Observations and conclusions on the Reporting stricture ...rltrird.cg.gov.in/pdf/ROHFW/field...
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1 Observations and conclusion on the Presenting reporting structure (DHIS II/NRHM/MCH) of surveyed blocks of RAJNANDGAON District ● The RD team visited randomly selected 4 blocks of the districts, from each block one PHC was selected randomly. One sub center selected from selected PHC based on operation feasibility. (Annexure I) ● In the surveyed blocks, three parallel reports (MCH, NRHM and DHIS II) are generated from blocks and submitted to district within prescribed guidelines. DHIS II/HMIS reports are filled by ANM at sub centers; Sector Health supervisor compiles Sub centers reports and submit to CHC. At block, health supervisor, BE, BADA, along with DEO compile the reports. The facility wise reports were entered into online software provided at block. ● The team observed that there is lot of confusion about the reporting UNITS at peripheral health institute i.e. facility wise or area wise. The double reporting was observed in Ghumka and Khairagarh blocks and in some pockets of the other surveyed blocks. District HMIS officer should take IMMEDIATE step to correct the confusion. The DDO should focus on accuracy and relevance of the data and should ensure that all the columns are duly completed. If there is any problem in entering data in the prescribed format, he may discuss the same with the concerned and immediately sort out the matter then and there. The he should act like facilitator as well as instructor. ● The one day training on the reporting proforma of DHIS II completed at block level. The guidelines give broad instructions to various users on the forms which are to be filled up, and were available at blocks but none of the interviewed staff gone through that. The 21 interviewed health workers (related to reporting), are unable to understand some of data elements present in the proforma. They requested for orientation training at peripheral health institute especially to ANMs and PHC staff workers. ● The DEO, BADA and Supervisor are preparing 3 reports i.e. DHIS II, HMIS and MCH separately. Lot of discribancyhas been observed in the 3 reports. There should be coordination between the staff so that reports can be prepared based on the actual data. It has also been observed that coordination is
Transcript of Observations and conclusions on the Reporting stricture ...rltrird.cg.gov.in/pdf/ROHFW/field...
1
Observations and conclusion on the Presenting reporting structure
(DHIS II/NRHM/MCH) of surveyed blocks of RAJNANDGAON District
● The RD team visited randomly selected 4 blocks of the districts, from each
block one PHC was selected randomly. One sub center selected from selected
PHC based on operation feasibility. (Annexure I)
● In the surveyed blocks, three parallel reports (MCH, NRHM and DHIS II) are
generated from blocks and submitted to district within prescribed guidelines.
DHIS II/HMIS reports are filled by ANM at sub centers; Sector Health supervisor
compiles Sub centers reports and submit to CHC. At block, health supervisor, BE,
BADA, along with DEO compile the reports. The facility wise reports were
entered into online software provided at block.
● The team observed that there is lot of confusion about the reporting UNITS at
peripheral health institute i.e. facility wise or area wise. The double reporting was
observed in Ghumka and Khairagarh blocks and in some pockets of the other
surveyed blocks. District HMIS officer should take IMMEDIATE step to correct the
confusion. The DDO should focus on accuracy and relevance of the data and
should ensure that all the columns are duly completed. If there is any problem in
entering data in the prescribed format, he may discuss the same with the
concerned and immediately sort out the matter then and there. The he should
act like facilitator as well as instructor.
● The one day training on the reporting proforma of DHIS II completed at block
level. The guidelines give broad instructions to various users on the forms which
are to be filled up, and were available at blocks but none of the interviewed
staff gone through that. The 21 interviewed health workers (related to reporting),
are unable to understand some of data elements present in the proforma. They
requested for orientation training at peripheral health institute especially to ANMs
and PHC staff workers.
● The DEO, BADA and Supervisor are preparing 3 reports i.e. DHIS II, HMIS and
MCH separately. Lot of discribancyhas been observed in the 3 reports. There
should be coordination between the staff so that reports can be prepared
based on the actual data. It has also been observed that coordination is
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lacking at peripheral health institute and district level regarding parallel
reporting.
● There should be interaction and feedback between DDO and DEO/BADA
before and after submission of reports.
● The poor quality of Xerox proforma was still utilized for reporting while the DDO
informed that the printed proforma booklets were distributed to block, but the
DEO and BADA have no idea regarding the printed book, which clearly
indicated communication gap between district and peripheral institute.
● Reporting variations is to be rectified and corrective actions are to be initiated
at district level by mutual understanding of DDO and Assistant Statistical officer.
● More focus should be given at validation error at each levels of reporting units,
for example BCG dosages are far more than actual live births in some surveyed
blocks and PHC/HSC level. The BMO and Reporting staffs should vigil on such
data items and establish inbuilt system of monitoring at block level.
● At Primary health centers, the Medical officer should involvement of in the
data verification report in lieu of only signing. Interviewed medical officers urged
refresh training on the present reporting system.
●The services of DEO are used for all sundry jobs, activities beyond their compass.
There is a need to focus workforce in fruitful manner for improvement of the data
quality.
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Technical Supervision report of 4 blocks of Rajnandgaon
GHUMKA
BLOCK KAIRAGARH DONGARGARH DONGARGAON
Reporting STAFF
BADA Vacant Vacant Vacant Vacant
DEO YES YES YES YES
BADA YES YES - YES
Status of training 1 DAY REFRESHER TRAINING
Level of understanding of
data items (HMIS/DHISII) in
staff
POOR POOR POOR POOR
Reports generated at block
DHIS YES YES YES YES
NRHM YES YES YES YES
MCH YES YES YES YES
DISCRIBANCY in figures
among generated REPORT
YES YES YES YES
Duplication in reporting YES YES YES YES
Monitoring of reports No No No No
HMIS/DHIS II reports
verification
NO NO NO NO
Coordination among
reporting staff and in charge
NO NO NO NO
Reporting linkage WEAK WEAK WEAK WEAK
DDO feedback to DEO vice
versa (April - June 2010
reporting)
WEAK WEAK WEAK WEAK
Confusing in facility wise
reports
YES YES YES YES
Involvement of BMO in the
verification of reports NO NO NO NO
Validation reports LIMITED TO BLOCK ONLY, IT SHOULD BE DISTRIBUTED TO PRIMARY
HEALTH CENTERS AS WELL AS EVERY SUBCENTERS
Consensus related to reports
at Block level meeting
NO NO NO NO
Mortality data report at block
DHIS/NRHM/MCH VARIATION VARIATION VARIATION VARIATION
Mortality data report at district
DHIS/NRHM/MCH VARIATION
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SOME OF THE INTERPRETATION REGARDING DATA OF THE DISTRICT AND SURVEYED
BLOCKS;
a) In month of May 2010, the district showing (3060/3066=99%) of the New
mother registered for ANC. How reliable this data is?
Table shows district ANC registration and new registered JSY mother and its
discrepancy
District level data HMIS
was forwarded to state
and showing on the
HMIS web site of Govt
of India
Surveyed Block 3
(Dongergarh)
Surveyed block 4
Dongergaon
Total number of pregnant women
Registered for ANC
3066 444 251
New women registered under JSY
3060 147 129
Difference 6 297 122
The data needs to validate at each level before aggregation
Interpretation:
It looks nice to see the data of the district regarding achievement of JSY
registration but it does not match if you verify the data of peripheral health
institute.
Some health reporting area had JSY less than ANC registration while it was found
exceeded in some health institute.
The overall data of the reporting units are equally important, if it has to be taken
into account, that’s why it is essential that differences noticed in the data items
needs to be verified at each level and data to be entered at each level very
carefully and in correct manner.
The health supervisor should look sub center wise reports of the newly registered
pregnant women and status of the JSY registration, so that errors are rectified
and corrected at peripheral level. The DDO should also look into the mater and
keep a watch at block data compilation.
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b) BCG is more than Live Births: Facts from Field area
The data verified from the surveyed blocks of the district, there was discrepancy
among the BCG and Live birth in the different reporting formats at blocks.
The table showing the BCG and Live birth variation
HMIS web site
District Rajnathgaon
Block 1
Ghumka
Dongergaon Dongergarh
(NRHM)
April May June April May June April May Jun
e
Apr
il
Ma
y
June
Live birth 2155 2001 2698 359 380 389 119 133 133 251 270
BCG 2105 2263 2538 371 377 388 168 168 134 268 251
Difference 50 -262 60 -12 -49 -35 -1 -7
Intra reporting variations Dongergarh block
NRHM report HMIS/DHIS II
April May June Sub
Total April May June
Sub
Total Difference
Live Birth 251 305 330 886 133 251 270 654 232
BCG 268 290 309 867 134 268 251 653 214
Difference -17 -1 -17
Intra reporting variations Dongergaon block
NRHM report DHIS II
May June Sub
Total May June
Sub
Total Difference
Live Birth 119 133 252 70 83 153 99
BCG 168 168 336 168 173 341 -5
Difference -49 -35 -98 -90 -188
Interpretations:
In surveyed blocks, BCG vaccination was reported twice/repetition of reports
noticed at reporting units.
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The CHC and PHCs reports are not added in the DHIS II reports in the Dongergarh
blocks. The area wise reports are added in the compilation of PHC in Ghumka
block.
At visited CHC and PHC health facilities, it has been noted that no. of live birth
are more than the BCG vaccination indicates that some of the new born babies
are discharged after delivery without giving zero dose.
Private health institution deliveries are not added in the facility wise reporting
while it was noted in MCH and other reporting.
c) Sterilization complications:
At Dongargarh Block the sterilization complications was mentioned during April
and June 2010 DHIS II reports, whereas it was not reflected in the NRHM report.
31 Quality in sterilization services* DHIS II April May June 2010
31.1 Number of complications following sterilization
(a) Male 6 0 0
(b) Female 13 5 1
Total {(a) to (b)} 19 5 1
31.2 Number of failures following sterilization
(a) Male 3 1 0
(b) Female 4 2 0
31.3 Number of deaths following sterilization
(a) Male 1 0 0
(b) Female 0 0 0
Total {(a) to (b)} 0 0 0
? Might be inadvertently mentioned but it should be verified by the concerned
officer before forwarding such type of data
d) Adverse events following immunization (DHIS II)
Adverse Event Following
Immunization (AEFI)
NRHM DHIS II
April May June April May June
Abscess
0 0 1
Death
1 0 0
Others
0 2 0
*Dongargarh Block
There was discrepancy among the parallel reporting of the block, data should
be verified before uploading, the block needs reorientation training regarding
filling the proforma with level of understanding of prescribed data items.
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e) Mortality reports variation
Reported deaths (all)
Surveyed Blocks
(Reported
Total GHUMKA KAIRAGARH DONGERGARH DONGERGAON
A REPORTED Deaths IN
MCH REPORTS (April to
June 2010) in surveyed
blocks
143 222 225 213 803
B REPORTED DEATHS IN
HMIS REPORTS AT
DISTRICT
RAJNANDGAON
262 262
Discrepancy in reports
Interpretation:
There was also discrepancy in the morality data at each level, which needs to
be corrected; it should tally at each level and at different reporting system also.
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Annexure I
Discrepancy in reports
Office of Block Medical Officer, Community Health Centre, Dongargaon
REPRODUCTIVE HEALTH
NRHM DHIS Differe
nce Ante Natal Care Services (ANC) May-10 Jun-10 Sub Total May-
10
Jun-
10
Sub
Total
Total number of pregnant
women Registered for ANC 251 259 510
251 259 510 0
1.1.1 Of which Number registered
within first trimester 148 176 324
150 176 326 -2
New women registered under
JSY 129 121 250
129 121 250 0
Number of pregnant women
received 3 check ups 129 121 250
129 121 250 0
Number of pregnant women
given 0 0 0
1.4.1 TT1 251 259 510 251 259 510 0
1.4.2 TT2 or Booster 223 247 470 223 247 470 0
Total number of pregnant
women given 100 IFA tablets 251 259 510
251 263 514 -4
Pregnant women with
Hypertension (BP>140/90) 0 0 0
1.6.1 New cases detected at
institution 44 38 82
24 13 37 45
1.6.2 Number of eclampsia cases
managed during delivery 0 0 0
0 0 0 0
Pregnant women with Anaemia 0 0 0
1.7.1 Number having Hb level<11
(tested cases) 163 108 271
59 108 167 104
1.7.2
Number having severe
anaemia (Hb<7) treated at
institution
1 1 2
0 0
0 2
Deliveries
Deliveries conducted at Home 0 0 0
2.1.1 Number of Home Deliveries
attended 0 0 0
(a) By SBA Trained
(Doctor/Nurse/ANM) 0 0 0 0 0
(b) By Non SBA (Trained
TBA/Relatives/etc.) 43 59 102 0 102
Total {(a) to (b)} 43 59 102 0 102
2.1.2
Number of newborns visited
within 24 hours of Home
Delivery
5 59 64 0 64
2.1.3 Number of mothers paid JSY
incentive for Home deliveries 1 1 2 0 2
Deliveries conducted at Public
Institutions 77 72 149
0 0 0 149
2.2.1 Of which Number discharged
under 48 hours of delivery 41 50 91
71 76 147 -56
9
2.2.2 Number of cases where JSY
incentive paid to 0 0 0
(a) Mothers 78 68 146 74 72 146 0
(b) ASHAs 76 61 137 74 72 146 -9
(c) ANM or AWW (only for HPS
States) 0 4 4
0 0 0 4
Number of Deliveries at
accredited Private Institutions 0 0 0
2.3.1
Number of institutional delivery
cases where JSY incentive paid
to
0 0 0 0 0 0 0
(a) Mothers 0 0 0 0 0 0 0
(b) ASHAs 0 0 0 0 0 0 0
(c) ANM or AWW (only for HPS
States) 0 0 0 0 0 0 0
Number of Caesarean (C-Section)
deliveries performed at
Public facilities 0 0 0
3.1.1 PHC 0 0 0 0 0 0 0
3.1.2 CHC 0 0 0 0 0
3.1.3 Sub-divisional hospital/District
Hospital 0 0 0
0 0 0 0
3.1.4 At Other State Owned Public
Institutions 0 0 0 0 0
Total {(3.1.1) to (3.1.4)} 0 0 0 0 0 0 0
Private facilities 0 0 0
Pregnancy outcome & weight of new-born
Pregnancy Outcome (in
number) 0 0 0
4.1.1 Live Birth 0 0 0
(a) Male 59 66 125 30 46 76 49
(b) Female 60 67 127 40 37 77 50
Total ({a} + {b}) 119 133 252 70 83 153 99
4.1.2 Still Birth 1 0 1 1 0 1 0
4.1.3 Abortion
(spontaneous/induced) 11 14 25
11 12 23 2
Details of Newborn children
weighed 0 0 0
4.2.1 Number of Newborns weighed
at birth 119 133 252
70 83 153 99
4.2.2 Number of Newborns having
weight less than 2.5 kg 2 9 11
2 6 8 3
Number of Newborns breast
fed within 1 hour 119 133 252
70 81 151 101
Complicated pregnancies
Number of cases of pregnant
women with Obstetric
Complications and attended
at Public facilities
0 0 0
5.1.1 PHC 0 0 0 0 0
5.1.2 CHC 0 0 0 0 0
5.1.3 Sub-divisional hospital/District
Hospital 0 0 0 0 0
5.1.4 At Other State Owned Public
Institutions 0 0 0 0 0
Total {(5.1.1) to (5.1.4)} 0 0 0 0 0
10
Number of cases of pregnant
women with Obstetric
Complications and attended
at Private facilities
0 0 0 0 0
Number of Complicated
pregnancies treated with 0 0 0
5.3.1 IV antibiotics 0 0 0 0 0 0 0
5.3.2 IV antihypertensive/Magsulph
injection 0 0 0
0 0 0 0
5.3.3 IV Oxytocis 0 0 0 4 0 4 -4
5.3.4 Blood Transfusion 0 0 0 0 0 0 0
Post – Natal Care 0 0 0
Women receiving post partum
checkup within 48 hours after
delivery
41 50 91
150 134
284 -193
Women getting a post partum
check up between 48 hours
and 14 days
145 128 273
139 173
312 -39
PNC maternal complications
attended 0 0 0
17 0
17
-17
Medical Termination of Pregnancy (MTP) 0 0 0
Number of MTPs conducted at
Public Institutions 0 0 0
7.1.1 Up to 12 weeks of pregnancy 0 0 0 0 0 0 0
7.1.2 More than 12 weeks of
pregnancy 0 0 0
0 0 0 0
Total {(7.1.1) to (7.1.2)} 0 0 0 0 0 0 0
Number of MTPs conducted at
Private Facilities 0 0 0 0 0
RTI/STI Cases 0 0 0
Number of new RTI/STI for which
treatment initiated 0 0 0
(a) Male 8 14 22 0 13 13 9
(b) Female 14 8 22 0 8 8 14
Total {(8.1.1) to (8.1.2)} 22 22 44 0 22 22 22
Number of wet mount tests
conducted 0 0 0
0 0 0 0
Family Planning 0 0 0
Number of NSV/Conventional
Vasectomy conducted 0 0 0
9.1.1 At Public facilities 0 0 0
(a) At PHCs 0 0 0 0 0
(b) At CHCs 3 2 5 0 5
(c) At Sub-divisional hospitals/
District Hospitals 0 0 0 0 0
(d) At Other State Owned Public
Institutions 0 0 0 0 0
Total {(a) to (d)} 3 2 5 0 5
9.1.2 At Private facilities 0 0 0 0 0
Number of Laparoscopic
sterilizations conducted 0 0 0
9.2.1 At Public facilities 0 0 0
(a) At PHCs 0 0 0 0 0
11
(b) At CHCs 31 60 91 0 91
(c) At Sub-divisional hospitals/
District Hospitals 0 0 0 0 0
(d) At Other State Owned Public
Institutions 0 0 0 0 0
Total {(a) to (d)} 31 60 91 0 91
9.2.2 At Private facilities 0 0 0 0 0
Number of Mini-lap
sterilizations conducted 0 0 0
9.3.1 At Public facilities 0 0 0
(a) At PHCs 0 0 0 0 0
(b) At CHCs 0 0 0 0 0
(c) At Sub-divisional hospitals/
District Hospitals 0 0 0 0 0
(d) At Other State Owned Public
Institutions 0 0 0 0 0
Total {(a) to (d)} 0 0 0 0 0
9.3.2 At Private facilities 0 0 0 0 0
Number of Post-Partum
sterilizations conducted 0 0 0
9.4.1 Public facilities 0 0 0
(a) At PHCs 0 0 0 0 0
(b) At CHCs 0 0 0 0 0
(c) At Sub-divisional hospitals/
District Hospitals 0 0 0 0 0
(d) At Other State Owned Public
Institutions 0 0 0 0 0
Total {(a) to (d)} 0 0 0 0 0
9.4.2 Private facilities 0 0 0 0 0
Number of IUD Insertions 0 0 0
9.5.1 Public facilities 0 0 0
(a) At Sub-Centres 49 56 105 0 105
(b) At PHCs 0 0 0 0 0
(c) At CHCs 0 0 0 0 0
(d) At Sub-divisional hospitals/
District Hospitals 0 0 0 0 0
(e) At Other State Owned Public
Institutions 0 0 0 0 0
Total {(a) to (e)} 49 56 105 0 105
9.5.2 Private facilities 0 0 0
Number of IUD removals 50 28 78 0 78
Number of Oral Pills cycles
distributed 780 862 1642 0 1642
Number of Condom pieces
distributed 0 910 910 0 910
Number of Centchroman
(weekly) pills given 0 0 0 0 0
Number of Emergency
Contraceptive Pills distributed 0 0 0 0 0
Quality in sterilization services 0 0 0
9.11.1 Number of complications
following sterilization 0 0 0
(a) Male 0 0 0 0 0 0 0
(b) Female 0 0 0 0 1 1 -1
9.11.2 Number of failures following
sterilization 0 0 0
12
(a) Male 0 0 0 0 0 0 0
(b) Female 0 0 0 0 0 0 0
9.11.3 Number of deaths following
sterilization 0 0 0
(a) Male 0 0 0 0 0 0 0
(b) Female 0 0 0 0 0 0 0
Number of Instituions having
NSV trained doctors 0 0 0 0 0 0 0
CHILD IMMUNIZATION 0 0 0
Number of Infants 0 to 11
months old who received the
following:
0 0 0
10.1.01 BCG 168 168 336 168 173 341 -5
10.1.02 DPT1 174 183 357 174 183 357 0
10.1.03 DPT2 199 182 381 200 182 382 -1
10.1.04 DPT3 199 217 416 188 217 405 11
10.1.05 OPV 0 (Birth Dose) 131 133 264 131 133 264 0
10.1.06 OPV1 174 183 357 174 185 359 -2
10.1.07 OPV2 199 182 381 198 182 380 1
10.1.08 OPV3 199 217 416 188 217 405 11
10.1.09 Hep-B1 0 0 0 0 0 0 0
10.1.10 Hep-B2 0 0 0 0 0 0 0
10.1.11 Hep-B3 0 0 0 0 0 0 0
10.1.12 Measles 220 201 421 192 205 397 24
10.1.13
Total number of children aged
between 9 and 11 months who
have been fully immunized
(BCG+DPT123+OPV123+Measle
s) during the month
0 0 0
(a) Male 112 97 209 112 99 211 -2
(b) Female 108 104 212 108 106 214 -2
Total {(a) to (b)} 220 201 421 220 205 425 -4
Number of children more than
16 months who received the
following
0 0 0
10.2.1 DPT Booster 274 175 449 260 175 435 14
10.2.2 OPV Booster 274 175 449 260 175 435 14
10.2.3 Measles, Mumps, Rubella
(MMR) Vaccine 0 0 0
0 0 0 0
Immunization Status 0 0 0
10.3.1
Total number of children aged
between 12 and 23 months
who have been fully
immunized
(BCG+DPT123+OPV123+Measle
s) during the month
0 0 0
(a) Male 0 0 0 0 0 0 0
(b) Female 0 0 0 0 0 0 0
Total {(a) to (b)} 0 0 0 0 0 0 0
10.3.2 Children more than 5 years
given DT5 382 298 680
382 298 680 0
10.3.3 Children more than 10 years
given TT10 245 277 522
244 277 521 1
10.3.4 Children more than 16 years
given TT16 242 274 516
242 273 515 1
13
10.3.5 Adverse Event Following
Immunisation (AEFI) 0 0 0
(a) Abscess 0 0 0 2 11 13 -13
(b) Death 0 0 0 0 0 0 0
(c) Others 0 0 0 10 9 19 -19
Number of Immunization
sessions during the month 0 0 0
10.4.1 Sessions planned 137 139 276 131 128 259 17
10.4.2 Sessions held 137 139 276 131 131 262 14
10.4.3 Number of sessions where
ASHAs were present 137 139 276
130 116 246 30
Others {Japanese Encephalitis
(JE) etc. Please Specify} 0 0 0
10.5.1 0 0 0 0 0 0 0
10.5.2 0 0 0 0 0
10.5.3 0 0 0 0 0
Number of Vitamin A doses 0 0 0
Administered between 9
months and 5 years
11.1.1 Dose-1 220 201 421 220 199 419 2
11.1.2 Dose-5 822 410 1232 822 408 1230 2
11.1.3 Dose-9 990 418 1408 990 418 1408 0
Number of cases of Childhood Diseases
reported during the month (0-5 years) 0 0 0
Diphtheria 0 0 0 0 0 0 0
Pertussis 0 0 0 0 0 0 0
Tetanus Neonatorum 0 0 0 0 0 0 0
Tetanus others 0 0 0 0 0 0 0
Polio 0 0 0 0 0 0 0
Measles 0 0 0 0 0 0 0
Diarrhea and dehydration 2 8 10 26 8 34 -24
Malaria 0 0 0 1 0 1 -1
Nos. admitted with Respiratory
Infections 151 156 307
7 2 9 298
Other Programmes 0 0 0
Blindness Control Programme 0 0 0
Number of patients operated
for cataract 0 0 0
20 42 62 -62
Number of Intraocular Lens
(IOL) implantations 97 42 139
0 42 42 97
Number of school children
detected with Refractive errors 0 0 0
0 0 0 0
Number of children provided
free glasses 0 0 0
0 0 0 0
Number of eyes collected 0 0 0 0 0 0 0
Number of eyes utilised 0 0 0 0 0 0 0
Health Facility Services 0 0 0
Patient Services 0 0 0
Number of CHC/ SDH/ DH
functioning as an FRU 0 0 0
0 0
Number of PHCs functioning
24X7 (3 Staff Nurses) 0 0 0
0 0
14
Number of Anganwadi centres
reported to have conducted
VHNDs
98 98 196
0 196
Number of facilities having a
Rogi Kalyan Samiti 7 7 14
0 14
Number of RKS meetings held
during the month 0 0 0
0 0
Number of facilities having
Ambulance services (Assured
Referral Services) available
3 3 6
0 6
Total Number of times the
Ambulance was used for
transporting patients during the
month
8 8 16
0 16
Number of Institutions having
operational Sick New Born and
Child Care Units
0 0 0 0 0
Number of functional
Laparoscopes in CHC/SDH/DH 0 0 0 0 0
Inpatients 0 0 0
14.10.1 Admissions Total Total #VALUE! 0 #VAL
UE!
(a) Male #REF! #REF! #REF! 0 #REF!
(b) Female #REF! #REF! #REF! 0 #REF!
Total {(a) to (b)} #REF! #REF! #REF! 0 #REF!
14.10.2 Deaths 0 0 0
(a) Male 0 0 0 0 0 0 0
(b) Female 0 0 0 0 0 0 0
Total {(a) to (b)} 0 0 0 0 0 0 0
In-Patient Head Count at
midnight 154 136 290
153 137 290 0
Outpatients 0 0 0
14.12.1 OPD attendance (All) 3534 4155 7689 4583 2496 7079 610
Operation Theatre 0 0 0 0 0
14.13.1 Operation major (General and
spinal anesthesia) 0 0 0
0 0 0 0
14.13.2 Operation minor (No or local
anesthesia) 55 62 117
64 62 126 -9
Others (Include other services
like dental, optho, AYUSH etc.) 0 0 0
14.14.1 AYUSH 0 0 0 0 0 0 0
14.14.2 Dental Procedures 0 0 0 0 0 0 0
14.14.3 Adolescent counseling services 0 0 0 0 0 0 0
14.14.4 0 0 0
14.14.5 0 0 0
Laboratory Testing 0 0 0
Laboratory Test Details 0 0 0
15.1.1 Hb Tests conducted 0 0 0
(a) No. of Hb tests conducted 221 180 401 653 487 1140 -739
(b) Of which numbers having Hb <
7 mg 1 5 6
3 8 11 -5
15.1.2 HIV tests conducted Numbers
Positive
Numbers
Positive #VALUE! 0
#VAL
UE!
(a) Male 0 0 0 0 0 0 0
(b) Female-Non ANC 0 0 0 0 0 0 0
15
(c) Female with ANC 0 0 0 0 0 0 0
Total {(a) to (c)} 0 0 0 0 0 0 0
Widal tests conducted 0 0 0 0 0
VDRL tests conducted Numbers
tested
Numbers
tested #VALUE! 0
#VAL
UE!
(a) Male 0 0 0 0 0
(b) Female-Non ANC 0 0 0 0 0
(c) Female with ANC 0 0 0 0 0
Total {(a) to (c)} 0 0 0 0 0
Malaria tests conducted Numbers Numbers #VALUE! 0 #VAL
UE!
15.4.1 Blood smears examined 1421 1391 2812 1534 1479 3013 -201
15.4.2 Plasmodium Vivax test positive 7 6 13 8 1401 1409 -1396
15.4.3 Plasmodium Falciparum test
positive 1 0 1
1 6 7 -6
Monthly Inventory Status 0 0 0
Stock Position (During the
month)
Stock
Distributed
Stock
Distributed #VALUE! 0
#VAL
UE!
Mortality Details 0 0 0
Details of deaths reported
during the month with probable
causes:
0 0 0
Infant deaths within 24 hrs of
birth 0 0 0 0 0
Infant Deaths up to 4 weeks by
cause 0 0 0
17.2.1 Sepsis 0 0 0
17.2.2 Asphyxia 0 0 0
17.2.3 LBW 0 0 0
17.2.4 Others 0 0 0
Infant/Child Deaths up to 5
years by cause 0 0 0
17.3.1 Pneumonia 0 0 0
17.3.2 Diarrhoea 0 0 0
17.3.3 Fever related 0 0 0
17.3.4 Measles 0 0 0
17.3.5 Others 0 0 0
Adolescent/Adult deaths by
cause Total Total #VALUE! 0
#VAL
UE!
17.4.1 Diarrhoeal diseases 0 0 0 0 0
17.4.2 Tuberculosis 1 0 1 0 1
17.4.3 Respiratory diseases including
infections (other than TB) 0 0 0 0 0
17.4.4 Malaria 0 0 0 0 0
17.4.5 Other Fever Related 5 0 5 0 5
17.4.6 HIV/AIDS 0 0 0 0 0
17.4.7 Heart disease/Hypertension
related 0 4 4 0 4
17.4.8 Neurological disease including
strokes 0 0 0 0 0
16
17.4.9 Maternal Deaths 0 0 0
(a) Abortion 0 0 0 0 0
(b) Obstructed/prolonged labour 0 0 0 0 0
(c ) Severe hypertesnion/fits 0 0 0 0 0
(d) Bleeding 0 0 0 0 0
(e) High fever 0 0 0 0 0
(f) Other Causes (including
causes not known) 18 15 33 0 33
17.4.10 Trauma/Accidents/Burn cases 1 8 9 0 9
17.4.11 Suicide 2 2 4 0 4
17.4.12 Animal bites and stings 0 0 0 0 0
17.4.13 Other Diseases 0 0 0
(a) Known Acute Disease 5 3 8 0 8
(b) Known Chronic Disease 5 8 13 0 13
(c ) Causes not known 10 41 51 0 51
17
Annexure III
NRHM report HMIS /DHIS
April May June Total April May June Total
Differenc
e
Ante Natal Care Services (ANC)
Total number of pregnant
women Registered for ANC 376 474 397 1247 274 376 444 1094 153
1.1.1 Of which Number registered
within first trimester 123 172 141 436 109 123 164 396 40
New women registered
under JSY 99 0 75 174 116 99 147 362 -188
Number of pregnant women
received 3 check ups 30 203 310 543 92 30 227 349 194
Number of pregnant women
given
1.4.1 TT1 283 354 309 946 175 283 339 797 149
1.4.2 TT2 or Booster 296 396 414 1106 166 296 335 797 309
Total number of pregnant
women given 100 IFA tablets 376 474 397 1247 162 376 420 958 289
Pregnant women with
Hypertension (BP>140/90) 0 0
1.6.1 New cases detected at
institution 2 3 2 7 11 2 51 64 -57
1.6.2 Number of eclampsia cases
managed during delivery 0 0 0 0 0 0 0 0 0
Pregnant women with
Anaemia 0 0
1.7.1 Number having Hb level<11
(tested cases) 30 59 45 134 60 30 72 162 -28
1.7.2
Number having severe
anaemia (Hb<7gm) treated
at institution
0 0 0 0 0 0 0 0 0
Deliveries
Deliveries conducted at
Home
0 0
2.1.1 Number of Home Deliveries
attended 177 184 361
0 361
(a) By SBA Trained
(Doctor/Nurse/ANM) 0 0 0 0
0 0
(b) By Non SBA (Trained
TBA/Relatives/etc.) 139 177 184 500
0 500
Total {(a) to (b)} 139 177 184 500 0 500
2.1.2
Number of newborns visited
within 24 hours of Home
Delivery
139 177 184 500
0 500
2.1.3 Number of mothers paid JSY
incentive for Home deliveries 3 8 1 12
0
12
Deliveries conducted at
Public Institutions
0 0
18
2.2.1 Of which Number discharged
under 48 hours of delivery 0 0 0 0
55
100 155 -155
2.2.2 Number of cases where JSY
incentive paid to
0 0
(a) Mothers 83 77 33 193 70 78 148 45
(b) ASHAs 88 52 27 167 55 71 126 41
(c) ANM or AWW (only for HPS
States) 0 5 1 6
1
1 2 4
Number of Deliveries at
accredited Private Institutions 0 0 0 0 0 0 0 0 0
2.3.1
Number of institutional
delivery cases where JSY
incentive paid to
0 0 0 0 0 0 0 0 0
(a) Mothers 0 0 0 0 0 0 0 0 0
(b) ASHAs 0 0 0 0 0 0 0 0 0
(c) ANM or AWW (only for HPS
States) 0 0 0 0 0 0 0 0
Number of Caesarean (C-Section)
deliveries performed at
Public facilities 0 0
3.1.1 PHC 0 0 0 0 0 0
3.1.2 CHC 5 0 5 0 5
3.1.3 Sub-divisional hospital/District
Hospital 0 0 0
0 0
3.1.4 At Other State Owned Public
Institutions 0 0 0
0 0
Total {(3.1.1) to (3.1.4)} 5 0 5 0 5
Private facilities 0 0
Pregnancy outcome & weight of new-
born
Pregnancy Outcome (in
number)
0 0
4.1.1 Live Birth 0 0
(a) Male 129 162 162 453 72 129 142 343 110
(b) Female 122 143 168 433 61 122 127 310 123
Total ({a} + {b}) 251 305 330 886 133 251 270 654 232
4.1.2 Still Birth 7 9 13 29 3 7 6 16 13
4.1.3 Abortion
(spontaneous/induced) 4 2 10 16
2 4
9 15 1
Details of Newborn children
weighed 0 0
4.2.1 Number of Newborns
weighed at birth 251 305 330 886
132 251
262 645 241
4.2.2 Number of Newborns having
weight less than 2.5 kg 115 189 159 463
23
115
62
200
263
Number of Newborns breast
fed within 1 hour 251 305 330 886
131 251
270 652 234
Complicated pregnancies
Number of cases of pregnant women with Obstetric Complications and attended at Public facilities
5.1.1 PHC 5 3 5 13 0 0 13
5.1.2 CHC 25 13 16 54 0 0 54
5.1.3 Sub-divisional hospital/District
Hospital 0 0 0 0
0 0 0
5.1.4 At Other State Owned Public 0 0 0 0 0 0
19
Institutions
Total {(5.1.1) to (5.1.4)} 30 16 21 67 0 0 67
Number of cases of pregnant women
with Obstetric Complications and
attended at Private facilities
30 16 21 67
0
0 67
Number of Complicated pregnancies
treated with
0 30
0 30 -30
5.3.1 IV antibiotics 0 3 3 6 0 6
5.3.2
IV
antihypertensive/Magsulph
injection
0 2 2 4
0
0
0
0 4
5.3.3 IV Oxytocis 0 0 0 0 0 0 0 0 0
5.3.4 Blood Transfusion 0 0 0 0 0 0 0 0 0
Post - Natal Care
Women receiving post partum
checkup within 48 hours after delivery 251 266 233 750
106 251
194 551 199
Women getting a post partum check
up between 48 hours and 14 days 7 48 110 165
90 7
154 251 -86
PNC maternal complications attended 5 3 2 10 0 5 0 5 5
Medical Termination of Pregnancy
(MTP)
0 0
Number of MTPs conducted
at Public Institutions
0 0
7.1.1 Up to 12 weeks of pregnancy 3 2 0 5 0 3 0 3 2
7.1.2 More than 12 weeks of
pregnancy 0 0 0
0
0 0 0
Total {(7.1.1) to (7.1.2)} 3 2 0 5 0 3 0 3 2
Number of MTPs conducted
at Private Facilities
0 0
RTI/STI Cases 0 0
Number of new RTI/STI for
which treatment initiated
(a) Male 25 15 21 61 0 25 0 25 36
(b) Female 29 15 30 74 0 29 0 29 45
Total {(8.1.1) to (8.1.2)} 54 30 51 135 0 54 0 54 81
Number of wet mount tests
conducted
0 0
Family Planning 0 0
Number of NSV/Conventional
Vasectomy conducted
0 0
9.1.1 At Public facilities 0 0
(a) At PHCs 0 0
(b) At CHCs 5 1 0 6 0 6
(c) At Sub-divisional hospitals/
District Hospitals
0 0
(d) At Other State Owned Public
Institutions
0 0
Total {(a) to (d)} 5 1 0 6 0 6
9.1.2 At Private facilities 0 0
Number of Laparoscopic
sterilizations conducted
0 0
9.2.1 At Public facilities 0 0
20
(a) At PHCs 0 0
(b) At CHCs 33 0 0 33 0 33
(c) At Sub-divisional hospitals/
District Hospitals
0 0
(d) At Other State Owned Public
Institutions
0 0
Total {(a) to (d)} 33 0 0 33 0 33
9.2.2 At Private facilities 0 0
Number of Mini-lap
sterilizations conducted
0 0
9.3.1 At Public facilities 0 0
(a) At PHCs 0 0
(b) At CHCs 4 0 2 6 0 6
(c) At Sub-divisional hospitals/
District Hospitals
0 0
(d) At Other State Owned Public
Institutions
0 0
Total {(a) to (d)} 4 0 2 6 0 6
9.3.2 At Private facilities 0 0
Number of Post-Partum
sterilizations conducted
0 0
9.4.1 Public facilities 0 0
(a) At PHCs 0 0
(b) At CHCs 0 0
(c) At Sub-divisional hospitals/
District Hospitals
0 0
(d) At Other State Owned Public
Institutions
0 0
Total {(a) to (d)} 0 0
9.4.2 Private facilities 0 0
Number of IUD Insertions
9.5.1 Public facilities 0 0
(a) At Sub-Centres 10 26 30 66 0 66
(b) At PHCs 10 10 10 30 0 30
(c) At CHCs 1 3 1 5 0 5
(d) At Sub-divisional hospitals/
District Hospitals
0 0
(e) At Other State Owned Public
Institutions
0 0
Total {(a) to (e)} 21 39 41 101 0 101
9.5.2 Private facilities 0 0
Number of IUD removals 46 34 37 117 52 52 65
Number of Oral Pills cycles
distributed 1382 1403 1391 4176
638 638 3538
Number of Condom pieces
distributed 14590 14330 16000 44920
3847 3847 41073
Number of Centchroman
(weekly) pills given
202 202 -202
Number of Emergency
Contraceptive Pills distributed
45 45 -45
Quality in sterilization services 0 0
9.11.1 Number of complications
following sterilization
0 0
(a) Male 6 0 6 -5
(b) Female 13 5 18
21
9.11.2 Number of failures following
sterilization
0 -1
(a) Male 3 1 4 -2
(b) Female 4 2 6 0
9.11.3 Number of deaths following
sterilization
0 0
(a) Male 1 0 1 0
(b) Female 0 0 0
Number of Institutions having
NSV trained doctors
1 1 1 3 0 0 0 3
CHILD IMMUNIZATION 0 0
Number of Infants 0 to 11
months old who received the
following:
10.1.01 BCG 268 290 309 867 134 268 251 653 214
10.1.02 DPT1 291 311 281 883 181 291 259 731 152
10.1.03 DPT2 291 309 289 889 177 291 279 747 142
10.1.04 DPT3 276 354 327 957 164 276 300 740 217
10.1.05 OPV 0 (Birth Dose) 89 178 267 89 197 286 -19
10.1.06 OPV1 291 311 281 883 161 291 265 717 166
10.1.07 OPV2 291 309 289 889 158 291 255 704 185
10.1.08 OPV3 276 354 327 957 146 276 295 717 240
10.1.09 Hep-B1 0 0 0 0 0 0 0 0 0
10.1.10 Hep-B2 0 0 0 0 0 0 0 0 0
10.1.11 Hep-B3 0 0 0 0 0 0 0 0 0
10.1.12 Measles 270 358 291 919 157 270 333 760 159
10.1.13
Total number of children
aged between 9 and 11
months who have been fully
immunized
(BCG+DPT123+OPV123+Meas
les) during the month
0 0
(a) Male 145 180 164 489 102 145 173 420 69
(b) Female 125 178 127 430 80 125 166 371 59
Total {(a) to (b)} 270 358 291 919 183 270 339 792 127
Number of children more
than 16 months who received
the following
0 0
10.2.1 DPT Booster 187 213 150 550 105 187 343 635 -85
10.2.2 OPV Booster 187 226 121 534 109 187 341 637 -103
10.2.3 Measles, Mumps, Rubella
(MMR) Vaccine 0 0 0
0
0 0 0
Immunization Status 0 0 0 0 0
10.3.1
Total number of children
aged between 12 and 23
months who have been fully
immunized
(BCG+DPT123+OPV123+Meas
les) during the month
0 0 0
0 0
(a) Male 0 0 0 0 80 156 98 80 -80
(b) Female 0 0 0 0 80 153 88 80 -80
Total {(a) to (b)} 0 0 161 310 186 161 -161
10.3.2 Children more than 5 years
given DT5 19 254 51 324
28 169 84 28 296
10.3.3 Children more than 10 years 3 52 21 76 4 56 20 4 72
22
given TT10
10.3.4 Children more than 16 years
given TT16 10 24 78 112
10 41 49 10 102
10.3.5 Adverse Event Following
Immunisation (AEFI)
0 0
(a) Abscess 0 0 1 0 0
(b) Death 1 0 0 1 -1
(c) Others 0 2 0 0 0
Number of Immunization
sessions during the month
0 0
10.4.1 Sessions planned 164 211 171 546 90 183 130 90 456
10.4.2 Sessions held 159 196 165 520 86 168 126 86 434
10.4.3 Number of sessions where
ASHAs were present 159 196 165 520
83 163 129 83 437
Others {Japanese
Encephalitis (JE) etc. Please
Specify}
0 0
Number of Vitamin A doses 0 0
Administered between 9
months and 5 years
0 0
11.1.1 Dose-1 270 358 291 919 140 485 432 140 779
11.1.2 Dose-5 69 896 654 69 -69
11.1.3 Dose-9 31 1022 880 31 -31
Number of cases of Childhood Diseases
reported during the month (0-5 years)
0 0
Diphtheria 0 0 0 0 0 0 0
Pertussis 0 0 0 0 0 0 0
Tetanus Neonatorum 0 0 0 0 0 0 0
Tetanus others 0 0 0 0 0 0 0
Polio 0 0 0 0 0 0 0
Measles 0 0 2 19 3 2 -2
Diarrhea and dehydration 119 119 46 38 11 46 73
Malaria 0 0 53 135 55 53 -53
Nos. admitted with
Respiratory Infections 119 119
0 0 0 0 119
Other Programmes 0 0
Blindness Control Programme 0 0
Number of patients operated
for cataract 16 24 23 63
0 0 0 0 63
Number of Intraocular
Lens(IOL) implantations 16 24 23 63
0 0 0 0 63
Number of school children
detected with Refractive
errors
0 0 0 0
0 0 0
0 0
Number of children provided
free glasses 0 0 0 0
0 0 0 0 0
Number of eyes collected 0 0 0 0 0 0 0 0 0
Number of eyes utilised 0 0 0 0 0 0 0 0 0
Health Facility Services 0 0
Patient Services 0 0
Number of CHC/ SDH/ DH
functioning as an FRU 1 1 1 3
0 0 0 0 3
Number of PHCs functioning
24X7 (3 Staff Nurses) 0 0 0 0
0 0 0 0 0
23
Number of Anganwadi
centres reported to have
conducted VHNDs
179 179 179 537
0 0 0
0 537
Number of facilities having a
Rogi Kalyan Samiti 7 7 7 21
0 0 0 0 21
Number of RKS meetings held
during the month 4 2 2 8
0 0 0 0 8
Number of facilities having
Ambulance services
(Assured Referral Services)
available
1 1 1 3
0 0 0
0 3
Total Number of times the
Ambulance was used for
transporting patients during
the month
2 8 8 18
0 0 0
0 18
Number of Institutions having
operational Sick New Born
and Child Care Units
0 0 0
0 0 0
0 0
Number of functional
Laparoscopes in
CHC/SDH/DH
1 1 1 3
0 0 0
0 3
Inpatients 0 0
14.10.1 Admissions 0 0
(a) Male #REF! #REF! 0 0 0 0 #REF!
(b) Female #REF! #REF! 0 0 0 0 #REF!
Total {(a) to (b)} #REF! #REF! 0 0 0 0 #REF!
14.10.2 Deaths 0 0
(a) Male 0 2 3 5 0 0 0 0 5
(b) Female 0 0 0 0 0 0 0 0 0
Total {(a) to (b)} 0 2 3 5 0 0 0 0 5
In-Patient Head Count at
midnight
0 0
Outpatients 0 0
14.12.1 OPD attendance (All) 2485 2230 4715 284 461 658 284 4431
Operation Theatre 0 0
14.13.1 Operation major (General
and spinal anesthesia) 5 0 5
0 0 0 0 5
14.13.2 Operation minor (No or local
anesthesia) 55 49 8 112 0 0 0 0 112
Others (Include other
services like dental, optho,
AYUSH etc.)
0 0
14.14.1 AYUSH 0 0 0 0 0 0 0 0 0
14.14.2 Dental Procedures 0 0 0 0 0 0 0 0 0
14.14.3 Adolescent counseling
services 0 0 0 0 0 0 0 0 0
14.14.4 0 0
14.14.5 0 0
Laboratory Testing 0 0
Laboratory Test Details 0 0
15.1.1 Hb Tests conducted 107 114 49 270 0 0 270
(a) No. of Hb tests conducted 107 114 49 270 113 335 175 113 157
(b) Of which numbers having Hb
< 7 mg 2 2 2 6
12 7 15 12 -6
24
15.1.2 HIV tests conducted
Numb
ers
Positiv
e
Numb
ers
Positiv
e
Numb
ers
Positiv
e
0 0
(a) Male 0 0 0 0 0 0 0
(b) Female-Non ANC 0 0 0 0 0 0 0
(c) Female with ANC 0 0 0 0 0 0 0
Total {(a) to (c)} 0 0 0 0 0 0 0
Widal tests conducted 0 0
VDRL tests conducted 0 0
(a) Male 0 11 0 11 0 0 0 0 11
(b) Female-Non ANC 0 9 0 9 0 0 0 0 9
(c) Female with ANC 0 40 0 40 0 0 0 0 40
Total {(a) to (c)} 0 60 0 60 0 0 0 0 60
Malaria tests conducted Numb
ers
Numb
ers
Numb
ers 0
0 0
15.4.1 Blood smears examined 1105 1602 2000 4707 0 0 0 0 4707
15.4.2 Plasmodium Vivax test
positive 0 0 0 0 0 0 0 0 0
15.4.3 Plasmodium Falciparum test
positive 0 0 0 0 0 0 0 0 0
Mortality Details 0 0 0
Details of deaths reported
during the month with
probable causes:
0
0 0
Infant deaths within 24 hrs of
birth 0
0 0
Infant Deaths up to 4 weeks
by cause 0
0 0
17.2.1 Sepsis 0 0 0
17.2.2 Asphyxia 0 0 0
17.2.3 LBW 0 0 0
17.2.4 Others 0 0
Infant/Child Deaths up to 5
years by cause 0
0 0
17.3.1 Pneumonia 0 0 0
17.3.2 Diarrhoea 0 0 0
17.3.3 Fever related 0 0 0
17.3.4 Measles 0 0 0
17.3.5 Others 0 0
Adolescent/Adult deaths by
cause 0
0 0
17.4.1 Diarrhoeal diseases 0 0 0
17.4.2 Tuberculosis 0 0 0
17.4.3 Respiratory diseases including
infections (other than TB) 0
0 0
17.4.4 Malaria 0 0 0
17.4.5 Other Fever Related 0 0 0
17.4.6 HIV/AIDS 0 0 0
17.4.7 Heart disease/Hypertension
related 0
0 0
17.4.8 Neurological disease
including strokes 0
0 0
25
17.4.9 Maternal Deaths 0 0 0
(a) Abortion 0 0 0
(b) Obstructed/prolonged labour 0 0 0
(c ) Severe hypertesnion/fits 0 0 0
(d) Bleeding 0 0 0
(e) High fever 0 0 0
(f) Other Causes (including
causes not known) 0
0 0
17.4.10 Trauma/Accidents/Burn
cases 0
0 0
17.4.11 Suicide 0 0 0
17.4.12 Animal bites and stings 0 0 0
17.4.13 Other Diseases 0 0 0
(a) Known Acute Disease 0 0 0
(b) Known Chronic Disease 0 0 0
(c ) Causes not known 0 0 0 0 0 0 0
Annexure III
Surveyed Health facility
Date Health
institute
Name of health
facility
Interacted officials
09/08/2010 PHC Somni Medical officer, Health assistant
(Female), Staff nurse, Data Entry
Operator
HSC Beghera ANM
10/08/2010 CHC Khairagarh BMO, BADA, Data entry operator,
Health supervisor,
PHC Jalbandha Medical officer,
HSC Madura Kohli ANM
11/08/2010 CHC Ghumaka BMO,BADA, Data entry operator,
Health supervisor,
PHC Sukaldehan Medical officer and staff
HSC Bhanpuri ANM
13/08/2010 CHC Dongargaon Data entry operator, Health
supervisors,
PHC Arjuni Medical officer and staff
HSC Kotrasarar ANM,MPW
12/08/2010 CHC Dongargarh BMO, Data entry operator, Health
supervisor, BE
PHC LB Nagar Medical officer and staff
HSC Ramatola ANM
