DISTRICT HEALTH SOCIETY DHUBRI, ASSAM. -...

DHUBRI/DHAP/2010-11 1

Draft

DDIISSTTRRIICCTT HHEEAALLTTHH SSOOCCIIEETTYY

DDHHUUBBRRII,, AASSSSAAMM..

Prepared By DPMU, NRHM, Dhubri


CHAPTER CONTENT PAGE

- EXECUTIVE SUMMARY 3-5

1 BACKGROUND 6-22

2 PROCESS FOR PLAN DEVELOPMENT 23-24

3 SITUATION ANALYSIS OF THE DISTRICT 25-44

4 PROGRESS MADE DURING 2005-06, 06-07, 07-08 & 08-09 45-67

5 CURRENT STATUS AND GOAL 68-76

6 GOAL, OBJECTIVES, STRATEGIES AND ACTIVITIES UNDER DIFFERENT COMPONENTS OF NRHM

77

PART A: RCH PROGRAMME 78-104

PART B: NRHM ADDITIONALITIES 105-121

PART C: UIP 122-139

PART D: NATIONAL DISEASE CONTROL PROGRAMME 140-192

PART E INTERSECTORAL CONVERGENCE 193

7 MONITORING AND EVALUATION/ HMIS 194-208

8 WORK PLAN 209-237

9 SUMMARY BUDGET 238

PART A: RCH PROGRAMME 239

PART B: NRHM ADDITIONALITIES 240-241

PART C: UIP 242-249

PART D: NATIONAL DISEASE CONTROL PROGRAMME 250-256

PART E: INTERSECTORAL CONVERGENCE 257

10 DETAILED BUDGET (ANNEXURE 3 E) 258-291

ANNEXURES


EXECUTIVE SUMMARY

Dhubri district PIP for the year of 2010-11 (Programme Implementation Plan) prepared

under NRHM is a synopsis of various tasks and activities that are to be executed in the financial

year 2010-11. The PIP is primed considering the Goals and main objectives of NRHM, in order to

enhance the health scenario of the district.

The main goals of NRHM in Dhubri district are Reduction in Infant Mortality Rate (IMR) and

Maternal Mortality Ratio (MMR), Prevention and control of communicable and non-communicable

diseases, including locally endemic diseases, an increase of contraceptive prevalence rate among

eligible couples etc .

To achieve these goals we have adopted some strategies and that are:

Maternal Health:

1. To provide quality antenatal care to all pregnant woman by increasing the access through existing Govt. facilities.

2. To provide quality antenatal care to all pregnant woman in inaccessible and uncovered areas

3. Quality improvement of the ANC.

4. To increase awareness amongst the mothers and communities about the need of ANC.

5. Increasing the access through facility strengthening.

6. Social mobilization for institutional deliveries (Janani Suraksha Yojana)

7. Referral of obstetric emergencies

8. To improve the comprehensive EmOC in the CHCs and FRU.

9. Awareness of communities and PRIs about facilities having comprehensive EmOC facilities.

10. Capacity building of ANM/GNM by SBA training :

11. Ensure post partum care by AWW/ANM/LHV

12. Operatonalize services for diagnosis & Treatment at CHC/DH

13. Capacity building ANM/SN and Medical Officer & Lab Tech for managing RTI/STI

14. Promote communication activities for prevention and early care seeking for RTI/STI.

15. Increase the access to safe abortion in Govt. facilities. CHILD HEALTH

1. Strengthening of the Govt facilities to provide newborn care.

2. Introduce a communication package of home-based newborn care by ASHA, AWW, ANM,

CBO, and FNGO.

3. Referral of sick neonates who cannot be managed at home.


4. Declaring Mother and Child Health Month during the month of September and March (bi-

annually).

5. To increase awareness amongst mothers on benefits of breast-feeding upto 6 months and

need of complementary feeding from 6 month onwards.

6. To raise awareness amongst mothers and communities on diarrhea.

7. Making ORS and zinc tablets available in remote/rural/tribal areas and difficult to reach

areas through depot holders.

8. Strengthen facilities at PHC, CHC, SDH and DH.

9. To raise awareness amongst mothers and communities on ARI.

10. Promote referral services of severe cases of ARI and diarrhoea.

11. To prevent and treat anemia in children.

12. To work closely with ICDS functionaries to reduce malnutrition.

FAMILY PLANNING

1. To raise awareness amongst the couples and communities about the advantage of

contraceptives and small family.

2. Increase the number of service delivery points.

3. Improve the service delivery to provide quality male and female sterilization.

4. To raise awareness among the community regarding Non Scalpel Vasectomy.

ADOLESCENT HEALTH

1. Community awareness by BCC.

2. To educate and raise awareness amongst the adolescent boys and girls about human

physiology, RTI, STI, HIV/AIDS, EC and safe sex.

3. To assess service delivery by identifying institutions and also identifying counselors.

4. Required models, charts of human anatomy as teaching aids to be used.

5. A booklet will be developed on adolescent health including all the components preferably

in local languages.

6. Ensure service delivery and infrastructure facility

7. To prevent and treat anemia in adolescents.


Programme Management Arrangement:

The DPMU (District Programme Management Unit) consist of one Management

specialists, Media Expert, Accounts Manager, Data Manager, Drug Store Manager, Computer

Assistant and they are working under the guidance of Joint Director of Health Services cum

Member Secretary, DHS, Dhubri. Moreover the whole activities are supervised by Deputy

Commissioner cum Chairman, DHS, Dhubri.

For Strengthening the NRHM activities and to build skill and capacity of Top level officials

to middle level officials example - DPMU, BPMU, ASHA, ANM, GNM, AWW, MO etc sensitize

orientation training is proposed in the PIP.

In the Block PHC level Block Programme Manager, Block accounts Manager are also

appointed. Pharmacists, Lab Technicians, PHC Accountant, Asst. BPM, GNM, ANM, ASHA,

ASHA Supervisor etc are alos posted in the PHCs, SDs, SHC, SCs and in the PIP requirement for

additional skill manpower like MO, Specialists, BPM, GNM, ANM has been proposed.

BUDGET

The district proposes a total budget of Rs. 16,92,81,623.23 in the PIP for the year 2010-11. The

budget summary is as follows:

Summary of Budget

Programme Amount ( In Rs.Cr)

RCH-II Flexipool 32,345,665.23

NRHM Mission Flexipool 10,99,21,450.00

Immunization(UIP) 6,018,968.00

National Disease Control Programme 0.00

(i) NVBDCP 7,469,840.00

(ii) RNTCP 7,974,000.00

(iii) NPCB 1,771,000.00

(iv) NLEP 943,100.00

(v) IDSP 1,121,600.00

(vi) NTCP 1,216,000.00

(vii) NMHP 500,000.00

Total 16,92,81,623.23


CHAPTER- 1

BACKGROUND

1.1 THE DISTRICT AT A GLANCE:

Dhubri District - the gateway of western Assam happened to be in the past a meeting

place of different racial groups which mingled together and formed a unique Cultural Heritage and

Historical Background. The growth of blended culture in this region particularly in case of

Language, Art and Religion is due to continuous process of assimilation of various races, caste &

creed of local people, invaders & migrated people. Dhubri District is bounded both by inter-state

and international border i.e. West Bengal and Bangladesh in the west, Goalpara and Bogaigoan

district of Assam and Garo Hills district of Meghalaya in the east, Kokrajhar district in the north,

Bangladesh and state of Meghalaya in the south. Covering an area of 2,838 Sq. Kms. including

forests, riverines, hills etc. the district has become the most densely populated district in India with

a density of 584 persons per Sq. Km. (As per 2001 census).

Dhubri District is bounded both by inter-state and international border i.e. West Bengal

and Bangladesh in the west, Goalpara and Bogaigoan district of Assam and Garo Hills district of

Meghalaya in the east, Kokrajhar district in the north, Bangladesh and state of Meghalaya in the

south.

This district is located on the globe between 89.42 to 90.12 degree east longitude and

26.22 to 25.28 degree north latitude. The district is situated at 30 meters above the sea level on

average. General topography of Dhubri district is plain with patches of small hillocks like

Tokorabandha, Dudhnath, Chandardinga, Boukumari, Boropahar, Chakrasila etc. All these are

situated in the north eastern part of the district. Mighty river Brahmaputra is flowing through this

district from east to west with its tributaries like Champabati, Gourang, Gadadhar, Gangadhar,

Tipkai, Sankosh,Silai, Jinjiram etc.



Table:1 Demography Characteristics of the District:

Table: 2 Administration of the District:

The present Dhubri District with an area of 2838 sq. km. has three Sub-divisions viz. (a) Dhubri(Sadar), (b) Bilasipara and (c) South Salmara/Mankachar

1. Revenue Circle : 8 Nos. 2.Tahsil : 7 Nos.

3. Sub Tahsil : 2 Nos. 4. Revenue Village : 1374 Nos. (Prior to BTAD)

5. Model Village : 3 Nos. 6. Revenue Village : 1133 Nos. (Excluding BTAD)

7. Anchalik Panchayat : 14 Nos. 8. Mahkuma Parishad : 3 Nos.

9. Municipal Board : 1 No. 10. Gaon Panchayat : 172 Nos. (Prior to BTAD)

11. Development Block : 14 Nos. 12. Gaon Panchayat : 168 Nos. (Excluding BTAD)

13. Police Outpost : 7 Nos. 14. Basic Town : 4 Nos.

15. Govt. Raliway Police Outpost : 2 Nos. 16. Police Station : 8 Nos.

17. Regular Fire Service Station : 2 Nos. 18. Police Watchpost : 36 Nos.

19. Border Outpost : 35 Nos. 20. River Police Outpost : 3 Nos.

Total Population : 16, 37, 344 Nos

Male 8,41,044 Nos. (51.37 %)

Female 7,96,300 Nos. (48.63 %)

Sex Ratio 1000 : 947

General Population 12,36,054 Nos. (92.76%)

Schedule Caste 64,161 Nos. (4.82%)

Schedule Tribe 32,260 Nos. (2.42%)

Urban Population 1,61,981 Nos. (12.16%)

Rural Population 11,70,494 Nos. (87.84%)

Density 577 Nos. per Sq. Km.

Percentage of Decadal growth rate (91-01) +23.42

Crude Birth Rate 31%

Crude Death Rate 9%

Maternal Mortality Rate 4/1000

Infant Mortality Rate 78/1000

Literate Person 6,25,369 Nos. (48.2%)

Male 3,73,446 Nos. (55.91%)

Female 2,51,923 Nos. (40.04%)

http://dhubri.gov.in/demography_dhubri.htm AS PER 2001 CENSUS


Table: 1.2. District wise Total Population Data, 2001.

NAME Total Male Female Sex Ratio

ASSAM

Total 26655528 13777037 12878491 935

Rural 23216288 11939945 11276343 944

PC of Rural 87.10 86.67 87.56

Dhubri

Total 1637344 841044 796300 947

Rural 1444901 741574 703327 948

PC of Rural 88.25 88.17 88.32

(Source Census, 2001) Table: 1.3. District wise SC & ST Population Data, 2001.

NAME

SC Population ST Population

Total Male Female Sex Ratio

Total Male Female Sex Ratio

ASSAM Total 1825949 943674 882275 935 3308570 1678117 1630453 972

Rural 1553691 802548 751143 936 3154546 1598267 1556279 974

Dhubri Total 63208 32734 30474 931 32523 16278 16245 998

Rural 33559 17403 16156 928 31783 15878 15905 1002

(Source Census, 2001) Table: 1.4. District wise Female population data in the age group 15-49

Name TOTAL RURAL URBAN

ASSAM 6574794 5634885 939909

Dhubri 371860 320706 51154

(Source Census, 2001) Table: 1.5. District wise 0 – 6 years population data

NAME Total Male Female

ASSAM Total 4498075 2289116 2208959

Rural 4104407 2086499 2017908

Dhubri Total 340182 173081 167101

Rural 314345 159874 154471

(Source Census, 2001)

Table: 1.6. District wise Literacy Rate

NAME Total Male Female

ASSAM Total 63.25 71.28 54.61

Rural 59.73 68.22 50.70

Dhubri Total 48.21 55.91 40.04

Rural 43.90 51.72 35.61

(Source Census, 2001)


Table: 1.7. Government/ Private Health institutions in the District

Sl. No. (A) Government of Health Institutions No

1. District Civil Hospital 1

2. Sub-Divisional Civil Hospital 1

3. Primary Health Centre 7

4. Community Health Centre 5

5. Mini PHC 11

6. Subsidiary Health Centre 4

7. State dispensary 11

8. First Referral Unit 1

9. Dhubri Health & Maternity Centre 1

10. Urban Health Centre 1

11. Sub Centre 246 (FW =233 & SC =13)

(B) Private Health Institution

1. Tea Garden Hospital 2

Table: 1.8. Block PHC Wise List of Health Institution in Dhubri District. Block PHC Health Institutions

Dharmasala BPHC

200 beded Dhubri Civil Hospital

Dhubri Health Maternity Centre, Dhubri

Dhubri Chest Hospital

Gauripur CHC

Dharmasala PHC

Geramari MPHC

Durahati Med SC

Bhogdahar Med SC

Alomganj Med SC

FW SC – 31

Golakganj BPHC

Golakganj PHC

Dumurdaha MPHC

Dhepdhepi MPHC

Moterjhar MPHC

Bherbhangi SD

Kachokhana SD

Paglahat Med SC

Kamandanga Med SC

Ratidaha Med SC

FW SC – 28

Halkura BPHC

Halakura PHC & CHC

Agomoni CHC

Satrasal MPHC

Boterhat SD

FW SC – 25


Raniganj BPHC

Raniganj PHC

Bilasipara SHC

Sapatgram SHC

Santipur MPHC

Lakhiganj SD

Futkibari SD

Bogribari SD

Borkanda Med SC

Nayaralga Med SC

FW SC – 46

Chapor BPHC

Chapor PHC/CHC/FRU

Rangamati/Champabati MPHC

Salkocha SHC

Bahalpur SD

FW SC- 17

South Salmara BPHC

South Salmara PHC

Tumni CHC

Jaruwa MPHC

Chirakuti MPHC

Fakirganj MPHC

Medartari SD

Jamadarhat Med SC

Patakata Med SC

FW SC- 44

Gazarikandi BPHC

Gazarikandi PHC

Mankachar CHC

Sukchar MPHC

Sadullabari SHC

Kakripara SD

Jhawdanga SD

Fekamari Med SC

Baghapara/Sadullabari Med SC

Hazirhat Med SC

FW SC- 42


Table: 1.9 Block PHC Wise List of Sub Centers in Dhubri District.

Sl No

Name of the Block PHC

Name of Sub Center

Govt /Rented (Yes/No)

if in rented building, whether under

construction by NRHM or 12th Finance Commission

Functional (Yes/No)

Whether FW/MNP

Sub-Centre with No building (neither Govt nor Rented)

Remarks

1 Dharmasala

PHC Patamari Govt

12th Finance Commission

Yes FW

2 Dharmasala

PHC Bhogdahar Govt


Yes Medical

3 Dharmasala

PHC Reserverchar Rented Yes FW

4 Dharmasala

PHC Char Bhasani Rented Yes FW

5 Dharmasala

PHC Airanjangla Rented NRHM-1 Yes FW

(Land not handed over)

6 Dharmasala

PHC Bidyapara Vatigaon

Rented NRHM-3 Yes FW

7 Dharmasala

PHC Motir Char Rented Yes FW

In place of Ghegraralga in NRHM-1

8 Dharmasala

PHC Howrarpaar Rented


Yes FW

9 Dharmasala

PHC Silghagri Rented Yes FW

10 Dharmasala

PHC Gaspara Govt


Yes FW

11 Dharmasala

PHC Dubirpar Rented NRHM-3 Yes FW

12 Dharmasala

PHC Tistarpar Rented NRHM-3 Yes FW

13 Dharmasala

PHC Singimari Govt NRHM-1 Yes FW

Temporary arrangement (Land not handed over)

14 Dharmasala

PHC Durahati Govt


Yes Medical Temporary arrangement

15 Dharmasala

PHC Kacharihat Govt Yes FW

16 Dharmasala

PHC Soulmari Rented NRHM-2 Yes FW

17 Dharmasala

PHC Pestirpar Govt Yes FW

Temporary arrangement

18 Dharmasala

PHC Kachuarkhas Rented NRHM-3 Yes FW

19 Dharmasala

PHC Adabari Govt


Yes FW

20 Dharmasala

PHC Bidaypara Pt - I Rented NRHM-2 Yes FW

SC running In

GP Members

House


21 Dharmasala

PHC Modhusoulmari Govt Yes FW

22 Dharmasala

PHC Folimari Rented


Yes FW

23 Dharmasala

PHC Tiamari Rented


Yes FW

24 Dharmasala

PHC Madaikhali Govt


Yes FW

25 Dharmasala

PHC South Geramari Rented NRHM-2 Yes FW

SC running in

ANMs house

In place of Nowarchar,(NRHM-1) but repated in NRHM2, SC may be changed from NRHM-2,

26 Dharmasala

PHC Ghageralga Rented


Yes FW Ghegrar in place of Boraibari SC

27 Dharmasala

PHC Jhaleralga Govt Yes FW

28 Dharmasala

PHC Boraibari Govt Yes FW

29 Dharmasala

PHC Alomganj Govt


Yes Medical Temp arrangment

30 Dharmasala

PHC Rangamati (Panbari)

Govt 12th Finance Commission

Yes FW Temp arrangment

31 Dharmasala

PHC Bolodmara Govt Yes FW

32 Dharmasala

PHC Nauarchar Rented


Yes FW in place of silarpar

33 Dharmasala

PHC Silairpar Govt Yes FW

34 Dharmasala

PHC Darchauka Govt Yes FW

35 Golakganj

PHC Ratiadaha SC Govt

Proposed for NRHM-2 in

place of Majerchar

Yes Medical SC in Dilapidated condition

36 Golakganj

PHC Balajan SC Govt Yes FW

37 Golakganj

PHC South Raipur SC Govt Yes FW

38 Golakganj

PHC Khudimari SC Rented


Yes FW in place of Horiorkuti

39 Golakganj

PHC Sukatikata SC Rented


Yes FW In place of Balajan

40 Golakganj

PHC Gaikhowa SC Rented


Yes FW Gaikhowa SC in place of S.Raipur

41 Golakganj

PHC Lalkura SC Rented Yes FW

Lalkura SC selected in place of Gaikhowa in NRHM-1


42 Golakganj

PHC Hariarkuti SC Govt Yes FW

43 Golakganj

PHC Chapgarh SC Govt Yes FW

44 Golakganj

PHC Sahebganj SC Rented


Yes FW in place of Chapgarh

45 Golakganj

PHC Binnachara SC Govt NRHM-1 Yes FW

46 Golakganj

PHC Bishkhowa-IV SC

Govt Yes FW

47 Golakganj

PHC Bishkhowa SC Govt


Yes FW

48 Golakganj

PHC Kanuri SC Govt Yes FW

49 Golakganj

PHC Rakhalpat SC Govt Yes FW

50 Golakganj

PHC Sonahat SC Govt Yes FW

51 Golakganj

PHC Pratapganj SC Govt Yes FW

52 Golakganj

PHC Paglahat SC Govt


Yes Medical

53 Golakganj

PHC Bisondoi SC Govt Yes FW

54 Golakganj

PHC B.N. Chariali SC Rented


Yes FW

55 Golakganj

PHC Dafarpur SC Govt Yes FW

56 Golakganj

PHC Ujanpetla SC Govt Yes FW

57 Golakganj

PHC Bhatipetla SC Govt Yes FW

58 Golakganj

PHC Madhyapetla SC Govt Yes FW

59 Golakganj

PHC Majerchar SC Rented


Yes FW

60 Golakganj

PHC Borochoraikhola SC

Rented 12th Finance Commission

Yes FW

61 Golakganj

PHC Bathuatuli SC Govt Yes FW

62 Golakganj

PHC Kamandanga SC Govt Yes Medical

63 Golakganj

PHC Pokalagi SC Rented NRHM-2 Yes FW

64 Golakganj

PHC Dhepdhepi SC Govt Yes FW

attached with MPHC

65 Golakganj

PHC Dumardaha Govt Yes FW

attached with MPHC

66 Halakura

PHC Ranpagli Govt Yes FW

67 Halakura

PHC Chagolia Pt-II Govt Yes FW

68 Halakura

PHC Pokalagi Pt-II Govt Yes FW Dilapidated


69 Halakura

PHC Gharialdanga Govt Yes FW

70 Halakura

PHC Kherbari Pt-IV Govt Yes FW

71 Halakura

PHC Jhaskal Pt- III Govt Yes FW

72 Halakura

PHC Lohajani Rented NRHM-1 Yes FW

73 Halakura

PHC Kherbari Pt – III Govt Yes FW

74 Halakura

PHC Paborchara Govt Yes FW

75 Halakura

PHC Talli Pt - II Rented


Yes FW

76 Halakura

PHC Shimlabari Rented NRHM-2 Yes FW

77 Halakura

PHC Bidyardabri Pt – III


Yes FW

78 Halakura

PHC Koimari Pt-I Rented NRHM-1 Yes FW

79 Halakura

PHC Atgharitari Rented


Yes FW

80 Halakura

PHC Kaldoba Pt- III Rented


Yes FW

81 Halakura

PHC Uttarmara Godadhar


Yes FW

82 Halakura

PHC Bhamondanga Rented NRHM-3 Yes FW

83 Halakura

PHC Moisa Pt- I Rented


Yes FW

84 Halakura

PHC Kathatoli Rented NRHM-2 Yes FW

85 Halakura

PHC Kherbari Pt - I Govt Yes FW

86 Halakura

PHC Bauserkuti Rented NRHM-3 Yes FW

87 Halakura

PHC Pokalagi Pt - III Rented NRHM-2 Yes FW

88 Halakura

PHC Chotoguma SC Rented NRHM-2 Yes FW

89 Halakura

PHC Kaimmati SC Rented NRHM-2 Yes FW

90 Halakura

PHC Banyaguri SC Rented NRHM-2 Yes FW

91 Raniganj

PHC Dhemdhema Govt NRHM-1 Yes FW Temp arrangment

92 Raniganj

PHC Rokakhata Govt NRHM-1 Yes FW Temp arrangment

93 Raniganj

PHC Rabontary Govt Yes FW

94 Raniganj

PHC Murabari Govt


Yes FW

95 Raniganj

PHC Koimari Govt Yes FW


96 Raniganj

PHC Barogiraipar Govt


Yes FW

97 Raniganj

PHC Buchirchar Govt Yes FW

98 Raniganj

PHC Kazaikata Pt – V Govt Yes FW

99 Raniganj

PHC Chechapani (Aisakati)

Govt Yes FW

100 Raniganj

PHC Dhanpur Govt NRHM-2 Yes FW Temp arrangment

101 Raniganj

PHC Mayarchar Govt


Yes FW

102 Raniganj

PHC Kazaikata Pt – IV Govt


Yes FW

103 Raniganj

PHC Piazbari Govt


Yes FW

104 Raniganj

PHC Fasatpur Panbari Rented NRHM-3 Yes FW

105 Raniganj

PHC Chechapani Pt – I

Rented Yes FW

106 Raniganj

PHC Pub Sadhubhasa Rented Yes FW

107 Raniganj

PHC Ambari Rented NRHM-2 Yes FW

108 Raniganj

PHC Chotogiraipar Govt Yes FW

109 Raniganj

PHC Maspara Rented Yes FW

110 Raniganj

PHC Suripara Rented NRHM-1 Yes FW

111 Raniganj

PHC Hatipota Rented NRHM-3 Yes FW

112 Raniganj

PHC Sagunmari Rented NRHM-2 Yes FW

113 Raniganj

PHC Lutapara Rented Yes FW

114 Raniganj

PHC Bhuterkanda Rented Yes FW

115 Raniganj

PHC Gobordhanpara Rented


Yes FW

116 Raniganj

PHC Howdartary Rented Yes FW

117 Raniganj

PHC Tamakubari Govt


Yes FW

118 Raniganj

PHC Kadamtola Rented NRHM-3 Yes FW

119 Raniganj

PHC Kalipara Rented Yes FW

120 Raniganj

PHC Kachuagaon Rented NRHM-1 Yes FW

121 Raniganj

PHC Gutipara Rented Yes FW

122 Raniganj

PHC Thakureralga Rented Yes FW


123 Raniganj

PHC Andamari Kalairchar


Yes FW

124 Raniganj

PHC Saildhora Rented Yes FW

125 Raniganj

PHC Masaneralga santipur


126 Raniganj

PHC Choudhurirchar Rented Yes FW

127 Raniganj

PHC Masaneralga Rented NRHM-2 Yes FW

128 Raniganj

PHC Jharnarchar Rented Yes FW

129 Raniganj

PHC Patakata Rented Yes FW

130 Raniganj

PHC Chuapata Pt-V Rented NRHM-3 Yes FW

131 Raniganj

PHC Choitara Rented Yes FW

132 Raniganj

PHC Katholipara Rented Yes FW

133 Raniganj

PHC Khankhowa Govt Yes FW Temp arrangement

134 Raniganj

PHC Bogribari Govt Yes FW attached with SD

135 Raniganj

PHC Sapatgram Govt Yes FW attached with SHC

136 Raniganj

PHC Futkibari Govt Yes FW attached with SD

137 Raniganj

PHC Borkanda (Med) Govt Yes Medical

138 Raniganj

PHC Nayar Alga (Med)

Govt Yes Medical

139 Chapor PHC Bahalpur Govt Yes FW

140 Chapor PHC Simalabari Govt Yes FW Dilapidated

141 Chapor PHC Arearjhar Govt Yes FW

142 Chapor PHC Islamari Govt Yes FW Dilapidated

143 Chapor PHC Santoshpur Govt NRHM-2 Yes FW Dilapidated

144 Chapor PHC Noonmati Govt NRHM-2 Yes FW Dilapidated

145 Chapor PHC Falimari Govt Yes FW

146 Chapor PHC Batordol Govt Yes FW

147 Chapor PHC Kaljani Govt NRHM-2 Yes FW Dilapidated

148 Chapor PHC Champabati Govt Yes FW

149 Chapor PHC Hardamara Govt Yes FW


150 Chapor PHC Dhirghat Rented Yes FW

151 Chapor PHC Soulmari Rented NRHM-1 Yes FW

152 Chapor PHC Kurshamari Rented NRHM-1 Yes FW

153 Chapor PHC Barunitara Govt Yes FW Dilapidated

154 Chapor PHC Jalikuria Rented Yes FW

155 Chapor PHC Haridal Rented Yes FW

156 Gazarikandi

PHC

Kalapani Govt Yes FW Attached with SHC

157 Gazarikandi

PHC

Kuchnimara Govt Yes FW

158 Gazarikandi

PHC

Bhurakata Govt Yes FW

159 Gazarikandi

PHC

Manullapara Govt Yes FW

160 Gazarikandi

PHC

Borkona Govt Yes FW Temp arrangment

161 Gazarikandi

PHC

Borairalga Govt Yes FW

162 Gazarikandi

PHC

Kokradanga Rented NRHM-3 Yes FW

163 Gazarikandi

PHC

Kanaimara Rented NRHM-3 Yes FW

164 Gazarikandi

PHC

Purandiara Rented NRHM-1 Yes FW

165 Gazarikandi

PHC

Fulerchar Rented NRHM-3 Yes FW

166 Gazarikandi

PHC

Diara Bazar Govt Yes FW

167 Gazarikandi

PHC

Bengirvita Govt


Yes FW

168 Gazarikandi

PHC

Dharakoba Govt Yes FW

169 Gazarikandi

PHC

Gokulpur Govt


Yes FW

170 Gazarikandi

PHC

Berabhanga Govt


Yes FW

171 Gazarikandi

PHC

Bamunpara Govt


Yes FW

172 Gazarikandi

PHC

Kukurmara Govt Yes FW

173 Gazarikandi

PHC

Sunarpara Rented NRHM-3 Yes FW

174 Gazarikandi

PHC

Bormanpara Govt Yes FW

175 Gazarikandi

PHC

Bangrirchar Govt


Yes FW

176 Gazarikandi

PHC

Molakhowa Govt


Yes FW


177 Gazarikandi

PHC

Thakuronbari Rented NRHM-2 Yes FW

178 Gazarikandi

PHC

K.K.M Para Rented NRHM-2 Yes FW

179 Gazarikandi

PHC

Jhograrchar Rented NRHM-2 Yes FW

180 Gazarikandi

PHC Jhalerchar Rented NRHM-2 Yes FW

SC running in a private

house

181 Gazarikandi

PHC

Pipulbari Bazar Govt Yes FW

182 Gazarikandi

PHC

Firingirchar Govt


Yes FW

183 Gazarikandi

PHC

Pankata Govt Yes FW

184 Gazarikandi

PHC

Teporpara Govt


Yes FW

185 Gazarikandi

PHC

Bheramara Rented NRHM-3 No FW

186 Gazarikandi

PHC

Pipulbari Pt – II Rented NRHM-3 Yes FW

187 Gazarikandi

PHC

Jordanga Rented NRHM-2 Yes FW

188 Gazarikandi

PHC

Dakergaon Rented NRHM-2 Yes FW

189 Gazarikandi

PHC

Tangaon Govt Yes FW

190 Gazarikandi

PHC

Pubergaon Rented NRHM-1 Yes FW

191 Gazarikandi

PHC

Bamuneralga Rented NRHM-3 Yes FW

192 Gazarikandi

PHC

Jhowdanga Govt Yes FW attached with SD

193 Gazarikandi

PHC Kakripara

Govt Yes FW attached with SD

194 Gazarikandi

PHC Takimari

Rented NRHM-3 No FW

195 Gazarikandi

PHC

Khopatia


Yes FW

196 Gazarikandi

PHC

Jewali Govt Yes FW

197 Gazarikandi

PHC

Charbetbari


Yes FW

198 Gazarikandi

PHC

Fekamari (Med)

Govt Yes Medical

199 Gazarikandi

PHC

Baghapara (Med) Sadullabari

Govt Yes Medical

200 Gazarikandi

PHC

Hazirhat (Med) Govt Yes Medical


201 South

Salmara PHC

Bauskata Govt Yes FW

202 South

Salmara PHC

Muthakhowa -II Govt Yes FW

203 South

Salmara PHC

Bhalukkandi Govt Yes FW

204 South

Salmara PHC

Jaruachar Govt Yes FW Damaged

205 South

Salmara PHC

Ravatori Govt 12th Finance Commission

Yes FW

206 South

Salmara PHC

Muhurirchar Govt Yes FW Erroted by Brahmaputra

207 South

Salmara PHC

Simlakandi Rented 12th Finance Commission

Yes FW

208 South

Salmara PHC

Airkata Rented NRHM-1 Yes FW

209 South

Salmara PHC

Padmeralga – II Govt Yes FW Damaged

210 South

Salmara PHC

Chirakuti Rented


place of Simlakandi

Yes FW

211 South

Salmara PHC

Poyesti Dimatola Rented 12th Finance Commission

Yes FW

212 South

Salmara PHC

Chtonisanpur Rented NRHM-2 Yes FW

213 South

Salmara PHC

Kushbari Rented 12th Finance Commission

Yes FW

214 South

Salmara PHC

Bolodmari Rented 12th Finance Commission

Yes FW

215 South

Salmara PHC

Medortary Govt Yes FW attached with SD

216 South

Salmara PHC

Katiaralga-III Rented NRHM-3 Yes FW

217 South

Salmara PHC

Golaperalga Rented


place of Kushbari

Yes FW

218 South

Salmara PHC

Satdubi Rented NRHM-2 Yes FW

219 South

Salmara PHC

Salkata Rented


place of Monirchar

Yes FW

220 South

Salmara PHC

Salapara-I Rented NRHM-3 Yes FW


221 South

Salmara PHC

Ambari Rented NRHM-3 Yes FW

222 South

Salmara PHC

Natineralga Rented NRHM-3 Yes FW

223 South

Salmara PHC

River Block – III Rented Yes FW

224 South

Salmara PHC

Tumni Dewakandi


225 South

Salmara PHC

Dhenerkuti Rented NRHM-1 Yes FW

226 South

Salmara PHC

Chottobilpara Rented NRHM-3 Yes FW

227 South

Salmara PHC

Namasershow Rented NRHM-3 Yes FW

228 South

Salmara PHC

Radhuramchola Rented NRHM-1 Yes FW

229 South

Salmara PHC

Ravarchola Rented NRHM-3 Yes FW

230 South

Salmara PHC

Folimari Rented NRHM-3 Yes FW

231 South

Salmara PHC

Podmeralga – I Rented NRHM-2 Yes FW

232 South

Salmara PHC

Feskumari Rented NRHM-1 Yes FW

233 South

Salmara PHC

Kathdanga Rented NRHM-3 Yes FW

234 South

Salmara PHC

Monirchar Rented 12th Finance Commission

Yes FW

235 South

Salmara PHC

Muthakhowa Pt – III

Rented Yes FW

236 South

Salmara PHC

Satsia Rented NRHM-2 Yes FW

237 South

Salmara PHC

Chalbandhar Char

Rented Yes FW

238 South

Salmara PHC

Gosaidubi Rented 12th Finance Commission

Yes FW

239 South

Salmara PHC

Mathakata Rented NRHM-3 Yes FW

240 South

Salmara PHC

Sundarpara Rented NRHM-2 Yes FW

241 South

Salmara PHC

Nayaparowa Rented NRHM-3 Yes FW

242 South

Salmara PHC

Majerchar Chalakurarchar


Yes FW


243 South

Salmara PHC

Fulkakata Rented 12th Finance Commission

Yes FW

244 South

Salmara PHC

Tangvita River Block-9


245 South

Salmara PHC

Patakata (Med) Govt 12th Finance Commission

Yes Medical Damaged

246 South

Salmara PHC

Jamadarhat (Med)

Govt Yes Medical Erroted


CHAPTER- 2

Process for Plan Development

Preparation of an absolute DHAP (District Health Action Plan) is big deal. The whole

process is depended on the capacity of the officials of DPMU, incrages of all National Diseases

Control Programme and BPMU. Before going to do a plan it is essential to acquire the technical

know how of the subjects. Keeping in mind the NRHM in joint collaboration with RRC North East

designed a 4 days Capacity Building workshop for the officials of district. It was organized at

SIHFW, Khanapara, Guwahati 10th November to 13th November 2009. The course models are

developed by PHRN, Chhattisgarh (Public Health Resource Network

The following officials of Dhubri represented for the district.

Sl.No Name Designation

1 Dr. Nural Amin SDM & HO(HQ)

2 Dr. A. Bose SDM &HO- Raniganj PHC

3 Kurshed Alom DPM- NRHM

4 Maruf Alom DME-NRHM

5 Rabindra Borkakati DDM- NRHM Dhubri

In the 4 days training emphasised given on Learning by Doing approach. Almost every

lecture followed by Group Works. During the first day DHAP of 2009-10 were reviewed by Mission

Director of NRHM and Regional Director of RRC, NE.

As per discussion with Joint Director of Health Services cum Member Secretary, DHS

Dhubri a one day Capacity Building Workshop for the in-charge of All National Diseases Control

Programme, BPMU consisting SDM & HO, BPM, BAM and BEE was organized on 10th December

2009 at Joint Director of Health Services Conference Hall, Dhubri. All the major topics like

preparation of Village Health Action Plan, Training Plan, Quality Assurance, Monitoring Plan,

IEC/BCC, PPP, and HIMS are covered.

Instruction has been received from MD of NRHM vide email to attend Guwahati on 18th &

19th December 2009 along with the draft copy of DHAP 2010-11. .All the related information, data

& format were collected from respective sources like National Diseases Control Programme in-

charge, NFHS, DLHS, Censes of India various website etc.

Instruction of DO Letter of MD on Planning Process 2010-11, vide no; 109”)/2008-NRHM- I

dt 8th October 2009, Letter No 6-34/2009/NVBDCP (P & C) 2010-11, dt 14-10-09 issued by Joint

director Dr. P.K Srivastava and Letter No. M-11015/1/2009- M & E dt 9th October 2009 issued by

Director (Stats) were circulated to respective Programme officials and followed strictly while

activities were proposed in DHAP 2010-11.


District planning team fixed a date for submission of draft copy of Block Health Action Plan

(BHAP) along with 5 nos of Village Health Plansand Institutional plans to district and accordingly

all the BPHC has submitted. District planning team conducted a detailed study and analysed the

Goal-objective- strategy- activity-budget etc of respective Block. Comparing all the plans a

summarize DHAP for the year 2010-11 is prepared at district. During preparation of DHAP

special instruction, guideline and direction were frequently received from State Programme

Manager of NRHM via e-mail and over mobile phone also. Moreover, DHAP of 2007-08, 2008-09

and 2009-10 were the main reference for us, the last 3 years DHAP work like an encyclopaedia in

preparation of DHAP 2010-11 of Dhubri.


CHAPTER- 3

Situational Analysis Table: 3.1 District Profile– ≤ 400,000 (urban) currently under NRHM (Template-1)

S.No.

Background Characteristics

Dhubri Assam

Number % to total Number

1 Geographic Area (in Sq. Kms) 2797.78 3.56 % 78438

2 Number of blocks 14 6.39 % 219

3 Size of Villages (2001 Census) 26247

1-500 532

501-2000 638

2001-5000 181

5000+ 8

4 Number of towns 5

5 Total Population (2001) 1637344 6.14 % 26655528

-Urban 192443 5.59 % 3439240

-Rural 1444901 6.22 % 23216288

6 Sex Ratio (F/M*1000)

• Population Sex Ratio

• Child Sex Ratio

947:1000 965:1000

935

Decadal Growth rate 23.4 (DLHS III) 15.4 (SRS,09)

7 Density- per sq. km. 584 340

8 Literacy Rate (6+ Pop) 48.21 63.25

-Male 55.91 71.28

-Female 40.04 54.61

9 SC population ST population No. of Primary schools No. of Anganwadi Centres

63208 32523 1470 1792

4.8% 2.4%

1825949 3308570

10 Length of road per 100 sq. km.

12 No of villages having access to safe drinking water facility

1359

13 No of households having sanitation facility (Specify Type –sewer, septic tank)

42360

14 Population below poverty line 1171392

15

Health Status Morbidity Male Female Child

Mortality MMR IMR

480/100000 64/1000

16

Health Resources- Facilities (Specify level of Facility like Subcentre)

Personnel (Sanctioned Vacancy) Finances (Requirement and Releases)

17. 1.Birth rate and death rate 2. Fertility rate. 3. Disease maximum Disability. 4.High Risk Groups

1. 23.9 (BR) & 8.6 (DR) 2. 2.7 (Ind)

18. B.To link with the nutritional determinants- 1. % of Infants with low birth weight. 2. Weight for Age no. above 90%, 3. No between 60%-80%, 4. No. below 60% weight for age


Table: 3.2 Public Health Infrastructure in the District (Template-2)

Sl.No. Health Facility Number

Govt. Building Rented House

1 District Civil Hospital 1 Nil

2 Sub-Divisional Hospital 1 Nil

3 Primary Health Centre 7 Nil

4 Community Health Centre 5 Nil

5 Mini PHC 11 Nil

6 Subsidiary Health Centre 4 Nil

7 State dispensary 11 Nil

8 First Referral Unit 1 Nil

9 Dhubri Health & Maternity Cnetre 1 Nil

10 Urban Health Centre 0 1

11 No. of Sub-Centre in Dhubri District 120 126

12 No. of FW sub-centre 107 126

13 No. of Medical sub-centre 13 Nil

(Sources; Jt.DHS, Dhubri) Table: 3.2.1 Sub Centre (SC) Building Situation

PHC wise Sanction SC Govt. Building Rented

Dharmasala PHC 34 17 17

Raniganj PHC 48 21 27

Golokganj PHC 31 22 9

Chapor PHC 17 12 5

Halakura PHC 25 9 16

South Salmara PHC 46 10 36

Gazarikandi PHC 45 29 16

Total 246 120 126

(Sources; Jt.DHS, Dhubri)


Table: 3.3.1 Vacancy Posiion of Officers/Staffs under the Establishment Joint Director of Health Services, Dhubri as 30.11.09 Sl No Category of Post Sanction Stregth Staff in Position Vacancy

1 Jt. DHS 1 1 0

2 CM & HO (CD) 1 1 Attaching at MMC, Guwahati

3 Addl CM & HO (FW) 1 1 0

4 Supdt. Civil Hospital 1 1 0

5 SDM & HO & Its cadre 25 20 5

6 Sr. M & HO 48 31 17

7 M & HO-1 66 39 27

8 MO (Ayur) 20 19 1

9 Dental Surgeon 3 3 0

10 MO (Homeo) 2 2 0

11 PMA 1 1 0

12 SI 10 10 0

13 RHI 8 6 2

14 Health Asstt. 9 9 0

15 Vacinator 37 37 0

16 Driver 16 15 1

17 ANM 57 46 11

18 LHV 8 4 4

19 Opth Asstt 11 11 0

20 Cinema Operator 2 2 0

21 TB Health Visitor 2 2 0

22 Radiographar 7 5 2

23 Dresser 17 15 2

24 Lab Tech 29 29 0

25 Matron 1 0 1

26 Asstt Matron 1 0 1

27 Ward Sister 10 7 3

28 PHN 5 5 1 attached to Golaghat

29 PNO 1 1 0

30 Sister Tutor 4 4 0

31 Staff Nurse 78 53 25

32 BCG Technician 7 7 0

33 NMS 2 2 0

34 NMA 13 13 0

35 HE 11 11 0

36 Pharmacist 53 53 0

37 Gr-IV 216 211 5

38 Sweeper 63 54 9

39 Handyman 3 3 0

40 Dark Room Attendant 3 3 0

41 Head Assistant 1 0 1

42 UDA 15 15 0

43 LDA 24 21 3

44 M.L.O 1 1 0

45 Head Pharamist 1 1 0

46 Sr. Inspector of Drugs 1 1 0

47 Inpector of Drugs 1 1 0

48 Food Inspector 1 1 0

49 Asstt. Public Analysist 1 1 0

50 Research Asstt 1 1 1 duputed at Morigaon

51 Statistical Asstt 2 2 0

52 Statistical Computor 1 0 1

53 Statistical Clerk 2 1 1


Table: 3.3.2 Manpower Position in the Establishment of Addl.CM & HO (FW), Dhubri as on 11/12/2009

Sl No

Category of post No. of Sanction post In-Position Vacant Position

1 Addl. CM & HO (FW) 1 1 0

2 DIO 1 1 0

3 Sr. M & HO 7 4 3

4 M & HO-I 6 1 5

5 Adminsitrative Officer 1 0 1

6 Asstt. Accountant 1 1 0

7 Cashier 1 1 0

8 UDA 12 12 0

9 Dist. Extension & Media Officer

1 1 0

10 Dy. Extension & Media Officer

2 1 1

11 L.D.Asstt 3 2 1

12 S.I.(FW & UIP) 2 2 0

13 Steno Typist 1 0 1

14 Projectionist 1 0 1

15 D.P.H.N.S 1 1 0

16 Ref Mechanic 1 1 0

17 Artist cum Photographer

1 1 0

18 Lab. Technician 3 3 0

19 Pharmacist 1 1 0

20 B.E.E 7 7 0

21 Computer 7 1 6

22 Field worker 5 5 0

23 Field & Evaluation Worker

1 1 0

24 LHV 20 8 12

25 U.E.E 1 1 0

26 A.N.M 267 180 87

27 O.T. Nurse 2 1 1

28 Dhai 3 3 0

29 Driver 7 6 1

30 Gr-IV 18 8 10

Table 3.3.4 : Doctors Position of Dhubri District as on 11.12.09

Sl No

Name of Post Sanctioned

Strength Staff in Position Vacancy

1 Jt. DHS 1 1 0

2 CM & HO (CD) 1 1 0

3 Addl CM & HO (FW) 1 1 0

4 Supdt. Civil Hospital 1 1 0

5 Dy. Supdt 5 4 1

6 DIO (FW) 1 1 0

7 SDM & HO 19 14 5

8 Sr. M & HO 48 31 17

9 M & HO-1 66 40 26

10 MO (Ayur) 20 19 1


12 MO (Homeo) 2 2 0

Total 168 118 50


Table: 3.3.5 Staffs position of the District Health Society, NRHM, Dhubri as on 11.12.09

Sl No

Designation No. of Position Vacant Remarks

1 District Programme Manager 1 0

2 District Media Expert 1 0

3 District Warehouse Store Manager

1 0

4 District Accounts Manager 1 0

5 District Data Manager 1 0

6 Computer Assistant 1 0

7 Peon 1 0 Daily Basis

8 Block Programme Manager 7 1

9 Block Accounts Manager 9 0

10 Block PHC Accountant cum Asstt BPM

16 2

11 Consultant Paedrieatic 2 0

12 Consultant Anaesthist 0 2

13 MO (MBBS) 4 0

14 MO (MBBS) 1 yr rural posting 23 14

15 MO (Ayur) 17 0

16 RHP 10 0

17 Lab Tech 14 0

18 Pharmacist 7 0

19 GNM including MMU unit 69 0

20 ANM 230 0

21 Radio Graphar for MMU 1 0

22 Lab Tech for MMU 1 0

23 Pharmacist for MMU 1 0

24 Driver 3 0

25 Handyman 2 0

Table: 3.3.6 : PHC Wise Manpower Position of Malaria Deptt. As On 7.12.09

Dharmasala PHC

Sanction In positon Vacant

SMI 0 0 0

MI 1 1 0

Lab Tech 2 1 1

SI 5 5 0

SW 19 18 1

Driver 0 0 0


Golakganj PHC


SMI 1 1 0

MI 0 0 0

Lab Tech 1 1 0

SI 3 1 2

SW 15 15 0

Driver 0 0 0

Raniganj PHC


SMI 0 0 0

MI 1 1 0

Lab Tech 1 2 0

SI 5 5 0

SW 21 18 3

Driver 0 0 0

Halakura PHC


SMI 0 0 0

MI 1 1 0

Lab Tech 1 0 0

SI 2 2 0

SW 9 9 0

Driver 0 0 0

Chapor PHC


SMI 0 0 0

MI 1 1 0

Lab Tech 1 1 0

SI 3 3 0

SW 7 7 0

Driver 0 0 0

South Salamara PHC


SMI 1 1 0

MI 0 0 0

Lab Tech 1 1 0

SI 3 3 0

SW 15 11 4

Driver 0 0 0

Gazarikandi PHC


SMI 1 0 1

MI 1 1 0

Lab Tech 1 1 0

SI 4 4 0

SW 18 17 1

Driver 0 0 0

District Head Quarter

DMO 1 1 0

MI 1 1 0

AMO 1 1 0

Sr. Asstt 2 2 0

Jr. Asstt 2 2 0

SFW 4 2 2

FW 9 7 2

Driver 4 3 1

Night Chowkidar 4 1 3

Peon 2 1 1

Van Cleaner 3 3 0


Table: 3.4. Functionality of District Hospitals, CHCs, PHCs and Sub-Centers (In terms of availability of critical staff position) As On 11/12/2009 (Template-4)

Sl. No

Name of the Post Health Instistutionwise

Sanctioned strength of Doctors/staff

Staff in position

Vacancy Remarks

1 2 3 4 5

DHUBRI SUB-DIVISION

200 BEDED DIST. CIVIL HOSPITAL, DHUBRI

1 Supdt. 1 1 0

2 Dy. Supdt. 1 1 0

3 SDM & HO 4 4 0

4 Sr. M & HO 13 12 1

5 M & HO 6 6 0

6 M.O. (Ayr) 1 1 0

7 B.D.S. 1 1 0

8 M.O. (Homeo) 1 1 0

10 A.N.M. (G) 2 2 0

11 G.N.M. 37 33 4

12 GNM (NRHM) 0 12 0

13 SI (PH) 1 0 1

14 Gr. IV 57 50 7

15 Pharmacist 9 9 0

16 Driver 2 2 0

DIST. HEAD QUARTER

1 Jt. Director, DHS 1 1 0

2 CM& HO (CD) 1 1 0

3 SDM & HO 4 4 0

4 E.U. 1 1 0

5 MO (Ayur) 1 1 0

6 SI (PH) 1 1 0

7 P.M.A. 1 1 0

8 RHI 1 1 0

9 Grade-IV 17 15 2

10 Total Vacinator(posted under Different

PHC) 51 42 9

11 Total Driver Excluding DMEO(posted

in different Institution of Dhubri) 18 15 3

74 BEDED CHEST HOSPITAL, DHUBRI

1 Dy Suptd. 1 1 0

2 SDM & HO 1 1 0

3 Sr. M&HO (DTC) 1 1 0

4 M&HOI 1 1 0

5 Staff Nurse 8 6 2

6 Gr.IV 19 18 1

7 Sweeper 4 4 0

8 Pharmacist 2 2 0

9 Driver 2 2 0

DHARMASALA PHC

1 SDM&HO 1 1 0

2 Sr. M & HO 2 0 2

3 MO under NRHM 0 1 0


4 A.N.M. (G) 1 1 0

5 G.N.M. 2 0 2

6 Gr.IV 2 2 0

7 Sweeper 1 1 0

9 Pharmacist 1 1 0

10 SI (PH) 1 1 0

11 RHI(PH) 1 1 0

12 Health Assistant(PH) 2 2 0

GAURIPUR CHC & SHC/F W.M./C 6 BEDED

1 Sr. M & HO 2 2 0

2 M & HOI 3 1 2

3 M.O. (Ayr) 1 1 0

4 A.N.M. (G) 2 2 0

5 G.N.M. 3 2 1

6 Gr.IV 9 7 2

7 Sweeper 2 2 0

8 Pharmacist 2 2 0

9 GNM (NRHM) 0 4 0

10 SI (PH) 1 1 0


20 BEDED MATERNITY CENTRE, DHUBRI

1 Sr. M & HO 1 1 0

2 M & HOI 2 2 0

3 Ward Sister 1 1 0

4 G.N.M. 1 1 0

5 Gr.IV 8 8 0

6 Sweeper 1 1 0

7 GNM (NRHM) 0 3 0

TOWN STATE DISPENSARY

1 Sr. M & HO 1 1 0 Attached to CM carcade

2 M&HOI 1 1 0

3 Pharmacist 1 1 0

4 Gr.IV 2 2 0

5 Sweeper 1 1 0

GERAMARI MINI PHC

1 M&HOI 1 1 0

2 M.O. (Ayr) 1 1 0

3 MO (Ayur) under NRHM 0 1 0

4 A.N.M. (G) 1 1 0

5 Gr.IV 2 2 0

6 Sweeper 1 1 0

7 Pharmacist 1 1 0

ALOMGANJ MEDICAL SUB-CENTRE

1 A.N.M. (G) 1 1 0

2 ANM (NRHM) 0 1 0

3 Gr.IV 1 0 1

DURAHATI MEDICAL SUB-CENTRE

1 A.N.M. (G) 1 1 0

2 ANM (NRHM) 0 1 0

3 Gr.IV 1 1 0

BHOGDAHAR MEDICAL SUB-CENTRE

1 A.N.M. (G) 1 1 0


2 Gr.IV 1 1 0

HALAKURA PHC

1 SDM&HO 1 1 0

2 Sr. M&HO 2 1 1

3 M&HOI 1 0 1

4 M.O. (Ayr.) 1 1 0

5 A.N.M. (G) 4 3 1

6 Gr.IV 5 4 1

7 Sweeper 2 1 1

8 Pharmacist 1 1 0

9 SI (PH) 1 0 1


11 Driver 1 1 0

HALAKURA CHC

1 Sr. M&HO 1 1 0


3 G.N.M. 4 3 1

4 GNM (NRHM) 0 2 0

AGOMANI C.H.C.

1 Sr. M&HO 1 0 1

2 M&HO 4 4 0

3 M.O. (Ayr.) 1 1 0

4 G.N.M. 4 3 1

5 A.N.M. (G) 1 1 0

6 RHI (PH) 1 0 1

7 Gr.IV 4 4 0

8 Sweeper 1 1 0

9 Pharmacist 1 1 0

10 GNM (NRHM) 0 5 0

SATRASAL MINI P.H.C.

1 M&HOI 2 2 0 1 attached to Goalpara CH

2 GNM (NRHM) 0 2 0

3 Gr.IV 1 1 0

4 Sweeper 1 1 0

5 Pharmacist 1 1 0

BOTERHAT S/D

1 M&HOI 1 0 1

2 Gr.IV 2 2 0

3 Sweeper 1 0 1

4 Pharmacist 1 1 0

GOLAKGANJ P.H.C. & 8 BEDED M/C F.W.

1 SDM&HO 1 1 0

2 Sr. M&HO 2 1 0

3 M&HOI 1 0 1


5 M.O. (Ayr.) 1 1 0


7 GNM (NRHM) 0 6 0

8 Pharmacist 2 1 1

9 SI (PH) 1 0 1

DHEPDHEPI MINI P.H.C.

1 M&HOI 1 0 1



3 M.O. (Ayr.) 1 1 0

4 A.N.M. (G) 1 1 0

5 Gr.IV 4 3 1

6 Sweeper 2 2 0

7 Pharmacist 1 1 0

8 RHI (PH) 1 1 0

DUMARDAHA MINI PHC

1 M&HOI 1 1 0

2 Gr.IV 1 1 0

3 Sweeper 1 1 0

4 Pharmacist 1 1 0

MOTERJHAR S/D

1 M&HOI 1 1 0


3 A.N.M. (G) 1 1 0

4 Gr.IV 2 1 1

5 Sweeper 1 1 0

6 Pharmacist 1 1 0

KACHOKHAN S/D

1 M&HOI 1 0 1

2 MO (Ayur) 1 1 0


4 Lab Tech under NRHM 0 1 0

5 Pharmacist 1 1 0

6 GNM under NRHM 0 2 0

7 ANM 2 2 0

8 Gr-IV 1 1 0

RATIADAHA MEDICAL S/C

1 A.N.M. (G) 1 1 0

2 ANM (NRHM) 0 1 0

3 Gr.IV 1 1 0

PAGLAHAT MEDICAL. S/C

1 A.N.M. (G) 1 1 0

2 ANM (NRHM) 0 1 0

3 Gr.IV 1 1 0

BERBHANGI SD

1 M&HOI 1 1 0


3 Gr.IV 1 1 0

4 Sweeper 1 0 1

5 Pharmacist 1 1 0

BILASIPARA SUB-DIVISION

CHAPOR PHC

1 SDM&HO 1 1 0

2 Sr. M & HO 2 1 1

3 M&H.O.-I 2 0 2

4 M.O. (Ayr) 1 1 0


6 Pharmacist 2 2 0

7 A.N.M. 5 4 1

8 SI (PH) 1 0 1

9 RHI (PH) 1 0 1


10 Gr.IV 6 5 1

11 Sweeper 2 1 1

12 Driver 2 2 0

CHAPOR CHC (FRU)

1 Deputy Supdt. 1 1 0

2 Sr. M & HO 2 1 1

3 M&H.O.-I 2 2 0

4 Pharmacist 1 1 0

5 Staff Nurse 7 5 2

6 GNM (NRHM) 0 4 0

7 A.N.M. 1 1 0

8 Gr.IV 2 2 0

BAHALPUR S/D

1 M&H.O.-I 1 1 0


4 Pharmacist 1 1 0

5 GNM (NRHM) 0 1 0

6 Gr.IV 1 1 0

7 Sweeper 1 1 0

SALKOCHA SHC 6 BEDED M/C 1 M&H.O.-I 1 1 0 2 MO under NRHM 0 2 0 3 Pharmacist 1 1 0 4 Gr.IV 2 2 0 5 Sweeper 1 0 1

RANIGANJ PHC

1 S.D.M. & H.O. 1 1 0

2 Sr. M & HO 2 2 0

3 M.O. (Ayr) 1 1 0

4 Pharmacist 1 1 0

5 A.N.M.(G) 4 4 0

6 GNM (NRHM) 0 2 0


8 SI (PH) 1 1 0

9 Gr.IV 5 4 1

10 Sweeper 1 1 0

11 Driver 1 1 0

FUTKIBARI S/D

1 M&H.O.-I 1 1 0 deputed Goalpara CH


3 Pharmacist 1 1 0

6 M.O. (Ayr) NRHM 0 1 0

7 Gr.IV 1 1 0

8 Sweeper 1 1 0

LAKHIGANJ S/D

1 M&H.O.-I 1 1 0 Attached to Jothat


3 M.O. (Ayr.) NRHM 0 1 0

4 Pharmacist 1 1 0


5 Gr.IV 1 1 0

6 Sweeper 1 1 0

BILASIPARA SUB-DIVISION (HQ)

1 SDM&HO-I 1 1 0 Attached to Dhubri CH

BILASIPARA S.H.C. & F.W. 12 BEDED M/C

1 Sr. M & HO 1 1 0

2 M&H.O.-I 4 3 1

3 M.O. (Ayr.) 1 1 0



6 Pharmacist 1 1 0

7 A.N.M. (G) 1 1 0

8 Gr.IV 3 3 0

9 Sweeper 2 2 0

BAGRIBARI S/D

1 M & H.O.-I 1 1 0


3 Pharmacist 1 1 0

4 A.N.M. 1 1 0

5 Gr.IV 1 1 0

6 Sweeper 1 1 0

SAPATGRAM S.H.C. & F.W. 6 BEDED M/C

1 M&H.O.-I 3 1 2

2 M.O. (Ayr.) 1 1 0

3 Pharmacist 1 1 0

4 Staff Nurse 1 0 1

5 Gr.IV 2 2 0

6 Sweeper 1 0 1

BARKANDA MEDICAL. SUB-CENTRE

1 M.O. (Ayr.) 1 0 1


3 A.N.M.=1 1 1 0

4 Gr.IV 1 1 0

NAYERALGA MEDICAL. SUB-CENTRE

1 A.N.M.-=1 1 1 0

2 Gr.IV 1 1 0

SANTIPUR MPHC

1 M & HO-1 1 0 1


HATSINGIMARI SUB-DIVISION

SDCH

1 Dy. Supdt. 1 1 0

2 SDM & HO 1 1 0 On commuted leave

3 Sr. M & HO 4 1 3

4 M & HO 2 0 2


6 Pharmacist 2 0 2

7 Metron 1 0 1

8 W.Sister 2 0 2

9 Radigraphar 2 0 2

10 Lab Tech 1 0 1


11 Acctt cum cashier 1 1 0

12 UDA 1 1 0

13 LDA 1 1 0

14 Gr-IV 12 12 0

SOUTH SALMARA PHC

1 SDM&HO 1 0 1

2 Sr. M & HO 2 1 1

3 M&H.O.-I 3 0 3

4 M.O (Ayur) 1 1 0


6 A.N.M. (G) 5 1 4

7 Gr.IV 9 8 1

8 Sweeper 2 2 0

9 Pharmacist 1 1 0

10 SI (PH) 1 1 0

11 RHI (PH) 1 1 0

SOUTH SALMARA CHC

1 Deputy Supdt. 1 0 1

2 Sr. M & HO 3 0 3



5 G.N.M. 4 0 4

6 Driver 1 1 0

JARUA MPHC

1 M & HO 1 0 1


3 Pharmacist 1 1 0

4 Gr-IV 1 1 0

FAKIRGANJ MPHC

1 M & HO-1 1 1 0


3 Lab Tech 1 1 0

4 Gr-IV 1 1 0

CHIRAKUTI MPHC

1 M & HO-1 1 0 1


3 MO (Ayur) 0 1 0

4 Pharmacist 1 1 0

5 Gr-IV 1 0 1

MEDARTARI MINI PHC

1 M.O. (Ayur) 1 1 0


3 RHI (PH) 1 1 0

4 Gr.IV 1 1 0

5 Sweeper 1 1 0

6 Pharmacist 1 1 0

PATAKATA MEDICAL S/C

1 A.N.M. (G) 1 0 1

2 ANM (NRHM) 0 2 0

3 Gr.IV 1 1 0

JAMADARHAT MEDICAL S/C

1 A.N.M. (G) 1 0 1

2 Gr.IV 1 1 0


GAJARIKANDI PHC

1 SDM&HO 1 0 1

2 Sr. M & HO 2 2 0

3 M.O. (Ayr) 1 1 0


5 GNM (NRHM) 0 3 0

6 SI (PH) 1 1 0 attaced at Gauripur CHC

7 RHI (PH) 1 1 0


1 nos. H/A attached in Sukchar MPHC

HATSINGIMARI SHS

1 Sr. M & HO 1 1 0

2 HEB. Sr. M&HO 1 0 1

3 A.N.M. (G) 1 1 0

4 Staff Nurse 3 2 1

5 Gr.IV 4 3 1

6 Sweeper 1 1 0

7 Pharmacist 2 2 0

SDM&HO (HQ) HATSINGIMARI

1 Gr.IV 5 3 2

MANKACHAR CHC/FRU

1 Sr. M & HO 1 1 0

2 M&HO-I 3 3 0

3 Staff Nurse 3 0 3

4 GNM (NRHM) 0 5 0

5 Gr.IV 6 6 0

6 Sweeper 2 1 1

7 Pharmacist 2 2 0

MANKACHAR MINI PHC

1 Sr. M & HO 1 1 0

2 M&HO-I 2 0 2

3 A.N.M. (G) 1 1 0

MANKACHAR S/D

1 A.N.M. (G) 2 0 2

JHOWDANGA MINI PHC

1 M & HO – I 1 1 0


3 Gr.IV 1 1 0

4 Sweeper 1 1 0

KAKRIPARA MINI PHC

1 M.O. (Ayur) 1 1 0


3 Gr.IV 1 1 0

4 Sweeper 1 1 0

5 Pharmacist 1 1 0

SADULLABARI S.H.C.

1 M&HO-I 1 0 1


3 A.N.M. (G) 1 1 0

4 Gr.IV 3 2 1

SUKHCHAR MINI PHC


1 M & HO-I 1 1 0

2 M.O. (Ayur) 1 1 0

3 Gr.IV 4 4 0

4 Sweeper 1 1 0

5 Pharmacist 1 1 0

ADARSHAMANJURIGAON MEDICAL S/C

1 M.O. (Ayur) 1 0 1

2 M.O under NRHM 0 1 0

BAGHAPARA MEDICAL S/C

1 A.N.M. (G) 1 0 1

2 Gr.IV 1 1 0

HAZIRHAT MEDICAL S/C

1 A.N.M. (G) 1 1 0

3 Gr.IV 1 1 0

FEKAMARI MEDICAL S/C

1 A.N.M. (G) 1 1 0

2 Gr.IV 1 1 0


Table: 3.5. Status of Logistics in Dhubri District (Template-5)

Logistics Elements Description

Availability of a dedicated District warehouse for health department

Yes, Zonal Drug Ware House, Dhubri

Stock outs of any vital supplies in last year . -

Indenting Systems (from peripheral facilities to districts) Respective Institution makes their indents with last months

receipt, expenditure and balance in hands. In case of

Sub Center their indents comes through their respective PHC

with countersigned & submitted to the district.

Existence of a functional system for assessing Quality of Vaccine

Yes

Table: 3.6 Status of Logistics (Details about the training institution/s) (Template-6)

Details about the training institution/s

Name of the Institution: FHW/GNM training Centre, Dhubri Key issues

Physical Infrastructures Availability of lecture halls = No Lecture hall Training faculty = 7, deputation = 4 Residential accommodation for Trainees (men and women) = Dining hall = Not Available Furniture’s, = Not Sufficient Safe drinking water and electricity etc = Not Available

• 2 Class rooms is there for taking class.

• There is one room for all faculties.

• There is a Hostel for Girls.

• Electricity from Hospital

Provide details of Faculty (Sanctioned and In-position) with designation and specialization

Sanction post = 8 (Sister tutor/PHN) In Position = 7 (Sister Tutor = 3 & PHN = 4)

Availability of Teaching Aids, computers etc. Assessment of availability of common audio visual aids at the facility

Computer = 2 Laser Printer = 1 OHP = 2

Availability of annual training plans for the last year and achievements of the plan?

There is no Annual training plans, 46 nos. of GNM students completed 3 years course in the year 2005-2006.

Training activities under NRHM: i) Orientation / sterilization workshops on NRHM

- District level officers of related departments, sub district level officers, elected PRIs, field NGOs, faculty of ANMTCs/DTCs, block panchayat and Gram panchayat

ii) Training for strengthening of health system

- ASHA training - Skill based trainings

The districts are required to indicate the trainings conducted for all categories of health personnels with reference to the training load. The cumulative number of trained manpower and the number of trained during the current year along with percentage of achievement may be specified.

GNM trainees admitted on 25.5.06 for 3 years 6 months=48 nos ANM trainees admitted on 21.3.07 for 18 months=32 nos.


Table: 3.7 BCC Infrastructures in Dhubri District (Template-7)

Human Resources for BCC i.e. District Media officers, Dy Media officers and block level staff Any trainings the staff has undergone in media planning or material development in past five years Any functional Mass media audio- visual aids such as 16 mm projectors, Video cameras, VCD/DVD players

No Yes, LCD Projector-1

-Did the district prepare a BCC plan in the past year? -If yes, what BCC activities were planned and undertaken? -In the absence of plan, find out what BCC activities were undertaken?

No

Are there other institutions available in the private sector for conducting communication activities using modern media or folk media???

No

Table 3.8 Details of ICDS programme in Dhubri District (Template-9)

Sl No

Name of the Block with ICDS

Programme

Number of AWCs

CDPOs and ACDPOs

Supervisors

AWWs AW helpers

S F S IP S IP S IP S IP

1 Gauripur 198 198 2 1 9 9 198 198 198 198

2 Agomoni 151 151 1 1 6 5 151 151 151 151

3 Golakganj 115 115 1 1 4 4 115 115 115 115

4 Rupshi 146 146 1 1 5 5 146 146 146 96

5 Debitola 164 164 1 1 6 6 164 164 164 164

6 Bilasipara 103 102 1 1 3 2 103 102 103 102

7 Mahamaya 121 121 1 1 5 3 121 121 121 121

8 Nayeralga 77 77 1 1 3 3 77 77 77 77

9 Chapor-Salkocha 115 115 1 1 3 3 115 115 115 115

10 S.Salmara 109 109 1 1 3 3 109 108 109 108

11 Jamadarhat 78 76 1 1 1 1 78 76 78 78

12 Fekamari 139 139 1 1 4 3 139 139 139 139

13 Mankachar 152 152 1 1 5 2 152 152 152 150

14 Birsing Jarua 127 127 1 1 4 3 127 127 127 127

Total 1795 1792 15 14 61 52 1795 1791 1795 1741

(Source ICDS, Dhubri Office)

S = Sanctioned; F =Functioned and IP = In Position


Table: 3.9 Elected representatives to Panchayat institutions

Name of the block

Total

panchayat

villages

Total ZP

members

Total BDC/Mandal

members

Total Panchayat

Pradhans

Male Femal

e Male Female Male Female

A. Dhubri Sub Division

1 Gauirpur 150

7 6

10 5

2 Debitola 60 5 1

3 Rupshi 110 5 6

4 Golakganj 100 5 5

5 Agomoni 130 11 2

6 Hatidhura 40 4 0

Sub Total (A) 590 7 6 40 19

B. Bilasipara Sub Division 7 Chapor Salkocha 120

5 2

6 6

8 Bilasipara 100 6 4

9 Nayeralga 90 7 2

10 Mahamaya 120 6 6

Sub Total (B) 430 5 2 25 18

C. Hatsingimari Sub Division 11 Mankachar 150

4 4

9 6

12 Fekamari 140 10 4

13 South Salmara 130 10 3

14 Jamdarhat 90 7 2

15 Birsing Jorua 150 9 6

Sub Total (C) 660 4 4 45 21

(Source : ZP Office, Dhubri)

Total Panchyat Villages = 1680

Tatal No. of Panchyat = 168

Total ZP Members = 28 (Male = 16, Female = 12)

Total Panchyat Pradhan = 168 (Male = 110, Female = 58)

Table: 3.10 NAME OF THE NGOs WORKING IN HEALTH SECTOR IN THE DHUBRI DISTRICT: - (Template-11)

Sl No

Names of NGOs Address Remarks

1 Gauripur Vivekananda Club, Gauripur

P.O.-Gauripur Dist-Dhubri (Mother NGO of DHS, Dhubri)

MNGO, Dhubri

2 North Easr Zone Welfare Developments Society, Hatsingimari

Hatsingimari, Gazarikandi FNGO, Gazarikandi PHC

3 Social Activites voluntary Organisation, Mankachar

Mankachar, Gazarikandi FNGO, South Salmara

4 Legal Social Development Organisation, Dharmasala

Dharmasala, Dhubri FNGO, Dharmasala PHC

5 A Society for Human Resource Overall Management

Nayahat Bazar, Dhubri FNGO, Raniganj PHC


Table: 3.11 Key RCH Indicators

Key - Indicators, Reproductive and Child Health – Rapid Household Survey (RCH-RHS) For 1998-99 & 2002-04

INDICATORS

ASSAM DHUBRI

1998-99 2002-04 1998-99 2002-04

Marriage below 18 28.7 23.8 59.0 33.8

Birth order 3+ 45.9 40.6 52.7 50.9

Know all FP * 42.6 24.2 71.1 15.7

CPR any mode** 28.4 28.7 26.2 19.6

Unmet need 37.6 22.5 36.4 29.8

ANC 56.0 61.5 37.8 37.8

Full ANC 24.8 42.6 18.5 23.6

Institutional Delivery 23.8 26.8 11.5 10.6

Safe Delivery 31.9 33.2 17.4 13.0

MMR 398*** 490****

Full Vaccination 46.7 19.3 83.7 14.0

No Vaccination 11.6 23.6 1.6 28.2

Aware AIDS-Female 37.7 49.1 19.7 20.4

RTISTI-Female 28.5 24.3 42.4 21.8

Aware AIDS-Male 57.7 34.7

RTISTI-Male 15.1 1.3

RW-ANM 7.7 3.1 12.3 4.2

The above table shows the comparative data of different parameters of different health indicators of Assam, and Dhubri district.


Table 3.12: Key Health Indicators of Dhubri District [Source: DLHS-2(02-04)& DLHS-3(07-08)]

Indicators Assam Dhubri

DLHS-3 DLHS-2 DLHS-3 DLHS-2

Marriage and Fertlity

Marriage below 18 21.8 25.8 38.2 38.1

Birth Order 3 and above NA NA 32.9 53.0

% of births to women during age 15-19 out of total births 5.2 - 17.0 -

Currently used Family Planning Methods (Currently married women, age 15-49)

Any Method (%) 49.7 55.6 32.7 42.5

Any modern Method (%) 31.2 26.9 23.6 17.3

Female Sterlization (%) 10.7 11.6 2.2 4.5

Total Unmet need 26.1 23.6 37.2 32.4

Maternal Health

Mothers registered for ANC in the first trimaster during the last pregnancy (%)

39.4 38.5 20.7 -

Mothers who had at least 3 ANC visits during the last pregnancy (%)

45.1 39.4 21.9 20.9

Mothers who got atleast one TT injection when they were pregnant with their last live birth/still birth (%)

69.3 55.0 40.4 31.9

Institutional births (%) 35.3 23.2 15.8 8.5

Delivery at home assisted by a doctor/nurse/LHV/ANM (%) 7.7 9.2 3.8 3.0

Child Immunization

Children (12-23 months) who have received BCG (%) 80.5 61.3 73.7 38.0

Children (12-23 months) who have received Measles Vaccine (%)

65.2 33.7 43.4 18.8

Children (12-23 months) fully immunizaed 48.0 16.0 23.2 8.4

Child feeding practices

Children breastfed within one hour of birth (%) 65.7 50.6 70.0 -

Knowledge of HIV/AIDS and RTI/STI among Ever Married Women (age 15-49)

Women heard of HIV/AIDS (%) 54.8 44.0 41.6 15.2

Women heard of RTI/STI (%) 16.8 21.8 4.4 19.2

Knowledge of HIV/AIDS and RTI/STI among Un-married Women (age 15-24)

Women heard of HIV/AIDS (%) 72.2 - 54.5 -

Women heard of RTI/STI (%) 13.5 - 4.0 -

Women Facilitated/Motivated by ASHA for

Ante-natal Care (%) NA NA 13.3 -

Delivery at Health facility (%) NA NA 7.7 -

Use of Family Planning Methods NA NA 7.2 -


CHAPTER - 4 Progress Made During 2005-2009

Table 4.1:

Status of ASHA Block PHC wise (Excluding BTAD)

Sl. No

Name of PHC Estimated

Population as on Nov 2009

Status of ASHA during

07-08

Status of ASHA during

08-09 (Exculding

BTAD)

Status of AHSA during 09-10 as

on Jan’10

1 South Salmara PHC 332656 230 230 282

2 Halakura PHC 170500 150 150 172

3 Golakganj PHC 267224 200 225 266

4 Dharmasala PHC 322157 260 229 289

5 Raniganj PHC 323724 234 203 303

6 Chapor PHC 136200 140 125 139

7 Gazarikandi PHC 298692 230 204 275

Total 1851153 1444 1366 1726

Sl Name of the Block

PHC

No of ASHA Received Training

1st Module 2nd Module 3rd Module 4th Module 5th Module

1 Dharmasala BPHC 229 229 229 229 229

2 Golakganj BPHC 206 206 206 206 206

3 Halakura BPHC 160 160 160 160 160

4 Raniganj BPHC 201 201 201 201 201

5 Chapor BPHC 140 139 139 139 124

6 Gazarikandi BPHC 204 204 204 204 200

7 South Salmara BPHC 230 230 230 230 220

District Total 1370 1369 1369 1369 1340

Table 4.2: No. of VHND Observed Block PHC Wise during 06-07, 07-08, 08-09 & 09-10 (upto

Jan’10)

Sl Name of the BPHC/

Urban Center/ Reporting Unit

No of VHND 2006-07

No of VHND 2007-08

No of VHND 2008-09

No of VHND 2009-10 (upto

Jan’10)

1 Dharmasala BPHC 133 2877 2652 2086

2 Golakganj BPHC 3 679 2117 1666

3 Halakura BPHC 232 927 1599 1569

4 Raniganj BPHC 68 2193 2051 1652

5 Chapor BPHC 195 1516 1533 1240

6 Gazarikandi BPHC 66 1582 1894 1530

7 South Salmara BPHC 300 1414 2188 2327

Total: 997 11188 14034 12070


Table 4.3: Status of Village Health and Sanitation Committee of Dhubri District during 08-09 and 09-10 (upto June’09)

Sl No

Name of Block PHC No. of VHSC

formed during 08-09

No. of VHSC Acct Open

during 08-09

Achievement PC

No. of VHSC formed

during 09-10

No. of VHSC Acct Open

during 09-10

Achievement PC

1 Golakganj PHC 219 219 100.00% 209 209 100%

2 Dharmasala PHC 212 212 100.00% 212 212 100%

3 Halakura PHC 150 150 100.00% 160 160 100%

4 Chapor PHC 124 124 100.00% 124 124 100%

5 Raniganj PHC 201 196 97.51% 197 197 100%

6 South Salmara PHC 226 226 100.00% 223 223 100%

7 Gazarikandi PHC 190 179 94.21% 185 185 100%

Total 1322 1306 98.79% 1310 1310 100%

Table 4.4: INSTITUTION WISE DELIVERY REPORTS OF DHUBRI DISTRICT

Year: 2005-06

Sl. No

Name of PHC/District Hospital

Home Delivery Institutional Delivery Grand Total

1 Dharmasala 2621 27 2648

2 Golokganj 1630 241 1871

3 Halakura 1369 194 1563

4 Raniganj 1633 199 1832

5 Chapor 1184 59 1243


7 Gazakandi 916 74 990

8 Dhubri Civil Hospital 0 2896 2896

Total 10398 3690 14088

Year : 2006-07

Sl. No

Name of PHC/District Hospital

Home Delivery Institutional Delivery Grand Total

1 Dharmasala 3080 338 3418

2 Golokganj 1921 453 2374

3 Halakura 1561 495 2056

4 Raniganj 2490 553 3043

5 Chapor 1310 252 1562


7 Gazakandi 1664 335 1999

8 Dhubri Urban 0 2568 2568

Total 13614 4994 18608


Year: 2007-08

Sl No. Name of PHC/Urban Unit Name of the Institution

Home Delivery

Institutional Delivery

Grand Total

1 Dhubri Urban Dhubri CH

37 3448

3945 20 Bed MC. Dhubri 460

2 Chapor PHC

Chapor FRU

1735

764

2716

Bahalpur SD 45

Salkocha SHC 133

Jalikura SC 3

Soulmari SC 7

Champabati SC 26

Noonmati SC 1

Dhirghat SC 1

Bamungaon SC 1

3 Halakura PHC

Agomoni CHC

1424

661

3229 Halakura CHC 883

Satrasal SD 86

Boterhat SD 175

4 Dharmasala PHC

Gouripur CHC

2737

419

3971 Dharmasala PHC 719

Kazigaon SD 57

Debitola SD 39

5 Gazarikandi PHC Mankachar CHC

1749 306

3530 Gazarikandi PHC 1475

6 Golakganj PHC Golakganj PHC 1769 1024 2793

7 Raniganj PHC

Raniganj PHC

2340

266

3722

Bilasipara SHC 759

Sapatgram SHC 258

Lakhiganj SD 91

Futkibari SD 8

8 South Salmara PHC Bolodmara SC 3630 3 3633

Total 15421 12118 27539

Year: 2008-09 Sl No. Name of PHC Name of Institution Home Institutional Total

1 Dhubri Urban Dhubri Civil Hospital

0 4102

4517 20 Beded Mat. Cen. 415

2 Chapor PHC

Chapor FRU

1195

642

2069 Bahalpur SD 56

Salkocha SHC 176

3 Halakura PHC

Agomoni CHC

1064

651


Satrasal SD 93

Boterhat SD 171

4 Dharmasala PHC Gouripur CHC

2314 399

3368 Dharmasala PHC 655

5 Gazarikandi PHC Mankachar CHC

2034 632

4173 Gazarikandi PHC 1507

6 Golakganj PHC

Golakganj PHC

1624

1261

3547 Tamarhat MPHC 609

Kachokhan SD 48

Moterjhar SD 5

7 Raniganj PHC

Raniganj PHC

2554

176

3976

Bilasipara SHC 828

Sapatgram SHC 231

Lakhiganj SD 142

Futkibari SD 45

8 South Salmara BPHC 2780 0 2780

Total 13565 14143 27708


Year: 2009-10 (Upto Jan’10)

Sl No.

Name of PHC Name of Institution Home

Delivery Institution Delivery

Total

1 Dhubri Urban

Dhubri Civil Hospital

0

4054

4355

20 Beded Mat. Cen. Dhubri 301

2 Chapor PHC

Chapor FRU

916

731

1788 Bahalpur SD 36

Salkocha SHC 105

3 Halakura PHC

Agomoni CHC

646

594


Satrasal MPHC 110

Boterhat SD 132

4 Dharmasala

PHC

Gouripur CHC 1971

331 2780

Dharmasala PHC 478

5 Gazarikandi

PHC

Mankachar CHC 1960

783 4305

Gazarikandi PHC 1562

6 Golakganj

PHC

Golakganj PHC

1135

1248

3416

Tamarhat MPHC 616

Kachokhan SD 200

Moterjhar SD 147

Dhepdhepi MPHC 70

7 Raniganj PHC

Raniganj PHC

2196

127

3722

Bilasipara SHC 997

Sapatgram SHC 202

Lakhiganj SD 136

Futkibari SD 64

8 South Salmara

PHC 2652 0 2652

Total 11476 14339 25815


Table 4.5: JSY BENEFICIARIES OF DHUBRI DISTRICT

Year : 2005-06

Name of Health Institution

Home Delivery


Total

Chapor PHC 30 8 38

Gazarikandi PHC 157 9 166

Raniganj PHC 22 0 22

Total 209 17 226

Year : 2006-07

Name of PHC Name of Health Institution

Home Delivery


Total

Chapor PHC

Chapor PHC

996

82

1307 Salkocha SHC 5

Bohalpur SD 6

Chapor FRU 218

Golakganj PHC Golakganj PHC 1526 416 1942

Halakura PHC

Halakura PHC

993

406

1565 Agomoni CHC 134

Boterhat SD 31

Satrasal SD 1

Dharmasala PHC Dharmasala PHC

1340 96

1588 Gauripur CHC 152

Gazarikandi PHC Gazarikandi PHC 2238 358 2596

Raniganj PHC

Raniganj PHC

1017

100

1618 Bilasipara SHC 324

Sapatgram SHC 177

South Salmara PHC S.Salmara PHC 2753 0 2753

Urban Unit

Dhubri Urban 100 464

1803 Dhubri Civil Hosp 962

Dhubri 20 Bed MC 277

Total 10963 4209 15172

Year : 2007-08 Sl No. Name of PHC Name of Institution Institutional Delivery

1 Dhubri Urban Dhubri Civil Hospital 2996

20 Bed Maternity centre, Dhubri. 467

2 Chapor PHC

Chapor FRU 688

Bahalpur SD 45

Salkocha SHC 130

Jalikura SC 3

Soulmari SC 7

Champabati SC 10

Noonmati SC 1

Dhirghat SC 1

Bamungaon SC 1

3 Halakura PHC

Agomoni CHC 738

Halakura CHC 879

Satrasal SD 88

Boterhat SD 193

4 Dharmasala PHC

Gouripur CHC 282

Dharmasala PHC 719

KazigaonSD 46

Debitola SD 7

5 Gazarikandi PHC Mankachar CHC 258

Gazarikandi PHC 1179

6 Golakganj PHC Golakganj PHC 1007

7 Raniganj PHC

Raniganj PHC 203

Bilasipara SHC 564

Sapatgram SHC 181

Lakhiganj SD 58

Futkibari SD 1

8 South Salmara PHC Bolodmara SC 3

Total 10755


Year : 2008-09

Sl No.

Name of PHC Name of Institution Total

1 Dhubri Urban Dhubri Civil Hospital 3201

20 Beded Mat. Cen. Dhubri 405

2 Chapor PHC

Chapor FRU 379

Bahalpur SD 60

Salkocha SHC 146

3 Halakura PHC

Agomoni CHC 591

Halakura CHC 1124

Satrasal SD 75

Boterhat SD 174

4 Dharmasala

PHC Gouripur CHC 436

Dharmasala PHC 610

5 Gazarikandi

PHC Mankachar CHC 426

Gazarikandi PHC 757

6 Golakganj PHC

Golakganj PHC 1259

Tamathat MPHC 473

Kachokhana SD 48

Moterjhar SD 0

7 Raniganj PHC

Raniganj PHC 176

Bilasipara SHC 730

Sapatgram SHC 204

Lakhiganj SD 143

Futkibari SD 50

Total 11467

Year: 2009-10 (Upto Jan’10)

Sl

No. Name of

PHC Name of

Institution April May June July Aug Sept Oct Nov Dec Jan Total

1 Dhubri Urban

Dhubri Civil Hospital

195 134 207 492 465 211 1031 856 0 0 3591

20 Beded Mat. Cen

31 13 14 20 36 0 35 40 46 37 272

2 Chapor

PHC

Chapor FRU 0 0 0 216 161 91 72 55 70 92 757

Bahalpur SD 0 0 0 10 4 5 2 2 5 0 28

Salkocha SHC 0 0 0 10 5 24 3 5 14 14 75

3 Halakura

PHC

Agomoni CHC 3 0 39 144 22 89 104 12 0 0 413

Halakura CHC 0 0 137 513 180 4 223 168 0 0 1225

Satrasal MPHC 0 0 0 38 30 0 17 0 0 0 85

Boterhat SD 0 0 0 43 41 0 32 0 0 0 116

4 Dharmasala

PHC

Gouripur CHC 0 1 1 92 38 1 2 35 0 0 170

Dharmasala PHC

0 0 149 27 0 0 172 62 0 0 410

5 Gazarikandi

PHC

Mankachar CHC 0 0 255 0 195 0 193 0 97 0 740

Gazarikandi PHC

0 0 0 494 423 0 0 0 436 0 1353


Sl No.

Name of PHC

Name of Institution

April May June July Aug Sept Oct Nov Dec Jan Total

6 Golakganj

PHC

Golakganj PHC 0 0 197 0 86 0 114 223 164 0 784

Tamathat MPHC 0 48 223 0 0 0 161 0 72 0 504

Kachokhana SD 14 6 9 0 0 0 82 0 35 0 146

Moterjhar SD 0 0 25 10 4 0 33 23 0 0 95

Dhepdhepi MPHC

0 0 0 4 0 0 51 0 11 0 66

7 Raniganj

PHC

Raniganj PHC 0 0 30 12 14 11 12 0 31 21 131

Bilasipara SHC 1 0 58 257 97 6 0 0 309 220 948

Sapatgram SHC 15 8 50 7 4 0 50 10 35 15 194

Lakhiganj SD 0 0 41 10 18 2 0 0 0 74 145

Futkibari SD 4 3 5 4 9 3 7 0 0 0 35

Total 263 213 1440 2403 1832 447 2396 1491 1325 473 12283


Table 4.6: STATUS OF CIVIL WORK UNDER NRHM, DHUBRI AS ON 5.11.09

STATUS OF CIVIL WORK UNDER NRHM, DHUBRI DISTRICT AS ON 31.7.09

Rs. 30 Thousand allotted for Maintenance & Repairing of Health Institution (as reported by BPHC Incharge)

Sl No

Name of Block PHC

Name of Institution/SC

Implementing Agency

Fund alloted

per institution

Financial year

Type of

work

Progress of work in % age

Remarks

1 Dharmasala PHC

Madaikhali S/C

HMC 0.30 lac ‘05-06 M&R 100% Completed

2 Alomganj S/C HMC 0.30 lac ‘05-06 M&R 100% Completed

3 Golakganj PHC

Ratiadaha S/C HMC 0.30 lac ‘05-06 M&R 100% Completed

4 Biskhowa S/C HMC 0.30 lac ‘05-06 M&R 100% Completed

5 Chapor PHC

Airarjhar S/C HMC 0.30 lac ‘05-06 M&R 100% Completed

6 Raniganj PHC

Borogirai S/C HMC 0.30 lac ‘05-06 M&R 100% Completed

7 Borkanda S/C HMC 0.30 lac ‘05-06 M&R 100% Completed

8 Halakura PHC

Chagolia S/C HMC 0.30 lac ‘05-06 M&R 100% Completed

9 Ranpagli S/C HMC 0.30 lac ‘05-06 M&R 100% Completed

10 Gazarikandi PHC

Fekamari S/C HMC 0.30 lac ‘05-06 M&R 100% Completed

Rs. 50 Thousand allotted for Maintenance & Repairing of Health Institution during 2005-06 (as reported by BPHC Incharge & inspection report of JE, NRHM)

Sl No

Name of Block PHC

Name of Institution

Implementing Agency

Fund allotted per institution

Progress of

work in % Age

Remarks

1 South Salmara PHC

Medartari SC HMC 0.50 lac 100% completed

2 Dharmasala PHC

Geramari MPHC HMC 0.50 lac 100% Completed

3 Golakganj PHC Kachokhana MPHC

HMC 0.50 lac 100% Completed

4 Golakganj PHC Dhepdhepi MPHC


5 Chapor PHC Salkocha MPHC HMC 0.50 lac 100% Completed

6 Raniganj PHC Sapatgram MPHC


7 Raniganj PHC Lakhiganj MPHC HMC 0.50 lac 100% Completed

8 Raniganj PHC Futkibari MPHC HMC 0.50 lac 100% Completed

9 Halakura PHC Boterhat SD HMC 0.50 lac 100% Completed

10 Gazarikandi PHC

Jhowdanga MPHC



Rs. 1 lakh allotted for Maintenance & Repairing of Health Institution (as reported by BPHC Incharge & inspection report of JE, NRHM)

Sl.No Name of

Institution Implementing

Agency

Fund alloted per institution

Financial year

Type of

work

Progress of work in %

Age Remarks

1 Halakura PHC HMC 1 lac ‘06-07 MSR 100% Completed

2 Golakganj PHC HMC 1 lac ‘06-07 M&R 100% Completed

3 Dharmasala PHC HMC 1 lac ‘06-07 M&R 100% Completed

4 Raniganj PHC HMC 1 lac ‘06-07 MSR 100% Completed

5 South Salmara PHC

HMC 1 lac ‘06-07 M&R 100% Completed

6 Gazarikandi PHC HMC 1 lac ‘06-07 M&R 100%

Completed only staff quarter

repaired.

7 Chapor PHC HMC 1 lac ‘06-07 M&R 100% Completed

Rs. 1 lakh allotted for Maintenance & Repairing of Health Institution (as reported by BPHC Incharge & inspection report of JE, NRHM)

Sl No

Name of Block PHC

Name of Institution

Implementing Agency

Fund alloted

per institution

Financial year

Type of

work

Progress of work

in % Age

Remarks

1

Halakura PHC

Rangpagli S/C HMC 1 lac 06-07 MSR 100% Completed

2 Chagolia S/C HMC 1 lac 06-07 MSR 100% Completed

3 Gharialdanga S/C

HMC 1 lac 06-07 MSR 100% Completed

4 Kharbari S/C HMC 1 lac 06-07 MSR 100% Completed

5

Golakganj PHC

Protapganj S/C HMC 1 lac 06-07 MSR 100% Completed

6 Rakhalpat S/C HMC 1 lac 06-07 MSR 100% Completed

7 South Raipur S/C

HMC 1 lac 06-07 MSR 100% completed

8 Bishkhowa Bazar S/C


9 Sonahat S/C HMC 1 lac 06-07 MSR 100% Completed

10 Harirhat S/C HMC 1 lac 06-07 MSR 100% Completed

11 Madhyapetla S/C


12 Chaghar S/C HMC 1 lac 06-07 MSR 100% Completed

13

Dharmasala PHC

Debitola S/C HMC 1 lac 06-07 MSR 100% Completed

14 Madhusoulmari S/C


15 Baraibari S/C HMC 1 lac 06-07 MSR 100% Completed

16 Jhaleralga S/C HMC 1 lac 06-07 MSR 100% Completed

17 Madaikhali S/C HMC 1 lac 06-07 MSR 100% Completed

18 Gaspara S/C HMC 1 lac 06-07 MSR 100% Completed

19

Chapor PHC

Bahalpur S/C HMC 1 lac 06-07 MSR 100% Completed

20 Arerjhar S/C HMC 1 lac 06-07 MSR 100% Completed

21 Nunmati S/C HMC 1 lac 06-07 MSR 100% Completed

22 Falimari S/C HMC 1 lac 06-07 MSR 100% Completed

23 Raniganj Chotogiraj S/C HMC 1 lac 06-07 MSR 100% Completed,


24 PHC Tamokobari

S/C HMC 1 lac 06-07 MSR 100% Completed

25 Rabantari S/C HMC 1 lac 06-07 MSR 100% Completed

26 Silabari S/C HMC 1 lac 06-07 MSR 100% Completed

27 Kaimari S/C HMC 1 lac 06-07 MSR 100% Completed

28 Buchirchar S/C HMC 1 lac 06-07 MSR 100% Completed

29 Aysakati S/C HMC 1 lac 06-07 MSR 100% Completed

30

South Salmara

PHC

Bauskata S/C HMC 1 lac 06-07 MSR 100% Completed

31 Muthakhowa S/C


32 Bhalukkandi S/C


33 Salkata S/C HMC 1 lac 06-07 MSR 100% completed

34 Medertari S/C HMC 1 lac 06-07 MSR 100% Completed

35

Gazarikandi PHC

Kalapani S/C HMC 1 lac 06-07 MSR 100% completed

36 Kuchnimara S/C


37 Manullapara S/C


38 Borona S/C HMC 1 lac 06-07 MSR 100% Completed

39 Borealga S/C HMC 1 lac 06-07 MSR 100% Completed

40 Kukurmara S/C HMC 1 lac 06-07 MSR 100% Completed

Rs. 2 lakh allotted for Maintenance & Repairing of Health Institution (as reported JE, NRHM)

Sl No

Name of Block PHC

Name of Institution

Implementing

Agency


Financial year

Type of

work

Progress of work

in % Age

Remarks

1 Halakura PHC

Agomoni CHC HMC 2 lac 06-07 M&R 100% Completed

2 Halakura CHC HMC 2 lac 06-07 M&R 100% Completed

3 Dharmasala PHC

Gauripur CHC HMC 2 lac 06-07 M&R 100% Completed

4 Chapor PHC Chapor CHC HMC 2 lac 06-07 M&R 100% Completed

Rs. 5 Lakhs allotted for Up gradation of BPHC to 24x 7delivery Services during the year 06-07, Sources : PWD report as on 24.9.08 & AE, NRHM report as on 05.05.09

Sl No

Name of Institution

Implementing Agency


Financial

year

Type of work Progress of work

in % Age

Remarks

1 Dhepdhepi MPHC

Dist Const. Committ.

5.0 lac 06-07 24x 7Hr Delivery

Service 100% completed

2 Kachokhana SD




3 Satrasal SD Dist Const. Committ.



4 Salkocha SHC Dist Const. Committ.



5 Lakhiganj SD Dist Const. Committ.




Rs. 5 Lakhs allotted for Up gradation of BPHC to 24x 7delivery Services during the year 07-08, Sources : PWD report as on 31.7.09

Sl No

Name of Institution

Implementing Agency


Financial year

Type of work Progress of work in

% Age

Remarks

1 Moterjhar SD Dist Const. Committ.



2 Sadullabari SHC




3 Kakripara SD Dist Const. Committ.


Service 100%

Work Just completed

4 Basbari SD Dist Const. Committ.


Service 100%

Work completed

5 Sapatgram SHC



Service 100%

Works completed

Rs. 6 Lakhs allotted for Up gradation of PHCs to 24x 7delivery Services during the year 08-09, Sources : PWD report as on 31.01.10

Sl No

Name of Institution

Implementing Agency


Financial year


% Age Remarks

1 Dumardaha MPHC



Service 100%

Work completed

2 Bogribari SD



Service 100%

Work completed

3 Berbhangi SD



Service 90%

Work in progress

4 Jhowdanga SD



Service 100%

Work completed

5 Boterhat SD Dist Const. Committ.



Rs. 6 Lakhs allotted for Up gradation of PHCs to 24x 7delivery Services during the year 08-09, Source : PWD report as on 31.01.10

Sl No

Name of Health Inst

Implementing Agency


Financial year


in % Age Remarks

1 Jarua MPHC Dist Const. Committ.


Service 45%

Work in progress

2 Bilasipara SHC Dist Const. Committ.


Service 55% Work in progress

3 Futkibari SD Dist Const. Committ.



4 Santipur MPHC Dist Const. Committ.



5 Tamarhat MPHC Dist Const. Committ.



6 Geramari MPHC Dist Const. Committ.




Rs. 5.3 Lakhs allotted for Up gradation of 24X7 hr delivery of BPHC during the year 05-06 and 07-08 under NRHM

Sources : AE, NRHM as on 24.7.08

Sl No

Name of Institution

Implementing Agency

Fund Allotted per institution

Financial year


%

Remarks

1 Raniganj PHC HMC 5.3 lac ‘05-06 Upgradation to 24 hr delivery

100% Completed

2 Golakganj PHC HMC 5.3 lac ‘05-06 Upgradation to 24 hr delivery

100% Work completed

3. Dharmasala PHC Dist. Const. Committee

5.3 Lac ‘07-08 Upgradation to 24 hr delivery

100% Work completed

Rs.7.4 lakhs allotted for Up gradation of Health Institution to 24 x 7 hr Delivery services as on 31.03.08

Sl No

Name of Institution

Implementing Agency

Fund alloted

Financial year


in % Age

Remarks

1 20 beds MC

Dhubri Town & Country

Planning 7.4 L 06-07

Upgradation to 24 hr delivery

100% Completed

2 Agomoni

CHC Dist. Const. Committee

7.4 L ’07-08 Upgradation to 24

hr delivery 100%

Completed and handed

over

Rs. 14.9 Lakhs allotted for Up-gradation of BPHC to FRU during the year 2006-2007 (Source : PWD building report as on 30.05.09 and AE, NRHM report as on 24.9.08)

Sl No

Name of Institution

Implementing Agency

Fund allotted

Type of work

Progress of work in

percentage

Remarks

1 Golakganj PHC PWD

Building 14.9 lac

BPHC to FRU

100% Work completed

2 Gazarikandi PHC HMC 14.9 lac BPHC to

FRU 100% Work completed

Repairing of Doctor's Quarter and Staff Quarter during 07-08 (Source : PWD building report as on 30.5.09 & AE, NRHM report as 31.3.09)

Sl No Name of

Institution/PHC/CHC/SD etc

Fund alloted

Implementing Agency

Type of work Progress of work in % age

Remarks

1 Gauripur CHC PWD (B) Doctors & Staff Quarter 100% Work completed

2 Chapor CHC PWD (B) Doctors & Staff Quarter 100% Work completed

3 Raniganj PHC PWD (B) Doctors & Staff Quarter 100% Work completed

4 Halakura CHC PWD (B) Doctors & Staff Quarter 100% Work completed

5 Satrasal MPHC PWD (B) Doctors & Staff Quarter 100% Work completed

6 Boterhat SD PWD (B) Doctors & Staff Quarter 100% Work completed

7 Gazarikandi PHC PWD (B) Doctors & Staff Quarter 100% Work completed

Repairing of Doctor's Quarter and Staff Quarter during 08-09 (Source : PWD report as 31.01.10)

Sl No Name of


Fund alloted

Implementing Agency in

2008-09 Type of work


Remarks

1 Dharmasala PHC 6.0 L PWD (B) Doctors & Staff Quarter 100% Work completed

2 Lakhiganj SD 6.0 L PWD (B) Doctors & Staff Quarter 58% Work progress 3 Salkocha SHC 6.0 L PWD (B) Doctors & Staff Quarter 100% Work completed 4 Bilasipara SHC 6.0 L PWD (B) Doctors & Staff Quarter 100% Work completed 5 Futkibari SD 6.0 L PWD (B) Doctors & Staff Quarter 100% Work completed 6 Geramari MPHC 6.0 L PWD (B) Doctors & Staff Quarter 100% Work completed


Construction of Stabilization Unit during 08-09, Source : PWD report as on 31.01.10

Sl No Name of


Fund alloted

Implementing Agency

Type of work


Remarks

1 Dharmasala BPHC,

4.2 L Dist Const Committ

Stabilization unit

40%

2 Golakgnaj BPHC 100%

3 Raniganj BPHC, 85%

4 Gazarikandi BPHC, 30%

5 Chapor CHC, 60%

6 Gauripur CHC, 11%

7 Halakura CHC, 100%

8 Agomoni CHC, 60%

9 Mankachar CHC, 35%

10 Sapatrgam SHC, 75%

11 Bilasipara SHC and 85%

12 20 beded Maternity Centre 20%

Construction / Upgradtion of Twon SD to FRU during 08-09

Sl No Name of


Fund alloted

Implementing Agency

Type of work Progress of work in %

age Remarks

1 Town SD 14.43 L Const

Committ

Construction of Ground floor of 2 9two) st R.C.C Bldg (with a provision of Assam Type 1

st floor)

for upgradation of town state dispensary to FRU standard in the campus of Old Civil hospital, Dhubri

70% Work in progress


Table 4.7: Status of Civil Work Implemented by PWD Building

Rural Health Block Pooling Complex during 2006-07 (Source : PWD report as on 31.12.09)

Sl No

Name of Block PHC

Name of Institution

Fund alloted

Implementing Agency

Type of work

Progress of work in %

age Remarks

1 Chapor PHC

Chapor CHC

100 L PWD

(Building)

Block Pooling

Complex 100% Work completed

2 Gazarikandi PHC

Mankachar CHC

100 L PWD

(Building)

Block Pooling

Complex 100% Work completed

3 Halakura PHC

Halakura CHC

100 L PWD

(Building)

Block Pooling

Complex 86% Work in progress

CHC to IPHS standard during 06-07 (Source : PWD building report as on 31.7.09)

Sl No

Name of Institution


Implementing Agency

A.A letter no Progress of

work in % age Remarks

1 Chapor CHC

40 L PWD

(Building)

NRHM/ESTIMATE/DHUBRI/405/2996

dtd. 23-10-06 100% Work completed

2 Mankachar

CHC 40 L

PWD (Building)

100%

Work completed and Handed over

3 Halakura

CHC 40 L

PWD (Building)

100% Work completed

4 Gauripur

CHC 40 L

PWD (Building)

NRHM/ESTIMATE/DHUBRI/405/5659

dtd. 5-12-06 100%

Work completed and Handed over

Construction of Doctor's Quarter and Nurses Quarter during 06-07 (Source : PWD building report as on 5.11.09)

Sl No

Name of Institution/PHC/CHC/SD etc

Fund alloted

Implementing Agency


% age Remarks

1 Golakganj PHC 28.80 L PWD (B) Doctors & Nurse

Quarter (Assam Type) 100% Work completed

2 Bilasipara SHC 28.80 L PWD (B) Doctors Qtr (1unit) &

Nurse Qtr (3 unit) 100% Work completed

3 Gauripur CHC 28.80 L PWD (B) Doctors Qtr (1unit) &

Nurse Qtr (3unit) 100% Work completed

4 South Salmara CHC 28.80 L PWD (B) Doctors Qtr (1unit) &

Nurse Qtr (3 unit) 100%

Work completed except electrification

5 Bogribari SD 28.80L PWD (B) Doctors Qtr (1unit) &


6 Dhepdhepi MPHC 28.80L PWD (B) Doctors Qtr (1unit) &


Construction of 200 beded Civil Hospital, Dhubri (Source : AE report as on 31.1.10)

Sl No Name of


Fund alloted

Implementing Agency


Remarks

1 Dhubri Civil hospital PWD (B) Construction of 200 beded Civil hospital



RCC GNM School cum Hostel Building for 100 Nursing students (Source : PWD building report as on 31.12.09)

Sl No Name of


Fund alloted

Implementing Agency


Remarks

1 Dhubri Civil Hospital PWD (B) RCC GNM School cum Hostel Building


Construction of Wards in Dhubri District During 2008-09 (Source : PWD report as on 31.01.10)

Sl No Name of


Fund alloted

Implementing Agency


Remarks

1 Salkocha SHC Assam Type Ward 80% Work in progress

2 Lakhiganj SD 70% Work in progress

3 Satrasala MPHC 70% Work in progress

Table 4.8: Perormance Of Mobile Mdical Unit, Dhubri During 08-09 & 09-10 (Upto Jan’10)

Month During 08-09 During 09-10 (upto Jan’10)

Total

No of Camps held 60 79 139

No of Patient Treated 9878 12597 22475

No of ANC 540 765 1305

No of PNC 469 117 586

No of X-Ray 3 0 3

No of USG 0 3 3

No of ECG 0 0 0

No of Patient examined for Blood Test 361 252 613

No of Patient examined for Urine Test 201 108 309

No of Patient examined for Stool Test 0 79 79

Table 4.9: Performance Of Boat Clinic Service , Dhubri during 07-08, 08-09 & 09-10 (upto Jan’10)

During 07-08

During 08-09

During 09-10 (upto Jan’10)

Total

No. of camps 11 143 173 327

Genral Health Checkup 2083 23129 20165 45377

ANC 106 772 426 1304

PNC 39 515 43 597

Routine Immunization (BCG+OPVII+OPVIII+B+DTI+DTII+Measles+TTI + TT2)

223 2253 3167 5643

Vitamin A 5 15 21 41

Family Planning 43 1189 1334 2566

IPPIP 0 0 0 0

Sppl Vacnation 0 0 0 0


Table 4.10: Performance Of Evening Opd Services, Dhubri during 08-09 & 09-10 (Upto Jan’10)

Sl No

Name of the Inst

During 08-09 During 09-10

Day OPD

Evening OPD

% over Day OPD

Day OPD

Evening OPD

% over Day OPD

1 Chapor FRU 39524 8758 22.16% 51055 14029 27.48%

2 Dhubri Civil

Hospital/Dhubri Health & Maternity Centre

106854 13351 62.92% 38075 11078 29.10%

3 Golakganj PHC 19171 2994 15.62% 29450 5982 20.31%

4 Mankachar CHC 20902 2950 14.11% 37377 7310 19.56%

5 Agomoni CHC 10200 2272 22.27% 15319 4690 30.62%

6 Gauripur CHC 11768 1260 10.71% 21589 2690 12.46%

7 Bilasipara SHC 18279 2052 11.23% 32267 5516 17.09%

Total 226698 33637 14.84% 225132 51295 39.82%

Table 4.11: Status of Training/workshop conducted by DHS, Dhubri

Sl. No

Name of the Training Trainee Duration During the year

1 ASHA facilitator Training

2 BTT Training for 1st Module Block Training Team

3 ASHA induction Training 1st Phase at BPHC

ASHA

4 ASHA induction Training 2nd Phase at BPHC

ASHA

4 BTT Training for 2nd,3rd,4th & 5th Module

Block Training Team 6 Days 2007-08

5 Workshop for NRHM staff BPMU/MO(ayur) 2 Days 2007-08

6 Management of Immunization ANM 1 day 2007-08


Table 4.12: UIP performance Report of Dhubri District

year

Infa

nt

Targ

et

BCG PC DPT PC OPV PC Measles PC PW

target TT PC

2004-0

5

39175 35335 90.20% 28589 72.98% 28589 72.98% 27126 69.24% 44602 39036 87.52%

2005-0

6

38906 43300 111.29% 29940 76.95% 29940 76.95% 28609 73.53% 46285 38660 83.53%

2006-0

7

38906 41238 105.99% 40484 104.06% 40484 104.06% 25224 64.83% 46285 40301 87.07%

2007-0

8

49356 50150 101.61% 42251 86% 42251 86% 44207 90% 54840 49485 90.24%

2008-0

9

42479 47107 110.89% 39576 93.17% 39576 93.17% 36511 85.95% 50184 41529 82.75%

2009-1

0

(Upto

Jan’1

0)

50723 35530 70.05% 32528 64.13% 32365 63.81% 31357 61.82% 57622 38837 67.40%

Table 4.13: Family Welfare Performance of Dhubri District

YEAR METHOD TARGET ACHIEVEMENT PERCENTAGE

2006-2007

Sterilisation 3500 28 0.80%

I.U.D/Copper-T (insertion) 4000 703 17.57%

O.P.(User) 3000 1689 56.30%

C.C.(User 4000 1979 49.47%

2007-2008



O.P.(User) 2828 1675 59.23%

C.C.(User 3073 1512 49.20%

2008-2009



O.P.(User) 3000 2433 81.10%

C.C.(User) 3100 2444 78.84%

2009-2010 (Upto Jan’10)



O.P.(User) 4700 2875 61.17%

C.C.(User) 4700 2685 57.13%


Table 4.14: Status Report of Majoni Scheme as on 31st Jan’10 of Dhubri District

Sl Reporting Month

No of Girl Child born during the month

(Source Live Birth - HMIS Report)

No of beneficiaries

submitted application form

No of Fixed Deposite issued

Total Fund Utilised

1 Feb-09 375 10 5 25,000.00

2 Mar-09 478 6 0 0.00

3 Apr-09 437 7 0 0.00

4 May-09 364 3 0 0.00

5 Jun-09 354 195 0 0.00

6 Jul-09 495 277 99 495,000.00

7 Aug-09 645 94 96 480,000.00

8 Sep-09 851 193 85 425,000.00

9 Oct-09 832 94 60 300,000.00

10 Nov-09 719 407 25 125,000.00

11 Dec-09 629 385 326 1,630,000.00

12 Jan-10 638 114 0 0.00

Total 6817 1785 696 3,480,000.00

Table 4.15: Status Report of Mamoni Scheme as on 30th Nov'09 of Dhubri District

Name of the BPHC

Total No of Pregnant Women

Register for ANC

Total no of PW completed ANC visit

Total no release of Payment for mamoni

Scheme Fund Utilization

1st 2nd 3rd 1st

Installment 2nd

Installment

Golakganj BPHC 6042 6015 5494 3463 226 106 166,000.00

Dharmasla BPHC 6536 6508 3592 3301 162 148 155,000.00

Halakura BPHC 3364 1142 1354 1991 336 63 199,500.00

Raniganj BPHC 7280 6606 1815 2381 400 0 200,000.00

Chapor BPHC 2994 2994 1936 2097 292 97 194,500.00

South Salmara BPHC 9149 9149 4484 4133 145 145 145,000.00

Gazarikandi BPHC 7831 7721 4456 2977 192 192 192,000.00

Dhubri Civil Hospital 615 615 491 174 340 99 219,500.00

Dhubri Health & Maternity Centre

1131 1131 877 787 210 190 200,000.00

44942 41881 24499 21304 2303 1040 1,671,500.00

Table 4.16: Status of ASHA Incentive for Full Immunization as on 31st Jan’10

SL No Name of BPHC Target for Fully

Imunization Infants fully immunized

Incentive of Rs. 250 received by ASHA

Total Amount

1 South Salmara BPHC 9002 6040 2963 740750.00

2 Halakura BPHC 6078 4575 1271 317750.00

3 Dharmasala BPHC 6832 6070 2487 621750.00

4 Golakgnaj BPHC 8378 6108 1227 306750.00

5 Gazarikandi BPHC 8200 8138 1458 364500.00

6 Raniganj BPHC 8792 6535 1761 440250.00

7 Chapor BPHC 4452 3238 2051 512750.00

Total 51734 40704 13218 3304500.00


Table: 4.17 Performance Report of National Disease Control Programme of Dhubri District

Table: 4.17.1: National Vector Borne Diseases Control Programme (NVBDCP)

(Report from Jan 2004 to Dec 2008) of Dhubri District

Year Total

Population

No. of B/S Species R.T. given

Death due to Malaria

Incidence

Coll. Eaxm Pos Pv Pf Conf. DigABERSPR SFR API AFI Pf%

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

2004 1618945 93223 93223 1149 84 1065 1149 Nil Nil 5.75 1.23 1.14 0.71 0.65 92.30%

2005 1667208 94314 94314 1066 71 995 1066 Nil Nil 5.65 1.13 1.05 0.63 0.59 93.30%

2006 1692358 1308331308332432321 2131 2432 6 Nil 7.73 1.85 1.62 1.43 1.25 87.60%

2007 1725283 1217121217121977182 1795 1977 18 Nil 7.05 1.62 1.47 16.2414.7490.79%

2008 1729694 1243341243341411 98 1313 1411 Nil Nil 7.18 1.13 1.05 11.3410.5693.05%

2009 (Upto

Nov’09)1728860 1137451137451513 67 1446 1513 4 Nil 6.57 1.33 1.27 0.87 0.83 95.57%

Table: 4.17.2: National Leprosy Eradication Programme in Dhubri District (NLEP)

Year

New cases detected during the year

Cases discharged during the year

Total No of Leprosy cases under treatment

2002-03 81 76 76

2003-04 63 53 86

2004-05 70 88 68

2005-06 46 54 60

2006-07 32 16 76

2007-08 47 50 73

2008-09 51 54 70

2009-10 (Upto Oct’09)

37 20 87


Table: 4.17.3: National Programme for Control of Blindness (NBCP)

Table: 4.17.3.1 Cataract Performance of Dhubri District

YEAR IOL

2006-07 866

2007-08 768

2008-09 426

2009-10 (Upto Nov’09)

402

Table: 4.17.3.2: School Eye Screening (SES) Performance of Dhubri District.

Sl No Activity 2006-07 2007-08 2008-09 2009-10

(upto Nov)

1

No. of Teachers trained in Screening for Refractive Errors

362 63 Nil Nil

2 No of school going Children Screened

5100 8273 4271 5199

3

No of school going Children detected with Refractive Errors

95 418 189 167

4 No of school going Children provided with free glass

41 378 229 84

Table: 4.17.4: Performance of RNTCP for the last 4 Quarters ie. July’08 to June’09

TB Unit

Total number of patients put on treatment

Annualized total case

detection rate (per lakh pop)

No of new smear positive cases put on treatment

Annualized New smear positive case detection rate (per lakh p op)

Cure rate for cases detected in the last 4 corresponding

quarters

Plan for the next year

Proportion of TB

patients tested for

HIV Annualized NSP CDR

Cure rate

(85%)

3Q-08

4Q-08

1Q-09

2Q-09

3Q-08

4Q-08

1Q-09

2Q-09

3Q-08

4Q-08

1Q-09

2Q-09

3Q-08

4Q-08

1Q-09

2Q-09

3Q-08

4Q-08

1Q-09

2Q-09

Dhubri DTC TU

275

175

149

196

74

47

71

94

92

37

53

58

67

27

69

75

86.5

86.8

86.5

86.5

70% or more

85%

Figure not available at present

Gauripur TU

-

156

135

172

- 61

59

76

- 58

46

69

- 62

48

72

- - - - 70% or more

85%

Bilasi

para TU

134

133

107

154

50

49

47

68

61

60

53

74

61

60

63

88

87.8

87.7

86

91 70%

or more

85%

Gazarikandi TU

173

91

104

96

60

31

47

44

55

29

31

42

52

27

38

52

78.2

89.2

88.3

85.2

70% or more

85%


Table4.18: PROGRESS OF BIRTH AND DEATH REGISTER Deptt.

PERFORMANCE YEAR TOTAL NO OF BIRTH TOTAL NO OF DEATH

2005 28357 3294

2006 30944 3451

2007 31544 3109

2008 33628 3057

2009 (Upto Oct’09) 24710 2903

PERFORMANCE YEAR INFANT DEATH MATERNAL DEATH STILL BIRTH

2005 5 0 131

2006 2 4 92

2007 32 19 234

2008 100 25 286

2009 (Upto Oct’09) 104 21 239

Table4.19 : PROGRESS OF HEALTH CHECKUP IN DHUBRI SCHOOL under School Health Deptt.

PERFORMANCE YEAR TOTAL NO. OF SCHOOLS

COVERED TOTAL NO. OF STUDENTS COVERED

2005 198 21295

2006 184 23319

2007 187 23166

2008 173 21211

2009(Upto Oct’09) 201 22837

Table 4.20 : Progress under AIDS control Programme

A. Performance of ICTC (Integrated Counseling and Testing Centre) – General in Dhubri East : 28-05-03 Working : 03-12-03 Counseling Details/Positive Cases

YEAR PRE-TEST

TEST POST TEST

POSITIVE CASES TOTAL

MALE FEMALE

2003 83 83 62 2 2 4

2004 195 195 195 2 3 5

2005 176 176 174 2 1 3

2006 409 409 397 3 4 7

2007 1608 1153 1153 5 0 5

2008 1660 1620 1620 2 8 10

2009 (Upto Nov’09) 1873 1869 1851 4 2 1

G. Total 6004 5505 5452 20 15 35

B. Performance of ICTC –PPTCT in Dhubri District

East/Working : 01-01-07

Counciling Details/Positive Cases

YEAR PRE-TEST

TEST POST TEST

POSITIVE CASES TOTAL

MALE FEMALE

2007 1640 1576 1576 0 1 1

2008 1718 1749 1593 0 2 2

2009 (upto Nov’09) 3556 3548 3538 0 2 2

G.Total 6914 6873 6707 0 5 5

Positive Casese in the District : 40 (Male =20 & Female = 20)

AIDS Cases = 7 (till Nov’09)

Death = 7 (till Nov’09)


Table: 4.21 .Progress of IEC activity in Dhubri District: Progress during 2009-10. A). Under Emergency management fund:

Sl.No Name of the IEC/BCC activity Languages Quantit

y Remarks

1. 1/8 Size Leaflets on Malaria Assamese 25000

copies Distributed to Malaria Prone area and to DMO

2 Poster Assamese 6000

copies Do

3 Flex Banner on Swine Flu Assamese 200 nos Installed in BPHC wise

prominent places

4 Leaflets on Swine Flu Assamese 50000

copies Distributed in BPHC wise

5 Leaflets on Diabetes Assamese 3000

copies Distributed during World Diabetes day

B). Workshop & Meeting

Sl.No Name of the IEC/BCC

activity Conducted by Quantity Remarks

1 Focus Group Discussion BEE 480

2 Focus Group Discussion HE 660

3 Focus Group Discussion LHV 840

4 Awareness meeting on

breastfeeding at Dist HQ DPMU 1 no DC attend the

meeting on 3rd August 09

5 Awareness meeting on Breastfeeding at BPHC

BPMU 7 nos Local MLA, BDO, etc attended.

6 Awareness meeting on

Diabetes DPMU 1 no In connection world

diabetes Day.

C). Miking

• Weekly Miking in all session day is going on.

• BPHC wise Cassette on Immunization, malaria prepared.

• Centrally a Cassette is prepared on Diabetes.

• During Observation of world breastfeeding week mike is done round the District

• During Health Mela 2009 Miking was done in all 3 places of health mela by respective

BPHC

D). Screening of Films

• For adolescent Health Clinic a Hind Film Hari Bari is provided to all the BPHC for

screening and accordingly they have screened.

• On 22nd November 2009 Some Diabetes awareness videos screened at The Town Club

Dhubri premises during the Diabetes Awareness cum Free Blood Sugar Estimation Camp.

• Screening of Film on Breastfeeding on 3rd August 2009 at Jt. DHS Conference Hall Dhubri

during observation of World Breast feeding Week.


E). General IEC

Sl.No Name of the IEC/BCC activity Languages Quantit

y Remarks

1 Installation of Hoarding Boards

on EOPD Assamese 7 nos

Installed in the health institution where EOPD is launched

2 Supply of Digital Still Camera to

BPMU 10 nos

Out of IEC fund the camera were procured

3 Information Board for SC on Flex Assamese 492 nos Subject are JSY, Immunization,

FP, ASHA, MMU, Majoni etc

4 Hoarding Boards Assamese 35 nos Installed in all BPHC areas,

JSY, FP

5 Newsletter Bi lingual 4000

copies

6 Annual Report English 4000

copies

7 Street Play 84 nos Covering all the district street

plays are organized on Malaria, JSY, FP, and Immunization.

8 Rallies on Breastfeeding 7 nos BPHC wise really organized.

9 Poster on Health Meal 2009 Assamese 6000

copies Hanged in prominent places

10. Cloth Banner for Health Mela

2009 Assamese 45 nos Displayed at prominent places.

11. Leaflets on malaria, JSTY,

ASHA etc Assamese

21000 copies

Distributed to the audiences

12. Hand Bill on EOPD Assamese 10000 copies

Distributed during Health Mela

F). Other Activity:

Yoga:

• 20 nos of School has been selected and MoU singed among Deputy Commissioner, Head Master and NGO.

• 40 % of the total approved budget has been released to NGO as per MoU.

• NGO- North East Apex Body has already engaged physical instructor to the 20 ns of selected school and Yoga programme already started

School Health Awareness Programme:.

• District level convergence meeting held with SSA on 30th October 2009 at SSA office Dhubri and finalized the programme.

• Initially 100 nos of Schools were selected for the programme.

• Block level Convergence meeting with SSA officials has been organized and strategy is prepared.

Now as per action plan School Health Awareness Programme in 100nos of School is going on successfully.


CHAPTER - 5

INDICATIVE FORMAT FOR CURRENT STATUS AND TARGETS

RCH II GOAL STATE: ASSAM

Current status

(specify year & source)

Target

10-11 11-12

MMR 480 (SRS 2004-06) <350

IMR 64 (SRS 2008) <58

TFR 2.7 (SRS 2007) <2.4

RCH OUTCOMES Current Status

(year & source)

TARGET

10-11 11-12

Maternal Health

1. % of pregnant women receiving full ANC coverage (3 ANC checks, 2 TT injections & 100 IFA

Tablets)

Overall 21.9% (DLHS 3)

2007-08

35% 55%

2. % of pregnant women age 15-49 who are anaemic

Overall 72.0%

(NFHS3 2005-06)

3. % of births assisted by a doctor/nurse/LHV/ANM/other health personnel

Overall 19%

(HMIS web portal)

30% 45%

4. % of institutional births


2007-08

40% 50%

5. % of mothers who received post partum care from a doctor/ nurse/ LHV/ ANM/ other health personnel within 2 days of delivery for their last birth


2007-08

35%

Child Health



(year & source)

TARGET

10-11 11-12

6. % of neonates who were breastfed within one hour of life


2007-08

80% 90%

7. % of infants who were breastfed exclusively till 6 months of age


2007-08

50% 60%

8. Children (6-24 months) who received solid or semisolid food and still being breastfed (%)

Overall 97.7 % (DLHS 3)

2007-08

100% 100%

9. % of children 12-23 months of age fully immunized


2007-08

80% 90%

10. % of children 6-35 months of age who are anaemic

Overall 76.7%

(NFHS3 2005-06)

60% 40%

11. Children (above 21 months) who have received three doses of Vitamin A (%)


2007-08

30% 50%

12. % of children under 3 years age with diarrhoea in the last 2 weeks who received ORS


2007-08

60% 75%

13. % of children under 3 years age who are underweight

Overall 17.81%

(HMIS web portal)

10% 5%

Family Planning

14. Knowledge of all modern family planning method


2007-08

45% 60%

15. Contraceptive prevalence rate (limiting methods)

Male Sterilization 6.65%

(HMIS Report)

20% 30%

Female Sterilization 5.54%

(HMIS Report)

40% 50%

16. Contraceptive prevalence rate (spacing methods)

Oral Pills 48.13%

(HMIS Report)

60% 80%



(year & source)

TARGET

10-11 11-12

IUDs 14.76%

(HMIS Report)

30% 50%

Condoms 43.96%

(HMIS Report)

60% 80%

17. Unmet need for spacing methods among eligible couples

Overall 10.1% (DLHS 3) 2007-08

8% 5%

18. Unmet need for terminal methods among eligible couples


2007-08

20% 10%


RCH INTERMEDIATE INDICATORS

CURRENT

STATUS a

(year,

source)

TARGET (cumulative) b

10–11 (quarter-wise) 11-12

Q1 Q2 Q3 Q4

Infrastructure

1. No. and % of PHCs upgraded to

provide 24X7 RCH services (as per

GOI guidelines)

Out of 29

nos. 18

nos. Inst

completed

and

Handed

over

6

2

3 -

2. No. and % of health facilities upgraded to FRUs, fulfilling the minimal criteria per the FRU guidelines (at

least 3 critical criteria)

a. District Hospitals

b. Sub-district/ Civil Hospitals

c. CHCs

d. Block PHCs

3. No. and % of functional Sub-Centres c 246 nos.

4. No. and % of health facilities that

have operationalised IMEP guidelines

Human Resources

5. No. and % of ANM positions filled d 230

(NRHM)

180 (FW)

46 (jt

DHS),

Total= 456

nos. of

ANM

posted at

SC and

Other inst

ie 93%

filled up

29 29 29 29



CURRENT

STATUS a

(year,

source)



Q1 Q2 Q3 Q4

6. No. and % of specialist positions filled

at FRUs d

O&G -2

Ananes-

1(trained)

Dental -1

Paed-1

all are

posted at

Chapor

FRU

O&G-1, Ped-1, Anaes-2, Med -2

Dental-1, Eye –2, Surgeo –2 should

be posted at Chapor and Mankachar

FRU

Programme Management

7. % of district action plans ready Yes

Financial Management

8. % of districts reporting quarterly

financial performance in time

Yes

Logistics / Procurement

9. % of district not having at least one

month stock of

a. Measles vaccine

b. OCP

c. EC Pills

d. Surgical Gloves

0%

10. % of sub-centres supplied Kit A and

Kit B in the last 6 months

246 nos. of

SC

supplied

with Kit A

and Kit B ie

100%

246 (Kit A & B) 246 (Kit A & B)

Training

11. No. and % of Medical Officers trained in

a. Management of Common Obstetric

Complications

b. Life-saving anaesthesia skills 1 4

c. EmOC 1 4 4. 4 4.

d. RTI/STI 12 3 3 2 2

e. Safe Abortion Services - 4 4 4 2

f. MTP using other methods 6 5 5 5 -



CURRENT

STATUS a

(year,

source)



Q1 Q2 Q3 Q4

g. IMNCI 13 - - - -

h. Facility Based Newborn care - - - - -

i. Care of sick children and severe

malnutrition

- - - - -

j. NSV 2 1 1 1 1

k. Laparoscopic sterilisation 6 - - - -

l. Minilap (Abdominal Tubectomy) 4 (MO-

2,OT-2

MO-1

OT-1

MO-1

OT-1

- -

m. IUD insertion 13 8 8 8 4

n. ARSH - - - - -

o. IMEP - - - - -

12. No. and % Staff trained in SBA

a. ANM 53 3 3 3 3

b. LHV 10 - - -

c. Staff nurse 57 6 6 6 6

13. No. and % Staff trained in RTI/ STI

a. ANM - 4 4 4 2

b. LHV - 2 2 2 1 nos.

c. Staff nurse - 4 4 4 2

d. Lab Technician - 2 2 2 -

14. No. and % Staff trained in IMNCI

a. ANM 455

b. LHV

c. AWW 1791

d. Staff nurse

15. No. and % of staff nurses trained in

Facility Based Newborn Care

16. No. and % of ASHAs trained in Home

Based Newborn Care

17. No. and % Staff trained in IUD insertion

a. ANM 29 30 30 30 30



CURRENT

STATUS a

(year,

source)



Q1 Q2 Q3 Q4

b. LHV 9 - - - -

c. Staff nurse 17 10 10 10 10

18. No. and % of staff trained in ARSH

a. ANM

b. LHV

c. Staff nurse

d. Programme Managers

19. No. and % of state and district

program managers trained on IMEP

20. No. and % of health personnel who

have taken Contraceptive Updates

Maternal Health

21. % of ANC registrations in 3 ANC

Checkup

49.68%

(Upto

Jan’10

report of

HMIS)

10% 15% 15% 20%

22. % of 24 hrs PHCs conducting

minimum of 10 deliveries/month

14 nos.

PHC

23. No. and % of health facilities providing RTI/STI services

a. SDHs Nil

b. CHCs Nil

c. PHCs Nil

24. No. and % of health facilities providing Safe Abortion services (including MVA/ EVA and medical

abortion)

a. DHs

40 nos

MVA kit

b. SDHs

c. CHCs

d. PHCs

25. No. and % of planned Monthly Village

Health and Nutrition Days held (even if

budgeted under NRHM Part B)

12070

(86%)

(Monthly

Report upto

Jan’10)

25% 25% 25% 25%



CURRENT

STATUS a

(year,

source)



Q1 Q2 Q3 Q4

Child Health

26. No. of districts where IMNCI logistics

are supplied regularly

27. No. and % of health facilities with at

least one provider trained in Facility

Based Newborn Care

Family Planning

28. No. and % of health facilities providing Female Sterilization services

a. DHs 7.24% (upto

Jan’10)

b. SDHs 0

c. CHCs 0

d. PHCs 0

29. No. and % of health facilities providing Male Sterilization services

a. DHs 0

b. SDHs 0

c. CHCs 0

d. PHCs 10.6% (upto

Jan’10)

30. No. and % of health facilities providing IUD insertion services

a. CHCs 19.82%

(upto

Jan’10)

5900 nos. of Beneciciary

b. PHCs

c. Sub centres

31. No. of accredited private institutions providing:

a. Female sterilisation services

b. Male sterilisation services

c. IUD insertion services

32. % of districts with Quality Assurance

Committees (QACs)

33. % of district QACs having quarterly

meetings



CURRENT

STATUS a

(year,

source)



Q1 Q2 Q3 Q4

34. % of planned Female Sterilisation

camps held in the quarter Nil 12 12 12 12

35. % of planned NSV camps held in the

quarter 4 21 21 21 21

Adolescent Reproductive and Sexual Health

36. % of ANC registrations in first

trimester of pregnancy for women <

19 years of age

37. No. and % of health facilities providing ARSH services

a. FRUs

b. CHCs

6 4

c. PHCs

38. No. and % of health facilities with at

least one provider trained in ARSH

Innovations/PPP/NGO

39. No. of districts covered under MNGO

scheme

40. No. of MNGO proposals under

implementation (received funding for

planned activities)

1 nos.

MNGO

Monitoring and Evaluation

41. % of districts reporting on the new

MIES format on time

yes

BCC/ IEC

42. No. and % of districts with

decentralised BCC/IEC strategy/

plans

Yes


CHAPTER - 6

GOALS, OBJECTIVE, STRATEGY AND

ACTIVITIES UNDER DIFFERENT

COMPONENTS OF NRHM


National Rural Health Mission

Recognizing the importance of Health in the process of economic and social development

and improving the quality of life of our citizens, the Government of India has resolved to launch

the National Rural Health Mission to carry out necessary architectural correction in the basic

health care delivery system. The Mission adopts a synergistic approach by relating health to

determinants of good health viz. segments of nutrition, sanitation, hygiene and safe drinking

water. It also aims at mainstreaming the Indian systems of medicine to facilitate health care. The

Plan of Action includes increasing public expenditure on health, reducing regional imbalance in

health infrastructure, pooling resources, integration of organizational structures, programmes of

health manpower, decentralization and district management of health programmes, community

participation and ownership of assets, induction of management and financial personnel into

district health system, and operationalizing community health centers into functional hospitals

meeting Indian Public Health Standards in each Block of the Country.

The Goal of the Mission is to improve the availability of and access to quality health care

by people, especially for those residing in rural areas, the poor, women and children.

The National Rural Health Mission (2005-12) seeks to provide effective healthcare to rural

population throughout the country with special focus on 18 states, which have weak public health

indicators and/or weak infrastructure. It also seeks to reduce the Maternal Mortality Rate (MMR) in

the country from 407 to 100 per 1,00,000 live births, Infant Mortality Rate (IMR) from 60 to 30 per

1000 live births and the Total Fertility Rate (TFR) from 3.0 to 2.1 within the 7 year period of the

Mission.

These 18 States are Arunachal Pradesh, Assam, Bihar, Chhattisgarh, Himachal Pradesh,

Jharkhand, Jammu & Kashmir, Manipur, Mizoram, Meghalaya, Madhya Pradesh, Nagaland,

Orissa, Rajasthan, Sikkim, Tripura, Uttaranchal and Uttar Pradesh.

6.1 Goals of the Mission: � Reduction in Infant Mortality Rate (IMR) and Maternal Mortality Ratio(MMR)

� Universal access to public health services such as women’s health, child health, water,

sanitation & hygiene, immunization and nutrition

� Prevention and control of communicable and non-communicable diseases, including

locally endemic diseases

� Access to integrated comprehensive primary health care

� Population stabilization, gender and demographic balance

� Revitalize local health traditions and mainstream AYUSH

� Promotion of healthy life styles


The overall objectives is to increase coverage and quality of services as envisaged under

the National Rural Health Mission is to bring about outcomes in the Millennium Development

Goals, the National Population Policy, National Health Policy, minimizing the regional variations in

the areas of maternal and child health, communicable diseases and primary health and the health

sector strategies.

Thus the broad objectives are as follows:

� To improve the accessibility of poor and un reached groups to curative, preventive,

promotive and rehabilitative health services

� To reduce maternal and child mortality, and the burden of communicable, non

communicable and nutrition-related diseases and disorders

� To ensure quality at all levels of health and medical care services

� To maintain excellence in education and research in medicine and all allied professions

(including management)

In order to achieve the above broad objectives there is a need further focus on the following objectives:

� Ensure that the whole population has access to a range of evidence based and

affordable health promotion and prevention services

� Promote appropriate health seeking behaviour by all citizens

� Ensure universal equity of access to simple curative and emergency services

� Ensure that quality primary Health Care remains pre-eminent as the central strategic

health priority for the district

� Ensure that the health systems necessary to provide such services, which are

accountable to clients and are effective, are developed and strengthened in line with

international best practices

� Actively engage in partnerships with PRI, civil society groups, NGOs, the private sectors

and other development partners


6.2 Outcomes of the Mission � Infant Mortality Rate reduced to 30/1000 live births � Maternal Mortality Ratio reduced to 100/100,000 � Total Fertility Rate Reduced to 2.1 � Malaria Mortality Reduction Rate- 50% upto 2010, additional 10% by 2012 � Kala Azar Mortality Reduction Rate – 100% by 2010 and sustaining elimination until 2012 � Filaria/Microfilaria Reduction Rate: 70% by 2010, 80% by 2012 and elimination by 2015 � Dengue Mortality Reduction Rate: 50% by 2010 and sustaining at that level until 2012 � Japanese Encephalitis Mortality Reduction Rate: 50% by 2010 and sustaining at that level

until 2012 � Cataract Operation: increasing to 46 lakhs per year until 2012 � Leprosy Prevalence Rate: reduce from 1.8/10,000 in 2005 to less than 1/10,000 thereafter � Tuberculosis DOTS Services: Maintain 85% cure rate through entire Mission period � Upgrading Community Health Centres to Indian Public Health Standards � Increase utilization of First Referral Units from less than 20% to 75% � Engaging female Accredited Social Health Activits (ASHA)

Community level � Availability of trained Community level worker at village level, with a drug kit for generic

ailments � Health Day at Anganwadi level on a fixed day/month for provision of immunization, ANC

and PNC checkups and services related to mother & child health care, including nutrition � Availability of generic drugs for common ailments at Sub Centre and hospital level � Good hospital care through assured availability of doctors, drugs and quality services at

PHC/CHC level � Improved access to Universal Immunization through induction of Auto Disabled Syringes,

alternate vaccine delivery and improved mobilization services under the programme � Improved facilities for institutional delivery through provision of referral, transport, escort

and improved hospital care subsidised under the Janani Suraksha Yojana (JSY) for the Below Poverty Line families.

� Availability of assured health care at reduced financial risk through pilots of Community Health Insurance under the Mission

� Provision of household toilets � Improved outreach services through mobile medical unit

6.3 Mission Targets to be achieved � IMR reduced to 30/1000 live births by 2012 � MMR reduced to 100/100,000 live births by 1012 � TFR reduced to 2.1 by 2012 � Malaria Mortality Reduction Rate- 50% up to 2010, additional 10% by 2012 � Cataract operations-increasing to 46 lakhs until 2012 � Leprosy Prevalence Rate- reduce from 1.8 per 10,000 in 2005 to less than 1 per 10,000

thereafter � Tuberculosis DOTS series- maintain 85% cure rate through entire Mission period and also

sustain planned case detection rate. � Upgrading all Community Health Centres to Indian Public Health Standards. � Increase utilization of First Referral Units from bed occupancy by referred cases of less

than 20% to over 75% � Engaging female Accredited Social Health Activists (ASHA) in every village.


6.4 PART A: RCH PROGRAMME 6.4.1 : MATERNAL HEALTH

Goal: To reduce maternal mortality rate from 480 (SRS 04-06) to less than 350 by 2010-11.

O-1. To increase the 3 ANC from 21.9% (DLHS-3) and 49.68% (HMIS report up Jan’10) to

70% by 2010-11 and also to reduce the proportion of pregnant women with anemia.

Strategies:

S-1. Early registration of Pregnancy

Proposed Activities

a. Training of 1726 nos of ASHA on early detection and registration of Pregnancy in the Sub

Centre area.

b. Identification of Pregnant Women and registration will be ensured by ASHA as early as

possible taking help of urine examination for Pregnancy test by using of NISHYA KIT.

c. Regular supply of Pregnancy Test Kit will be ensured to all 1726 nos. of ASHAs and 456

nos. of ANM

d. Village Health & Nutrition Day in 1500 villages of the District will be used as a platform for

motivating and mobilizing the women for early registration of pregnancy.

e. The District under “Assam Bikash Yojana” has implemented “Mamoni”-Nutrional food for

pregnant women where a pregnant woman after her first registration receives a hand book

on nutrional food and MCH card. On her 2nd checkup, a cheque of Rs. 500/- is given as

monetory support for nutrional food and on her 3rd checkup, another cheque of Rs. 500/- is

given and a voucher for referral transport.

S-2. To provide quality antenatal care to all pregnant woman by increasing the access through existing Govt. facilities.

Proposed Activities:

a. It will be ensured that all the existing 246 Sub-Centres will be procured requisite

equipments from the SC untited fund and it wil be equipped with BP instruments,

weighting mahine and examination table.

b. Regular supply of IFA tablet, TT injection and Hb Kit wil be ensured in all 246 Sc & 41

Health Institutions. (SD/MPHC/SHC/CHC/FRU/BPHC/UHC/SDCH/DH)

c. In all the SC it will mandatory that ANM will perform regular checkup of BP, weight and Hb

test of all the registrated pregnant women and will keep a upto date record in the MCH

register and tickler chart for follow up with the help of ASHA


d. Re Orientation Training of 456 nos. of ANM Block PHCwise in a batch of 30 on physical

examination of pregnant women, Hb estimation and record keeping.

e. Out of 246 SC functioning in rented building & Govt. dilapidated building, 58 nos SCs

already taken up for construction during 2007-08, again another 45 SCs have been

approved for new construction during 08-09 & 09-10 @ Rs. 7.5 lakhs and during current

year 32 nos of SC will be proposed for construction for increase provision of quality

antenatal care during 2010-11. (Annexure -A)

f. The sanctioned vacant posts of ANM will be filled up through regular appointment by the

State Govt. Total sanctioned post vacant under Addl CM & HO(FW) establishment =87

and JDHS establish=11

g. As per the report there are total 376 nos.of ANM in the district in the SC. The total

requirement for the district @ 2 ANMs per SC (excluding outreach area) is 116. Therefore

during 2010-11 atleast 50 ANM’s may be posted.

S.3. To provide quality antenatal care to all pregnant woman in inaccessible and uncovered areas.


a. The uncovered and inaccessible areas under South Salmara, Gazarikandi, Raniganj and

Dharmasala BPHC (Total No of Char Village=124, & Char Population=1,39,801) have

been identified where there is no other Health facilities to provide ANC coverage regularly.

A total 26 nos. of Sub Center is proposed for @ Rs. 7.5 lakhs in the identified permanent

Char areas to increase provision of quality antenatal care.

b. The contractual ANM may be posted under NRHM @ 2 ANMs per SC. Therefore total

requirent will be 52 nos.

c. Logistic supply will also be regularized

d. Special camp to be organized to cover uncovered inaccessible areas by mobile medical

team & Boat Clinic.

S-4. To increase awareness amongst the mothers and communities about the need of

ANC.


Communication strategies like street play, FGD, awareness meeting will be done laying

emphasis on marriage after 18 years, first child after 20 years, need of ANC, birth preparedness

and importance of hospital delivery to increase awareness amongst the mothers and communities

about the need of ANC and exclusive breast feeding.


O-2.: To strengthen the basic obstetric care (institutional deliveries) from 30.3% (Coverage

Evaluation Survey, RRC-NE) to 50% by 2010-11

Strategies:

S-1. Increasing the access through facility strengthening.


a. To strengthen the institutional delivery, the district has upgraded and taken up to 3 no.s

BPHC , 1 nos. CHC, 1 nos. Maternity Centre, 6 nos. MPHC, 4 nos. SHC and 11 nos. SD to

24x7 hr delivery services during 05-06 to 09-10, Out of which the construction work has

completed in 18 nos. Health Institutions and providing 24x7 hr delivery services and the

construction work is going on in 8 nos. of health institutions.

b. Again during 2009-10, fund has been received for 3 nos. Health Institutions for upgradtion

of 24x7 hr delivery services with maternity wards and the construction work is in process.

c. As per facility survey there is a requirement of 21 nos. labour table, 21 nos. of Stand light,

10 nos. Radiant warmer, 13 nos. Auto clave, 19 nos. Electric Sterilizer, 19 nos. backup

Generator set including other logistics for 24x7 hr delivery services for quality services.

The institutionwise detailed requirement is enclosed herewith as Annexure B

d. Contractual engagement of 2 MO (MBBS), 3 MO (Ayur) and 55 GNM will be done in 24x7

PHCs deficient in manpower. The institutionwise detailed requirement is enclosed

herewith as Annexure C

e. The repairing and renovation of PHC Quarter of Jhowdanga SD, Bherbhangi SD,

Dumardaha MPHC, Moterjhar SD & Kachokhana SD will be taken up during 2010-11 so

as to ensure that MO stays in Quarters.

f. During 10-11, 15 nos. SC has been proposed for taking up the Institutional Delivery at

Folimari, Islamari, Barunitara, Simlabari, Silairpar, Gharialdanga, Ranpagli, Jhaskal III

Borkanda, Kazaikata Pt-V, Rakhalpat, South Raipur, Paglahat, Fekamari and Baghapara

SC. As per facility survey the gaps interms of infrasture and equipments/furniture have to

be full filled during 2010-11.

g. 57 nos. GNM. 10 nos. LHV and 53 nos. ANM has already trainined on Skilled Birth

Attendent (SBA) at Civil Hospital, Dhubri till Nov, 2009-10, During 2010-11, another 24

nos. of GNM, and 12 nos. of ANM will be trained on SBA on priority basis to improve the

quality of services.


S-2. Delivery by Trained Birth Attendant


Even after implementation of JSY, there are pregnant women who cant reached Health Facilities

for Institutional Delivery, these are the women from far flanged char areas/ riverine island even

after creating awareness through ASHA and various IEC activities, the District is unable to bring

these women specially from Char area where a sub-centre cannot be constructed not transport

could be made available

Hence it is proposed in these difficult areas, women such as DHAI who any how is conducting

delivery will be trained and provided with Disposable delivery Kit. , So that at least clean delivery

practices could be ensured in these areas. An amount of Rs. 100 is proposed for DHAI as

incentive for conducting delivery. Total budget is as follows-

Estimated PW

Incentive Total Budget

50% of 46935 100 23,46,750.00

S-3. Social mobilization for institutional deliveries (Janani Suraksha Yojana)


a. The district will continue with Janani Suraksha Yojana, wherein all the pregnant woman will

be given incentives for institutional deliveries till Nov, 09, the JSY beneficiaries in the District

are 10485, out of 11366 Institution deliveries.

The payment structure will be in line to GoI guidelines, which is as follows:

Location Rural Amount (in Rs.) Urban Amount (in Rs.)

Institutional Delivery 1400 1000

Home Delivery 500 500

ASHA (only for ID) 600 -

b. For the Year 2010-11, the total Pregnant Women estimated are 46935, this year the district

proposed to increase the institution delivery from existing level to least 50%. Thefore based

on this a detail calculation has been worked out for JSy beneficiaries and shown as below -

JSY CALCULATION FOR 2010-11 (Rs. In lakhs)

Dis

tric

t

Po

pu

lati

on

Cen

su

s 2

001

Pro

jecte

d P

op

ula

tio

n

2010(G

row

th R

ate

1.6

)

Liv

e B

irth

PW

Pro

jecte

d I

D (

50%

) 2010-1

1

Pro

jecte

d u

rban

ID

(13%

) 2010

Pro

jecte

d r

ura

l ID

(87%

) 2010

JS

Y b

en

efi

t u

rban

ID

@R

s.1

000 (

in lakh

s)

JS

Y b

en

efi

t (I

D)

Ru

ral @

Rs.1

400 (

in l

akh

s)

AS

HA

@R

s.6

00 f

or

rura

l ID

(in

lakh

s)

AS

HA

@R

s.2

00 f

or

urb

an

ID

(in

lakh

s)

JS

Y f

or

Ho

me d

eli

very

@R

s.5

00 (

in l

akh

s)

To

tal

JS

Y f

un

d p

rop

osed

(in

lakh

s)

Dhubri 1637344 1923153 47310 52041 26020 3383 22638 33.83 316.93 135.83 6.77 130.10 623.45


c. The ASHA accompanying the pregnant woman for hospital delivery will also be given

monetary incentive under this Scheme as per GoI guidelines.

d. For developing the practice of institutional delivery age bar and order of pregnancy will

not consider any more.

S-4. Referral of obstetric emergencies


a. Village to Health facilities

Most of the parts of the district is backward and covered by char area and most of the

Pregnant women donot come to health facilties for delivery because of of non availitbility of

transportation facility from village to health institution. In these areas the means of

communication are bullock carts, hand pull carts, private vehicles and boats which are

available on hire. So the district proposed for providing transportation facility to the

pregnant women from village to Health Institution including char areas.

The Projected Institutional Delivery for 2010-11 is 18744, In these backward, referral

transport money will be provided to Prgenant women (expected Pregnant women living in

this backward area =7497 (40% of ID) and Char areas 3748(20% of ID) coming for

Institutional Delivery under following categories

Distance Referal Money (in Rs.) Expected PW Estimated Budget

Less than 5 KM Rs. 60/- 1874 1.12 lakh

5 to 10 KM Rs. 100/- 1874 1.87 lakh

Above 10 KM Rs. 250/- 3749 9.37 lakh

Hiring of Boat in Char area Rs. 350/- 3749 9.37 lakh

Total 21.73 lakh

b. Health Institution to Health Institution

The Pregnant women and Sick New Born requiring referral to higher institutions will be

transported from one Health Institutions to another using ambulance available in the health

facility.

Sl No Detail Unit Total (Rs. In Lakh)

1 PoL for 30 nos. Ambulance Rs. 4000/- pm per

ambulance 14.40 lakh


O-3. To Strengthen the Comprehensive Obstetric Care

Strategies:

S-1. To improve the comprehensive EmOC in the CHCs and FRU.


a. Construction of CHC to IPHS Standard has been completed for Chapor, Mankachar

Halakura and Gauripur CHC in Dhubri district and required manpower will be provided

during 2010-11 as per IPHS for comprehensive EmOC.

b. It will also be ensured to fill up all gaps in terms of logistics and equipments during 2010-

11 for operationalizing these health facilities

c. 2 nos. of Specialist in each discipline of O&G, Pae, Anae, Surgeon, and Radiologist

etc will be reqcruited on contract basis for atleast 2 nos. IPHS institution i.e Halakura and

Mankachar CHC.

d. 4 nos. MBBS doctors will be trained at SIHFW for EmOC to make 4 nos. of CHC functional

for comprehensive EmOC.

O-4. Strategy: Increasing coverage of post partum care from 14.8% (DLHS3) to 35% by

2010-11

S-1: Ensure post partum care at Village level by ASHA/AWW/ANM


a. The AWW/ANM/AHSA of 246 SCs of Dhubri district will pay 3 post partum visit (1st within 2

days, 2nd within 14 days and 3rd within 42 days) in respetive sub-centre areas and the activity

will monitor by BPM/BAM/Asstt BPM.

b. During Village Health and Nutrition Day, the mothers will be motivated on essential newborn

care, early and exclusive breast-feeding and adopting family planning practices by

ASHA/ANM

S-2: Ensure post partum care at PHCs and Higher Health Institution


a. It will ensure that the mother stays for 48 hrs after delivery in the Health Institutions so that

necessary care can be taken if any complication arises and maternal mortality can be

reduced.

b. During their stay they will be counseled about essitential New Born care, Early & Exclusive

Breast feeding and Adopting Family Planning practices.


O-5. To improve safe abortion facilities and reduce unsafe abortion

S-1. Increase the access to safe abortion in Govt. facilities.


a. DH/5 CHC/6 BPHC/ 2 SHC/ 1 MPHC/ 1 MC will be provided with requisite Kits to provide

safe MTP.

b. 40 MVA kit reveied by the District will supplied to all the above health centers (2 each for

DH/CHC/PHC/SHC/MPHC) after training

c. 15 nos. of Doctors from PHC/CHC/SHC will be trained in phased manner at District Civil

Hospital, Dhubri for MTP

d. Proper maintenance of records will be ensured.

O-6: To promote RTI/STI Facilities

S-1: Operatonalize services for diagnosis & Treatment at CHC/DH


a. District Civil Hospital and CHC will be strengthened to provide facilities for diagnosis and

treatment of RTI/STI. The PHC however will focus on syndromic approach and drugs will be

provided for the same. However, complicated cases will be referred to higher institutions.

b. RTI/STI Kit will be provided to DHs and 5 nos. of CHCs of Dhubri District

c. The Laboratory in the DHs, and CHCs will be provided with requisite logistics (drugs and kits)

twice a year.

S-2 Capacity building ANM/SN and Medical Officer & Lab Tech for managing RTI/STI


ANMs (14)/ LHV(7), GNM (14) and Doctors (10) & Lab Tech (6) will be trained in the

SIHFW, Guwahati in phase manner.

S-3. Promote communication activities for prevention and early care seeking for RTI/STI.


a. Communication activities will be developed laying emphasis on symptoms of RTI, STI, and

facilities available in the block area of diagnosis & treatment. The activity is budgeted

under BCC/ IEC.


6.4.2 : CHILD HEALTH

Indicator Status

IMR (SRS, 2008) 64 per 1000 live birth

Goal (Overall) 30 per 1000 live birth

Goal (Annual) < 58 per 1000 live birth by 2010-11

Situation Analysis

District : Dhubri

Indicators DLHS - 3 DLHS - 2

Child feeding practices (Children under 3 years)

Children breastfed within one hour of birth (%) 70.0 -

Children (age 6 months above) exclusively breastfed (%)

38.1 -

Children (6-24 months) who received solid or semisolid food and still being breastfed (%).

97.7 -

Treatment of childhood diseases (children under 3 years based on last two surviving children)

Children with Diarrhoea in the last two weeks who received ORS (%)

39.1 49.0

Children with Diarrhoea in the last two weeks who were given treatment (%)

61.2 71.0

Children with acute respiratory infection/fever in the last two weeks who were given treatment (%)

62.4 -

Children had check-up within 24 hours after delivery (based on last live birth)(%)

15.7 -

Children had check-up within 10 days after delivery (based on last live birth) (%)

15.3 -


Goal: To reduce Infant mortality rate from 64 (SRS, 2008) to less than 58 by 2010-11.

O-1. Objectives: To improve new born care by 2010-11

S-1 ; Implementing Integrated Management of Neonatal & Childhood Illeness

To standardize case management of sick newborns and children under IMNCI.

a. To focus on the most common causes of mortality.

b. Nutrition assessment and counseling for all sick infants and children.

c. Care of Newborns and Young Infants (infants under 2 months) including keeping the child

warm; initiation of breastfeeding immediately after birth and counseling for exclusive

breastfeeding and non-use of pre lacteal feeds; cord, skin and eye care; recognition of

illness in newborn and management and/or referral; immunization and home visits in the

postnatal period.

d. Care of Infants (2 months to 5 years) including management of diarrhoea, acute

respiratory infections (pneumonia) malaria, measles, acute ear infection, malnutrition and

anemia; recognition of illness and at risk conditions and management/referral; prevention

and management of Iron and Vitamin A deficiency; counseling on feeding for all children

below 2 years; counseling on feeding for malnourished children between 2 to 5 years and

immunization.

Proposed Activities

a. 13 nos. Medical Officer, 3 nos. Nursing Staff and 2 CDPO has completed the ToT on

IMNCI at SIHFW, Guwahati

b. The district will organize 8 days training on IMNCI for 1791 nos. of AWW workers and 455

nos. of ANM in batchwise (24 partcipant per batch) as per training plan and providing

IMNCI Kits and followup.

S-2: Strengthening of the Govt facilities to provide newborn care.

Proposed Activities :

a. During 2008-09, fund has been received @ Rs.4.2 lakhs for establishment of 4 Bedded Neonatal Stabilization Unit at Dharmasal BPHC, Golokganj BPHC, Raniganj BPHC, Gazarikandi BPHC, Chapor CHC, Gauripur CHC, Halakura CHC, Agomani CHC, Mankachar CHC, 20 Bedded MC, Sapatgram SHC and Bilashipara SHC and the work is in progress.

b. Again during 2009-10, fund has been received @ Rs.4.2 lakhs for establishment of 4 Bedded Neonatal Stabilization Unit at Salokcha SHC, Dhepdhep MPHC, Satrasal MPHC, Tamarhat MPHC and Lakhiganj SD and the work is in process.

c. During 2010-11, the Neonatal Stabilization Unit of Dhubri districts have to make functional by providing logistics and manpower.


S-3. Capacity building of Doctors and Nurses on Basic Neo Natal Resuscitation training

Proposed Activites :

a. The District TOT on Basic Neonatal Resuscitation technique has completed for 24 nos.

Medical Officer, 2 nos. Sister Tutor, 2 nos Staff Nurse and 4 nos LHV at Dhubri

b. Block level training of 48 nos of Doctors and 74 nos. of GNM’s of 24 x 7 PHC’s will be

done on Basic Neo Natal Resuscitation techique batchwise (30 nos. participant per

batch) as per training plan.

O-2. Promote early breast feeding and exclusive breast feeding till 6 months and above from 38.1% (DLHS 3) to 50% by 2010-11

Strategies:

S-1. To increase awareness amongst mothers on benefits of breast-feeding upto 6 months and need of complementary feeding from 6 month onwards.


a. IEC/BCC activities will be developed laying emphasis on early feeding of

colostrums, exclusive breast-feeding of 6 months and importance and preparation

of complementary feeding from 6 months onwards.

b. Village Health and Sanitation Committees, SHG may also be involved for

motivating pregnant women and lactating mothers to promote exclusive breast

feeding

c. ASHA will counsel the mothers on the importance of exclusive breastfeeding and

complementory feeding.

d. During VHND, pregnant women and lactating mothers are to be motivated for

exclusive breast feeding.

O3. Objectives: To increase awareness of Diarrhea and ARI from 61.2% (DLHS 3) to 70%

and increase the use of ORS from 39.1% (DLHS3) to 50% by 2010-11 and treatment

of ARI

S-1. To raise awareness amongst mothers and communities on diarrhea ARI.


BCC/ IEC activities will be developed laying emphasis on use of HAF, continuing breast-

feeding, solid feeds, ORS usage, and identification of danger signs of diarrhea and ARI. (To be

included under BCC/ IEC).


S-2. Making ORS and zinc tablets available in remote/rural/tribal areas and difficult to

reach areas through depot holders.


a. The refresher training of ASHA and AWW will be done on usage of ORS and Zinc tablets.

b. ASHA/AWW will made depot holder for distributing ORS packates. The ASHA kit and SC

Kit-A have ORS packats. The supply of AHSA Kit and SC Kit-A twince in a year will be

ensured. The AWW will also be provided ORS packats.

c. Performance of the depot holders and replenishment of the stock shall be reviewed by the

PHC MOs/ BPM quarterly and arrangement for readily available stock of ORS to the depot

holders shall be ensured from the BPHC

S-3. Strengthen facilities at PHC, CHC, SDH and DH.


a. Fund @ Rs. 25000/- has been received for establishment of 13 nos ORT corner in DH,

PHCs, CHCs, SDH and SHCs of Dhubri District. Out of which fund has been utilized for

establishment of 10 nos of ORT Corner in the District.

b. During 2010-11, the remaining fund has to be utilized for establishment of ORT coner in

different identified Health institutions of the district.

c. The health facilities will be provided with required drugs and kits

S-4. Promote referral services of severe cases of ARI and diarrhoea.


a. The VHND will be used as platform to bring awareness amongs the mothers and

communities about warning signs of diarrhoea and ARI.

b. The health functionaries will be given reorientation training for detection of ARI and

Diarrhoea cases requiring referral.

O-4. : To reduce prevalence of anemia (6-35 months)

S-1. To prevent and treat anemia in children.


a. The pregnant women and mothers will be counseled by ASHA/AWW/ANM about

importance of exclusive breast-feeding upto 6 months, importance of complementary

feeding from 6 months onwards and preparation of iron rich food.

b. Regular supply of IFA (s) tablets will be ensured to treat anemia.


c. Children below 6 months to 60 months will be given 20 mg. elemental iron and 100 gm of folic

acid in liquid formulation.

d. Under School Health Programme weekly distribution of IFA tablets to Girls and Six monthly

distribution of Albendazole for de-worming by the the Nodal School Teacher. The School

teacher will ensure that the girls will consume IFA tablets infront of her.

e. It will be ensure that each school should have one fix day for IFA distribution with minimum

absenteeism.

O-5-: To reduce the prevalence of underweight among children under 3 years of age.

S-1. To work closely with ICDS functionaries to reduce malnutrition.


a. Emphasis will be laid to reduce malnutrition amongst the children (3 – 6 years) by working with

ICDS functionaries and augmenting the mid day meal programme

O-6-: To reduce Vitamin A deficiency.

S-1. To prevent and treat Vitamin-A deficiency and de-worming campaign among

children .


a. Vit-A will be made available in all the institutions till the Sub-Centre level and administration of

Vitamin-A upto 5 years of age will be ensured.

b. VHND held every month in the village will also be used as a platform for Vit-A administration.

c. In 2010-11, 2 rounds of Vitamin –A week campaign alongwith de-worming March, 2010 and

Sept, 2011.


6.4.3 : FAMILY PLANNING

Goal : To reduce TFR from 2.7 to less than 2.4 by 2010-11

O1- Objective: To meet the unmet need of contraception from 37.2% (DLHS3) to 28% and increase Contraceptive prevalence rate 23.6% (DLHS3) to 45% by 2010-11

S1. To raise awareness amongst the couples and communities about the advantage of

contraceptives and small family.


a. Communication messages will be printed about importance of FP and availablity of FP

services alongwith incentive offered and distibuted to ASHA/ANM/AWW (Details in IEC/BCC plan)

b. IEC materials will be dirtributed to the community by ASHA/AWW/ANM in VHND alongwith Family Planning counseling for eligible couple for adopting family planning methods.

c. During Home visit on Moday and Thursday ANM & ASHA will update eligible couple register and motivate the couple to adopt FP methods as per choice of the couple

d. BCC/IEC activities will be done with help of AWW, ASHA, Woman’s SHGs, FNGOs as per need of the locality to raise awareness amongst the couples and communities about the advantage of contraceptives and small family.

e. During Health Day disadvantages of early marriage (too early, too many and too frequently) are to be explained especially to adolescent girls with the help of opinion and religious leaders of the village.

h. One separate room will be allotted where ANM/GM will conduct counseling session’s alongwith distribution of contraceptive/IEC materials etc. in District Hospital, CHCs and BPHCs, MPHCs. SHCs, SDs during OPD hours.

S2. Increase the number of service delivery points.


a. ASHA will act as a depot holder for Condom, Oral Pill and E-Pill and regular replenishment of the contraceptives on exhaustion is to be ensured during 2010-11.

b. 13 nos. of Doctor, 17 nos. of GNM, 29 nos. of ANM and 9 nos. of LHV has completed the TOT on inerstion of Copper-T 380A at Dhubri.

c. Training of 30 MO/ 120 ANM/ 40 GNM on IUD Insertion will be done as per training Plan

during 2010-11. d. The IUCD Kit received during 2009-10 alredy distributed where training imparted another

100 nos of IUCD kit will be required during 2010-11. e. On Tuesday and Friday of every week Family planning services including IUD Insertion

(after training of 120 nos ANM in Govt.Building) are to be provided in all the Govt. Building Sub Center of the District under the supervision of LHV/Doctor will be ensured. Family planning counseling will also be done alongwith.

f. Fixed day family IUD insertuion along with family planning counseling will be ensured at

DH/FRU/CHC/BPHC/PHC.


g. The women will be provided Rs. 20/- as per GoI guidline under RCH progrogramme for

each IUD insertion, Budget under RCH flexipool.

No. of Expected Beneficiary Amount (in Rs.) Total Budget

5900 20/- 1.18 Lakh Budget under RCH

Flexipool

S3. Improve the service delivery to provide quality female sterilization.


a. The District Hospital, CHC/FRU will be equipped with requisite infrastructure and logistics are to

be provided Laparoscopic sterilization. (Annexure E)

b. Fixed day sterilization (Lap. Camp) in the facilities twice in every week in the District Hospitals

and once in Chapor CHC/FRUs will be ensured.

c. Female sterilization in every 2 months in 4 CHCs, 3 BPHCs and 1 SDCH by camp approach will

be ensured.

c. 1nos. of SDCH, 4nos. of CHC and 3 nos. of BPHC will be provided with OT table and Boyles

Appeartus for Laprascopic Sterilization.

d. DH/FRU/4nos. of CHC/1nos SDCH/3 BPHCs will provided with Co2 Gas Cylinder for

Laprascopic sterilization.

e. Training of 4nos. Medical Officers, 4nos. of OT boys on Co2 gas technique as per training Plan.

f. Medical Termination of Pregnancy, MTP will be ensured at DH/CHC/FRU/BPMC/MPHC/SHC

after imparting training to 15 MOs and after providing MVA Kits received during 09-10

g. PPS will be ensured at District Hospital, Chapor FRU and Gauripur CHC where PPS surgeon &

Mini Lap Kits available.

h. The beneficiaries will be given incentive for Female sterilization as per GoI guidline.

No. of Expected Beneficiares Compensation Amount Total Budget

9800 1000.00 98.0 Lakh

Budget for Organizing Laprascopic Camp

Details Rate Total Amount

Laprascopic camp at 8 nos. Health Institutions 17000x8x6 8.16 Lakh


S4. Encouraging Post partum Sterilisation scheme.


a. JSY Beneficiaries are to be motivated for accepting Post Partum Sterilization and refer the acceptor to FRU/CHC/DH where PPS can be done at every level.

b. The JSY beneficiary adopting female sterilsation will get compensation money of Rs.

600.00. Moreover the scheme also provides for Rs. 150.00 motivation fee for ASHA and AWW respectively.

O 2 : To increase the male sterilization from the existing level of 10.6% (HMIS report upto

Jan’10) to 20% by 2010-11.

S1- To raise awareness among the community regarding Non Scalpel Vasectomy.


a. One day District level workshop will be organized by the Addl CM & HO (FW)

incordination with District Administration. Zila Parishad (PRI) members, DIPRO,

Teachers, Opinion leaders, Social activist, NGO of NYK etc.to sensitize them on the

importance and promotion of NSV.

b. Similar workshop will be organize at Block PHC Level involving chaired by BDO for

teachers, Openion leaders, religious leaers, PRI members etc to sensitize them on on

the importance and promotion of NSV.

c. IEC material like Hand bill, Brochure, Leaf lets etc on NSV will be developed

d. BPHC wise outdoor publicity material on NSV like Hoarding, Bill Board, Flex Banner etc

will be install in Public gathering areas

S2- To improve the service delivery to provide Non Scalpel Vasectomy


a. At the BPHC level one NSV camps cum training for MOs will be organized registering at

least 20 acceptors of NSV. One trainer from the Medical College or two trainers from

District will attend the workshop. This camp will be organizded in each 7 Block PHCs of

Dhubri District monthly. In the workshop MOs from PHC wil be trained.

b. The train MO of the Block and Master trainer of the District will attend to perform NSV

sterilization in each Block and compensation money will be paid as per GoI guidelines.

Budget for Organizing NSV Camp

Details Rate Total Amount

NSV camp cum training at 7 Block PHCs monthly 15000x7x12 12.60 Lakh


Budget for Compensation Package

No. of Expected Beneficiares Compensation Amount Total Amount

2000 1500.00 30.00 Lakh

6.4.4 : ADOLESCENT HEALTH

Objective:

O1. To introduce a comprehensive health initiative for adolescent.

O2. To ensure the reproductive health and nutrition needs are met.

O3. To reduce prevalence of anemia in adolescents.

Strategies:

1. School Health Programme (Details under Intersectoral Convergence)

2. Adolcent Clinic in the Health Institutions


a. Fund has been received for establishment of Adolescent Health Clinic in 10 nos. of

BPHCs/CHCs of Dhubri district and Out of which 6 nos. of Adolcent Health Clinic has

been established.

b. During 2010-11, the remaining 4 nos. of Adolescent Health Clinic has to be established

and to make functional already established Adolcent Health Clinic in true sense.

c. IEC & BCC activities will be developed laying emphasis on normal physiology,

menstrual hygiene, use of CC, OC, EC, unwanted pregnancy, safe abortion, child

marriage, various risk of teenage pregnancy etc.

d. Identification of adolescent groups and numbers of organized and drop out sectors

through school health programmes and at the village level during regular home visit by

ANMs by maintaining a register.

e. Counseling sessions will be held at regular intervals at fixed sites for both adolescent

boys and girls separately. Counseling will be provided on the health days.

f. Alolescents will be supplemented with 30 mg elemental iron and 250 mcg folic acid per

day for 100 days in a year

g. Special counseling and on the spot provision of IFA tablets to adolescent girls in order

to prevent anaemia.

h. District will arrange training of School teachers on the basic knowledge of adolescent

health.


6.4.5 URBAN RCH

Urban population comprises of 12.16 % of the entire population of District. There are limited

health care facilities for poor section of people or the urban slum dwellers.

Goal: To improve the Health status of urban poor community by provision of quality

integrated primary health care services.

Objectives:

• Integrated and sustainable system for primary health care service delivery with focus on urban

poor/slums.

• Outreach services to be delivered at community level.

• Referral services for the risk cases.

• To create demand for services in slum population.

Strategies

SS--11 IInnssttiittuuttiioonn ssttrreennggtthheenniinngg tthhrroouugghh ccrreeaattiioonn ooff UUrrbbaann HHeeaalltthh CCeennttrreess


During 2009-10, the District has started the Urban Health Centre, Rail Gumti area covering

30,000 population of the District and is providing following services.

• OPD services, 4 hrs in the morning and 2hrs in the evening

• Provding services like counseling services basic laboratory services, collection and

reporting of vital events and IDSP and services for non Communicable diseases.

• It will conduct health camps in the areas under the UHC to generate awareness in the

community.

a. During 2010-11, 2 nos of Urban Health Center is to be established in the urban slums of

Dhubri namely, at 1) Bahdur Tari, 2) Dabry

c. During 2010-11 the Urban Health Centers have to make functional by providing manpower and

logistics.

Budget under UHCBudget under UHCBudget under UHCBudget under UHC Unit cost of 1 Urban Health Unit cost of 1 Urban Health Unit cost of 1 Urban Health Unit cost of 1 Urban Health Centre =Centre =Centre =Centre = Rs. 9Rs. 9Rs. 9Rs. 9, 82,000.00, 82,000.00, 82,000.00, 82,000.00 per Yearper Yearper Yearper Year Total fund proposed for Total fund proposed for Total fund proposed for Total fund proposed for 3333 nos. UHC during 2010nos. UHC during 2010nos. UHC during 2010nos. UHC during 2010----11 = 11 = 11 = 11 = 3333x9x9x9x9, 82,000.00, 82,000.00, 82,000.00, 82,000.00= Rs. = Rs. = Rs. = Rs. 22229,9,9,9,46464646,0000,0000,0000,0000.00.00.00.00


6.4.6 6.4.6 6.4.6 6.4.6 VULNERABLE GROUP

The uncovered and inaccessible areas under South Salmara PHC, Gazarikandi PHC and

Dharmasala PHC (Total No of Char Village=50, & Char Population=69,945) has been identified

which do not have any Health Care facilities.

The Centre for North East Studies & Policy Research(C-NES) had signed a MoU with the

National Rural Health Mission of the Government of Assam in February 2008 to extend health

services to the people of char/sapories in ten districts of Assam including Dhubri district. The

focus of the boat clinic initiative is Routine immunization, Ante natal care (ANC), and Post natal

care (PNC), health checkups, awareness, and Water and sanitation in association partnership

with NRHM, Assam, and District Health Society of Dhubri.

The C-NES team in Dhubri comprise of one District Programme Officer, Two Doctors,

Three nurses, one laboratory technician, one pharmacist, three Community Workers and four boat

crew members.

Objective: To Provide Primary Health care for inaccessible Char people

S-1: Promoting Boat Clinic for char areas of DDhhuubbrrii,, DDiissttrriicctt Proposed Activities:

a. Antenatal Care services by Boat Clinic

b. Postnatal care services by Boat Clinic

c. Family Planning services

d. Routine Immunization

e. Curative care

f. Basic Laboratory Services.


The tentative annual action plan has been proposed keeping in view the immunization

schedule as well antenatal check up providing minimum three checkup & two doses of TT for

every pregnant women. A tentative plan of boat clinic camp is given below.

Quarter Month Nos. of camp days

Target Char

Target

Char population(Approx)

Infant (Approx)

Pregnant woman(Approx)

1st April 2010 to June 2010

48 (16 days per month)

16 Different char

20399 504 596

2nd July 2010 to September 2010


16 Different char

17628 434 507

3rd October 2010 to December 2010


16 Different char

Same population of quarter 1st



4th January 2011 to March 2011


16 Different char

Same population of quarter 2nd



Total 12 months 192 camps

32 different char

38027 938 1103

Details of char targeted for the year 2010-2011 SL. NO.

Name of Char/ River Island

Name of PHC Population

Target

Infant for RI

ANC (Pregnant Woman)

PNC

1 Majer Char NC South Salmara 1950 48 57 57

2 Hatirchar Gajarikandi 1300 32 28 28

3 Moslabari South Salmara 1150 28 34 34

4 Katiaralga South Salmara 1450 36 42 42

5 Majerchar Chalakura South Salmara 2100 52 61 61

6 Char Bhasani Aironjongla

Dharmasala 1510 37 44 44

7 Majerchar Pt-I South Salmara 1250 31 37 37 8 Bamundanga South Salmara 1450 36 42 42

9 Bylarchar Dharmasala 1250 31 37 37

10 Boldiaralga NC Dharmasala 1120 28 33 33

11 Dangirchar-Bagmara Dharmasala 1050 26 31 31

12 PoyestiMajercharPt-X South Salmara 1150 28 34 34

13 MohorircharBerabhana South Salmara 950 24 28 28

14 AironjonglaPtI(Namapara)

Dharmasala 1100 27 32 32

15 Kalaikhowa South Salmara 1200 30 35 35

16 Piazbari South Salmara 850 21 25 25


17 Sutlamari South Salmara 1100 27 32 32

18 Porarchar South Salmara 926 23 27 27

19 Poraporirchar Dharmasala 1150 28 34 34

20 NatinerAlga South Salmara 925 23 27 27 21 Dhedaimari South Salmara 1350 33 40 40

22 Ayermari South Salmara 1369 34 40 40

23 ChalakuraRiverblock South Salmara 1080 27 32 32

24 Bhasanirchar-Pt-II Dharmasala 1143 28 33 33

25 BoldiarAlga West South Salmara 1050 26 31 31 26 Kadamtola South Salmara 1020 25 30 30

27 Kaziarchar South Salmara 825 20 24 24

28 Mahamayarchar South Salmara 1225 30 36 36

29 Riverblock No.10 South Salmara 860 21 25 25

30 Haddirchar South Salmara 1040 26 30 30 31 Sialmari South Salmara 1025 25 30 30

32 Aminerchar South Salmara 1109 27 32 32

Total 38027 938 1103 1103

Details of char targeted in 1st & 3rd quarter

SL. NO.



Target

Infant for RI


PNC

1 Majer Char NC South Salmara 1950 48 57 57

2 Moslabari South Salmara 1150 28 34 34

3 Katiaralga South Salmara 1450 36 42 42

4 Majerchar Chalakura South Salmara 2100 52 61 61 5 Char Bhasani

Aironjongla Dharmasala 1510 37 44 44

6 Bamundanga South Salmara 1450 36 42 42

7 Bylarchar Dharmasala 1250 31 37 37 8 Dangirchar-Bagmara Dharmasala 1050 26 31 31

9 MohorircharBerabhana South Salmara 950 24 28 28 10 AironjonglaPtI(Namap

ara) Dharmasala 1100 27 32 32

11 Kalaikhowa South Salmara 1200 30 35 35

12 Poraporirchar Dharmasala 1150 28 34 34

13 ChalakuraRiverblock South Salmara 1080 27 32 32

14 Riverblock No.10 South Salmara 860 21 25 25

15 Haddirchar South Salmara 1040 26 30 30

16 Aminerchar South Salmara 1109 27 32 32

Total 20399 504 596 596


Details of char targeted in 2nd & 4th quarter

SL. NO.



Target

Infant for RI


PNC

1 Hatirchar Gajarikandi 1300 32 28 28

2 Majerchar Pt-I South Salmara 1250 31 37 37

3 Boldiaralga NC Dharmasala 1120 28 33 33

4 PoyestiMajercharPt-X South Salmara 1150 28 34 34

5 Piazbari South Salmara 850 21 25 25

6 Sutlamari South Salmara 1100 27 32 32

7 Porarchar South Salmara 926 23 27 27

8 NatinerAlga South Salmara 925 23 27 27

9 Dhedaimari South Salmara 1350 33 40 40

10 Ayermari South Salmara 1369 34 40 40

11 Bhasanirchar-Pt-II Dharmasala 1143 28 33 33 12 BoldiarAlga West South Salmara 1050 26 31 31

13 Kadamtola South Salmara 1020 25 30 30 14 Kaziarchar South Salmara 825 20 24 24

15 Mahamayarchar South Salmara 1225 30 36 36

16 Sialmari South Salmara 1025 25 30 30 Total 17628 434 507 507


6.4.7 PUBLIC PRIVATE PARTNERSHIP (PPP).

In Dhubri district there are 3 nos of Tea Garden namely Choibari Tea Estate, Chapor Tea

Estate and Krishna Kali Tea Estate covering around 22,800 Population. During 2008-09 Choibari

Tea Estate Hospital has been identified and selected for Public Private Partnership.The facility

sarvey of Choibari Tea Estate has been completed and MOU has also signed accordingly. During

2009-10, Krishnakoli Tea Estate has been identied an selected for PPP. The facility survey and

MMU will be signed shortly.

The hospitals under PPP will mainly focus on RCH II activities like promoting JSY,

Institutional delivery, new born care services, sterilization programmes, counselling on adolescent

health etc. The targeted population will mainly be the mother and child, which will result in bringing

down the MMR and IMR.

Detials Budget as follows –

Sl No Detail Total

1 Manpower Rs. 4,80,000.00

2 Operation cost @30,000/- pm Rs. 3,60,000.00

3 Referral transport Rs. 60,000.00

4 Ambulance Rs. 5,50,000.00

5 Repair & Renovation Rs. 50,000.00

6 Drugs will be provided by the District Rs. 0.00

Total for one hospital Rs. 15,00,000.00

During 20010-11, the total fund proposed for 2 nos. PPP Hospital = Rs. 30,00,000.00`


Comprehensive Training Plan of Dhubri District for the 2010-11

Sl No

Type of Training Current Status Category of partcipant

Duration No

Batch Venue

Maternal Health

1 SBA

40 Batch (GNM=17 LHV=10, ANM=53)

GNM=24 ANM=12

3 weeks 12 Dhubri Civil Hospital

2 EmOC 1 MO MO MBBS=4 nos 16

weeks 1

Guwahati Medical College

3 RTI/STI MO=12 Lab Tech=3 GNM=4

MO MBBS=10 nos Lab Tech =6 nos GNM=14 nos. ANM = 14 nos

2 days 10 Guwahati Medical College

Child Health

4 IMNCI MO=13 Nursing Staff=3 CDPO=2

ANM=456 AWW=1791

8 days 93 District HQ

5 NRT

MO=24 Sister Tutor=2 SN=2 LHV=4

MO=48 GNM=74


Family Planning

6 IUCD (CopperT380A)

MO=13 GNM=17 ANM=29 LHV=9

MO=30 ANM=120 GNM=40


7 MTP including MVA Specialist(O&G)=6 MO=15 15 days 3 District Civil Hospital

8 Mini Lap MO=2 OT=2

MO=1 OT=1

12 days 1 Dubri Civil Hospital

9 Laprascopic Sterlization MO=6 - - - -

10 NSV MO=2 MO=4 1 At camp Site

11 Co2 Gas Technique - MO=4 OT=4

1

Guwahati Medical College/SIHFW, Guwahati

Immunization

12 Refresher training on Immunization ANM=406 LHV=6

ANM=456 GNM=50 LHV=17

2 days 17-18 At District HQ

13 Vaccine Handler Training Cold Chain Handler=64

Cold Chain Handler=64

1 days 2 At District HQ

14 Blcok Level data Handler training Data Handler=28 Data Handler=28 1 days 1 At District HQ

15 Micro Planing -

ANM=456 AHSA facilitator=176 ASHA=1726

1 days 78 At District HQ

NVBDCP

16

NVBDCP

Medical Officers =4

Medical Officers =100

As per Training Plan of

NVBDCP

17 Laboratory Technicians (reorientation)=0

Laboratory Technicians (reorientation)=48

18 Health Supervisors (M)=0

Health Supervisors (M)=58

19 Health Supervisors (F)=0

Health Supervisors (F)=7

20 Health Workers (F)=0

Health Workers (F)=348


Sl No

Type of Training Current Status Category of partcipant

Duration No

Batch Venue

21

ASHAs=70 ASHAs=992

22 Community Volunteers other than ASHA=0

Community Volunteers other than ASHA=200

23

Others specify: MPW (Contractual & Spray Workers=21

Others specify: MPW (Contractual & Spray Workers=12

RNTCP

24 Training of MOs 100 MO=50

As per Training Plan of RNTCP

25 Training of LTs of DMCs- 17 LT=8

26 Training of Comm Volunteers 275 Volunter=100

27 Re- training of MOs - MO=50

28 Re- Training of LTs of DMCs 17 LT=25

29 Re-training of Pvt Practitioners 20 MO(Pvt)=20

30 TB/HIV Training of MOs - MO=50

31 TB/HIV Training of STLS, LTs , MPWs, MPHS, Nursing Staff, Community Volunteers etc

- STLS, MPW, Nursing staff, Volunter=50

NLEP

32 4 days training of newly appointed MO’s (rural & urban) 30 nos

- MO=30 4 days

As per Training Plan of NLEP

33 3 days training of newly appointed Health Supervisor 30 nos.

- Health Supvisor=30

3 days

34 3 days training of newly appointed Health Worker (M) 30 nos

- Health Worker (M) =30

3 days

35 3 days training of newly appointed Health Worker (F) 30 nos

- Health Worker (F) =30

3 days

36 2 days training of newly appointed MO’s 30 nos

- New MO= 30 2 days

37 5 days training of newly appointed Lab. Technician 15 nos.

- Lab Tech = 15 5 days

NBCP

38 Training of Manpower for Skill Upgradation

- School Teacher = 100ANM/Health Workers=600

1 days As per Training Plan of NBCP

IDSP

39 3 days training for MO( newly inducted officers ) for a batch of 20 trainees.

- MO= 40 3 days 2 At DSU

40 2 days training for Health Workers for a batch of 20 trainees

- Health Workers=400

2 days 20 Block PHCs

41 3 days training for Laboratory Technicians/ Microscopist for a batch of 20 trainees

- Lab Tech=40 3 days 2 At District Civil Hospital

NRHM Additionaities

42 Sensitization workshop to Medical officers(Newly Appointed)

- MO (New)=37 2 days 1 At District HQ

43 Sensitization workshop to PRIs - PRI member=196 1 days 4 At District HQ

44 Capacity Building workshop for BPMU

- BPMU = 33 2 days 1 At District HQ


6.5 PART B: NRHM ADDITIONALITIES

Village Level activity:

O-1: Efective implementation of NRHM Programme at village levl.

S-1: Strengthening Village Health and Sanitation Committees (VHSC).

Proposed Activities

a. For the development of the villages of Dhubri district wherever there is an ASHA Village

Health & Sanitation Committee has been formed as per NRHM guideline. In Dhubri district

1310 nos of VHSC has formed and open bank account and out of which 1300 nos of

VHSC has received an amount of Rs.10,000 as Untied Grant.

b. During 2010-11, additional 380 nos of VHSC has to be formed in the left out villages of the

district where additional ASHA has been selected and have to open the bank account for

Untited Grant

c. Capacity building of the 1690 VHSC members is proposed during 2010-11 through

MNGO/NGO including importance and preparation of Village Health Plan.

d. During 2010-11, the Village Health Action Plan of each VHSC will be ensured.

e. The VHSC will be responsible for the overall health of the village. It will take into

consideration of the problems of the community and the health and nutrition care providers

and suggest mechanism to solve it

f. The committee will monitor all the health activities that are conducted in the village such as

Village Health & Nutrition Day, Mothers Meeting etc.

g. VHSC along with the ANM will be responsible to conduct household survey in the village.

h. It will discuss every maternal or neonatal death that occurs in their village, analyze it and

suggest necessary action to prevent such deaths. Get these deaths registered in the

Panchayat.

i. During emergency like flood or any epidemic the committee will utilize the fund for the

relief camps or supplies such as in case of flood it can supply Halogen tablet for

purification of water, ORS, Bleaching powder etc.


S-2: Observing Village Health & Nutrition Day

Proposed Activities

a. During 2010-11, Observation of VHND will be ensured every month in each villages of

Dhubri District by ASHA/AWW/ANM in the Awganwadi Centre where services like ANC, PNC,

Immunization by ANM and Health Education and awareness will be provided by

ASHA/AWW/BEE/LHV/ANM etc.

b. Procurement of Examination table, BP Instrument, Weighing machine etc will be ensured in

the newly formed VHSCs out of VHSC fund for successful observation of VHND.

c. Involvement of VHSCs members will be ensured during 2010-11 in each VHND.

d. The Contigency fund of Rs. 100 for observing VHND will be provided out of VHSC fund.

S-3: Organizing Health Melas.


a. 3 nos. of Health Melas has been organized during 2009-10 with objective to provide an easy

to accesss platform for health services for all segments of population of the District. During

this Health Melas extensive IEC on Malaria, Family Planning, TB, Blindness, AIDS,

Leprosy, Water & Sanitation etc. was done.

b. During 2010-11, similar Health Mela will be organized in Malaria prone area of the District.

c. Rs 5 lakhs for is proposed for organzing Health Mela during 2010-11.

O-2 : To Provide support to ASHAs of Dhubri District

S-1 . Selection, Training and support to ASHAs


a. The selection and training of 1340 nos of ASHAs of Dhubri has completed 5th Module

Training.

b. The selection of Additional 380 nos of ASHA has also completed in the left out villages of

the District.

c. During 2010-11, 1st, (Induction Training), 2nd, 3rd, 4th & 5th Module training of 380 nos

ASHAs will be ensured. (No fund is proposed as fund already received)

d. Also refresher training is to be imparted to 1340 nos. of ASHAs who have completed 4th

module training for 12 days in a year

e. 380 nos of Radio Set, Umbrella and Bag is proposed during 2010-11 for 380 nos of

additional ASHA.


S-2 : Providig ASHA Drug Kits


a. Durig 2010-11, 1726 nos of ASHA Drug Kits is proposed for 1726 nos. of ASHA of Dhubri

District

b. Proper utilization of Drug Kit will be enusred during 2010-11 under the supervision of ANM and

Sectoral MO.

S-3 : ASHA Facilitator


a. During 2009-10, 176 nos. of ASHA Supervisor has been selected for 7 BPHC of Dhubri District

ie. 1 supervisor for 10 ASHAs to handhold and monitor the ASHA activities.

b. During 2010-11, these facilitators has to be trained on ASHA programme under NRHM and

also on field level monitoring to be done so that they have an overview of various on going

programmes under NRHM. The proposed training will be conducted through District ToT ASHA

Facilitator.

c. Honorarium including TA/DA of ASHA facilitator will be provided as per norms.

Budget

Details Unit (No) Rate (in Rs.) Total (in Lakh)

Honorarium including TA/DA of ASHA facilitator

176 3500.00 73.92 lakh

S-4: Incentive to ASHAs for Full Immunization


a. The District will continue for providing incetive of Rs. 250/- to ASHAs for each fully immunized

child as this increases the full immunization coverage rate of the District as the ASHAs after BCG

will keep a track of the infants in her village as she is from the same village and will accompany

the mother to the sub-centre to vaccinate the infant.This will also help the ANM in

tracking/vaccinate the infants as there are instances where the ANM fails to vaccinate the infant

as mothers are not willing or forgotten about the date of Immunization of their child but with the

help of ASHAsi it will be easier for the ANM to conveience the mothers and also kepeping a track

of the Infants.

Budget proposed for the same as follows –

Details Unit (No) Rate (in Rs.) Total (in Lakh)

Incentive to 1726 ASHA

Infant Target=44617

80% of target Infants will be immunized=35693 and out

of which 60% will be mobilze by ASHA

250.00 66.92 lakh


O-3 : To strengthen the Health Institutions in terms of physical infrastructure and manpower.

S-1. Providing Untited and Annual Maintenance fund to SC, PHC, CHC, SDCH


a. As part of the National Rural Health Mission, it is proposed to provide each Health

Institutions ie. SC, PHC, CHC, SDCH will be provided with Unitied and Annual

Maintenance Fund. Th Untited funds will be utlize for the following purposes-

� Minor repair, whitewash of the hospital building

� Display of logo of NRHM

� Cleanliness & maintenance of toilets.

� Water supply etc. consumables of the hospital like gloves, regents, disinfectants etc.

In addition an Annual Maintenance Fund is proposed for Govt. Building Sub-Centre, PHCs,

CHCs and SDCH and the fund will be utilized for the following purposes-

� Facelift of the hospital building

� Minor repairing whereever required with approval pf the management committee.

� Hospital consumables like gloves, regents, disinfectants. Chemicals for laboratory etc.

� The society engaged 1 (one) sweeper @ Rs 1000.00 for the cleanliness of labour room and hospital premises.

� Maintenance of running water supply and toilets.

� Maintenance of the generator and its POL.

b. During 2010-11, it will be ensured that each health Institutions will have the clear action plan for utilizing the Unitied and Annual Maintenance Fund

Budget

A. Untited Fund

`Sl No

Health facility Target Unit Cost Total

(Rs. In Lakh)

1 SC 246 10000 24.60

2 PHC

(5BPHC+4SHC+11 MPHC+11SD+1 MC)

32 25000 8.00

3 CHC 6 50000 30.00

4 SDCH 1 50000 0.50

Total 63.10 Lakh


B. Annual Maintenance Fund

`Sl No


(Rs. In Lakh)

1 SC (Govt Building) 120 10000 12.00

2 PHC

(5BPHC+4SHC+11 MPHC+11SD+1 MC) 32 50000 16.00

3 CHC 6 100000 6.00

4 SDCH 1 100000 1.00

Total 35.00 Lakh

S-2. Strengthening Rogi Kalyan Fund/Hospital Mamangement Committee


a. The Rogi Kalyan Samitee/Hospital Management Committees has been formed in District Hospital, SDCH, 5 BPHCs, 6 CHCs, 4 SHCs, 11 MPHCs, 11 SDs, 1 Maternity Cnetre, with an objectives to have facility based planning and community involvement and ownership of the Health facilties by the respective RKS Committee/HMC

b. During 2010-11, It is proposed to provide RKS fund to all the Health Institutions as detail below

Budget

Rogi Kalyan Samittee Fund

`Sl No


(Rs. In Lakh)

1 DH 1 500000 5.00

2 SDCH 1 100000 1.00

3 CHC 6 100000 6.00

4 PHC

(5BPHC+4SHC+11 MPHC+11SD+1 MC)

32 100000 32.00

Total 44.00

c. During 2010-11, all the RKS are to be registered under Societies Act.

d. During 2010-11, it will be ensured that each health Institutions will have the clear action

plan for utilizing the RKS Fund

e. For the assessment of the RKS fund utilization by DH/SDCH/PHC/CHC/SHC/SD

during 2009-10 an evaluation (Audit) will be done in the year 2010-11


S-3. Strengthening physical infrastructure of SCs/PHCs/CHCs,

Proposed Activities (Sub-Centre)

a. Out of 246 SC functioning in rented building & Govt. dilapidated building, 58 nos SCs

already taken up for construction during 2007-08, another 45 SCs have been approved during

2008-09 & 09-10 for construction @ Rs. 7.5 lakhs and 32 nos. new SC will be proposed for

construction for increase provision of quality antenatal care during 2010-11. (Annexure -A)

b. During 2010-11, Upgradtion of Paglahat SC and Nayeralga SC to PHC is proposed

Proposed Activities (PHCs)

a. During 2006-07 and 08-09, Construction of Doctors (1 unit) and Nurse Quarter (3 unit) has

been taken up in Golokganj PHC, Bilashipara SHC, Gauripur CHC, South Salmara CHC,

Bogribari SD and Dhepdhepi MPHC and construction has been completed in all institution.

b. During 2010-11 Construction of Doctors (1 unit) and Nurse Quarter (3 unit) has to be

taken up at Hatsingimari SDCH, Sadullabari SHC and Kachokhana SD @ Rs.28.80 lakhs.

c. During 2010-11, the following health institution has to be taken up for Quarter repairing

JhowdangaSD, Bherbhangi SD, Dumardaha MPHC, Moterjhar SD & Santipur MPHC

@10.00 lakhs per institution.

d. During 2010-11, the following health institutions have been taken up for construction of

Boundary wall (Goat proof fencing) at Hatsingimari Sub-Divisional Civil Hospital,

Dharmasala BPHC, Tumni CHC, Bherbhangi SD and Kachokhana SD.

S-4. Providing Additional manpower at SCs/PHCs/CHCs/ SDCH


a. As per the report there are total 376 nos.of ANM in the district in the SC. The total

requirement for the district @ 2 ANMs per SC (excluding outreach area) is 116. Therefore

during 2010-11 atleast 50 ANM’s may be posted.

b. The contractual ANM may be posted under NRHM @ 2 ANMs in 26 nos of SC constructed

in Permanent Chars of Dhubri District. Total requirement is 52 ANM.


a. Contractual engagement of 4 MO (MBBS) and 4 MO (Ayur) will be done in 24x7 PHCs deficient in manpower. The institutionwise detailed requirement is as follows-

SL NAME OF THE HEALTH INSTITUTION Type of Institution MO (MBBS) AYUR

1 Tamahat MPHC 24 x7 PHCs 1 0

2 Moterjhar SD 24 x7 PHCs 0 1

5 Dumardaha MPHC 24 x7 PHCs 0 1

6 BATERHAT SD 24 x7 PHCs 1 0

8 Jhowdanga SD 24 x7 PHCs 0 1

Total 2 3


Proposed Activities ( For CHCs & SDCH)

a. Specialist Doctors on contract basis to be placed at 2 nos. IPHS institutions and SDCH

Hatsingimari as follows –

Name of Health Institution

Category of speciailst Total

O&G Paedratic Anaesthesist Surgeon

Mankachar CHC 1 1 1 1 4

Halakura CHC 1 1 1 1 4

SDCH (Hatsingimari) 1 1 1 1 4

Total 12

Proposed Activities ( For GNM at BPHC/CHC/24x7 PHCs)

a. At Present, thereare 122 nos. of GNM have been posted at various Health Institutions

of Dhubri District, Out of which 53 nos. are Reqular GNM and 69 nos. are Contractual

GNM. To make the Health facility functional as IPHS norms, 192 nos. GNM is proposed

during 2010-11. Requirement of Institutionwise as follows-

Sl No

Health Institutions No. of Health Institutions

Present status of

GNM

No. of GNM reuired (as per IPHS)

Gap Total

reuirement

1 CHC 4 26 9 10 10

2 BPHC 4 10 3 2 2

3

24x7 PHCs (inlucding Health Institution under construction)

25 22 3 53 53

4 SDCH 1 1 9 8 8

Total 59 73 73

S-5: Strengthening the District Hospitals by improving the physical infrastructure.


During 2008-09, Construction of 200 bedded Civil Hospital under NRHM has been taken up and

the progress of work till Nov, 09 is around 60 %. Total project cost is Rs.7.14 Cr and after

completion necessary logistics will have to be supplied during 2010-11

S-6: Strengthening the Nursing Schools by improving the physical infrastructure.


Construction of RCC GNM School cum Hostel Building for 100 nursing students at Dhubri Civil

Hospital is in progress (42%). Total project cost is 2 Cr. So, no fund proposed in the current year.


S- 7.Ambulance for all PHC’s/CHCs/District Hospitals:


a. 37 nos ambulances were already supplied by Govt., NRHM and MLA fund to 28 nos of different

medicinal institutions of Dhubri District. (Annexure C)

b. During 2010-11, new ambulance for Dumardaha MPHC is proposed @ Rs.5 Lakhs.

O-4: To strengthen the health institutions in terms of necessary materials support in terms of equipments and drugs.

S-1: Ensure proper functioning of the health centres by providing necessary equipments and drugs.

Proposed Activities : (Supply of Drugs)

a. As per the IPHS norms the District propose to supply the Drugs for all the Health Instution as

mentioned below

Sl No Health Institutions No. of Health Institutions

1 SC 246

2 BPHC/MPHC/SHC/SD/MC 32

3 CHC 6

4 SDCH 1

5 Civil Hospital 1

6 Urban Health Centre 1

7 PPP Hospital 2

8 MMU 1

9 Boat Clinic 1

Proposed Activities : (Supply of Equipments)

a. As per facility survey there is a requirement of 21 nos. labour table, 21 nos. of Stand light, 10

nos. Radiant warmer, 13 nos. Auto clave, 19 nos. Electric Sterilizer, 19 nos. backup Generator set

including other logistics for 24x7 hr delivery services for quality services. The institutionwise

detailed requirement is enclosed herewith as Annexure B

b. The IUCD Kit received during 2009-10 alredy distributed where training imparted another 100 nos of IUCD kit will be required during 2010-11.

O-5: To ensure effective implementation of the programme at the block level

S-1: Strengthening the block for effective implementation of the programme

Proposed Activities : Support to district and Block level Resource Groups.

At the district level, DPMU already exists. At the Block level Block Programme Manager,

Block Accounts manager and Assist. Block Programme has also appointed during 2007-08 and

2008-09.


During 2010-11, to support the Block Programme Management Unit the following

manpower is proposed as follows-

SL No NAME OF POST UNDER NRHM NAME OF HEALTH INSTITUTION WHERE VACANT

1

PHC ACCTT.

Futkibari SD

2 Gauripur CHC

3 Dhubri Health & maternity Centre

4 Tamarhat MPHC

1

LAB TECH

Golakganj BPHC

2 Tamarthat MPHC

3 Dharmasala BPHC

4 Moterjhar SD

O-6: To provide supportive measures to the districts for performance analysis and for

preparation of health action plans.

S-1: Strengthening the planning activities.

Propsoed Activities:

a. Resource mapping in every village done by Village Health & Sanitation Committee will help

to assess the need of the community. Therefore, by undertaking household and facility

survey, the actual need of the community can be assessed which is also the essential

requirements for developing District Health/Block Health Action Plans-annual &

perspective.

b. Orientation of VHSC of each BPHC.

O-7: To provide health care services to the unserved, underserved and remote areas.

S 1.: Support to Mobile Medical Units (MMU)


a. With the objective to take health care to the door step of the public in the rural far flung areas,

especially in under served areas, the district has received the Mobile Medical Unit with

specialized facilities like USG, X-ray etc and will continue the service.

b. During 2009-10, training of GNM, Pharmacist, Radiographer and lab Tech. of MMU is

proposed for skill upgradation.

c. For Implmenting the Mobile Medicla Unit, Total fund proposed 21.66 lakh for 2010-11 for

recurring expenditure of MMU, Dhubri. Details budget enclosed.


d.

1. Recurring Costs:

a. Manpower…………………………………… Rs12.36lakhs/ annum

i. Medical Officer 2 Nos.

General Practitioner -2 nos.

(Rs 20,000.00 X 2 =Rs.40, 000.00/month)

ii. GMN 2 Nos. (Rs. 7000.00 X 2= Rs.14,000.00/month)

iii. Radiographer-1 no. (Rs 8,000.00/month)

iv. Pharmacist-1 no. (Rs. 8000.00/month)

v. Laboratory Technician-1no. (Rs. 8000.00/month)

vi. 4th Grade cum handyman-2 nos.

(Rs. 5000.00 X 2= Rs 10,000.00)

vii. Driver-3 nos. Rs. 5000.00 X 3= Rs.15,000.00

(Total: Rs. 103,000.00 per month X 12 = Rs 12, 36,000.00 per year)

b. Medicines………………… Rs. 5 lakhs / annum

c. Training of manpower… Rs. 30,000.00 /annum

d. Maintenance & repair of vehicle… Rs. 2 lakhs /annum

e. POL Rs. 2 lakhs /annum

Grand Total Recurring Fund Required For Medical Mobile Unit, Dhubri is. Rs.21.66 lakhs.

S-2: Promoting Boat Clinic in char areas of DDhhuubbrrii ddiissttrriicctt..

a. The uncovered and inaccessible areas under South Salmara PHC, Gazarikandi PHC and

Dharmasala PHC (Total No of Char Village=50, & Char Population=69,945) has been identified

which do not have any Health Care facilities.

The Centre for North East Studies & Policy Research(C-NES) had signed a MoU with the

National Rural Health Mission of the Government of Assam in February 2008 to extend health

services to the people of char/Chapories in five districts of Assam including Dhubri district. The

focus of the boat clinic initiative is Routine immunization, Ante natal care (ANC), and Post natal

care (PNC), health checkups, awareness, and Water and sanitation in association partnership

with NRHM, Assam, and District Health Society of Dhubri.


a. Antenatal Care services by Boat Clinic




e. Curative care



The tentative annual action plan has been proposed keeping in view the immunization

schedule as well antenatal check up providing minimum three checkup & two doses of TT for

every pregnant women. A tentative plan of boat clinic camp is given below.

Quarter Month Nos. of camp days

Target Char

Target

Char population(Approx)

Infant (Approx)

Pregnant woman(Approx)

1st April 2010 to June 2010


16 Different char

20399 504 596

2nd July 2010 to September 2010


16 Different char

17628 434 507

3rd October 2010 to December 2010


16 Different char




4th January 2011 to March 2011


16 Different char




Total 12 months 192 camps

32 different char

38027 938 1103

b. During 2009-10, a Speed Boat Ambulance has been received from Zilla Parishad

Dhubri. In order to make functional of the speed boat ambulance and to extend health

services to the people of char/Chapories in the districts. The following manpower including PoL is

proposed during 2010-11

Sl No Detail Numbers Unit Cost Total Amount

1 Doctor 1 30,000.00 3,60,000.00

2 GNM 1 7000.00 84,000.00

3 ANM 2 5000.00 1,20,000.00

4 Lab Tech 1 8000.00 96,000.00

5 Pharmacist 1 7000.00 84,000.00

6 Pilot/Driver 1 5000.00 60,000.00

7 Handiman 2 3000.00 72,000.00

8 Pol & Maintenance

1,00,000.00 per month

12,00,000.00

Total 20,76,000.00


O-8: Skill up gradation/Capacity Building at all levels.

S-1: Train and enhance capacity BPMU, PRIs & Medical offcers

S-2 : Stregthening Infrastructure of District Training Hall

Proposed AAccttiivviittiieess::

a. In order to organize the different trainings for the officials/health workers under the establishment of JDHS, Addl CM & HO(FW), Dhubri, it is required to repair and renovate the existence Training Hall, during 2010-11. A total Rs. 300000.00 lakh is proposed for carrying out the same activity.

b. In order to implement the NRHM programme successfully, it is required to organize sentitization workshops on NRHM for the PRIs (ZP Member-28, GP President=168) and the medical offcers (37) and capacity building workshop for BPMU (BPM-7, BAM-9 & Assist.BPM-17)

c. Sensitization workshop to Medical officers(Newly Appointed):

A total of 37 medical officers newly appointed will be sensitized in 2010-11. Per batch 37 MOs will be there. There will be 2 days workshop. Altogether there will be 1 batches. Therefore budget is as follows:

• DA @ Rs 200.00 for 2 days for 37 participants= Rs 14,800.000

• TA @ Rs 500.00 for 37 participants= Rs 18,500.00

• Honorarium to trainers @ Rs 200.00 for 3 trainers for 2 days

= Rs 1200.00.

• Tea, Snacks etc @ Rs.100.00 for 37 participants for 2 days= Rs 7400.00

Total= Rs 14800.00+ 18500.00+1200.00+7400.00 = Rs 41,900.00.

Therefore total = Rs 41,900.00

d. Sensitization workshop to PRIs:

A total of 196 PRIs (ZP Member-28, GP President=168) will be sensitized in 2010-11. A total of 4 batch PRIs will be sensitized. Per batch 50 PRIs will be there. There will be 1 days workshop.. Therefore budget for 1 batch is as follows:

• DA @ Rs 125.00 for 1 days for 50 participants= Rs 6250.00


• Honorarium to trainers @ Rs 200.00 for 3 trainers per batch for 1 days

= Rs 600.00.

• Tea, Snacks etc @ Rs.100.00 for 50 participants for 1 days= Rs 5000.00

Total= Rs 6250.00+ 15,000.00+600.00+5000.00 = Rs 26,850.00.

Therefore total = Rs 26,850

Therfore total Budget for 4 batch= 1,07,400.00

e. Capacity Building workshop for BPMU:

A total of 33 BPMU (BPM-7, BAM-9 & Assist.BPM-17) will be sensitized in 2010-11 in 1 batch. There will be 2 days workshop.. Therefore budget is as follows:

• DA @ Rs 125.00 for 2 days for 33 participants= Rs 8,250.00


• Honorarium to trainers @ Rs 200.00 for 3 trainers per batch for 2 days

= Rs 1200.00.

• Tea, Snacks etc @ Rs.100.00 for 33 participants for 2 days= Rs 6,600.00

Total= Rs 8,250.00+ 6600.00+1200.00+6600.00 = Rs 22,650.00.

Therefore total = Rs 22,650.00


IEC/BCC Strategy

Objectives:

1. To refute the myths and misunderstandings prevalent in the society

2. To create a demand for various health services being provided under NRHM .

3. Bringing about a behavioural change among individuals and community at a large.


A.) Setting up and development of IEC/BCC unit at the district level:

1. One District Media Expert under NRHM is already placed at District, one District Extension

& Media Officer and two nos of Dy Ext & Media officer is placed under Addl. CM & HO

(FW), Dhubri

2. One Digital Video Camera, one still camera with Tripod is already available at District.

3. One Public Addressing System set; LCD Projector with Screen is available at District.

4. One laptop may be provided to the IEC/BCC cell of the district in Q1, which may cost

around Rs. 35,000/-.

5. One LCD projector may be provided to each BPHC @Rs.50,000 X 7 nos of BPHC in Q2

6. One Grade IV staff may be deputed from regular set up to the IEC/BCC cell for assist the day-to-day activity.

B). Meeting Manpower requirements at District level

1. At Present no further manpower is required at District in IEC/BCC Cell.

C). Formative research/situational analysis/baseline study to identify focus areas

1. To find out the perception of the villagers and to do a study on the level of Knowledge of

Family Planning, Immunization and Institutional Delivery an independent agency will be

engaged.

2. In the first two-quarter they will visit the Char areas of Dhubri only. They will assist by

ASHA and AWW.

3. Students of M. Phil & Phd will be encouraged to do research on the health status of tea

garden population and finding will be used to prepare specific plan.

4. The process will be continued up to Q4 and total Budget requirement for per quarter is Rs.

15,000 X 7 nos BOHC X per quarter.

D). Develop IEC/BCC Strategy : Streamline objectives/identify Communication tools/identify

media mix as per target audience/frame monitoring evaluation indicators Identify external

agency/Advertising agency for the task (if needed)


1. A comprehensive IEC/BCC action plan will be prepared in the Q2.

E). Media Mix : Develop a strategic media mix as per the target population and issues

(Child Health, Maternal Health/Family Planning)

a). Interpersonal Communications 1. On every Wednesday a Counselling session will be organised at 4 nos of FRUs and 7 nos

of PHCs by BEE & LHV for the mother and eligible couple.

2. ICTC will be intimated and engaged in the counselling session.

3. ASHA, ANM, & AWWs will be instructed to do IPC whenever they do home visited.

4. Group Discussion will be organized by BEE, LHV, HE, they will get @ Rs.300/- for per GD

X 5 GD in a month X 12 months

5. The GD will be organized at village level, SC level, AWW centre wise

6. Instruction will be given to VHSC to conduct community meetings out of their own funds.

7. Workshop at Block level will be organized, one workshop will be organised in each

quarter, @Rs.5000 X 7 nos BPHC X per Quarter

b). Community Media:

1. A audio cassette will be developed using folk tune on JSY, FP, immunization, ID etc and

will be broadcast through slow moving vehicle, cost @ Rs1000/- X 52 Weeks X 7 nos

BPHC

2. Street Play on Malaria, Immunization, JSY, FP etc will be organized in village area in per

months, @Rs. 3000 per Street Play X 12 months X 7 nos BPHC

3. During Health Mela IEC exhibition and Drama will be organized. Cost will be Rs. 25,000/-

4. BPHC wise rally will be organized to make sensitise. One rally in each BPHC in each

Quarter will be organised. Cost @ 2500 X 4 quarter X 7 BPHC

c). Outdoor Media :

1. Street Banner on JSY, Immunization, family planning, ASHA, malaria etc will be developed

centrally and installed in the prominent places. In each quarter 1000 nos of Street banner

will prepared. @ Rs 150 X 1000 nos X 4Q.

2. For popularised the NRHM schemes among the general people IEC message will be

displayed in the backside of the Buses. Cost @ Rs. 250 X 100 buses, will be done in Q2

3. During Q1 and Q3 Information Boards on Family Planning will be developed and installed

in SC wise. Per SC will be provided 2 nos of Information Boards. Cost @ Rs 2000 X 246

nos of SC centre X 2nos of Information Board.

4. During Q2, Hoarding on JSY, ASHA, Immunization, ANC, PNC etc will installed in BPHC

wise. 5 nos of Hoarding will be provided in each BPHC. Cost @ Rs, 10,000 X 5 nos of

Hoarding X 7 nos of BPHC


d). Print materials:

1. Pamphlets on health related issues would be developed for ASHA, AWW and PRI

members; the same will be distributed during VHND. In per quarter 20000 copies will be

brought out. Cost of per pamphlets will be Rs. 1 /-

2. In every quarter poster on related subject will be developed and distributed to BPHC.

Quantity required 8000 per quarter and cost would be Rs.5/- per copy.

3. Newsletter will be published in each quarter, which will highlight all the major achievement

of NRHM and other National Programme. 4000 copies will be published and will be

distributed to ASHA, AWW PRI etc. Cost @ Rs. 25 X 4000 copies.

4. In the Q3 annual report will be published which will reselect the whole activity of the

financial year. Cost @ Rs. 25 X 4000 copies will be distributed to all concern departments,

officials.

5. A table calendar will be prepared which will contained IEC message and distributed to all

Govt & Private office. The activity will be done in Q3 and 300 nos will be brought out. Cost

@ Rs. 50 X 300 nos.

F) BCC implementation Components :

Capacity Building and training of manpower Designate responsibilities as per task/identify

coordinator and design activity chart

1. A District level Workshop on BCC capacity building will be organized for BPM, BEE, HE,

LHV during Q1, appox cost of the workshop will be Rs. 10,000/-

Special Training on BCC will be organized at BPHC level for ASHA facilitator and ANMs. The

training will be organized round the year in all four quarters in phase wise. Cost for per Training

will be Rs. 5000/-. In each BPHC 4 nos of training will be organized.


Budget under IEC/BCC Plan

Annexure-III

Sl. No

Detailed Activities Quarterly Budget Allocations

Remarks Q1 Q2 Q3 Q4

1 Setting up and development of IEC/BCC unit at the district level (Procurement of Laptop)

35000 350000 0 0

Details activities may be seen at

IEC/BCC Strategy for RCH,

Sl No. A

2 Meeting Manpower requirements at District level 0 0 0 0

3 Formative research/situational analysis/baseline study to identify focus areas

105000 105000 105000 105000

Details activities may be seen

IEC/BCC Strategy for

RCH,Sl No. C

4

Develop IEC/BCC Strategy Streamline objectives/identify Communication tools/identify media mix as per target audience/frame monitoring evaluation indicators Identify external agency/Advertising agency for the task (if needed) 0 0 0 0

5

Media Mix Develop a strategic media mix as per the target population and issues( Child Health, Maternal Health/Family Planning) 0 0 0 0

a). Interpersonal Communications 0 0 0 0

Details activities may

be seen IEC/BCC

Strategy for Sl No. E (a)

I Counselling at FRUs, PHCs etc 0 0 0 0

ii One to one interaction by ASHAs/ANMs/AWWs 0 0 0 0

iii

Group discussions at Village/Block /Panchayat level ( by BEE, HE, LHV) 148500 148500 148500 148500

iv Community Meetings ( Will be conducted by VHSC) 0 0 0 0

v Workshops at Panchayath/ Block District level 35000 35000 35000 35000

b). Community Media 0 0 0 0


be seen at Annexure III, Sl

No. E (b)

I Folk arts ( preparation of Audio Cassette & miking) 91000 91000 91000 91000

ii Street plays ( Rs.3000 X 12 months X 7 BPHC) 63000 63000 63000 63000

iii Health Melas 25000 0 0 0

iv Rallies 17500 17500 17500 17500

v Social Mobilisation Programmes 0 0 0 0

c). Outdoor Media 0 0 0 0 Details activities may

be seen IEC/BCC

Strategy for Sl

I Banners 150000 150000 150000 150000

ii Bus Boards 0 25000 0 0

iii Bulletin Boards ( information Boards 2 nos for per SC wise) 492000 0 492000 0


iv Sign ages (Hoardings 5 nos for per BPHC) 0 350000 0 0

No. E (c)

d). Television Spots 0 0 0 0

e). Radio Programmes 0 0 0 0

f). Newspaper advertisements 0 0 0 0

g). Print materials 0 0 0 0


be seen IEC/BCC

Strategy for RCH,Sl No. E

(d)

I Pamphlets @ Rs.1/- X 20,000 X 4Q 20000 20000 20000 20000

ii Poster @ Rs.5 X 8000 X 4Q 40000 40000 40000 40000

iii Flip Charts 0 0 0 0

iv Newsletter @ Rs.25 X 4000 X 4Q 100000 100000 100000 100000

v Annual Report @ Rs. 25 X 4000 0 0 100000 0

vi Flash cards 0 0 0 0

vii Calendars and danglers@ Rs 50 X 300 nos 0 0 15000 0

BCC implementation Components 0 0 0 0

6

Capacity Building and training of manpower Designate responsibilities as per task/identify coordinator and design activity chart

0 0 0 0


be seen IEC/BCC

Strategy for RCH,, Sl No.F

I Capacity building of Staff 10000 0 0 0

ii Internal Workshops 0 0 0 0

iii Specialised training for Staff members 35000 35000 35000 35000

7 Monitoring and evaluation Midterm monitoring Evaluation of the Programme 0 0 0 0

Total Quarterly Budget 1367000 1530000 1412000 805000

Total BCC/IEC Budget 51,14,000/-


6.6. PART C: UNIVERSAL IMMUNIZATION

PROGRAMME (UIP)

Situational Analysis Of Immunization Programme

Current Situation of implementation of Immunization Programme

District Profile

Total Population (2001) 16,34,589 As per Census 2001

Projected Population (2010) 19,07,814

Rural (%) 88.3% As per Census 2001

Urban (%) 11.7 As per Census 2001

Infant Mortality Rate (IMR) 64/1000 SRS 2008

Below Poverty Line (BPL) (%) 36.09% NFHS-3

Crude Birth Rate ( CBR) 26.9

Infants/Year (2010) 44261

Pregnancies /Year 52656

Sub-Divisions 3

District 1

Blocks 14

Gram Panchayat 172

Villages 1359

Towns/Urban Areas 3


INFRASTRUCTURE AND STAFFING LEVELS:

Health Staff

Position Sanctioned

Posts

In Position Proposed

Addition

Trained In

Last 3 Years

Medical Officer 139

80 59 80

LHV

(Female Multi-

Purpose Health

Supervisor)

17 15 To be trained

for 2 days re-

orientation

Male Multi –purpose

Health Supervisor

54 47 7 47

ANM

(Female

Multipurpose Health

worker)

F.W. – 267

Med - 62

F.W.-180 F.W. – 87 267

(F.W &

Contractual)

Male Multipurpose

Health worker

203 161 42

Contractual ANM 230

Contractual GNM 69

Dedicated Immunization staffs

Position Sanctioned Post In position Proposed

addition

Trained In last 3

Years

Dist.

Immunization

Officer

1 1 Trained

District

Statistical

investigator

2 2

Cold Chain

Mechanic

1 1 To be trained

Non CFC

Driver (UIP

Vehicle)

1 1 1

Public Health Infrastructure Building Sanctioned Functioning With Functional

Cold Chain

Equipment

Proposed

Expansion (No.

of Facilities)

Sub-centre 246 246 0 5

PHC/MPHC/SHC/SD 16 13 11 2

PHC

Block PHC 7 7 7 3

CHC 6 5 5 0


COLD CHAIN STATUS OF DHUBRI DISTRICT

Sl No.

Name of the Location/PHC of the

Cold Chain

Sl.No.

Name of the Cold Chain Point

No. of Cold

Chain Point

Solar Remarks

1 Dist Head Quarter 1 Dist. F.W.Bureau 2

2 Dist Ware House 5

2 Dhubri Urban Unit 1 Civil Hospital 2

2 Urban Unit, Dhubri 1

3 Dharmasala BPHC

1 Dharmasala PHC 3

Kazigaon SD & Tipkai MPHC is now under BTAD area and from

B.S.F. Hospital is now

withdrawn

2 Gauripur CHC 1

4 Golakganj BPHC

1 Golakganj PHC 3 1 Rupsi is now

in BTAD area,Tamarhat is included to Dhubri District

from BTAD and from Kedar is

withdrawn

2 Dhepdhepi 1

3 Dumurdaha 1

4 Kachakhana 1

5 Moterjhar (Newly installed)

1

6 Berbhangi (Newly installed)

1

7 Tamarhat 1

5 Halakura BPHC

1 Halakura PHC 1

2 Agomoni CHC 1

3 Satrasal SD 1

4 Baterhat SD 1

6 Raniganj BPHC

1 Raniganj PHC 1

2 Bilasipara 2

3 Lakhiganj 1

4 Sapatgram 1

5 Bagribari 1

7 Chapar BPHC

1 Chapar PHC 2

2 Bahalpur 1

3 Salkocha 1

4 Rangamati 1

8 Gazarikandi BPHC

1 Gazarikandi PHC 2 1

(But not working)

2 Sukchar 1

3 Mankachar 1

4 Hatsigimari ( Newly installed)

1

5 Kalapani (Newly installed)

1

9 S Salmara BPHC 1 South Salmara PHC 1

Total Cold Chain Point (In 32 Locations)

45


Additional Requirement Of Cold Chain Equipment, 2010-11.

Cold Storage Point Total Number

Proposed Expansion

Proposed Replacement

ILR Storage Point 32

6 2

Total Deep Freezer 5

6 2

Solar Refrigerator 1

1 5

Sl No. Item

Stock

(Functional)

as on 31st

De'09

Requirement

2009-10 2010-11 2011-12

1 Cold Chain Equipments

a) WIC 1

b) WIF 1

c) ILR 38 8

d) DF 29 8

e) Cold Boxes 48 25

f) Vaccine Carrier 2352 150 150

g) Ice Pack 18726 5000 3500 3500

h) Vaccine Van 1 1

ILR Required :-

1. B.S.F. Hospital - 1 No.(Replacement) 2. Raniganj PHC - 1 No. (Replacement) 3. Kalapani - 1 No. 4. Sadullabari - 1 No. 5. D.F.W.B. - 1 No. 6. Chapor PHC - 1 No 7. Moterjahr MPHC - 1 No 8. Halakuara PHC - 1 No

Deep Freezer :-

1. Dhepdhepi S.D. - 1 No. 2. Dumurdaha S.D. - 1 No. 3. Tamarhat PHC - 1 No. (Replacement) 4. B.S.F. Hospiital - 1 No. 5. Kalapani S.D. - 1 No. 6. Sadullabari S.D. - 1 No. 7. Halakura PHC - 1 No. 8. D.F.W.B. - 1 No.(300 lts Replacement)


U.I.P. Related Training conducted during 09-10:

Position Numbers

(Trained up to Dec’09) D.I.O. (Mid Level Manager) 1

M.O.s

LHVs 6

ANMs 406

Cold Chain handler 64

Data Handler 28

Recent Performance

Name of

the PHC

Yearly Target

(2008-09)

Yearly Target

(2009-10)

BCG Coverage

(in numbers)

OPV-1st Dose

Coverage

(in numbers)

OPV-3rd Dose

Coverage

(in numbers)

DPT-1st Dose

Coverage

(in numbers)

DPT-3rd Dose

Coverage

(in numbers)

Inf PW Inf PW

20

08

-09

20

09

-10

20

08

-09

20

09

-10

20

08

-09

20

09

-10

20

08

-09

20

09

-10

20

08

-09

20

09

-10

Dharmasala 5860 6972 5860 6972 6111 4328 6385 4298 5320 4378 6385 4298 5320 4378

Golakganj 5857 6968 7117 7826 5464 3822 5708 3667 4966 3469 5708 3667 4966 3469

Halakura 4390 4878 4481 5079 3497 2257 3726 2339 3797 2539 3726 2339 3797 2539

Raniganj 6803 8093 7539 7590 8973 3982 8992 4209 7230 4135 8992 4209 7230 4135

Chapor 3216 3823 2606 3100 3218 1989 3162 2760 2750 2143 3162 2760 2750 2143

S.Salmara 7717 9181 7717 9181 7979 5335 8417 5396 6277 4571 8417 5396 6277 4571

Gazarikandi 6957 8277 7079 8421 7555 4758 8380 4356 7322 4235 8380 4356 7322 4235

Dhubri

Urban 1679 1992 1679 1992 1359 695 1386 721 908 524 1386 721 908 524

Boat Clinic 486 446 519 514 298 353 519 514 298 353

Total 42479 50184 44078 50161 44642 27612 46675 28260 38868 26347 46675 28260

3886

8

2634

7

Name of

the PHC

Hep-B

Birth

Dose

Coverage

(in

numbers)

Hep-B

1st Dose

Coverage

(in

numbers)

Hep-B

3rd Dose

Coverage

(in

numbers)

Measles

Coverage

(in numbers)

TT2 + Booster

Coverage

(in numbers)

JE

Routine

Vit-A 1st Dose

Coverage

20

08

-09

20

09

-10

20

08

-09

20

09

-10

20

08

-09

20

09

-10

20

08

-09

20

09

-10

20

08

-09

20

09

-10

20

08

-09

20

09

-10

20

08

-09

20

09

-10

Dharmasala 0 0 0 0 0 0 4763 4346 5110 4735 0 0 2662 3990

Golakganj 0 0 0 0 0 0 4087 3301 5601 4073 0 0 3466 3178

Halakura 0 0 0 0 0 0 3282 2393 3378 2582 0 0 2858 2329


Raniganj 0 0 0 0 0 0 5684 3525 7599 5019 0 0 3534 2087

Chapor 0 0 0 0 0 0 2144 2018 2490 2050 0 0 975 1526

S.Salmara 0 0 0 0 0 0 6250 4391 6993 5903 0 0 2591 3751

Gazarikandi 0 0 0 0 0 0 6083 3875 7092 5562 0 0 2967 3958

Dhubri

Urban 0 0 0 0 0 0 852 476 2028 1704 0 0 704 476

Boat Clinic 0 0 0 0 0 0 354 223 162 187 0 0 0 59

Total 0 0 0 0 0 0 33499 24548 40453 31815 0 0 19757 21354

Vaccine preventable Diseases:

Name of

the PHC

Diptheria Whooping

Cough

Neonatal

Tetanus

Tetanus

(Other) Measles Polio AES

Ca

se

De

ath

Ca

se

De

ath

Ca

se

De

ath

Ca

se

De

ath

Ca

se

De

ath

Ca

se

De

ath

Ca

se

De

ath

Dharmasala 0 0 0 0 0 0 0 0 90 0 0 0 0 0

Golakganj 0 0 0 0 0 0 0 0 0 0 0 0 0

Halakura 0 0 0 0 0 0 0 0 60 0 0 0 0 0

Raniganj 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Chapor 0 0 0 0 0 0 0 0 0 0 0 0 0 0

S.Salmara 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Gazarikandi 0 0 0 0 0 0 0 0 37 0 0 0 0 0

Dhubri

Urban 0 0 0 0 2 0 1 0 13 0 0 0 0 0

Boat Clinic 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Total 0 0 0 0 2 0 1 0 200 0 0 0 0 0


Objective

The Overall goal is to measure to increase immunization coverage rtes. Based on review of

past performance, assessment of critical bottlenecks and planned activities

Immunization Coverage Targets:

INDICATORS Current 2009-10

(upto Jan’10)

Planned 2010-11

BCG coverage (%) 70.05% 90%

DPT-1 coverage (%) 71.59% 90%

DPT-3 coverage (%) 64.13% 90%

Measles coverage (%) 61.82% 90%

Vit- A coverage (%2+ doses) 42.55% 60%

Dropout rate BCG-Measles(%) 11.75% -

Children fully vaccinated by 12

months of age (%) from HMIS

report

53.49% 70%

Key performance indicatrs:

INDICATORS Current 2009-10 Planned 2010-11

% Blocks with routine

immunization micro plan

available

100 100

Key performance indicators:

INDICATORS Current 2009-10

(upto Nov’09)

Planned 2010-11

ANM having received refresher

training in Immunization

within the last 3 years (%)

90% 100%

DIO having participated in

mid-level managers (MLM)

training within the last 3

years(%)

- 1


ACTION PLAN ON UIP PART –C , ASSAM,2010-11 :-

As per guidelines laid down, outline action points for implementing delivery scheme at State /

Block level, justifying state or State specific deviation from the establishment norms.

Total Projected Population : 1907814 Pregnant Woman target : 52656 Infant Target : 44261 Vaccination Sites : 17288 Sub Centres : 246 Villages : 1359 ANM/MPHW : 180 Addl. ANM : 230 1-2 Years Children = 43880 (2.30% of the projected population) 5 years Children = 46169 (2.42% of the projected population)

PROPOSED MONTHLY ACTION PLAN FOR ROUTINE IMMUNIZATION : 2010-11

Name of

Block PHC

No

. O

f B

lock

M.O

.

No

.of

S.C

.

No

. O

f

Inst

itu

tio

n

No

. O

f S

ect

or

M.O

.

No

. O

f C

old

Ch

ain

Po

int

No

. o

f B

EE

No

. o

f LH

V

No

. O

f Se

ssio

n

Pla

nn

ed

No

. o

f

Un

de

rse

rve

d

Se

ssio

n

Po

pu

lati

on

Yearly Target

P.W

.

0-1

yr I

nfa

nt

South

Salmara 1 47 6 4 1 1 0 2796 372 290537 8019 6740

Gazarikandi 1 44 3 7 3 1 1 2640 276 303650 8381 7045

Raniganj 1 48 7 7 9 1 3 3012 156 329098 9083 7635

Dharmasala 1 34 3 3 4 1 2 2532 240 327505 9039 7598

Golakganj 1 34 7 7 8 1 1 2388 24 271660 7498 6303

Halakura 1 22 4 4 4 1 2 1548 96 173330 4784 4021

Chapar 1 17 4 4 3 1 4 1500 132 138461 3822 3212

Dhubri

Urban 1 1 1 1 756 96 73572 2031 1707

Total 8 246 34 37 33 8 13 17172 1392 1907814 52656 44261


Requirement of Vaccine and Syringe during the year 2010-11

Name of

Block PHC

Requirement of Vaccine Dose Requirement of Syringe Immunization

Card T.T. B.C.G. D.P.T. O.P.V. Measles 0.1 ml 0.5 ml 5 ml

South

Salmara 24056 10111 40443 40443 10111 10111 74610 8481 8019

Gazarikandi 25142 10567 42268 42268 10567 10567 77977 7989 8381

Raniganj 27249 11453 45810 45810 11453 11453 84512 9075 9083

Dharmasala 27117 11397 45589 45589 11397 11397 84103 7656 9039

Golakganj 22493 9454 37815 37815 9454 9454 69762 7170 7498

Halakura 14352 6032 24128 24128 6032 6032 44511 4668 4784

Chapar 11465 4818 19274 19274 4818 4818 35557 4533 3822

Dhubri

Urban 6092 2560 10241 10241 2560 2560 18893 2292 2031

Total 157967 66392 265568 265568 66392 66392 489927 51864 52656

Proposed Activity:

Service Delivery Improvement:-

a. Mobilization of Children by ASHA : For every 1431 sites we have got one ASHA per site.

Invitation card (IPC Slip) to be printed and distributed to ASHA . Missed/Dropout children are

to be mobilize or Invited by ASHA to reduce the drop Out. The District will continue for

providing incetive of Rs. 250/- to ASHAs for each fully immunized child as this increases the

full immunization coverage rate of the District as the ASHAs after BCG will keep a track of the

infants in her village as she is from the same village and will accompany the mother to the

sub-centre to vaccinate the infant.This will also help the ANM in tracking/vaccinate the infants

as there are instances where the ANM fails to vaccinate the infant as mothers are not willing

or forgotten about the date of Immunization of their child but with the help of ASHAsi it will be

easier for the ANM to conveience the mothers and also kepeping a track of the Infants.

b. Hard to Reach area/Unreached Area : 116 nos of sites per month has been identified as

difficult to reach areas/Char areas/Urban Slums. For Holding the sessions in Underserved

and Slum areas ANM will be deputed and Rs. 300/- will be paid as honorarium and Rs. 50/-

as contingency to ANM for holding the session.

c. Vaccine Delivery (State- Dist. To Cold Chain Pt.) :: Vaccine distribution plans are

prepared to distributes vaccine from Dist. to 8 PHC by maintaining proper cold chain.

Dist. To PHC :: As per vaccine distribution route map, Vaccine will distribute from Dist. To 8

PHC level cold chain pt. by insulated vaccine Van covering 3 PHCs per trip for one month

quota. Per trip POL cost of Rs. 800/-, DA of driver is Rs. 90/-, loading/unloading of Vacc. And

syringes is Rs. 100/- and maintenance of Vehicle Rs. 800/- PM is planned.


d. ALTERNATE DELIVERY OF VACCINE :

For 1431 normal sites Alternate arrangement is planned for vaccine delivery so that ANM can

attend the session site in time. In 2009-10, 85% sites were covered, but in next year it will be

arranged for 100% Rs. 50/- per normal site.

In underserved slum area /Char area of 116 nos. it is planned to provide Rs. 100/- per site for

alternate vaccine carrying.

e. Cold Chain Maintenance

Proper Functioning of Cold Chain Equipments (ILR/Deep Frezer/Col-Box/vaccine

carrier etc.) and maintain temperature record of ILD/DF (daily twice), stock of vaccine

and syringes at District and PHC level will be ensure during 2010-11. It will also be

ensured that the quality of vaccine by maintaining proper Cold Chain System at

storage and transportation.

f. Computer Assistant under DIO: One Computer Assistant @ Rs.10,000 PM is provided to

assist DIO in keeping up to data record on immunization and submit the performance report

on physical and financial as per HIMS/UIP format.

g. Supervision and Monitoring : :

Rs.4,200/-PM is provided to utilize for POL expenses on supervision and monitoring purpose

by Addl. CM&HO (FW)/ DIO to ensure satisfactory performance of immunization programme

covering all sites.

At Block PHC leve I.c of BPHC will look after the Immunization Programme and supervise the

activity. In addition Sector MO, BEE, LHV will supervise the activity.

h. TRAININGS :

(i) 2 Days Training for ANM, LHV & GNM

To improve the quality services of Immunization 2 days refresher training of Health

workers (ANMs, LHV, GNM etc) along site visits related to immunization will be organized.

The batch size should be 25-30 persons in each batch. Priority will be given to those ANMs

who have hired drop out rates.

456 ANM/ 50 GNM/ 17 LHV will be trained during 2010-11.

ii) Vaccine Handlers Training :: One day cold chain handlers training will be organized for

64 nos of Vaccine Handlers against 32 Cold Chain storage during 2010-11 by District cold

chain officers and DIO in a batch of 15-20 trainees. At PHC level Contractual Pharmacist will

be involved for computerized record keeping of Vaccine stock position.

iii) Block level Data Handlers Training : For streamlining the reporting system of

immunization ,the team of block level data handlers to be trained on reporting system at Dist.

H.Q. by D.I.O , DDM, and S.I. The participants will be BEE, BPM, LHV and BAM.


iv) Training on Micro Planning :: Block level Meeting/Training will be organized for all sub

centres for all ANM, AWW, ASHA, ASHA Facilitator for finalization of Sub centre micro plan.

i. Conduct Regular Monthly District and PHC Level Review Meetings:

To identify sub center/ institutions lagging behind in performance and therby to take remedial

measure, to avail opportunity for on site training and to solve the problems, to solve the

problems identified by the participants and to provide feed back monthly review meeting will

be ensured at District and Block Level.

j. Injection Safty : Red Bag, Black Bag, Hub Cutter, Twine bucket, Injection pits etc will be

ensured during 2010-11 for ensuring Injection safty.


Budget under UIP

Service Delivery Norms

Expenditure & Ahievement

Remarks

2005-06 2006-07 2007-08 2008-09 2009-10 (till Nov'09) 2010-11

Exp

en

dit

ure

Exp

en

dit

ure

Exp

en

dit

ure

Exp

en

dit

ure

Ach

iev

em

en

t

Exp

en

dit

ure

Ach

iev

em

en

t

Funds

requirement Target

Mobility support

for Supervision

Supervisory visits

by District level

officers for

monitoring and

supervision of RI

at Rs.50,000 per

district for

Districtlevel officers

(this includes POL

and Maintenance)

per year

12600 25162 74400 29457

No. of

Sessions

Supervised

11938

No. of Sessions

Supervised

120000

No. of Sessions

Supervised

384 256 408

Cold Chain

maintenance

Rs.500 per PHC/CHC

per year District

Rs.10000 per year

0 36433 1530 25466

% funds

used 51400 % funds used

98400 % funds used

99% 52%

Focus on slum &

underserved

areas in urban

areas

Hiring an ANM

@rs.300/ session for

four

sessions/month/slum

of 10000 population

and Rs.200/- per

68600 171500

No. of

Sessions

with hired

vaccinators

0

No. of Sessions

with hired

vaccinators

134400

No. of Sessions

with hired

vaccinators


month as

contingency per slum

of i.e total expense

of Rs. 1400/- per

month per slum of

10000 population

490 0 96

Mobilization of

Children through

ASHA/mobilizers

Rs.150/session (for

District) 284000 939400

No. of

Sessions

with ASHA 0

No. of Sessions

with ASHA 2813400

No. of Sessions

with ASHA

9394 18756 18756

Alternate

Vaccine Delivery

Geographically Hard

to reach areas

(session site>30 k.m.

from vaccine delivery

point, river crossing

etc) @rs. 100 per RI

Session

0 0 0

No. of

Sessions

with AVD

0 No. of Sessions

with AVD 385200

No. of Sessions

with AVD

Hilly terrain @Rs.100

per RI session 3852

For RI session in

other areas @ Rs.50

per session

215800 490000 15624 1046600 16104 937800 18756

Support for

Computer

Assistant for RI

Reporting (with

annual

increment of

10% w.e.f. from

2010-11)

District @ Rs. 8000-

10000 p.m.

No. of C.A.

in position

No. of C.A. in

position

No. of C.A. in

position

84000 Yes 77000 Yes 120000 Yes


Printing and

dissemination of

immunization

cards, tally

sheets,

monitoring

forms etc

Rs. 5 per beneficiary 0 0 0 0 250805

50161

benefici

aries

Review

Meetings

Quaterly Review &

feedback meeting for

exclusive for RI at

District level with

one Block Mos, ICDS

CDPO and other

Shakeholders@ Rs

100/- per participant

for meeting

expences (launch,

Organizational

expences)

0 0 0

No of

persons

trained.

No of persons

trained.

60000

No of persons

trained.

Quaterly review

meeting exclusive for

RI at Block level @ Rs

50/- pp as

honorariam for

ASHAs (travel) and Rs

25 pp at the disposal

of MO-I/C for

meeting expences

(refresments,

stationary and misc.

expences)

147600


Trainings:

District Level

orientation

training for 2

days ANM, Multi

Purpose Health

Worker (Male),

LHV, Health

Assistant

(Male/Female),

Nurse Midwives,

BEEs & other

specialist (as per

RCH norms)

As per revised norms

for trainings under

RCH

161723

No of

persons

trained 344678

No of persons

trained

601301

No of persons

trained

267 412 523

Three days

training of

Medical Officer

on RI using

revised MO

traing module


for trainings under

RCH

No of

person

trained

No of person

trained

No of person

trained

one day

refresher

training of

District RI

Computer

Assistants on

RIMs/HMIS and

Immunization

formats under

NRHM


for trainings under

RCH


One day Cold

Chain handlers

traing for block

level cold chain

handlers by state

and District cold

chain officers

and DIO for a

batch of 15-20

trainees and

three trainers.


for trainings under

RCH

0 10870 0 9040 30 40585 No of person

trained120 31100

No of person

trained60

One day training

of block level

data handler by

DIO and Dist

Cold Chain

officer to train

about the

reporting

formats of

Immunization

and NRHM


for trainings under

RCH

No of

person

trained

18500

No of person

trained

28

18450

No of person

trained

30

Microplanning to

develop sub-

center and PHC

microplans using

bottom up

planning with

participation of

ANM, ASHA,

at Rs 100/- per SC

(meeting at

bolcklevel, logistic)

24600

% of

SC/PHC/CHC/Dist

have updated

microplan this

year

100%

24600

% of

SC/PHC/CHC/Dist

have updated

microplan this

year


AWW For consolidation of

microplan at

PHC/CHC level @ Rs

1000/- block & dist

level @ 2000/- per

dist.

9345 8000 0 8613 13000 24000

POL for vaccine

delivery from

dist. To

PHC/CHCs

Rs 100,000/dist/year 20724 50573 15757 45134

% of fund

used 77509

% of fund used

201600

% of fund used

73% 38%

Consumables for

computer

including

provision for

internet access

for RIMs

At Rs 400/-

/month/dist 4800

Injection Safety % funds

used % funds used % funds used

Red/Black/Plastic

bags etc at Rs 2/bag/session 37512

Bleach/Hypo

chlorite solution

at Rs 500/

PHC/CHC/year 4800

Twine bucket at Rs

400/PHC/CHC/year 3200


Any District

Specific Need

with Justification

( please provide

a separate write-

up on objective,

stretegy,

expected output

and outcomes,

basis for cost

estimates etc.

10% of total amount

of approved PIP

% funds


Total 42669 131038 660087 1964333 1705810 6018968


6.7. PART D: NATIONAL DISEASE CONTROL PROGRAMME

6.7.1 National Vector Borne Disease Control Programme (NNVVBBDDCCPP))

GOAL: To reduce morbidity and mortality due to malaria

OBJECTIVE

a. To bring down API from 4.27 to 2

b. To bring down PF% from 65.12% to 30%

Strategies:

1. Early detection and prompt treatment

2. Case management & referral

3. Integrated Vector control

4. BCC & Social Mobilization

5. Intersectoral Convergence

6. Capacity building (Training)

7. Monitoring & Evaluation

DISTRICT PROFILE � THE DISTRICT IS SITUATED IN THE WESTERN CORNER OF THE STATE OF ASSAM BETWEEN

LATITUDE 25˚ 28' AND 26˚01'NORTH AND LONGITUDE 89˚59' AND 90˚28' EAST.

� IT IS SITUATED 35 METER ABOVE THE SEA LEVEL.

� IT HAS A TOTAL GEOGRAPHICAL AREA OF 2838 SQ.KMS.

� IT IS BORDER BY KOKRAJHAR DISTRICT ON THE NORTH, MEGHALAYA AND BANGLADESH IN

SOUTH BOGAIGAON AND GOALPARA DISTRICT IN THE EAST AND WEST BENGAL AND

BANGLADESH IN THE WEST.

� RIVER BRAHMAPUTRA FLOWS THROUGH THIS DISTRICT AND BESIDE THE DISTRICT INTO TWO

PARTS VIZ SOUTH BANK AND NORTH BANK.

� BILASIPARA, SOUTH SALMARA-MANKACHAR AND DHUBRI ARE THREE SUB-DIVISION OF THE

DISTRICT WITH H.Q. AT DHUBRI.

� THE CLIMATE OF THE DISTRICT IS MAINLY HUMID. THUNDER STORMS OCCUR DURING THE PERIOD

FROM MARCH TO MAY AND MAY TO OCTOBER IS CONSIDERED AS FLOOD SEASON.

Vital Statistics of the Distict at a Glance General:

1. Population - :: 17,28,860 (as per NVBDCP 2009 census)

2. Tea estate population - :: 9,581 No.s

3. BPL population - :: 11,71,392(as per 2001 census)


4. Schedule caste - :: 63208(4.8%) (as per 2001 census)

5. Schedule tribe - :: 10223 (as per 2007 NVBDCP census)

Administrative details

1. Area - :: 2797.78 sq.km.

2. Sub-division - :: 3 nos

2. Development Block - :: 12 nos.

3 Village - :: 1302

4. Panchayat - :: 162 nos

5. Municipality - :: 1

6. Town - :: 3

7. ICDS - :: 12

8. Tea garden - :: 3

Border area

1. Development block - :: 6(Agomani,Golakganj, Dharmasala,South Salmara, Fekamari,Mankachar)

2. Village - :: 462

Health care Delivery Infrastructure Government

1. Civil Hospital - :: 1

2. Sub-Divisional Hospital - :; 2

3. Chest Hospital - :: 1

4. 20 Bedded Maternity Hospital - :: 1

5. Block PHC - :: 7

6. CHC - :: 6

7. Mini PHC - :: 10

8. SHC - :: 6

9. State Dispensary - :: 14

10. FRU - :: 2

11. ESI Hospital - :: 1

12. Police Hospital - :: 1

13. Railway Hospital - :: 1

14. Malaria Clinic - :: 28

15. Sub-centre - :: 246

Private

1. Tea Garden Hospital - :: 1


Status of Health facilities

S. No Health facility No

1 District Hospital 1

2 Block PHC 7

3 Add PHC/ Mini PHC 10

4 Sub centre 246

5 Villages 1302

6 FTD 106

7 ASHA 1397

8 Rapid response team formed (yes/no) Yes

Human Resource

S. No Health facility Sanctioned In Place Trained

1 DMO (Full Time) 1 1 Yes

2 AMO 1 1 No

3 MO 178 130 30

4 Lab Technician 35 35 33

5 Lab Technician (contractual)*

13 13 13

6 Health Supervisors (M) 78 70 12

7 Health Supervisors (F) 21 8 1

8 MPW (M) 194 182 182

9 MPW (M) (contractual)# 10 9 9

10 MPW (F) 324 400 52

11 Malaria Technical Supervisor (contractual)*

1 1 Yes

12 ASHA 1397 1397 407

PHC wise epidemiological information 2005 to 2008

PHC Name

Year Population BSC/B

SE ABER

Total Malaria Cases

Pf. Cases

API SPR SFR Deaths due to malaria

Dharmasala

2005 359107 21440 5.97 48 44 0.13 0.22 0.2 Nil

2006 368050 30762 8.35 467 432 1.26 1.51 1.4 2

2007 370801 27426 7.39 281 238 0.75 1.02 0.86 6

2008 339070 18181 5.36 76 65 0.22 0.41 0.35 Nil

Halakura

2005 132916 11947 8.98 18 12 0.13 0.15 0.1 Nil

2006 134892 14429 10.6 39 32 0.28 0.27 0.22 Nil

2007 138420 12585 9.09 18 16 0.13 0.14 0.12 Nil

2008 147552 13203 8.94 13 12 0.08 0.09 0.09 Nil

Golokganj

2005 231367 13009 5.62 22 19 0.09 0.16 0.14 Nil

2006 229638 18668 8.12 68 41 0.29 0.36 0.21 Nil

2007 231698 16065 6.93 66 36 0.28 0.41 0.22 1


2008 261312 16468 6.30 34 20 0.13 0.20 0.12 Nil

Raniganj

2005 314238 11083 3.52 107 70 0.34 0.96 0.63 Nil

2006 318167 16050 5.04 106 28 0.33 0.66 0.17 2

2007 322311 13108 4.06 98 67 0.30 0.74 0.51 5 2008 318221 17590 5.52 113 92 0.35 0.64 0.52 Nil

Chapar

2005 126952 8733 6.87 108 95 0.85 1.23 1.08 Nil

2006 127953 15630 12.2 498 405 3.89 3.18 2.59 1

2007 130173 12709 9.76 248 217 1.90 1.95 1.70 3

2008 130560 14436 11.05 65 35 0.49 0.45 0.24 Nil

South Salmar

a

2005 238562 68854 2.87 47 47 0.19 0.68 0.68 Nil

2006 243875 8881 3.64 85 71 0.34 0.95 0.79 Nil

2007 257390 10811 3.93 110 95 0.42 1.01 0.87 3

2008 247233 13133 5.31 127 124 0.51 0.96 0.94 Nil

Gazarikandi

2005 264066 21248 8.04 716 708 2.71 3.36 3.33 Nil

2006 267783 26413 9.79 1169 1122

4.36 4.42 4.24 1

2007 274790 29011 10.55 1154 1121

4.19 3.97 3.86 Nil

2008 285746 31323 10.96 983 965 3.44 3.13 3.08 Nil

TOTAL

2005 1667208 94314 5.65 1066 995 0.63 1.13 1.05 Nil

2006 1692358 130833 7.73 2432 2131

1.43 1.85 1.62 6

2007 1725283 121712 7.05 1975 1770

1.14 0.11 1.47 18

2008 1728860 124334 7.18 1411 1313

0.81 1.13 1.05 Nil

Sub-centre wise epidemiological information 2007-2008

PHC Name

Sub-Centre Name

Year Population BSC/BSE ABER Total Malaria cases

Pf cases

API SPR SFR Death due to malaria

Dh

arm

as

ala

PH

C

Dhubri Town AA1

2007 28495 287 1.00 0 0 0 0 0 0

2008 28495 456 1.60 0 0 0 0 0 0

Dhubri Town AA2

2007 17373 193 1.11 0 0 0 0 0 0

2008 17373 454 2.61 0 0 0 0 0 0

Aironjongla 2007 4590 203 4.42 3 3 0.65 1.47 1.47 0

2008 4590 455 9.91 1 1 0.21 0.21 0.21 0

Charbhasani 2007 4700 200 4.25 0 0 0 0 0 0

2008 4700 452 9.61 0 0 0 0 0 0

Bidyapara Bhatigaon

2007 4905 200 4.07 0 0 0 0 0 0

2008 4905 454 9.25 1 1 0.20 0.22 0.22 0

Bidyapara-I 2007 4875 3850 78.97 76 66 15.5 1.97 1.71 1

2008 5075 1972 38.91 10 10 1.97 0.50 0.50 0

Madhusoulmari-I

2007 14550 3780 25.97 70 60 4.81 1.85 1.58 0

2008 14650 675 4.60 2 2 0.13 0.29 0.29 0

Tiamari-II 2007 10996 2220 20.18 52 42 4.72 2.34 1.89 0


2008 10996 380 3.45 2 2 0.18 0.52 0.52 0

Patamari 2007 5220 20 0.38 0 0 0 0 0 0

2008 5320 232 4.36 0 0 0 0 0 0

Bhogdahar 2007 5402 18 0.33 0 0 0 0 0 0

2008 5902 238 4.03 0 0 0 0 0 0

Reserverchar 2007 4910 9 0.18 0 0 0 0 0 0

2008 5010 235 4.69 0 0 0 0 0 0

Kachuarkhash 2007 6120 1215 19.85 8 7 1.30 0.65 0.57 1

2008 6320 670 10.60 2 2 0.31 0.29 0.29

0

Dh

arm

asa

la P

HC

Durahati 2007 5108 848 4.33 4 4 0.78 0.47 0.47 0

2008 5416 680 12.55 0 0 0 0 0 0

Singimari-II 2007 4896 704 14.37 3 3 0.61 0.42 0.42 0

2008 5010 675 13.47 0 0 0 0 0 0

Tistarpar 2007 4698 650 13.83 3 3 0.63 0.46 0.46 0

2008 4898 670 13.67 0 0 0 0 0 0

Adabari 2007 15530 1556 10.01 6 5 0.38 0.38 0.32 0

2008 15830 380 2.40 2 2 0.12 0.52 0.52 0

Gaspara 2007 7126 62 0.87 3 2 0.42 4.83 3.22 0

2008 7650 375 4.90 2 2 0.26 0.53 0.53 0

Dubirpar 2007 6311 38 0.60 2 1 0.31 5.26 2.63 0

2008 6512 360 5.52 1 1 0.15 0.27 0.27 0

Binnachara 2007 6180 12 0.19 0 0 0 0 0 0

2008 6518 355 5.44 1 1 0.15 0.28 0.28 0

Silghagri 2007 4135 250 6.04 1 0 0.24 0.40 0 0

2008 4515 270 5.98 1 1 0.22 0.37 0.37 0

Howrarpar 2007 3717 262 7.04 0 0 0 0 0 0

2008 4018 280 5.91 1 1 0.24 0.41 0.41 0

Motirchar 2007 3592 291 8.10 0 0 0 0 0 0

2008 4092 242 5.91 1 1 0.24 0.41 0.41 0

Soulmari 2007 5320 170 3.19 0 0 0 0 0 0

2008 5620 245 4.35 0 0 0 0 0 0

Pyestirpar 2007 5812 198 3.40 0 0 0 0 0

2008 6012 252 4.19 1 1 0.16 0.39 0.39 0

Kacharihat 2007 6358 200 3.14 2 0 0.31 1.00 0 0

2008 6658 252 3.78 1 1 0.15 0.39 0.39 0

Gouripur Town AC1

2007 14898 2771 18.59 12 11 0.82 0.43 0.39 0

2008 15098 700 4.63 4 4 0.26 0.57 0.57 0

Dh

arm

a

sala

PH

C Gauripur Town

AC2

2007 11955 760 6.35 4 4 0.35 0.52 0.52 1

2008 12055 680 5.64 3 3 0.24 0.44 0.44 0

Silairpar 2007 3298 305 9.24 1 1 0.31 0.32 0.32 0


2008 4028 140 5.95 2 2 0.49 0.83 0.83 0

Darchuka 2007 4490 195 4.34 1 1 0.22 0.51 0.51 0

2008 2020 100 4.95 0 0 0 0 0 0

Baladmara 2007 4297 200 4.65 2 2 0.46 1.00 1.00 0

2008 5097 245 4.80 2 2 0.39 0.81 0.81 0

Nawarchar 2007 4399 98 2.22 0 0 0 0 0 0

2008 5038 242 4.80 1 1 0.19 0.41 0.41 0

Falimari 2007 16898 407 2.40 0 0 0 0 0 0

2008 16998 680 4.0 1 1 0.05 0.14 0.14 0

Dhubri Town AD1

2007 17299 311 1.79 0 0 0 0 0 0

2008 17398 675 3.88 0 0 0 0 0 0

Dhubri Town AD2

2007 20930 283 1.35 0 0 0 0 0 0

2008 21030 272 1.29 0 0 0 0 0 0

Geramari-IV 2007 5319 520 9.77 1 1 0.18 0.19 0.19 0

2008 5619 262 4.66 1 1 0.17 0.38 0.39 0

Jhaleralga 2007 5380 409 7.60 0 0 0 0 0 0

2008 5680 255 4.48 0 0 0 0 0 0

Alomganj 2007 8530 180 2.11 3 3 0.35 1.66 1.66 1

2008 8730 362 4.14 1 1 0.11 0.27 0.27 0

Rangamati 2007 7038 180 2.55 0 0 0 0 0 0

2008 7538 360 4.77 2 2 0.26 0.55 0.55 0

Madaikhali 2007 5060 322 6.36 0 0 0 0 0 0

2008 5560 375 4.94 1 1 0.17 0.36 0.36 0

Ghageralga 2007 4619 280 6.06 0 0 0 0 0 0

2008 5019 258 5.14 1 1 0.19 0.38 0.38 0

Boraibari

2007 5779 300 5.19 0 0 0 0 0

2008 6012 255 4.24 1 1 0.16 0.39 0.39 0

Ha

laku

ra P

HC

Kherbari-III 2007 4561 370 8.11 1 0 0.21 0.27 0 0

2008 4572 556 12.16 0 0 0 0 0 0

Pokalagi 2007 5152 402 7.87 0 0 0 0 0 0

2008 5156 560 10.84 0 0 0 0 0 0

Atgharitari 2007 3781 350 9.25 0 0 0 0 0 0

2008 3791 550 14.50 0 0 0 0 0 0

Gharialdanga 2007 4809 360 7.48 0 0 0 0 0 0

2008 4821 575 11.92 0 0 0 0 0 0

Chagolia 2007 10783 571 5.29 0 0 0 0 0 0

2008 10793 698 6.46 0 0 0 0 0 0

Koimari 2007 6168 566 9.17 1 1 0.16 0.17 0.17 0

2008 6168 550 8.91 0 0 0 0 0 0


Kathaltoli 2007 5884 506 8.59 1 1 0.16 0.19 0.19 0

2008 5884 556 9.44 1 1 0.16 0.17 0.17 0

Bidyardabri-I 2007 12293 1338 10.88 2 1 0.16 0.14 0.07 0

2008 12293 542 4.40 3 3 0.24 0.55 0.55 0

Kherbari-I 2007 3337 159 4.76 0 0 0 0 0 0

2008 3337 232 6.95 0 0 0 0 0 0

Pokalagi-II 2007 3687 150 4.06 0 0 0 0 0 0

2008 3687 225 6.10 0 0 0 0 0 0

Hala

ku

ra P

HC

Basirkuti 2007 3491 100 2.86 0 0 0 0 0 0

2008 3491 202 5.78 0 0 0 0 0 0

Kaldoba-III 2007 20833 2724 10.88 4 2 0.19 0.14 0.07 0

2008 20833 3181 15.26 0 0 0 0 0 0

Jhaskal 2007 5476 624 11.39 2 2 0.36 0.32 0.32 0

2008 5476 546 9.97 0 0 0 0 0 0

Pabarchara 2007 5162 614 11.89 2 2 0.38 0.32 0.32 0

2008 5162 540 16.46 3 2 0.58 0.55 0.37 0

Talli-II 2007 5597 634 11.32 1 1 0.17 0.15 0.15 0

2008 5597 552 9.86 2 2 0.35 0.36 0.36 0

Moisa-II 2007 5595 624 11.15 1 1 0.17 0.16 0.16 0

2008 5594 546 9.75 3 3 0.53 0.54 0.54 0

Bhamundanga 2007 7468 427 5.71 0 0 0 0 0 0

2008 7468 445 5.95 0 0 0 0 0 0

Kherbari-IV 2007 8855 452 5.10 1 1 0.11 0.22 0.22 0

2008 8855 438 4.92 0 0 0 0 0 0

Rangpagli 2007 6298 402 4.38 1 1 0.15 0.24 0.24 0

2008 6298 452 7.17 1 1 0.15 0.22 0.22 0

Lohajani 2007 4791 575 12.00 1 1 0.20 0.17 0.17 0

2008 4791 587 12.25 0 0 0 0 0 0

Simlabari 2007 4400 572 13.00 0 0 0 0 0 0

2008 4400 570 12.95 0 0 0 0 0 0

PHC Name

Sub-Centre Name

Year Population BSC/BSE ABER Total

Malaria cases

Pf cases


Go

lok

gan

j P

HC

Golokganj BA1

2007 21030 3336 15.14 26 12 1.18 0.77 0.35 0

2008 21934 3174 14.47 5 3 0.22 0.15 0.09 0

Ratiadaha 2007 4021 238 5.91 0 0 0 0 0 0

2008 4021 215 5.34 0 0 0 0 0 0

Kanori 2007 3516 215 6.11 0 0 0 0 0 0

2008 3516 238 6.76 0 0 0 0 0 0

Bishkhowa 2007 3783 208 5.49 0 0 0 0 0 0


2008 3783 195 5.15 0 0 0 0 0 0

Bishkhowa-IV

2007 3550 220 6.20 0 0 0 0 0 0

2008 3550 226 6.36 0 0 0 0 0 0

Gaikhowa 2007 3358 215 6.40 1 1 0.29 0.46 0.46 0

2008 3303 313 9.47 3 2 0.90 0.95 0.60 0

Majerchar 2007 2861 180 6.29 0 0 0 0 0 1

2008 2811 227 8.07 1 1 0.35 0.44 0.44 0

Rakhalpath 2007 3549 205 5.77 0 0 0 0 0 0

2008 3499 285 8.16 0 0 0 0 0 0

Sonahat 2007 3511 200 5.69 0 0 0 0 0 0

2008 3411 125 3.66 0 0 0 0 0 0

Berbhangi BA4

2007 14558 946 6.08 3 2 0.19 0.31 0.21 0

2008 13743 1112 8.09 2 2 0.14 0.17 0.17 0

Pratapganj 2007 15135 1675 10.38 1 0 0.06 0.05 0 0

2008 16049 1569 9.77 2 0 0.12 0.12 0 0

Bisandoi 2007 8642 485 5.48 0 0 0 0 0 0

2008 8807 721 8.18 5 2 0.56 0.69 0.41 0

Go

lokg

an

j P

HC

B.N. Chariali 2007 8559 482 5.56 0 0 0 0 0 0

2008 8559 636 7.43 1 1 0.11 0.15 0.15 0

Dafarpur 2007 9147 605 6.61 0 0 0 0 0 0

2008 9095 753 8.27 2 2 0.21 0.26 0.26 0

Baro Charaikhola

2007 7502 580 7.64 0 0 0 0 0 0

2008 7541 530 7.02 1 1 0.13 0.18 0.18 0

South Raipur 2007 4621 425 9.19 1 0 0.21 0.23 0 0

2008 4601 518 11.25 7 5 1.52 1.35 0.96 0

Dhepdhapi 2007 5041 438 8.68 0 0 0 0 0 0

2008 5021 823 16.39 0 0 0 0 0 0

Batuatoli 2007 4255 400 9.40 0 0 0 0 0 0

2008 4254 222 5.21 3 1 0.70 1.35 0.45 0

Sukatikhata 2007 4689 38 0.81 0 0 0 0 0 0

2008 4688 137 2.92 0 0 0 0 0 0

Lalkura 2007 5685 40 0.70 0 0 0 0 0 0

2008 5665 119 2.10 0 0 0 0 0 0

Dumardaha 2007 4997 296 5.92 1 0 0.20 0.33 0 0

2008 4947 310 6.26 0 0 0 0 0 0

Balajan 2007 4888 278 5.68 1 1 0.20 0.35 0.35 0

2008 4830 226 4.67 0 0 0 0 0 0

Sahebganj 2007 5083 316 6.21 1 1 0.19 0.31 0.31 0

2008 4033 319 7.90 0 0 0 0 0 0

Khudimari 2007 6035 327 5.16 3 0 0.47 0.91 0 0


2008 6315 417 6.60 0 0 0 0 0 0

Chapghar 2007 7051 327 4.57 0 0 0 0 0 0

2008 7122 375 5.26 0 0 0 0 0 0

Hariharkuti 2007 5440 325 5.76 0 0 0 0 0 0

2008 5620 301 5.35 0 0 0 0 0 0

Go

lokg

an

j P

HC

Uttar Gadadhar

2007 11998 991 7.31 0 0 0 0 0 0

2008 12882 730 5.66 0 0 0 0 0 0

Bhatipatla 2007 5413 181 3.34 0 0 0 0 0 0

2008 3583 274 5.09 0 0 0 0 0 0

Paglahat 2007 5306 178 3.35 2 1 0.38 1.12 0.56 0

2008 5276 103 1.95 0 0 0 0 0 0

Ujanpatla 2007 4592 263 5.72 0 0 0 0 0 0

2008 4540 337 7.42 5 2 1.10 1.48 0.59 0

Madhyapatla 2007 3890 258 5.72 0 0 0 0 0 0

2008 3838 285 7.42 3 3 0.78 1.05 1.05 0

Tamarhat 2007 0 0 0 0 0 0 0 0 0

2008 18658 79 0.42 0 0 0 0 0 0

Kamandanga 2007 0 0 0 0 0 0 0 0 0

2008 8090 0 0 0 0 0 0 0 0

Pokalagi 2007 0 0 0 0 0 0 0 0 0

2008 5538 57 1.02 0 0 0 0 0 0

Chotoguma 2007 0 0 0 0 0 0 0 0 0

2008 5553 61 1.09 0 0 0 0 0 0

Kaimmati 2007 0 0 0 0 0 0 0 0 0

2008 3711 38 1.20 0 0 0 0 0 0

Bainnaguri 2007 0 0 0 0 0 0 0 0 0

2008 900 49 5.44 0 0 0 0 0 0

PHC Name

Sub-Centre Name


Pf cases


Ch

ap

ar

PH

C

Chapar Town

2007 15030 5070 33.73 84 72 5.58 1.65 1.42 0

2008 15127 5106 33.75 20 16 1.32 0.39 0.31 0

Ariarjhar 2007 3803 804 21.14 20 19 5.25 2.48 2.36 0

2008 3120 630 20.19 6 5 1.92 0.95 0.79 0

Falimari 2007 6148 329 5.35 2 2 0.32 0.60 0.60 0

2008 6098 374 6.13 3 2 0.49 0.97 0.53 0

Baterdal 2007 4773 320 6.70 2 2 0.41 0.62 0.62 0

2008 4723 250 5.29 0 0 0 0 0 0

Barnitara 2007 4799 340 7.08 2 2 0.42 0.59 0.59 2

2008 4754 165 3.47 0 0 0 0 0 0

Dhirghat 2007 6083 130 2.13 1 1 0.16 0.76 0.76 0


2008 5883 290 4.92 1 0 0.16 0.34 0 0

Soulmari 2007 5579 104 1.86 0 0 0 0 0 0

2008 5179 150 2.89 0 0 0 0 0 0

Simlabari 2007 5053 100 1.97 0 0 0 0 0 0

2008 4853 165 3.19 0 0 0 0 0 0

Islamari Bazar

2007 13335 4218 31.63 181 156 13.57 4.29 3.69 1

2008 13279 3681 27.72 25 10 1.88 0.67 0.27 0

Kaljani 2007 3995 200 5.00 1 1 0.25 0.50 0.50 0

2008 2900 94 3.24 0 0 0 0 0 0

Noonmati 2007 8580 92 1.07 1 1 0.11 0.20 0.20 0

2008 8883 497 5.59 1 1 0.11 0.20 0.20 0

Santospur 2007 6435 260 4.04 0 0 0 0 0 0

2008 6406 290 4.52 0 0 0 0 0 0

Ch

ap

ar

PH

C

Haridol 2007 3952 0 0 0 0 0 0 0 0

2008 3902 132 3.31 1 1 0.25 0.75 0.75 0

Jalikura 2007 4082 270 6.61 2 2 0.48 0.74 0.74 0

2008 3982 245 6.15 0 0 0 0 0 0

Bahalpur 2007 4628 310 6.69 3 3 0.64 0.96 0.96 0

2008 4528 660 14.57 3 1 0.66 0.45 0.15 0

Hardemara 2007 4295 260 6.05 1 1 0.23 0.38 0.38 0

2008 4280 255 5.95 0 0 0 0 0 0

Kursamari 2007 6827 810 11.86 5 5 0.73 0.61 0.61 0

2008 6727 640 9.51 2 2 0.29 0.31 0.31 0

Champabati 2007 6988 820 11.74 6 5 0.85 0.73 0.60 0

2008 6955 707 10.16 2 1 0.28 0.28 0.14 0

PHC Name

Sub-Centre Name


Pf cases


Ra

nig

an

j P

HC

Fasatpur Panbari

2007 2221 38 1.71 1 0 0.45 2.63 0 0

2008 1973 93 4.7 0 0 0 0 0 0

Chowtara 2007 2762 30 1.08 0 0 0 0 0 0

2008 2005 101 4.90 0 0 0 0 0 0

Ambari 2007 3088 46 1.48 0 0 0 0 0 0

2008 2086 94 4.50 0 0 0 0 0 0

Piyazbari 2007 3260 20 0.61 1 1 0.30 5.00 5.00 1

2008 1856 88 4.70 2 2 1.0 2.2 1.13 0

Pub Sadhubhasa

2007 3826 38 1.21 0 0 0 0 0 0

2008 1945 91 4.60 0 0 0 0 0 0

Bagribari 2007 11141 803 7.20 10 10 0.89 1.24 1.24 0

2008 11996 710 5.90 2 2 0.10 0.20 0.14 0


Pathakata 2007 9399 49 4.25 3 1 0.31 0.75 0.25 0

2008 7949 409 5.10 2 2 0.20 0.48 0.48 0

Barogirair 2007 3210 38 1.18 0 0 0 0 0 0

2008 7225 102 1.40 0 0 0 0 0 0

Jogirmahal (Chotogirair)

2007 2878 30 1.04 0 0 0 0 0 0

2008 9225 168 1.80 0 0 0 0 0 0

Gutipara 2007 3781 46 1.21 0 0 0 0 0 1

2008 4104 48 1.10 0 0 0 0 0 0

Murabari 2007 3230 30 0.92 0 0 0 0 0 0

2008 3946 40 1.0 0 0 0 0 0 0

Borkanda 2007 9183 60 0.65 0 0 0 0 0 0

2008 5679 117 2.0 0 0 0 0 0 0

Ran

igan

j P

HC

Tamakubari 2007 7908 25 0.31 0 0 0 0 0 0

2008 6800 0 0 0 0 0 0 0 0

Andamari 2007 3602 46 1.27 0 0 0 0 0 0

2008 3937 120 3.0 0 0 0 0 0 0

Kalairchar 2007 3718 38 1.02 0 0 0 0 0 0

2008 4021 127 3.10 0 0 0 0 0 0

Choudhurychar 2007 4389 30 0.68 1 0 0.22 3.33 0 0

2008 3853 131 3.30 0 0 0 0 0 0

Jharnarchar 2007 8002 38 0.47 0 0 0 0 0 0

2008 3415 318 3.70 0 0 0 0 0 0

Nayeralga 2007 12590 570 4.52 1 1 0.07 0.17 0.17 1

2008 14102 528 3.70 4 4 0.20 0.70 0.70 0

Pub Nayeralga 2007 12370 509 4.11 0 0 0 0 0 0

2008 12603 377 2.90 0 0 0 0 0 0

Thakuraralga 2007 6893 228 3.30 0 0 0 0 0 0

2008 6776 278 4.10 3 3 0.40 1.0 1.0 0

Mayarchar 2007 6357 220 3.46 0 0 0 0 0 0

2008 6554 249 3.70 0 0 0 0 0 0

Buchirchar 2007 4153 240 4.77 0 0 0 0 0 0

2008 5436 237 4.30 0 0 0 0 0 0

Kazaikata 2007 6241 256 4.10 0 0 0 0 0 0

2008 5540 228 4.10 0 0 0 0 0 0

Kazaikata-IV 2007 4969 235 4.72 0 0 0 0 0 0

2008 5333 201 3.70 0 0 0 0 0 0

Raniganj 2007 12350 1202 9.73 26 23 2.10 2.16 1.91 0

2008 6623 1228 81.5 15 13 2.26 1.20 1.0 0

Lutapara 2007 6624 0 0 0 0 0 0 0 0

2008 6624 394 5.90 7 5 1.0 1.7 1.20 0


Ran

igan

j P

HC

Koimari

2007 14350 759 5.28 13 13 0.90 1.71 1.71 0

2008 14392 521 8.10 8 6 1.20 1.50 1.10 0

Futkibari 2007 12153 296 2.43 3 3 0.24 1.01 1.01 0

2008 12205 1479 12.10 11 10 0.90 0.70 0.70 0

Khudigaon 2007 4305 38 0.88 0 0 0 0 0 0

2008 11005 304 2.70 0 0 0 0 0 0

Dhemdhama 2007 6024 95 1.57 0 0 0 0 0 0

2008 6119 369 6.0 0 0 0 0 0 0

Bilasipara 2007 19072 2534 13.28 16 6 0.83 0.63 0.23 1

2008 19791 2426 12.20 11 11 0.50 0.40 0.40 0

Hatipota 2007 3021 145 4.79 0 0 0 0 0 0

2008 6807 213 3.01 0 0 0 0 0 0

Masaneralga 2007 2819 140 4.96 0 0 0 0 0 0

2008 7307 197 2.60 0 0 0 0 0 0

Hawdertari 2007 1726 98 5.67 0 0 0 0 0 0

2008 1900 84 4.40 0 0 0 0 0 0

Gobordhanpara 2007 2473 93 3.76 0 0 0 0 0 0

2008 1865 75 4.0 0 0 0 0 0 0

Sutapara 2007 2127 80 3.76 0 0 0 0 0 0

2008 2003 95 4.70 0 0 0 0 0 0

Kalipara 2007 1748 90 5.14 0 0 0 0 0 0

2008 1795 104 5.70 0 0 0 0 0 0

Kachuagaon 2007 1667 106 6.35 0 0 0 0 0 0

2008 1902 104 5.40 0 0 0 0 0 0

Bhoterkanda 2007 1514 96 6.34 0 0 0 0 0 0

2008 1936 77 3.90 0 0 0 0 0 0

Maspara 2007 6820 441 6.46 0 0 0 0 0 0

2008 4510 267 5.90 0 0 0 0 0 0

Ran

igan

j P

HC

Sagunmari 2007 6704 440 4.56 0 0 0 0 0 0

2008 4630 284 6.0 0 0 0 0 0 0

Rokakhata 2007 7004 440 6.28 0 0 0 0 0 0

2008 3803 384 4.30 0 0 0 0 0 0

Kathulipara 2007 4126 406 9.84 0 0 0 0 0 0

2008 3990 294 3.20 0 0 0 0 0 0

Sechapani 2007 4919 76 1.54 4 0 0.81 5.26 0 0

2008 4393 162 3.60 6 2 1.30 3.70 1.20 0

Dhanpur 2007 4242 84 1.98 2 2 0.47 2.38 2.38 0

2008 4721 147 3.40 6 4 1.20 4.0 2.72 0

Pukhuripara 2007 4471 68 1.52 4 0 0.89 5.88 0 0

2008 4896 175 3.50 3 3 0.60 1.70 1.70 0


Ayshakuti 2007 4023 88 2.18 3 0 0.74 3.4 0 0

2008 4429 200 4.50 0 0 0 0 0 0

Sapatgram 2007 9061 298 3.28 8 6 0.88 2.68 2.01 0

2008 9486 382 4.0 6 4 0.60 1.50 1.0 0

Kadamtola 2007 3695 84 2.27 2 0 0.54 2.38 0 0

2008 4019 230 5.70 2 1 0.40 0.80 0.40 0

Rabantari 2007 4493 68 1.51 0 0 0 0 0 0

2008 5548 41 0.70 2 2 0.30 0.80 0.80 0

Suripara 2007 4012 66 1.64 0 0 0 0 0 0

2008 4335 44 1.0 0 0 0 0 0 0

Ga

za

rik

an

di

PH

C

Kakripara 2007 7116 776 10.90 58 55 8.15 7.47 7.08 0

2008 9744 1196 12.2 64 64 6.5 5.4 5.4 0

Jhagrarchar 2007 6289 322 5.12 11 11 1.74 3.41 3.41 0

2008 4675 330 7.0 16 16 3.4 4.8 4.8 0

Dakergram 2007 6076 256 4.21 10 8 1.64 3.90 3.12 0

2008 4959 324 6.50 27 27 5.4 8.3 8.3 0

Thakuranbari 2007 6890 633 9.18 40 38 5.80 6.31 6.0 0

2008 8435 506 5.9 26 25 3.0 5.1 4.9 0

Mankachar 2007 7157 2880 40.24 27 27 3.77 0.93 0.93 0

2008 10946 3378 30.8 35 35 3.1 1.0 1.0 0

Sonarpara 2007 7284 641 8.80 18 17 2.47 2.80 2.65 0

2008 6937 733 10.5 27 26 3.8 3.6 3.5 0

Barmanpara 2007 7164 297 4.14 6 6 0.83 2.02 2.02 0

2008 4203 385 9.1 4 4 0.90 1.0 1.0 0

Jordanga 2007 5264 542 10.29 14 14 2.65 2.58 2.58 0

2008 4563 451 9.8 26 26 5.6 5.7 5.7 0

Kuchnimara 2007 5481 422 7.69 17 17 3.10 4.02 4.02 0

2008 6404 415 6.4 20 20 3.10 4.80 4.80 0

Jhaudanga 2007 5809 1085 18.67 29 28 4.99 2.67 2.58 0

2008 7336 1491 20.30 38 38 5.1 2.5 2.5 0

Pubergram 2007 5753 449 7.80 6 6 1.04 1.33 1.33 0

2008 5044 502 9.9 16 16 3.17 3.18 3.18 0

Jhalorchar 2007 7199 586 8.14 38 35 5.0 6.14 5.97 0

2008 6406 516 8.10 21 21 3.2 4.0 4.0 0

Gaza

rikan

di

PH

C

Diarabazar 2007 7141 912 12.77 45 42 6.3 4.93 4.6 0

2008 6947 1193 17.10 26 26 3.70 2.10 2.10 0

Kukurmara 2007 3960 616 15.55 56 55 14.14 9.09 8.89 0

2008 4592 544 11.80 33 33 7.10 6.0 6.0 0

Dharakoba 2007 3907 325 8.31 18 15 4.60 5.53 4.61 0


2008 3754 529 41.0 23 22 6.10 4.30 4.10 0

Bhurakata 2007 3896 693 17.78 22 22 5.64 3.17 3.17 0

2008 6211 509 8.10 22 22 3.50 4.30 4.30 0

Pipulbari 2007 4288 161 3.75 21 21 4.89 13.0 13.0 0

2008 3847 315 8.10 14 13 3.60 4.40 4.10 0

Gazarikandi 2007 7385 4491 60.18 122 106 16.51 2.71 2.36 0

2008 9315 6111 65.60 125 115 13.30 2.0 1.8 0

Purandiara 2007 7339 1819 24.78 79 75 10.76 4.34 4.12 0

2008 6990 1506 20.5 73 72 10.40 4.80 4.70 0

Fekamari 2007 10239 312 3.04 47 45 4.59 15.06 13.46 0

2008 17930 588 3.20 15 15 0.80 2.50 2.50 0

Manullahpara 2007 9987 174 1.74 16 13 1.60 9.19 7.47 0

2008 7820 202 2.50 4 4 0.50 1.90 1.90 0

Bamunpara 2007 10006 217 2.16 21 20 2.09 9.67 9.32 0

2008 4635 367 7.90 32 30 6.90 8.70 8.10 0

Fulerchar 2007 12521 498 3.97 20 20 1.59 4.01 4.01 0

2008 9425 572 6.0 9 9 0.90 1.50 1.50 0

Bangirchar 2007 11982 434 3.06 18 18 1.50 4.14 4.14 0

2008 6175 244 3.90 3 3 0.40 1.20 1.20 0

Sukhchar 2007 3907 2283 58.43 28 28 7.16 1.22 1.22 0

2008 3542 417 11.70 17 17 4.70 4.0 4.0 0

Bamuneralga 2007 3884 203 5.22 37 37 9.52 18.22 18.22 0

2008 5393 499 9.20 21 20 3.80 4.20 4.0 0

Berabhanga 2007 3861 485 12.56 51 51 13.20 10.50 10.50 0

2008 5077 429 8.40 29 29 5.70 6.70 6.70 0

Molakhowa 2007 3831 350 9.13 63 60 16.44 18.0 17.14 0

2008 3637 475 13.0 29 29 7.90 6.10 6.10 0

Gokulpur 2007 3909 169 4.32 29 29 7.41 17.10 17.10 0

2008 6393 473 7.30 28 28 4.30 5.90 5.90 0

Firingirchar 2007 3755 29 0.77 4 4 1.06 13.70 13.70 0

2008 3532 189 5.30 9 9 2.50 4.70 4.70 0

Kanaimara 2007 1908 352 18.44 13 1 6.81 3.69 0.28 0

2008 2963 338 11.40 11 10 3.70 3.20 2.90 0

Kokradanga 2007 1861 168 9.02 9 9 4.83 5.35 5.35 0

2008 3546 137 3.80 0 0 0 0 0 0

Boreralga 2007 1939 198 10.21 2 2 1.03 1.01 1.01 0

2008 6526 56 0.80 0 0 0 0 0 0

Bheramara 2007 1856 37 1.99 3 3 1.61 8.10 8.10 0

2008 3400 32 0.9 1 1 0.20 3.10 3.10 0

Khopatia 2007 3248 472 14.53 18 18 5.54 3.81 3.81 0


2008 6107 528 8.60 29 29 4.7 5.4 5.4 0

K.K. M Para 2007 3315 128 3.86 1 1 0.3 0.78 0.78 0

2008 5951 80 1.30 6 6 1.0 7.5 7.5 0

Hazirhat 2007 3270 71 2.17 2 2 0.61 2.81 2.81 0

2008 5415 25 0.40 3 3 0.5 12.0 12.0 0

Takimari 2007 3343 0 0 0 0 0 0 0 0

2008 5663 0 0 0 0 0 0 0 0

Charbatbari 2007 3065 220 7.17 5 5 1.63 2.27 2.27 0

2008 5232 215 4.10 1 1 0.10 0.40 0.40 0

Tapalpara 2007 4245 51 1.20 3 3 0.70 5.88 5.88 0

2008 4701 214 4.50 1 1 0.20 0.4 0.4 0

Pankata 2007 4082 40 0.97 5 5 2.44 12.0 12.0 0

2008 2185 232 10.60 6 6 3.0 2.5 2.50 0

Baghapara 2007 7803 255 3.26 24 24 3.07 9.41 9.41 0

2008 6658 518 7.70 6 6 0.90 1.10 1.10 0

Borkona 2007 7467 176 2.35 19 18 2.54 10.7 10.2 0

2008 10032 342 3.40 19 19 1.80 5.50 5.50 0

Sadullahbari 2007 10395 735 7.07 18 18 1.73 2.44 2.44 0

2008 10206 1203 11.70 23 23 2.20 1.90 1.90 0

Bengervita 2007 9998 262 2.62 8 8 0.80 3.05 3.05 0

2008 7064 364 5.10 11 11 1.50 3.0 3.0 0

Tangaon 2007 4505 228 5.06 11 10 2.44 4.82 4.82 0

2008 5307 240 4.50 17 17 3.20 7.10 7.10 0

Pipulbari Bazar

2007 4380 270 6.16 14 13 3.19 5.18 4.81 0

2008 4857 250 5.10 15 15 3.10 6.10 6.10 0

Jewali 2007 4632 271 5.85 24 24 5.18 8.85 8.85 0

2008 3630 275 7.50 10 10 2.70 3.60 3.60 0

So

uth

Salm

ara

PH

C

Madertari 2007 7204 950 13.18 14 10 1.94 1.47 1.05 0

2008 6334 932 14.70 8 8 1.26 0.85 0.85 0

Choto Nisampur 2007 6372 905 14.20 7 5 1.09 0.77 0.55 0

2008 5602 385 6.87 0 0 0 0 0 0

Gossaindubi 2007 8027 250 3.11 1 1 0.12 0.4 0.4 0

2008 5140 152 2.95 1 1 0.19 0.65 0.65 0

Majerchar Chalakura

2007 7014 186 2.65 1 1 0.12 0.4 0.4 1

2008 6736 170 2.52 0 0 0 0 0 0

Chirakuti 2007 5563 76 1.36 0 0 0 0 0 0

2008 6706 250 3.72 2 2 0.29 0.80 0.80 0

Nayaparwa 2007 5830 87 1.49 0 0 0 0 0 0

2008 4673 194 4.15 0 0 0 0 0 0


Feskamari 2007 5046 65 1.28 0 0 0 0 0 0

2008 5484 205 3.73 0 0 0 0 0 0

Jamdarhat 2007 5013 300 5.98 0 0 0 0 0 0

2008 3530 239 6.71 1 1 0.28 0.42 0.42 0

Falimari 2007 4219 268 6.35 0 0 0 0 0 0

2008 5212 233 4.47 0 0 0 0 0 0

Satsia 2007 4507 310 6.87 0 0 0 0 0 0

2008 6634 257 3.87 1 1 1.15 0.38 0.38 0

Jaruarchar 2007 11370 285 2.50 0 0 0 0 0 0

2008 10885 303 5.53 0 0 0 0 0 0

Padmaralga-I 2007 3548 125 3.52 0 0 0 0 0 0

2008 6976 105 1.50 0 0 0 0 0 0

So

uth

Salm

ara

PH

C

Padmaralga-II 2007 3819 117 3.06 0 0 0 0 0 0

2008 5723 184 3.21 0 0 0 0 0 0

Payestidimatola 2007 3799 131 3.44 0 0 0 0 0 0

2008 6671 98 1.46 0 0 0 0 0 0

Riverblock-III 2007 3520 118 3.35 0 0 0 0 0 0

2008 4689 302 6.30 0 0 0 0 0 0

Baladmara 2007 13277 1090 8.20 0 0 0 0 0 0

2008 7412 712 9.60 0 0 0 0 0 0

Airkata 2007 4517 205 4.53 0 0 0 0 0 0

2008 5054 214 4.23 0 0 0 0 0 0

Riverchala 2007 3793 200 5.27 0 0 0 0 0 0

2008 4126 195 4.72 0 0 0 0 0 0

Kushbari 2007 3911 252 6.44 0 0 0 0 0 0

2008 5287 227 4.29 0 0 0 0 0 0

Sundarpara 2007 3360 202 6.01 0 0 0 0 0 0

2008 4278 136 3.17 0 0 0 0 0 0

Salkata 2007 4158 250 6.01 1 1 0.24 0.40 0.40 0

2008 8999 325 3.61 0 0 0 0 0 0

Borkalia (Chatla bilpara)

2007 4119 265 6.43 0 0 0 0 0 1

2008 6509 250 4.62 0 0 0 0 0 0

Namaserchow 2007 4625 275 5.94 0 0 0 0 0 0

2008 7074 196 2.77 0 0 0 0 0 0

Radhuramchala 2007 3593 215 5.98 0 0 0 0 0 0

2008 8208 250 3.04 0 0 0 0 0 0

Ambari 2007 5680 243 4.27 0 0 0 0 0 0

2008 3747 105 2.80 0 0 0 0 0 0

Ravatari

2007 6014 263 4.37 0 0 0 0 0 0

2008 6962 311 4.46 0 0 0 0 0 0


Bauskata

2007 5502 225 4.08 0 0 0 0 0 0

2008 5360 264 4.92 0 0 0 0 0 0

Dhenerkuti 2007 6254 892 14.26 26 18 4.15 2.91 2.69 0

2008 8891 209 2.35 5 5 0.56 2.39 2.39 0

S. Salmara Bazar 2007 7358 893 12.13 44 24 5.97 4.92 2.68 0

2008 4590 899 19.50 19 19 4.13 2.11 2.11 0

Simlakandi 2007 4848 83 1.71 3 1 0.61 3.61 1.30 0

2008 5637 897 15.90 21 21 3.72 2.34 2.34 0

Tumni Dawakandi

2007 4780 82 1.71 3 1 0.62 3.65 2.43 0

2008 5764 107 1.85 7 7 1.21 6.54 6.54 0

Bhalukkandi 2007 4798 166 3.45 4 2 0.83 2.40 1.20 1

2008 5439 252 0.20 11 11 2.02 4.36 4.36 0

Patakata 2007 4008 57 1.42 0 0 0 0 0 0

2008 5393 138 2.55 5 5 0.92 3.62 6.62

Satdubi 2007 3550 42 1.18 0 0 0 0 0 0

2008 4424 122 2.75 1 1 0.22 0.81 0.81 0

Katdanga 2007 4180 59 1.41 0 0 0 0 0 0

2008 6856 97 1.41 2 2 0.29 2.06 2.06 0

Monirchar 2007 4365 62 1.42 0 0 0 0 0 0

2008 5764 205 3.55 17 17 2.94 8.29 8.29 0

Muthakhowa-I 2007 3605 10 0.27 0 0 0 0 0 0

2008 4916 102 2.07 0 0 0 0 0 0

Muthakhowa-II 2007 3550 8 0.22 0 0 0 0 0 0

2008 5604 106 1.89 0 0 0 0 0 0

Katiaralga 2007 3677 10 0.27 0 0 0 0 0 0

2008 6647 89 1.30 0 0 0 0 0 0

Natineralga 2007 6067 275 4.53 0 0 0 0 0 0

2008 5142 402 7.81 0 0 0 0 0 0

Golaperalga 2007 5562 250 4.49 0 0 0 0 0 0

2008 7726 325 4.20 0 0 0 0 0 0

Muhurirchar 2007 5625 256 4.50 0 0 0 0 0 0

2008 4406 82 1.86 0 0 0 0 0 0

Fakirganj 2007 0 0 0 0 0 0 0 0 0

2008 4278 446 10.40 0 0 0 0 0 0

Salapara 2007 0 0 0 0 0 0 0 0 0

2008 3151 122 3.87 0 0 0 0 0 0

Chalbandharchar 2007 0 0 0 0 0 0 0 0 0

2008 3631 270 7.43 0 0 0 0 0 0

Choudhury Char 2007 0 0 0 0 0 0 0 0 0

2008 6482 108 1.66 0 0 0 0 0 0


MONTH-WISE EPIDEMIOLOGICAL REPORT FOR THE YEAR 2009 Population of the district :: 17,28,860 No.s

Month BSC/

BSE

No. of

Total

positive

No.

of Pf

No.

of PV SPR SFR MBER

RT

Given

Death (if

any)

January 5532 36 33 3 0.65 0.60 0.32 36 Nil

February 6621 46 40 6 0.69 0.60 0.38 46 Nil

March 8074 59 51 8 0.73 0.63 0.47 59 Nil

April 8726 130 125 5 1.49 1.43 0.50 130 Nil

May 12605 262 251 11 2.08 1.99 0.73 262 1

June 19903 314 304 10 1.58 1.53 1.15 314 2

July 23831 294 282 12 1.23 1.18 1.38 294 Nil

August 14061 121 118 3 0.86 0.84 0.81 121 1

September 10865 86 82 4 0.79 0.75 0.62 76 Nil

October 13478 105 100 5 0.77 0.74 0.77 105 Nil

SURVEILLANCE Active :- Active surveillance done by 103 numbers of surveillance worker . For proper surveillance each sub centre is to be manned by MPW(M).

Total sub-centre = 246 Existing SW = 103 No.s NMA = 17 Vaccinator = 43 BCG Tech. = 6 Health Asstt. = 10 MPW =10 Total =189 No.s

We need additional 57 (Fifty seven) MPW (M). Surveillance worker already mobilized to the priority areas for proper active surveillance .

Supervision of surveillance activity

Village Level /Sub-Centre Level PHC Level District Level

S.I M.I./ S.M.I. C.M & H.O ( CD ) / DMO /

AMO / MTS


Passive Surveillance

Passive surveillance done by ASHA , FTD , and ANM in this Sub-centre .

Total 1397 number of ASHA have already been selected and they will be trained on

Malaria .

Training Programme of ASHA on Malaria.

Total No. of ASHA

Total ASHA trained

on Malaria

Training Session

Date Venue Resource person

Supervision

1397 407 16 Batch ( 50

no.s participants

in each batch )

Within

April/20

10

PHC

Headquarter

s

CM & HO(CD)

/DMO.

From

State Hq.

Officer.

• 407 no. ASHA of the priority villages already trained.

High Risk Areas:

S. No Name of PHC High risk Sub centre (no)

High risk Village (no)

High risk Population (no)

Tribal Population (no)

1 Dharmasala

6 21 46,297 Nil

2. Raniganj

7 47 51,881 Nil

3 Chapar

6 55 52,242 5,240

4 South Salmara

8 31 42,836 Nil

5 Gazarikandi

45 236 2,85,746 5,580

District Total 72 390 4,79,002 10,820

Classify the areas as per following API ranges

Outbreak: Yes/ no if yes; Yes.

• No of outbreaks : 1

• Area affected : Fakirganj area under South Salmara PHC.

• Period of outbreak: 23-05-09 TO 29-06-09.

• No of deaths reported during outbreak : 3 (Three) no.s.

S. No API PHCs (No) Sub centre

(No) Villages

(No) Population @ Village (No)

% population of District

1 <1 7 178 950 12,79,013 73.99

2 1 – 2 7 30 142 2,25,302 13.02

3 2 – 5 3 27 150 1,52,434 8.81

4 5 – 10 1 9 47 55,806 3.22

5 > 10 1 2 13 16,305 0.94

Total 7 246 1302 17,28,860


• Reasons for outbreak : Lack of regular surveillance, migration of people to neighboring State Meghalaya where Malaria is endemic.

• Containment measures taken : Mass survey, DDT Spray, Bed-Net impregnation, Health Check-up & awareness Camps done in the effected Areas.

RD Kits (for use in pf endemic sub-centre from where reports of blood slide not received within 24hrs.)

(i) Planning for distribution of Rapid Diagnostic Kits during 2010-11

S. No

PHC Name

Sub centre in inaccessible areas

(No)

Villages in inaccessibl

e areas (No)

Population at Villages

in inaccessible areas (No)

Blood Collection in inaccessible areas (as per ABER) No.

RDTs to be distributed in 2010-11

1 Dharmasala 8 28 36,774 2,308 2,400

2 Golokganj 7 34 55,280 1,014 1,100

3 Raniganj 10 48 71,525 2,553 2,600

4 S. Salmara 14 54 90,404 2,059 2,100

Total 39 164 2,53,483 7,934 8,200

(ii) Requirement of Rapid Diagnostic Kits based on epidemiological data of 2008 for 2011-12 in the District.

S. No.

Details Sub

centre (no)

Village (no)

Total Population

Tribal Population

Slide Collection

(as per ABER)

1 Total areas with high Pf % 38 210 2,21,036 Nil 4929

2 Of the above prioritized (inaccessible areas) to be equipped with RDT during the year

39 164 2,53,983 Nil 7934

TOTAL 12863

3 No of RDTs Required for 2010-11

Inaccessible areas + High Pf % areas=13,000 No.s For Institutional use = 7,000 ASHA use = 10,000 Total = 30,000


Areas for supply of ACT

A. Planning for distribution of ACT in the District 2010-11

S. No.

Name of PHC Nos Total

Population

Pf cases reported in

previous year

ACT Blisters

AS Tabs

SP Tabs

1 Dharmasala 3,39,070 65

2 Halakura 1,47,552 12

3 Golokganj 2,61,312 20

4 Raniganj 3,18,221 92

5 Chapar 1,30,560 35

6 South Salmara 2,47,233 124

7 Gazarikandi 2,85,746 965

TOTAL 17,29,694 1313 1298 6943 1735

Requirement of ACT for distribution 2011-2012

S. No.

Name of PHC Total

Population

Pf cases reported in previous year

ACT Blisters for adults

AS Tabs for

children

SP Tabs for

children Adults Children

1 Dharmasala 3,39,070 39 26

2 Halakura 1,47,552 7 5

3 Golokganj 2,61,312 12 8 4 Raniganj 3,18,221 56 36

5 Chapar 1,30,560 21 14

6 South Salmara 2,47,233 75 49

7 Gazarikandi 2,85,746 579 386

TOTAL 17,29,694 789 524 1298 6943 1735

Bed nets

Planning for distribution of Bednets

S. No.

PHC Name

Eligible Sub centre

(nos.)

Eligible

villages (no)

Eligible

Populatio

n

Tribal population

Total Household

s (no)

No of Househ

olds with at least 2 effectivebednets (no)

No of House Hold to

be impregnated

Total Bednet required (no)

Total distributed

during (2009-10)

(no)

Total Planned to be distributed in

2010-11 (no

Total planned

to be treated

A B C D D=C X 2

E

ITNs LLINs H

ITN LLIN F G

1 Dharmasala

2 Halakura

3 Golokganj

4 Raniganj


5 Chapar

6 South Salmara

7 Gazarikandi

Total=7 72 390 17 10820 3234

55

50909 116897 233794 0 1990

0

20000 30000 167806

MICRO ACTION PLAN 2010

Identification of Village according to GIS Data in the District on Priority Basis Name of PHC

Total No. of Sub-Centre

Priority –I API>5 & PF 50%

Priority-II API>5 & PF>30% -50%

Priority-III API>3 to <5 & PF <50%

Priority-IV API>3 to <5 & PF>30% to 50%

No. of S/C involved

No. of Vill.

No. of Popu.

No. of S/C involved

No. of Vill.

No. of Popu.

No. of S/C involved

No. of Vill.

No. of Popu.

No. of S/C involved

No. of Vill.

No. of Popu.

Dharmasala 34 Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil

Halakura 22 Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil

Golokganj 34 Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil

Raniganj 48 Nil Nil Nil Nil Nil Nil Nil Nil Nil 2 15 15015

Chapar 17 Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil

S. Salmara 46 Nil Nil Nil Nil Nil Nil 2 9 10,227 2 8 11203

Gazarikandi 45 11 57 64,602 Nil Nil Nil 18 103 1,02,617 3 18 17368

Total 246 11 57 64,602 Nil Nil Nil 20 112 1,12,844 7 41 43590

Total Village Total Population Sub center Priority-I 57 64,602 11 Priority-II Nil Nil Nil Priority-III 112 1,12,844 20 Priority-IV 41 43,590 7 Total 210 2,21,074 38

(Planning for IRS)

S. No

Name of PHCs

Selected for IRS

Sub centre

selected (no)

Village selected (no)

Total Population selected

Tribal

Population

Spray squads required

(no) (*)

Trainings batches of spray squads

(no) (*)

Equipment

required

(no)

Requirement of DDT

P.I P. II

1 Gazarikandi 11 57 64602 Nil Nil 3 2

SUPERVISION OF SPRAY WORK FOR THE YEAR 2010

Sl No

Name of PHC

No. of Sub-centre selected Priority basis.

No. of Village Selected Priority basis

Date of spray Supervisor at S.C. & Village

Supervisor at PHC

Supervisor at District

1st round

2nd round

1 Gazarikandi 11 57 15.2.10 15.5.10 SW,SI(M) MI,SMI i/c PHC

AMO,DMO, CM&HO(CD),Jt.DHS


TRAINING OF SUPERVISORS AND SPRAY SQUARDS, 2010.

Sl

No

Name of

PHC

No. of

MPW &

Other

supervisor

staffs

No. of

spray

squads

Total

No. of

Man

power

Training

sessions Date Venue

Resource

persons

1 Gazarikandi 11 3 X 6 =

18 29 1

1st week of

February”10

PHC

H.Q.

CM&HO(CD)

& DMO/AMO

ROAD MAP OF DDT DUMPING 2010.

From District

To PHC No.of km

From PHC To Sub-Centre

Dhub

ri

Gazarikandi 110 Gajarikandi to 11 No.

of S/C

1. Kakripara S/C, 2. Dakergram, 3. Jordanga

4. Jhawdanga , 5. Kukurmara, 6. Dharakoba,

7. Gazarikandi, 8. Puran diara, 9. Bamunpara

10. Berabhanga, 11. Molakhowa

** IEC ACTIVITY FOR SENSITIZATION AND MOBILIZATION OF COMMUNITY FOR SPRAY OPERATION :-

1) Awareness meeting to be organized with involvement of local NGO, ASHA, AWW,

local prominent bodies, teachers, SHG and miking to be done well before two days of

spray operation.

2) Prior information regarding DDT Spray Operation in the community to be given by

ASHA in this village Health Day, SFW, SW, SI, ANM, community volunteers PRI.

** Time of Reporting of 1st round DDT spray

After 15 days of completion of DDT spray operation.

** Analysis of 1st round DDT Spray

Analysis done by Joint Director of Health Services/ CM & HO ( CD) / DMO/ I/C PHC.


Innovations

Commodity Requirement

Item

Previous year’s

utilization (no)

Requirement forcurrent year

(no)

Balance Available

(no)

Net requirement (2-3)

1 2 3 4

Insecticide For IRS (Kg) 45,923 Kgs 9690 Kgs 27,679 Kgs Nil

Insecticide For ITMN (Lts) 4843 Lts 4200 Lts Nil 4,200 Lts

ITNs 30,300 50,000 Nil 50,000

Chloroquine (No.) 10,75,000 15,00,000 17,000 14,83,000

Primaquine 2.5 (No.) 41,400 50,000 8,000 42,000

Primaquine 7.5 (No.) 1,36,200 1,80,000 11,500 1,68,500

ACT ( Artesunate +SP) Blister (No.) 400 2,000 50 1,950

Artesunate tabs (No.) 7,800 6,943 1,704 5,239

S+P Combination (No.) 3,600 1,735 100 1,635

Quinine Injection (No.) 1,770 900 Nil 900

Quinine Sulphate (No.) 32,200 10,000 1,000 9,000

Arteether Inj (No.) 1,188 78 274 Nil

RDK (No.) 41,050 30,000 375 29,625

Micro Slides (No.) 1,41,200 1,50,000 850 1,49,150

Pumps (No.) 16 No.s 6 16 Nil

S. No. Innovations Describe details & Procedure adopted

1

Patient referral e.g. Like use of NRHM/ RKS flexi funds for transport of severe cases

Fund provided by District Health Society to the PHC for referral of Severe Malaria Cases.

2 Transportation of slides E g. Use of Public transport system

Nil

3 NGO/ CBO involvement Refer to PPP guidelines on www.nvbdcp.gov.in

Nil

4

Community mobilization eg. Mobilizing using street plays, puppet plays, self help groups

Street plays on Malaria from NRHM side.


Training:

S. No

Trainings Training during

2009-10 Proposed

during 2010-11

Estimated

Cost (Rs)

1 Medical specialists at District Hospital Nil

2 Medical Officers 4 100 1,60,000.00

3 Laboratory Technicians (induction) Nil

4 Laboratory Technicians (reorientation) Nil 48 80,000.00

5 Health Supervisors (M) Nil 58

1,05,000.00 6 Health Supervisors (F) Nil 7

7 Health Workers (M) Nil

8 Health Workers (F) Nil 348

9 ASHAz 70 992 2,90,000.00

10 Community Volunteers other than

ASHA Nil 200 40,000.00

11 Others specify: MPW (Contractual &

Spray Workers 21 (9+12) 12 10,000.00

Total 6,85,000.00

BCC/ IEC:

S. No Activities Unit Cost

(Rs)

IEC during

2009-10 (No)

Proposed during 2010-11 Estimated Cost (Rs)

A. Print Media

1 Posters 10.00 15,000 1,50,000.00

2 Hoardings 20,000.00 40 8,00,000.00

3 Newspaper advertisement

1,000.00 10 10,000.00

B. Community level

6 Health camps 1500.00 50 70 1,40,000.00

7 Village level awareness camps for IRS/ ITBN

500.00 700 3,50,000.00

8 Others (specify) Street Plays,

2,000.00 10 20,000.00

Local advertisement. 1,000.00 10 10,000.00

Total 14,70,000.00


PPP involvement

Do a SWOT analysis of the district as below.

BUDGET & ESTIMATE ITEM ACTIVITY Amount Rs.

Surveillance 57 No.s MPW X @ Rs.6000.00/ p.m X12 41,04,000.00

Vector Control-IRS Wages for 2 rounds DDT Spray for 3 Squads 1,56,240.00

DDT Dumping (Road & Boat) 50,000.00

Fogging Fogging Operation in 5 town areas 1,00,000.00

ITBN 350 Camps X @ Rs.500/ X 2 Rounds 3,50,000.00

Protective Equipments for spray

Purchase of hand gloves, Goggles, Apron, mask for 3 Spray Squads

5,000.00

Training M.O, Lab-Tech, Health Supervisors, Health workers, ASHA, Spray workers and spray Super visors

6,85,000.00

BCC / IEC 14,70,000.00

M & E Jt. DHS/ CM& HO(CD) @ Rs. 10,000.00/ p.mX 12 = DMO. @ Rs. 10,000/ p.m X 12 = AMO/ MI Hq. @ Rs.5000/ p.m X12 = MI PHC @Rs.1000/ p.m X12X7 PHC =

1,20.000.00 1,20,000.00 60,000.00 84,000.00

Miscellaneous For cross checking of B/S @ Rs.400 per PHC X 7 PHC X 12 Stationary Article for Office use Telephone Bill @ Rs.1000/ p.m X 12 Collection of Anti-Malarial Drugs and Equipments from State H.Q

33,600.00 60,000.00 12,000.00 60,000.00

Total 74,69,840.00

Total Budget & Estimated Cost is Rupees Seventy Four Lakhs Sixty Nine Thousand Eight Hundred Forty Only only

Schemes Previous year 2009-10 (no)

Planned in Current year 2010-11(no)

Cost

Scheme I EDPT 2 (Malaria Health Checkup

Camp) 10 15,000.00 Scheme II Microscopy & treatment

Scheme III Hospital based treatment - - -

Scheme IV ITBN 2 50 25,000.00

Scheme V Larvivorous Fish - - -

Total 4 60 40,000.00

Strengths � In position manpower of NVBDCP � DDT Spray for vector control. � Govt. supply Bed-Net to endemic

villages. � Community owned & Govt. supplied

Bed-Net impregnation. � Anti-Malarial drugs and equipments. � Use of RDK for EDPT.

Actions to be Taken :- � Rational utilization.

Weakness � Shortage of manpower. � Shortage of accessories.

� Filling up vacant posts. � Vehicle to be sanctioned & required

accessories to be supplied.

Opportunities � Involvement of ASHA, AWW selected MNGO from NRHM, PRI, other local NGO and SHG.

� Regular communication with these groups.

�

Threats � Migration of people to and from Meghalaya

� Char area and inaccessible area.

� Mobile teams and Boat Clinic to cover these areas.

166

6.7.2 REVISED NATIONAL TUBERCULOSIS PROGRAMME (RNTCP)

Objectives:

1. To achieve and maintain a cure rate of at least 85% among newly detected infectious

(new sputum smear positive) cases, and

2. To achieve and maintain detection of at least 70% of such cases in the population

ANNUAL PLAN FOR PROGRAMME PERFORMANCE & BUDGET FOR THE YEAR

1ST APRIL 2010 TO 31ST MARCH 2011

This action plan and budget have been approved by the DTCS. Signature of the DTO__________ _______

Name_ Dr. Jogodindu Bikash Roy, Designation – DTO, Dhubri

Section-A – General Information about the District

1 Population (in lakh) please give projected population 2010 1850508

2 Urban population 224196

3 Tribal population -

4 Hilly population -

5 Any other known groups of special population for specific interventions (e.g. nomadic, migrant, industrial workers, urban slums)

-

(These population statistics may be obtained from Census data /District Statistical Office)

Does the district have a DTC - Yes

ORGANIZATION OF SERVICES IN THE DISTRICT:

S. No. Name of the TU Population (in Lakhs)

Please indicate if the TU is- No. of MCs

Govt NGO Govt NGO Private

1 Dhubri DTC TU 444379 � - � - -

2 Gauripur TU 524644 � - � - -

3 Bilasipara TU 459441 � - � - -

4 Gazarikandi TU 422044 � - � - -

DISTRICT 1850508 - - - - -

167

RNTCP performance indicators: Important: Please give the performance for the last 4 quarters i.e. July -2008 to June-2009.

TB Unit

Total number of patients put on treatment

Annualized total case

detection rate (per lakh pop)

No of new smear positive

cases put on treatment

Annualized New smear positive case detection rate

(per lakh p op)

Cure rate for cases detected in the last 4 corresponding

quarters

Plan for the next year

Proportion of TB

patients tested for

HIV Annualized NSP CDR

Cure rate

(85%)

3Q-08

4Q-08

1Q-09

2Q-09

3Q-08

4Q-08

1Q-09

2Q-09

3Q-08

4Q-08

1Q-09

2Q-09

3Q-08

4Q-08

1Q-09

2Q-09

3Q-08

4Q-08

1Q-09

2Q-09

Dhubr

i DTC TU

275

175

149

196

74

47

71

94

92

37

53

58

67

27

69

75

86.5

86.8

86.5

86.5

70% or more

85%

Figure not available

at present

Gauripur

TU

-

156

135

172

- 61

59

76

- 58

46

69

- 62

48

72

- - - - 70% or more

85%

Bilasipara TU

134

133

107

154

50

49

47

68

61

60

53

74

61

60

63

88

87.8

87.7

86

91 70%

or more

85%

Gazarikandi

TU

173

91

104

96

60

31

47

44

55

29

31

42

52

27

38

52

78.2

89.2

88.3

85.2

70% or more

85%

Section B – List Priority areas for achieving the objectives planned:

S.No. Priority areas Activity planned under each priority area

1 ACMS

- Increased Meeting, Street Play, Interaction Meeting,

Sensitization. - Increased Publicity Materials. - Increased Wall Paintings Bus Board etc.

2 Training / Re-Training Particularly MOs, Dot Providers & LTs.

3 Supervision Increased Boat hiring.

4 Contractual staffs Particularly LTs 4 nos.

5 Coordination With NRHM in respect of ACMS, Supervision, Dot decentralization, Finance and Sputum collection centres

6 NGO Involvement NGO involvement in selected areas by small NGOs under new NGO

scheme.

7. TB-HIV Coordination As per Action Plan.

168

Section C – Plan for Performance and Expenditure under each head:

Civil Works

Activity No. required as per the norms in the district

No. actually present in the district

No. planned for this year

Pl provide justification if an increase is planned (use separate sheet if required)

Estimated Expenditure on the activity

Quarter in which the planned activity expected to be completed

(a) (b) (c) (d) (e) (f)

DTC 1 1 0 - - -

TUs 4 4 0 - - -

DMC 20 20 1 Out of the 20 DMCs one DMC is performing poor. So it is planned that works of the DMC should be shifted to the near by sub-divisional hospital which has been functioning recently and with much OPD attendance.

30000

3rd Quarter-

2010

Maintenance of Civil

works

A separate sheet enclosed herewith in details ( last page)

30700

All Quarter during the financial year –

2010-11.

Total 60700 -

Civil Works under NRHM Additionalties

Sl.

No. Item Numbers required.

Health Centres

involved

1 Treatment (DOTS) Room

One sitting room for

patients to take treatment

under DOTS.

For 45 PHIs ( Health Centres).

Proposal for 20 DMCs during

the financial year 2010-11

Rs.50000X20= 1000000

2 Observation room ( for observation & work by

DOT Providers)

One room attached to

treatment room & one

window to observe

For 45 PHIs ( Health Centres).

Proposal for 20 DMCs during

the financial year 2010-11

Rs.50000X20= 1000000

3 Laboratory Room at Sukchar

DMC to be constructed with

laboratory outlet connection

and a pit for waste matter

disposal from the laboratory

and Dot centre

It is specially needed for

Sukchar DMC.

Rs. 50000

4 Renovation of DTC building

-

For DTc Office Rs.20000

169

a) One partition wall with one door & one window.

b) Tiles fitting in DTO’s room, Laboratory &

Computer room.

At DTC Rs. 100000

Total Rs. 2170000

Laboratory Materials

Activity Amount permissible as per the norms in the district

Amount actually spent in the last 4 quarters

Procurement planned during the current financial year (in Rupees)

Estimated Expenditure for the next financial year for which plan is being submitted

(Rs.)

Justification/ Remarks for (d)

(a) (b) (c) (d) (e)

Purchase of Lab Materials

396825 207090 180000 400000 As per norms

Honorarium

Activity

Amount permissible as per the norms in the district


Expenditure (in Rs)

planned for current financial year

Estimated Expenditure for the next financial year for

which plan is being submitted

(Rs.)


(a) (b) (c) (d) (e)

Honorarium for DOT providers (both tribal and non tribal districts)

226000

103250 200000 300000

More expenditure planned for current financial year due to outstanding expenditures.

Honorarium for DOT providers of Cat IV patients

- - - -

-

Honorarium under NRHM Additionalties

• As seen in the column (c) above there is a need of Rs. 200000 for current financial year, but at present we have only Rs.50000. So it is requested that a sum of Rs. 150000 may be granted for this head from NRHM flexi pool for disposal of outstanding bills.

Total requirement Rs. 150000.

170

RNTCP-Dhubri District Annual Action Plan Format Advocacy, Communication and Social Mobilization (ACSM) for RNTCP

– 2010-11

1) Information on previous year’s Annual Action Plan

a) Budget proposed in last Annual Action Plan: 321800

b) Amount released by the state: 166730

c) Amount Spent by the district- 104310 ( Last 4 Quarter)

2) Permissible budget as per norm : 196500

3) Budget for next financial year for the district as per action plan detailed below: 299000

A. CHALLENGE 1 – LOW ACDR, NSP-CDR, LOW SUSPECT EXAMINED.

I – Advocacy Activities.

Program

Challenges

to be

tackled by

ACSM

during the

WHY

ACSM

Objective

For WHOM

Target

Audience

WHAT

ACSM Activities

When

Time Frame

By

WHO

M

Monitoring and

Evaluation

Budg

et for

the

finan

cial

year

Year 2010-

11

Activities Materials/Me

dia Required.

Q1 Q2 Q3 Q4 Output Outcome

Low

ACDR,

NSP-CDR,

Low

Suspect

Examined

� Gaini

ng

admin

istrative

suppo

rt for

increa

se referr

al

from

OPD.

� from DC,

Jt.DHS

etc.

Regular

monthly

meetings

Power point

Presentation

3 3 3 3 DTO/W

HO

Consult

ant

Meeting/Mi

nutes

� Increase

referr

al of chest

supm

tomat

ic

� Increase

ACD

R &

NSP-

CDR

No

cost

� Involve

ment of

Educatio

n Deptt. ,

Social

Welfare Deptt

� Sensiti

zation

� Briefi

ng

Meeting. � Factsh

eets.

� Power Point

presentation.

� Booklet. � Brouchers. � Factsheets. � Success Stories.

1 1 1 1 DTO,M

OTCs,

STS/ST

LS

� Report

s

� Photog

raph

� Mutual

Agreement

Cost

of

meeti

ngs –

500 X

12=

6000

� Private

Practition

ers

1 1 1 1 Cost

of

comm

unication

materi

als

20000

� Tradition

al Healers,

Pharmacy

Owners.

1 1 1 1

� World

TB Day

1

-

-

- 40000

II. Communication Activities Program

Challenges

to be

tackled by

ACSM

during the

WHY

ACSM

Objective

For WHOM

Target

Audience

WHAT

ACSM Activities

When

Time Frame

By

WHO

M

Monitoring and

Evaluation

Budget

for the

financi

al year Year

2010-11 Activities

Materials/

Media

Required.

Q1 Q2 Q3 Q4 Output Outcome

Low

ACDR,

NSP-CDR,

Low

Suspect

Examined

To inform

communiti

es and care

providers

about the

DOT services

for early

detection.

�General

public.

�Publicity

through

cable

TV.

�Cable

Channels 1 1 1 1

DTO,

MTO

Cs

Vouchers �MIncr

ease in

Case

Referral

�KAP

Study after

one

year.

2000X4

=

8000

�Schools.

�School Health

Programme

�Flip

Chart.

�Brouchers

.

�Factsheet.

�Posters.

4 4 4 4

MOT

Cs,

STS/S

TLS,

Local

PHI

�Minutes

�Photograph

�Office

Register

�1000

X16=

16000

�For

Filip

Chart

171

I/c,

Head Maste

r of

the

Schoo

l.

etc.

15000

�Care Providers

�Patient

Provider

Interactionn Meeting.

24 24 24 24

I/c of

the

PHI,

Dot

Provider

and

STLS.

�Minutes �Office

Register

200X96

=19200

, say

20000

Awareness General

Public

General Public,

Schools

Wall painting

Walls of

Health

Institutions

20 20 20 20 DTO

Photograph,

Office Record

400X80

=

32000

Street

Play/Dramma

Script and

Man power

of

professional groups.

1 1 1 1 DTO,

CF,

STS/STLS

DTO

4000X4

=16000

Bus Board

(inside)

On hiring

basis 10 10 10

10 200X40

=8000

Postering in

Auto Rickswas

On hiring

basis 10 10 10 10 DTO

250X40

=10000

Drum Beating

in Rural

Markets

On contract

basis 4 4 4 4

DTO,

OTCs

, CF 500X20

=10000

III. Social Mobilization

Program

Challenges

to be

tackled by

ACSM

during the

WHY

ACSM

Objective

For WHOM

Target

Audience

WHAT

ACSM Activities

When

Time Frame

By

WHO

M

Monitoring and

Evaluation

Budget

for the

financi

al year Year

2010-11 Activities

Materials/Me

dia Required. Q1 Q2 Q3 Q4 Output

Outco

me

Low

ACDR,

NSP-CDR,

Low

Suspect

Examined

�General

awareness in

public

�Increase

Rate of self reporting

�To create

a sense of intrigration

General

Community,

Patients and

Dot Providers etc.

Community

Level Meetings

Flip Charts,

Posters,

Broachers,

Handbills.

36 36 36 36

DTO,

MOTC

s, CF,

I/c MO PHC,

STS/ST

LS

Minutes,

Photograph

, Office

Records

�Increa

in self

reportin

g of

cases. �KEP

study

after

one

year.

�Other analysis

and

Motnito

ring

500

X144=

72000

�Exhibition,

Melas,

Posters,

Banners

1 1 1 1 2000X4

=8000

�World TB

day

Already given. 1 - - - Alread

y given.

School

Children

�Quiz

Competition &

Short

Sensitization

Meeting.

�Prize

Materials

�Printing

Materials(IEC) �Quiz

Materials.

2 2 2 2 1000X8

=8000

Local Small

NGO Groups

�Sensitization

and

Onteraction

Meeting

�Leaflets

�Posters

�Brokers etc.

4 4 4 4 500X16

=8000

�For

Printing material

s 10000

Grand Total 299000

172

Comments, if any:-

i) Due to constant low ACDR-NSP-CDR and Low Case Referrals stress has been given for

increase of this crtteria.

ii) It is presume that ACMS Activities for the above will also boost the other criteria’s like

lowering of default rates etc.

Prepared by:- i. Dr. J.B. Roy, DTO, Dhubri

Sign. of DTO, Dhubri

ii. Sri Patal Ch. Paul, Accountant, RNTCP, Dhubri .

iii. Sri Biswajit Mazumder, DEO Dhubri.

Equipment Maintenance:

Item No. actually present in the district


Amount Proposed

for Maintenance

during current

financial yr.


(Rs.)


(a) (b) (c) (d) (e)

Office Equipment

(Maintenance includes computer software and hardware upgrades, repairs of photocopier, fax, OHP etc)

One each of Computer, Photocopier

and OHP

5900 25000 50000 Ageing of the equipments need frequent maintenance.

Binocular Microscopes ( RNTCP) 21 State TB Cell

- 90000 Accurate cost can be ascertain from State TB Cell.

140000

Training:

Activity No. in the district

No. already trained in RNTCP

No. planned to be trained in RNTCP during each quarter of next FY

(c)

Expenditure (in Rs) planned for current financial year


(Rs.)

Justification/ remarks

Q1 Q2 Q3 Q4

(a) (b) (d) (e) (f)

Training of MOs 150 100 25 - 25 - 90000 90000 As ACDR, NSP-CDR and case referral is low so intensive

training, re-training has been planned

Training of LTs of DMCs-

Govt + Non Govt

25

17 8 - - - 14000 14000

Training of MPWs - - - - - - - -

173

Training of MPHS, pharmacists,

nursing staff, BEO etc

- -

- - - -

-

-

Training of Comm Volunteers - 275 25 25 25 25 - 60000

Training of Pvt Practitioners - - - - - - - -

Other trainings #

- - - - - - - -

Re- training of MOs - - 25 - 25 - - 23000

Re- Training of LTs of DMCs 25 17 25 - - - - 14000

Re- Training of MPWs - - - - - - - -

Re- Training of MPHS - - - - - - - -

Re- Training of Pharmacists - - - - - - - -

Re- Training of nursing staff, BEO

- - - - - - - -

Re- Training of CVs - - - - - - - -

Re-training of Pvt Practitioners 20 20 - 20 - - - 20000

TB/HIV Training of MOs 150 - - 25 - 25 - 42000

TB/HIV Training of STLS, LTs , MPWs, MPHS, Nursing Staff, Community Volunteers etc

-

-

- 25 - 25 -

30000

TB/HIV Training of STS - - - - - - -

Training of MOs and Para medicals in DOTS Plus for management of MDR TB

Provision for Update Training at Various Levels(key staff & MO-PHIs)

Any Other Training Activity( Key staff & MO-PHIs)

Total :Rs. 293000 # Please specify --

Vehicle Maintenance:

Type of Vehicle Number permissible as per the norms in the district

Number actually present

Amount spent on POL and Maintenance in the previous 4 quarters




174

(Rs.)

(a) (b) (c) (d) (e) (f)

Four Wheelers 1 1 196500 100000 300000

1. Supervision intensified.

2. Ageing of the vehicle need frequent repairing / parts replacement etc.

Two Wheelers 4 4

Vehicle Hiring:

Hiring of Four Wheeler

Number permissible as per the norms in the district

Number actually present

Amount spent in the previous 4 quarters


Estimated Expenditure for the next financial year for which plan is being submitted (Rs.)


(a) (b) (c) (d) (e) (f)

For DTO 1 1

68000

200000

320000

Slightly more fund is required due to boat hiring and vehicle hiring in South Bank bi DTO.

For MO-TC 4 4

320000

175

NGO/ PP Support: (New schemes w.e.f. 01-10-2008)

Activity No. of currently involved in RNTCP in the district

Additional enrolment planned for this year




(Rs.)


(a) (b) (c) (d) (e) (f)

ACSM Scheme: TB advocacy, communication, and social mobilization

Nil 4 Nil Nil 37500

Four NGOs in separate areas covering 1 laqc population each. The areas are having low case detection problem.

SC Scheme: Sputum Collection Centre/s

Nil 3 Nil Nil 180000

Three identified health institution are stuffed with patients, but difficult in communication.

Transport Scheme: Sputum Pick-Up and Transport Service

Nil 5 Nil Nil 24000

Three identified health institution are stuffed with patients, but difficult in communication.

DMC Scheme: Designated Microscopy Cum Treatment Centre (A & B)

Nil Nil Nil Nil Nil -

LT Scheme: Strengthening RNTCP diagnostic services

Nil 2 Nil Nil 100000

Two DMCs are having no post of LT, suffering sue to shortage of LT.

Culture and DST Scheme: Providing Quality Assured Culture and Drug Susceptibility Testing Services

Nil

Nil

Nil

Nil

Nil

-

Adherence scheme: Promoting treatment adherence

Nil 3 Nil Nil 60000.

Some areas are identified as high default areas despite regular supervision.

Slum Scheme: Improving TB control in Urban Slums

Nil 1 Nil Nil 50000

District headquarter has many slum areas & high rate of incidence & prevalence of

176

TB

Tuberculosis Unit Model Nil

Nil Nil Nil Nil -

TB-HIV Scheme: Delivering TB-HIV interventions to high HIV Risk groups (HRGs)

Nil

Nil Nil Nil Nil

-

TOTAL 451500

Miscellaneous:

Activity* Amount permissible as per the norms in the district




(Rs.)


(a) (b) (c) (d) (e)

TA/DA

360750

257000

150000

400000

- Stationeries / The expenditure which does not fall in any other heads of account

400000 -

* Please mention the main activities proposed to be met out through this head

Miscellaneous under NRHM additionalities

Item No. requires Budget in Rs.

Plastic Handled Chairs for patients to sit at the 45 PHI DOT Centres. 6 chairs for each PHI DOT Centre

45X6=270 270XRs.500=135000

Water Filter for patients at the 45 PHI DOT Centres 45X1+5 extra=50

50XRs.500=25000

Weight Machine for patients at the 45 PHI DOT Centres 45X1+5 extra=50

50XRs.500=25000

Steel Almirah 7 ft. height for each of the 45 PHI DOT Centre 45X1=45 45X8000=360000

One Steel Table (non secretariat) for each of the 45 PHI DOT Centre 45X1=45 45XRs.2000=90000

One Steel rack for each of the 45 PHI DOT Centre 45X1=45 45XRs.1000=45000

One Iron safe for keeping cash amounts, used and unused check books and other very important documents – only for DTC, Dhubri office.

1 20000

Total Rs. 700000

177

Contractual Services:



No. planned to be additionally hired during this year




(Rs.)


(a) (b) (c) (d) (e)

As per

norms.

Medical Officer-DTC

Not to be filled - -

1365000

640000

1285000

STS 4 4 -

STLS 4 4 -

TBHV 1 1 -

DEO 1 1 -

Accountant – part time

1 1 -

Contractual LT 2 4

Driver 1 1 -

Printing:

Activity Amount permissible as per the norms in the district




(Rs.)


(a) (b) (c) (d) (e)

Printing*

Printing of Forms, Patients Cards etc.

360750 17000 60000 365000 As per population norms.

* Please specify items to be printed Research and Studies: Any Operational Research project planned (Yes) No. (Post Graduate grant for one research paper from each Medical College)

Estimated Budget (to be approved by STCS).___________________________________

178

Medical Colleges

Activity Amount permissible as per norms

Estimated Expenditure for the next financial year(Rs.)


(a) (b) (c)

Contractual Staff:

� MO (In place: Yes/No) � STLS (In place: Yes/No) � LT (In place: Yes/No) � TBHV (In place: Yes/No)

- -

-

Research and Studies:

� Thesis of PG Student � Operations Research*

- -

-

-Travel Expenses for attending STF/ZTF meetings

- - -

IEC: Meetings and CME planned - - -

- - -

Procurement of Vehicles:

Equipment No. actually present in the district




(a) (b) (c) (d)

4-wheeler ** 1 - - -

2-wheeler 4 3 150000 3 motorcycles will cross 6 years in the first Qtr.-2010.

The motorcycles are requiring frequent major repairing.

** Only if authorized in writing by the Central TB Division

179

Procurement of Equipment:

Equipment No. actually present in the district




(a) (b) (c) (d)

Office Equipment (computer, modem, scanner, printer, UPS etc)

1 Computer

2 Printer

1 UPS

1 Modem

1 Scanner

1 TFT

Monitor

1 UPS

1 Scanner

10000

2500

3500

For upgradation and replacement of the existing system.

Any Other - One Generator Set.

50000

Due to frequent loadsheding District Society has already approved.

One LCD

projector

and its

accessories

and

Laptop

80000 The old projector is not working well and training programms are increasing day by day.

5 Digital

cameras

45000 IEC awareness demands more photographs with quality pictures.

One for each TU, One for DTO

Procurement of Equipment under NRHM Additionalities

Note :- From the above procurement of equipment section, the column for “Any other” is

sought from NRHM additionalities. So a total sum of Rs. 175000 has been requested in the NRHM Additionalities budget.

* Maintenance of Civil Work (Worksheet)




Pl provide justification if an increase is planned (use separate sheet if required)

Estimated Expenditure on the activity

Quarter in which the planned activity expected to be completed

(a) (b) (c) (d) (e) (f)

DMC - 20 - - 1000 X 20=21000 -

Drug Stores - 4 - - 1300X4=5200 -

DTC - 1 - - 4500 -

Total 30700 -

180

Section D: Summary of proposed budget for the district –

S.No. Category of Expenditure

Budget estimate for the coming FY 2010- 11

Budget sought from NRHM additionalities

2010-11

In Rs. (To be based on the planned activities and expenditure in

Section C) in. Rs.

1 Civil works 61000 2170000

2 Laboratory materials 400000

3 Honorarium 300000 150000

4 IEC/ Publicity 299000

5 Equipment maintenance 140000

6 Training 293000

7 Vehicle maintenance 300000

8 Vehicle hiring 320000

9 NGO/PP support 450000

10 Miscellaneous 400000 700000

11 Contractual services 1285000

12 Printing 365000

13 Research and studies 0

14 Medical Colleges 0

15 Procurement –vehicles 150000

16 Procurement – equipment 191000

175000

TOTAL 4954000 3195000 ** Only if authorized in writing by the Central TB Division

Grand Total :- Rs.( 4954000+3195000) - Rs.175000=Rs. 7974000

Please note :- if Rs,. 175000 is sanctioned from NRHM additionalities head- procurement of equipment, then this amount should be deducted from the procurement head of RNTCP budget which has been

shown as Rs. 191000.

181

6.7.3 N.L.E.P.

Introduction District Dhubri is situated in the Western Part of Assam. It is the boarder District of

Assam. It has 7 Block PHCs & having population of 18,43,113

Situation Analysis

As NELP has been integrated with GHC, drugs are available at

CH/PHC/CHC/SDs, MO’s are diagnosing cases who have come voluntarily & NLEP

staff is assisting GHC staff at every level as per need.

Now, NLEP also integrated with NRHM & involvement & ASHA’s to be

ensured for regular treatment. In addition, monitoring & supervision will become

more effective.

It is supposed that at each & every level, regular & repeated orientations of

staff (both NLEP & GHC) are needed to provide quality services.

As there are no survey activities, we have to initiate regular IEC activities in

the community to decreases stigma & discrimination & to increase awareness.

Strength :-

1. Trained District Nuclens staff.

2. Trained & motivated GHC staff.

3. Availability of Guidelines from State from time to time.

4. Availability of MDT.

5. Review & monitoring is being done regularly.

6. Fund stored be regular in time.

Weaknesses :-

1. NLEP & GHC staff at PHC/CHC/SHC/SD level are engaged more in other

activities.

2. Inadequate mobility at PHC level & as well as non-availability of TA/DA.

Opportunity :-

1. Integration of NLEP with GHC staff

2. Integration with NRHM leading to better monitoring & supervision.

3. Valuable support of RCS by the GMCH/AMCH & SMCH.

182

Threats :- 1. Involvement of leprosy staff in other programmes.

2. NLEP staff posted improperly.

3. Frequently transfer of staff.

4. Low priority to NLEP staff at all level.

5. Priority to other programme

Suggestion :- 1. Physical : The School Teacher of char areas (difficult area) to be trained in

leprosy to facilitate detection of leprosy cases.

2. Financial : Easy & regular fund flow for the time bound activities.

Performance under NLEP :

Indicator 2006-07 2007-08 2008-09 2009-2010

No. of new cases detected

(ANCDR)

32 47 51 37 up to Oct’09

No. of cases on record at

the yearend (PR)

76 73 70 87

No. of Gr.II disability

among non cases (%)

X Nil Gr-8

Gr-1

1

Treatment Completion

Rate

73% 55% 80% -

Re-construction Surgery

conducted

X X X X

(Cumulative number to be mentioned & rate/percentage to be given on bracket).

Infrastructure : District HQ :

District Nucleus Cell is in position & providing supervision & monitoring.

Man power of District Nucleus Cell are

1. Medical Officer-1

2. Non-Medical Supervisor-1

3. Non-Medical Assitant-1

4. Contractual Driver-1

183

Training Plan :

A. 4 days training of newly appointed MO’s (rural & urban) 30 nos.

Expenditures Details :

Stationary 30 x 50 = 1,500 /-

Total Cost

53,900 /- Lunch & Tea 35 x 100 x 4= 14,000 /-

TA & DA 30 x 300 x 4 = 36,000 /-

Trainer’s 2 x 300 x 4 = 2,400 /-

B. 3 days training of newly appointed Health Supervisor 30 nos.


Stationary 30 x 50 = 1,500 /-

Total Cost

25,575 /- Lunch & Tea 35 x 75 x 3= 7,875 /-

TA & DA 30 x 160 x 3 = 14,400 /-

Trainer’s 2 x 300 x 3 = 1,800 /-

C. 3 days training of newly appointed Health Worker (M) 30 nos.


Stationary 30 x 50 = 1,500 /-

Total Cost

21,975 /- Lunch & Tea 35 x 75 x 3= 7,875 /-

TA & DA 30 x 120 x 3 = 10,800 /-

Trainer’s 2 x 300 x 3 = 1,800 /-

D. 3 days training of newly appointed Health Worker (F) 30 nos.


Stationary 30 x 50 = 1,500 /-

Total Cost

21,975 /- Lunch & Tea 35 x 75 x 3 = 7,875 /-

TA & DA 30 x 120 x 3 = 10,800 /-

Trainer’s 2 x 300 x 3 = 1,800 /-

E. 2 days training of newly appointed MO’s 30 nos.


Stationary 30 x 50 = 1,500 /-

Total Cost

27,700 /- Lunch & Tea 35 x 100 x 2 = 7,000 /-

TA & DA 30 x 300 x 2 = 18,000 /-

Trainer’s 2 x 300 x 2 = 1,200 /-

F. 5 days training of newly appointed Lab. Technician 15 nos.


Stationary 15 x 50 = 750 /-

Total Cost

18,375 /- Lunch & Tea 15 x 75 x 5 = 5,625 /-

TA & DA 15 x 120 x 5 = 9,000 /-

Trainer’s 2 x 300 x 5 = 3,000 /-

184

IEC Plan :

a. Inter Personal Workshop Communication @ 6,000 /- x 2 nos = 12,000 /-

Total Cost

1,25,000 /-

b. Folk Show @ 3,000 /- x 7 Nos = 21,000/- c. Wall painting @500/- x 50 Nos = 25,000 /- d. Advocacy meeting @500/- x 30 Nos = 15,000 /-

e. Publicity through TV, Radio, Newspaper etc = 10,000 /- f. Rallies @ 5,000/- x 1 No. = 5,000/- g. Health Mela @ 3,000/- X 50 Nos = 9,000/-

h. I.P.C. meeting @ 500/- x 50 Nos = 25,000/- i. Meeting with Zila Parisad @ 3,000/- x 1 No. = 3,000 /-

DPMR :

a. Procurement of M.C.R. @200/- x 120 Pairs = 24,000/-

Total Cost

79,000 /-

b. Patients welfare Blanket @300/- x 100 Nos = 30,000/-

c. For R.C.S. of BPL cases

incentive for 5 cases @ 25,000/-

each = 25,000 /-

Urban Leprosy Control : Nil

Leprosy colonies: Nil

Procurement Plan :

a. Purchase to be made as per drug list (guideline)

b. Need base purchase to be done.

c. Equipments - Not necessary.

d. Printing Register/Forms etc. to be printed as per need.

e. No such specific NGO is existing in the District.

Incentive for ASHA :

a. Number of ASHA trained & involved in NLEP – 1327 nos.

b. Number of Neno PB & MB cases likely to be detected during the year by

ASHA based on the trend of New case detection – 50 Nos.

NLEP Monitoring & Review Plan :

a. Review meeting has been conducted montly.

b. Monitoring & supervision works has been done regularly.

185

Vehicle operation & hiring:

2 (two) vehicles are operating

Office expenditure & consumable:

Stationeries & other Misc. Expenditure which does not fall in any other Head of

Acctt.

Format for submitting budget Proposal:

Sl.

No.

Activity Proposal Amount Proposed

1. Contractual Services 54,000 /-

District one Driver @ 4,500/-PM x 12 months

2. Services through ASHA/USHA 25,000 /-

Sensitization of ASHA/incentive to ASHA

3. Office expenses & consumables 40,000 /-

4. Capacity Building (Training)

4 days training of newly appointed MO (rural & urban

)

53,000 /-

3 days training of newly appointed Health worker &

Health Supervisor

69,525 /-

2 days refresher training og MO 27,700 /-

5 days training of newly appointed Lab. Technician 18,375 /-

5. Behaviours change communication (IEC) 1,25,000 /-

Mass media, outdoor media, Rural media & Advocacy

6. POL/Vehicle operation & hiring 80,000 /-

& vehicle at state level & vehicle at district level

7. DPMR 30,000 /-

12,500 /-

2,50,000 /- MCR footwear, Aids and appliances, welfare

allowances to BPL patients for RCS support to Govt.

Institution for RCS

8. Materials & supplies 52, 000 /-

Supportive drugs, Lab reagent & equipment & printing

forms.

9. Urban leprosy control Do not arises

Township, Medium cities-I, Medium cities-II & Mega

cities

10. NGO-SET scheme 50,000 /-

11. Supervision, Monitoring & Review 50,000 /-

Review Meeting & Travel expenses

Cash Assistance 6,000 /-

Total = 9,43,100 /-

186

6.7.4 N.P.C.B.

GGooaall :: RReedduuccee pprreevvaalleennccee ooff pprreevveennttaabbllee BBlliinnddnneessss

ACTION PLAN 2010-11

STRATEGY ACTIVITY Sub-Activity TIME PERIOD

Responsible Persons

Cataract Surgery

at base Hospital

Approach

Weekly Cataract

Eye Operation at

Civil Hospital,

Procurement of Drugs,

Sharp Instruments, IOL,

Consumables etc.

Arrangement of Beds etc.

Weekly

Two days

operation

Superintendent

D.O.S.

D.P.M.

Development of

Eye Operation

Facility at CHCs

Development of O.T.

Placement of Instruments

Deployment of Staffs

Fortnightly

Eye Camp

Jt.D.H.S.,

D.O.S. &

D.P.M.

Eye Screening and

Detection of Cataract

Cases at Sub-Canters

Intensive IEC

Activities and

Blindness Survey

Eye Screening at Sub-centers

by the PMOA on fixed day

every week

Inform the targeted Population by ASHA

through Health Day

April-March

20010-11

PMOA &

D.P.M.

Door to Door

Blindness Survey

Survey at 30nos

Villages/Towns

6000 houses

Apr-May-June

/ 2010

D.P.M.

D.O.S.

Development of Infra-

-structural facility for Vision Screening at

PHC/CHC where

Ophth. Asstt. posted

Development of

Vision Centres at

Mankachar CHC

S.Salmara CHC

Make Provision for Room in

consultation with the i/c M.O.

Procurement & Placement of

Equipments & Furnitures

April-May

2010

D.P.M.

Popularization of

School Eye Screening

Programme

Training & Vision

Screening at Schools

Orientation Training

of School Teachers

July

2010

D.P.M.

Screening & detection

of RE to the remote

area with Mobile

Vision Testing Van

May –Nov/10

Feb – Mar/11

D.P.M.

Distribution of free

Spectacles to the

School Children

Popularization of Eye Donation & Eye Care

Orientation Meeting

at all 7 BPHCs

Sensitization Meeting

With all M.O./ ANMs etc

Aug /2010 D.P.M.

Awarness Meeting &

Eye Screening Camps

at 14 Development

Blocks

IEC Activity & organisa

-tion of Eye Checkup

camps

Aug–Sept

2010

D.P.M.

187

Budget Under NPCB for 2010-11

STRATEGY ACTIVITY Sub-Activity Cost per Unit Total Cost

1. Cataract Surgery at base Hospital

Approach

Weekly Cataract

Eye Operation at

Civil Hospital @ 9 Oprn. Per day for 2

O.T. day for 45 weeks,


Consumables, Sutures, etc.

@ Rs. 750/-

For 800 oprns.

6,00,000.00

Procurement of Sharp

Instruments etc.

Lump-sum 40,000.00

2. School Eye Screening Programme

Vision Screening at 100

Schools @ 200 students each

Training of 100 School

Teachers

Details

25,000.00

7% defective Refraction of 20000

Students i.e. 1400 students for confir

-matory camps

School Visit by PMOAs

With Vision Testing Van @ Rs.20/- each

for 1400 students

28,000.00

30% Refrective Error of 1400 Nos. i.e.

420 nos. students for distribu-

tion of Free Spectacles

@ 200/- each for

420 students

84,000.00

3. Procurement of

Equipmernts

Development of Eye

Operation Facility at

Dhubri Town Health Instt.

Development of O.T.



Lump-sum

5,00,000.00

4. Development of

Vision Centre:

Development of Vision

Cerntre where O.A. posted

1. Mankachar CHC

2. South Salmara CHC


consultation with the in-

charge M.O.



50,000/- each

1,00,000.00

5. Eye Screening and Detection of Cataract


IEC Activities

Printing of Forms, Blind

Register, Leaflets,

Stationeries

@ Rs.50/-each

For IEC and

15,000.00

Eye Screening at

Sub-centers by the

PMOA on fixed day

Every week

Organisation &

Contingencies

58,000.00 Rs. 200/- for Organization

Exp. of at 290

Health Instt. Door to Door

Blindness Survey

Survey at 30nos

Villages/Towns

6000 houses

15/- per house

90,000.00

6. Popularization of Eye Donation & Eye

Care

Orientation Meeting

at all 7 BPHCs


With all M.O.s/ BPMU/

BEEs/ ANMs

@ Rs. 3000/-

21,000.00

Awarness Meeting &

Eye Screening Camps

at 14 Development

Blocks

IEC Activity at 20 nos

Of Health Institutions

With Flaxo banners

@ Rs. 1,500/-

Each for 20

H.Institutions

30,000.00

7. MANAGEMENT OF District Health

Society

Salary Support of

District Health

Society

DPM=1

Dealing

Asstt.= 1

96,000/- 18,000/-

114,000.00

TA/DA of the Staff

Lump-sum

20,000.00

Maintenance of

Ophth. Equipments

Lump-sum

16,000.00

Contingency & Other

Activities

30,000.00

Total 17,71,000.00

188

6.7.5 INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)

Proposed activities schedule for DSU/ IDSP/ Dhubri DHAP:: 2010 - 11

1. 3 days training for newly inducted Medical Officers on IDSP.

2. 2 days training for Health Workers.

3. 3 days training for Laboratory Technicians/ Microscopist at District Laboratory.

4. Weekly online transmission of S, P & L Forms.

5. Dissimilation of Early Warning Out Break Responses.

6. Supervision and Monitoring of Peripheral Surveillance Units.

7. Activities on International Health Regulation ( IHR ) Focal Point (daily basis online

reporting of H1N1 Influenza Status).

Working plan for above proposal:

Sl No Initiatives Number of batches to be trained Venue

I Qtr II Qtr III QTR IV QTR

1 3 days training for

MO( newly inducted

officers ) for a batch

of 20 trainees.

1 batch 1 batch

at DSU

2 2 days training for

Health Workers for a

batch of 20 trainees.

5

batches

5

batches

5

batches

5 batches Block PHC

Premises

3

3 days training for

Laboratory

Technicians/

Microscopist for a

batch of 20 trainees.

1 batch 1 batch at District

Laboratory.

4 Supervision and

Monitoring of

Peripheral

Surveillance Units

6 Nos of

visits at

PSU

6 Nos of

visits at

PSU

6 Nos of

visits at

PSU

6 Nos of

visits at

PSU

at PSU

189

INTEGRATED DISEASE SURVEILLANCE PROJECT.

BUDGET BREAK UP OF VARIOUS HEAD, DHUBRI DISTRICT.

( RS IN LAKHS )

Sub -

activity

Tasks Unit Cost No of

Units

2010-11 Remarks

1. Staff

Salary

1.1 Epidemiologists 30000

1.2 Microbiologists 20000

1.3 Entomologist 20000

1.4 Consultant ( Finance ) 14000

1.5 Consultant ( Training ) 28000

1.6 State Data Manager 14000

1.7 District Data Manager 13500 12 162000

1.8 Data Entry Operator 8500 12 102000

1.9 Accountant 9500 12 114000 already appointed &

working as per

Govt. guidelines the

said post may be

continued with

IDSP.

1.10 Administrative Assistant 7000 12 84000

Sub Total 462000

2.Training 2.1 Training of Hospital

Doctors

36500 2 73000

2.2 Training of Hospital

Pharmacist/ Nurses

15500 20 310000

2.3 Training of Laboratory

Technicians/

Microscopist

23500 2 47000

Sub Total 430000

3.

Operational

Cost

3.1 Mobility Support, 5800 12 69600

3.2 Office Expenses 5000 12 60000

3.3 ASHA incentives for

Outbreak reporting

100 120 12000

3.4 Collection and

transportation of samples

3000 12 36000

3.5 IDSP reports including

alerts

500 12 6000

3.6 Printing of IDSP Forms 2000 12 24000

3.7 Broadband Expenses 1000 12 12000

Sub Total 219600

4. New

Innovations

4.1 Review Meeting District

Committee

5000 2 10000

Grand Total 1121600

( Rupees eleven lakhs twenty one thousand six hundred only)

190

6.7.6 National tobacco Control Programme (NTCP)

National Tobacco Control Programme (NTCP) was launched in the year 2007-08 as pilot

programme in 18 districts covering 9 states of India and Assam is one of the Sate. At present the

programme is running in 42 districts covering 21 states of the country.

The Basic Objective of the NTCP:

1. To Build up Capacity of the District to effective implementation the Anti Tobacco Initiatives

2. Skill development of the Health and Social Workers

3. To take up appropriate IEC/BCC and mass awareness campaign

4. Introducing NTCP agendas in School Health Programme

5. To set up a regulatory mechanism to monitor

6. Implement the Anti Tobacco laws farmed by Government

7. To establish Tobacco Cessation Centres

8. To conduct Global Adult tobacco survey for surveillance


1. District Tobacco Control Cell will be set up, one Psychologist and One Social Worker will

be appointed on the Contractual basis. All the activities will be carried under the

supervision of DPMU NRHM

2. Phase wise training will be conducted for BPM, BEE, HE & LHV and MNGO members.

3. Awareness cum sensitisation meeting with Civil Society group such as Women SHG,

NGOs, ULB’s and PRI’s, School teachers, health workers, law enforcers etc. IEC materials

will be developed.

4. Special Talk show on Anti Tobacco, awareness rally, quiz etc will be arranged with School

Health Progarmme.

5. For effective implementation of NTCP at grass root level frequent monitoring is required,

hence monitoring plan will be developed.

6. For enforcement of anti-tobacco law awareness regarding the following specification

provision will be increased:

a. Ban on Smoking in public in public places

b. Ban on sale of tobacco products to children bellow 18 years

c. Ban on direct/indirect advertisement promotion and sponsorship of tobacco

products

d. Ban on sale of tobacco products within 100 yards of the educational institutions

e. Mandatory depicition of Specified health warning on all tobacco products

f. Testing of tobacco products for tar and nicotine.

191

7. Under the supervision of the Psychologist and Social Worker a Tobacco Cessation

Centres will be established at Dhubri Civil Hospital, Dhubri.

8. For find out the actual status of the district Global l Adult tobacco survey will be conducted.

Proposed Budget for District Tobacco Control Programme (NTCP)

Sl.No Components Calculation (Rs) Total (Rs)

1 Salaries: I). Psychologist: Rs.10, 000/- per month ii). Social Worker: Rs. 8,000/- per month

10000 X 12 months 8000 X 12 months

216,000

2 Training 200,000 200,000

3 IEC Activity 200,000 200,000

4 School Activity 400,000 400,000

5 Monitoring of Tobacco Control Laws & Reporting

100,000 100,000

6 Contingency 100,000 100,000

Total 12,16,000/-

192

6.7.7 National Mental Health Programme

It is estimated that 6-7% of population suffers from mental disorders. Together these

disorders account for 12% of the global burden of diseases (GBD) and an analysis of trends

indicates this will increase to 15% by 2020 (World Health Report, 2001). Most of them (>90%)

remain un-treated. Poor awareness about symptoms of mental illness, myths & stigma related to

it, lack of knowledge on the treatment availability & potential benefits of seeking treatment are

important causes for the high treatment gap.

As present there 123 nof of district has been covered under District Metal Health

Programme.

Strategy:

1. Enhancing the capacity of the mental health infrastructure to serve a greater

number of Service seekers.

2. Improving the quality of services in custodial institutions and developing innovative

approaches in non-custodial settings.

3. Initiating research that would provide information on planning and implementing

appropriate services.

4. Manpower development.


1. Enhancing the Capacity of the Mental Health Infrastructure

a. Increasing the number of mental institutions b. Increasing the service capacity of individual institutions c. Integrating mental health with general health

1. One district Counselling Centre will be established 2. Crisis Helpline will be set up 3. Regular Counselling session will be organized in Colleges, Work Place, necessary

arrangement will be made for stress management. 4. Thought DHMP it to be ensured that basic mental health services are being

provided at the community level. 5. Necessary support staff (Clinical Psychologist, PSWs, Psychiatric Nurses etc )will

be engaged on purely contractual basis. 6. Required medicines will be supplied to all health institutions. 7. IEC materials like handbook, Leaflets, Picture Chart etc will be developed. 8. Contingency for running the DMHP will be released to BPHC wise.

Total Budget proposed under Mental Health Programem during 2010-11 is Rs. 5,00,000.00

193

6.8 PART E: CONVERGENCE

Intersectoral Convergence

Intersectoral Convergence is a vital component of National Rural Health Mission. The main

aim of convergence is to facilitate integration of various services to meet simultaneously the

various felt needs in diversified areas of the targeted groups. One of the main objectives of

convergence is the coordinated delivery of some or all services in view of the complementarily of

their objectives.

Inter Sectoral Convergence with PHE:


• A district level convergence Meeting with PHE department will be organized to streamline

the TSC (Total Sanitation Camping).

• After the district level meeting similar Block level meeting with block officials will be

organized at Block level.

• Under VHSC fund an amount of Rs. 3000/- is meant for construction of sanitary toilet. The

fund will be handed over to PHE department by respective VHSC for further course of

action.

• Flex Hoarding Board BPHC wise 10 nos will be developed and installed

• IEC materials like Poster, leaflets etc will be developed and distributed .

Inter Sectoral Convergence with Education Department:

Activity already done:

• District level convergence meeting held with SSA on 30th October 2009 at SSA office Dhubri and finalized the programme.

• Initially 100 nos of Schools were selected for the programme.

• Block level Convergence meeting with SSA officials has been organized and strategy is prepared.

• Now as per action plan School Health Awareness Programme in 100nos of School is going on successfully.

Proposed Activity:

• In the next financial year another 100 nos of School will be selected for School Health Programme.

• School Teacher of the Selected School will be trained in phase wise.

• Health Awareness video will be screen in all the selected schools.

• IEC materials life Picture Chart will be developed for School students.

• Quiz, Essay writing & Art computations etc will on Health related subject will be organized. Total Budget proposed under Convergence during 2010-11 is Rs. 2,00,000.00

194

Chapter – 7 HMIS & Monitoring and Evaluation

As per letter of MD, NRHM, Assam vide no. NRHM/MIS/DO/121/09-10/19833-59 dt. 13th

Nov’09, the District Health Socety, NRHM, Dhubri has designated the following officiares as

Nodal Monitoring and Evaluation Officer in addtiona to their noram responsibilities for

strengthening monitoring and evaluation activities and to serve single point of contact for all health

related M&E information. The following officer is as follows –

Present Designation New Designation

District Data Manager District Data manager and District Nodal M & E Officer

Block Programme Manager Block Programme Manager and Block Nodal M & E Officer

It has also ensured that District Programme Officers (RCH, RNTCP, NVBDCP, NLEP, UIP,

IDSP etc) should endorse a copy of the compiled data to the Nodal M&E Officer at each level i.e

District & Block level and should cooperate with newly designated Nodal M&E Officer at each

level for builing up the integrated health database.

Data Uploading in the Web Portal

District Nodal M&E officer is responsible for uploading regaular HMIs data in the HMIS

portal. All programme officers are cooperating with the District Nodal M&E Officer to upload data

correctly, completely and regularly.

Data quality

It has also ensured that the data before uploading in the HMIS webportal should be

verified properly.

Monitoring & Evaluation

Monitoring and Evaluation is the backbone of any programme. Monitoring may be done

for ongoing activities for effective implementation of any programme and the impact should be

assessed through proper evaluation of the activities initiated under NRHM .

To achieve the desired outcome it is mandatory to conduct review at all level; i.e. from

District level to Block level at regular intervals in a systemic manner. The required Mobility

Supports for the officers who will be entrusted with the job of monitoring and supervision would

also be under this component of the programme. As new reporting formats would be introduced,

it has been decided that all the officers and staff who will be involved in the programme would be

adequately trained and assigned so that there will be no communication gaps and the desired out

come would be reach at the District in due time.

195

Monitoring

1.

Impact evaluation will be conducted with the help of internal/external agencies as per the

need of the programme.

The main aim of NRHM is to provide accessible, affordable and quality health care to the

rura population to reduce Maternal Mortlity Rate(MMR), Infant Mortality Rate(IMR), Total

Fertality Rate(TFR) and minimize disease burden (viz- Gastroenterities/Malaria/TB etc). This will

be possible only when all Institutions from Sub-Centre upto District Hospital can be made

functional in true sense. Monitoring is the only way to know whether the institutions are functioning

or not and also to identify the gaps in Infrastructure, Manpower, Equipments, Instruments and

other Logistics. Monitoring can be done by four ways

1. Direct Observations using checklists (Different Checklist for different Institutions)

2. Reviewing and analyzing HMIS reports

3. Taking to the Community (interaction)

4. Conducting PHC level review meeting

DHS Secretariat (District Programme Management Support

Unit (DPMSU)

District Health Mission (DHM)

Block Health Committee

Hospital Management Society of Block PHC/CHC

Village Health Committee

At District Level

District Health Society (DHS)

Programme Committee for various health programmes

At Block Level

DISTRICT MONITORING TEAM

196

Approaches of Monitoring

1. Monitoring from District level

As per the letter of MD, NRHM, Assam vide no. NRHM/DOC/557/07-08/6685-6711 dated

26.6.08, A District Monitoring Team has been constituted with the following members : -

1. Joint Diretcor of Health Services cum Member Secretary, DHS, Dhubri

2. Addl CM & HO (FW), Dhubri

3. DIO, Dhubri

4. SDM & HO (HQ), Dhubri

5. DPM, DME, DAM, DDM, Dhubri

6. SDM & HO (PH)/JSY Nodal Officer, Dhubri

The Institution to be monitored by District team:- District Hospital, SDCH, FRU, CHC, 24x7

PHC, Block PHC and Cross monitoring of the institutions monitored by Block PHC

Sources of Information to be taken during monitoring: - Reports, OPD/Indoor Register,

Attendance Registers, Drugs Stock Regsiter and Other registers maintained by the concerned

institutions, FMR, Minutes of the meeting etc and Special tools like case studies/diary. Recorded

Observations, One-on-One Interview, Focus Group Discussion, Sample Survey Recording etc.

Through Monitoring we can

- Review Progress

- Identifying Problems in Planning and/or Implementation

- Make adjustments to make a difference.

The District Monitors will do monitoring and supervision as per allotted BPHC and as per

quarterly plan and submit the monitoring report to the Joint Director of Health Services cum

member secretary, DHS, Dhubri in 1st week of every month on the basis of Check list so that

remedial measures can be taken.

197

2. Monitoring from Block level

A block level monitoring team has also constituted to monitor vaious health programmes

under NRHM in their respective Blcok PHC area.

The Team consist of SDM& HO/In-Charge of BPHC, Sectoral MO, BPM, BAM, Asst BPM,

BEE etc.

During 2010-11, it will be ensured that the team will carry prescribe checklist of monitoring

and submit the detail report to the in-Charge of Block PHC with a copy to Dist. HQ. The copy of

the monitoring report will be send to each MPHC/SHC/SD/SC with feedback and suggestion for

improvement.

3. Monitoring Micro Plan

In order to stream line of monitoring system it will be ensured during 2010-11, that each

BPHC will prepare a micro monitoring plan and submit to the District and also stick to the

monitoring Micro Plan and submit report to the District HQ. It will be ensured that the District

monitoring team will do the monitoring and supervision as per quarterly micro monitoring plan as

enclosed herewith.

Quarterly Micro Monitoring Plan of District Monitoring Team

Sl No Designation

of Official

Jan’10 Feb’10 Mar’10

Name of Institution to be visited



1 JDHS, Dhubri

Chapor FRU, Salokocha SHC, Bahalpur SD, Champabati MPHC

Halakura CHC, Agmoni CHC, Satrasal MPHC, Boterhat SD

Mankachar CHC, Sukchar MPHC, Sadullabari SHC, Kakripara SD, Jhawdanga SD

2 Addl. CM & HO (FW), Dhubri




3 DIO, Dhubri

Dumurdaha MPHC, Dhepdhepi MPHC, Moterjhar MPHC, Bherbhangi SD, Kachokhana SD,

Gauripur CHC, Geramari MPHC

Jaruwa MPHC, Chirakuti MPHC, Fakirganj MPHC, Medartari SD

4 SDM & HO (HQ), Dhubri

Bilasipara SHC,

Sapatgram SHC,

Santipur MPHC Lakhiganj SD, Futkibari SD, Bogribari SD



198

5 SDM & HO (PH), Dhubri




6 DPM/DDM, NRHM, Dhubri



Bilasipara SHC, Sapatgram SHC, Santipur MPHC Lakhiganj SD, Futkibari SD, Bogribari SD

7 DME/DAM, NRHM, Dhubri


Bilasipara SHC, Sapatgram SHC, Santipur MPHC Lakhiganj SD, Futkibari SD, Bogribari SD


199

Sl No Designation

of Official

Apil’10 May10 June’10




1 JDHS, Dhubri

Bilasipara SHC,

Sapatgram SHC,






Bilasipara SHC,

Sapatgram SHC,



3 DIO, Dhubri



















Bilasipara SHC,

Sapatgram SHC,


200

Sl No Designation

of Official

July’10 Aug10 Sept’10




1 JDHS, Dhubri Gauripur CHC, Geramari MPHC


Bilasipara SHC,

Sapatgram SHC,






3 DIO, Dhubri














Bilasipara SHC,

Sapatgram SHC,




Bilasipara SHC,

Sapatgram SHC,




201

Sl No Designation

of Official

Oct’10 Nov’10 Dec10




1 JDHS, Dhubri








3 DIO, Dhubri


Bilasipara SHC,

Sapatgram SHC,






Bilasipara SHC,

Sapatgram SHC,











Bilasipara SHC,

Sapatgram SHC,




4. Reports and Returns

It will be ensured during 2010-11 that DH/BPHC/CHC/PHC/Sc will submit the report as per

New HMIS format.

202

5. Review meetings

a.District Review Meeting :

It will be ensure that District Review meeting on 6th to 7th Day of the month after receiving HMIS report from all Block PHC/SDCH/DH. The DPM will collect all the minutes of BPHC Level review meeting and prepare asummary note. The agenda and agenda note will be prepared by DEMO/Dy. DEMO & DPM inconsultation with Addl. CM&HO(FW) and Joint DHS. All Program Officers of the District/ DMO/ All SDM& HO I/C BPHC/ Superintendent Civil Hospital & SDCH/ Medical Officers from MMU & Boat Clinic/ DIO/Addl. CM & HO(FW) / CM & HO (CD)/ Principal ANM/GNM School/ District Programme Manager/ District Accounts Manager/ District Media Expert/ District Data Manager/ i/c MO District Drugs Store/District Drugs Store Manager/ AE/Junior Engineer (Construction)/ District CommunityMobilizer/ Computer Assistant / Data Entry Operator cum Office Assistant, District Drugs Store,etc will attend the meeting.

The minutes of the meeting will be recorded by the person entrusted by Joint DHS. Minutes must be submitted to Mission Director, NRHM, Assam along with presentation of the report analysis and monthly reporting format for review meeting (Annexure I). The attendance registered is to be maintained regularly by obtaining signature Institution wise so that absentees can be identified to take necessary action. Routinely the following are the points of discussion:- 1. At the Onset of the meeting - The Chairperson (Joint DHS) will read out the minutes of the last review meeting along with the action taken report. He will also discuss the salient points of last District Health Society meeting 2. HMIS Report – DEMO/DPM will present analyzed HMIS Report and will announce the names of the reporting units from where reports were not received. Reporting month means from 1st day to last day of the month (i.e., 1st to 30th / 31st / 28th/ 29th) as the case may be. They will also point out the Reporting Units submitting incorrect HMIS Report, so that reports are received Timely, Regularly, & Correctly. Performance of all health institutions of the Districts must be analyzed for all health indicators including ANC, Institutional Delivery, JSY, PNC, Immunization, Family Planning, VHND, Majoni, Mamoni, etc. District will identify the low performing areas for various Programmes like ANC,Institutional Delivery, JSY, PNC, Immunization, Family Planning, VHND, Majoni, Mamoni, etc to find out the cause of low performance and action to be taken.High performing Block PHC/ Health Institutions should be appreciated at the meeting. Soft copy and hard copy of the presentation of report analysis should be submitted to Mission Director, NRHM, Assam along with the minutes and Monthly Reporting Format for Review Meetings (Annexure-I).

203

3. Internal Monitoring Report – Joint DHS will discuss Institution wise gaps identified during monitoring by the District Monitoring Team and Action Plan is to be prepared in the meeting itself to minimize the gaps. Monitoring Report should be submitted to Mission Director, NRHM, Assam. Commonly identified gaps in respect to performance are as follows :- Activities Target Performance during

the reporting month Cumulative since April

No. of PW receiving 3 ANC

No. of High risk PW/PW with Complication in Antenatal Period referred

No. of Institution Delivery conducted

No. of JSY Beneficiaries

No. of Health and Nutrition Day Organized

No. of fully Immunized Infants

No of ASHA incentive given for full immunization DPT 1 to DPT3

No. of Dropout Infants from DPT 1 to Measles

No. of Dropout Infants from

Contraceptive Distributed

a) Nirodh b) Oral Pill c) E Pill

No. of IUCD inserted

No. of Mini lap performed

No. of Laparoscopic Sterilization performed

No. of NSV performed

No. of MTP performed

204

4. Status of Medicine/Contraceptive/Logistic – District Drug Store Manager (NRHM) will present his/her monitoring report and will discuss how uninterrupted supply of Medicine/Contraceptive/Logistic to all the Institutions can be ensured. 5. Status of Manpower – Health Institution wise status of Manpower (Doctor/ GNM/ ANM/ Lab Tech/ Pharmacist / etc) will be reviewed in the review meeting and gap analysis with action taken proposed will be recorded in the minutes. 6. Fund utilization - DAM will present Institution wise utilization of Fund bearing in mind that there should not be any backlog for payment of JSY incentive to Mother & ASHA. Guideline for utilization of untied, maintenance and RKS Fund is to be discussed thoroughly. 7. Civil work - Junior Engineer/ Asst. Engineer allotted for the District is also to be invited to the meeting to present status of Civil Works in entire District. 8. Feed back from the participants - The participants need to express their problems in implementing activities under NRHM and also to share their success stories. 9. UIP - DIO will present the Routine Immunization Report PHC wise and will announce the name of the PHCs lagging behind in performance and action to be taken to improve the performance. He/She will also discuss about Immunization week/ Pulse Polio/ Cold Chain Status whenever it is necessary. 10. NVBDCP/RNTCP/NLEP/NBCP/IDSP/IDDCP - The Program Officer of the concern Program will present the performance report along with action taken report to improve the performance. 11. Discussion on implementation of DHAP (District Health Action Plan) - The DPM will highlight the quarterly activities to be performed by District as ear marked in the work plan of DHAP. 12. Status of in service training – DPM will collect the status of in service training imparted in the District at various sites of the District. At present the trainings are as follows :- Training Name Load Achievement Cumulative

(Since April)

SBA at District Hospital

IMNCI by a Nodal Officer

IUCD by Expert Master Trainer

Mini lap Training at District Hospital

Laparoscopic Sterilization Training at District Hospital

MTP Training at

205

District Hospital

3 days Routine Immunization Training by DIO/ Addl. CM & HO (FW)

Neonatal Restabilization Training

13. Functioning of District Hospital/SDCH/FRU/ 24 x 7 PHC – In charge of these Institution will present there Functional Status and Action Plan is to be prepared to minimize the gaps 14. Orientation Hour - All circulars, guidelines received from the State (MD, NRHM/ DHS/GoA) during the reporting month are to be discussed thoroughly by Chairman and responsibility is to be fixed for implementation. New Programmes introduced should also be discussed in the meeting. 15. Miscellaneous - Any other issues which are considered as important are to be discussedin the meeting. The District review meeting will have impact over implementation of NRHM only when follow up actions are taken by the Joint DHS & Addl. CM & HO(FW) & All Program Officers. b. Block Level Review Meeing :

The Block PHC Review meeting is to be organized monthly by all Block PHC on 2nd to 4th

Day of every month after receiving HMIS Report from SC/SD/MPHC/SHC/CHC/FRU. The agenda and agenda note will be prepared by BEE & BPM in consultation with MO i/c Block PHC. All Sr MO from each institution, BPM/ BAM/ BEE/ Computor/ HE/ LHV/ Store In charge/ ANM, Male worker, under the Block PHC will attend the meeting. One representative from District Level will also attend the meeting. The minutes of the meeting will be recorded by the person entrusted by (MO I/C Block PHC). Minutes must be submitted to Jt. DHS of the district with a copy mark to Mission Director, NRHM, Assam. The attendance registered is to be maintained regularly by obtaining signature Institution wise so that absentees can be identified to take necessary action. Routinely the following are the points of discussion:- 1) At the Onset of the meeting - The Chairperson ( MO I/C BPHC) will read out the minutes of the last review meeting along with the action taken report.

206

2) HMIS Report - BEE & BPM will present analyzed HMIS Report and will announce the names of the reporting units from where reports were not received. They will also point out the Health Institution submitting incorrect HMIS Report, so that reports are received Timely, Regularly, & Correctly. Performance of all health institutions (CHC/MPHC/SHC/SD/SC) under the jurisdiction of the Block PHC must be analyzed for all health indicators including ANC, Institutional Delivery, JSY, PNC, Immunization, Family Planning, VHND, Majoni, Mamoni, etc. BPHC will identify the low performing areas for various Programmes like ANC, Institutional Delivery, JSY, PNC, Immunization, Family Planning, VHND, Majoni, Mamoni, etc to find out the cause of low performance and action to be taken. High performing Block PHC/ Health Institutions should be appreciated at the meeting. 3) Internal Monitoring Report - MO I/C Block PHC will discuss Institution wise gaps identified during monitoring by Block & District Monitoring Team and Action Plan is to be prepare in the meeting itself to minimize the gaps. Commonly identified gaps in respect to performance are as follows :-

Activities Target Performance during the reporting month

Cumulative since April

No. of PW receiving 3 ANC

No. of High risk PW/PW with Complication in Antenatal Period referred

No. of Institution Delivery conducted

No. of JSY Beneficiaries

No. of Health and Nutrition Day Organized

No. of fully Immunized Infants

No of ASHA incentive given for full immunization DPT 1 to DPT3

No. of Dropout Infants from DPT 1 to Measles

No. of Dropout Infants from

Contraceptive Distributed d) Nirodh e) Oral Pill f) E Pill

No. of IUCD inserted

No. of Mini lap performed

No. of Laparoscopic Sterilization performed

No. of NSV performed

No. of MTP performed

207

4) Status of Medicine/Contraceptive/Logistic - The Pharmacist (NRHM) will present his/her monitoring report and will discuss how uninterrupted supply of Medicine/Contraceptive/Logistic to all the Institutions can be ensured. 5) Fund utilization - BAM will present Institution wise utilization of Fund bearing in mind that there should not be any backlog for payment of JSY incentive to Mother & ASHA. Guideline for utilization of untied, maintenance and RKS Fund is to be discussed thoroughly. 6) Civil work - Junior Engineer/ Asst. Engineer allotted for the District is also to be invited to the meeting to present status of Civil Works in entire Block PHC Area. 7) Feed back from the participants - The participants need to express their problems in implementing activities under NRHM and also to share their success stories. 8) UIP/NVDCP/RNTCP/NLEP/NBCP/IDSP/IDDCP - SMO other than In- charge Block PHC is to be given responsibilities to implement these National programmes. He/She will present the performance report of these program in the meeting. 9) Discussion on implementation of Block Health Action Plan - The BPM will highlight the quarterly activities to be performed by BPHC as ear marked in the work plan of BHAP. 10) Status of in service training – DPM will collect the status of in service training imparted in the District at various sites of the District. At present the trainings are as follows :-

Training Name

No of persons trained

Docotr GNM ANM LHV Others

(Pleasespecify

11) Orientation Hour - All circulars, guidelines received from the District during the reporting month are to be discussed thoroughly by Chairman and responsibility is to be fixed for implementation. New Programmes introduced must be discussed in the meeting.

Subject of orientation will depend upon the findings of monitoring. It may be regarding functioning of Sub-Centre/ 24x7 PHCs/ORT corner /Adolescent Clinic/ MMU/Boat Clinic/ Innovative Scheme. 12) Miscellaneous - Any other issues which are considered as important are to bediscussed in the meeting.

The Block PHC review meeting will have impact over implementation of NRHM only when follow up actions are taken by the MO I/C Block PHC.

208

6. Capacity Building on New HMIS format and Registers for Block Official

During 2010-11, One day capacity building workshop will be done at District Level to

BPM/BEE/LHV/UE/Computor etc on New HMIS format and Regsiters.

7. Internet connectivity at Blcok Level:

During 2010-11, 7 nos. Block PHC, 1 CHC, 1 DH and 1 MC will be ensured that

the establsiment of Internet connection at Block PHC so that the sub-district level data

can be uploaded to the Ministry Web Portal.. It will also help to establish better

communication between District and Block PHC and save time, money and energy spend

for communication and report submission.

8. Procurement of HW/SW and Other equipments. During 2010-11, As the electricity is available in Bherbhangi SD, (PHC Acct =1), Bogribari SD (PHC Acct Proposed=1) and Dhubri Health & Maternity Centre (PHC Acct Proposed=1), 3 nos. computers will be proposed for 2010-11 at Bherbhangi SD, BogribariSd and Dhubri Health & maternity Centre.

Budget Allocation Sl No

Major Head Minor Head Budget in Rs. Details Remarks

1

Stregtening of M&E/HMIS

Salaries of M&E, MIS & Data Entry Operator

- - Budgeted under RCH and NRHM additionalities

2 Mobility for M&E Officers 2460000

3 M&E studies - -

4 Procurment of HW/SW and

other Equipments

Hardware & Software Procurement

200000 -

5 Internet connectivity 100000 -

6 Annual maintenance 300000

7 Printing and Computer Stationary

150000

8

Operationalising HMIS at Sub-District Level

Review of Existance Register to make them compatibe with National HMIS

50000 -

9 Printing of New Resgiters/Forms

- -

10

Capacity Building on New HMIS format and Registers for Block Official

50000

Total 3310000

209

Chapter – 8 Work Plan

Sl.

No. WORK PLAN

1st

Qr

2nd

Qr

3rd

Qr

4th

Qr

Responsible

Person

A RCH PROGRAMME

MATERNAL HEALTH

A1

S-1. Early registration of Pregnancy

Jt.D

HS/A

dd

l. C

M &

HO

/DP

MU

/DIO

Proposed Activities:-

a.Training of 1726 nos of ASHA on early detection and registration of Pregnancy in the Sub Centre area.

b. Identification of Pregnant Women and registration will be ensured by ASHA as early as possible taking help of urine examination for Pregnancy test by using of NISHYA KIT.

c. Regular supply of Pregnancy Test Kit will be ensured to all 1726 nos. of ASHAs and 456 nos. of ANM

d. Village Health & Nutrition Day in 1500 villages of the District will be used as a platform for motivating and mobilizing the women for early registration of pregnancy.

e. The District under “Assam Bikash Yojana” has implemented “Mamoni”-Nutrional food for pregnant women where a pregnant women after her first registration receives a hand book on nutrional food and MCH card. On her 2nd checkup, a cheque of Rs. 500/- is given as monetory support for nutrional food and on her 3rd checkup, another cheque of Rs. 500/- is given and a voucher for referral transport.

S-2. To provide quality antenatal care to all pregnant woman by increasing the access through existing Govt. facilities.


a. It will be ensured that all the existing 246 Sub-

Centres will be procure requisite equipments from the SC untited fund and it wil be equipped BP instruments, weighting mahine and examination table.

210

b. Regular supply of IFA tablet, TT injection and Hb Kit

wil be ensured in all 246 Sc & 41 Health Inst (SD/MPHC/SHC/CHC/FRU/BPHC/UHC/SDCH/DH)

c. In all the SC it will mandatory that ANM will perform

regular checkup of BP, weight and Hb test of all the registrated pregnant women and will keep a upto date record in the MCH register and tickler chart for follow up with the help of ASHA

d. Re Orientation Training of 456 nos. of ANM Block

PHCwise in a batch of 30 on physical examination of pregnant women, Hb estimation and record keeping.

e. Out of 246 SC functioning in rented building & Govt. dilapidated building, 58 nos SCs already taken up for construction during 2007-08, another 20 new SCs has been approved during 09-10 @ Rs. 7.5 lakhs and 70 nos. new SC will be proposed for construction for increase provision of quality antenatal care. (Annexure -A)

f. The sanctioned vacant posts of ANM will be filled up through regular appointment by the State Govt. Total sanctioned post vacant under Addl CM & HO(FW) establishment =87 and JDHS establish=11

g. As per the report there are total 376 nos.of ANM in the district in the SC. The total requirement for the district @ 2 ANMs per SC (excluding outreach area) is 116. Therefore the total contractual ANMs for the year 2010-11 will be 116

S.3. To provide quality antenatal care to all pregnant woman in inaccessible and uncovered areas.


a. The uncovered and inaccessible areas under South Salmara, Birsing Jurwa, Fekamri, Jamadarhat and Mankachar Development block (Total No of Char Village=325, & Char Population=4,35,063) has been identified to provide ANC coverage regularly. A total 50 nos. of out reach post will be constructed @ Rs. 0.75 lakhs in Char areas to increase provision of quality antenatal care. The Out reaches post are deigned for the flood prone and reverine areas as these can be relocated and dismantled as per the requirement of the environment.

211

b. The contractual ANM may be posted under NRHM @ 2 ANMs per Out reach post (in 325 outreach area- Char). Total requirement is 100 ANM.

c.Logistic supply will also be regularized

d. Special camp to be organized to cover uncovered inaccessible areas by mobile medical team & Boat Clinic.

S-4. To increase awareness amongst the mothers and communities about the need of ANC.


Communication strategies like street play, FGD, awareness meeting will be done laying emphasis on marriage after 18 years, first child after 20 years, need of ANC, birth preparedness and importance of hospital delivery to increase awareness amongst the mothers and communities about the need of ANC and exclusive breast feeding.

S-1. Increasing the access through facility strengthening.


a. To strengthen the institutional delivery, the district has

upgraded and taken up to 3 no.s BPHC , 1 nos. CHC, 1 nos.

Maternity Centre, 6 nos. MPHC, 4 nos. SHC and 11 nos. SD

to 24x7 hr delivery services during 05-06 to 09-10, Out of

which the construction work has completed in 18 nos.

Health Institutions and providing 24x7 hr delivery services

and the construction work is going on in 8 nos. of health

institutions.

b. Again during 2009-10, fund has been received for 3 nos.

Health Institutions for upgradtion of 24x7 hr delivery

services with maternity wards and are in process.

c. As per facility survey there is a requirement of 21 nos.

labour table, 21 nos. of Stand light, 10 nos. Radiant warmer,

13 nos. Auto clave, 19 nos. Electric Sterilizer, 19 nos. backup

Generator set including other logistics for 24x7 hr delivery

services for quality services. The institutionwise detailed

requirement is enclosed herewith as Annexure B

d. Contractual engagement of 4 MO (MBBS), 4 MO (Ayur)

and 49 GNM will be done in 24x7 PHCs deficient in

manpower. The institutionwise detailed requirement is

enclosed herewith as Annexure C

212

e. The repairing and renovation of PHC Quarter of

Jhowdanga SD, Bherbhangi SD, Dumardaha MPHC,

Moterjhar SD & Kachokhana SD will be taken up during

2009-10 so as to ensure that MO stays in Quarters.

f. During 10-11, 15 nos. SC has been proposed for taking up

the Institutional Delivery at Folimari, Islamari, Barunitara,

Simlabari, Adabari, Silairpar, Gharialdanga, Ranpagli,

Borkanda, Chotogiraipar, Ratidaha, Rakhalpat, Kanuri,

Fekamari and Baghapara SC. As per facility survey the gaps

interms of infrastrucre and equipments/furniture have to be

full filled during 2010-11.

g. 57 nos. GNM. 10 nos. LHV and 53 nos. ANM has already

trainined on Skilled Birth Attendent (SBA) at Civil Hospital,

Dhubri till Nov, 2009-10 another 24 nos. of GNM, and 12

nos. of ANM will be trained on SBA on priority basis to

improve the quality of services.

S-3. Social mobilization for institutional deliveries (Janani

Suraksha Yojana)


a. The district will continue with Janani Suraksha Yojana,

wherein all the pregnant woman will be given incentives for

institutional deliveries till Nov, 09, the JSY beneficiaries in

the District are 10485, out of 11366 Institution deliveries.

b. For the Year 2010-11, the total Pregnant Women

estimated are 52041, this year the district proposed to

increase the institution delivery from existing level to least

50%.

c. The ASHA accompanying the pregnant woman for hospital

delivery will also be given monetary incentive under this

Scheme as per GoI guidelines.

d. For developing the practice of institutional delivery age

bar and order of pregnancy will not consider any more.

S-4. Referral of obstetric emergencies


213

a. Village to Health facilities

Most of the parts of the district is backward and covered by

char area and most of the Pregnant women donot come to

health facilties for delivery because of of non availitbility of

transportation facility from village to health institution. In

this areas the means of communication are bullock carts,

hand pull carts, private vehicles and boats which are

available on hire. So the district proposed for providing

transportation facility to the pregnant women from village

to Health Institution including char areas.

The Projected Institutional Delivery for 2010-11 is 26020, In

these backward, referral transport money will be provided

to Prgenant women (expected Pregnant women living in this

backward area =10408 and Char areas 5204) coming for

Institutional Delivery under following categories

b. Health Institution to Health Institution

The Pregnant women and Sick New Born requiring referral

to higher institutions will be transported from one Health

Institutions to another using ambulance available in the

health facility.

S-1. To improve the comprehensive EmOC in the CHCs and

FRU.


a. Construction of CHC to IPHS Standard has been

completed for Chapor, Mankachar Halakura and Gauripur

CHC in Dhubri district and required manpower will be

provided during 2010-11 as per IPHS for comprehensive

EmOC.

b. It will also be ensured to fill up all gaps in terms of

logistics and equipments during 2010-11 for

operationalizing these health facilities

c. 4 nos. of Specialist in each discipline of O&G, Pae, Anae,

Surgeon, and Radlogist

etc will be reqcruited on contract basis for 4 nos. IPHS

institution

Multi skilling training- 4 nos. MO (MBBS) will be trainined at

GMC for Anesthesia &

4 nos. MBBS doctors will be trained at SIHFW for EmOC to

make 4 nos. of CHC functional for comprehensive EmOC.

d. Ensure post partum care at Village level by

ASHA/AWW/ANM

S-1: Ensure post partum care at Village level by

ASHA/AWW/ANM


214

a. The AWW/ANM/AHSA of 246 SCs of Dhubri district will

pay 3 post partum visit (1st within 2 days, 2nd within 14

days and 3rd within 42 days) in respetive sub-centre areas

and the activity will monitor by BPM/BAM/Asstt BPM.

b. During Village Health and Nutrition Day, the mothers will

be motivated on essential newborn care, early and exclusive

breast-feeding and adopting family planning practices by

ASHA/ANM

S-2: Ensure post partum care at PHCs and Higher Health

Institution


a. It will ensure that the mother stays for 48 hrs after

delivery in the Health Institutions so that necessary care can

be taken if any complication arises and maternal mortality

can be reduced.

b. During their stay they will be counseled about essitential

New Born care, Early & Exclusive Breast feeding and

Adopting Family Planning practices.

S-1. Increase the access to safe abortion in Govt. facilities.


a. DH/5 CHC/6 BPHC/ 2 SHC/ 1 MPHC/ 1 MC will be

provided with requisite Kits to provide safe MTP.

b. 40 MVA kit reveied by the District will supplied to all the

above health centers (2 each for DH/CHC/PHC/SHC/MPHC)

after training

c. 15 nos. of Doctors from PHC/CHC/SHC will be trained in

phased manner at District Civil Hospital, Dhubri for MTP

d. Proper maintenance of records will be ensured.

S-1: Operatonalize services for diagnosis & Treatment at

CHC/DH


a. District Civil Hospital and CHC will be strengthened to

provide facilities for diagnosis and treatment of RTI/STI. The

PHC however will focus on syndromic approach and drugs

will be provided for the same. However, complicated cases

will be referred to higher institutions.

b. RTI/STI Kit will be provided to DHs and 5 nos. of CHCs of

Dhubri District

c. The Laboratory in the DHs, and CHCs will be provided with

requisite logistics (drugs and kits) twice a year.

215

S-2 Capacity building ANM/SN and Medical Officer & Lab

Tech for managing RTI/STI


a. ANMs (14)/ LHV(7), GNM (14) and Doctors (10) & Lab

Tech (6) will be trained in the SIHFW, Guwahati in phase

manner.

S-3. Promote communication activities for prevention and

early care seeking for RTI/STI


a. Communication activities will be developed laying

emphasis on symptoms of RTI, STI, and facilities available in

the block area of diagnosis & treatment. The activity is

budgeted under BCC/ IEC.

6.4.2 : CHILD HEALTH A2

S-1 ; Implementing Integrated Management of Neonatal &

Childhood Illeness

Jt.D

HS/A

dd

l. C

M &

HO

/DP

MU

/DIO

/DM

E

Proposed Activities

a. 13 nos. Medical Officer, 3 nos. Nursing Staff and 2 CDPO

has completed the ToT on IMNCI at SIHFW, Guwahati

b. The district will organize 8 days training on IMNCI for

1791 nos. of AWW workers and 455 nos. of ANM in

batchwise (24 partcipant per batch) as per training plan and

providing IMNCI Kits and followup.

S-2: Strengthening of the Govt facilities to provide

newborn care.

Proposed Activities :

a. During 2008-09, fund has been received @ Rs.4.2 lakhs

for establishment of 4 Bedded Neonatal Stabilization Unit at

Dharmasal BPHC, Golokganj BPHC, Raniganj BPHC,

Gazarikandi BPHC, Chapor CHC, Gauripur CHC, Halakura

CHC, Agomani CHC, Mankachar CHC, 20 Bedded MC,

Sapatgram SHC and Bilashipara SHC and the work is in

progress.

b. Again during 2009-10, fund has been received @ Rs.4.2

lakhs for establishment of 4 Bedded Neonatal Stabilization

Unit at Salokcha SHC, Dhepdhep MPHC, Satrasal MPHC,

Tamarhat MPHC and Lakhiganj Sd and the work yet not

started

c. During 2010-11, the Neonatal Stabilization Unit of Dhubri

districts have to make functional by providing logistics and

manpower.

216

S-3. Capacity building of Doctors and Nurses on Basic Neo

Natal Resuscitation training

Proposed Activites :

a. The District TOT on Basic Neonatal Resuscitation

technique has completed for 24 nos. Medical Officer, 2 nos.

Sister Tutor, 2 nos Staff Nurse and 4 nos LHV at Dhubri

b. Block level training of 48 nos of Doctors and 74 nos. of

GNM’s of 24 x 7 PHC’s will be done on Basic Neo Natal

Resuscitation techique batchwise (30 nos. participant per

batch) as per training plan.

S-1. To increase awareness amongst mothers on benefits

of breast-feeding upto 6 months and need of

complementary feeding from 6 month onwards.


a. IEC/BCC activities will be developed laying emphasis on

early feeding of colostrums, exclusive breast-feeding of 6

months and importance and preparation of complementary

feeding from 6 months onwards.

b. Village Health and Sanitation Committees, SHG may also

be involved for motivating pregnant women and lactating

mothers to promote exclusive breast feeding

c. ASHA will counsel the mothers on the importance of

exclusive breastfeeding and complementory feeding.

d. During VHND, pregnant women and lactating mothers are

to be motivated for exclusive breast feeding.

S-1. To raise awareness amongst mothers and

communities on diarrhea ARI.


BCC/ IEC activities will be developed laying emphasis on use

of HAF, continuing breast-feeding, solid feeds, ORS usage,

and identification of danger signs of diarrhea and ARI. (To

be included under BCC/ IEC).

S-2. Making ORS and zinc tablets available in

remote/rural/tribal areas and difficult to reach areas

through depot holders.


a. The refresher training of ASHA and AWW will be done on

usage of ORS and Zinc tablets.

b. ASHA/AWW will made depot holder for distributing ORS

packates. The ASHA kit and SC Kit-A have ORS packats. The

supply of AHSA Kit and SC Kit-A twince in a year will be

ensured. The AWW will also be provided ORS packats.

217

c. Performance of the depot holders and replenishment of

the stock shall be reviewed by the PHC MOs/ BPM quarterly

and arrangement for readily available stock of ORS to the

depot holders shall be ensured from the BPHC

S-3. Strengthen facilities at PHC, CHC, SDH and DH.


a. Fund @ Rs. 25000/- has been received for establishment

of 13 nos ORT corner in DH, PHCs, CHCs, SDH and SHCs of

Dhubri District. Out of which fund has been utilized for

establishment of 10 nos of ORT Corner in the District.

b. During 2010-11, the remaining fund has to be utilized for

establishment of ORT coner in different identified Health

institutions of the district.

c. The health facilities will be provided with required drugs

and kits

S-4. Promote referral services of severe cases of ARI and

diarrhoea.


a. The VHND will be used as platform to bring awareness

amongs the mothers and communities about warning signs

of diarrhoea and ARI.

b. The health functionaries will be given reorientation

training for detection of ARI and Diarrhoea cases requiring

referral.

S-1. To prevent and treat anemia in children.


a. The pregnant women and mothers will be counseled by

ASHA/AWW/ANM about importance of exclusive breast-

feeding upto 6 months, importance of complementary

feeding from 6 months onwards and preparation of iron rich

food.

b. Regular supply of IFA (s) tablets will be ensured to treat

anemia.

c. Children below 6 months to 60 months will be given 20

mg. elemental iron and 100 gm of folic acid in liquid

formulation.

d. Under School Health Programme weekly distribution of

IFA tablets to Girls and Six monthly distribution of

Albendazole for de-worming by the the Nodal School

Teacher. The School teacher will ensure that the girls will

consume IFA tablets infront of her.

e. It will be ensure that each school should have one fix day

for IFA distribution with minimum absenteeism.

218

S-1. To work closely with ICDS functionaries to reduce

malnutrition.


a. Emphasis will be laid to reduce malnutrition amongst the

children (3 – 6 years) by working with ICDS functionaries

and augmenting the mid day meal programme

S-1. To prevent and treat Vitamin-A deficiency and de-

worming campaign among children .


a. Vit-A will be made available in all the institutions till the

Sub-Centre level and administration of Vitamin-A upto 5

years of age will be ensured.

b. VHND held every month in the village will also be used as

a platform for Vit-A administration.

c. In 2010-11, 2 rounds of Vitamin –A week campaign

alongwith de-worming May, 2010 and December, 2011.

FAMILY PLANNING

A3

S1. To raise awareness amongst the couples and

communities about the advantage of contraceptives and

small family.

Jt.D

HS

/Ad

dl.

CM

& H

O/D

PM

U/D

IO/D

ME

/FP

Co

rdin

ato

r


a. Communication messages will be printed about

importance of FP and availablity of FP services alongwith

incentive offered and distibuted to ASHA/ANM/AWW

(Details in IEC/BCC plan)

b. IEC materials will be dirtributed to the community by

ASHA/AWW/ANM in VHND alongwith Family Planning

counseling for eligible couple for adopting family planning

methods.

c. During Home visit on Moday and Thursday ANM & ASHA

will update eligible couple register and motivate the couple

to adopt FP methods as per choice of the couple

d. BCC/IEC activities will be done with help of AWW, ASHA,

Woman’s SHGs, FNGOs as per need of the locality to raise

awareness amongst the couples and communities about the

advantage of contraceptives and small family.

e. During Health Day disadvantages of early marriage (too

early, too many and too frequently) are to be explained

especially to adolescent girls with the help of opinion and

religious leaders of the village.

219

f. One separate room will be allotted where ANM/GNM will

conduct counseling session’s alongwith distribution of

contraceptive/IEC materials etc. in District Hospital, CHCs

and BPHCs, MPHCs. SHCs, SDs during OPD hours.

S2. Increase the number of service delivery points.


a. ASHA will act as a depot holder for Condom, Oral Pill and

E-Pill and regular replenishment of the contraceptives on

exhaustion is to be ensured during 2010-11.

b. 13 nos. of Doctor, 17 nos. of GNM, 29 nos. of ANM and 9

nos. of LHV has completed the TOT on inerstion of Copper-T

380A at Dhubri.

c. Training of 30 MO/ 120 ANM/ 40GNM on IUD Insertion

will be done as per training Plan during 2010-

11.(Annexure……..)

d. The IUCD Kit received during 2009-10 alredy distributed

where training imparted another 100 nos of IUCD kit will be

required during 2010-11.

e. On Tuesday and Friday of every week Family planning

services including IUD Insertion (after training of 120 nos

ANM in Govt.Building) are to be provided in all the Govt.

Building Sub Center of the District under the supervision of

LHV/Doctor will be ensured. Family planning counseling will

also be done alongwith.

f. Fixed day family IUD insertuion along with family planning

counseling will be ensured at DH/FRU/CHC/BPHC/PHC.

g. The women will be provided Rs. 20/- as per GoI guidline

under RCH progrogramme for each IUD insertion, Budget

under RCH flexipool.

S3. Improve the service delivery to provide quality female

sterilization.


a. The District Hospital, CHC/FRU will be equipped with

requisite infrastructure and logistics are to be provided

Laparoscopic sterilization. (Annexure E)

b. Fixed day sterilization (Lap. Camp) in the facilities twice in

every week in the District Hospitals and once in Chapor

CHC/FRUs will be ensured.

c. Female sterilization in every 2 months in 4 CHCs, 3 BPHCs

and 1 SDCH by camp approach will be ensured.

220

d. 1nos. of SDCH, 4nos. of CHC and 3 nos. of BPHC will be

provided with OT table and Boyles Appeartus for

Laprascopic Sterilization.

e. DH/FRU/4nos. of CHC/1nos SDCH/3 BPHCs will provided

with Co2 Gas Cylinder for Laprascopic sterilization.

f. Training of 4nos. Medical Officers, 4nos. of OT boys on

Co2 gas technique as per training Plan.

g. Medical Termination of Pregnancy, MTP will be ensured

at DH/CHC/FRU/BPMC/MPHC/SHC after imparting training

to 15 MOs and after providing MVA Kits received during 09-

10

h. PPS will be ensured at District Hospital, Chapor FRU and

Gauripur CHC where PPS surgeon & Mini Lap Kits available.

i. The beneficiaries will be given incentive for Female

sterilization as per GoI guidline.

S4. Encouraging Post partum Sterilisation scheme.


a. JSY Beneficiaries are to be motivated for accepting Post

Partum Sterilization and refer the acceptor to FRU/CHC/DH

where PPS can be done at every level.

b. The JSY beneficiary adopting female sterilsation will get

compensation money of Rs. 600.00. Moreover the scheme

also provides for Rs. 150.00 motivation fee for ASHA and

AWW respectively.

S1- To raise awareness among the community regarding

Non Scalpel Vasectomy.


a. One day District level workshop will be organized by the

Addl CM & HO (FW) incordination with District

Administration. Zila Parishad (PRI) members, DIPRO,

Teachers, Opinion leaders, Social activist, NGO of NYK etc.to

sensitize them on the importance and promotion of NSV.

b. Similar workshop will be organize at Block PHC Level

involving chaired by BDO for teachers, Openion leaders,

religious leaers, PRI members etc to sensitize them on on

the importance and promotion of NSV.

c. IEC material like Hand bill, Brochure, Leaf lets etc on NSV

will be developed

d. BPHC wise outdoor publicity material on NSV like

Hoarding, Bill Board, Flex Banner etc will be install in Public

gathering areas

221

S2- To improve the service delivery to provide Non Scalpel

Vasectomy


a. At the BPHC level one NSV camps cum training for MOs

will be organized registering at least 20 acceptors of NSV.

One trainer from the Medical College or two trainers from

District will attend the workshop. This camp will be

organizded in each 7 Block PHCs of Dhubri District monthly.

In the workshop MOs from PHC wil be trained.

b. The train MO of the Block and Master trainer of the

District will attend to perform NSV sterilization in each Block

and compensation money will be paid as per GoI guidelines.

6.4.4 : ADOLESCENT HEALTH A4

1. School Health Programme (Details under Intersectoral Convergence)

Jt.D

HS/

DP

MU

1. Adolcent Clinic in the Health Institutions


a. Fund has been received for establishment of Adolescent

Health Clinic in 10 nos. of BPHCs/CHCs of Dhubri district and

Out of which 6 nos. of Adolcent Health Clinic has been

established.

b. During 2010-11, the remaining 4 nos. of Adolescent

Health Clinic has to be established and to make functional

already established Adolcent Health Clinic in true sense.

c. IEC & BCC activities will be developed laying emphasis on

normal physiology, menstrual hygiene, use of CC, OC, EC,

unwanted pregnancy, safe abortion, child marriage, various

risk of teenage pregnancy etc.

d. Identification of adolescent groups and numbers of

organized and drop out sectors through school health

programmes and at the village level during regular home

visit by ANMs by maintaining a register.

e. Counseling sessions will be held at regular intervals at

fixed sites for both adolescent boys and girls separately.

Counseling will be provided on the health days.

f. Alolescents will be supplemented with 30 mg elemental

iron and 250 mcg folic acid per day for 100 days in a year

222

g. Special counseling and on the spot provision of IFA tablets

to adolescent girls in order to prevent anaemia.

h. District will arrange training of School teachers on the

basic knowledge of adolescent health.

6.4.5 URBAN RCH

A5

S-1 Institution strengthening through creation of Urban Health Centres

JDH

S/S

DM

& H

O/U

rba

n H

ea

lth

Off

ice

r


During 2009-10, the District has started the Urban Health

Centre, Rail Gumti area covering 30,000 population of the

District and is providing following services.

• OPD services, 4 hrs in the morning and 2hrs in the evening

• Provding services like counseling services basic laboratory

services, collection and reporting of vital events and IDSP

and services for non Communicable diseases.

• It will conduct health camps in the areas under the UHC to generate awareness in the community.

During 2010-11, 3 nos of Urban Health Center is to be

established in the urban slums of Dhubri namely, at 1)

Bahdur Tari, 2) Dabry and 3) Choto Harishaba.

During 2010-11 the Urban Health Centers have to make

functional by providing manpower and logistics.

6.4.6 VULNERABLE GROUP

A6

S-1: Promoting Boat Clinic for char areas of Dhubri, District

Proposed Activities: a. Antenatal Care services by Boat Clinic

In-C

ha

rge

of

Bo

at

Clin

ic/D

PM

U




e. Curative care


B

NRHM Additionalities

S-1: Strengthening Village Health and Sanitation

Committees (VHSC).

Proposed Activities

223

a. For the development of the villages of Dhubri district

wherever there is an ASHA Village Health & Sanitation

Committee has been formed as per NRHM guideline. In

Dhubri district 1310 nos of VHSC has formed and open bank

account and out of which 1300 nos of VHSC has received an

amount of Rs.10,000 as Untied Grant.

DP

MU

/SD

M &

HO

Sch

oo

l H

ealth/N

od

al O

ffic

er-

JS

Y/A

SH

A

b. During 2010-11, additional 380 nos of VHSC has to be

formed in the left out villages of the district where

additional ASHA has been selected and have to open the

bank account for Untited Grant

c. Capacity building of the 1690 VHSC members is proposed

during 2010-11 through MNGO/NGO including importance

and preparation of Village Health Plan.

d. During 2010-11, the Village Health Action Plan of each

VHSC will be ensured.

e. The VHSC will be responsible for the overall health of the

village. It will take into consideration of the problems of the

community and the health and nutrition care providers and

suggest mechanism to solve it

f. The committee will monitor all the health activities that

are conducted in the village such as Village Health &

Nutrition Day, Mothers Meeting etc.

g. VHSC along with the ANM will be responsible to conduct

household survey in the village.

h. It will discuss every maternal or neonatal death that

occurs in their village, analyze it and suggest necessary

action to prevent such deaths. Get these deaths registered

in the Panchayat.

i. During emergency like flood or any epidemic the

committee will utilize the fund for the relief camps or

supplies such as in case of flood it can supply Halogen tablet

for purification of water, ORS, Bleaching powder etc.

S-2: Observing Village Health & Nutrition Day

Proposed Activities

During 2010-11, Observation of VHND will be ensured every

month in each villages of Dhubri District by

ASHA/AWW/ANM in the Awganwadi Centre where services

like ANC, PNC, Immunization by ANM and Health Education

and awareness will be provided by

ASHA/AWW/BEE/LHV/ANM etc.

224

Procurement of Examination table, BP Instrument, Weighing

machine etc will be ensured in the newly formed VHSCs out

of VHSC fund for successful observation of VHND.

Involvement of VHSCs members will be ensured during

2010-11 in each VHND.

The Contigency fund of Rs. 100 for observing VHND will be

provided out of VHSC fund.

Organizing Health Melas.


3 nos. of Health Melas has been organized during 2009-10

with objective to provide an easy to accesss platform for

health services for all segments of population of the District.

During this Health Melas extensive IEC on Malaria, Family

Planning, TB, Blindness, AIDS, Leprosy, Water & Sanitation

etc. was done.

During 2010-11, similar Health Mela will be organized in

Malaria prone area of the District.

Rs 5 lakhs for is proposed for organzing Health Mela during

2010-11.

S-1 . Selection, Training and support to ASHAs


a. The selection and training of 1340 nos of ASHAs of Dhubri

has completed 5th Module Training.

b. The selection of Additional 380 nos of ASHA has also

completed in the left out villages of the District.

c. During 2010-11, 1st, (Induction Training), 2nd, 3rd, 4th &

5th Module training of 380 nos ASHAs will be ensured. (No

fund is proposed as fund already received)

d. Also refresher training is to be imparted to 1340 nos. of

ASHAs who have completed 4th module training

e. 380 nos of Radio Set, Umbrella and Bag is proposed

during 2010-11 for 380 nos of additional ASHA.

S-2 : Providig ASHA Drug Kits


Durig 2010-11, 1726 nos of ASHA Drug Kits is proposed for

1726 nos. of ASHA of Dhubri District

Proper utilization of Drug Kit will be enusred during 2010-11

under the supervision of ANM and Sectoral MO.

S-3 : ASHA Facilitator


225

During 2009-10, 176 nos. of ASHA Supervisor has been

selected for 7 BPHC of Dhubri District ie. 1 supervisor for 10

ASHAs to handhold and monitor the ASHA activities.

During 2010-11, these facilitators has to be trained on ASHA

programme under NRHM and also on field level monitoring

to be done so that they have an overview of various on

going programmes under NRHM. The proposed training will

be conducted through District ToT ASHA Facilitator.

Honorarium including TA/DA of ASHA facilitator will be

provided as per norms

S-4: Incentive to ASHAs for Full Immunization


The District will continue for providing incetive of Rs. 250/-

to ASHAs for each fully immunized child as this increases the

full immunization coverage rate of the District as the ASHAs

after BCG will keep a track of the infants in her village as she

is from the same village and will accompany the mother to

the sub-centre to vaccinate the infant.This will also help the

ANM in tracking/vaccinate the infants as there are instances

where the ANM fails to vaccinate the infant as mothers are

not willing or forgotten about the date of Immunization of

their child but with the help of ASHAsi it will be easier for

the ANM to conveience the mothers and also kepeping a

track of the Infants.

S-1. Providing Untited and Annual Maintenance fund to SC,

PHC, CHC, SDCH


a. As part of the National Rural Health Mission, it is

proposed to provide each Health Institutions ie. SC, PHC,

CHC, SDCH will be provided with Unitied and Annual

Maintenance Fund. Th Untited funds will be utlize for the

following purposes-

During 2010-11, it will be ensured that each health

Institutions will have the clear action plan for utilizing the

Unitied and Annual Maintenance Fund

S-2. Strengthening Rogi Kalyan Fund/Hospital

Mamangement Committee


226

a. The Rogi Kalyan Samitee/Hospital Management

Committees has been formed in District Hospital, SDCH, 5

BPHCs, 6 CHCs, 4 SHCs, 11 MPHCs, 11 SDs, 1 Maternity

Cnetre, with an objectives to have facility based planning

and community involvement and ownership of the Health

facilties by the respective RKS Committee/HMC

b. During 2010-11, It is proposed to provide RKS fund to all

the Health Institutions

c. During 2010-11, all the RKS are to be registered under

Societies Act.

d. During 2010-11, it will be ensured that each health

Institutions will have the clear action plan for utilizing the

RKS Fund

e. For the assessment of the RKS fund utilization by

DH/SDCH/PHC/CHC/SHC/SD during 2009-10 an evaluation

(Audit) will be done in the year 2010-11

S-3. Strengthening physical infrastructure of

SCs/PHCs/CHCs,


Out of 246 SC functioning in rented building & Govt.

dilapidated building, 58 nos SCs already taken up for

construction during 2007-08, another 20 new SCs has been

approved during 09-10 @ Rs. 7.5 lakhs and 30 nos. new SC

will be proposed for construction for increase provision of

quality antenatal care. (Annexure -A)


During 2006-07 and 08-09, Construction of Doctors (1 unit)

and Nurse Quarter (3 unit) has been taken up in Golokganj

PHC, Bilashipara SHC, Gauripur CHC, South Salmara CHC,

Bogribari SD and Dhepdhepi MPHC and construction has

been completed in all institution.

b. During 2010-11 Construction of Doctors (1 unit) and

Nurse Quarter (3 unit) has to be taken up at Sadullabari

SHC, Kachokhana @ Rs.28.80 lakhs

c. During 2010-11, the following health institution has to be

taken up for Quarter repairing JhowdangaSD, Bherbhangi

SD, Dumardaha MPHC, Moterjhar SD & Santipur MPHC

@10.00 lakhs per institution.

S-4. Providing Additional manpower at SCs/PHCs/CHCs/

SDCH


227

As per the report there are total 376 nos.of ANM in the

district in the SC. The total requirement for the district @ 2

ANMs per SC (excluding outreach area) is 116. Therefore the

total contractual ANMs for the year 2010-11 will be 116

The contractual ANM may be posted under NRHM @ 2

ANMs per Out reach post (50 nos. out reach post under

South Salmara BPHC). Total requirement is 100 ANM.


Contractual engagement of 4 MO (MBBS) and 4 MO (Ayur)

will be done in 24x7 PHCs deficient in manpower.

Proposed Activities ( For CHCs & SDCH)

Specialist Doctors on contract basis to be placed at 4 nos.

IPHS institutions and SDCH Hatsingimari

Proposed Activities ( For GNM at BPHC/CHC/24x7 PHCs)

At Present, thereare 122 nos. of GNM have been posted at

various Health Institutions of Dhubri District, Out of which

53 nos. are Reqular GNM and 69 nos. are Contractual GNM.

To make the Health facility functional as IPHS norms, 192

nos. GNM is proposed during 2010-11.

S-5: Strengthening the District Hospitals by improving the

physical infrastructure.


During 2008-09, Construction of 200 bedded Civil Hospital

under NRHM has been taken up and the progress of work

till Nov, 09 is around 60 %. Total project cost is Rs.7.14 Cr

and after completion necessary logistics will have to be

supplied during 2010-11

S-6: Strengthening the Nursing Schools by improving the

physical infrastructure.


Construction of RCC GNM School cum Hostel Building for

100 nursing students at Dhubri Civil Hospital is in progress

(42%). Total project cost is 2 Cr. So, no fund proposed in the

current year.

S- 7.Ambulance for all PHC’s/CHCs/District Hospitals:


During 2010-11, new ambulance for Dumardaha MPHC is

proposed @ Rs.5 Lakhs.

S-1: Ensure proper functioning of the health centres by

providing necessary equipments and drugs.

228

Proposed Activities : (Supply of Drugs)

As per the IPHS norms the District propose to supply the Drugs for all the Health Instution as mentioned below

SC

BPHC/MPHC/SHC/SD/MC

CHC

SDCH

Civil Hospital

Urban Health Centre

PPP Hospital

MMU

Boat Clinic

Proposed Activities : (Supply of Equipments)

As per facility survey there is a requirement of 21 nos.

labour table, 21 nos. of Stand light, 10 nos. Radiant warmer,

13 nos. Auto clave, 19 nos. Electric Sterilizer, 19 nos. backup

Generator set including other logistics for 24x7 hr delivery

services for quality services. The institutionwise detailed

requirement is enclosed herewith as Annexure B

The IUCD Kit received during 2009-10 alredy distributed

where training imparted another 100 nos of IUCD kit will be

required during 2010-11.

S-1: Strengthening the block for effective implementation

of the programme

Proposed Activities : Support to district and Block level

Resource Groups.

During 2010-11, to support the Block Programme

Management Unit the following manpower is proposed .

S-1: Strengthening the planning activities.

Propsoed Activities:

1. Resource mapping in every village done by Village Health

& Sanitation Committee will help to assess the need of the

community. Therefore, by undertaking household and

facility survey, the actual need of the community can be

assessed which is also the essential requirements for

developing District Health/Block Health Action Plans-annual

& perspective.

2. Orientation of VHSC of each BPHC.

S 1.: Support to Mobile Medical Units (MMU)


229

a. With the objective to take health care to the door step of

the public in the rural far flung areas, especially in under

served areas, the district has received the Mobile Medical

Unit with specialized facilities like USG, X-ray etc and will

continue the service.

b. During 2009-10, training of GNM, Pharmacist,

Radiographer and lab Tech. of MMU is proposed for skill

upgradation.

c. For Implmenting the Mobile Medicla Unit, Total fund

proposed 21.66 lakh for 2010-11 for recurring expenditure

of MMU, Dhubri. Details budget enclosed.

S-2: Promoting Boat Clinic in char areas of Dhubri district.


Antenatal Care services by Boat Clinic

Postnatal care services by Boat Clinic

Family Planning services

Routine Immunization

Curative care

Basic Laboratory Services.

S-1: Train and enhance capacity BPMU, PRIs & Medical

offcers

S-2 : Stregthening Infrastructure of of District Training Hall


In order to organize the different trainings for the

officials/health workers under the establishment of JDHS,

Addl CM & HO(FW), Dhubri, it is required to repair and

renovate the existence Training Hall, during 2010-11. A total

Rs. 300000.00 lakh is proposed for carrying out the same

activity.

In order to implement the NRHM programme successfully, it

is required to organize sentitization workshops on NRHM for

the PRIs (ZP Member-28, GP President=168) and the

medical offcers (37) and capacity building workshop for

BPMU (BPM-7, BAM-9 & Assist.BPM-17)

IEC/BCC Strategy


A.) Setting up and development of IEC/BCC unit at the

district level:

230

1. One District Media Expert under NRHM is already placed

at District, one District Extension & Media Officer and two

nos of Dy Ext & Media officer is placed under Addl. CM &

HO (FW), Dhubri

2. One Digital Video Camera, one still camera with Tripod is

already available at District.

3. One Public Addressing System set; LCD Projector with

Screen is available at District.

4. One laptop may be provided to the IEC/BCC cell of the

district in Q1, which may cost around Rs. 35,000/-.

5. One LCD projector may be provided to each BPHC

@Rs.50,000 X 7 nos of BPHC in Q2

6. One Grade IV staff may be deputed from regular set up to

the IEC/BCC cell for assist the day-to-day activity.

B). Meeting Manpower requirements at District level

1. At Present no further manpower is required at District in

IEC/BCC Cell.

C). Formative research/situational analysis/baseline study to

identify focus areas

1. To find out the perception of the villagers and to do a

study on the level of Knowledge of Family Planning,

Immunization and Institutional Delivery an independent

agency will be engaged.

2. In the first two-quarter they will visit the Char areas of

Dhubri only. They will assist by ASHA and AWW.

Students of M. Phil & Phd will be encouraged to do research

on the health status of tea garden population and finding

will be used to prepare specific plan.

4. The process will be continued up to Q4 and total Budget

requirement for per quarter is Rs. 15,000 X 7 nos BOHC X

per quarter.

Develop IEC/BCC Strategy : Streamline objectives/identify

Communication tools/identify media mix as per target

audience/frame monitoring evaluation indicators Identify

external agency/Advertising agency for the task (if needed)

231

Part C: UNIVERSAL IMMUNIZATION PROGRAMME (UIP)

Proposed Activity:

C

Service Delivery Improvement:-

JDH

S/A

dd

l CM

&H

O/D

PM

U/D

IO/S

DM

&H

O/B

PM

U

Mobilization of Children by ASHA : For every 1431 sites we

have got one ASHA per site. Invitation card (IPC Slip) to be

printed and distributed to ASHA . Missed/Dropout children

are to be mobilize or Invited by ASHA to reduce the drop

Out. The District will continue for providing incetive of Rs.

250/- to ASHAs for each fully immunized child as this

increases the full immunization coverage rate of the District

as the ASHAs after BCG will keep a track of the infants in her

village as she is from the same village and will accompany

the mother to the sub-centre to vaccinate the infant.This

will also help the ANM in tracking/vaccinate the infants as

there are instances where the ANM fails to vaccinate the

infant as mothers are not willing or forgotten about the

date of Immunization of their child but with the help of

ASHAsi it will be easier for the ANM to conveience the

mothers and also kepeping a track of the Infants.

Hard to Reach area/Unreached Area : 116 nos of sites per

month has been identified as difficult to reach areas/Char

areas/Urban Slums. For Holding the sessions in Underserved

and Slum areas ANM will be deputed and Rs. 300/- will be

paid as honorarium and Rs. 50/- as contingency to ANM for

holding the session.

Vaccine Delivery (State- Dist. To Cold Chain Pt.) :: Vaccine

distribution plans are prepared to distributes vaccine from

Dist. to 8 PHC by maintaining proper cold chain.

Dist. To PHC :: As per vaccine distribution route map,

Vaccine will distribute from Dist. To 8 PHC level cold chain

pt. by insulated vaccine Van covering 3 PHCs per trip for one

month quota. Per trip POL cost of Rs. 800/-, DA of driver is

Rs. 90/-, loading/unloading of Vacc. And syringes is Rs. 100/-

and maintenance of Vehicle Rs. 800/- PM is planned.

ALTERNATE DELIVERY OF VACCINE :

232

For 1431 normal sites Alternate arrangement is planned for

vaccine delivery so that ANM can attend the session site in

time. In 2009-10, 85% sites were covered, but in next year it

will be arranged for 100% Rs. 50/- per normal site.

In underserved slum area /Char area of 116 nos. it is

planned to provide Rs. 100/- per site for alternate vaccine

carrying.

Cold Chain Maintenance

Proper Functioning of Cold Chain Equipments (ILR/Deep

Frezer/Col-Box/vaccine carrier etc.) and maintain

temperature record of ILD/DF (daily twice), stock of vaccine

and syringes at District and PHC level will be ensure during

2010-11. It will also be ensured that the quality of vaccine

by maintaining proper Cold Chain System at storage and

transportation.

Computer Assistant under DIO: One Computer Assistant @

Rs.10,000 PM is provided to assist DIO in keeping up to data

record on immunization and submit the performance report

on physical and financial as per HIMS/UIP format.

Supervision and Monitoring : :

Rs.4,200/-PM is provided to utilize for POL expenses on

supervision and monitoring purpose by Addl. CM&HO (FW)/

DIO to ensure satisfactory performance of immunization

programme covering all sites.

At Block PHC leve I.c of BPHC will look after the

Immunization Programme and supervise the activity. In

addition Sector MO, BEE, LHV will supervise the activity.

TRAININGS :

(i) 2 Days Training for ANM, LHV & GNM

To improve the quality services of Immunization 2 days

refresher training of Health workers (ANMs, LHV, GNM etc)

along site visits related to immunization will be organized.

The batch size should be 25-30 persons in each batch.

Priority will be given to those ANMs who have hired drop

out rates.

456 ANM/ 50 GNM/ 17 LHV will be trained during 2010-11.

233

ii) Vaccine Handlers Training :: One day cold chain handlers

training will be organized for 64 nos of Vaccine Handlers

against 32 Cold Chain storage during 2010-11 by District

cold chain officers and DIO in a batch of 15-20 trainees. At

PHC level Contractual Pharmacist will be involved for

computerized record keeping of Vaccine stock position.

iii) Block level Data Handlers Training : For streamlining the

reporting system of immunization ,the team of block level

data handlers to be trained on reporting system at Dist. H.Q.

by D.I.O , DDM, and S.I. The participants will be BEE, BPM,

LHV and BAM.

iv) Training on Micro Planning :: Block level

Meeting/Training will be organized for all sub centres for all

ANM, AWW, ASHA, ASHA Facilitator for finalization of Sub

centre micro plan.

Conduct Regular Monthly District and PHC Level Review

Meetings:

To identify sub center/ institutions lagging behind in

performance and therby to take remedial measure, to avail

opportunity for on site training and to solve the problems,

to solve the problems identified by the participants and to

provide feed back monthly review meeting will be ensured

at District and Block Level.

Injection Safty : Red Bag, Black Bag, Hub Cutter, Twine

bucket, Injection pits etc will be ensured during 2010-11 for

ensuring Injection safty.

D 6.7. PART D: NATIONAL DISEASE CONTROL PROGRAMME

D1

NVBDCP

SURVEILLANCE

Active :- Active surveillance done by 103 numbers of

surveillance worker . For proper surveillance each sub

centre is to be manned by MPW(M).

JDH

S/D

MO

Passive Surveillance

Passive surveillance done by ASHA , FTD , and ANM in this

Sub-centre .

Training Programme of ASHA on Malaria.

RD Kits (for use in pf endemic sub-centre from where

reports of blood slide not received within 24hrs.)

234

(Planning for IRS)

TRAINING OF SUPERVISORS AND SPRAY SQUARDS, 2010.

D2

REVISED NATIONAL TUBERCULOSIS PROGRAMME (RNTCP)

Civil Works under NRHM Additionalties

JDH

S/D

TO

Treatment (DOTS) Room

One sitting room for

patients to take treatment under DOTS.

Observation room

( for observation & work by DOT Providers)

One room attached to treatment room & one window to

observe

Laboratory Room at Sukchar DMC to be constructed with

laboratory outlet connection and a pit for waste matter

disposal from the laboratory and Dot centre

Renovation of DTC building

a) One partition wall with one door & one window.

b) Tiles fitting in DTO’s room, Laboratory & Computer room.

Laboratory materials

Honorarium

IEC/ Publicity

Equipment maintenance

Training

Vehicle maintenance

Vehicle hiring

NGO/PP support

Miscellaneous

Contractual services

D3

N.L.E.P.

JDH

S/I

n-C

ha

rge

of

NLE

P/D

ME

Training Plan :

A. 4 days training of newly appointed MO’s (rural & urban)

30 nos.

B. 3 days training of newly appointed Health Supervisor 30

nos.

C. 3 days training of newly appointed Health Worker (M) 30

nos.

D. 3 days training of newly appointed Health Worker (F) 30

nos.

E. 2 days training of newly appointed MO’s 30 nos.

F. 5 days training of newly appointed Lab. Technician 15

nos.

235

IEC Plan :

DPMR :

Procurement Plan :

a. Purchase to be made as per drug list (guideline)

b. Need base purchase to be done.

c. Equipments - Not necessary.

d. Printing Register/Forms etc. to be printed as per need.

e. No such specific NGO is existing in the District.

D4

6.7.4 N.B.C.P.

JDH

S/D

PM

,NB

CP

/DM

E


Weekly Cataract

Eye Operation at

Civil Hospital,

Development of

Eye Operation

Facility at CHCs

Intensive IEC

Activities and

Blindness Survey

Door to Door

Blindness Survey

Development of

Vision Centres at

Mankachar CHC

S.Salmara CHC

Training & Vision

Screening at Schools

Orientation Meeting

at all 7 BPHCs

Awarness Meeting &

Eye Screening Camps

at 14 Development

Blocks

D5

INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)

JDH

S/D

SO

Proposed activities

1. 3 days training for newly inducted Medical Officers on

IDSP.

2. 2 days training for Health Workers.

3. 3 days training for Laboratory Technicians/ Microscopist

at District Laboratory.

4. Weekly online transmission of S, P & L Forms.

5. Dissimilation of Early Warning Out Break Responses.

236

6. Supervision and Monitoring of Peripheral Surveillance

Units.

7. Activities on International Health Regulation ( IHR ) Focal

Point (daily basis online reporting of H1N1 Influenza Status).

D6

National Mental Health Programme

JDH

S/D

PM

U


1. Enhancing the Capacity of the Mental Health

Infrastructure

a. Increasing the number of mental institutions

b. Increasing the service capacity of individual institutions

c. Integrating mental health with general health

1. One district Counselling Centre will be established

2. Crisis Hipline will be set up

3. Regular Counselling session will be organized in Colleges,

Work Place, necessary arrangement will be made for stress

management.

4. Thought DHMP it to be ensured that basic mental health

services are being provided at the community level.

5. Necessary support staff (Clinical Psychologist, PSWs,

Psychiatric Nurses etc )will be engaged on purely

contractual basis.

6. Required medicines will be supplied to all health

institutions.

7. IEC materials like handbook, Leaflets, Picture Chart etc

will be developed.

8. Contingency for running the DMHP will be released to

BPHC wise.

D7

National tobacco Control Programme (NTCP) JD

HS/I

n-C

ha

rge

of

NT

CP

/DP

M/D

ME


1. District Tobacco Control Cell will be set up, one

Psychologist and One Social Worker will be appointed on

the Contractual basis. All the activities will be carried under

the supervision of DPMU NRHM

2. Phase wise training will be conducted for BPM, BEE, HE &

LHV and MNGO members.

3. Awareness cum sensitisation meeting with Civil Society

group such as Women SHG, NGOs, ULB’s and PRI’s, School

teachers, health workers, law enforcers etc. IEC materials

will be developed.

4. Special Talk show on Anti Tobacco, awareness rally, quiz

etc will be arranged with School Health Progarmme.

237

5. For effective implementation of NTCP at grass root level

frequent monitoring is required, hence monitoring plan will

be developed.

6. For enforcement of anti-tobacco law awareness regarding

the following specification provision will be increased:

a. Ban on Smoking in public in public places

b. Ban on sale of tobacco products to children bellow 18

years

c. Ban on direct/indirect advertisement promotion and

sponsorship of tobacco products

d. Ban on sale of tobacco products within 100 yards of the

educational institutions

e. Mandatory depicition of Specified health warning on all

tobacco products

f. Testing of tobacco products for tar and nicotine.

7. Under the supervision of the Psychologist and Social

Worker a Tobacco Cessation Centres will be established at

Dhubri Civil Hospital, Dhubri.

8. For find out the actual status of the district Global l Adult

tobacco survey will be conducted.

E

Intersectoral Convergence

JDH

S/I

n-/

DP

M/D

ME


• A district level convergence Meeting with PHE department

will be organized to streamline the TSC (Total Sanitation

Camping).

• After the district level meeting similar Block level meeting

with block officials will be organized at Block level.

• Under VHSC fund an amount of Rs. 3000/- is meant for

construction of sanitary toilet. The fund will be handed over

to PHE department by respective VHSC for further course of

action.

• Flex Hoarding Board BPHC wise 10 nos will be developed

and installed

• IEC materials like Poster, leaflets etc will be developed and

distributed .

Inter Sectoral Convergence with Education Department:

Proposed Activity:

• In the next financial year another 100 nos of School will be

selected for School Health Programme.

• School Teacher of the Selected School will be trained in

phase wise.

• Health Awareness video will be screen in all the selected

schools.

• IEC materials life Picture Chart will be developed for

School students.

• Quiz, Essay writing & Art computations etc will on Health

related subject will be organized.

238

Chapter – 9

Summary of Budget

Programme Amount( In Rs.Cr)

RCH-II Flexipool 32,345,665.23

NRHM Mission Flexipool 10,99,21,450.00

Immunization(UIP) 6,018,968.00

National Disease Control Programme 0.00

(i) NVBDCP 7,469,840.00

(ii) RNTCP 7,974,000.00

(iii) NPCB 1,771,000.00

(iv) NLEP 943,100.00

(v) IDSP 1,121,600.00

(vi) NTCP 1,216,000.00

(vii) NMHP 500,000.00

Total 16,92,81,623.23

239

A. BUDGET UNDER RCHII

S. No.

Budget Head

Fund proposed for

2010-11 (Rs. In lakhs)

Fund approved in


(Fund Received)

Unspent balance as on

30.11.09 (Rs. In lakhs)

Expenditure likely to be made from 01.01.10. to

31.03.10. (Rs. In lakhs)

Fund utilized and will be utilized till

31.03.10 (Rs. In lakhs)against

fund approved in 2009-10

Expected balance on

01.04.10 (Rs. In lakhs) against fund approved in

2009-10

Actual Fund proposed for


Remarks

1 Maternal Health 6,000,000.00

-

18,110,559.19

5,093,000.00

5,093,000.00

13,017,559.19

(7,017,559.19)

2 Child Health -

-

173,033.00

147,035.00

147,035.00

25,998.00

(25,998.00)

3 Family Planning

118,000.00

-

2,000,000.00

1,500,000.00 1,500,000.00

500,000.00

(382,000.00)

4 Adolescent Health

-

300,000.00

250,000.00 250,000.00

50,000.00

(50,000.00)

5 Urban Health

2,946,000.00

642,000.00

906,650.00

722,000.00 722,000.00

184,650.00

2,761,350.00

6 Vulnerable group and tribal RCH

12,000,000.00

-

-

-

-

-

12,000,000.00

7 Innovations / PPP / NGO

-

-

797,822.00

650,000.00 650,000.00

147,822.00

(147,822.00)

8 Institutional Strengthening/ HMIS

3,310,000.00

1,932,250.00

2,715,210.48

-

2,715,210.48

594,789.52

9 Infrastructure & HR / IMEP

19,980,000.00

14,052,048.00

11,967,598.00

11,967,598.00

2,084,450.00

(2,084,450.00)

10 Training 3,420,000.00

787,670.00

1,555,422.00

1,555,067.00

1,555,067.00

355.00

3,419,645.00

11 BCC / IEC 5,114,000.00

3,418,210.00

4,753,012.22

3,750,000.00

3,750,000.00

1,003,012.22

4,110,987.78

12 Procurement

-

-

- -

-

-

13 Dist.Prog.Management Unit

908,000.00

2,670,793.00

2,007,606.03

569,902.00

569,902.00

1,437,704.03

(529,704.03)

Total Base Flexipool

33,816,000.00

29,430,923.00

47,371,362.92

26,204,602.00

26,204,602.00

21,166,760.92

12,649,239.08

14 JSY

62,345,000.00

50,000,000.00

66,774,658.85

14,000,000.00 14,000,000.00

52,774,658.85

9,570,341.15

15 Sterilization compensation and camps

14,876,000.00

6,565,500.00

6,635,915.00

1,886,000.00

1,886,000.00

4,749,915.00

10,126,085.00

Total RCH Flexipool

111,037,000.00

85,996,423.00

120,781,936.77

42,090,602.00

42,090,602.00

78,691,334.77

32,345,665.23

240

B: BUDGET UNDER N.R.H.M ADDITIONALITIES:

Budget Format for NRHM Mission Flexible Pool Part B * and Part E

S.No. Initiative Number

Proposed

Rate

Proposed

Total

Amount

(in lakhs)

Remarks

A ASHAs

A1 Selection & Training of ASHA 380 0 0

fund

already

received

A2 ASHA Kit 1726 0 0

A3 ASHA Incentives 26770 250 6692500

A4 Others 0 0 0

TOTAL(A) 6692500

B Infrastructure related matters

B1 New Construction of DH 0 0 0

B2 Renovation / Upgradation of DH 0 0 0

B3 New Construction of CHCs 0 0 0

B4 Renovation / Upgradation of CHCs 0 0 0

B5 New Construction of CHCs 0 0 0

B6 New Construction of PHCs 0 0 0

B7 Construction of Doctors and Nurses Quarter 3 2880000 8640000

B8 New Construction of SCs 32 750000 24000000

B9 Upgradation of SC 2 2500000 5000000

B10 Construction of Boundary wall(Goat prrof

fencing) 5 1000000 5000000

B11 MMU 1 2166000

B12 Emergency & Referral Services 2173000

B13 Pol Money for Ambulance 1440000

B14 Repair/Renovation of Training Hall 1 300000

TOTAL(B) 48719000

C Human Resources related matters

C1 Contractual Specialists 12 30000 4320000

C2 Contractual Doctors 2 25000 600000

C3 Contractual Paramedical(Lab Tech) 4 7000 336000

C4 Contractual ANM 102 5000 6120000

C5 Contractual MO (Ayur) 3 15000 540000

C6 Contractual GNM 73 7000 6132000

TOTAL(C) 18048000

D Programme Management related matters

D1 State Programme Managemet 0 0 0

D2 Divisional PMSU 0 0 0

D3 Block PMSU 6 10000 720000

D4 District Health Action Plan 1 100000 100000

241

D5 Monitoring & Evaluation 3310000 3310000

D6 Others 0 0 0

TOTAL(D) 4130000

E Untied Funds, Annual Maintainence

Grants and RKS fundsrelated matters

E1 Rogi Kalyan Samiti-DH 1 500000 500000

E2 Rogi Kalyan Samiti-SDH 1 100000 100000

E3 Rogi Kalyan Samiti-CHC 6 100000 600000

E4 Rogi Kalyan Samiti-PHC/SDCH 33 100000 3300000

E5 Untied Fund for CHC 6 50000 300000

E6 Untied Fund for PHC 32 25000 800000

E7 Untied Fund for SC 246 10000 2460000

E8 Untied Fund for VHSC 1690 10000 16900000

E9 Annual Maintenance Grant-DH 0 0 0

E10 Annual Maintenance Grant-CHC 6 100000 600000

E11 Annual Maintenance Grant-BPHC 5 50000 250000

E12 Annual Maintenance Grant-SDCH 1 100000 100000

E13 Annual Maintenance Grant-PHC 27 50000 1350000

E14 Annual Maintenance Grant-SC(Govt) 120 10000 1200000

E15 Others 0 0 0

TOTAL(E) 28460000

F Training & Capacity Building related

matters

F1 Management Development Trainings 0 0 0

F2 Capacity Building/Orientation Workshops 171950

F3 Others 0 0 0

TOTAL(F) 171950

G Innovations (No approval without

details)

G1 Health Melas 1 500000 500000

G2 District Innovations 0 0 0

G3 Incentive Scheme 0 0 0

G4 PPP initiative 2 1500000 3000000

G5 Others 0 0 0

G6 Health Insurance scheme 0 0 0

G7 Others 0 0 0

TOTAL(G) 3500000

H Intersectoral Convergence (Part E) (No

approval without details)

H1 Ayush 0 0 0

H2 Intersectoral Convergence Related 200000 200000

H3 Others 0 0 0

TOTAL(H) 200000

Grand Total (A+B+C+D+E+F+G+H) 109921450

243

C: BUDGET UNDER IMMUNIZATION:

Service Delivery Norms

Expenditure & Ahievement

Remarks

2005-06 2006-07 2007-08 2008-09 2009-10 (till Nov'09) 2010-11

Exp

en

dit

ure

Exp

en

dit

ure

Exp

en

dit

ure

Exp

en

dit

ure

Ach

iev

em

en

t

Exp

en

dit

ure

Ach

iev

em

en

t

Funds

requirement Target

Mobility support

for Supervision

Supervisory visits

by District level

officers for

monitoring and

supervision of RI

at Rs.50,000 per

district for

Districtlevel officers

(this includes POL

and Maintenance)

per year

12600 25162 74400 29457

No. of

Sessions

Supervised

11938

No. of Sessions

Supervised

120000

No. of Sessions

Supervised

384 256 408

Cold Chain

maintenance

Rs.500 per PHC/CHC

per year District

Rs.10000 per year

0 36433 1530 25466

% funds

used 51400 % funds used

98400 % funds used

99% 52%

Focus on slum &

underserved

areas in urban

areas

Hiring an ANM

@rs.300/ session for

four

sessions/month/slum

of 10000 population

and Rs.200/- per

68600 171500

No. of

Sessions

with hired

vaccinators

0

No. of Sessions

with hired

vaccinators

134400

No. of Sessions

with hired

vaccinators

244

month as

contingency per slum

of i.e total expense

of Rs. 1400/- per

month per slum of

10000 population

490 0 96

Mobilization of

Children through

ASHA/mobilizers

Rs.150/session (for

District) 284000 939400

No. of

Sessions

with ASHA 0

No. of Sessions

with ASHA 2813400

No. of Sessions

with ASHA

9394 18756 18756

Alternate

Vaccine Delivery

Geographically Hard

to reach areas

(session site>30 k.m.

from vaccine delivery

point, river crossing

etc) @rs. 100 per RI

Session

0 0 0

No. of

Sessions

with AVD

0 No. of Sessions

with AVD 385200

No. of Sessions

with AVD

Hilly terrain @Rs.100

per RI session 3852

For RI session in

other areas @ Rs.50

per session

215800 490000 15624 1046600 16104 937800 18756

Support for

Computer

Assistant for RI

Reporting (with

annual

increment of

10% w.e.f. from

2010-11)

District @ Rs. 8000-

10000 p.m.

No. of C.A.

in position

No. of C.A. in

position

No. of C.A. in

position

84000 Yes 77000 Yes 120000 Yes

245

Printing and

dissemination of

immunization

cards, tally

sheets,

monitoring

forms etc

Rs. 5 per beneficiary 0 0 0 0 250805

50161

benefici

aries

Review

Meetings

Quaterly Review &

feedback meeting for

exclusive for RI at

District level with

one Block Mos, ICDS

CDPO and other

Shakeholders@ Rs

100/- per participant

for meeting

expences (launch,

Organizational

expences)

0 0 0

No of

persons

trained.

No of persons

trained.

60000

No of persons

trained.

Quaterly review

meeting exclusive for

RI at Block level @ Rs

50/- pp as

honorariam for

ASHAs (travel) and Rs

25 pp at the disposal

of MO-I/C for

meeting expences

(refresments,

stationary and misc.

expences)

147600

Trainings:

District Level

orientation

training for 2


for trainings under

RCH

161723

No of

persons

trained

344678 No of persons

trained 601301

No of persons

trained

246

days ANM, Multi

Purpose Health

Worker (Male),

LHV, Health

Assistant

(Male/Female),

Nurse Midwives,

BEEs & other

specialist (as per

RCH norms)

267 412 523

Three days

training of

Medical Officer

on RI using

revised MO

traing module


for trainings under

RCH

No of

person

trained

No of person

trained

No of person

trained

one day

refresher

training of

District RI

Computer

Assistants on

RIMs/HMIS and

Immunization

formats under

NRHM


for trainings under

RCH

247

One day Cold

Chain handlers

traing for block

level cold chain

handlers by state

and District cold

chain officers

and DIO for a

batch of 15-20

trainees and

three trainers.


for trainings under

RCH

0 10870 0 9040 30 40585 No of person

trained120 31100

No of person

trained60

One day training

of block level

data handler by

DIO and Dist

Cold Chain

officer to train

about the

reporting

formats of

Immunization

and NRHM


for trainings under

RCH

No of

person

trained

18500

No of person

trained

28

18450

No of person

trained

30

Microplanning to

develop sub-

center and PHC

microplans using

bottom up

planning with

participation of

ANM, ASHA,

at Rs 100/- per SC

(meeting at

bolcklevel, logistic)

24600

% of

SC/PHC/CHC/Dist

have updated

microplan this

year

100%

24600

% of

SC/PHC/CHC/Dist

have updated

microplan this

year

248

AWW For consolidation of

microplan at

PHC/CHC level @ Rs

1000/- block & dist

level @ 2000/- per

dist.

9345 8000 0 8613 13000 24000

POL for vaccine

delivery from

dist. To

PHC/CHCs

Rs 100,000/dist/year 20724 50573 15757 45134

% of fund

used 77509

% of fund used

201600

% of fund used

73% 38%

Consumables for

computer

including

provision for

internet access

for RIMs

At Rs 400/-

/month/dist 4800

Injection Safety % funds


Red/Black/Plastic

bags etc at Rs 2/bag/session 37512

Bleach/Hypo

chlorite solution

at Rs 500/

PHC/CHC/year 4800

Twine bucket at Rs

400/PHC/CHC/year 3200

249

Any District

Specific Need

with Justification

( please provide

a separate write-

up on objective,

stretegy,

expected output

and outcomes,

basis for cost

estimates etc.

10% of total amount

of approved PIP

% funds


Total 42669 131038 660087 1964333 1705810 6018968

251

D1. BUDGET & ESTIMATE UNDER (NVBDCP)

ITEM ACTIVITY Amount Rs.

Surveillance 57 No.s MPW X @ Rs.6000.00/ p.m X12 41,04,000.00

Vector Control-IRS Wages for 2 rounds DDT Spray for 3 Squads 1,56,240.00

DDT Dumping (Road & Boat) 50,000.00

Fogging Fogging Operation in 5 town areas 1,00,000.00

ITBN 350 Camps X @ Rs.500/ X 2 Rounds 3,50,000.00 Protective Equipments for spray

Purchase of hand gloves, Goggles, Apron, mask for 3 Spray Squads

5,000.00

Training M.O, Lab-Tech, Health Supervisors, Health workers, ASHA, Spray workers and spray Super visors

6,85,000.00

BCC / IEC 14,70,000.00

M & E Jt. DHS/ CM& HO(CD) @ Rs. 10,000.00/ p.mX 12 = DMO. @ Rs. 10,000/ p.m X 12 = AMO/ MI Hq. @ Rs.5000/ p.m X12 = MI PHC @Rs.1000/ p.m X12X7 PHC =

1,20.000.00 1,20,000.00 60,000.00 84,000.00

Miscellaneous For cross checking of B/S @ Rs.400 per PHC X 7 PHC X 12 Stationary Article for Office use Telephone Bill @ Rs.1000/ p.m X 12 Collection of Anti-Malarial Drugs and Equipments from State H.Q

33,600.00 60,000.00 12,000.00 60,000.00

Total 74,69,840.00

Total Budget & Estimated Cost is Rupees Seventy Four Lakhs Sixty Nine Thousand Eight Hundred Forty Only only

252

D2: BUDGET UNDER RNTCP

S.No. Category of Expenditure

Budget estimate for the coming FY 2010- 11

Budget sought from NRHM additionalities

2010-11 In Rs.

(To be based on the planned activities and expenditure in

Section C) in. Rs.

1 Civil works 61000 2170000

2 Laboratory materials 400000

3 Honorarium 300000 150000

4 IEC/ Publicity 299000

5 Equipment maintenance 140000

6 Training 293000

7 Vehicle maintenance 300000

8 Vehicle hiring 320000

9 NGO/PP support 450000

10 Miscellaneous 400000 700000

11 Contractual services 1285000

12 Printing 365000

13 Research and studies 0

14 Medical Colleges 0

15 Procurement –vehicles 150000

16 Procurement – equipment 191000

175000

TOTAL 4954000 3195000 ** Only if authorized in writing by the Central TB Division

Grand Total :- Rs.( 4954000+3195000) - Rs.175000=Rs. 7974000

253

Budget Uner NPCB

STRATEGY ACTIVITY Sub-Activity Cost per Unit Total Cost

1. Cataract Surgery at base Hospital

Approach

Weekly Cataract

Eye Operation at

Civil Hospital @ 9

Oprn. Per day for 2

O.T. day for 45 weeks,


Consumables, Sutures, etc.

@ Rs. 750/-

For 800 oprns.

6,00,000.00

Procurement of Sharp

Instruments etc.

Lump-sum 40,000.00

2. School Eye Screening Programme

Vision Screening at 100

Schools @ 200 students

each

Training of 100 School

Teachers

Details

25,000.00

7% defective Refraction of 20000

Students i.e. 1400 students for confir

-matory camps

School Visit by PMOAs

With Vision Testing Van @ Rs.20/- each for 1400 students

28,000.00

30% Refrective Error of 1400 Nos. i.e.

420 nos. students for distribu-

tion of Free Spectacles

@ 200/- each for

420 students

84,000.00

3. Procurement of

Equipmernts

Development of Eye

Operation Facility at

Dhubri Town Health Instt.

Development of O.T.



Lump-sum

5,00,000.00

4. Development of

Vision Centre:

Development of Vision

Cerntre where O.A. posted

1. Mankachar CHC

2. South Salmara CHC


consultation with the in-

charge M.O.



50,000/- each

1,00,000.00

5. Eye Screening and Detection of Cataract


IEC Activities

Printing of Forms, Blind

Register, Leaflets,

Stationeries

@ Rs.50/-each

For IEC and

15,000.00

Eye Screening at

Sub-centers by the

PMOA on fixed day

Every week

Organisation &

Contingencies

58,000.00 Rs. 200/- for

Organization

Exp. of at 290

Health Instt. Door to Door

Blindness Survey

Survey at 30nos

Villages/Towns

6000 houses

15/- per house

90,000.00

6. Popularization of Eye Donation & Eye

Care

Orientation Meeting

at all 7 BPHCs


With all M.O.s/ BPMU/

BEEs/ ANMs

@ Rs. 3000/-

21,000.00

Awarness Meeting &

Eye Screening Camps

at 14 Development

Blocks

IEC Activity at 20 nos

Of Health Institutions

With Flaxo banners

@ Rs. 1,500/-

Each for 20

H.Institutions

30,000.00

7. MANAGEMENT OF District Health

Society

Salary Support of

District Health

Society

DPM=1

Dealing

Asstt.= 1

96,000/- 18,000/-

114,000.00

TA/DA of the Staff

Lump-sum

20,000.00

Maintenance of

Ophth. Equipments

Lump-sum

16,000.00

Contingency & Other

Activities

30,000.00

Total 17,71,000.00

254

D4. Budget under NLEP

Sl.

No.

Activity Proposal Amount

Proposed

1. Contractual Services 54,000 /-

District one Driver @ 4,500/-PM x 12 months

2. Services through ASHA/USHA 25,000 /-

Sensitization of ASHA/incentive to ASHA

3. Office expenses & consumables 40,000 /-

4. Capacity Building (Training)

4 days training of newly appointed MO (rural &

urban )

53,000 /-

3 days training of newly appointed Health worker &

Health Supervisor

69,525 /-

2 days refresher training og MO 27,700 /-

5 days training of newly appointed Lab. Technician 18,375 /-

5. Behaviours change communication (IEC) 1,25,000 /-

Mass media, outdoor media, Rural media &

Advocacy

6. POL/Vehicle operation & hiring 80,000 /-

& vehicle at state level & vehicle at district level

7. DPMR 30,000 /-

12,500 /-

2,50,000 /- MCR footwear, Aids and appliances, welfare

allowances to BPL patients for RCS support to Govt.

Institution for RCS

8. Materials & supplies 52, 000 /-

Supportive drugs, Lab reagent & equipment &

printing forms.

9. Urban leprosy control Do not arises

Township, Medium cities-I, Medium cities-II &

Mega cities

10. NGO-SET scheme 50,000 /-

11. Supervision, Monitoring & Review 50,000 /-

Review Meeting & Travel expenses

Cash Assistance 6,000 /-

Total = 9,43,100 /-

255

D5. Budget Under IDSP

Sub -

activity

Tasks Unit

Cost

No of

Units

2010-11 Remarks

1. Staff

Salary

1.1 Epidemiologists 30000

1.2 Microbiologists 20000

1.3 Entomologist 20000

1.4 Consultant ( Finance ) 14000

1.5 Consultant ( Training ) 28000

1.6 State Data Manager 14000

1.7 District Data Manager 13500 12 162000

1.8 Data Entry Operator 8500 12 102000

1.9 Accountant 9500 12 114000 already

appointed &

working as per

Govt. guidelines

the said post

may be

continued with

IDSP.

1.10 Administrative

Assistant

7000 12 84000

Sub Total 462000

2.Training 2.1 Training of Hospital

Doctors

36500 2 73000

2.2 Training of Hospital

Pharmacist/ Nurses

15500 20 310000

2.3 Training of Laboratory

Technicians/

Microscopist

23500 2 47000

Sub Total 430000

3.

Operational

Cost

3.1 Mobility Support, 5800 12 69600

3.2 Office Expenses 5000 12 60000

3.3 ASHA incentives for

Outbreak reporting

100 120 12000

3.4 Collection and

transportation of

samples

3000 12 36000

3.5 IDSP reports including

alerts

500 12 6000

3.6 Printing of IDSP

Forms

2000 12 24000

3.7 Broadband Expenses 1000 12 12000

Sub Total 219600

4. New

Innovations

4.1 Review Meeting

District Committee

5000 2 10000

Grand Total 1121600

256

D6 : Budget under NTCP

Proposed Budget for District Tobacco Control Programme (NTCP)

Sl.No Components Calculation (Rs) Total (Rs)

1 Salaries: I). Psychologist: Rs.10, 000/- per month ii). Social Worker: Rs. 8,000/- per month

10000 X 12 months 8000 X 12 months

216,000

2 Training 200,000 200,000

3 IEC Activity 200,000 200,000

4 School Activity 400,000 400,000

5 Monitoring of Tobacco Control Laws & Reporting

100,000 100,000

6 Contingency 100,000 100,000

Total 12,16,000/-

257

E: Budegt Under Convergence

Sl. No Activity/ Sub-activity Physical

target Unit cost

Total amount (Rs.)

E.1 Convergence meeting 20

5000 1,00,000

Meeting with representative from PHE, Education Dept, Social Welfare dept, PRI members, vertical Health System RNTCP, NLEP, NVBDCP, DBCS etc

E.2 Convergence workshop 7

25000

1,75,000 2 days Workshop with

representative from PHE, Education Dept, Social Welfare dept, PRI members, vertical Health System RNTCP, NLEP, NVBDCP, DBCS etc

E.3 Dist. Level Training of members from other dept and vertical health system

4 7500 30,000

Grand Total 3,05,000/-

259

DETAIL BUDGET (ANNEXURE 3 e )

Sl Budget Head

Baseline /

Current Status (31st

Jan, 10)

Unit of Measure

Physical Target Rate Fund Proposed For 2010-11 (Rs. Lakhs)

Unspent

Balance on

31.03.10.

Fund

proposed (Rs.

Lakh)

Remarks

Q I Q II Q III

Q IV Total

Annual (Rs./ Unit)

Q I Q II Q III Q IV Total

Annual

1. MATERNAL

HEALTH

To increase the 3

ANC from 21.9%

(DLHS-3) and

41.05% (HMIS

report) to 60% by

2010-11 and also to

reduce the

proportion of

pregnant women

with anemia.

S1 Early registration of

pregnancy

Training of 1726 nos of ASHA on early detection

and registration of Pregnancy in the Sub Centre

area.

432 432 430 432 1726

Regular supply of Pregnancy Test Kit will be ensured to all 1726 nos. of ASHAs and 456 nos. of ANM

Detail in procurement

Village Health &

Nutrition Day will be used as a platform for

motivating and mobilizing the women for early registration of

pregnancy.

12068 5178 5178 5178 5178 20712 0 Fund avialbel in VHSC

260

The District under “Assam Bikash Yojana” has implemented “Mamoni”-Nutrional food for pregnant women where a pregnant woman after her first registration receives a hand book on nutrional food and MCH card. On her 2

nd

checkup, a cheque of Rs. 500/- is given as monetory support for nutrional food and on her 3

rd checkup,

another cheque of Rs. 500/- is given and a voucher for referral transport.

19948 8643 8643 8643 8643 34572 8.64 8.64 8.64 8.64 34.56 95.00 0

S2

Provide Quality

Ante Natal Care to all pregnant women

Re Orientation Training of 456 nos. of ANM Block PHCwise in a batch of 30 on physical examination of pregnant women, Hb estimation and record keeping

114 114 114 114 456

S3

To strengthen the basic obstetric care (institutional

deliveries) from 30.3% (Coverage Evaluation

Survey, RRC-NE) to 50% by 2010-11

261

Sub Centre

Micro Birth Planning by the

ANM for all the Pregnant women

26020 In Training

Plan

Referral of the complicated cases to the

higher

institutions

Equipments for 24x7 facilities

Labour Table

21nos.

Under Procurement

Shadow

less lamps 21 nos.

Under Procurement

5 KVA

generator 19 nos.

Under NRHM

PHC/CHC

Enganagement of contracutal doctots &

paramedics

5 under HR of NRHM Addl

Strengthening referral transport mechanism

in Referral Transport

SBA training of

the doctors & GNM

120 9 9 9 9 36 In training

Repair &

Renovation of doctors & nurses quarters

5 NRHM Addl.

S4

Delivery by

TBA in the difficult areas

262

Training of 1000 Dai

in Training

Procurement of

DDK Under NRHM

Incentive to Dai per delivery

23467

Rs. 100

per delivery

11.73 11.73 23.46 0.00 23.46

Home Delivery

S5 Janani Suraksha

Yojana

12283 6505 6505 6505 6505 26020 155.9 155.9 155.9 155.9 623.5 527.7 95.7

S6 Referral

Transport

Village to Health

Intitution (60%

of ID)

5.43 5.43 5.43 5.43 21.7 0.00 Under NRHM

POL for ambulance for transporting the women

3.60 3.60 3.60 3.60 14.4 0.00 Under NRHM

Objective: To

strengthen the basic obstetric care

(institutional deliveries) from 30.3% (Coverage

Evaluation Survey, RRC-NE) to 50% by 2010-11

Increasing the access through

facility strengthening

Labour room Upgradation with wards for 24 X 7 PHCs.

Budgeted under Infrastructure & HR

263

S1

To strengthen the Comprehensive

obstetric care FRU

OT Instruments & new born caer

instruments

OT & New born care corner repair & renovation

Back up power

(10 KVA)

Water Supply

repair

Blood Storage Facility

upgradation

Training of doctors on

CEmoC

4 under training

Training of

doctors on LSAS

Increasing coverage

of post partum care

from 14.8%

(DLHS3) to 35% by

2010-11

S1

Ensure post partum care by ASH/

AWW/ANM

IEC Material for

the mothers on PPC

under IEC/BCC

S2 Post partum care at Health facilities

264

Baby Kit for institutional delivery for

mothers staying up to 48 hrs

To increase awareness

among the community on Maternal & Perinatal

Death

Maternal & Perinatal Death Autopsy

To improve

safe abortion facilities.

S1

Increase safe abortion facilities in

Govt. Hospitals

15 Mos will be trained in MTP

15 under training

Procurement of MVA kit

S2

Access to safe

abortion in Pvt. Facilities

New Initiative by the districts

Project Palna (Dibrugarh & Dhemaji

SUB TOTAL OF MATERNAL

HEALTH

#### 173.54 185.27 185.27 717.62 527.74 189.88

265

2 CHILD HEALTH

To improve new born care by 2009-10

S1 IMNCI

Training of health workers of Dhubri districts

274 274 274 274 1096 under Training

Procurement of IMNCI Kit under Procurement

S2 Facility Based New Born Care

Training of MO under Training

S3 Setting up of SNCU in

districts

Setting up of SNCU in districts

S4 Setting up of Stabilization Centre

Stabilization centre for PHC

Under Infrastructure

&

procurement

Objectives: Promote early breast feeding and exclusive breast feeding till 6 months and above

from 38.1% (DLHS 3) to 50% by 2010-11

266

S1

Increases awareness amongst mothers about importance of exclusive

breast feeding and complementary feeding

Communication activities

(IEC/BCC)

Under

IEC/BCC

Health Institutions to be made Baby Friendly hospital

Under BCC

Objective: To increase the

percentage of 12 months of age fully immunized

children from 53.49% to

70% by 2010-11.

To strengthen the present

immunization system.

Details of immunization given under UIP component

Details under UIP

Objectives: To increase the use of ORS

S1

Making ORS and zinc tablets available in all the

districts as well as in remote/rural/tribal areas and difficult to reach areas through depot

holders.

S2 Referral of diarrhoea cases

Training of ASHA & AWW on ORS & Zinc as a depot holder

under IEC/BCC

267

Procurement of ORS packets & Zinc Tablets

IMNCI kit to be provided under Procurement

Referral of sick children with

diarrhoea

under referral

transport

All the govt. health facilities will be strengthened to

provide treatment of Diarrhoea. ORT Corner are created to rehydrate children

suffering from dehydration due to acute watery diarrhoea keeping the child for four hours and will be

made functional

Included in

IEC/BCC

Increase awareness of ARI and improve referral of ARI cases

S1 Reorientation treaining of ANMs

S2 Prompt referral

ANMs to be given refresher

training on ARI & diarrohea case detection and referral of these cases

Details in training plan

Prompt referral of ARI cases under referral transport

Reduce prevalance of anemia

268

To prevent and treat anemia

Counselling and communication activities

Included in IEC/BCC

Suplly of IFA(s) tablets

Reduce Vitamin A

deficiency

Prevent and treat Vit-A

deficiency in children

Vitamin A campaign

SUB TOTAL OF CHILD HEALTH

0.00 0.00 0.00 0.00

269

3 FAMILY PLANNING

To meet the unmet need

of contraception from 37.2% (DLHS3) to 28% and increase Contraceptive prevalence

rate 23.6% (DLHS3) to 45% by 2010-11

S1

To raise awareness

amongst the couples and

communities about the advantage of contraceptives and small

family.

Communication activities will be developed with help of AWW, ASHA, Woman’s

SHGs, male workers, CBOs & FNGOs as per need of the locality.

IEC/BCC

Family planning counseling will be ensured by ASHA & ANMs during home visits and

VHND and also at the sub center during visit of the women for immunization,

care of the children etc to meet the unmet need of contraception and also need of small family.

NRHM Addl

S2 Increase the number of service delivery points

ASHA and AWW will act as depot holders. All the depot

holders will be provided with wider basket of choice (OCP, ECP, and Nirodh).

Procurement plan

270

The ANMs will be trained for IUCD. Necessary logistics for IUCD insertion at SC level

will be supplied (IUD kit).

Training &

Procurement Plan

Incentive for IUCD 5900 Rs.20 0.3 0.3 0.3 0.3 1.2 0 1.2 Budgeted under RCH Flexi-pool

S3 Improve the service delivery to provide quality female sterilization.

15 Mos will be trained in MTP under training

Procurement of MVA kit Under

Procurement

Compensation package for female strilization in Govt.

2450 2450 2450 2450 9800 Rs.1000 24.5 24.5 24.5 24.5 98.00 0.00 98.00 Budgeted under RCH

Flexi-pool

Compensation package for female sterilization in pvt

hospitals

Budgeted under RCH

Flexi-pool

To increase the male sterilization from the existing level of 10.6% (HMIS report upto

Jan’10) to 20% by 2010-11.

S1 Raising awareness for NSV

Workshop at State Level

Workshop at District levek

S2 Improve service delivery for NSV

271

NSV camps cum training 21 21 21 21 84 Rs. 15000 3.15 3.15 3.15 3.15 12.6 0.00 12.6

Budgeted

under RCH

Flexi-pool

Compensation package for male sterilization in Govt.

500 500 500 500 2000 Rs.1500 7.5 7.5 7.5 7.5 30.00 0.00 30.00

Budgeted

under RCH

Flexi-pool

Compensation package for

male sterilization in pvt hospitals

Outreach camps in uncovered areas

S1 Sterilization camps in 11 high focus districts

Special sterlization camps for females for 3 months

S2 Sterilization camps in uncovered areas

Female Sterilization

Male Sterilization

Innovation under Family Planning:

Samidhri Babe Kisu Hamai

(Second Honeymoon Scheme

)in 10 districts

SUB TOTAL OF FAMILY

PLANNING 35.45 35.45 35.45 35.45 141.80 5.00 136.80

272

4 ADOLESCENT HEALTH

Introduce a comprehensive health plan for adolescent

To ensure reproductive

haelth and nutrition needs are met

S1 School health programme

Under

intersectoral convergence

S2 Outreach programmes for

out of school adolescents

S3 Adolescent Clinic in Health Institutions

Awareness generation activities related to

adolescent health. (under IEC/BCC).

under

IEC/BCC

T raining of counselors on ARSH

Incentive to the counselors

Outreach Health Programme for Adolescents for 1 district, viz. Morigaon, pilot basis through FNGO & Peer

Educator.

Low Cost Sanitary Napkins to adolescent females .

SUB TOTAL OF

ADOLESCENT HEALTH 0 0 0 0 0.00 0.00 0.00

273

5 URBAN RCH

To provided integrated and sustainable system for primary health care

service delivery with focus on urban poor/slums.

Increasing access to service delivery point

UHC - Railgumti, Dhubri 1 no 1

Urban Health Centres 2 no 1 1 2 7.37 7.37 7.37 7.37 29.46 1.84 27.62

Acrredited Urban Health

Workers

SUB TOTAL OF URBAN RCH 7.37 7.37 7.37 7.37 29.46 1.84 27.62

6 VULNERABLE GROUP & TRIBAL RCH

Health Camp for the refugees in two districts

Health camps in the flood affected areas of two districts ( Lakhimpur & Dhemaji)

Mobility support to ANMs working in char areas

Camps and procurement of inflatable boats in Karbianglong district

SUB TOTAL VULNERABLE GROUP AND TRIBAL RCH

0 0.00 0.00 0.00 0.00 0.00

274

7 INNOVATIONS/ PPP/ NGO/ PNDT/ QA

7 PPP

A-1

PPP with old Tea Garden 1 1

Under

NRHM Addl

PPP with new Tea Garden 1 1

Under

NRHM Addl

PPP with Charitable/Private Hospital

A-2

Chiranjivi Yojna (in 5 districts, viz..Kamrup, Jorhat, Dibrugarh, Barpeta

and Silchar)

7 NGO SCHEME

A-1

Release of 2nd installment

A-2

Release of 1st installment

Release of 2nd installment

Release of preparatory grant

External agency evaluation of 10

MNGOs

A-3

Quarterly review meetings

7 PNDT/GENDER ISSUE

A-1

Meetings

275

a State Supervisory Board meetings

b Meetings of the Multi Member State Appropriate Authority to be organized

c A State level 1 (one) Day Public

Seminar cum workshop

d District level Advisory Committee Meetings

A-2

Quarterly Reports (printing of the format to be done if required, so fund is required)

A-3

Contingency Fund

A-4

Mobility

7 QUALITY ASSURANCE

A-1

Quality Assurance in 6 districts

Development of software for QA

SUB TOTAL OF

INNOVATIONS/PPP/NGO/PNDT/QA 0.00 0.00 0.00 0.00 0.00 0.00 0.00

276

8 INSTITUTIONAL STRENGTHENING / HMIS

8 Strengthening of M&E Cell 8 8 6.15 6.15 6.15 6.15 24.6

8 M&E consultant(s) recruited and in position

1 No Included in DPMU

8 Provision of equipment at state and district levels

1.88 1.88 1.88 1.88 7.52

8 Operationalising the new MIES format

9

Printing of all MCH registers

incorporating new MIS formats

9 Printing of new formats

a) Monthly format for SC's and equivalent facilities (NRHM/HSC/3/M ). Bilangual

Format - English & Assamese

b) Monthly format for PHC's and equivalent facilities (NRHM/PHC/3/M )

c) Monthly format for CHC's and equivalent hospitals (NRHM/CHC/3/M )

d) Monthly format for Sub-District Hospitals and equivalent hospitals

(NRHM/SDH/3/M )

e) Monthly format for District Hospitals and equivalent

hospitals (NRHM/DH/3/M )

9 Training of staff

277

a) 2 days training on Reporting System and M&E for District Level Officers

b) 2 days training on Reporting System and M&E

for Block Level Officers

c) 1 day training on Reporting System and M&E at Block Level

0.13 0.13 0.13 0.13 0.50

9 Other M&E activities (please specify)

a) BPHC level- monthly Review Meeting

No 21 21 21 21 84 Rs.5,000.00 1.05 1.05 1.05 1.05 4.20 0.00 89.40

b) District Level Monthly

Review Meeting No 3 3 3 3 12 Rs.25,000.00 0.75 0.75 0.75 0.75 3.00 0.00 81.00

c) State Level Quarterly Review Meeting

SUB TOTAL OF INSTITUTIONAL

STRENGTHENING / HMIS

9.96 9.96 9.96 9.96 39.82 27.15 12.67

9 INFRASTRUCTURE AND

HR

9 INFECTION MANAGEMENT & ENVIRONMENT

PROTECTION

Training

CBWTF

BMW Consumables

278

9 Infrastructure

24 x 7 PHC Up-gradation & renovation of labour room and maternity wards for 24 X

7 PHC

FRU - OT & New born care corner repair & renovation for FRU

FRU - Blood Storage Facility

upgradation for FRU

SNCU - Upgradation & repair

SNCU- Manpower

Stabilization Unit - Tiling, reconstruction & wiring

Repair & Renovation of O/O

DHS

SUB TOTAL OF IMEP INFRASTRUCTURE AND HR

0 0 0 0.00 0.00 0.00

10 TRAINING

10.1.1

Carry out repairs/

renovations of the training institutions(LECTURE HALL 50+ HOSTEL 55 +

ELECTRICITY REPAIRING 36 + SUPPORT SERVICE 15)

10.1.2

Provide equipment and training aids to the training institutions (AV equipments

+ Library books)

10.1.3 Contractual staff recruited

and in position

279

10.1.4 Other activities (pl. specify) VEHICLES & CONTINGENCIES

10 Development of training

packages

10.2.1

Development/ translation and duplication of training materials (PRINTING OF

IMNCI CHARTS, MODULES & BOOKLETS ETC AND BCC, RTI/STI MODULES, ARSH MODULES, SBA MODULES)

10.2.2

Specialised training equipment (for skills trainings) provided (IMNCI trg aids & ZOE Model)

10.2.3 Other activities (pl. specify)

10.2.4 Monitoring of Training

programme

10.2.5 Regional Training Co-ordinating Unit

SUB TOTAL OF 10.1 TO 10.2.5

0.00 0.00 0.00 0.00 0.00 0.00 0.00

10 Maternal Health Training

10.3.1 Skilled Attendance at Birth / SBA

10.3.1.1 Setting up of SBA Training Centres

10.3.1.2 TOT for SBA

10.3.1.3 Training of Medical Officers in Management of Common

Obstetric Complications

10.3.1.4 Training of Staff Nurses in SBA

10.3.1.5 Training of ANMs / LHVs in SBA

280

10.3.2 EmOC Training

10.3.2.1 Setting up of EmOC Training Centres

10.3.2.2 TOT for EmOC

10.3.2.3 Training of Medical Officers in

EmOC

10.3.3 Life saving Anaesthesia

skills training

10.3.3.1 Setting up of Life saving Anaesthesia skills Training Centres

10.3.3.2 TOT for Anaesthesia skills training

10.3.3.3 Training of Medical Officers in life saving Anaesthesia skills

10.3.4 Safe abortion services training (including MVA/

EVA and Medical abortion)

10.3.4.1 TOT on safe abortion services

10.3.4.2 Training of Medical Officers in safe abortion

10.3.5. RTI / STI Training

10.3.5.1 TOT for RTI/STI training

10.3.5.2 Training of laboratory

technicians in RTI/STI

281

10.3.5.3 Training of Medical Officers in RTI/STI

10.3.5.4 Training of Staff Nurses in

RTI/STI

10.3.5.5 Training of ANMs / LHVs in RTI/STI

10.3.6 Orientation of Dai / TBAs on safe delivery

10.3.7 Other maternal health training (please specify)

10.3.7.1 District Orientation Trg. For

Mos

10.3.7.2 Integrated MCH Services

Orientation

State level ToT

Block level ToT

ANM

10.3.8 Multi Skilling of Medical Officers on Radiology

10.3.9 Multi Skilling of Medical Officers on Clinical Pathology

10 IMEP Training

10.4.1 TOT on IMEP

10.4.2

IMEP training for state and

district programme managers

10.4.3 IMEP training for medical

officers

SUB TOTAL OF MATERNAL HEALTH TRAINING

0.00 0.00 0.00 0.00 0.00 0.00 0.00

282

11 Child Health Training

10.5.1 IMNCI Training (pre-

service and in-service)

10.5.1.1 TOT on IMNCI (pre-

service and in-service)

10.5.1.2 IMNCI Training for Medical Officers

10.5.1.3 IMNCI Training for staff nurses

10.5.1.4 IMNCI Training for ANMs / LHVs

1096

ANMs/ AWWs (20

batches)

120 120 120 120 480 171370/batch 8.55 8.55 8.55 8.55 34.2

10.5.1.5 IMNCI Training for Anganwadi Workers

10.5.1.6 Multi Skilling Training of

Mos of FRUs & CHCs

10.5.1.7 SNCU TRAINING

SUB TOTAL OF CHILD HEALTH TRAINING

8.55 8.55 132.1 192.8 34.2 0 34.2

11 Family Planning Training

10.6.1 Laparoscopic Sterilisation Training

10.6.1.1 TOT on laparoscopic sterilisation

10.6.1.2

Laparoscopic sterilisation

training for medical officers

10.6.2 Minilap Training

283

10.6.2.1 TOT on Minilap

10.6.2.2 Minilap training for medical officers

10.6.3 Non-Scalpel Vasectomy (NSV) Training

10.6.3.1 TOT on NSV

10.6.3.2 NSV

10.6.4 IUD Insertion

10.6.4.1 TOT for IUD insertion

10.6.4.2 Training of Medical officers in IUD insertion (DTT Level)

10.6.4.3 Training of staff nurses in

IUD insertion

10.6.4.4 Training of ANMs / LHVs in IUD insertion

10.6.5 Contraceptive update/ISD

Training

10.6.6 Other family planning training (please specify)

SUB TOTAL OF FAMILY

PLANNING TRAINING 0 0 0 0 0 0.00 0.00

11

Adolescent Reproductive and Sexual Health/ARSH

Training

10.7.1 TOT for ARSH training

284

10.7.2 Orientation training of state and district programme managers

10.7.3 ARSH training for medical

officers

10.7.4 ARSH training for ANMs/LHVs

10.7.5 ARSH training for AWWs

10.7.6 Training of ASACS counselors

SUB TOTAL OF ARSH TRAINING

0 0 0 0 0 0 0.00

Other training

BCC Training for DTT

BCC Training for ASHA

SUB TOTAL OF OTHER TRAINING

0 0 0 0 0.00 0 0.00

SUB TOTAL OF TRAINING

8.55 8.55 132.12 192.79 34.20 0.00 34.20

11 BCC/IEC

11.1 Setting up and development of IEC/BCC unit at the district level (Procurement of Laptop)

35000 350000 0 0

11.2 Meeting Manpower requirements at District level

0 0 0 0

11.3 Formative research/situational analysis/baseline study to identify focus areas

105000 105000 105000 105000

285

11.4

Develop IEC/BCC Strategy Streamline objectives/identify Communication tools/identify media mix as per target audience/frame monitoring evaluation indicators Identify external agency/Advertising agency for the task (if needed)

0 0 0 0

11.5

Media Mix

Develop a strategic media mix as per the target population and issues( Child Health, Maternal Health/Family Planning)

0 0 0 0

11.6 a). Interpersonal Communications

11.7 Counselling at FRUs, PHCs etc 0 0 0 0

11.8 One to one interaction by

ASHAs/ANMs/AWWs

0 0 0 0

11.9

Group discussions at Village/Block

/Panchayat level ( by BEE, HE,

LHV)

148500 148500 148500 148500

11.10 Community Meetings ( Will be

conducted by VHSC)

0 0 0 0

11.11 Workshops at Panchayath/ Block

District level

35000 35000 35000 35000

11.12 b). Community Media

11.13 Folk arts ( preparation of Audio

Cassette & miking)

91000 91000 91000 91000

286

11.14 Street plays ( Rs.3000 X 12 months

X 7 BPHC)

63000 63000 63000 63000

11.15 Health Melas 25000 0 0 0

11.16 Rallies 17500 17500 17500 17500

11.17 Social Mobilisation Programmes 0 0 0 0

11.18 c). Outdoor Media

11.19 Banners 150000 150000 150000 150000

11.20 Bus Boards 0 25000 0 0

11.21 Bulletin Boards ( information Boards

2 nos for per SC wise)

492000 0 492000 0

11.22 Sign ages (Hoardings 5 nos for per

BPHC)

0 350000 0 0

11.23 d). Television Spots 0 0 0 0

11.24 e). Radio Programmes 0 0 0 0

11.25 f). Newspaper advertisements 0 0 0 0

11.26 g). Print materials 0 0 0 0

11.27 Pamphlets @ Rs.1/- X 20,000 X 4Q

20000 20000 20000 20000

11.28 Poster @ Rs.5 X 8000 X 4Q 40000 40000 40000 40000

11.29 Flip Charts 0 0 0 0

11.30 Newsletter @ Rs.25 X 4000 X 4Q 100000 100000 100000 100000

11.31 Annual Report @ Rs. 25 X 4000 0 0 100000 0

11.32 Flash cards 0 0 0 0

287

11.33 Calendars and danglers@ Rs 50 X

300 nos

0 0 15000 0

11.34 BCC implementation Components

11.35

Capacity Building and training of manpower Designate responsibilities as per task/identify coordinator and design activity chart

0 0 0 0

11.36 Capacity building of Staff 10000 0 0 0

11.37 Internal Workshops 0 0 0 0

11.38 Specialised training for Staff

members

35000 35000 35000 35000

11.39

Monitoring and evaluation

Midterm monitoring Evaluation of the Programme

0 0 0 0

SUB TOTAL OF BCC 11.1 TO 11.39

13.67 15.3 14.12 8.05 51.14 51.14

SUB TOTAL OF BCC/IEC

288

12 PROCUREMENT

Maternal Health

Partograph

ANC Card

24 x 7 PHC - Equipments for

24x7 facilities for Maternal Health

FRU - OT Instruments & new born caer instruments for

FRU

SNCU Equipments

Stabilization Centre - Bed

Stabilization Centre -

Equipments

Stabilization Centre -

Servo Satbilizer

Sub Total

Family Planning

289

IUD Insertion Kit

OCP

Nirodh

EC Pill

Laparoscopes with CO2/ Air Insuflation

Minilap kit

MVA kit

NSV kit

OT Table for Lap operation

2 nos. CO2 cylinder for 24 DH and 37 FRU

SUB TOTAL

Child Health

IMNCI Kits

Tab Albendazole

Vitamin A solution

Sub Total

SUB TOTAL OF PROCUREMENT

0.00 0.00 0.00

13 PROGRAMME MANAGEMENT

290

A-

1

State Programme

Management Unit (SPMU)

Salary of the SPMU 0.00

A-2

District Programme Management Unit (DPMU)

Salary of the DPMU 2.27 2.27 2.27 2.27 9.08 14.38 -5.3

A-

3

Strengthing of Financial

Management System

a Training in accounting procedures

b Annual Audit of the

Programme

c Concurrent Audit

c1 District Level

c2 State Level

c3 Regional Workshop

SUB TOTAL OF PROGRAMME MANAGEMENT

0.00 0.00 0.00 9.08 0.00 9.08

SUB TOTAL BASE FLEXI POOL

1023.12 561.73 461.39

A-

1 Janani Suraksha Yojana


291

Rural

Urban

Home Delivery

SUB TOTAL OF JSY 0.00 0.00 0.00

A2

Family Planning compensation (male and

Female), Sterlization camps and Mega camps

0.00

GRAND TOTAL (RCH FLEXIPOOL)

1023.12 561.73 461.39

293

ANNEXURE

Annex-I

Status of FRU Operationalization

S.

NO District

Total No of FRUs

Planned till 2010

Target for

2009-10

*FRUs operationalized till

December, 2009

Dhubri 2 1

*Must fulfil GoI Minimum Criteria

Status of 24x7 PHCs

S.

NO

District Total No of 24x7

PHCs Planned till

2010

Target for 2009-

10

*24x7 PHCs

operationalized

till December,

2010

Dhubri 24 11 14

*Must fulfil GoI Minimum Criteria

Status of Anaesthesia Training

S.

N

O

State

No of

Medical

Colleges

conducting

LSAS

Training

No of

District

Hospitals

conductin

g LSAS

Training

Total No

of

MBBS

Doctors

to be

trained in

LSAS till

2010

Target

for

2009-

10

No

trained

till

Decem

ber

2009

No of trained MOs

posted at FRU till

December 2009

1

Status of EmOC Training

S.

NO

State No of

Medical

Colleges

conducting

EmOC

Training

No of

District

Hospitals

conducting

EmOC

Training

Total No

of MBBS

Doctors

to be

trained in

EmOC

till 2010

Target

for 2009-

10

No

trained

till

December

2009

No of

trained

MOs

posted at

FRUs till

December

2009

1 1 1 Nil

Status of SBA Training

S.

NO

State

No of

districts

conducting

SBA

Training

No of district

hospitals/training

institutes

practicing SBA

Protocols

particularly

Partograph

No of

Master

Trainers

trained

(Both

State and

Districts)

No of

SNs/ANMs/LHVs

to be trained till

2010

Target

for

2009-

10

No

trained

till

December

2009

1 GNM=24,

ANM=12

GNM=17

LHV=10

ANM=53

294

Status of MTP Training

S.

NO

State No of doctors planned to

be trained in

MA/MVA/EVA/ till 2010

No. trained

till

December

2009

No. of 24x7

PHCs

providing

safe

Abortion

Services

No. Of

DH/FRUs

providing

comprehensive

safe abortion

services

Dhubri MO=15 O&G=6 Nil 2

S.

NO

District. Budget allocated under MH

(excluding JSY 2009-10)

Budget

utilized

under MH

(excluding

JSY till

December

2009)

Budget

allocated

under JSY

2009-10

Budget

utilized under

JSY till

December

2009

Dhubri 6,000,000.00 5,093,000.00 5 Cr 2 cr 89 Lakhs

Table on Incentives

Name of

the

Scheme

Type of

Worker

Level of Facility

(CHCs/PHCs/Sub-

Centres)

Amount

of

Incentive

Performance

Expected

No of

worker

given

incentive

Quantifiable

Output

295

Annexure - B (Pt-I)

Additiional requirment of Equiptment/Instrument with present status of Dhubri District:-

Sl.No. Name of Health

Institutions

Radiant Warmer

Autoclave Resuciation

Kit Electric

Sterilizer

Oxygen Cylinder B

Type with Flow

Meter

Oxygen

Cylinder B Type

PS Add Req

PS Add Req

PS Add Req

PS Add Req

PS Add Req

PS Add Req

1 Dharmasala PHC

1

1 1

1

1

1

2 Raniganj PHC 1 1 1 1 1 1 1

3 Golakganj PHC 1 1 1 1 1 1 1

4 Gazarikandi PHC

1

1 0 1 1 1 1

5 Bilasipara SHC 1 1 0 1 1 3 3

6 Sapatgram SHC

1

1 1 1

1

1

7 Sadullabari SHC

1

1 1

1

1

1

8 Salkocha SHC 1 1 1 1 1 1

9 South Salmara CHC(Kowahagi)

0 1 0 1 0 1 1 1 1

10 Gauripur CHC 1 1 1 1 1 1 1

11 Halakura CHC 1 0 1 1 1 1 1 1

12 Agomoni CHC 1 0 1 1 1 1 1 1

13 Mankachar CHC

1

1 0 1 1 1 1

14 Geramari MPHC

0 1 0 1 0 1 1 1 1

15 Santipur MPHC 0 1 0 1 0 1 1 1 1

16 Jarua MPHC 0 1 0 1 0 1 1 1 1

17 Dumordaha MPHC

0 1 0 1 0 1 1 1 1

18 Tamarhat MPHC

1 1 1 1 1

1 1

19 Satrasal MPHC 1 1 1 1 1 1

20 Bagribari SD 0 1 0 1 0 1 1 1 1

21 Medortary SD 0 1 0 1 0 1 1 1 1

22 Futkibari SD 0 1 0 1 0 1 1 1 1

23 Berbhangi SD 0 1 0 1 0 1 1 1 1

24 Jhowdanga SD 0 1 0 1 0 1 1 1 1

25 20 Bedded Mat. Centre, Dhubri

1

1 1 1 1 1 1

26 Bahalpur SD 1 1 0 1 1 1 1

296

27 Boterhat SD 1 1 0 1 1 1 1

28 Kakripara SD 1 0 1 0 1 1 1 1

29 Dhepdhepi SD 1 1 1 1 1 1

30 Moterjhar SD 1 1 1 1 1 1

31 Kachokhana SD

1

1 1

1

1

1

32 Lakhiganj SD 1 1 1 1 1 1

Total 22 10 19 13 16 23 13 19 13 21 12 22


Institutions

Trolley, Humidifier,

Wrench

and Neonatal Mask &

Adult Mask

Foot

Step-Double

IV Dip Stand

Bed Side-Locker

Invalid

Wheel Chair

Instrument Trolley ( high

quality )

Patient trolley

with removable

top

PS Add Req

PS Add Req

PS Add Req

PS Add Req

PS Add Req

PS Add Req

PS Add Req

1 Dharmasala PHC

1

1

2

6

1

1

1

2 Raniganj PHC 1 1 2 6 1 1 1


4 Gazarikandi PHC

1 1 2 6 1 1 1

5 Bilasipara SHC 1 3 15 10 1 1 1

6 Sapatgram SHC

1

1

2

6

1

1

1

7 Sadullabari SHC

1

1

2

6

1

1

1

8 Salkocha SHC 1 1 2 6 1 1 1


1 1 2 6 1 1 1

10 Gauripur CHC 1 1 2 5 1 1 1

11 Halakura CHC 1 1 10 20 1 1 1

12 Agomoni CHC 1 1 2 6 1 1 1

13 Mankachar CHC

1 1 2 6 1 1 1

14 Geramari MPHC

1 1 2 6 1 1 1

15 Santipur MPHC 1 1 2 6 1 1 1

16 Jarua MPHC 1 1 2 6 1 1 1

17 Dumordaha MPHC

1 1 2 6 1 1 1

18 Tamarhat MPHC

1 1 2 6 1 1 1

19 Satrasal MPHC 1 1 2 6 1 1 1

297

20 Bagribari SD 1 1 2 6 1 1 1

21 Medortary SD 1 1 2 6 1 1 1

22 Futkibari SD 1 1 2 6 1 1 1

23 Berbhangi SD 1 1 2 6 1 1 1

24 Jhowdanga SD 1 1 2 6 1 1 1


1 1 2 6 1 1 1

26 Bahalpur SD 1 1 2 6 1 1 1

27 Boterhat SD 1 1 2 6 1 1 1

28 Kakripara SD 1 1 2 6 1 1 1

29 Dhepdhepi SD 1 1 2 6 1 1 1

30 Moterjhar SD 1 1 2 6 1 1 1

31 Kachokhana SD

1

1

2

6

1

1

1

32 Lakhiganj SD 1 1 2 6 1 1 1

Total 9 23 17 20 53 34 90 114 10 22 10 22 10 22


Institutions

Instrument Cabinet

Labour Table with

foam mattress

Stand Light

Steel

Tray with lid

Toothed

Artery Forcep

PS Add Req

PS Add Req

PS Add Req

PS Add Req

PS Add Req

1 Dharmasala PHC

1

1

1

2

1

2 Raniganj PHC 1 1 1 1 2 1

3 Golakganj PHC 1 1 1 2 1

4 Gazarikandi PHC

1 1 1 1 2 1

5 Bilasipara SHC 1 1 1 2 5

6 Sapatgram SHC

1

1

1

2

1

7 Sadullabari SHC

1

1

1

2

1

8 Salkocha SHC 1 1 1 2 1


1 0 1 1 2 1

10 Gauripur CHC 1 1 1 1 2 1

11 Halakura CHC 1 1 1 1 2 1

12 Agomoni CHC 1 1 1 1 2 1

13 Mankachar CHC

1 1 1 1 2 1

298

14 Geramari MPHC

1 0 1 1 2 1

15 Santipur MPHC 1 0 1 1 2 1

16 Jarua MPHC 1 0 1 1 2 1

17 Dumordaha MPHC

1 0 1 1 2 1

18 Tamarhat MPHC

1 1 1 1 2 1

19 Satrasal MPHC 1 1 1 2 1

20 Bagribari SD 1 0 1 1 2 1

21 Medortary SD 1 0 1 1 2 1

22 Futkibari SD 1 1 1 1 2 4

23 Berbhangi SD 1 0 1 1 2 1

24 Jhowdanga SD 1 0 1 1 2 1


1 1 1 1 2 1

26 Bahalpur SD 1 0 1 1 2 1

27 Boterhat SD 1 1 1 1 2 1

28 Kakripara SD 1 0 1 1 2 1

29 Dhepdhepi SD 1 1 1 2 1

30 Moterjhar SD 1 1 1 2 1

31 Kachokhana SD

1

1

1

1

1

32 Lakhiganj SD 1 1 1 1 1

Total 10 22 21 21 11 21 20 42 20 19


Institutions

Bowls Needle Holder

Episiotomy Scissor

Dressing Drums

Tissue Forceps

Binocular Microscope

PS Add Req

PS Add Req

PS Add Req

PS Add Req

PS Add Req

PS Add Req

1 Dharmasala PHC

1

1 2

2

2

2

1

2 Raniganj PHC 1 2 2 2 2 1


4 Gazarikandi PHC

1 2 2 2

2 1

5 Bilasipara SHC 1 3 3 2 2 1

6 Sapatgram SHC

1

1

2

2

2

1

7 Sadullabari SHC

1

1

2

2

2

1

299

8 Salkocha SHC 1 1 2 2 2 1


1 2 2 2 2 1

10 Gauripur CHC 1 1 1 1 1 2 1 1

11 Halakura CHC 1 2 2 2 2 1

12 Agomoni CHC 1 2 2 2 2 1

13 Mankachar CHC

1 2 2 2 2 1

14 Geramari MPHC

1 2 2 2 2 1

15 Santipur MPHC 1 2 2 2 2 1

16 Jarua MPHC 1 2 2 2 2 1

17 Dumordaha MPHC

1 2 2 2 2 1

18 Tamarhat MPHC

1 2 2 2

2 1

19 Satrasal MPHC 1 1 1 2 2 2 1

20 Bagribari SD 1 2 2 2 2 1

21 Medortary SD 1 2 2 2 2 1

22 Futkibari SD 1 2 1 1 1 1 1

23 Berbhangi SD 1 2 2 2 2 1

24 Jhowdanga SD 1 2 2 2 2 1


1 2 2 2

2 1

26 Bahalpur SD 1 2 2 2 2 1

27 Boterhat SD 1 2 2 2 2 1

28 Kakripara SD 1 2 2 2 2 1

29 Dhepdhepi SD 1 1 1 2 2 2 1

30 Moterjhar SD 1 1 1 2 2 2 1

31 Kachokhana SD

1

1 1 2

2

2

1

32 Lakhiganj SD 1 1 1 2 2 2 1

Total 9 23 15 48 24 41 39 24 22 40 12 20

301

DG Set Requirement Format for Dist. Hospital, SDCH, FRU, CHC, BPHC, 24X7 PHC

Annexure B

Pt-II

Name of the District: Dhubri

Sl.No Name of the

Health Institution

No. of Delivery

09-10(upto Sep'09)

Make of DG Set

Capacity of DG

Set

Dt. of Installation

Source of Supply

Whether covered under AMC (Y/N)

Present Status of the DG Set Present

Requirement if any

Remarkas

Working Need repair

beyond economic

repair

1 Dhubri Civil

Hospital 2223 Kirlosker

30 KV & 14 KV

NA Govt N Y 1 30 KV

2 Dhubri Health & Maternity Centre

143 NA 5 KW NA Govt. Supply N Y Y Within

economic repair

1

3 Halakura CHC 1064 NA NA NA NA NA 1 1st Phase distribuion

4 Agomoni CHC 348 Kirlosker 8 HP 27-2-09

Govt. supply under NRHM scheme along

with newly labour room

Y Y Y Y 1 Low HP

Generator needed

5 Boterhat SD 105 NA NA NA NA NA 1

6 Satrasala MPHC 61 NA NA NA NA NA 1

7 Golakganj PHC 631 USHA 5 KV NA Govt. Supply NO Y N

302

8 Kachokhana SD 76 NA NA NA NA NO 1

9 Dhepdhepi MPHC 37 NA NA NA NA NO 1

10 Moterjhar SD 97 NA NA NA NA NO 1

11 Tamahat PHC 363 NA NA NA NA NO 1 1st Phase distribuion

12 Raniganj PHC 68 Honda 2.5 KV NA NRHM RKS

Fund Y Y N

Recently Purchased

13 Bilasipara SHC 564 NA NA NA NA No 1 1st Phase distribuion

14 Sapatgram SHC 118 NA NA NA NA No 1

15 Lakhiganj SD 78 NA NA NA NA No 1

16 Futkibari SD 34 NA NA NA NA No 1

17 Chapor FRU 358 Kirlosker 10 KV NA Govt No Y N

18 Salkocha SHC 45 NA NA NA NA NA 1

303

19 Bahalpur SD 17 NA NA NA NA NA 1

20 Gazarikandi BPHC 797 USHA 5 KV 23.7.07 Govt NA Y 1 10 KV

21 Mankachar CHC 388 NA NA NA NA NA 1 1st Phase distribuion

22 Dharmasala BPHC 246 Birla 12 KV Oct, 2009 Govt Y Y N

23 Gauripur CHC 164 Kirlosker 2.5 KV May, 2006 Govt NA Y 1 5 KV (1st

Phase distribuion)

305

Instittionwise requirement of Contractual manpower Annexure-C

SL NAME OF THE HEALTH

INSTITUTION Type of Institution

MO

MBBS AYUR GNM

1 Tamahat MPHC 24 x7 PHCs 1 0 2

2 Moterjhar SD 24 x7 PHCs 0 1 1

3 Kachokhana SD 24 x7 PHCs 0 0 1

4 Dhepdhepi MPHC 24 x7 PHCs 0 0 1

5 Berbhangi SD 24 x7 PHCs 0 0 3

6 Dumardaha MPHC 24 x7 PHCs 0 1 3

7 BATERHAT SD 24 x7 PHCs 1 0 2

8 SATRASAL MPHC 24 x7 PHCs 0 0 2

9 Geramari MPHC 24 x7 PHCs 0 0 3

10 S.Salmara CHC(Tumni) 24 x7 PHCs 0 0 4

11 Medortari SD 24 x7 PHCs 0 0 3

12 Jarua MPHC 24 x7 PHCs 0 0 3

13 Jhowdanga SD 24 x7 PHCs 0 1 3

14 Kakripara SD 24 x7 PHCs 0 0 3

15 Sadullabari SHC 24 x7 PHCs 0 0 3

16 Lakhiganj SD 24 x7 PHCs 0 0 1

17 Futkibari SD 24 x7 PHCs 0 0 3

18 Bagribari SD 24 x7 PHCs 0 0 3

19 Santipur MPHC 24 x7 PHCs 0 0 3

20 Salkocha SHC 24 x7 PHCs 0 0 2

21 Champabati MPHC 24 x7 PHCs 0 0 0

Total 2 3 49

306

266

Date post:	09-May-2018
Category:	Documents
Upload:	duongmien
View:	284 times
Download:	5 times

DISTRICT HEALTH SOCIETY DHUBRI, ASSAM. -...

Documents