Baran

January 8, 2018 | Author: Anonymous | Category: Science, Health Science, Pediatrics
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Tour Report

District Baran (23-27 Oct, 2013) Lalit Kumar Tripathi Consultant-Training

Places/Blocks Visited S. No 1 2 3 4 5 6 7 8 9 10 11 12 13

Facility Atru Kelwada Kishanganj Anta Koyala Palayata Bhanwargarh

Type CHC CHC CHC CHC PHC PHC PHC

Block Atru Shahbad Kishanganj Anta Baran Anta Kishanganj

Bamla Miyada Bada Mandola Eklera Nareda

PHC SC SC SC SC SC

Baran Baran Baran Baran Baran Baran

Remarks

All are Delivery Point

Delivery Point

May be developed

Major Findings Institutional branding (L1, L2 and L3) tender is still pending. Although CMHO and DAM committed in meeting organized under the chairpersonship of PD-NRHM in 07 Oct, 2013 to complete it before 25th Oct 2013

 Branding Tender:

 Training Tender: Same with training tenders

(Residence and Food)

Branding not done till the date although it is part of PIP conditionality

 Branding on 108/JE/MMV:

MMU & MMVs  MMU-2 (Chabada and Kishanganj)

 MMV-3 (Shahbaad, Chhipabarod and Atru). Non-functional EquipmentsXray machine, Portable ECG (CHC Kelwada) , AC, Glucometre Generator RecommendationsBranding is still pending  State may revisit /check each MMU/ on MMVs MMV camp plan.  State may try to club camp day with MCHN session or fix day approach may also adopt.

 MMU/MMVs may also used as contraceptive depot.

104- Janani Express

Branding still pending on JE

Contd….. Cleaning Tenders: District office transferred the amount to Block office but tender is still pending. Matter was discussed with DPM/MOI/c but not a single facility accountant was available although posted and not on leave. RecommendationFinance section should guide for all types of tenders.

Issues of Labour Room Rusted labor table used in Labour Room

PHC - Bhanwargarh

CHC-Atru

Issues of Labour Room  Mekthantosh were not available or in very bad

conditions.  Dirty bad sheet  No proper cleaning

PHC Bhanwargarh

Institutional deliveries

Deliveries

Target

Achievement

%

23621

12758

39.11

Home Delivery

-

106

-

-

Private

-

236

-

-

12864

12186

94.72

Institutional Deliveries

JSY Payments

Remarks Seems under reporting

Only 678 are pending

Contd….. Under Reporting in PCT softwareEntries in PCTS are under reported. Discussed with DPM and DNO they ensured but the matter is pending since long time. Recommendation: Accountants and Asha Supervisors must be posted at delivery points and this should be done in defined time.

Contd….. Delivery Points must be equipped with SBA trained staffs – Many SBA trained staffs are posted at non-delivery points . State office has sent two letters to district – vide no-3379 dated 31/07/2013 and 5799 dated 04/10/2013 for deploying SBA staff only to delivery points. Recommendation: SBA trained staffs should be posted at only delivery points, and this may be a regular part of DHS agenda DPM requested to replace some delivery points, as already identified delivery points are underutilized.

Contd….. MCHN dayImmunization is ongoing, ANM was giving Immunization to pregnant women, child. Due listDue list was available with Asha-Sahoyogini ILRTemperature log-book was maintaining in almost all facilities. Kalewa SchemeFood is given by ICDS. Payments – JSY payments and Shubh laxmi payments are given on time.

Complaint Box

Complaint Box found but not operational

Contd…..  Doctors/Contractual Staffs: Staff posts are vacant. Post

Sanction

Posted

BPM

7

3

Accountants

36

21

Asha Supervisiors

36

26

 FRUs: Many FRUs are not functional due to un-availability

of Trained MOs (EmOC and LSAS). Only Kelwada functioning as FRU. Recommendation: Staffs should de deployed as per sanctioned post. DPM is sending nomination for EmOC and LSAS training as per requirement.

Contd….. Establishment of 104 call centre:  Call centre established at DH with two desktops and one staffs.  Landline phone is not working since 3-4 months  4 JE is off road out of 8 JE in the district.  No GPRS on JE RecommendationCall centre staff may be used in some other programme like PCTS entry in DH as she is having less work.

JE Performance

No of JE

Period

No of Trips

Avg trip per Remarks JE/day (Per trip cost)

8

1-15 Sep

354

2.95

8

16-30 Sep

258

2.15

8

1-15 Oct

163

1.358

Bio Medical Waste  CTF connectivity in CHCs but only one

CHCs having log-book or register. (Copy)  Pollution board certification is under

process  Dustbin Buckets are not available or not

with the colored plastic bag.

Bio medical Waste

Dump Bio medical Waste in open at PHC-koyala

Bio medical Waste

CHC Atru

WIFS Programme Schools: Visited three Govt Secondary Schools (Koyala, Mandola (found red strips tablets) and Nareda (not received).  Koyala Secondary School sending monthly report to BEO (Copy).  De-worming was done in all schools. AWCs WIFS tablets were available in AWC (Miyada).

Contd…..

Child Health  NBSU: Established in Kelwada but not

function- due to non availability of Pediatrician and nursing staff  In Anta- will established in a one month

– work is in progress  5 Radiant warmers found packed in store

at Kishanganj CHC.

Contd…..

Malnutrition Treatment Corner (MTC)  MTCs functional in Atru, Kelwada and

Kishanganj  Asha-Sahayogini motivational amount is not

paid to Asha-Sahayogini.  Records editing /duplication in Atru MTC

Contd…..

Radiant warmer dumped in store at Kishanganj CHC

Family Welfare  Family welfare camp plan made, but till date not

started even at a single facility. Activity

Target

Achievement

Percentage

Vasectomy

788

7

0.89

Tubectomy

7088

149

0.51

 OCP and Emergency Pills were not available at

almost all facilities.

Good practices  C- section and CAC (MTP) was performing by

CHCs-Kelwada (C-Section-43 and CAC-14)

 Dr. Ravi Goyel (MO) of Kelwada providing

one dress to each female child.

 Since Nerada-SC have very good building,

premises and two SBA trained staff posted who used to conduct 15-20 per month 3-4 months back, so this SC may be developed as delivery point.

Contd…..

Cleaning work after OPD timing at Kelwada-CHC

Thank You….

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