NATIONAL URBAN HEALTH MISSION,ALAPPUZHA 1 ANNEX 3 CITY HEALTH PLANS INTRODUCTION OF THE CITY Alappuzha city is governed by Municipal Corporation which comes under Alappuzha Metropolitan Region. The Alappuzha city is located in Kerala state of India. Alappuzh also known as Alleppey, is a city in Alappuzha District of Kerala state of southern India. It is the administrative headquarters of Alappuzha District. Alappuzha Municipality has 46.77 sq area of municipality limits of Alappuzha town. The municipality is headed by a Municipal chairperson. The current Municipal chairperson is Smt Mercy Diana Mazido. The municipality is divided into 52 administrative wards, from which the members of the municipality council are elected for a period of five years . According to 2011 census, Alappuzha municipality has a population of 174164 with 83888 men and 90276 women with a population density of 1492 persons per km. . In education section, total literates in Alappuzha city are 153,269 of which 74,454 are males while 78,815 are females. Average literacy rate of Alappuzha city is 96.56 percent of which male and female literacy was 98.03 and 95.21 .The sex ratio of Alappuzha city is 1076 per 1000 males. Child sex ratio of girls is 945 per 1000 boys. Total children (0-6) in Alappuzha city are 21638 as per figure from Census India report on 2012. There were 7,934 boys while 7,500 are girls. The child forms 8.86 % of total population of Alappuzha City. SUMMARY OF THE CITY NUHM PLAN Health improvement is influenced by three factors,health factors which includes medical intervention, health promoting factors such as housing ,water supply, sanitation and hygiene ,non health factors which includes social and environmental factors. Proper drainage ,Disposal of solid waste management, electricity ,efficient health care services with enough accessibility for curative care,child care centers maternity and child health centres, adult education centres etc. Above all for the improvement of economic status of the urban poor specific income generating activities must also be created for them, so as to utilize their labour power effectively. If antibiotics are helped to save millions from dying due to typhoid, cholera and dysentery, hundreds of millions can be saved from contracting these diseases through improved water supply, hygiene, sanitation, and safe water disposal. If thousands of cancer
Transcript
NATIONAL URBAN HEALTH MISSION,ALAPPUZHA
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ANNEX 3
CITY HEALTH PLANS
INTRODUCTION OF THE CITY
Alappuzha city is governed by Municipal Corporation which comes underAlappuzha Metropolitan Region. The Alappuzha city is located in Kerala state of India.Alappuzh also known as Alleppey, is a city in Alappuzha District of Kerala state ofsouthern India. It is the administrative headquarters of Alappuzha District. AlappuzhaMunicipality has 46.77 sq area of municipality limits of Alappuzha town. Themunicipality is headed by a Municipal chairperson. The current Municipal chairperson isSmt Mercy Diana Mazido. The municipality is divided into 52 administrative wards,from which the members of the municipality council are elected for a period of five years.
According to 2011 census, Alappuzha municipality has a population of 174164with 83888 men and 90276 women with a population density of 1492 persons per km. .In education section, total literates in Alappuzha city are 153,269 of which 74,454 aremales while 78,815 are females. Average literacy rate of Alappuzha city is 96.56 percentof which male and female literacy was 98.03 and 95.21 .The sex ratio of Alappuzha cityis 1076 per 1000 males. Child sex ratio of girls is 945 per 1000 boys. Total children (0-6)in Alappuzha city are 21638 as per figure from Census India report on 2012. There were7,934 boys while 7,500 are girls. The child forms 8.86 % of total population ofAlappuzha City.
SUMMARY OF THE CITY NUHM PLAN
Health improvement is influenced by three factors,health factors whichincludes medical intervention, health promoting factors such as housing ,water supply,sanitation and hygiene ,non health factors which includes social and environmentalfactors. Proper drainage ,Disposal of solid waste management, electricity ,efficienthealth care services with enough accessibility for curative care,child care centersmaternity and child health centres, adult education centres etc. Above all for theimprovement of economic status of the urban poor specific income generating activitiesmust also be created for them, so as to utilize their labour power effectively. Ifantibiotics are helped to save millions from dying due to typhoid, cholera and dysentery,hundreds of millions can be saved from contracting these diseases through improvedwater supply, hygiene, sanitation, and safe water disposal. If thousands of cancer
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patients are given an extended lease of life through radiation and chemotherapy, millionsand millions can be saved from cancer through measures to reduce air pollution andclean up the environment, apart from modification of life styles and nutritional habits.Improvement of the urban environment by ail means suitable for a healthy life is a mustfor alleviating the problem of urban health.
Most health centres in urban area are primarily concerned with basiccurative & preventive services and deal with some aspects of maternal and child health.The inpatients , out patients and emergency services of first referral and district hospitalsare often congested with patient suffering minor ailments and illness.
There is a high concentration of health facilities and services in the citiescompared with rural areas. But for the poor and especially for whose living inshantytowns and slums, the level to access health facilities falls to the minimum equitablelevel.
Because of these circumstances it has to be strengthened public healthservices, especially for slum ,vulnerable and poor population of the urban areas ,startingwith new Primary and Community health centres.
According to the population of Alappuzha municipality it is proposed tostart 3 urban primary health centres for addressing the public health issues in the urbanarea especially in the urban poor population living in listed and unlisted slums and allother vulnerable populations and other temporary migrants.
(Summarize the city health scenario, various health programmes being implemented in the city,key issues, and strategies for providing quality primary health care to the urban poor, targetsand budget).
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ANNEX 3a
CITY PROFILE
Name of the City: ALAPPUZHAStatus of the city: District headquarters
Table 1: Demographic Profile
Total Population of city (in lakhs)174164
Slum Population (in lakhs)36646
Slum Population as percentage of urban population21%
Number of Notified Slums47
Number of slums not notified11
No. of Slum Households6115
No. of slums covered under slum improvement programme (BSUP,IDSMT,etc.) 16
Number of slums where households have individual water connections* Notavailable
Number of slums connected to sewerage network* Notavailable
Number of slums having a Primary school0
No. of slums having AWC35
No. of slums having primary health care facility0
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Table 2: Health/Morbidity Profile of the City:
Sl. No. Name of Disease/ cause of morbidity (e.g.COPD, trauma, cardiovascular disease etc.)
17. Severely Acute Malnourishment (SAM) Not available
18. Iron deficiency disorder Not available
19. Others
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Listing and Mapping of slums
A mapping of the listed and unlisted slums, vulnerable populations as well aspublic health facilities catering to the slums may be done for each city in the following format:
Sl.no.
Wardname
Name of the slumPopulat
ionQualit
y ofhousin
g(kutcha/pucca/mixe
d)
Qualityofsanitation(IHL,com
munitytoilets,OD)
Status ofwatersupply(Piped,Hand
pumps,openwells,none)
Location and
distanceof
nearestAWC
Location and
distanceof
nearestPrimarySchool
Location anddistance of
nearestPrimary
HealthCentre/UHP/UFWC
1 16 Devaswamparambil Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
8-15 k/m
2 15 North of Komala’sHotel
Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
7k/m
3 45 Beach Area Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
7 k/m
4 41 Fisherman colony Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
8 k/m
5 42 Fisherman colony Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
8 k/m
6 33 Ellichuvadu Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
10 k/m
7 43 Jathi Seth purayidom Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
12 k/m
8 44 Mugham Purayidom Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
12 k/m
9 50 Muthalapozhi Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
10 k/m
10 48 Sanathanam Colony Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
12 k/m
11 9 Kollakadavu Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
8-15 k/m
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12 49 South of Kalappuratemple
Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
12 k/m
13 36 Sarkar Veli Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
8 k/m
14 8 Backside of KSRTCBus Stand
Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
10 k/m
15 46 Bungalow parambu Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
12 k/m
16 21 L K kampi Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
8 k/m
17 24 Market Cheri Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
6 k/m
18 21 Sarada mandiram Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
11 k/m
19 49 Back side of kalappuratemple
Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
14 k/m
20 47 Cherukalam Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
7 K/m
21 12 Ullada colony Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
12k/m
22 3 Kollasseri Bhagam Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
12 k/m
23 33 P&Tcourters Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
5 k/m
24 8 Backside ofSt.Antony’s chapel
Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
6 k/m
25 45 K J peeter parambu Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
8 k/m
26 40 East of Vellappally Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
5 k/m
27 16 Thatta Colony Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
7 k/m
28 1 Thumpolypozhi Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
4 k/m
29 49 Near to Beveragescolony
Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
10 k/m
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30 34 H B field Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
8 k/m
31 7 Ambedkar colony Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
10 k/m
32 31 Mullathuvalappu Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
11 k/m
33 35 Lajanathu colony Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
9 k/m
34 5 Naduvile Muri Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
6 k/m
35 18 Avalookunnu colony Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
3 k/m
36 52 Mithran Colony Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
7 k/m
37 29 Akkanparambu colony Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
13 k/m
38 19 Kunnukandanveli Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
8-15 k/m
39 4 Thadikkal colony Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
8-15 k/m
40 4 Moithuveli Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
8-15 k/m
41 4 Ameen veli Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
6 k/m
42 10 Kudumbi Colony Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
8 k/m
43 36 Bhattathiri Purayidom Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
14 k/m
44 36 Umaparambu Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
11 k/m
45 23 Kayanchira Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
7 k/m
46 14 Devaswam Parampu Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
8 k/m
47 12 Periyathra Bhagam Notavailable
mixedNotavailable
Notavailable
Notavailable
Notavailable
6 k/m
(A colour map indicating the location of the slums and public health facilities to be attachedwith the City Health Plan)
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Table 4: Overview of existing public health facilities
To list all kinds of hospitals, , maternity homes, dispensaries run by ULBs and statehealth department, including public facilities managed through PPP
While listing the Urban Family Welfare Centres (UFWC) and Urban Health Posts(UHPs) the category of UFWC (Type I, II, II) and UHP (Type A, B, C, D) may bespecified along with the details of Human Resources in position.
Sl.No.
Name & type offacility (DH,MaternityHome, CHC,other ref.hospital UFWC,UHPPHC,Dispensaryetc.)
10.PM& R 11.ResipiratoryMedicine 12.Radiology13. Dental
14.Rsby/Chis programme15.GBVM Councellingcentre
16.Arsh clinic
17..24 Hrs x-ray
18.24 Hrs Lab
19.ECG
20.Pharmacy
21.Scanning 22.Ambulance
23.ICTC
24.Pulari
25.OST centre
1.ANM -42.LT-
[sanctioned-5
In position -2 Contract-9] 3.StaffNurse[Sanctioned-64 Inposition - 38Contract -24] 4. MOs- 165.Specialist-28 (5 Nosvacant )
1).X-Ray
mechine -1
2).USG -13).Autoclave -3 Nos
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1. Key issues (Based on the above, identify key issues as far as delivery of health care isconcerned, with specific focus on urban poor).
The current health issues of the urban slums are :
Environmental condition favouring the spread of communicable diseaseinclude insufficient and unsafe water supplies, poor sanitation, inadequatedisposal of solid waste, inadequate drainage of surface water, poor personaland domestic hygiene ,inadequate housing and over crowding.
Much of the burden of chronic disease and trauma including poisoning burnsand injuries is associated with urban environment and life style, inadequateearly detection and treatment of disease and poor health education.
Safety of food stuff is an important determinant of urban health status. Slumhousehold and people in low income area do not have a proper storagefacility for their food items. Often rats and other insects will spoil food itemsand also deliver their excreta in the food items, when began to eat ,they maybecome the carriers of different diseases.
Another major health issue faced by urban community is related to migrantpopulation. As they are migrants from different parts of the country,unfortunately brings diseases like malaria, filaria ,leprosy and HIV etc alongwith them to their new shelter and because of their insufficiency in daily livingneeds leads them to share food, clothes ,water and so many other daily needswhich is essential for daily life direct this community to face some serioushealth issues. These diseases then starts spreading to other communities ofurban population because of their involvement in other societies for theirdaily breads and others need.
Non communicable diseases are the another major problems faced by Urbanpopulation. There are some factors which causes NCD such as consumptionof alcohol, smoking & chewing tobacco products and betel leaf ,fast food, lackof exercise and stress etc. In way or another major part of urban populationdue to the living style inviting non communicable diseases.
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The immunization coverage in the urban areas was too low compared to therural areas . Lack of awareness and difficulty in accessing to the healthcentres which is not disturbing their day to day activities is the mainconstrain of the process.
Adolescents and gender issues are the major issue faced by poor populationof the community.The main adolocent public health and social problems are
o Suicideo Motor Vehicle crashes(caused by drinking with driving)o Substances use and abuseo Sexually transmitted infection including Human Immunodeficiency
Viruso Teen and unplanned pregnancyo Homelessnesso Mental Health Problems most commonly depression and anxietyo lack of proper sanitation facilities in and around the residential area
aggravating the morbidity of women in the urban slums.
Infectious and gastro intestinal diseases often termed "diseases of poverty"and Chronic degenerative diseases associated with poor living and workingconditions.
Two major and non negligible factors which causes drawbacks in healthissues in urban community is social and economical issues. Social andeconomical background of urban population acts a major part in the healthawareness of the community .Due to poor economical status, majorpopulation of urban community does not have enough time or money to spendon those health issues. So by reducing the maintenance of medical treatmentand by giving them solid and correct awareness regarding the health issuecan help to build a healthy urban community and use the same to raise theirsocial and economical status to an extend.
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STRATEGIES, ACTIVITIES AND WORKPLAN UNDER NUHM
Communicable Disease Control Programme
One of the major issue regarding health , faced by Urban community isCommunicable Disease. Its mainly due to insufficient and polluted water for dailyuses in cities like Alappuzha and some other costal areas ,and it is a majordrawback in urban communities mainly populated in these type of areas. There islack of access to and availability of clean drinking water and sanitation has haddevastating effects on many aspects of daily life. Areas without adequate supply offresh water and basic sanitation carry the highest burden of diseases. It alsoinfluences the work burden, safety , Education and equity in women population.
Strengthening of BCC/IEC activities and door to door awareness especiallyin slum and shantytown area with ASHA workers and JrPHNs about thenon negligible need of safe drinking water ,sanitation and systematicdisposal of waste and garbage in these areas.
Convergence of urban local bodies for the need of strengthen Ward healthand sanitation committee and its activities mainly all over the urban areasspecially in slum and shantytown areas.
Strengthen the source reduction activities and spraying all over the urbanarea.
Comprehensive survey to identify and confirm the slum areas and itsdetails regarding ,
Total number of slums
population and number of households of each slum
Quality of housing and sanitation
Status of Water Supply
Location and distances of nearest Health centres ,Anganawadi centres,Schools etc
Convergence with Urban Local bodies and representative from variousdepartments like Water Autority, School Authority, Sanitation etc
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To Strengthen ward health and sanitation committee and its activitiesincluding Ward Health and Nutrition Days in urban area especially inurban slum and vulnerable areas.
Proper and frequent maintenance in the safe drinking water.
Convergence with the total sanitation campaign for community latrineconcept.
Schooling promotes the use of new technologies in the home for health,nutrition, learning and contraception.
Strengthening of BCC/IEC Activities:
All the departments including health department provides variousservices & schemes to raise the living status of population ,especially for poorpopulation around the coutry. In most cases poor population are not aware ofthese schemes. By giving awareness to these people who are in need of this typesof schemes can make over all changes in health sector through out.
Orientation Training of Urban Local Bodies and training of ASHA&Anganawadi Workers, ANM, JPHNs regarding various Health andHealth related services and schemes offered by Government.
Frequent home visit by ASHA and JrPHNs
Group meetings by JrPHNs and ASHA all over the municipality confirmingthe participation of poor and slum population.
Strengthen the Ward health and Nutrition days
Placing of hoardings related to the various health programmes
Conduct health melas
Child and Family approaches for hygiene promotion and RI
Folk medias
Short films and CD shots
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Health issues related to migrants:One of the major problem faced by urban community is related to migrant
population. As they are migrants from different parts of the country, unfortunatelybrings diseases like malaria, filaria ,leprosy and HIV etc along with them to their newshelter .and because of their insufficiency in daily living needs leads them to share food,clothes ,water and so many other daily needs which is essential for daily life direct thiscommunity to face some serious health issues.
Migrant screening at each urban ward area with provision of Health cards so thatthe individual has to bear the card with him to all places where he is movingaround. The system will enable tracking the person so that notification/isolation ifneeded can easily be done.
Convergence with ULB for providing basic sanitation & housing for the migrantlabour at the camp site is another activity
Multilingual IEC boards regarding the prophylactic medications & diseasealertness is also planned as part of the ward level activities.
IEC/BCC for the effective reduction in Addiction/habituation & immoral activitiesalso being planned.
Non Communicable Disease Control programme
Today Non Communicable Disease mainly cardiovascular disease ,cancer,chronic respiratory disease and diabetic represent a leading threat to human health anddevelopment of the urban population.
Atleast one well functioning NCD department in Primary Health System withtrained human resources (Doctor, dietician and pharmacist) adequate access toessential medicines and basic technologies like equipped Lab services.
By the screening of above 30 age group population of the city ,can be implementedand monitor effective approaches for the early detection of Non communicablediseases.
Training of ASHA and other health personnel with a special focus on primaryhealth care.So that it can help people with non communicable disease to managetheir own conditions better.
Strengthening of BCC/IEC activities to increase the awareness of the risk factorsof Non communicable disease.
Strenthening of well functioned referral system.
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Adolescent Health issues & Gender issues: -
Adolescents and gender issues are the major issue faced by poorpopulation of the community . In which mental health problem such asdepression and anxiety is going to be the most common .The risk is increased byexperience of violence ,humiliation ,devaluation ,poverty and suicide tendency,undernourished and also over weight and obesity .
Strengthen the awareness of adequate nutrition ,healthy eating andphysical exercise habits.
Provide counselling and support in schools and community to help topromote mental health. And also counselling through District mental healthprogramme and pre medicines.
Provide awareness regarding the problem of harmful use of alcohol andtobacco products and the injuries ,violence ,pre mature death due to this.
Seminars and counselling through ARSH programme Primilarly Counselling through school health JrPHNs Sensitization of the Urban Local Bodies,teachers ,anganwadi workers and
JrPHNs and also parents Strengthening of awareness through BCC/IEC activities in Schools and
colleges
CITY PROGRAMME MANAGEMENT ARRANGEMENTS
In order to launch & run the NUHM effectively it is planned to set upthe District Programme Management Units. District National Urban HealthProgramme management units will be working under the State &District Health &Family welfare Societies governed by the existing Society Byelaws. Necessaryamendments in the existing Society Byelaws shall be made as per the needs for whichresolution in the State Governing Body had already been taken. As per the resolution ofthe Governing Body of State Health & Family Welfare Society the following amendmentshas been approved.
The Municipality Chairman also to be included in the District Health Mission
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The District Urban Health Cell shall be formed within the District Health Society withthe following staffs.
NHM Coordinator with MBA(HR specialisation) or MHA degree for thecoordination of the NUHM activities in consultation with District ProgrammeManager(NHM) & ULB
One officer shall be on deputation from Department of Urban development tothe NUHM Health cell for laisoning the mission activities with ULB
One Public relation officer & Data entry operator is also proposed into theDistrict Urban health cell.
(Summarise the key strategies e.g. strengthening of facilities, targetedinterventions for slum population and the urban poor, outreach services, PPPs/innovations, programme management, etc. Similarly, provide a consolidated list ofactivities and corresponding work plan with brief description)
(Provide the details of the programme management unit at district/city level responsiblefor NUHM, linkages with Urban Local Bodies, Departments of UrbanDevelopment/Housing & Urban Poverty Alleviation, School Education, Women & ChildDevelopment, etc. and synergy/ optimisation with NRHM as well as managementstructures specific to on-going DP assisted projects, if any. The structure should beconsistent with NUHM implementation framework.)
2. CITY LEVEL INDICATORS & TARGETS
Urban pip –word city plan-convert to word – over view –excel work out –convert (As perdetails provided in Annex 3b)
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BUDGET SUMMARY
(Provide budget summary as per the budget format in Annex 3c)
FMRCode
Budget Head Budget %ge of totalbudget(Rs. Lakhs)
1 Planning & Mapping 5.00 1.5%2 Programme Management 10.21 3.1 %3 Training & Capacity Building 22.65 6.85%4 Strengthening of Health Services
225.64 68.27%
4.a Human Resource 40.214.b Infrastructure 304.c Untied grants 7.504.d Procurement (drugs and consumable) 62.504.e Other services 85.43
0.93 Under this head it isproposed mobility supportfor ANM/LHV at Rs 500/*-for 6 months
4.3 Urban PHC(UPHC)
135.00
4.3.1 Renovation/upgradation of existingfacility to UPHC
No. ofUPHCs
3
Rs.10Lakhs perUPHC
30.00 Under this head it isproposed an amount of Rs10 lakhs for the newlyproposed 3 urban healthcenters for the renovation
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and furnishing the facilityetc
4.3.2 Building of newUPHC
May betaken upin thesubsequent years
0.00
4.3.3 Operating costsupport for runningUPHC (other thanuntied grants andmedicines &consumables)
No. ofUPHCs
3
Rs.20LakhsperyearperUPHC
60.00Under this head it is
proposing an amount of Rs20/- lakhs for the newlyproposed three urbanhealth centers .forrecruiting additionalDoctors and staff and alsoproposed for mobilitysupport for the centers.
Office Expenses 9.00 This is proposed to meetthe Institutions day to dayactivities(recurringexpenses,stationaries,mobilitysupport ,internet etc)(Rs50000/- per month for 3PHCs for 6 months)
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4.3.3.2
Others 21.98 1.Generator or Invertorfor the Facilities2.Cold chain equipmentsand furniture3.Proper wastemanagement system etc
4.3.4 Untied grants toUPHC
No. ofUPHCs
3
Rs.2.50lakhsperyearperUPHC
7.50
4.3.5 Medicines &Consumables forUPHC
No. ofUPHCs
3
Rs.12.50 lakhsperyearperUPHC
37.50
4.3.5.1
Emergency drugs 3.00
4.3.5.2
Others 34.50
4.4 Urban CHC(UCHC)
25.00
4.4.1 Capital cost supportfor new UCHC
May betaken upin thesubsequent years
0.00
4.4.2 Human Resource 0.004.4.2.
10.00
4.4.2.2
0.00
4.4.3 Untied grants forUCHC
No. ofUCHC/urbanreferralhospitals
Rs.5lakhsperyearperhospital
0.00
4.4.4 Medicines & 25.00
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Consumables forUCHC
4.5 School HealthProgram
19.24
4.5.1 Human Resource 0.884.5.2 Other School Health
services18.36 This is to proposed for the
schools in Urban healthareas for strengthening theschool healthprogrammes,like healthclub activities ,BCC ,IECactivities in Schools etc.
4.6 IEC/BCC No. ofcampaigns, events,IPCsessions
As perneed
25.44 This is proposed to conductBCC/IEC activities in eachward of the municipalityand especially in slumareas.And also for the UrbanHealth centers
5 Regulation &Quality Assurance
May betaken upin thesubsequent years
0.00 0
6 CommunityProcesses
20.16
6.1 MAS/communitygroups
No. ofMAS
Rs.5000peryearperMAS
0.00
6.2 ASHA (urban) 105 Approx.Rs.2000pm perASHA
20.16
6.3 NGO support forcommunityprocesses
No. ofNGOsengaged
As perneed
0.00
7 Innovative Actions& PPP
As perneed
39.84 1.One of the mostimportant health issuefaced by Urban populationis Non communicable
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disease. It is proposed toinitiated some activities forthe prevention and controlof non communicabledisease through urbanhealth centers.and also forthe supply of medicine forthis programme2.Migrant Screening ateach urbanWard and health carddistribution.
8 Monitoring &Evaluation
As perneed
7.00
8.1 Baseline/end linesurveys
0.00
8.2 Research Studies inUrban Public Health
1.00
8.3 IT based monitoringinitiatives
6.00This is to proposed andstrengthen the computerand accessories purchaseto strengthen the MCTS&HMIS activities.
TOTAL330.50
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ANNEX 3b
CITY LEVEL INDICATORS AND TARGETS
Name of the City: Alappuzha Municipality
Processes & Inputs
Indicators Baseline (asapplicable)
NumberProposed (2013-
14)
Number
Achieved
(2013-14)
Community Processes
1. Number of Mahila Arogya Samiti (MAS) formed * 0
2. Number of MAS members trained * 0
3. Number of Accredited Social Health Activists(ASHAs) selected and trained *
168
Health Systems
4. Number of ANMs recruited * 0 12
5. No. of Special Outreach health camps organized inthe slum/HFAs *
0 03
6. No. of UHNDs organized in the slums andvulnerable areas *
624 624
7. Number of UPHCs made operational * 0
8. Number of UCHCs made operational * 0
9. No. of RKS created at UPHC and UCHC * 0
10. OPD attendance in the UPHCs 0
11. No. of deliveries conducted in public healthfacilities
3168 3500 1450
RCH Services
12. ANC early registration in first trimester 26043 10756
13. Number of women who had ANC check-up in theirfirst trimester of pregnancy
20958 8762
14. TT (2nd dose) coverage among pregnant women 21596 8766
NATIONAL URBAN HEALTH MISSION,ALAPPUZHA
28
Processes & Inputs
Indicators Baseline (asapplicable)
NumberProposed (2013-
14)
Number
Achieved
(2013-14)
15. No. of children fully immunised (through publichealth facilities)
24528 28850 10937
16. No. of Severely Acute Malnourished (SAM) childrenidentified and referred for treatment
Notavailable
Communicable Diseases
17. No. of malaria cases detected through bloodexamination
2 0 0
18. No. of TB cases identified through chestsymptomatic
143 0 0
19. No. of suspected TB cases referred for sputumexamination
Notavailable
20. No. of MDR-TB cases put under DOTS-plus 3 3 0
Non Communicable Diseases
21. No. of Diabetes cases screened in the city 34463 34463 4463
22. No. of Cancer cases screened in the city Notavailable
23. No. of Hypertension cases screened in the city 47332 47332 7332
* Year 2013-14 being the baseline year, the indicators for these NUHM components would bezero.
For other indicators, the figure for 2012-13 will be the base line
