NLEP District Profile District Kabirdham New case ...rltrird.cg.gov.in/pdf/ROHFW/field...

NLEP

District Profile

District Kabirdham

Population 822239

Skin smear facility No

New case detection rate( Last five Year) ANCDR PR

April 2009- March 10 39.7 (202) 1.79

April 2010-March 2011 31.31 (210) 1.71

April 2011-March 2012 21.47 (148) 1.2

Treatment Completion rate at District level

Rural Area Urban Area

MB 94.7 (2009-10)

PB 98.3 (2010-11)

Coordination with NRHM Authority No Coordination

DPMR

MCR footwear procurement and distribution status

2010-11

PB 3 (2011-12)

MB 17 (2011-12)

No of patient screened for RCS

RCS conducted during the year 2 (1PB & 1 MB ) 2012-13 and 2MB 2011-12

Distribution of dressing material and

supportive Medicine for ulcer care 135 (Received on 01.06.2009) Distributed

IEC activities for reduction of stigma and

discrimination Stickers , Posters and pamphlets.

MDT stock

No of UT

patient as on

date

No of

available

MDT

BCP

Per month BCP

MBA 73 169 2.3

MBC 5 14 2.8

PBA 49 76 1.55

PBC 9 27 3

Steroids

5417(10 mg) 2145 (5 mg ) and Cap. Clofazimine 1066

(100 mg )

Leprosy reaction at CHC 1) 2010-11 LR-I 11case neuritis 7 cases & LR-II 2

cases.

2 ) 2011-12 LR-I 10 cases Neuritis 2 cases & LR-II 1

case

3) 2012-13 only 2 cases LR-I

Type I

Type II

DLO office

2. (i) Is there any district leprosy nucleus (as per PIP)? Yes / No

Category In position Functions

DLO / Dy CMO 0

MO

NMS 0

PMW 1 1

Physiotherapist 1 1

5. DPM and NLEP:

District action plan

Comments

Attended meeting with

DLO

Training calendar

6. Status of health facilities in the district:

Health facilities No. No. Providing MDT

services

District Hospital(s)1

1

Block PHC/CHC2 4 Yes

PHC 23 Yes

HSC 144 Yes

6. GHS staff trained in leprosy work:

Category (Designation) No. in

positi

on

Trained


positi

on

Trained

Medical Officer1

Health Supervisor

(Female)6

Specialist2

1.Physican

2.Surgeon

3.Ophthalmologist

4. Orthopedic.

5.OBGY

Multipurpose Worker

(Male)7

Nurse3

Multipurpose Worker

(Female8

ANM4

Pharmacist9

Supervisor (Male)5

Other specify10

(Lab tech/ Radiographer)

8. DPMR (2011-2012) since 2012

No Managed at

Primary level

Managed at

Secondary

level

Cases refer to

primary level

after diagnosed

from secondary

level

Cases refer

to Tertiary

center

Lepra reaction

Type I

32 19

Lepra reaction

Type II

Complicated

ulcer

No record

Relapse No

Disability

Type I

Disability

Type II

Patient

provided

MCR

Neuritis

09. No of the cases screening for RCS: 19-10, 11- 2

10. Whether BLAC /ULSAC conducted in last 2 year: Yes (2009-10 Kwardha block

district

Area:

Activity:

No of cases

SAP- KWARDHA BLOCK

CHC/Block PHC

Respondent’s designation: B MO /Medical Officer-In-charge/any other specify

1. Name of CHC :

2. No. of Sub-centers: 22 PHC 05

3. Population: (2.13 per 10000)

4. No. of GHS staff trained in Leprosy work:


positio

n

Traine

d


positio

n

Traine

d

Medical Officer1

Health Supervisor

(Female)6

1

Specialist2

Multipurpose Worker

(Male)7

0

Nurse3

Multipurpose Worker

(Female8

0

ANM4

Pharmacist

9 1 Y

Health Supervisor (Male)5

Other specify10

NMA

0

5. Any of your MO diagnoses and treat leprosy cases: Yes

5.1. If yes: whether daily / on fixed days / Other specify ----------------------------(verify

from patient cards)

6. Is all Medical officers diagnosing and treating type and Type II Lepra reaction

no (verify from record)

The district team visited once in month and diagnosed the lepra reaction

7. Is MDT available at dispensing counter on all working days (with other medicines):

Yes (Verify from ground stock)

Since 6 month unbalance stock

Type I: 03

8. Detail of leprosy cases and MDT stock;

MBA MBC PBA PBC

No. of cases

on record

19 01 12 01

MDT stock

position

21 - 03 01

Cases given

AMDT

- - - -

(P/D)

Expiry date 3 2 12 3 2 12 7 211

Patients

Under

Treatment

Patients

Month BCPs

Comments

If any

No stock at district

9. Prednisolone and Clofzimine Tablets STATUS ( No)

Type of tablets No of patients on Rx No of strips Comments

Prednisolone Balance

10 mg 03 1226 Indention throug

NMS

5 mg

Clofizimin Tab No

10. Status of maintenance of records

Category P/A Entries

filled

correct

(Y/N)

If no, give defect

/ deficiencies

Sign by

MO

(Y/N)

Report sent

When Whom

Treatment

reg. (LF2)

P yes

Drug

Reg.(LF)

P

Reporting

(LF4)

P

Disability

register

(Form PI)

A

Form P II A

Form PIII A

Form P IV A

Form P V A

Form P VI A

Form P

VII

A

Comments of the Investigators on the Quality of record (SIS):

11. Referral system: activities /Referrals (Based on available record and interaction

with MO)

Implementation Referral

1. Only Diagnosis and Treatment Reaction

2. Ulcer

(Note: if Health facility having cases of the any disability/reactions and complicated

ulcer)

13. Is health facility having counselling guideline available No

14. ASHA not referee the suspect

15. Total disability:

New

Grade I 1

Grade II 1

Year hand Feet eye

2004-05 10 6 0

2005-06 0 O 0

2006-07 15 3 1

2007-08 2 0

2008-09 6 6 1

Total 33 15 01

MCR distribution: 7 MCR was distributed

2.CHC/Block PHC


2. Name of CHC : Bamhanidih





positio

n

Traine

d


positio

n

Traine

d

Medical Officer1

1 YES Health Supervisor

(Female)6

0

Specialist2

0 - Multipurpose Worker

(Male)7

0

Nurse3

2 Y Multipurpose Worker

(Female8

0

ANM4

1 Y Pharmacist

9 1 Y


0 Y Other specify10

NMA

LT

1

1


Yes but confirm by coordinator team

5.1. If yes: whether daily / on fixed days / Other specify ---------------------------- (verify

from patient cards)


(verify from record)

The district team diagnosed the lepra reaction and visited once in month



Since 6 month unbalance stock

Type I: 8 (last year)

Current No


MBA MBC PBA PBC

No. of cases

on record

19 0 9 0

MDT stock

position

nil Nil nil Nil

Cases given

AMDT

No

(P/D)

Expiry date

Patients

Under

Treatment

19 0 9 0

Patients

Month BCPs

Comments

If any

No stock

9. Prednisolone and Clofzimine Tablets STATUS ( No)



10 mg 734 Indention throug

NMS

5 mg

Clofizimin Tab No


Category P/A Entries

filled

correct

(Y/N)

If no, give defect

/ deficiencies

Sign by

MO

(Y/N)

Report sent

When Whom

Treatment

register

(LF2)

Sector yes

Drug

Register

(LF3)

P

Reporting P

(LF4)

Disability

register

(Form PI)

Y

Not

as per

Form P II A

Form PIII A

Form P IV A

Form P V A

Form P VI A

Form P VII A

Comments of the Investigators on the Quality of record (SIS):


with MO)


1. Only Diagnosis and Treatment Reaction

2. RCS Ulcer


ulcer)

13. Is health facility having counselling guideline available: No

14. ASHA not referee the suspect: No


New

Grade I 8

Grade II 15

Year hand Feet eye

2008-09 23 3 0

Total 33 15 01

MCR distribution: 7 MCR was distributed till date no inden

3.CHC/Block PHC


3. Name of CHC : Akaltara





positio

n

Traine

d


positio

n

Traine

d

Medical Officer1

3 Y Health Supervisor 0

(Female)

6

Specialist2

0 - Multipurpose Worker

(Male)7

0

Nurse3

2 Y Multipurpose Worker

(Female8

0

ANM4

1 Y Pharmacist

9 2 Y


1 Y Other specify10

NMA

Ophthalmic assistant

Lab technician

0

1

1

1

Y

N

N


5.1. If yes: whether daily / on fixed days / Other specify ------------------------- (verify

from patient cards)


no (verify from record)

The district team diagnosed the leprae reaction and visited once in month



Since 6 month unbalance stock: Type I: 03


MBA MBC PBA PBC

No. of cases

on record

47 3 15 2

MDT stock

position

48 2 20 2

Cases given

AMDT

Nil

(P/D)

Expiry date 3 2 12 - 3 2 12 7 2 11

Patients

Month BCPs

Comments

If any

Less stock Less stock Less stock Less stock

9. Prednisolone and Clofzimine Tablets STATUS



10 mg 05 600 Indention through

NMS

5 mg

Clofizimin Tab No


Category P/A Entries If no, give defect Sign by Report sent

filled

correct

(Y/N)

/ deficiencies MO

(Y/N)

When Whom

Treatment

register

(LF2)

P yes Y

Drug

Register

(LF3)

P Incomplete

Reporting

(LF4)

P

Disability

register

(Form PI)

A

Form P II A

Form PIII A

Form P IV A

Form P V A

Form P VI A

Form P VII A

Comments of the Investigators on the Quality of record (SIS): Incomplete LF3


with MO)


1. Only Diagnosis and Treatment Grade II

2. Reaction, Ulcer


ulcer) 13. Is health facility having counselling guideline available : No

14. ASHA not referee the suspect=nil

RCS Refer=22 operated=4


New

Grade I 10

Grade II 7

Year hand Feet eye

2004-05

2005-06

2006-07

2007-08

2008-09 10 4 3

Total

MCR distribution:

5 MCR was distributed: No record by compunder

Medical officer

MO MO LMO MO BMO MO MO MO MO

1

Do they find

any

difficulty in

diagnosis of

patient

No No No No No No Yes* Yes Yes*

2

Is MO

know about

diagnosis of

leprae

reactions

Yes Yes Yes Yes Yes No No No Yes

3

Are MO

manage

lepra

reactions

No No No yes Yes No No No Yes

4

Are they

trained in

DPMR

No No No No No No No No No

5

Are MO

Aware about

the

Disability

grading

No No yes yes yes No No No No

6 Have they

heard of SIS No No No No No No No No

Yes

7

Is MO aware

of M.L.F.04

A & B

Yes Yes Yes Yes Yes No No No Yes

8

Has any

discussion of

NLEP

activities

been there in

sector

meeting

Yes Yes Yes Yes Yes Yes Yes Yes Yes

10

Is all the SIS

logistics

available in

the PHC

Not

aware

Not

aware

Not

aware

Not

aware

Not

aware

Not

aware

Not

aware

Not

aware

Not

aware

12

Are you

aware of

about the

RCS

facilities

and where is

available

and

incentives

No No No No No No No No Yes

Pharmacist

Jaij

apur

Bra

mhan

idhi

Akal

tara

Sak

ti

Nari

yara

Kap

an

1 Is MDT being kept by

pharmacist No No

Ye

s

Ye

s

Ye

s

Ye

s

2 Is there MDT indent available

for the CHC No No No No No

No

3 Is treatment register updated No No No No No

Ye

s

4 Is MDT logistic register

updated No No No No No

No

5 Is pharmacist aware of the

MDT guidelines No No No No No

No

6 No. of Gr I /Gr II patient in the

block No No No No No

No

7 No. of Gr I /Gr II patient in

the near by area No No No No

Ye

s

No

8 Is deformity patients list

available No No No No

Ye

s

No

9 Is there any IEC material

being diaplayed No No No No

Ye

s

Ye

s

10

Are you aware of about the

RCS facilities and where is

available and incentives

No No No No No No

Health Subcenters (Kabirdham District )

1 Is there any patient under treatment

with this worker No Yes No No

2 Is the patient card duly signed by the

medical officer? NA Yes NA NA

3 Is there any entry not filled in the

patient card, if yes specify NA No NA NA

4 Is worker having referral slip book

with him/her Yes No No No

5 How many suspects have been

referred in last two Quarters 2 1 1 0

6 Does worker know about the

reaction/neuritis Yes No Yes No

7 Does worker know about the referral

points in her/his area Yes Yes Yes Yes

8

Does worker know about the

counseling points to be done to

patients

Yes No Yes No

9 Is there any IEC material displayed

in the sub center

No No No No

10 Has worker prepared the list of

deformity patients in his/her area

No No No No

11 Does worker have flash card with

her/him Yes Yes No No

12 How many IEC activities done in last

quarter

No No No No

13 Is worker aware about the side

effects of MDT Yes Yes Yes No

14 Is there any defaulter /relapse/GI/Gr

II patient in the area, if yes numbers

No No No No

15 Is there any difficulty for the worker

to get the MDT from PHC

No No No No

16

Is worker know about the RCS

facilities and where is available and

incentives

Yes Yes Yes No

17 Is worker know about the self care in

leprosy Yes Yes Yes No

ASHA

Sr

No

1 2 3 4 5 6 7 8 9

1 Is she trained in the leprosy Yes No Yes Yes Yes Yes yes Yes Yes

2 Is she known about the cardial

sign and symptoms of leprosy

Yes No Yes Yes Yes Yes yes Yes Yes

3 Whether she come across such

type of patients in village

MB No Yes Yes Yes yes Yes Yes Yes

4 How many suspects refer by

ASHA after training

1 No No No No 0 6 0 3

5 Whether she aware about the

incentives under NLEP

Yes No Yes Yes Yes Yes Yes Yes Yes

6 is she have General referee

book/ filled/empty

No No No No No No Yes No No

7 Is she aware about the referral

system under NLEP

Yes Yes Yes Yes Yes Yes Yes Yes Yes

Interview of Community members

1 has a person heard of the leprosy

disease Y Y

Y Y Y Y Y

Y Y

2 Are they aware about the sign &

symptoms of the disease No No

N

o No

N

o No No

N

o No

3 Do they aware of the curability

of the disease? No No

N

o No

N

o No No

N

o No

4

Are you aware of availability of

free treatment at every

government health facility Y Y

Y Y Y Y Y

Y Y

5 Where do you go for your health

problem

Govt

Govt

Govt

Govt

Govt

Govt

Govt

Govt

Govt

Interview of patient

1 Age of the patient (write completed age in years)

2 Sex of the patient

3 Is the patient aware that he/she is/was undergoing treatment for Leprosy?

4 Did the patient know about Leprosy disease prior to acquiring it?

5 Did the patient know that drugs under NLEP are supplied free of cost?

6

If yes to Q 10, what was the source of information? (write 1 if through

health personnel, 2 if through community/other Leprosy patient or 3 if

through media like print, TV, Radio, etc. If more than one correct answer,

enumerate them)

7 Did the patient mention that he was provided counselling at the start of

treatment?

8 Did the patient say that he was provided counselling any time time during

the Rx ?

9 Does the patient give past history of anti-Leprosy treatment?

10 Did the patient mention that the staff visited his residence to verify the

home address, prior to start of treatment?

11 Is patient aware of Reaction /Neuritis sympotoms

12 Has the patient taken supervised dose infront of Health staff

13 Are you aware that Supervised dose is to be taken before MPW

14 Does the patient know the correct duration of treatment for his Leprosy?

15 Does the patient know the importance of regular and complete treatment?

16 Did the patient miss any scheduled dose any time during the treamtent

17 Has the patient faced any discrimintation before or during the treatment by

GHCS

18 Has the patient faced any discrimintation before or during the treatment by

Family or community

19 Is patient know about RCS and where it is available and incentives after

surgery (Patient with deformity)

20 is patient satisfied with the care services during his treatment ?

21 Is patient aware of the curability of the disease ?

22 If disabled then whether received MCR,Physio or other services

23 Patient satisfied with MDT services

5.2. Field verification of ANC mothers at SHCs

Sl. No. Action points Ruse Khairbana Maharatola Total

1 Total No of beneficiaries selected 10 10 10 30

2 Total beneficiaries contacted 5 6 4 15

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 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

FORM – 7.2 (ii)

Field Verification of INC clients

MONTHLY PERFORMANCE REPORT ON TECHNICAL ACTIVITIES FOR ROH&FW

Field Verification of PNC clients


5.2. Field verification of PNC mothers at SHCs


1 Total No of beneficiaries selected

2 Total beneficiaries contacted

3

Beneficiaries could not be contacted due to




D) Dead


F) Others

Total





5.2. Field verification of INC mothers at SHCs




3





D) Dead


F) Others

Total





















Field Verification of JSY Clients





S3





D) Dead


F) Others

Total

4 Discrepancy in reporting of beneficiaries




Form 7.1 (I)

FIELD VERIFICATION OF Sterilization Cases

5.4.1. Field verification of Clients practicing Contraceptive methods – Sterilization


1 # of selected cases 4 5 6 15

2 # of contacted cases 3 3 2 8

S 3 Cases not contacted due to

A NSP 0 0 0 0

B IA/WA 0 0 0 0

H PO 0 0 0 0

D TO 1 2 4 7

E Others

0 0 0 0

Total 1 2 4 7

4 Discrepancy 0 0 0 0

A Age of acceptors 0 0 0 0

B Age of spouse 0 0 0 0

D No. of Total child 0 0 0 0

E No.of Male child 0 0 0 0

Total 0 0 0 0

5 Ineligible Cases 0 0 0 0

6 Denial/ Fake

A Denial cases 0 0 0 0

B Fake cases 0 0 0 0

C Double reported cases 0 0 0 0

Total 0 0 0 0

7 Follow up by Staff out of found genuine

cases 3 3 2 8

8 Pregnancy during the use of method out

of found genuine cases 0 0 0 0

9 Complaints if any out of found genuine

cases 0 0 0 0

10 Satisfied with method out of found

genuine cases 3 3 2 8



10 Monetary benefit under JSY

11 Satisfied with services

Form -7.1 (ii)

Field verification of Cients practicing – IUDs Methods


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

Form 7.1 (iii) Field verification of Clients practicing - Oral Pills Contraceptive methods

7.1 (iv)Fieldverification of Clients practicing - Condom Contraceptive methods



S 2 # of contacted cases


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 0

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



S 2 # of contacted cases


A NSP

B IA/WA

H PO

D TO

E Others

Total

4 Discrepancy

A Age of acceptors

B Age of spouse


FORM 7.3 (iii)


INFORMATION ON Community satisfaction of Mother for Work of ANMs


S1 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

E No. of Male child

Total

5 Ineligible Cases

6 Denial/ Fake

A Denial cases

B Fake cases


Total 0

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

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

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

Form 7.3 (i) Key Information from sarpanchs (PRI) on the work of ANMs

FORM-2.5

REGIONAL OFFICES OF HEALTH & FAMILY WELFARE

DATA COLLECTION FORMATS FOR REVIEW OF SUB-HEALTH CENTERS

Name of the Regional Office:

Report for the Month of:10 th sep. to 15 th sep. 2012

1. ASSURED SERVICES BY HSC:

Sl. No. Services Ruse

Khairbanakh

urd Maharatola Total

1.1 Maternal Health

Antenatal Care 1 1 1 3

Intranasal care 1 1 1 3

Postnatal Care 1 1 1 3

JSY Scheme 1 1 1 3

1.2 Child Health:

Newborn Care Services 1 1 1 3

Promotion of exclusive breast feeding 1 1 1 3

Full Immunization of Children 1 1 1 3

Vitamin A prophylaxis 1 1 1 3

Assistance to school health services 1 1 1 3

Prevention & control of Childhood diseases 1 1 1 3

1.3 Family planning & Contraceptive:

IEC to ECs for adopting FP methods 1 1 1 3

Provision of contraceptives 1 1 1 3

Follow up services to Ecs adopting CCs 0 0 0 0

1.4 Counseling for safe abortion (MTP) & proper referral 1 1 1 3

1.5 Assistance for School Health Services 1 1 1 3

1.6 Control of locally endemic diseases 1 1 1 3

1.7 Disease Surveillance & Control:

Surveillance of abnormal increase of cases 1 1 1 3

Weekly reporting of information on syndromes

surveillance 1 1 1 3

High level of alertness for unusual events & action 1 1 1 3

1.8 Water Quality Monitoring 0 0 0 0

Disinfections of water 0 0 0 0

testing of water quality 0 0 0 0

1.9 Promotion of sanitation & disposal of garbage 0 0 0 0

1.1 Curative Services

Treatment of minor ailments 1 1 1 3

Proper referral 108 108 108 3

Organizing Health days 0 0 0 0

Provide treatment as per AYUSH 0 0 0 0

2

Other Services

Ruse

Khairbanakh

urd

Maharatola Total

2.1 Support services

i Availability of the Guidelines 0 0 0 0

ii Laboratory -Routine tests 0

Hb

Hb 2

Regular Skill development training/CME 0 0 0 0

iii IEC material 0 1 1 2

A Rural Media – Wall Paintings 0 1 1 2

Audio Cassettes 0 0 0 0

B IEC - Group IEC

Lecture/seminars/Workshop – notes 0 0 0 0

Exhibition Sets 0 0 0 0

Pluck-cards 0 0 0 0

Handouts 0 0 0 0

C IEC-IPC-Leaflets/Folders 0 0 0 0

Diagnostic cards 0 0 0 0

Photo Album 0 0 0 0

Handbooks 0 0 0 0

iv Training Material 0 0 0 0

Training Material for Level-I Staff 0 0 0 0

Training Material for Level II staff 0 0 0 0

Training Material for Level III staff 0 0 0 0

Training Material for Level IV staff 0 0 0 0

Training Material for Level V staff 0 0 0 0

Training Material for TOT 0 0 0 0

Others 0 0 0 0

v Waste disposal 0 0 0 0

2.2 Accessory Services

Availability of Regular Electricity 1 1 1 3

Availability of safe drinking Water 1 1 1 3

Telephone 0 0 0 0

Transport 1Own 1 Own Own 3

Citizen's Charter 0 0 0 0

2.3 Others field activities

field visits 1 1 1 3

Community need assessment 1 1 1 3

Training 0 0 0 0

Records of vital events 0 1 1 2

2.40 National Health programme

NRHM 1 1 1 3

HIV/AIDS 0 0 0 0

NVBDCP 1 1 1 3

RNTCP 1 1 1 3

NLEP 1 1 1 3

NBCP 1 1 1 3

IDSP 1 1 1 3

NCD & Cancer Control 0 0 0 0

3 INFRASTRUCTURE REQUIREMENTS:

3.1 Review by VH&SC

i Whether VH&SC are constituted 1 1 1 3

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

guidelines. 1 1 1 3

iii Whether VH&SC are convening the meeting

regularly 0 0 0 0

iv If Ye, at what interval 0 5:6 Month- Monthli 2

v Whether Discussion as agenda are undertaken. 0 0 0 0

vi Whether the Minutes of the meeting are prepared and

circulated to all the concerned 0 0 0 0

vii Whether the feed back on the minutes is received. 0 0 0 0

viii Village Health day & Health camps are organized 0 0 1 1

3.2 Physical Infrastructure

I Building

SHCs located within locality Last Front Back side

Government building for SHCs 1 1 1 3

Compound wall / Fencing gate 0 Fencing Fencing

Residential facility for HW (F)? 1 1 1 3

Separate public utilities for M&F 0 0 0 0

Plinth area (73.50 to 100.20 Mtrs) New Old New

Present condition of building. Good Poor Good

Condition of plaster on walls Good Poor Good

Condition of floor. Good Poor Good

Whether the cleanliness is maintained Good Poor Good

ii Waiting Area

Prominent display boards in local language 0 0 1 1

Visit Schedule of ANM 0 1 1 2

Suggestion / complaints box 0 0 0 0

Display of IEC material 0 1 1 2

Seating arrangements 1 1 1 3

iii Clinical Room

Examination table 1 1 1 3

OPD Equipment (stethoscope, BP apparatus, Weight

Machine, etc) 1 1 1 3

Necessary furniture 0 1 1 2

iv Labour room available

Labour room available 1 1 1 3

Lithotomy table 1 Ordenri T. Ordenri T. 3

Equipment trolly 0 0 1 1

Linen 0 0 0 0

Delivery Set 1 1 1 3

Suction apparatus 0 1 1 2

Newborn case set 0 0 0 0

V RESIDENTIAL ACCOMMODATION

RUSE KHAIRBAN

AKHURD

MAHARAT

OLA TOTAL

LIVING ROOM – 2 1 1 1 3

KITCHEN 1 1 1 3

W.C. 1 1 1 3

BATH ROOM 1 1 1 3

ANM STAYS AT SUB-CENTER 1 1 1 3

HW(M) STAYS AT SUB-CENTER 0 0 0 0

3.3 MAN POWER

ANM 1 1 1 3

ADDITIONAL ANM 0 0 0 0

HW (MALE) 1 1 1 3

AWW 6 4 9 19

ASHA 7 8 17 32

VOLUNTEER WORKER 0 0 0 0

3.4 LOGISTIC SUPPORT

I EQUIPMENTS

OPD SET 1 1 1 3

DELIVERY SET 1 1 1 3

IUD SET 1 1 1 3

FIRST AID SET 1 1 1 3

DDKS 0 1 1 2

FURNITURE 0 1 1 2

II DRUGS

DRUG KIT-A (ORS, IFA, VIT.A,CO-TRI) 1 1 1 3

DRUG KIT-B (DRUGS RELATED TO

DELIVERY) 1 1 NA 2

ADDITIONAL DRUGS (USED FOR SEVER

INFECTION) 1 1 0 2

OTHER DRUGS&VACCINE (UIP VACCINE) 1 1 0 2

NHP DRUGS (MALARIA, MDT, DOT 1 MALARIA MAL. &

DOT 3

CONTRACEPTIVE SUPPLIES (NIRODH, OP,

CU.T) 1 IUD IUD 3

AWW DRUG KIT 1 1 1 3

ASHA DRUG KIT 1 1 1 3

III REFERRAL SERVICES

PROVISIONS OF REFERRAL 108 108 108 3

4 FUNDS ALLOCATED & UTILIZATION

UN-TIED FUNDS OF RS. 10000/ANNUM

FUNDS ALLOCATED & UTILIZATION 10 ,000 10,000 10,000

FUNDS UTILIZED 1977 NIL 9257

% UTILIZATION 19 % 0 % 92 %

4 FIELD VERIFICATIONS

4.1 FIELD VERIFICATION CC USERS

STERILIZATION 3 3 2 8

IUD 2 0 2 4

ORAL PILL 2 3 NO LIST 5

5 Satisfaction studies Ruse

Khairbana

Khurd Maharatola Total

5.1 Client satisfaction

Client satisfaction towards ANM 1 1 1 3

Client satisfaction towards ASHA 1 1 1 3

Satisfaction of PRI 0 0 0 0

5.2 Job Satisfaction

SHC staff 1 2 3 6

PHC staff

CHC staff

6 Record Maintenace

Sl. No. Registers Maintained

I Eligible Couples Register 1 1 1 3

ii Maternal & Child Health Register 1 1 1 3

a Antenatal, Intra-natal, postnatal 1 1 1 3

b Under five Register - Immunization 1 1 1 3

c Under five Register - Growth Monitoring 0 0 0 0

iii Birth & Death Register 1 1 1 3

iv Drug Register 1 1 1 3

v Equipment/Furniture Register 1 1 1 3

vi Communicable diseases/ Epidemic Register NA NA 1 1

vii Passive surveillance register for malaria cases 1 1 1 3

viii Register for record pertaining to JSY 1 1 1 3

ix Register for maintenance of account including untied

funds 1 1 1 3

x Register for water quality and sanitation 0 0 0 0

xi Minor ailments Register 1 1 1 3

xii Records/registers as per various National Health

Programme guidelines 1 1 1 3

No of Register Maintained properly 12 12 13 37

% of Maintained properly 80% 80% 86 %

NIRODH 3 2 NO LIST 5

4.2 FIELD VERIFICATION OF THE MOTHERS

ANC 5 6 4 15

PNC 5 6 4 15

JSY MOTHERS 5 6 4 15

4.3 FIELD VERIFICATION OF THE CHILDREN 5 6 4 15

7 SPERVISION & MONITORING Ruse

Khairbana

khurd Maharatola Total

Sl. No. Particulars

i HIS Established

Diseases are classified as per ICD-10 Pattern 0 0 0 0

Monthly Progress Report Format used 1 1 1 3

MPR received from all reporting units 1 1 1 3

MPR Summarized & Reviewed 1 1 1 3

Feedback on MPR given 0 0 0 0

ii Admin Monitoring

Monthly Reports submitted 1 1 1 3

Quarterly Reports submitted 0 0 0 0

Half yearly Reports submitted 0 0 0 0

Annual Reports Prepared 1 1 1 3

iii Int. Audit

Monthly Review meeting organized 1 1 1 3

Quarterly meeting organized 0 0 0 0

Half Yearly Review meeting Organized 0 0 0 0

Annual Meeting Organized 1 1 1 3

iv Medical Audit (# Deaths/complications reported

and reviewed iro)

Maternal Deaths 0 0 0 0

Child deaths 5 1 5 11

Malaria deaths 0 0 0 0

Tuberculosis Deaths 0 0 0 0

Others (specify) 14 5 7 26

v Supervisory visits by State/National Prog.

Manager

what was checked 0 0 0 0

what gaps were found 0 0 0 0

what instructions were given 0 0 0 0

what administrative directions given 0 0 0 0

what follow up action taken 0 0 0 0

vi External Audit

Independent Review 0 0 0 0

Review by Expert Groups 0 0 0 0

8 Performance Indicators

I

# ECs using CCs methods for more than 6 months

continuously. 60 24 19 103

ii # ANC mothers Registered 78 32 55 165

iii # Mothers gone through the delivery 58 1 12 71

iv # mothers have hospital deliveries 51 1 12 64

v # Children upto 23 months immunized 58 0 46 104

vi # Infant deaths 5 0 4 9

vii # Maternal Deaths 0 0 0 0

viii # Malaria cases treated 128 180 - 0 527-0 835

ix # TB cases under treatment 0 2 1 3

x # Leprosy cases under treatment 0 1 PB 0 1

xi # cases blindness & refractive errors treated 0 1 0 1

xii # HIV/AIDS cases under treatment 0 0 0 0

SS

D) SUPERVISION and MONITORING, RECORDINGS & REPORTINGS: Health

related reporting were usually collected by supervisors from HSCs (ANM) and PHC and then

submitted to CHCs for further compilation. Reporting formats were available in all surveyed

PHCs but they are not assessed or verified by higher authority on regular basis. The primary

registers need to be maintained properly in surveyed health facilities. Administration

monitoring and internal audit ,Monthly and annual reports were submitted regularly but

details regarding review meetings were not available in all surveyed PHCs. The Mortality

and complications related to the national programmes are not recorded properly.

HMIS: Separately attached

RNTCP: Separately attached

Health Subcenters -OBSERVATIONS/GAPS: Infrastructure: All two surveyed HSC are fnctioning in designated government buildings.

Electricity supply was available in all HSC, Located one HSC outside and one HSC Front

side the premises.

Manpower: The ANM’ and MPW are posted in one surveyed health Sub centers and one

HSC only ANM .

Services:

1) MCH services/Immunization/FP and other: Delivery room: The deliveries are conducted in all HSCs, the basic amenities are present

in surveyed HSCs. Pouna HSC has an exceptionally good performance.

Home Vs Institutional – HSCs are referring complicated cases to neighboring CHC. The

posted ANM staff resides in headquarter so regular deliveries conducted in all surveyed

HSCs. The proportions of home deliveries are less as compared to Institutional delivery in all

surveyed health Sub centers. In the survey HSCs, the team has interacted with PNC mothers

in the field which revealed that follow-up is poor.

Immunization: As per record the immunization sessions are conducted as per plan. The

sessions are conucted at HSC/anganwadi center/govt. school .The vaccines are procured from

the concerned CHCs.

Family Planning and Contraceptives: Records of family planning are not properly

maintained in surveyed health Sub centers. There is no/insufficient stock of the Copper T in

all HSCs. In the survey HSCs the team has interacted with CC users which were mentioned

by ANM 20% were found fake .when team visit in field in Two HSCs . ANM mentioned

CuT clients, & other oc pills users were duly & correctly verified. The team interacted

with condom users but these cases were also found fake means they were not the users of condom. So peripheral health workers are just formally trying to complete target on paper.

JSY: No pending cases of JSY cases in surveyed health sub enter. We have verified the 8

JSY beneficiary found that they had received monitory benefit under the scheme. The JSY scheme implemented at all surveyed health centers.

Record Keeping: reports are prepared at surveyed HSCs. Record keeping regarding ANC,

PNC, Immunization, Vital statistics, Disease surveillance, Family planning methods, un-tide

funds, JSY and National health programme mainly malaria are not properly maintained at

surveyed health Sub centers. HMIS formats/registers are not available in surveyed health Sub

centers and MC registers are filled in surveyed health Sub centers.

Waste Management: The burning and dumping are the commonest method of the waste

management at all surveyed Health Sub centers. The needle cutters are provided to the health facilities, but the staffs does not utilize them, which they should utilize.

Quality Control:

Internal monitoring: supportive supervision and record checking at periodic intervals by

the male and female health supervisors from PHC (at least once a week) and MO (at least once a month) are not regularly followed as per existing record in surveyed HSC.

Untied Fund: We have verified the records (Pass book, entries, fund utilization and

cashbook), of the untied fund, the records revels that all surveyed Health Sub centers utilized

the fund .The record is maintained properly (Cash book Register entries) only Pouna HSC

and Khisora HSC no records only Pass book available but not proper entries.

[Dr. R.N. Sabat]

Regional Director,

ROHFW & RLTRI, Raipur,

Chhattisgarh

NLEP (District Nucleus Team Kabirdham )

Reaction Cases as per S-III Register:

Year LR-I Neuritis LR-II Total

2010-11 11 7 2 20

2011-12 10 2 1 13

2012-13 2 0 0 2

Disability Cases as per S-I Register ( Up to August 2012 )

Block G-I G- II Total

Kawardha 28 49 77

Bodla 6 10 16

Pandariya 3 16 19

Sahaspur Lohara 20 31 51

MDT Stock ( August 2012 )

MBA - 62 10/2015

MBC - 07 3/2015

PBA - 34 01/ 2016

PBC – 13 01/2015

Note :-

1 There is no mobility support

2 No Vehicle and Fuel for DNT

3 No Monitoring and Supervision of whole district

4 Pandariya Block More disability cases

5 Kawardha Block Child disability cases

6 Leprosy cases having more 96 villages out of 1009 villages

7 Out of 24 sectors only 3 sectors having disability cases > 10 case

8 5 sectors no Leprosy cases last 3 year

Leprosy cases confirmed by DNT

94 case out of 210 cases (2010-11) 44%

76 cases out of 148 cases (2011- 12) 51%

55 cases out of 103 cases (2012- 13) 53%

Self care kit:-No self care kit purchased & provided last 2 years

Only 135 numbers self care kit Received on 01.06.09

MCR:-90 Pairs MCR received on 10.07.09 and 30 Pairs received on 07.07.10

As per demand issued whole Blocks.

Balance Pairs

MITANIN REPORT 2009-10

1 Ramadevi Nawagaon (Pandariya) 21.09.2009 MB 100 + 400

2 Mandakini bai Hathmudi (Kunda) Sector Mahali (Pandariya) 23.11.2009 PB 100+ 200

3 Sunita Manikpuri Pauni Kunda sector Mahali (Pandariya) 16.01.2010 PB 100 + 200

4 Nandani Manikpuri Kumhi (Pandariya) 12.10.2009 PB 100 + 200

5 Sarojani Viswakarama Shodha (Pandatarai) Pandariya 03.09.2009 MB 100 + 400

6 Ku Takendra Nanapuri sector Mahali (Pandariya) 01.09.2009 MB 100 + 400

7 Ramadevi Chandrakar Chhitapar (Pandariya) 28.02.2009 MB 100 + 400

8 Chameli bai Bortara Pandariya 21.06.2009 MB 100 + 400

2010-11

1 Kamlabai Tulsikhaira Pandariya 18.07.2010 MB 100 + 400

2 Surajbai Kawalpur Pandariya 25.06.2010 MB 100 + 400

3 Parwati bai Kodwa Gobarra Pandariya 29.06.2010 MB 100 + 400

4 Rukhmani Dharamgarh S Lohara 24.02.210 PB 100 + 200

5 Ku Ramala Kaushik Danighatholi S Lohara 24.02.2010 PB 100 + 200

2 cases Kawardha No Information of DNT

Training 2010

1. MPW ( Male & Female )

a) Pandariya Block 18.03.10 – 42 Nos

b) (Pipariya) Kawardha Block 08.03.10 – 37 Nos

c) Sahaspur Lohara Block 24.02.10 – 28 Nos

d) Bodla Block 17.02.10 – 22 Nos

e) Bodla Block 18.02.10 – 27 Nos

2.Supervisors ( MPS )

Kabirdham 10.03.10 & 11.03.10 – 21 nos

3.RMA 06.01.10 & 07.01.10 – 26 Nos

Contraceptivs Report :-

S Lohara Bodla Pandariya

2010-11 2011-12 2010-11 2011-12 2010-11 2011-12 Copper T Received 2400 600 0 1200 0 1800

Expenditure 2400 300 0 1000 0 Oral Pills Received 3025 1000 0 4300 0 3000

Expenditure 3000 600 0 4000 0

Condom Received 21120 18000 0 34080 0 24000

Expenditure 21120 12000 0 33660 0

EC Pills Received 600 0 0 0 0 0

Expenditure 600 0 0 0 0 0

Govt of India

S.No Name of Item

Received Nag. Total Distribut

1 OC Pills 5400 5400 5400

2 Condoms 73080 73080 73080

3 Ecp 2700 2700 2700

Govt of CG

S.No Name of Item

Received Nag. Total Distribut

1 OC Pills 20000 20000 20000

2 Condoms 120000 120000 120000

3 Ecp 4000 4000 4000

4 Cop- T 7700 7700 7700

NLEP District Profile District Kabirdham New case ...rltrird.cg.gov.in/pdf/ROHFW/field...

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