Program Implementation Plan National Urban …nuhm.upnrhm.gov.in/urban/pip/amrohapip.pdf1 | P a ge...

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JP Nagar Amroha

City

Program Implementation Plan

National Urban Health

Mission

Prepared by District Health Officials with support from Urban Health Initiative

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NATIONAL URBAN HEALTH MISSION Program Implementation Plan

2013-14

District Health Society

Amroha

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Preamble

Census 2001 data says that 28.6 crores people live in urban areas in our country. The

urban population is estimated to increase to 35.7crores in 2011 and to 43.2 crores in

2021. Urban growth has led to rapid increase in number of urban poor population, many

of whom live in slums and other squatter settlements. As per Census 2001, 4.26 crores

people lived in slums spread over 640 towns/ cities having population of fifty thousand

or above. In the cities with population one Lakh and above the 3.73 crores slum

population is expected to reach 6.25 crores by 20081, thus putting greater strain on the

urban infrastructure which is already overstretched2. Demographers have described the

Indian scenario as the 2-3-4-5 syndrome, i.e., in the last decade, the Indian population

grew at an average rate of 2%, the urban population at 3%, mega cities at 4%, and slum

populations increased at a rate of 5%.

The aim of the city health plan is to improve the health status of the urban poor

communities and other disadvantaged section of society by provision of quality

integrated primary health services.

The city health plan of Amroha has been made to improve access of slum population to

health services either by providing integrated and sustainable system for primary health

or revamped public health system and encourage healthy health behavior of the

communities through intensive IEC/BCC strategies. It will also try to ensure equitable

access of slum population to quality health care through a revamped public hea lth

system. The plan envisages to strengthen linkages between slum communities and

health service providers and to strengthen referral systems for critical cases from

community and primary health care to identified referral centers.

Dr. Gyan Singh

Chief Medical Officer

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Amroha

Acknowledgement The present work for the planning of National Urban Health Mission which came with

maintaining hard work, dedication and perseverance. This work of planning would not have been completed without the help and support of a number of people. We do not have hesitation in saying that this work would not have come up without the valuable support and continuous encouragement of Shri Sanjay Kumar (IAS), District Magistrate, Amroha. His great confidence in team and spurred us into action.

My special regard goes to Dr. Gyan Singh, Chief Medical Officer, Dr. S.K.Nigam, ACMO, Amroha both dynamic and enthusiastic personality. He has always been a source of

great encouragement for us. The initiation and completion of this work would be substantiated only in his sincere and able guidance, expertise and precious opinion,

keen attention, constructive suggestions and constant help. His critical reading of all the parts of the work has helped shape the NUHM planning in its present form.

I express my gratefulness to Shri Amit Kumar Ghosh, IAS, Mission Director, National

Health Mission & Mr. Shashank Vikram, IFS, Additional Mission Director, NUHM for overreaching support and building the thoughts in our mind.

I owe my sincere gratitude to Dr. M.R. Gautam (general Manager) & Dr. Usha Gangwar, (Deputy General Manager – NUHM) who have helped us immensely by providing

relevant information, expert suggestions. This planning work got accomplished with their valuable support and eagerness to help.

I am privileged to have such good city team especially Shri Bhanu Prakash Himkar (DPM,

NRHM) & Shri Muqarrab Husain, DCPM, NRHM who have supported, helped, put their great efforts into planning of NUHM at city level. I am also pleased to appreciate the precious help and motivation which I got from my respective departments DUDA, ICDS, Nagar Palika, Education department, CMS and DTO. Last but not the least; I would like to thanks all those people who were involved in the planning process directly or indirectly.

Dr. S.K. Nigam ACMO (RCH), Amroha August 2013

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Abbreviation

ANM Auxiliary Nurse Midwife

ASHA Accredited Social Health Activist

AWC Aanganwari Center

AWW Aanganwari Worker

BSGY Bal Swasthay Guarantee Yojana

BSUP Basic Services for Urban poor

BSA Basic Sikhsha Adhikari

CDPO Child Development Project Officer

DH District Hsopital

DWH District Women Hospital

DHS District Health Society

DUDA District Urban Development Authority

ICDS Integrated Child Development Scheme

IDSMT Integrated Development of small & Medium Towns

IDSP Integrated Disease Surveillance Program

IHL Individual House Level

IMR Infant Mortality rate

KFA Key Focus Area

LHV Lady Health Visitor

LT Lab Technician

MAS Mahila Arogya Samiti

MMR Maternal Mortality rate

NHM National Health Mission

NPP Nagar Palika Parishad

NPSP National Polio Surveillance Program

NRHM National Rural Health Mission

NUHM National Urban Health Mission

OD Open Drainage

UA Urban Agglomeration

UCHC Urban Community Health Center

UFWC Urban Family Welfare Center

UHI Urban Health Initiative

UHP Urban Health Post

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SAM Severely Acute Malnourishment

Table of Content

Preamble

2

Acknowledgement

3

Abbreviation

4

City Profile

6-9

Table 1: Demographic Profile

10

Table 2: Morbidity status of the city

11

Table 3: Listing & Mapping of slums

12-17

Color map of Amroha city with slum layers

18

Table 4: Overview of existing public health facilities

19-23

Key issues

24-25

Strategies, activities and work plan under NUHM

26-27

City Programme Management Arrangement

28

City level targets & indicators

28-29

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City Profile

Name of the City – Amroha

Status of the city – District Headquarter

The District has been the part of Amroha district in the past which was a part of

‘Sarkar of Sambhal’ of Delhi Province during the Akbar regime. District Amroha lies

in the west of Amroha District adjoining Meerut, Ghaziabad & Buland Shahar. The

district came into being on 24th April 1997 in the memory of famous social reformer

Sant Mahatama Jyotiba Phule by combining Amroha, Dhanora & Hasanpur Tehsils of

Amroha district vide UP Gazette no. 1071/1-5-97/224/sa-5 dated 15/4/1997

whose headoffice is situated in the ancient city Amroha.

Area & Geography:

The district consists of 1133 villages, 3 Tehsils, 6 Blocks & 11 Police Stations. Its

from sea level are 240ft. & 177ft. respectively. In the north of the district lies district

Bijnore, tehsil Sambhal of Amroha is in the south, tehsil Sadar of Amroha is in the

east and in the west are situated districts Meerut, Ghaziabad & Buland Shahar.

Ganga river separates it from district Ghaziabad, Meerut & Buland Shahar.

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Fig 1: Amroha Location Map

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Main Occupation:

The majority of the population of the district depends on agriculture besides the

cottage industru like manufacturing of DHOLAK & KATHOLI, Handloom works are

also taken up in Amroha, BEEDI in Naugaon Sadat & Cloth weaving is now taken up

in Bachraun. Milk & dairy products are attracting the attention of the peoples in

villages and they are being associated with it by Cooperative Societies.

Climate & Rivers:

The climate of the district is similar to other districts of the state situated at the base of Himalaya which becomes hot in summer and dry & cold in winter. Ganga, Baha & Krishna are the main rivers of the district

Socio Cultural Profile

The district has a number of sugar mills which is a labour intensive factory, but it

is seasonal in nature because of which there is a large floating population. District is

rich in cash crop like sugarcane horticulture, popular tree farming etc. which calls

for a lot of migrating population. In view of large proportion of marginalized

population, the district has already taken steps towards improving health, through

health camps, awareness creation etc. among these communities. The same has

been proposed in the action plan through health melas.

western U.P. between 28°21´ to 28°16´ Latitude North and 78° 4´ to 79 Longitude East. It is

bounded on the north by Bijnor district, on the south by Budaun district, on the east by Rampur

Table 1:District level indicators, Amroha

Population – District* 1838771 persons

Urban population-District* 255071 persons

City Population Hasanpur City Population Gajraula

61243 Persons 550448 Persons

Slum population-City N/A

AverageLiteracy Rate 49.47 %

Decadal Growth Rate 22.%

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Health System and Infrastructure

Amroha has both public and private health services, including health centres by religious and charitable institutions. There are several government as well as private hospitals and nursing homes, besides individual private practitioners.

Table 3: Distribution of Health Facilities Type of Facilities Number

Government Health Facilities 0

First Tier (Primary Health Care Facilities)

Urban Health Post NRHM 3

Urban RCH Health Post 0

Second Tier Facilities

District / Joint Hospital 0

District Women Hospital

Post-Partum Centre 2

Medical / Dental College 0

ESIDispensaries 0

Defence 0

Private Health Facilities 20

Private for Profit

Maternity /Nursing Homes 20

Abortion/NSV Providers NA

DMPA Providers Source: Office of Chief Medical Officer; Department of Health and Family Welfare 2012;

First tier facilities

At the first tier, the city has 3 urban health posts. In addition there are 3 urban RCH health posts, focusing on reproductive and child healthcare services.

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Total Population of city (in lakhs) 198471 Source: Census 2011

Slum Population (in lakhs) 62500 Source:Health Department

Slum Population as percentage of urban population 24.44% Source: City Population

Number of Notified Slums 4 Source: DUDA

Number of slums not notified 20 Source:

No. of Slum Households 12370 Source: Health Deptt.

No. of slums covered under slum improvement

programme (BSUP,IDSMT,etc.) NA

Number of slums where households have individual water connections*

NA

Number of slums connected to sewerage network* NIL

Number of slums having a Primary school 11 Source: BSA Office

No. of slums having AWC 17 Source: Urban CDPO Office

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No. of slums having primary health care facility 5 Source: Health Department

Table 2: Morbidity Status of the city

SL. NO. Name of Disease/ cause of morbidity (e.g. COPD, trauma, cardiovascular disease etc.)

Number of cases admitted in 2012-13

1 Injuries and Trauma N/A

2 Self-inflicted injuries/suicide N/A

3 Cardiovascular Disease N/A

4 Cancer (Breast cancer) N/A

5 Cancer (cervical cancer) N/A

6 Cancer (other types) N/A

7 Mental health and depression N/A

8 Chronic Obstructive Pulmonary Disease (COPD) N/A

9 Malaria 135

10 Dengue N/A

11 Infectious fever (like H1N1, avian influenza, etc.) N/A

12 TB 1494

13 MDR TB N/A

14 Diarrhea and gastroenteritis N/A

15 Jaundice/Hepatitis N/A

16 Skin diseases N/A

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17 Severely Acute Malnourishment (SAM) N/A

18 Iron deficiency disorder N/A

19 Others N/A

National urban Health mission City-Amroha

Table 3

Sl.

no.

Wa

rd

no.

Name of the

slum

Populat

ion

Qualit

y of

housin

g

(kutch

a /

pucca /

mixed)

Quality

of

sanitatio

n

(IHL,co

mmunity

toilets,

OD)

Status of water

supply (Piped,

Hand pumps,

open wells, none)

Locatio

n and

distanc

e of

nearest

AWC

Locati

on and

distan

ce of

neares

t

Prima

ry

School

Location

and

distance

of nearest

Primary

Health

Centre/U

HP/UFW

C

1 27 Afganan 5905 Mixed IHL/OD piped/H.pump 1 km N0 2 Km

2 26 katkui 2965 Pucca IHL/OD piped/H.pump 1.5 Km N0 2 Km

3 4 Shiv dwara 2640 Pucca IHL/OD piped/H.pump 1 Km N0 3 Km

4 2 ahmadNagar

5950 Mixed IHL/OD piped/H.pump 3 Km 3 Km 3 Km

5 14 Balmik basti changa darwaja

2590 Pucca IHL/OD piped/H.pump 2 Km N0 2 Km

6 7 Kureshi basti

5515 Pucca IHL/OD piped/H.pump 3 Km 3 Km 3 Km

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7 5 Mahmadi saray

3320 Pucca IHL/OD piped/H.pump 2.5 Km N0 2.5 Km

8 3 kishan ghar 1745 Pucca IHL/OD piped/H.pump 3 Km N0 3 Km

9 30 Bajar rajjak 880 Pucca IHL/OD piped/H.pump 2 Km 2 km 2 Km

10 _ maddiya Kaji ibanay ahamad

430 Mixed IHL/OD piped/H.pump N0 2.5Km 2.5Km

11 17 maddiya kamruddin

1160 Mixed IHL/OD piped/H.pump N0 N0 1 Km

12 17 Shakur pura 545 Mixed IHL/OD piped/H.pump N0 N0 1 Km

13 18 Saray kohna 6430 Pucca IHL/OD piped/H.pump 2 Km 2 Km 2 Km

14 16 Nal nai basti 2625 Mixed IHL/OD piped/H.pump 1.5 Km 1 Km 1 Km

15 9 Batbal 3125 Pucca IHL/OD piped/H.pump 1 Km 1 Km 1 Km

16 17 Madaiya Khalsa


17 17 Madaiya Badawala


18 3 Peergarh 2265 Mixed IHL/OD piped/H.pump 1Km 1 Km 1 Km

19 19 Danish Madan nai Basti

1400 Mixed IHL/OD piped/H.pump 1Km 1 Km 1 Km

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20 8 Begumsarai kalan

4540 Pucca IHL/OD piped/H.pump 2Km 2 Km 2 Km

23 16

Begumsarai kalan Harizan basti

590 Pucca IHL/OD piped/H.pump 2Km N0 2 Km

24 1 Chhebra 3670 Mixed IHL/OD piped/H.pump 2Km 2 Km 1 Km


Sl.

N

o.

Name &

type of facility

(DH, Maternit

y Home, CHC,

other

ref. hospital

UFWC, UHP

PHC, Dispensa

ry etc.)

Managin

g Authority

(Municipal

Council, State

Health

Department,

facilities functioni

ng on PPP

basis)

Location

of Health

facility

Population

covered

by the facility

Services provided

Human Resour

ces availabl

e – list type and

number of HR availabl

e i.e. ANM, LT, SN, MOs,

Specialists etc.

No. and type of equipment

available: X-ray

machine, USG, autoclave etc.

1 PPC Amroha

State H.Dpt.

Distt.HQ 255071 OPD,

IPD

ANM -

01

L.T. - 0

S.N. - 2

MOs - 1

Specialist

- 0

Xray

machin,USG,AutoClave-No

2

women

Hos.amroha

State H.Dpt.

Distt.HQ 61850 OPD,

IPD

ANM - 0

L.T. - 0

S.N. - 0

MOs - 1

Specialist

- 0

Xray


3 UHP NRHM Moh.Che 12034 OPD, ANM - Xray

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Chebra Amroha

bra IPD 01

L.T. - 0

S.N. - 1

MOs - 1

Specialist

- 0


4

UHP

Katkui Amroha

NRHM Moh.Katkui

14567 OPD,

IPD

ANM -

01

L.T. - 0

S.N. - 1

MOs - 1

Specialist

- 0

Xray


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City Level Indicators and Targets

Processes & Inputs

Indicators Baseline

(as applicable)

Number Proposed

(2013-14)

Number

Achieved

(2013-14)

Community Processes

1. Number of Mahila Arogya Samiti (MAS)

formed * 62 62

2. Number of MAS members trained * 0 620

3. Number of Accredited Social Health Activists (ASHAs) selected and trained *

31 31

Health Systems

4. Number of ANMs recruited * 5 20

5. No. of Special Outreach health camps organized in the slum/HFAs *

48 20

6. No. of UHNDs organized in the slums and

vulnerable areas * 62 123

7. Number of UPHCs made operational * 1 1

8. Number of UCHCs made operational * 0 0

9. No. of RKS created at UPHC and UCHC * 1 1

10. OPD attendance in the UPHCs 1703 3400

11. No. of deliveries conducted in public health facilities

829 1160

RCH Services

12. ANC early registration in first trimester 3600 6361

13. Number of women who had ANC check-up in their first trimester of pregnancy

3600 6361

14. TT (2nd dose) coverage among pregnant women

568 6816

15. No. of children fully immunised (through public health facilities)

931 6120

16. No. of Severely Acute Malnourished (SAM) children identified and referred for treatment

24 0

Communicable Diseases

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17. No. of malaria cases detected through blood examination

5 0

18. No. of TB cases identified through chest

symptomatic 203 203

19. No. of suspected TB cases referred for sputum

examination 1430 1430

20. No. of MDR-TB cases put under DOTS-plus 0 0

Non Communicable Diseases

21. No. of Diabetes cases screened in the city 0 0

22. No. of Cancer cases screened in the city 0 0

23. No. of Hypertension cases screened in the city 0 0

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Budget Summary

FMR Code Budget Head Budget % total budget

(Rs. Lakhs)

1 Planning & Mapping 5 2.40

2 Programme Management 13.16 6.33

3 Training & Capacity Building 14.7 7.08

4 Strengthening of Health Services

169.914

81.80

4.a Human Resource 0.00

4.b Infrastructure 0.00

4.c Untied grants 0.00

4.d Procurement (drugs and

consumable)

0.00

4.e Other services 0.00

5 Regulation & Quality Assurance

0.00

6 Community Processes 4.96 2.39

7 Innovative Actions & PPP 0 0.00

8 Monitoring & Evaluation 0 0.00

Total 207.73 100.00

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Detailed City NUHM Budget ( 2013-14) JP Nagar (Amroha)

FMR Code

Budget Head

Unit cost*

(Rs. In lakhs)

Physical Target

(No.) Months

Budget

Remarks (Rs.

Lakhs)

1 Planning & Mapping 5

Rs 5.00 Lakhs has been proposed for GIS mapping,Listing of slum and facility mapping

1.1 Metro cities 15 0

1.1.1 Mapping 0

1.1.2 Data gathering (secondary/primary)

0

1.1.3 Any Other 0

1.2 Million+ cities 10 0

1.2.1 Mapping 0


0

1.2.3 Any Other 0

1.3 Cities (1 lakh to 10 lakh population)

5 1 1 5

1.3.1 Mapping 0


0

1.3.3 Any Other 0

1.4 Towns (50,000 to 1 lakh population)

2 0

1.4.1 Mapping 0


0

1.4.3 Any Other 0

2 Programme Management

13.16

2.1 State PMU

2.1.1 Human Resources

2.1.2 Mobility support

2.1.3 Office Expenses

2.2 District PMU 13.16

2.2.1 Human Resources 0.66 1 6 3.96

District total Urban Population 01-10 Lakhs so 1 Urban Health Co-ordinator (UHC) , 1 Accountant and 3 Data Entry Operator (DEO),

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UHC Salary Rs. 30,000 pm, Accountant Rs. 18,000 PM. and DEO Salary Rs. 10,000 pm. Rs 8000 pm for Incentive to DPM for preparatory activity of NUHM.

2.2.2 Mobility support 0.25 1 6 1.5

One vehicle will be hired Rs. 25,000 per month per Urban Health Co-ordinator

2.2.3 Office Expenses, for Rent

0.25 1 6 2.2

Rs.25,000 pm for office expenses including internet and one time Rs.70,000 for one computer,data card,storing device, printer, table and chairs for each DEO of DPMU

2.2.4 Strengthening Urban Health cell at District level

5.5 1 1 5.5

Rs.2.5 lakhs for Furniture, ACs, desktops, minor renovations etc. for the District level Nodal Officer & 2.5 lakhs for DPMU office NUHM office strengthening, & Rs 50,000 for DPM laptop along with data card.

2.3 City PMU As per need

2.3.1 Human Resources

2.3.2 Mobility support

2.3.3 Office Expenses 1.3

3 Training & Capacity Building

14.7

3.1 Orientation of Urban Local Bodies (ULB)

1 1 1 1

Rs.5 lakhs for metros, Rs.3 lakhs for million+ cities, Rs.1 lakh for other cities above 1 lakh and Rs.0.5 lakhs for smaller towns below 1 lakh, One time activity,

3.2 Training of ANM/paramedical staff

0.05 28 1 1.4

Maximum Rs.5000 per ANM (for entire training package), 5 ANMs and 2 Staff nurses from each UPHC will be trained.

3.3 Training of Medical Officers

0.10 8 1 0.8

Maximum Rs.10,000 per MO (for entire training package), All MOs for UPHCs will be trained. 02 MOs per U-PHC

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3.4 Orientation of Specialists

Not planned this year

3.5 Orientation of MAS 0.10 62 1 6.2 Maximum Rs.10,000 per MAS (for entire training package)

3.6 Selection & Training of ASHA

0.10 31 1 3.1 Maximum Rs.10,000 per ASHA (for entire training package)

3.7 Other Trainings/Orientations

0 2.2

3.7.1 Stakeholders Workshop for NUHM

1 1 1 1

Rs1,00,000 for district headquarters and Rs.10,000 for towns.

3.7.2 Quarterly Multi-sectoral convergence Meeting 0.1

1 2 0.2 Rs10,000 for district headquarters and Rs.5,000 for towns.

3.7.3 Launch of NUHM 1

1 1 1 Rs1,00,000 for district headquarters.

4 Strengthening of Health Services

169.914

4.a Human Resource 0.1 4 6 2.4 HMIS / MCTS operators, one for 1 UPHC. Salary 10,000 pm

4.b Infrastructure 0.7 4 1 2.8

One Computer System , data card,storing device, printer, Computer table, Computer chair, one for each UPHCs for HMIS / MCTS data entry operator.

4.c Untied grants

4.d Procurement (drugs and consumable)

4.e Other services 0.05 4 6 1.2 Operating cost for HMIS / MCTS data entry Rs.5000 per month for 1 UPHC

4.1 Outreach services/camps/UHNDs

23.07

4.1.1 UHNDs 0.015 123 6 11.07

Rs. 1500 per UHND. 01 UHND per AWC per month ,if AWC is not there than ANM will conduct 01 session per month per 1000 Urban Slum Population

4.1.2 Special outreach camps in slums/ vulnerable areas

0.1 20 6 12

One outreach camp per 10,000 population per month Rs.10,000 per outreach camp.

4.2 ANM/LHV 12.6

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4.2.1 Salary support for ANM/LHV

0.1 20 6 12

Maximum Rs.10,000 pm for ANM as per approved norms in NRHM; (5 ANMs per UPHC) Only for contractual ANMs.

4.2.2 Mobility support for ANM/LHV

0.005 20 6 0.6 Rs.500 pm for all ANMs contractual as well as on government payroll.

4.3 Urban PHC (UPHC) 113.6112

4.3.1 Renovation/up-gradation of existing facility to UPHC

12

4.3.1.1 For Government owned buildings

0 Rs.10 lakhs per UPHC, one time activity for building renovation

4.3.1.2 For Equipment's 3 4 1 12 Rs.3 lakhs per UPHC, one time activity for UPHCs for purchase of equipment's

4.3.2 Building of new UPHC 0

4.3.3

Operating cost support for running UPHC (other than untied grants and medicines & consumables)

41.6112 Rs.20 lakhs per year per UPHC ( For 1 UPHC)

4.3.3.1 Human Resource 38.0112

4.3.3.1.1 MO salary 0.36 8 6 17.28 2 MOs per UPHC Rs.36,000 pm

4.3.3.1.2

Salary of paramedical & nursing staff (Staff Nurse/ Lab Technician/ Pharmacist/ Other)

4 6 14.7312

2 Staff Nurses per UPHC Rs.16,500 pm, 1 Pharmacist per UPHC Rs.16500 pm; 1 Lab Technician Rs.11,880 pm

4.3.3.1.3 Salary of support staff (non clinical staff)

0.05 12 6 3.6

3 Support staff(01 Ayah , 01 Ward Boy and 01 Sweeper cum Chowkidar) for 1 UPHC Rs.5,000 pm

4.3.3.1.4 6 0

4.3.3.1.5 Office Expenses 0.1 4 6 2.4 Rs. 10,000 pm per UPHC

4.3.3.2 Others (e.g. hiring of premises/mobile PHC)

0.15 4 6 3.6 Rent for UPHCs running in rented buildings Rs.15,000pm

4.3.4 Untied grants to UPHC 2.5 4 1 10 Rs.2.50 lakhs per year per UPHC

4.3.5 Medicines & Consumables for UPHC

12.5 4 1 50 Rs.12.50 lakhs per year per UPHC

4.3.5.1 Emergency drugs 0 0

4.3.6 Other 0

4.4 Urban CHC (UCHC) 0

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4.4.1 Capital cost support for new UCHC

0 0

4.4.2 Human Resource 0

4.4.2.1 0 0

4.4.2.2 0 0

4.4.3 Untied grants for UCHC 0 0

4.4.4 Medicines & Consumables for UCHC

0 0

4.5 School Health Program 5.4528

4.5.1 Human Resource 0.5788 1 6 3.4728

One team consisting of 1 doctor Rs.36,000 pm; 1 ANM Rs.10,000 pm and 1 Ophthalmic Assistant Rs.11,880 pm

4.5.2 Other School Health services

0.25 1 6 1.5 Hired vehicle Rs.25,000pm, per School Health team

4.5.3 Drugs,consumable & Operational expenses

0.08 1 6 0.48 Rs. 8000 pm per team for 6 Month

4.6 IEC/BCC 8.78

4.6.1 ASHA Kit Flip Book, Slum HIR, Bag, ID, Pen 0.01

31 1 0.31 one time Rs. 2,000 per ASHA

4.6.2 UPHC Citizen's charter, ED List, Immunization Schedule, Signage 0.2

4 1 0.8 One time Rs.20,000 per UPHC

4.6.3 Safe Motherhood, Booklet, MCP Card and IEC material for U-PHC

0.00057 4 1500 3.42

1500 sets of MCP Card and Safe Motherhood booklet to be printed per UPHC @ Rs.37/- per booklet and MCP card Rs 30,000/ for per U-PHC for printing of other IEC material @ Rs 3/- per household on communicable and non communicable diseases

4.6.4

Family Health Card

0.0001

12,500 1 1.25

Family Health Card to be printed for all slum households Rs 10 per card per house hold

4.6.5 Communcation material and wall painting at AWCs

0.01 220 1 2.2 One time, Rs.1,000 per AWC

4.6.6 NUHM Hording 0.2 4 1 0.8 Rs 20000/- Including printing & installation.

5 Regulation & Quality Assurance

0 0

6 Community Processes 4.96

6.1 MAS/community 0.05 62 1 3.1 Rs.5000 per year per MAS

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groups

6.2 ASHA (urban) 0.02 31 3 1.86 Approx. Rs.2000 pm per ASHA

6.3 NGO support for community processes

0 Quarterly community processes meeting

7 Innovative Actions & PPP

As per need

8 Monitoring & Evaluation

As per need

0

8.1 Baseline/end line surveys

8.2 Research Studies in Urban Public Health

8.3 IT based monitoring initiatives

TOTAL 207.73

City Profile

Name of the City – Hasanpur

Status of the city – Sub District


Total Population of city (in lakhs) 61243 Source: Census 2011

Slum Population (in lakhs)

37500

Slum Population as percentage of urban population

60.49

Source: City Population

Number of Notified Slums 5 Source: DUDA

Number of slums not notified 0 Source: UHI

No. of Slum Households 7410

Source: UHI &NPSP

No. of slums covered under slum improvement programme (BSUP,IDSMT,etc.) 0

27 | P a g e

Number of slums where households have individual water connections* Yes

Number of slums connected to sewerage network* 0

Number of slums having a Primary school 3 Source: BSA Office

No. of slums having AWC

0

Source: Urban CDPO Office

No. of slums having primary health care facility

4

Source: Health Department

Table 2: Morbidity Status of the city

SL. NO. Name of Disease/ cause of morbidity (e.g. COPD, trauma,

cardiovascular disease etc.)

Number of cases

admitted in 2012-13

1 Injuries and Trauma NA

2 Self-inflicted injuries/suicide NA

3 Cardiovascular Disease NA

4 Cancer (Breast cancer) NA

5 Cancer (cervical cancer) NA

6 Cancer (other types) NA

7 Mental health and depression NA

8 Chronic Obstructive Pulmonary Disease (COPD) NA

9 Malaria 0

10 Dengue 0

11 Infectious fever (like H1N1, avian influenza, etc.) 0

28 | P a g e

12 TB 0

13 MDR TB 0

14 Diarrhea and gastroenteritis 0

15 Jaundice/Hepatitis 0

16 Skin diseases 0

17 Severely Acute Malnourishment (SAM) 0

18 Iron deficiency disorder 0

19 Others 0

National urban Health mission City-Hasanpur

Table 3

Sl

.

no

.

W

ar

d

n

o.

Name of

the slum

Populati

on

Quality

of

housin

g

(kutcha

/ pucca

/

mixed)

Quality of

sanitation

(IHL,comm

unity

toilets, OD)

Status of water

supply (Piped,

Hand pumps,

open wells,

none)

Locat

ion

and

dista

nce of

neare

st

AWC

Locati

on and

distan

ce of

neares

t

Prima

ry

School

Location and

distance of

nearest

Primary

Health

Centre/UHP/

UFWC

1 Holi bala mohalla

9905 Pucca IHL/OD piped/H.pump N0 2KM 1Km

29 | P a g e

2 Holi bala Harijan basti

8965 Pucca IHL/OD piped/H.pump N0 NO 2 Km

3 Kot paschimi

6640 Pucca IHL/OD piped/H.pump N0 1Km 1 Km

4 Kayasthan 8950 Mixed IHL/OD piped/H.pump N0 1 Km 2 Km

5 Balmik Basti

2590 Mixed IHL/OD piped/H.pump N0 NO 2 Km

30 | P a g e

Colour map indicating the location of the slums base layers


Sl.

No.

Name & type of facility (DH, Maternity Home, CHC, other ref. hospital UFWC, UHP PHC,

Dispensary etc.)

Managing Authority (Municipal Council, State Health Department, facilities

functioning on PPP basis)

Location of

Health facility

Population

covered by the

facility

Services provided

Human Resourc

es available – list

type and number

of HR availabl

e i.e. ANM,

LT, SN, MOs,

Specialists etc.

No. and type of

equipment

available: X-ray

machine, USG,

autoclave etc.

1

UHP mohall holibala.Hasanpur

NRHM Moh.Holibala hasanpur

61850

OPD,

IPD

ANM - 01

L.T. - 0

S.N. - 1

MOs - 1

Specialist

- 0

No

2 Women Hospital Hasanpur

State CHCHasanpur

ANM - 0

L.T. - 0

S.N. - 0

MOs - 0

Specialist

- 0

No

3 PPC Hasanpur State CHCHasanpur

ANM - 01

L.T. - 0

S.N. - 0

MOs - 0

Specialist

- 0

No

P a g e


Processes & Inputs

Indicators Baseline

(as applicable)

Number Proposed (2013-14)

Number

Achieved

(2013-14)

Community Processes

1. Number of Mahila Arogya Samiti (MAS) formed * 38 38



19 19

Health Systems


5. No. of Special Outreach health camps organized in the slum/HFAs *

40 6

6. No. of UHNDs organized in the slums and vulnerable areas *

200 38


P a g e



10. OPD attendance in the UPHCs 1324 2390

11. No. of deliveries conducted in public health

facilities 0 0

RCH Services


13. Number of women who had ANC check-up in their first trimester of pregnancy

1602 1602

14. TT (2nd dose) coverage among pregnant women 0 0


1431 1431

16. No. of Severely Acute Malnourished (SAM)

children identified and referred for treatment 0 0


17. No. of malaria cases detected through blood

examination 3 3


symptomatic 175 175


examination 1862 1862


Non Communicable Diseases 0 0



P a g e


City Profile

Name of the City – Gajraula Status of the city – Sub District Headquarter Table 1: Demographic Profile

Total Population of city (in lakhs)

54084 Source: Census 2011

Slum Population (in lakhs)

31500

Source: UHI & Health Department, NPSP

Slum Population as percentage of urban population

51.3

Source: City Population

Number of Notified Slums 7

Source: DUDA

Number of slums not notified 5 Source: UHI

No. of Slum Households 5616 Source: UHI &NPSP

No. of slums covered under slum improvement

programme (BSUP,IDSMT,etc.) 0

Number of slums where households have individual water connections* Yes

Number of slums connected to sewerage network* 0

Number of slums having a Primary school 5

Source: BSA Office

No. of slums having AWC

0

Source: Urban CDPO Office

P a g e

No. of slums having primary health care facility

1

Source: Health Department

Table 2: Morbidity Status of the city SL. NO. Name of Disease/ cause of morbidity (e.g. COPD, trauma,

cardiovascular disease etc.)

Number of cases

admitted in 2012-13

1 Injuries and Trauma NA

2 Self-inflicted injuries/suicide NA

3 Cardiovascular Disease NA

4 Cancer (Breast cancer) NA

5 Cancer (cervical cancer) NA

6 Cancer (other types) NA

7 Mental health and depression NA

8 Chronic Obstructive Pulmonary Disease (COPD) NA

9 Malaria 2

10 Dengue 0

11 Infectious fever (like H1N1, avian influenza, etc.) 0

12 TB 362

13 MDR TB 0

14 Diarrhea and gastroenteritis 0

15 Jaundice/Hepatitis 0

16 Skin diseases 0

P a g e

17 Severely Acute Malnourishment (SAM) 0

18 Iron deficiency disorder 0

19 Others 0

National urban Health mission City-Gajraula

Table 3

Sl.

no.

W

ar

d

n

o.

Name of

the

slum

Populati

on

Quali

ty of

housi

ng

(kutc

ha /

pucca

/

mixe

d)

Quality of

sanitation

(IHL,commu

nity toilets,

OD)

Status of

water

supply

(Piped,

Hand

pumps, open

wells, none)

Locati

on and

distan

ce of

neares

t

AWC

Locati

on and

distan

ce of

neares

t

Prima

ry

School

Location and

distance of

nearest

Primary

Health

Centre/UHP/U

FWC

1 5 Alipur 2816 Mixed

IHL/OD piped/H.pump N0 N0

1.5

2 2 sultan

nagar 4342

Mixe

d IHL/OD

piped/H.p

ump N0 N0 1

3 6

Budh Nagar 3522

Mixe

d IHL/OD

piped/H.p

ump N0 3 Km 1.5

4 7 Nai pura 2868

Mixed

IHL/OD piped/H.pump N0 N0 3

5 1 Ambedkar nagar 2740

Mixed

IHL/OD piped/H.pump N0 3 Km 2

6 4 Mayap

uri 3558

Mixe

d IHL/OD

piped/H.p

ump N0 N0 2

7 13

Jalal Nagar 3330

Mixe

d IHL/OD

piped/H.p

ump N0 2 km 1

8 3 Tigraiya 3847

Mixed

IHL/OD piped/H.pump N0 2.5Km 1

9 8 Safi

nagar 2400

Mixed IHL/OD

piped/H.pump N0 N0 1

10 3 Fajal pur 500

Mixe

d IHL/OD

piped/H.p

ump N0 1 Km 1

P a g e

11 Nai Basti 600

Mixed

IHL/OD piped/H.pump N0 2 Km 1

12 Sarayte

en 900

Mixe

d IHL/OD

piped/H.p

ump N0 1

P a g e


Sl. No.

Name & type of facility (DH,

Maternity Home,

CHC, other ref.

hospital UFWC,

UHP PHC, Dispensary

etc.)

Managing Authority (Municipal Council, State Health Department, facilities

functioning on PPP basis)

Location of Health facility

Population

covered by the facility

Services provided

Human Resources available – list type

and number of

HR available

i.e. ANM, LT, SN,

MOs, Specialists

etc.

No. and type of

equipment available:

X-ray machine,

USG, autoclave

etc.

1 CHC

gajrola State H.Dpt.

Near

GIC college

61243 OPD, IPD

ANM - 01

L.T. - 0

S.N. - 2

MOs - 3

Specialist - 0

No

P a g e


Processes & Inputs

Indicators Baseline

(as applicable)

Number Proposed

(2013-14)

Number

Achieved

(2013-14)

Community Processes

1. Number of Mahila Arogya Samiti (MAS) formed * 32 32



16 16

Health Systems


5. No. of Special Outreach health camps organized in

the slum/HFAs * 40 6

6. No. of UHNDs organized in the slums and vulnerable areas *

200 40




10. OPD attendance in the UPHCs

11. No. of deliveries conducted in public health facilities

0 0

RCH Services 0 0


13. Number of women who had ANC check-up in their

first trimester of pregnancy 1540 1540

14. TT (2nd dose) coverage among pregnant women 0 0


1404 1404

16. No. of Severely Acute Malnourished (SAM) children identified and referred for treatment

0 0


17. No. of malaria cases detected through blood examination

2 2


symptomatic 362 362


examination 0 0


P a g e

Non Communicable Diseases




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