    11551486588343280772004-052004-052004-053307572004-052004-05200


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