SITUATION ANALYSIS

NLR supported States in India

DN staff availability statusState DLOs’ MOs’ NMSs’/

NMAs’ (minimum 1 in

each distt)

PTs’

Regular

No. (%)

In-charge

No. (%)

Vacant

No. (%)

Available

No. (%)

Available

No. (%)

Available

No. (%)

Bihar

(5 Districts)

3 (60%) 2 (40%) - 4 (80%) 5 (100%) 3 (60%)

Delhi

(5 Districts)

5

(100%)

0

(0.0%)

0

(0.0%)

1

(20.0%)

5

(100%)

0 (0.0%)

W.B.

(3 Districts)

2

(66.6%)

1

(33.3%)

0

(0.0%)

2

(66.6%)

3

(100%)

0 (0.0%)

Jharkhand

(22 Districts)

16

(72.7%)

06

(27.3%)

0

(0.0%)

14

(63.6%)

22

(100%)

06

(27.3%)

Uttara-khand

(13 Districts)

0

(0.0%)

13

(100%)

0

(0.0%)

4

(31.0%)

13

(100.0%)

2

(22.0%)

U.P.

(70 Districts)50

(71.4%)

10

(14.3%)

10

(14.3%)

39

(55.7%)

70

(100.0%)

33

(47.1%)

DN staff training status

State DLOs’ MOs’ NMSs’ PTs’Bihar

(5 Districts)

5 (100%) 4 (100%) 11 (100%) 3 (100%)

Delhi

(5 Districts)

3 (60%) 0 (0.0%) 5 (100%) N Applicable

W.B.

(3 Districts)

2/3 (66.6%) ½ (50.0%) 6/6 (100%) Not Applicable

Jharkhand

(22 Districts)

22

(100%)

14

(100%)

22

(100%)

6

(100%)

Uttara-khand

(13 Districts)

5/13

(42.0%)

4/4

(100.0%)

6/13

(46.0%)

2/2

(100.0%)

U.P.

(70 Districts)

44

(62.8%)

27

(69.2%)

140/160

(87.5%)

31

(93.9%)

Status of supervision status & CMO meetings in the last quarter of 2007

State

Supervisory visits made in the last quarter No. (%)

No. of Distts. where

supervisory reports are available

No. (%)

Participation of DLO in the monthly meeting of the Civil

Surgeon No. (%)

Nil 1-15 16-45

≥ 46 Nil 1 ≥ 2

Bihar

(5 Districts)

0

(0.0%)

1

(20.0%)

4 (80.0%)

0

(0.0%)

0 (0.0%) 0

(0.0%)

0

(0.0%)

5

(100%)

Delhi

(5 Districts)

0

(0.0%)

1

(20.0%)

4 (80.0%)

0

(0.0%)

0 (0.0%) 0

(0.0%)

0

(0.0%)

5

(100%)

W.B.

(3 Districts)

0

(0.0%)

2

(66.6%)

1

(33.3%)

0

(0.0%)

0 (0.0%) 0

(0.0%)

0

(0.0%)

3

(100%)

Jharkhand

(22 Districts)

0

(0.0%)

3

(13.6%)

19 (86.4%)

0

(0.0%)

0 (0.0%) 0

(0.0%)

22

(100%)

0

(0.0%)

Uttara-khand

(13 Districts)

4 (30.8%)

7

(53.8%)

2 (15.4%)

0

(0.0%)

13 (100.0%) - 13

(100%)

-

U.P.

(70 Districts)

2

(2.8%)

10 (14.3%)

54 (77.1%)

4

(5.7%)

19

(27.1%)

Not

Avail

Not

Avail

Not

Avail

DN staff vehicles statusState Total No.

of Districts

No. (%)

Availability of vehicles

No. (%)

Distts. where vehicles are

used for NLEP

No. (%)

Distts. where

vehicles are hired

No. (%)

Nil 1-2 ≥ 2

Bihar

(5 Districts)

5

(100%)

0

(0.0%)

3

(60%)

2

(40%)

2

(40.0%)

2

(40.0%)

Delhi

(5 Districts)

5

(100%)

0

(0.0%)

0

(0.0%)

0 (0.0%)

5

(100.0%)

5

(100.0%)

W.B.

(3 Districts)

3

(100%)

1

(33.3%)

2

(66.6%)

0 (0.0%)

2/2

(100.0%)

1(33.3%)

Jharkhand

(22 Districts)

22

(100%)

0

(0.0%)

16

(72.7%)

6

(27.3%)

22

(100%)

1

(4.5%)

Uttara-khand

(13 Districts)

(13)

06 vehicles

(46.0%)

Shared vehicle

07 Dist (54.0%)

06 (46.0%)

0 (0.0%) 13

(100.0%)

0 (0.0%)

U.P.

(70 Districts)

69/70

(98.6%)

1/70 (1.4%) 52/69 (75.4%)

17/69 (24.6%)

68/69

(98.6%)

5/70

(7.1%)

DN staff training status *

State Remarks Bihar •All DN staff has received DN training.

Delhi • The remaining 2 DLOs’ and 1 MO were to receive training from 9th June to 12th June 2008 at TLM hospital Nand Nagri.

West

Bengal

•1 DLO is not trained out of 3DLOs’.

•1 MO also is not trained out of 2MO.

• ALL NMSs’ are trained.

Jharkhand •All DN staff has received DN training.

Uttara-khand •8 of 13 DLOs’ and 7 of 13 NMSs’ have not received DN training, yet.

U.P. •26 of 70 DLOs’, 12 of 39 MOs’, 7 of 160 NMSs’ and 2 of 33 PTs’ have not received DN training, yet.

Facts came out after Analysis of D. N. functioning & Action suggested S No

Observation Suggestion

Jharkhand

1 6 of 22 DLOs’ are part time. Govt. has been requested to place permanent DLOs’.

2 8 of 22 DNs’ does not have Medical Officer.

SLO to Nominate these eight posts of MOs’.

3 Only 6 out of 22 DNs’ has P.T. NMS/NMA may be trained in other distts.

4 D. N. Team need strengthening of their managerial skills.

Management training has been imparted to 10 districts in June 2008. Second batch is due to receive training in July 2008.

5 Society meetings are not being done in organized way

Advocacy meeting with CMO is planned for 2nd July 2008.

6 Supervision visits are done without ATP, Checklist and Activities report

Need training which will systematized supervisory visit. Mobility to be provided.

7 Communication between SLO/D.N. is not established. No Telephone, No Fax

May be requested from SLO.

Facts came out after Analysis of D. N. functioning & Action suggested S No

Observation Suggestion

Bihar

1 2 of 5 DLOs’ are part time. S.L.O. to make nomination for this.

2 1 of 5 DNs’ does not have Medical Officer.

C.M.O. to make nomination for this.

3 2 of 5 DNs’ do not have P.T. NMS/NMA may be trained in these distts./ D.L.O. to make nomination for this.

4 D. N. Team need strengthening of their managerial skills.

Training in management is being provided by LPAs’ during field visits.

5 Only 3 out of 5 DNs’ do not both telephone and Computer facility available with them. However, 2 of 5 DNs’ have telephone available in their office.

State govt. may be requested to make at least telephone available in DLOs’ office.

6 In 2 out of 5 districts, available vehicles are not used for NLEP activities.

Facts came out after Analysis of D. N. functioning & Action suggested

S.

No.

Observation Suggestion

Uttarakhand

1 8 of 13 DLOs’ and 7 of 13 NMSs’ have not received DN trg.

This should be discussed with S.L.O. and the ILEP state coordinator.

2 9 of 13 D. N. are working without Medical Officer.

CMO to make nomination for this. This should be discussed with S.L.O. and the ILEP state coordinator.

3 11 of 13 DNs’ are working without P.T.

DLOs’ to make nomination for this. This should be discussed with S.L.O. and the ILEP state coordinator.

4 D. N. Teams require strengthening of their managerial skills.

Training in management for Uttarakhand is planned to take place in the month of August 2008.

5 Only 4 DNs’ have both telephone and Computer facility available with them. However, all DNs’ have telephone available in their office.

State govt. may be requested to provide computer to each DN.

Facts came out after Analysis of D. N. functioning & Action suggested S.

No.

Observation Suggestion

Uttar Pradesh

1 26 of 70 DLOs’, 12 of 39 MOs’, 20 of 160 NMSs’ and 2 of 33 PTs’ have not received DN trg.

2 of 70 DNs’ are working with untrained NMSs’.

This should be discussed with S.L.O. and the ILEP state coordinator.

2 In 10 out of 70 districts D.L.O.s’ are part-time and in the other 10 districts DLO position are lying vacant.

SLO to make nomination for this.

3 31 of 70 D. N.s’ are working without M.O.

SLO/CMO to make nomination for this. This should be discussed with S.L.O. and the ILEP state coordinator.

4 37 of 70 D. N.s’ are working without P.T.

CMO to make nomination for this. This should be discussed with S.L.O. and the ILEP state coordinator.

5 D. N. Teams require strengthening of their managerial skills.

Training in management for Uttar Pradesh is in offing.

6 Communication between SLO/D.N. is not established as 56 of 70 DNs’ do not have both telephone and computer facility. None of the DNs’ have computer available with them

State govt. may be requested to provide at least telephone to improve the communication between DLOs’ and SLO.

Facts came out after Analysis of D. N. functioning & Action suggested S.

No.

Observation Suggestion

West Bengal

1 1 of 3 DLOs and 1 of 2MO have not received DN trg.

This should be discussed with S.L.O. and the ILEP state coordinator.

2 In 1 D. N., D.L.O. is part-time.1 out of 3 DNs’ do not have Medical Officer.

SLO to make nomination for this. This should be discussed with S.L.O. and the ILEP state coordinator.

3 All 3 D. N. are working without P.T.

CMO to make nomination for this. This should be discussed with S.L.O. and the ILEP state coordinator.

4 D. N. Teams require strengthening of their managerial skills.

Training in management is being provided by LPAs’ during field visits.

5 In 2 out of 3 districts there is no communication between SLO/D.N as these 2 districts do not have telephone available in their office. However, computer is available in D.L.O.s’ office of all three districts.

State govt. may be requested to provide telephone to these 2 DLOs’ to improve the communication between DLOs’ and SLO.

Facts came out after Analysis of D. N. functioning & Action suggested S.

No.

Observation Suggestion

Delhi

1 2 of 5 DLOs’ and 1 of 1MO have not received DN trg.

Training was scheduled for 9-12 June 2008. But this did not take place. This will be discussed with ILEP state coordinator in the forthcoming meeting.

2 4 of 5 D. N. teams do not have Medical Officer.

DLOs’ to make nomination for this. This will be discussed with SLO in the forthcoming meeting.

3 All 5 D. N. are working without P.T. DLOs’ to make nomination for this. This will be discussed with SLO in the forthcoming meeting.

4 D. N. Teams require strengthening of their managerial skills.

Managerial training was organised by NLR in the month of Feb’08. On job training is provided by LPAs’.

5 Meetings with community leaders/ community groups/ ANM/ ASHAs’ are not a regular feature.

These meetings have been included and streamlined in plan of action for the year 2008-09.

6 Supervision visits are done without ATP, Checklist and Activities report

Need training which will systematized supervisory visit. Mobility to be provided.

7 1 of 1 DN (North Delhi) has a part-time PMW.

SLO will be suggested to provide full time PMW/NMS to North Delhi district.

8 Not all health units under other health agencies are involved in NLEP activities.

Decision on Dates, time and venue for the advocacy meeting of high level functionaries of various health agencies is awaited.