District Health Society N.C.Hills. Assamrrcnes.gov.in/pdf_ppt_zip/assam_dhap__10-11_nc_hills.pdf ·...

NATIONAL RURAL HEALTH MISSION, N.C.HILLS 1

District Health Society

N.C.Hills. Assam


Chapter (1) Executive Summery:

The National Rural Health Mission seeks to provide accessible, affordable and quality health

care to the rural population especially the vulnerable sections and with a view to providing it to the

rural mass, the National Rural Health Mission (NRHM) was launched on 12th April,2005 through out

the country with special focus on 18 states including 8 Empowered Action Group (EAG) states, the

NE states, J&K, Himachal Pradesh.

Goals of the Mission

� Reduction in Infant Mortality Rate and Maternal Mortality Rate.

� Universalize access to public health services for Women’s health, Child health, water, hygiene,

sanitation, food & nutrition and universal immunization.

� 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 (Indian System of Medicine).

� Integration of existing vertical health Programmes.

� Promotion of healthy life styles.


Outcomes of the Mission

� Reduction in child and maternal mortality. � Universal access to the public services for food and nutrition, sanitation and hygiene and

universal access to the public health care services with emphasis on services addressing

women’s and children’s health and universal immunization.

� Preventing and control of communicable and non-communicable diseases, including locally

endemic disease.

� Access to integrate comprehensive primary health care.

� Population stabilization, gender and demographic balance.

� Revitalize local health traditions and mainstream AYUSH.

� Promotion of the healthy life styles.


Chapter (2) Background :

N.C. Hills District Map :-



District at a glance :- NAME OF DISTRICT:- NORTH CACHAR HILLS.

GEOGRAPHICAL LOCATION :

Longitudes :- 92037-93017 E

Latitudes :- 25030-25047 N

GEOGRAPHIC AREA :- 4,890 Sq. Km BOUNDARIES OF THE DISTRICT :-

East :- Nagaland & Manipur.

West :- Meghalaya & Part of Karbi

Anglong.

North :- Nagaon District.

South :- Cachar & Karimganj District.

DEMOGRAPHIC PROFILE :-

Total Population (2001 census) :- 1,88,079

Urban Population :- 59,435

Rural Population :- 1,28,644 ( 68.40%)

Projected Population (upto 2010) :- 2,18,215

Density :-38 per sq.km

Sex ratio :- 884 per 1000 male

Tribal Population :- 1,57,398

Non-Tribal population :- 51,546

B.P.L. Population :- 1,08,580

B. P. L. Families :- 21,716

No. of Tea Garden :- 2

Tea Garden Population :- 812

Total No. of Villages :- 859

No. of dwelling Houses :- 49,337


TYPE OF FOREST AND ITS AREATYPE OF FOREST AND ITS AREATYPE OF FOREST AND ITS AREATYPE OF FOREST AND ITS AREA----

1. Langting Mupa Reserve Forest :- 497.55 Sq Km.

2. Krungming Reserve Forest :- 124.42 Sq Km.

3. Barail Reserve Forest :- 89.83 Sq Km.

4. Hatikhali Manderdisa proposed

Reserve Forest :- 18.06 Sq Km.

5. Panimoor Proposed Reserve

Forest :- 28.70 Sq Km.

6. Borail Proposed Reserve Forest :- 17.60 Sq Km.

7. Unclosed State Forest :- 3854.00 Sq Km.

TRIBES OF N.C. HILLS :-

Dimasa, Zeme Naga, Hmar, Kuki, Karbi, Biete, Jayantia, Hrangkhol, Khelma & Vaipheri

ADMINISTRATIVE STRUCTURE (Under Autonomous Council) :-

Council :- 1

Sub-Division :- 2

Police Station :- 4

Development Block :- 5

Mouza :- 29

Village :- 859

Major Findings :-

- Most of the area of the district is covered by hills (about 95%)

- Most of the area is also covered by forest

- 2/3 of the population is tribal population


Chapter (3)

Process for plan preparation: 3.1 The Approaches :-

NRHM gives emphasis in community participation and need based service delivery with an improved

out reach to disadvantage and vulnerable communities with a view to ensuring that the DHAP represents

the voices of the comities needs; a process of committee involvement right from the village level to

district level is encouraged.

3.2 Introductory Workshop :-

4 days workshop at SIHFW Guwahati from 10th to 13th Nov,09 (state level) for the preparation of the DHAP. Following members of the District Planning Team were present in the workshop.. •CMO(CD) •DPM •DME

•DDM

•Dpty M&EO.

Formation of District Planning Team :-

With a view to prepare the DHAP, the district planning team was formed with the following members. These members were oriented on preparation of DHAP in the District level Workshop held in district office conducted by District Health Society, dated 30th Nov,09 at the office of the joint director, Haflong.

Joint Director of Health Services, N.C. Hills - Addl. C.M. & H.O. (FW), N.C. Hills - Superintendent, Haflong Civil Hospital, N.C. Hills - District Leprosy Officer, N.C. Hills - District Malaria Officer, N.C. Hills - Dist. Programme Officer, Blindness Control Programme,N.C. Hills - Programme Officer, NTCP, N.C. Hills - District Social Welfare Officer, ICDS, N.C. Hills - All Medical Officer i/c, Block PHC, N.C. Hills - District Programme Manager, DPMSU, N.C. Hills - District Media Expert, DPMSU, N.C. Hills - District Accounts Manager, DPMSU, N.C. Hills - District Data Manager, DPMSU, N.C. Hills - Block Programme Managers, BPMSU, N.C. Hills - Block Accounts Managers, BPMSU, N.C. Hills


Chapter (4)

Situation Analysis of the District –

4.1 Profile of the District :-

Template – 1

Sl. No

Background Characteristics

District State

Number % to total Number

1 Geographic Area (in Sq. Kms)

4,890 Sq. Km 6.23% 78,438 Sq. Km

2 No. of Blocks 5 1.47% 339

3 Size of Villages (2001 census) 859 0.03% 26,247

4 No. of Towns 1

5

Total Population (2001) 1,88,079 0.71% 2,66,55,528

- Urban 59,435 13%

- Rural 1,28,644 (68.40%) 87%

6 Sex Ratio 884 935

7 Density – Per Sq. Km. 38 339

8 Literacy Rate - Male - Female

67.62 % 75.67 % 58.39 %

63.25 % 71.28% 54.61 %

9

% SC Population 1.78% 6.86%

% ST Population 68.28% 12.41%

No. of Schools 900

10 % of villages having access to safe drinking water facility

584

11 % of households having sanitation facility 12,307

12 % of population below poverty line 57%

13 No. of Primary Schools 695

14 AWW 232

Source of Data :- Census, 2001


4 .2 Public Health Infrastructure :-

Source of Data :- Office of the Joint Director of Health Services, N.C. Hills

STRUCTURE OF HEALTH INSTITUTIONS : -

1) 1 No. of District Hospital : Haflong Civil Hospital.

2) 2 Nos. of C.H.C. : i) Umrangshu Rural Hospital

ii) Maibang Rural Hospital

3) 3 Nos. of Block P.H.C. : i) Mahur P.H.C

ii) Langting P.H.C.

iii) Gunjung P.H.C

4) The PH Duty and the Urban Health Centre : Functioning as an independent reporting unit covering 6

nos. of sub centres.

5) 2 Nos. other PHC : i) Harangajao P.H.C.

ii) Diyungmukh P.H.C.

6) 2 Nos. of State Dispensary : i) Jatinga State Dispensary

ii) Dihangi State Dispensary

7) 3 Nos. of Subsidiary Health Centre : i) Laisong SHC

Template – 2

Health Facility

Number

Government Building Rented

District Hospital 1

Medical College Hospital Nil

AYUSH Colleges & Hospitals Nil

Sub District Nil

Rural Hospitals 2

UFWC Nil

CHC including Identified FRUs 2

BPHC 3

Sector PHC (other PHC) 2

Sub centre 48 17

Ayurvedic Dispensary Nil

Homeopathic Dispensary Nil

State Dispensary 2

Subsidiary Health Centre 3


ii) Boro Arkap SHC

iii) Hajaidisa SHC

7) 65 Nos. of Sub-centers :

Name of BPHC

NAME OF PHC Sl. No

NAME OF SUB CENTRE

Mahur BPHC (32 Nos.)

MAHUR PHC (19 Nos)

1 Mahur PHC FW SC

2 Lasang FW SC

3 Pangmoul FW SC

4 Toulpi FW SC

5 Borowapu FW SC

6 Asalu FW SC

7 Boroleikek FW SC

8 P. Leikul FW SC

9 Dautahaja FW SC

10 N.Sangkai FW SC

11 Hangrum FW SC

12 Hereilo FW SC

13 Tungje FW SC

14 Laisong Bagan FW SC

15 Vongzol FW SC

16 Khanglum FW SC

17 Lodikuki FW SC

18 Leiri FW SC

19 Khangnam FW SC

PH DUTY (6 Nos)

1 Digrik FW SC

2 Samparidisa FW SC

3 Riachi Bangloo FW SC

4 Borohenam FW SC

5 Songpijang FW SC

6 Bongkhung FW SC

HARANGJAO MPHC (7 Nos)

1 Dittockchera FW SC

2 Boro Moulkoi FW SC

3 Kapurchara FW SC

4 Khobak FW SC

5 Mouldam FW SC

6 Pura FW SC

7 Retzawl FW SC

Gunjung BPHC (15 Nos.)

UMRANGSU CHC (5 Nos)

1 3 km FW SC

2 Lobang FW SC

3 Langku FW SC

4 N.Sanbar FW SC

5 Thingdol FW SC

GUNJUNG PHC (5 Nos)

1 Chotowapu FW SC

2 Thanalambra FW SC

3 Amrudisa FW SC

4 Dimadaowapu FW SC

5 Baigao FW SC


DIYUANGMUKH MPHC (5 Nos)

1 Digandu FW SC

2 Diyuangmukh FW SC

3 Thaijuwari Med SC

4 Langkula FW SC

5 Diuyangbra Med SC

Langting BPHC (18 Nos)

LANGTING PHC (7 Nos)

1 Manderdisa FW SC

2 Thaijudisabra FW SC

3 Mupa FW SC

4 Maibangdisabra FW SC

5 Borolalbong FW SC

6 Hatikhali Med SC

7 Mailu FW SC

MAIBANG CHC (11 Nos)

1 Warendisa FW SC

2 Natundisa FW SC

3 Kalachand Med SC

4 Khepre Med SC

5 Thingvom FW SC

6 Pedik FW SC

7 Simtuiluong FW SC

8 Bongkai FW SC

9 Semkher FW SC

10 Noblaidisa FW SC

11 Wajao FW SC

Reporting structure :- Sl. No.

Name of Block PHC Name of PHC / CHC Name of SD / SHC

1 Gunjung BPHC

Gunjung PHC Dehangi SD

Diyungmukh PHC

Umrangso CHC

2 Mahur BPHC Mahur PHC Boro-Arkap SHC, Laisong SHC

Harangajao PHC Jatinga SD

3 Langting BPHC Langting PHC

Maibang CHC Hajaidisha SHC


Manpower :- Human Resources in the District – Template – 3

Human Resources in the District :-

UNDER JT.DHS ESTABLISHMENTUNDER JT.DHS ESTABLISHMENTUNDER JT.DHS ESTABLISHMENTUNDER JT.DHS ESTABLISHMENT

Sl

No

Name of post In position Vacant Remar

ks1 Joint Director 1 Nil

2 CM & HO (CD) 1 0

3 Superintendent 0 1 Inchar

4 SDM & HO 9 7

5 Sr.M & HO 10 12

6 M & HO-I 11 6

7 M.O. (A) 9 2

8 Homeo

Physians

4 0

9 Pharmacist

10 LHV 3 2

11 GNM 30 11

12 ANM 24 0

13 SI(PH) 4 2

14 HE 7 0

15 RHI 4 0

16 HA 7 0

17 Vacc. 12 3

18 BCG(Tech) 6 0


NRHM staff:

UNDER ADDL.C.M.& H.O ESTABLISHMENT

Sl No Name of post In

positio

n

Vacant Remarks

1 Addl.C.M.& H.O. 0 1 Incharge

2 Sr.M & HO 1 2

3 M & HO-I 2 0

4 DEMO 1 0

5 Dy.E & M.O. 2 0

6 DPHN 1 0

7 S.I. 1 0

8 BEE 3 0

9 LHV 3 3

10 ANM 69 2

11 SW 2 0

12 FW 1 0

13 Lab.Tech. 1 0

14 Projectionist 1 0

15 Computor 2 1

UNDER D.L.O ESTABLISHMENT

Sl Name of post In Vacant Remar

1 D.L.O. 0 1 Inchar

2 N.M.S. 2 0

3 H.E. 1 1

4 N.M.A. 9 0

5 L.I. 6 0

6 Physio (Tech) 1 0

7 Pharmacist 1 0

8 Lab.Tech. 1 0

UNDER MALARIA ESTABLISHMENT

Sl Name of post In Vacant Remar

1 D.M.O. 1 0

2 A.M.O. 1 0

3 S.M.I. 1 0

4 M.I. 3 0

5 S.I. 3 4

6 S.W. 23 2

7 S.F.W. 2 0

8 MPW 9 (Cont)

9 Lab.Tech. 11 2

## Field Worker 4 1


Source of Data :- Office of the Joint Director of Health Services, N.C. Hills and Office of the Addl. Chief

Medical & Health Officer, N.C. Hills

Major Findings :- i) The district is lacking of man-power in regards to Medical Officers, specially

Allopathic. ii) Also shortage of GNM / ANM

Sl

No

Name of post In

positio

n

Vacant Remar

ks

1 D.P.M 1 0

2 Specialist 1 0

3 Consultant 1 0

4 M.O.(A) 5 0

5 D.M.E 1 0

6 D.A.M. 1 0

7 D.D.M 1 0

8 B.P.M. 4 0

9 Accountant

cum ABPM

4 1

10 B.A.M. 3 1

11 D.D.S.M 1 0

12 Pharmacist 3 0

13 R.H.P. 4 0

14 GNM 12 0

15 ANM 34 0

16 ASHA 187 0


4.3 Functionality of Health Facilities in terms of Critical Staff :- Template – 4

Sl. No

Critical staff Sanctioned In

Position Vacancy

District Hospital : Haflong Civil Hospital

1 Ob & Gy Specialties 1 1 0

2 Pediatrician 2 2 0

3 Anesthesist 1 1 0

4 Specialist in RTI / STI 1 1 0

5 Pathologist 1 1 0

6 Surgeon 2 2 0

7 General Duty Doctors (Male) 5 5 0

8 General Duty Doctors (Female) 5 5 0

PHC : All the 5 PHCs having one medical officer each. Only Mahur PHC has one no of MBBS Doctors, others having Ayurbedic Physicians.

SC : 65 Nos.

No. of ANM No. of SC Remarks

12 One 34

13 Two 31 One from NRHM

each


4.4 Logistics :- Template - 5

Logistics Elements Description

Availability of a dedicated District warehouse for health department

Rented warehouse

Stock outs any vital supplies in last year

Indenting Systems (from peripheral facilities to districts)

The district is following indenting system for supply of medicines & other items. The PHC / CHC give indent to the DMS and DMS use to supply items accordingly.

Existence of a functional system for assessing Quality of Vaccine

(i)General :

Features Yes No Steps to be taken

District has storage problem L Need new building as store

Supplies received from National Health Programmes (NHPs), RCH & other state resources are stored separately

L

Separate stock registers maintained for all supplies

L

Need to recognize the logistics function in the district to streamline storage of supplies (General)

L


ii) Cold Chain System : (at District) –

Features Yes No Steps to be taken

Facilities availability (ILR, Deep-freezer, Cold box, Vaccine, Carrier)

L

Supply of vaccines to periphripherals

L

Vaccine van available. L Available, but not suitable for hills


Analysis of activities ANC Coverage :-

Name of the

Institution

Target of

Pregnant

Women

ANC 1st trimester 3 rd ANC

Cumula

tive %

Cumu

lative %

Cumu

lative %

Mahur PHC 925 242 26.16 % 121 50 % 64 26.44 %

Harangajao

MPHC

657 211 32.12 % 30 14.21 % 19 9 %

Mahur BPHC

Total

1582 453 28.63 % 151 33.33 % 83 18.32 %

Gunjung PHC 535 96 17.94 % 16 16.67 % 46 47.92 %

Diyungmukh

MPHC

846 209 24.7 % 115 55.02 % 75 35.88 %

Umrangso CHC 892 329 36.88 % 33 10.03 % 78 23.7 %

Gunjung BPHC

Total

2273 634 27.89 % 164 25.86 % 199 31.38 %

Langting PHC 579 189 32.64 % 41 21.69 % 64 33.86 %

Maibang CHC 1013 220 21.72 % 88 40 % 11 5 %

Langting BPHC

Total

1592 409 25.69 % 129 31.54 % 75 18.77 %

Haflong Civil

Hospital

800 394 49.25 % 174 44.16 % 233 59.13 %

PH Duty 429 203 47.32 % 66 32.51 % 38 18.71 %

Grand Total 6676 2093 31.4 % 684 32.68 % 628 30%



Institutional Delivery

Name of the

BPHC

Name of the

Institution

2007- 08 2008 - 09 2009- 10 (Upto

Sept'09)

Haflong Civil Hospital

908 815 392

PH Duty

2 0 0

Mahur BPHC Mahur PHC 185 225 121

Harangajao PHC

(Including Jatinga SD)

156 193 131

Gunjung BPHC Gunjung PHC 48 0 0

Diyungmukh PHC 79 72 51

Umrangsu CHC 356 323 160

Langting BPHC Langting PHC 74 118 73

Maibang CHC 126 120 61

District Total = 1934 1866 989


JSY

Name of

the BPHC

Name of the

Institution 2007- 08 2008 - 09 2009 - 10

Haflong Civil Hospital 791 733 349

PH Duty 26 0 0

Mahur

BPHC

Mahur PHC 224 225 121

Harangajao

PHC 126 166 121

Jatinga

SD 34 26 10

Gunjung

BPHC

Gunjung

PHC 40 0 0


Diyungmukh

PHC 82 72 48

Umrangsu

CHC 398 313 152

Langting

BPHC

Langting

PHC 85 118 73

Maibang

CHC 228 117 45

District Total 2,034 1,770 919


STATUS OF DISTRICT DRUG WARE HOUSE

1. District Drugs Store Manager : Yes

2. Office Assistance cum Data Entry Operator : Yes

3. Desktop PC received from Amtron : Yes

4. 500 V A Office UPS received from Amtron : Yes

5. Barcode Printer received from Amtron : Yes

6. Barcode Scanner received from Amtron : No

7. Laser Printer received from Amtron : Yes

8. Computer Table received from Amtron : Yes

9. Computer Operetor Chair received from Amtron : Yes

10. Steel Almirah received from Amtron : Yes

11. Online Data Entry in Intergrated Drug

Management system started : No

12. Rented Drug Ware House : Yes

13. Racks for storing Medicine : Not Adequate.

14. Government Vehicle for transportation of Medicine : Yes

Requirement of Furniture & Fixers for newly rented Drug Ware House :-

1. Cup Board : 5 nos.

2. Godrej Almirah : 4 nos.

3. Racks ( 8 ft) : 50 nos

4. Ladder : 2 nos

5. I.L.R : 2 nos

6. New Building for District Drug Ware House ( DDWH) ( Rented House for Ware House as specified

by Government Norms not available).

________________________________


Training Infrastructure

ANM Training Centre :-

Template - 6

Input Features Yes Steps to be taken

Physical Infrastructure

ANM Training Centre -

* Lecture halls L

* Place for training facility L

* Residential accommodation for trainers

L

* Dinning hall L

* Furniture’s L

* Safe drinking water L

* Electricity L

Sanctioned In-Position

Faculty

* PNO 1 1

* Sister Tutor 1 2

* PHN 3 2

Teaching aids * Availability of Teaching aids L

Needs teaching aids, Audio visual aids, Computer

etc. * Computer L

4.5 BCC Infrastructure :- Template - 7

Human Resources for BCC :-

* District Media Officer Available

* Dy. Media Officer Available

* District Media Expert (NRHM) Available

Training in Media Planning or material development

a) IPC training of Dist. Media Officer & District Media Expert (NRHM) in Dec'06 in Guwahati

b) TOT on BCC & IPC for (NRHM) in Feb'07

Mass Media Audio Visual Aids

* Available Digital Camera, LCD Projector

* Not available Video Camera, VCD / DVD Player / TV


4.6 Private Health Facility in the District:-

Template – 8

Private Services Facilities Number and location in case of

sub district facilities

Multi-Specialty Nursing Homes

Nil

Solo Qualified Practitioners

Practitioners from AYUSH

Approved MTP centers in Private Sector

RMPs (Less than formal qualified practitioner)

Number of nursing homes with facilities for comprehensive emergency obstetric care

Accredited centers for sterilization service

Accredited centers for IUD Services

The district is not having up to-date Private Health facilities.

4.7 ICDS Programme :-

No. of AWW : 232

Previously active participation of ICDS workers were not observed in the Programmes implemented by Department of Health & Family Welfare. But gradually, the % of involvement is increasing specially in IPPI and Immunization Weeks. Also AWW are participating in organizing Health Day.


Template – 9

Sl. No

Name of the block with ICDS Programme

No. of AWCs CDPOs & ACDPOs

Supervisors AWWs AW Helpers

S F S IP S IP S IP S IP

1 Jatinga Valley ICDS Project, Mahur

84 84 1 Nil 4 4 84 84 84 84

2 Diyung Valley ICDS Project, Maibong

64 64 1 Nil 3 3 64 64 64 64

3 Diyungbra ICDS Project, Diyungbra

66 66 1 Nil 3 3 66 66 66 66

4 New Sangbar ICDS Project, New Sangbar

18 18 1 1 1 1 18 18 18 18

4.8 Elected Representative of PRIs :-

Major Findings :-

N.C.Hills district is under the Autonomous Council. The system of PRI is not available in the district.

Hence for public participation, the Goan-Burha’s of the concerned villages are involved.

4.9 NGOs & CBOs :- Template – 10 Major Findings :-

Names of MNGO Key Activities in Health / Nutrition / Community

organization F NGOs under MNGO

Gharoa MNGO

Health Care & Nutrition Family Planning , RCH activities

1. Rural area development agency. 2. Bosco reach out. 3. Paribesh Suraksha Samitty 4. Backward area development society.

Health Camp


4.10 Locally Endemic Diseases in the District :- Prevalence of Diarrhea in majority of the area in the district. Template – 11

Locally endemic disease Name of affected Blocks

Diarrhea, Malaria, RTI/ ARI, Skin Infection

Mahur, Langting, Diyangmukh, Umrangsu, Gunjung, Harangajao, Maibang


Chapter (5)

Progress made during 2005 to 2009 :

34 Nos. of ANM posted during 2006 to 2009.

• 12 Nos. of GNM posted in 2006 to 2009.

• 5 Nos.of MO ( Ayur) posted in 2007-09.

• 2 Nos.of specialist doctors posted during 2007- 09.

• Total 13 Nos. of Ambulances (8 from govt + 5 from NRHM )

• Both the CHCs for upgradation to IPHS ( going on ) during 2008-09

• Rural Health Block pooling complex at Maibang CHC going on.(2008-09)

• Construction of doctor qrt & nurse qrt at Umrangsu CHC, & Mahur PHC going on.(08-09)

• Construction of of doctor qrt & nurse qrt at Jatinga SD & Gunjung PHC going on.(08-09)

• 10 Nos. of new Sub centres constructed those were in rented house.

• Construction of 5 labour room in Gunjung PHC, Dehangi SD, Harangajao PHC completed in 2008

• and Hajaidisa in the year of 2009.

• Repairing and renovation works going on in the ANM training centre (2008-09).

• Construction of new GNM school at Haflong started.

• Gharoa as MNGO for the district selected in 2007-08.

• Health mela organized at Diyangmukh in April,07, at Hatikhali in April,08 at Umrangshu in Dec.09.

• Quarter repairing in 5PHC & in 2 CHC in 2008-09.

* Four RHP joined in 2009-10.

* Two MBBS doctors (1yr) joined in 2009-10.

* PPP for Holy Spirit Hospital, Haflong.

FUND STATUS FROM 2005FUND STATUS FROM 2005FUND STATUS FROM 2005FUND STATUS FROM 2005----09:09:09:09:

Year Fund Received Fund Utilized

2005 – 06 1,16,28,712.00 9,32,650.00

2006 – 07 2,23,36,200.00 1,28,69,852.50

2007 – 08 3,50,40,748.00 3,91,88,907.50 (Including previous

year unspent balance)


2008 – 09 4,88,45,091.76 2,55,81,236.31

2009 –10 4,37,88656.00 2,26,962,67.00 (up to 31st

December’2009 including Vertical

Programme & Bank Interest)

Family Welfare Performance:

Total of the district Target Achievement

Institutional Deliveries

1934 (07-08)

1549 (08 –09 upto Dec’08)

JSY Beneficiaries

2034 (07-08)

1453 (08 –09 upto Dec’08)

Sterilization 800 49 ((08-09 Upto Dec’08)

I.U.D. Insertion 440 257 (08-09 Upto Dec’08)

C.C. Users 300 231 ((08-09 Upto Dec’08)

O.P. Users 400 371 ((08-09 Upto Dec’08)


Chapter (6)

Indicative Format for current status & target :

4.10 4.10 4.10 4.10 Maternal Health Maternal Health Maternal Health Maternal Health ::::---- Template – 11

Indicators Performance

1998 – 99 2002 – 04

ANC 32.4 % 29.4 %

Full ANC 4.7 % 17.1 %

Institutional Delivery 7.8 % 7.9 %

Safe Delivery 19.4 % 13.9 %

* Source : RCH – RHS for 1998 -99 & 2002 - 04

4.11 4.11 4.11 4.11 Family Planning Family Planning Family Planning Family Planning ::::---- Template – 12


1998 – 99 2002 – 04

Unmet need 40.3 % 49.8 %

Permanent Sterilization 22 %

(2005 – 06) 14 %

(2006 – 07)

Contraceptive use 55 %

(2005 – 06) 49 %

(2006 – 07)

* Source : RCH – RHS for 1998 -99 & 2002 – 04 and Addl. CM & HO, N.C. Hills.

4.12 4.12 4.12 4.12 Child HealthChild HealthChild HealthChild Health ::::----

Template – 13


1998 – 99 2002 – 04

Full vaccination 6.9 % 1.1 %

No vaccination* 1.6 % 16.2 %

% of planned Immunization held 100% 100% Source : RCH – RHS for 1998 -99 & 2002 – 04 and Addl. CM & HO, N.C. Hills.


4.13 4.13 4.13 4.13 Disease Control ProgrammeDisease Control ProgrammeDisease Control ProgrammeDisease Control Programme ::::----

RNTCP, NVBDCP, NPCB, IDSP, NLEP, NIDDCP :RNTCP, NVBDCP, NPCB, IDSP, NLEP, NIDDCP :RNTCP, NVBDCP, NPCB, IDSP, NLEP, NIDDCP :RNTCP, NVBDCP, NPCB, IDSP, NLEP, NIDDCP :----

Major Findings :- (Programme wise)

� Malaria Programme :-

Indicators Year wise Prevalence (%) Inference

API for Malaria

2004 - 12.56 %

2005 - 12.63 %

2006 – 14.91 %

Comparative shows the

increasing rate of API; i.e. more

malaria cases.

SPR :-

Slide (+)ve Rate

2004 - 10.45 %

2005 - 10.69 %

2006 – 11.39 %

It also increasing

Plasmodium Falcipaums Rate

(PFR)

2004 - 18.98 %

2005 - 19.67 %

2006 – 24.99 %

PFR is more important factors as

it is highly increasing in the

district.

Blood slide collection &

Examined

2004 - 24,408

2005 - 24,195

2006 – 27,350

Figures shows that the coverage

is increasing to meet the

treatment.

No. of FTDs Total upto Feb'07 474 against

774 villages Yet to form FTD in every villages

* Source : Office of the District Malaria Officer, N.C. Hills.

� T.B. Programme :-

Indicators Year wise Prevalence (%) Inference

%of TB suspects examined out of

the total out patients

2003 – 1.98%

2004- 1.81%

2005 – 1.63%

2006 – 1.86%

Analyzed New smear positive

(NSP) case detection Rate

2003 – 42%

2004- 44.5%

2005 – 31%

2006 – 56%

Analyzed total case detection

Rate

2003 – 83.33%

2005 – 96%


Treatment success Rate

2003 – Nil

2004 – 85.89

2005 – 86.69

2006 - 8.56

* Source : DTC, N.C. Hills.

� Blindness Control Programme :-

Programmes Target (Annual)

Achievement Quantity

NBCP (Blindness control)

1000 Cases

of Cataract

Total Cataract cases Operated (06 – 07)

No. of Teachers imparted Training (upto

Feb’07)

Total No. of Student Screened (upto

Feb’07)

Cumulative cases (1996 – 2006)

106

75

109

378

* Source : Office of the Joint Director of Health services, N.C. Hills.

� Leprosy Control : -

Indicators Prevalence Rate Inference

PR/ 10,000

2003 - 04 : 17 2004 - 05 : 12 2005 - 06 : 20 2006 – 07 : 0.72 2007 – 08 : 0.48 (upto Dec’07)

ANCDR

2003 - 04 : 0.88 % 2004 - 05 : 0.62 % 2005 - 06 : 0.51 % 2006 – 07 : 0.96 % 2007 – 08 : 0.48 % (upto Dec’07)

It is decreasing.

New Case Detection 2003 - 04 : 17 2004 - 05 : 12 2005 - 06 : 10

It is also decreasing.

New Case Detection with deformity

2003 - 04 : 3 2004 - 05 : 1 2005 - 06 : 4

NCD is reducing, but deformity case rising.

RFT

2003 - 04 : 24 2004 - 05 : 8 2005 - 06 : 17 2006 – 07 : 14 2007 – 08 : 15 (upto Dec’07)

It is also reducing.


Cure Rate for per 1000

M.B.:- 2003 - 04 : 0.07 % 2004 - 05 : 0.05 % 2005 - 06 : 0.03% 2006 – 07 : 0.04 % 2007 – 08 : 0.029 % (upto Dec’07) P.B.:- 2003 - 04 : 0.01 % 2004 - 05 : 0.005 % 2005 - 06 : 0.07%

* Source : Office of the District Leprosy Officer, N.C. Hills.


Components of NRHMComponents of NRHMComponents of NRHMComponents of NRHM

Components included in the District Health Action Plan:-

a) RCH II / FW

b) New Intervention under NRHM

c) Immunization

d) Disease Control / Surveillance Programmes

e) Intersectoral Convergence

PART A: RCH II

Goal : To reduce maternal mortality rate.

Objectives: To increase full ANCs coverage from 30% (HMIS) to 70%.

Strategies:

To provide quality antenatal care to all pregnant woman by increasing the access through existing

Govt. facilities.

Activities:

1)Regular ANC services at SC level including VHND.

2) Tracking of missed/left out cases by ASHA.

3) To promote ANC through MAMONI scheme.

4) SBA training for ANMs.

5) Monitoring activity to be geared up.

Strategies :To provide quality antenatal care to all pregnant woman in inaccessible

and uncovered areas.

Activities:

1.The uncovered and inaccessible areas to be identified exactly to provide ANC

coverage regularly for conducting outreach sessions.

2. ANC through MMU.

Strategies - Quality improvement of the ANC.

Activities:

1.Training of ANMs/ LHVs and Doctors and GNM on Skilled Birth Attendance (SBA)

will be done.

2. Performance to be reviewed in monthly basis.


Strategies - To increase awareness amongst the mothers and communities about

the need of ANC.

Activities:

1.IEC activities for Mamoni Scheme.

2. ASHA to be involved as motivator.

3. VHND to be strengthened by monitoring.

Objectives: To increase institutional delivery to 70% from 40% (HMIS).

Strategies – Strengthening the govt.facilities.

Activities:

a). 1 BPHC, 3 SHC and 1 SD to be upgraded for 24x7 services.

b). Micro birth planning to be emphasized.

c). Posting of MBBS Doctors and staff nurses (GNM).

d). Repairing or Renovation in 3 SHC including the quarters.

Strategies - Social mobilization for institutional deliveries (Janani Suraksha Yojana)

Activities:

a. Janani Suraksha Yojana, will be continued wherein the entire pregnant woman will be given

incentives for institutional deliveries.

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

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

incentive under this Scheme as per GoI guidelines.

Strategies - Referral of obstetric emergencies

Activities:


a. Ambulance services with POL money to be maintained in all institutions.

b. The mothers and communities to be made aware about danger signs of pregnancy

and labour and need for referral by IEC/BCC.

Objective - To strengthen the Comprehensive obstetric care.

Strategies - To improve the comprehensive EmOC delivery in the

PHC, CHC and DH.

Activities:

a. All 5 PHC to be upgraded as per IPHS.

b. Requirement for Specialist (O&G, Pad, An,

Surgeon, Rad etc) to be fulfilled at 2 CHC and at least for

the 3 BPHC.

c. Multi skillig training of MO in Anesthesia &

EmOC to be done.

d. Maibang CHC to be upgraded to functional FRU

Objective: Ensuring safe home delivery through TBA.

Strategy: Ensuring clean delivery in home.

Activities: 1.Training of TBA in selected uncovered/inaccessible areas.

2.IEC/BCC activities for safe delivery.

Objective: To promote RTI/STI facilities.

Strategy1: Operationalize service for diagnosis & treatment at PHC,CHC & DH.

Activities: 1. To provide facilities for diagnosis & treatment at PHC,CHC & DH.

2. Laboratories to be made fully functional.

3. Training for ANM/Doctors & LT.

4. IEC/BCC for awareness about RTI/STI.

Objective: To improve safe abortion facilities & reduce unsafe abortion.

Strategy: Increase the access to safe abortion in govt.facilities.

Activities: 1. Institutions to be provided with requisite kits to provide safe MTP.

2.The doctors to be trained for MTP/MVA.

Child Health:

Goal: To reduce infant mortality rate.

Objectives: To improve new born care.


Strategies: Strengthening of health institutions.

Activities:

1. New born care units to be made functional.

2. SBA training for ANM/GNM to be completed.

3. Implementing IMNCI.

Strategy 2: To increase coverage of immunization from 40% to 70%(HMIS)

Activities:-

1.Training for micro planning at SC level.

2.Registration of all birth at SC level.

3.Fixed day services at SC level.

4.Strengthening cold chain.

5.Training for ANM/vaccine holders.

6.Conducting out reach sessions.

7.Strengthening monitoring activities.

Objective : To increase the use of ORS for mgt. of diarrhea.

Strategy 1. Communication strategy by IEC/BCC.

Activities: 1.Making posters,banners etc.

2.Health talk in VHND.

Strategy 2. Making ORS & Zinc tablets available in remote areas through depot holders (ASHA).

Activities: 1.Selection of depots.

2.Regular supply of ORS.

3.ORT corners to be made functional in the PHCs & CHCs.

4.Communication strategy through IEC/BCC.

Strategy 3: Training of health functionaries.

Activities: ORS uses under IMNCI training.

Objectives - Promote early breast-feeding and exclusive breast-feeding till 6 months.

Strategies -To increase awareness amongst mothers on benefits of breast-feeding upto 6 months

and need of complementary feeding from 6 month onwards.

Activities:

1) Communication 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.


2) District Media Experts will have to conduct KAP studies (Knowledge, Attitude and Practice) of

the lactating mothers of the Home Delivery cases in the areas where Exclusive Breast feeding

percentage is low. After identifying the harmful practices necessary BCC activities are to be planned.

3) While attending Health Day DMEs will have to conduct counseling session with the pregnant

women and lactating mothers to promote exclusive breast feeding.

4) Village Health and Sanitation Committees may also be involved for motivating pregnant women

and lactating mothers to promote exclusive breast feeding.

5) During Health Day pregnant women and lactating mothers are to be motivated for exclusive

breast feeding

Objectives – To reduce prevalence of anemia (6-35 months) .

Strategies – : To prevent and treat anemia in children.

Activities:

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. Under the present Assam Sarva Siksha Abhijan Mission

regular deworming of pre-school and school going children is being done.

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 and100 gm of

folic acid in liquid formulation.

d) Children 6-10 year old will be provided 30 mg elemental iron and 250 mcg folic acid per day

for 100 days in a year.

FAMILY PLANNING

Objectives – To meet the unmet need of contraception and increase Couple Protection Rate.

Strategies:

To raise awareness amongst the couples and communities about the

advantage of contraceptives and small family.

Activities:

Communication activities will be developed with help of AWW, ASHA, & FNGOs as per

need of the locality.


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

Strategies - Increase the number of service delivery points.

Activities

1. ASHA and AWW will act as depot holders. All the depot holders will be

provided with wider basket of choice (OCP, ECP, and Nirodh).

• 2.The ANMs will be trained for IUCD.

• 3. Fixed day for family planning counseling at the PHC, CHC, & DH will be done during

Antenatal and Post natal Clinic day, as fixed by the respective institutions.

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

Activities:

The DH where trained laparoscopic gynecologist is working will be considered as training centres

for laparoscopic training

Fixed day sterilization (Thursday) in the facilities once in every week in the District Hospitals.

ADOLESCENT HEALTH

Objective:

To introduce a comprehensive health initiative for adolescent.

To ensure the reproductive health and nutrition needs.

To reduce prevalence of anemia in adolescents.

Strategies:

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

• To prevent and treat anemia in adolescents.

• Activities:

1. Communication 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. to be included under IEC/BCC plan.

2. 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.

3. Counseling sessions have to be held at regular intervals at fixed sites for both adolescent boys

and girls separately. Counseling will be provided on the health days.

4. Alolescents will be supplemented with 30 mg elemental iron and 250 mcg folic acid per day for

100 days in a year

5. Special counseling and on the spot provision of IFA tablets to adolescent girls in order to prevent

anaemia.

6. Identification of counselors- Councelors will be taken taken up from either from existing health

personnel or from NGOs

7. Arrangement of training for counselors at district level.

8. A Nodal Officer at the district level preferably be identified- preferably SDM&HO School Health

may be entrusted the job.

9. Making functional Adolescent Clinic in 3 BPHCs and 2 CHCs.

10. Training of Schoolteachers on the basic knowledge of adolescent health.

11. Adolescent Health may be combined with school health.

• URBAN RCH

For rendering services to the urban uncovered areas :

Due to scattered population pattern & hilly terrain, there is a need for urban RCH centre. Though service

delivery is going on as PH Duty including the Urban health & FW centre near the office of the Jt.DHS,

Haflong, but no financial grant is coming to the institution. It covers a huge area including slum in lower

Haflong area. All FW programmes including Immunization is going on in the centre.So the unit should be

treated as a PHC.

Objective:


· To improve the Health status of urban poor community by provision of quality integrated primary

health care services.

• Strategies - Institution strengthening through creation of health posts.

• Activities:

• 1. Creation of health posts in rented house in the urban area. These health posts will be run

by a contractual ANM. This urban post will be similar to sub centre and the work plan of the SC to

be followed by the ANM.

2. Provision for hiring vehicle for monitoring sub centres.

3. Providing maintenance and untied fund to the institution

Part B: NRHM Additionalities

Objective : To provide quality health care services to the rural population

Strategies – Strengthening Village Health and Sanitation Committees (VHSC).

Activities:

1. VHSCs have been formed (180)

2. An untied fund of Rs 10000 to be provided to all the VHSC as annual grant.

3. Also to conduct health camps so as to render the services under NRHM and to

create awareness in the community to utilize the services of ASHA. Under their

supervision and co-operation Health Day to be conducted in each AWC monthly.

Strategies – Facilitating Involvement of ASHAs:

Activities:

1. Selection and training (phase I) of ASHA has already been

completed.

2. The 1st phase of 2nd, 3rd, & 4th & 5th modules of training have been completed.

3. Also refresher training to be imparted to all ASHAs.

4. Additional ASHAs (30) to be selected.

5. Incentive for ASHAs (FII,JSY etc.) to be continued.

Objective - : To strengthen the health institutions in terms of physical infrastructure


and manpower.

Strategies - Strengthening the Sub Centers by improving the physical infrastructure,

providing maintenance fund & by providing Addl. ANMs .

Activities:

1. Untied fund of Rs.10,000.00 is to be provided to 65 SC

2. Apart from untied fund, an annual maintenance grant of Rupees 10,000 will also be

available to every SC.

3. For this year new SC are proposed to construct which are at present functioning

at the rented houses..

4. Posting of one additional ANMs (41) in each sub-centre for better service coverage .

Strategies – Strengthening the PHCs by improving the physical infrastructure, providing maintenance & untied fund & by providing Addl. Manpower.

Activities:

1. All 5 PHCs is to be provided an amount of Rs.25,000.00 per PHC as an untied fund. These untied funds will be utilized for any local health activity for which there is a demand, for example, disinfection of water, buying medicines if there is a need in times of epidemics, and other minor works. These untied fund is released to the Hospital Management Committee (HMC), being operated by the member secretary (i/c PHC) of the HMC. These funds have been utilized for the following purposes:

i. Minor repair, whitewash of the hospital building

ii. Display of logo of NRHM

iii. Cleanliness & maintenance of toilets.

iv. Water supply etc. consumables of the hospital like gloves, regents, disinfectants etc.

2. In addition an annual maintenance grant of Rupees 50,000 will be available to 5 PHCs . Provision for water, toilets, their use and their maintenance, etc, has to be priorities. This fund is released to the Hospital Management Committee (HMC), being operated by the member secretary (i/c PHC) of the HMC. These funds have been utilized for the following purposes:

i. Facelift of the hospital building

ii. Minor repairing where ever required with approval of the management committee.

iii. Hospital consumables like gloves, regents, disinfectants. Chemicals for laboratory etc.

iv. The society engaged 1 (one) sweeper @ Rs 1000.00 for the cleanliness of labour room

and hospital premises.

v. Maintenance of running water supply and toilets.

vi. Maintenance of the generator and its POL.

3. additional quarters (one for MO and three for GNMs) for PHCs which are taken up 24X7 services @ 28.80 lakh per unit

4. Provision of three GNM in each PHC.


Strategies -: Strengthening the CHCs by improving the physical infrastructure, providing maintenance & untied fund &

by providing Addl. Manpower.

Activities:

1. Both the CHCs will be provided an amount of Rs.50,000.00 per CHC as an untied fund. These untied funds will be utilized for any local health activity for which there is a demand, for example, disinfection of water, buying medicines if there is a need in times of epidemics, and other minor works.

2. In addition an annual maintenance grant of Rs.1lakh will be available to 2 CHCs. Provision for water, toilets, their use and their maintenance, etc, has to be priorities

3. Physical infrastructures of CHC already under process.

4. Block pooling of quarters for medical officers. 1Cr. each for the Maibang CHC.

5. Contractual GNM required in both theCHCs, 4 GNMs per CHC (including one

PHN) @ Rs 7000.00 per month.

Strategies – Strengthening the District Hospitals by improving the physical

infrastructure.

Activities:

Physical infrastructure of the Haflong Civil Hospital should be improved by improving it to 200 bedded hospital.

Specialist doctors to be provided @ Rs 38000.00 per month.

Contractual GNM required in DH @ Rs 7000.00 per month.

Strategies - Strengthening the Rogi Kalyan Samitis / Hospital Management

Committees (HMS) by providing additional fund.

Activities:

HMC Will be provided additional fund as--

· District Hospital : 5 lakh

· 2 CHCs : 2X1 lakh= 2 lakhs.

· 5 PHCs : 5 X 1 lakh=5 lakhs

Strategies -: Organizing Health Melas

Activities:

1. These melas aim at providing quality services, with converging and integrated delivery of services for all segments of population.

2. Publicity- at least from 15 days before the start of mela through leaflets, hoarding, posters, wall writings, banners, film slides, video-vans, advertisements in newspapers.

3. Health cards to be printed locally.

4. Duty Chart of Doctors and other staff.


5. An enquiry office, with duty chart of doctors and other staff with layout map should be functional at least from 3 days before start of the mela.

6.Registration counters should be in more nos. so that the crowd is spread.

Strategies - : Support to Mobile Medical Units

(MMU)/ Health Camps

Activities:

For taking the health services to the doorstep, MMU is the best approach; thereby it will be possible to reach those unserved and uncovered areas. These MMU with specialized facilities like USG, X-ray etc. to be made operational in the districts

Objective: To strengthen the health institutions in terms of waste disposal.

Strategy: Ensuring waste disposal system in the health facilities.

Activities: 1.Training to all health staff completed 2.Fund to be provided. 3. Providing materials to the Institutions 4.Monitoring & reporting to be strengthened.


PART C: IMMUNIZATION

Goal : To reduce infant mortality rate.

Objectives: To increase the routine immunization coverage 40% to 70%(HMIS)

Strategy 1 :- To provide routine Immunization and Vitamin A supplementation to

all children by increasing the access to the existing govt. facilities.

Activities:

i) Registration of all birth sub centers wise to be ensured.

ii) Fixed day on every week in PHC / CHC/ Urban center and fixed day

immunization in all S/C .

iii) All the Health facilities will be provided with necessary logistic.

iv) Micro plan from SC level to District level to be prepared properly.

v) Monitoring activities to be strengthened.

vi) Training for micro planning at SC level.

Strategy 2 – Conducting immunization services session in uncovered areas.

Activities i)For all uncovered areas, additional ANM to be taken on contractual basis to provide immunization.

ii) Plan to be prepared with all logistics and fund.

Strategy 3 – To increase awareness amongst mothers & communities about

immunization & vitamin A supplement.

Activities - BCC activities will be development to raise amongst mother & communities

about need & importance of vaccines & its scheduled doses

Strategy 4 - Strengthening cold chain equipments and increase vaccine depot.

Activities

i) 3 Nos. of health centers (SHC) to be provided with Solar energy and small

refrigerator for storage of vaccine.

ii) Cold chain handler of all the Vaccine depot to be trained.


DISTRICT PROFILE :

Sourch of data: adl.CM & HO ofifce

INFRASTRUCTURE & STAFFING LEVELS :

Health Staff :

Position Sanctioned Posts

In-Position Proposed Addition

Trained in last 3 - years

Medical Officers 3 1 y

LHV (Female Multi-purpose Health Supervisor)

6 3 y

Male Multi-purpose Health Supervisor

3 3 y

ANM

(Female Multi-purpose Health Supervisor)

71 71 y

Male Multi-purpose Health Supervisor

y

Contractual ANM 27 y

Contractual GNM 8

Total Population (2001) 1,88,079

Projected Population (2007) 2,09,000

Rural % 68.40%

Urban % 31.60%

Infant Mortality Rate (IMR)

Below Poverty Line (BPL) 57%

Crude Birth Rate (CBR) 20.6%

Infant / year (2007) 4,849

Pregnancies / year 5768

Sub-Divisions 2

Block 5

Gram Panchayat Nil

Villages 859

Towns / Urban Areas 1


Dedicated Immunization Staff :

Position Sanctioned Posts In Position

Proposed Addition

Trained in last

3 - years

Dist. Immunization Officer 0 0 1 To be trained (newly joined)

District Statistical Investigator 1 1 1 To be trained on RIMS

Cold Chain Mechanic 0 0 1 To be trained on non CFC

Driver (dedicated to UIP vehicles)

8 8

Cold Chain Storage Points :

Cold Storage Point Total Number

Proposed Expansion

Proposed Replacement

District Store 1 1

ILR Storage Point 12 77

Total ILR 48 9

Total Deep Freezer 32 10

SERVICE DELIVERY IMPROVEMENTS :

Outreach and Mobile Services for Uncovered Slum Areas of N.C.Hills : Government of Assam is totally committed in building healthy people, not only by making available medical facilities at the door step of every citizen in the remotest corner of the State, but also by providing medical facilities of the highest order. Partnership with other agencies / organization (e.g ICDS, etc.) UIP related training conducted in the last 3 years :

Building Sanctioned Number

Functioning

With Functional Cold Chain Equipment

Sub-Center 65 65 V.C

Add’l PHC

or PHC(N)

PHC 5 5 ILR / D.F

Block PHC 3 3 ILR / D.F

CHC 2 2 ILR / D.F


Position Numbers

DIO (Mid Level Manager) 0

Mos

LHVs 6

ANMs 121

Others

.

As per guideline laid down, outline action points for implementing delivery scheme at Dist / Block level, justifying Dist. specific deviation from the establishment norms.

Total Projected Population : 2,18,215 1-2 years = 5019

Pregnant Women Target : 6314 2-5 years = 5281

Infant Target : 5598 5 – 10 years= 5324

Vaccination Sites : 410

Sub - Centers : 65

Village ; 790

ANM / MPHW : 93

Addl. ANM : 34

SERVICE DELIVERY IMPROVEMENT:

Mobilization of Children by ASHA: For every 410 sites we have got one ASHA/Link Worker per site. Invitation Cards (IPC Slip) to be printed and distributed to ASHA/Link Worker Missed children/ drop-out children are to be mobilized /invited by ASHA/Link Worker to reduce the drop-out. Tickler Pockets are also used to identify the missed infants. Payment of honorariums (Rs. 150 / month /site). Underserved Area: Planned for immunization sessions in urban slum areas / underserved areas of 118 sites by deputing ANM/ hired ANM. Rs.300/-as Honorarium and Rs. 50/- as contingency are to be paid to ANM for holding the session. In addition Rs.500/- per site to be provided for Alternate Delivery of Vaccine/Mobility of vaccinators.. Hard to Reach Area/ Unreached area :Difficult & hard to reach areas will be covered by Mobile-Team.. (i) Rs. 1000/- per site pm is to be provided for Alternate Delivery of Vaccine and mobility of Team.(ii) Rs. 300/- to be provided to Vaccinator and Rs. 50/- as organizational cost.


RECENT PERFORMANCE : YEAR : 2006- 07

ANTIGEN TARGET ACHIEVEMENT %

BCG 6267 4498 72%

DPT-1 6267 4690 75%

DPT-2 6267 4226 68%

DPT-3 6267 4003 64%

OPV-1 6267 4690 75%

OPV-2 6267 4226 68%

OPV-3 6267 4003 64%

Measles 6267 3849 61%

Fully Immunized 6267 4565 73%

TT-1 6893 3195 46%

TT-2+ Booster 6893 3112 45%

Session planned/Held 3132 2937 94%

YEAR : 2007- 08


BCG 4849 4259 88%

DPT-1 4849 4140 85%

DPT-2 4849 4126 85%

DPT-3 4849 3969 82%

OPV-1 4849 4140 85%

OPV-2 4849 4126 85%

OPV-3 4849 3969 82%

Measles 4849 4103 85%


TT-1 5768 4397 76%

TT-2+ Booster 5768 4392 76%


YEAR : 2008-09


BCG 4945 5470 111%

DPT-1 4945 5396 109%

DPT-2 4945 5240 106%

DPT-3 4945 5095 103%

OPV-1 4945 5396 109%

OPV-2 4945 5240 106%

OPV-3 4945 5095 103%

Measles 4945 4360 88%


TT-1 5884 4238 72%

TT-2+ Booster 5884 4465 76%


14

YEAR : 2009-10(April’09TO June’09)



BCG 5598 902 16%

DPT-1 5598 817 15%

DPT-2 5598 829 15%

DPT-3 5598 791 14%

OPV-1 5598 817 15%

OPV-2 5598 829 15%

OPV-3 5598 791 14%

Measles 5598 638 11%


TT-1 6314 859 14%

TT-2+ Booster 6314 770 12%


FULLY IMMUNIZATION PERFORMANCE FOR THREE YEARS (2006-07, 2007-08

, 2008-09,2009-10 (UP TO JUNE’09)

Sl.

No INSTITUTIONS

FULLY IMMUNIZATION PERFOMANCE

2006-07 2007-08 2008-09

2009-10

(Upto

June’09)

1 URBAN CENTRE 762 676 669 133

2. MAHUR PHC 863 729 656 73 3. CIVIL HOSPITAL 146 164 184 28 4. LANGTING PHC 439 423 354 73 5. MAIBANG CHC 646 602 632 74 6. GUNJUNG PHC 315 485 260 22 7. DIYUNGMUKH PHC 470 447 336 61

8. UMRANGSO CHC 473 388 480 57 TOTAL

4114 3914 3571 521

BCC/IEC Action Plan for the 2010-11

District Level Activities:

1) Training Programme: Quarterly awareness training on general diseases with special emphasis on Family

Planning Immunization to imparted to the HE, BEE & LHV for two days at the HQ of the district- Resource

Person: DMO. DME & DyEMO, Joint Director of Health services. Rs.10,000/- per training x 3= Rs.30,000/-

Block Level Activities: HE, BEE & LHV alongwith NGO to disseminate health related messages in the Health

Awareness Camp where health services will be providing to the mass in the villages and audio visual through LCD

projector will be shown to the public.


A).The HE,BEE & LHV will visit schools on School Health Days of the block first on Friday were health

awareness topic will be imparted to the pupil accordinglyJ primary section J ME, J High School topic will be

selected according to section nature of diseases prevailing in the district or local area. Audio Visual will be shown

to the students through LCD projector on health on Adolescent Health Routine Immunization, Safe Drinking

Water, Sanitation and leaflet will be distributed on the same topic.

Per Block HE will maintain records Rs. 2000/-will be utilized to perform the task.3x2000=6000 per

B). ANM, ASHA & BPM will conduct Health camps sensitize the villagers with Audio visual Aid on health.twice

a month on Wednesday.2x12=24No’s @300x24=Rs.7200/-

Budget for both Dist. & block Training Rs.43,200/-

3). Micking: Micking will be done a twice a month at the block market on general health or diseases pro to district

i.e, Malaria, Diarrhoea & JSY& Immunization local dialect. Per block Rs.500x2=Rs.1000/- will be utilized, BEE

will maintain register for holding the same.

Budget for Micking@3000x12=Rs.36,000/-

4). IEC Fare: IEC fare will be done once a year held at the block in the between September to

Nonember.Rs.70,000 x3=21,0000 will be spent.

Budget forIEC fare70,000 x3=Rs.2,10,000/-

5).). Information Board: Information Board 2x4sq ft printed on flex Family Planning at each Health Centre/Sub

Centre, Railway Stations, Bus Stand and Schools 30 per block.

30x3=90 Nos @2500=Rs225000/-

Budget for Information Board @2500x90=Rs.2,25,000/-

6). Hoardings: Hoardings 5x10sq ft. has to erected at the near the village bus stand an local dialect

BPM will take responsibility. 5 hoardings for each block.@ 12,000/- x5= Rs.60,000x3=Rs1,80,000/-

Budget for Hoardings 60,000x3=Rs.1,80,000/-

7) Drama& Street: On Tribal festival occasion drama will be conducted where on health related issue drama will

be played especially JSY,Immunization, Malaria,Diarrhoea, Family Planning.

Block level village of different Ethnic tribe of the district- 3 per block x3= 9 No’s.

@20,000 per blockx3=Rs.60,000/

Budget for Drama& Street @20,000x3=Rs.60,000/-

8). Airing on health awareness: Folklore to relayed form AIR Station Haflong in traditional Dialect having a

separate chunk in the programme schedule at least twice a week between 6pm to 9pm or awareness of on health in

programme schedule of in local Dialect. 2x12=24 times.@ 1,000x10=Rs.10,000/-.

Budget for airing and recording of artist per artist @1,000x10=Rs.10,000/-


9). Leaflet & broacher: Leaflet on JSY, Immunization, Malaria,Diarrhoea, Family Planning and information

broacher on facilities available in the District Hospital, PHC,CHC, SD.SHC and SC and other facilities in

connection to malaria, DOTS and other vector borne diseases. @30,000per block x 3= Rs.90,000/-

Budget for leaflet& 10). Documentation of Health related activities: All health related activities will be document in print and

electronic. BPM will be asked to document the activities at the block level. For which fund will be provided @

30,000/- per block x 3= Rs. 90,000/-.

11). News letter: News letter quarterly from the district @30,000x3=Rs.90,000/-

IEC/BCC Grant Total Budget for the year 2009-2010 is Rs.9,0000/-(Nine Lakhs only)

Supervision and Monitoring : ..

At Dist. Level Addl.CM&HO, DIO and other Dist.level Officers will monitor the Immunization Programme.. At Block PHC level Sr.Medical Officer will look after the Immm.programme and supervise the activity. In addition LHV, BEE, Multi-purpose Worker wii supervise the activity in 4 sites per month. VACCINE DELIVERY Dist. To PHC : As per Vaccine distribution route map, Vaccine will distribute from Dist.to PHC/CHC level cold-chain pt. by vehicle covering 3 PHCs per trip for one month.. For our District which is a hilly district we need 4 four wheel drive vaccine Van (TATA Mobile) . Also these Health Institutions viz.Laisong SHC,Boro-Arkap SHC & Hajadisa SHC Have no electric power supply hence for storage of vaccine and proper maintenance of cold chain Solar system fridge is required. Review Meeting District Level: Quarterly Review Meeting for MOs, ICDS, CDPO, BPM to be organized at District Level. The proposed fund provision is Rs. 100/- per participant.

PHC Level:

For quarterly feedback from ASHA and ANM, PHC level meeting to be organized quarterly..50/- per participants and Rs.25 for refreshment.


PART D : NDCP & Surveillance : - The following vertical programmes are implemented through National Disease Control

Programme -

1. Revised National Tuberculosis Control Programme (RNTCP)

2. National Vector Borne Diseases Control Programme (NVBDCP)

3. National Leprosy Eradication Programme (NLEP)

4. National Blindness Control Programme (NBCP)

5. National Iodine Deficiency Disorder Control Programme (NIDDCP)

6. Integrated Disease Surveillance Project (IDSP)

7. HIV / AIDS

1.National Vector Borne Diseases Contro Programme (NVBDCP)

DISTRICT BOUNDARY= EAST: NAGALAND & MANIPUR

WEST: MEGHALAYA & PART OF

KARBI ANGLONG.

NORTH:- NAGAON DISTRICT.

SOUTH:- CACHAR 7 KARIMGANJ

DISTRICT.

DENSITY:- (A) POPULATION (PER SQ. K.M.) :- 38

(B) NUMBER OF SUB-DIVISION :- 2

© NUMBER OF POLICE STATION :- 4

(d) NUMBER OF DEVELOPMENT BLOCK :- 5

TYPE OF FOREST AND ITS AREA:-

1. Langting Mupa Reserve Forest.:- 497.55 Sq K.M.

2. Krungming Reserve Forest :-124.42 ,,

3. Barail Reserve Forest :- 89.83 ,,

4. Hatikhali, Manderdisa :- 18.06 ,,

5. Panimur propose reserve :- 28.70 ,,

6. Brail propose Resrve Forest :- 17,60 ,,

7. Unclassed state Foresr:- :- 3,854.00 ,,

GEOGRAPHICAL LOCATION OF DISTRICT:-92æ%37 - 93æ% 17 E Longitudes & 25æ%30 - 25æ% 47 N Latitudes.


TRIBE OF DISTRICT:- (1) Dimasa, (2) Zeme Naga, (3) Hmar,

(4) Hrangkhol (5) Kuki, (6) Biete, (7) Jayangtia,

(8) Khelma (9) Karbi (10) Vaiphei.

BASIC INFORMATION:- 1. DISTRICT POPULATION:-

1. District Population :- 2,23,554.

2. Total Villages :- 792.

3. Total No.of Dwelling House :- 54,912.

4. Total No.of TEA Garden :- 2

5. TEA Garden Population :- 930

6. Tribal Population :- 1,64,095

7. Total No.of BPL Population :- 1,15,220

8 Total No.of BPL Families :- 23,684

9. Total No.of High Risk Population:- 1,92,326.

2. PUBLIC PRIVATE PARTNERSHIP:-

1. ARMY :- 1 (One)

2. C.R.P.F. :- 1 (One)

3. Assam Rifles :- 1 (One)

4. NGOs District level :- 2 (Two)

5. No.of Development Block :- 5 (Five)

6. No.of F.B.O :- 1 (One)

7. No.of Council M.A.C. :- 26

3. HEALTH INFRASTRUCTURE:-

1. Medical College :- Nil

2. Civil Hospital :- 1 (One)

3. Community Health Centre :- 2 (Two)

4. Total No.of P.H.C. :- 5 (Five)

5. Total No.of S. H. C :- 3 (Three)

6. No. of Mini P.H.C. :- Nil

7. No.of State Dispensary :- 2 (Two)

8. No.of F.W. Sub-Centre :- 65 (Sixty five)

1. MEDICAL OFFICER (STATE):-

1. Medical Officer State :- 35

2. Medical Officer (Others) :- 8

3. Medical Officer (A) :- 11

4. Homeopatic M.O :- 4

5. District Malaria Officer :- 1 (One)


6. Para Medical :- 1 (One)

7. Lab. Technician (Trained) :- 16

8. Lab.Technician (Un Trained) :- 10

9. Non Govt. Technician :- Nil.

5. NO. OF FEVER TREATMENT DEPOT CENTRE:-

1. No.of F.T.D Functioning :- 474 Centre

2. No.of F.T.D. Projected :- 375 ,,

3. No.of F.T.D. in remote and

inacessable areas :- 225 ,,

4. No. of A.S.H.A= :- 187 Nos.

STAFF POSITION OF DISTRICT MALARIA ERADICATION OFFICE,

HAFLONG/2009.

Sl Name of Post Sanctioned Position Vacant.

1 District Malaria Officer 1 1 Nil

2. Assistant Malaria Officer 1 1 -

3 Accountant 1 1 -

4. Uper Division Assistant 1 1 -

5. Store Keeper 1 1 -

6. Senior Malaria Inspector 1 1

7. Malaria Inspector 3 3 -

8. Surveillance Inspector 7 4 3

9. Surveillance Worker 26 26 -

10. Mechanic 1 1 -

11 Laboratory Technician 13 12 1

12 Driver 2 2 -

13 Superior Field Worker 2 2 -

14. Field Worker 5 4 1

15. Office Peon 2 2 -

16. Van Cleaner 2 1 1

17. Chowkidar 2 2 -

18 Sweeper 1 1 -

Note= Necessary required for:-

1. 1 (One) post create of L.D.Assistant (Technical)

2. 1 (One) post of Computer Assistant.

3. Increasing of Surveillance Worker existing 26 S.W is not sufficient due to

increasing of population day by day.


ANNUAL REQUIREMENT OF ANTI MALARIAL DRUG-2010-11.

Sl Name of Drugs Requirement.

1 Tab. Chloroquine 5,00,000 Tabs

2 ,, Paracetamol 4,00,000 ,,

3 ,, Primaquine 7.5 Mg 3,00,000 ,,

4 -do- 2.5 mg 2,00,000 ,,

5 ,, Quinine Sulphate 50,000 ,,

6 Syp. Chloroquine 5,000 Bottles

7 ,, Paracetamol 5,000 ,,

8 ,, Quinine Sulphate 3,000 ,,

9 Inj. Quinine Dihydrochloride 2 ml 5,000 Amles

10 ,, E-Mal- 2 ml 4,000 ,,

11 ,, Diclofenic Sodium 2,000 ,,

12 ,, D.N.S Syline 5,000 Bottles

13 ,, P.D. 5% Syline 5,000 ,,

14 I.V Sets 10,000 Nos

15 Cotton 1,000 Rolls

16 Microscope 13 Nos

17 Sprit Swap 3,00,000 ,,

18 Pricking Needle 3,00,000 ,,

19 Liquid Parafin 100 Bottles

20 Slide Box (Plastic) 5,000 Boxes.

21 Hand Compression Pump 50 Nos

22 Stirup Pump 20 ,,

23 Bucket 50 ,,

24 Mug 100 ,,

25 Fogging Machine 3 ,,

26 K.Othrine 1,000 Bottles

27 R.D.Kit 5,000 Nos

28 Malathion 30 Litres.

29 J.S.B. – I & II 2,000 Bottles

30 Disposable Syringe 5ml 1,00,000 Nos.

REQUIREMENT OF I.E.C. MATERIALS.

A. Requirement of Malaria Poster In different local language:-

1. Poster 10,000 Nos @ Rs.3/- =Rs.30, 000.00

B. Leaflet in Local Dfferents languages as follows:- 1. Dimasa Language 20000 copies @ Rs.1.00= Rs.20,000.00

2. Zeme Naga ,, 10000 ,, ,, =Rs.10,000.00

3. Hmar ,, 10000 ,, ,, =Rs.10,000.00

4. Kuki ,, 10000 ,, ,, =Rs.10,000.00

5. Hrangkhol ,, 5000 ,, ,, =Rs. 5,000.00

6. Biete ,, 10000 ,, ,, =Rs.10,000.00

7. Khasia ,, 5000 ,, ,, =Rs. 5,000.00

8. Karbi ,, 5000 ,, ,, =Rs. 5,000.00

9. English ,, 30000 ,, ,, =Rs.30,000.00

Total:- =Rs.1,05,000.00


C. Booklet in Local different languages as follows:-

1. Dimasa ,, 20000 Copies @ Rs.15/- =Rs.3,00,000.00

2. Zeme Naga 20000 -do- =Rs.3,00,000.00

3. Hmar ,, 10000 -do- =Rs.1,50,000.00

4. Kuki ,, 10000 -do- =Rs. 1,50,000.00

5. Hrangkhol 5000 -do- =Rs. 75,000.00

6. Biete ,, 10000 -do- =Rs.1,50,000.00

7. Khasia ,, 5000 -do- =Rs. 75,000.00

8. Karbi ,, 5000 -do- =Rs. 75,000.00

9. English ,, 30000 -do- =Rs.4,50,000.00

Tota l:- Rs.17,25,000.00

D. F.T.D Sign Board size 1x1½ (including wooden Frame) @ Rs.500/-

No.of required 500 Numbers =Rs .2,50,000.00

E. Hoarding size 20x10 @ Rs.29,100/-, Nos of Required 50 Nos.

=Rs,14,55,000.00

F. Wall Writing size 6x4 @ Rs.700/-, Nos of required 500 Nos.=Rs. 3,50,000.00

G. Advertisement for local daily news =Rs. 15,000.00

Total:- =Rs.20,70,000.00

Grand Total:- Rs.39,30,000.00

TRAINING

A. Training on Malaria for NGOs/Club/ASHA/AWW= 40 Nos. Training Camp Per Camp 30

participants for 2 days.

1. T.A. for Trainers (Lumsum) =Rs. 16,000.00

2. D.A for trainers per Head Rs.100/- for 2 days =Rs. 6,000.00

3. Honorium for Resource person 3x200 per day =Rs. 1,200.00

4. Helper 2 person x 100 =200 x 2 days =Rs. 400.00

5. Refreshment per members Rs.65x 40x 2 days =Rs. 5,200.00 (Including TEA, Lunch etc).

6. Cost of Pen ,Note Book =Rs. 1,200.00

7. Training Materials i.e Banner,Marker Pen etc =Rs. 1,000.00

8. POL Money (Lumsum) =Rs. 3,000.00

Total:- Rs.34,000.00

Grand Total Rs. 34,000/- Per camp X 40 Training Camp = Rs.13,60,000.00

B. Training of Health worker Male & Female 3 Camps of 30 perticipants

for 2 days= Fund required as above mention Rs.34,000/-x 3 camps =

Rs.1,02,000.00

(Total Fund required for 43 training camps Rs.14,62,000.00)


MALATHION FOGGING OPERATION AS FOLLOWS:-

1.Place of Operation:-1, Haflong Town, 2. Maibong,

3. Umrangso.

(A) Haflong Town Area. (I) Malathion require :- 20 litres.

(II) Disel Oil 400 litre for fogging machine

@ Rs. 36/- per litre =Rs. 14,400.00

(III) Petrol Oil 100 litres for fogging

machine starting @ Rs.55/- =Rs. 5,500.00

(IV) Tourch Cell Battery Rs. 800.00

(VI Cost of Plastic Gallon 10 litre

capacity @ Rs.100/-per No .=Rs. 200.00

(VI) Disel Oil for Vehicle used

300 litres @ Rs.36/- per litre = Rs. 10,800.00

(VII) Labour charges = Rs. 5,000.00

(VIII) Miselaneous expences if any required

at fogging time= Rs. 10,000.00

Total:- Rs. 46,700.00

Maibong Town area .

(I). Requirement of Malathion 10 litres

(II). Disel Oil 200 litres for Fogging Machine @ Rs.36/- per litre:-Rs. 7,200.00

(III). Petrol Oil 50 litres for fogging starting @ Rs.55/- per litre= Rs. 2,750.00

(IV). Tourch Cell BAttery:- Rs. 500.00

(V). Disel Oil 150 litres for Vehicle @ Rs.36/- per litre:- Rs. 5,400.00

(VI) Labour charges:- Rs. 3,000.00

(VII). Hire of Vehicle charges @ Rs.1500/- per for 10 days:- Rs 15,000.00

(VIII). Cost of material for fogging operation time:- Rs. 5,000.00

Total:- Rs.38,850.00

3. Umrangso Town Area.

(I). Requirement of Malathion 10 litres

(II). Disel Oil 200 litres for Fogging Machine @ Rs.36/- per litre Rs. 7,200.00

(III). Petrol Oil 50 litres for fogging starting @ Rs.55/- per litre= Rs. 2,750..00

(IV). Tourch Cell BAttery:- Rs. 500.00

(V). Disel Oil 150 litres for Vehicle @ Rs.36/- per litre:- Rs. 5,400.00

(VI) Labour charges:- Rs. 3,000.00

(VII). Hire of Vehicle charges @ Rs.1500/- per for 10 days:- Rs. 15,000.00

(VIII). Cost of material for fogging operation time:- Rs. 5,000.00

Total:- Rs.38,850.00

(Grand Total Rs. 1,24,300/- Ruppes One Lakh twenty four thausand three hundred) only.


1st ROUND D.D.T. SPRAYING COMPLETION REPORT OF N.C.HILLS DISTRICT

FOR THE YEAR 2009.

Sl.

No.

Name of

PHC

Populatio

n

Date of

Village

Town

Population

Commence

ment

Completion Tar

gete

d

Co

ver

ed

Tar

get

ed

Co

ver

ed

Targete

d

Attemp

t

Target

Covered

%

1. Mahur 33,729 15/02/2009 30/04/2009 126 39 - - 33,729 33,729 8,780 25%

2. Langting 55,121 15/02/2009 30/04/2009 229 68 1 1 55,121 55,121 20717 38%

3. Gunjung 11,803 15/02/2009 30/04/2009 59 42 - - 11,803 11,803 9172 78%

4. Harangajao 68,951 15/02/2009 30/04/2009 208 121 1 1 68,951 68,951 41432 60%

5. Diyungmuk

h

53,950 15/02/2009 30/04/2009 170 69 - - 53,950 53,950 23101 43%

District:- 2,23,554 15/02/2009 30/04/2009 792 339 2 2 223554 223554 103202 46%

Human dwelling Room D.D.T.

50%

Consumed

Per

Capita

consumed

in grams

Number of

squad

No. of

days

consumed. Targe

ted

Attempt

Target

Cover

ed

%

Targeted Attempt

Target

Covered

%

Sanc

tione

d

utili

sed

7937 7,937 1,757 22% 12,781 12,781 4146 32% 673 Kgs. 76.75

grams

1

1

450 days

13545 13545 3,547 26% 25,065 25,065 9,122 36% 1557 Kgs 75.15

Grams

2

2

900 days

3520 3520 2,705 77% 5,347 5,347 4,156 78% 690 Kgs 75.22

Grams

1

1

450 days

14547 14547 11603 80% 42,994 42,994 27,995 65% 3123 Kgs 75.37

Grams

4

4

1,800

days

15366 15366 7,412 48% 30,672 30,672 11,471 37% 1744 Kgs 75.49

Grams

2

2

900 days

54915 54915 27024 49% 1,16,859 1,16,859 56,890 49% 7,787 Kgs 75.45

Grams

10

10

4500 days

N.B.:- 1. Insecticide Balance in Hand before starting of Spray :- 7,392 Kgs.

2. Insecticide received during 1st Round :- 30,000 Kgs.

3. Expenditure during 1st round :- 7,787 Kgs.

4. Balance in Hand :- 29,605 Kgs.


2nd

ROUND D.D.T. SPRAYING COMPLETION REPORT OF N.C.HILLS DISTRICT FOR

THE YEAR 2009.

Sl.

No.

Name of

PHC

Populatio

n

Date of

Village

Town

Population

Commenc

ement

Completio

n

Targe

ted

Cover

ed

Tar

get

ed

Co

ver

ed

Targeted Attempt

Target

Covered

%

1. Mahur 33,729 18-05-09 31-07-09 126 38 - - 33,729 33,729 11,586 34%

2. Langting 55,121 18-05-09 31-07-09 229 63 1 1 55,121 55,121 24,347 44%

3. Gunjung 11,803 18-05-09 31-07-09 59 39 -- -- 11,803 11,803 7,869 67%

4. Haranga

jao

68,951 18-05-09 31-07-09 208 89 1 1 68,951 68,951 46,857 68%

5. Diyungm

ukh

53,950 18-05-09 31-07-09 170 88 -- -- 53,950 53,950 23,469 43%

District:- 2,23,554 18-05-09 31-07-09 792 317 2 2 2,23,554 2,23,554 1,14,128 51%

Human dwelling Room D.D.T.

50%

Consumed

Per

Capita

consu

med in

grams

Number of

squad

No. of

days

consumed. Targeted Attempt

Target

Covered

%

Targeted Attempt

Target

Covered

%

Sanc

tione

d

utili

sed

7,937 7,937 2,083 26% 12,781 12,781 4,512 35% 881

Kgs.

76 gm 1 1 450 days

13,545 13,545 5,055 37% 25,065 25,065 11,890 47% 1844 Kgs 75.73 2 2 900 days

3,520 3,520 2,515 71% 5,347 5,347 3,736 70% 598 Kgs 75.99

Grams

1 1 450 days

14,547 14,547 10,196 70% 42,994 42,994 28,516 66% 3544 Kgs 75.63

Grams

4 4 1,800

days

15,366 15,366 6,578 43% 30,672 30,672 9,673 31% 1779 Kgs 75.80

Grams

2 2 900 days

54,915 54,915 26,427 48% 1,16,859 1,16,859 58,327 50% 8646 Kgs 75.75

Grams

10 10 4500 days

N.B.:- 1. Insecticide Balance in Hand before starting of Spray :- 29,605 Kgs.

2. Insecticide received during 2nd

Round :- NIL

3. Expenditure during 2nd

round :- 8646 Kgs.

4. Balance in Hand :- 20,959 Kgs.


P R O F O R M A-B

PLAN OF SPRAY OPERATION FOR THE YEAR-2008-09 BASED ON STRATIFICATION OF AREAS BASED ON

SECTION-WISE API GROUPING

SPECIAL EPIDEMIOLOGICAL STATUS & GEOGRPHICAL LOCATION AS PER (MPO).

1. Name of District:-N.C.Hills 2.Total Population of the district as per 2008 NVBDCP Census=2, 19,361 Area:-Under East while attack/Consolidation & maintenance phase.

Total

No.of Phc

in the

District

No.of

PHC,s

involved

in DDT

spray.

Total

No.of

Section of

the

District.

Total No.of

Population of the

district as per 2006

NVBDCP

Surveillance

Census.

Nos of population of the District on the basis of API grouping (as was prepared earlier).

API below-2 API 2-9 API 10-19 API 20 & above.

Sub-

Centre

Populatio

n

Sub-

Centre

Populatio

n

Sub-

Centre

Populatio

n

Sub-

Centre

Population

5 5 26 2,19,361 7 17973 37 107832 23 41902 10 51654

Nos.of Sub-Centre wise & Population targeted for DDT spray 2008-09 in the basis of Section wise

API grouping special Epidemiological status & geographical. Requirement of spray squads for 2010-11 spray

API Below -2 API 10-19 API 20 above Total target for 2010 At the rate of 52

squads per million

population (SFW-

52) FW-260 per

million population.

Actual

requirement

based on out

put per local

need.

Sub-

Centre

Populati

on

Sub-

Centre

Population Sub-

Centre

Populati

on

Sub-

Centre

Populati

on

Sub-

Centre

Populati

on

7 17973 37 1078342 23 41902 10 51654 70 201388 10 Squad 20 Squad

Requirement of DDT spray Pumps etc.for 2010 -11. spray. Position of stirrup & H.C. Pumps.

Requirement of

DDT 50% @ 150

M.T per million

population for two

round

Stock balance in

hand as on 31-10-

09 (in Kgs) i.e

carried over to

2010.

Consignment due

to received against

alloted for 2009-

10.

Further

requirement

DDT

(Excluding

balance Stock)

Requirement of

Stirup @ 2 H.C

@ 3 per squad.

No.of

Serviceable.

No.of

reparrable.

Further

requirement

30 MT

20959 Kgs.

Nil

10 M.T

ST

H.C

S.T

H.C

S.T

H.C

S.T

H.C

-

60

-

36

-

87

-

50


Sub-Centre wise API from 2007 to 2008 Indicated

the highest

API Sub-

Centre for

2007-08

Sub-Centre wise API from 2007 to 2008 Indicated the

highest API

Sub-Centre

for 2007-08

Sl Name of Sub-Centre 2007 2008 Sl Name of Sub-

Centre

2007 2008

1.

2.

3.

4.

5.

6.

7

8

9.

10.

11.

12.

13.

14.

151

6

Kapurchera

Boro Muolkoi

Muoldam

Khobak

Ditokchera

Harangajao PHC

Songpijang

Digrik

Rachibanglo

Buangkung

Boro Chenam,

Sampharidisa

Haflong Urban Pura,

Retzol

Jatinga S.D.

08.55

08.32

06.35

05.13

05.75

46.49

02.00

06.47

03.26

10.22

05.18

02.15

12.80

09.52

04.44

04.65

01.22

08.76

09.16

08.67

10.70

18.05

02.51

03.21

03.63

10.76

11.25

03.80

06.69

11.62

06.18

02.37

08.55

08.76

09.16

08.67

10.70

18.05

02.51

06.47

03.63

10.76

11.25

03.80

12.80

11.62

06.18

04.65

1

2

3

4

5

6

7

Choto Wapu

Thanalambra

Gunjung PHC

Dimadao Wapu

Dihangi

Baigao

Amrudisa

05.25

16.26

30.65

11.08

20.23

04.63

11.78

02.60

04.08

02.45

05.41

05.34

04.56

03.42

05.25

16.26

30.65

11.08

20.23

04.63

11.78

1

2

3

4

5

6

7

8

9

10

11

Digendu

Langkula

Thaijuari

Diyungmukh PHC

3 Kilo

Umrangso CHC

Longku

Lobang

DiyungmukhF.W

New Sangbar

Thingdol

07.66

03.32

01.00

64.79

26.72

19.78

04.80

16.70

05.02

05.16

10.83

34.11

18.67

34.97

62.88

28.94

28.93

20.49

26.69

29.66

02.33

05.94

34.11

18.67

34.97

64.79

28.94

28.93

20.49

26.69

29.66

05.16

10.83

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

Laisong Bagan

Tungje

Hangrum

Tualpui

Dautohaja

Vongzol

Khonglung

Boro Leike

P.Leikul

Lasang

Asalu

Pangmual

Boro Wapu

Khangnam

Hereilo

Lodi Kuki

N. Songkai

Leiri

Boro Arkap

Mahur PHC

Mahur FW

Laisong SHC

05.25

32.63

01.17

03.92

04.12

-

00.75

25.00

38.56

32.09

32.09

43.66

20.03

09.70

02.11

04.95

06.76

06.60

06.50

10.63

39.85

03.61

06.88

13.16

03.12

05.77

04.99

06.47

03.71

17.97

16.30

13.52

04.47

19.27

15.31

09.61

10.41

11.43

11.64

08.85

09.98

13.31

17.85

06.63

06.88

32.63

03.12

05.77

04.99

06.47

03.71

25.00

38.56

32.09

32.09

43.66

20.03

09.61

10.41

11.43

11.64

08.85

09.98

13.31

39.85

06.63

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

Lalbong

Thaijudisabra

Mailu

Langting

Landerdisa

Hatikhali

Maibongdisabra

Mupa

Wajao

Thingvom

Wadrendisa

Noblaidisa

Pidik

Notundisa

Maibong CHC

Bongkhai

Simtuilung

Semkhor

Khepre

Kalachand

Hazadisa

20.90

12.53

04.90

17.83

08.57

02.54

13.78

06.21

01.77

03.36

01.52

01.14

03.93

03.52

05.06

04.11

03.13

01.52

03.66

11.29

01.44

13.43

11.46

05.22

26.58

09.17

02.87

12.06

06.11

00.81

04.38

01.49

01.13

03.86

02.89

03.61

02.68

03.07

01.50

03.55

01.01

01.14

20.43

12.53

05.22

26.58

09.17

02.87

13.78

06.21

01.77

04.38

01.52

01.14

03.93

03.52

05.06

04.11

03.13

01.52

03.66

11.29

01.44

District Malaria Officer,

N.C.Hills, Haflong.

Sl

Name of Sub-Centre API

Above 30

API Above 30

Population

Sl Name of Sub-Centre Api Above 2-10

Population

1

2

3

4

Diyungmukh FW

Digendu

Thaijuari

Diyungmukh PHC

3085

2995

6147

5026

16

17

18

19

20

21

BoroMualkoi

Khobak

Retzol

Jatinga

Choto Wapu

Thanalambra

1483

807

1155

5054

1919

2051 Sl Name of Sub-Centre Api Above 19-30

Population


1

2

3

4

5

6

Pangmual

Longku

3 Kilo

Lobang

Umrangso CHC

Langting PHC

467

2537

4318

824

19973

6282

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

Thingdol

Amrudisa

Dimadao Wapu

Baigao

Sangbar

Dihangi

Gunjung PHC

Mailu

Manderdisa

Hatikhali

Mupa

Khepre

Bongkhai

Pidik

Thingvom

Simtuilung

Notundisa

Maibong CHC

841

1168

923

1095

2145

1684

3264

2873

1526

5573

1144

1407

745

1036

913

975

1725

10796

Sl Name of Sub-Centre API 9-20

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

Lasang

Boro Wapu

Boro Leike

P.Leikul

P. Songkai

Hereilo

Tungje

Lodi Kuki

Khangnam

Mahur FW

Mahur PHC

Boro Chenam

Buangkung

Ditokchera

Mualdam

Pura

Harangajao PHC

Langkula

1849

653

445

736

601

480

436

612

520

560

11262

800

650

3830

982

448

8639

3480

Sl

Name of Sub-Centre

API 0-2

Population

1

2

3

4

5

6

7

Kapurchera

Wajao

Noblaidisa

Hazadisa

Kalachand

Wadrendisa

Semkhor

1222

1161

3518

3480

3926

2675

1991 Sl Name of Sub-Centre API 2-10

Population

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

Tualpui

Asalu

Dautohaja

Hangrum

Laisong (Bagan)

Vongzol

Khonglung

Leiri

Laisong SHC

Boro Arkap

Songpijang

Digrik

Sampharidisa

Rachibanglo

Haflong Urban

1559

1340

2201

2565

1162

927

1347

462

1958

1402

3579

3729

2628

2201

30421

1

PHC WISE EPIDEMIOLOGICAL INFORMATION 2005 TO 2008.

Name of PHC

Year

Population

BSC/BSE

ABER

Total

Malaria

case

PF

Cases

API

SPR

SFR

Death due

to malaria

Mahur PHC

2005 29,725 3196 10.75 373 339 12.54 11.67 10.60 NIL

2006 30,435 3271 10.74 321 280 10.54 9.81 8.56 NIL

2007 32,855 4201 12.78 355 315 10.80 8.45 7.49 NIL

2008 33,544 4964 14.79 338 291 10.07 6.80 5.86 2

Langting PHC

2005 52,554 8802 16.74 503 499 9.57 5.71 5.66 NIL

2006 53,425 7729 14.46 566 565 10.59 7.32 7.31 1

2007 53,943 8386 15.54 307 304 5.69 3.66 3.66 NIL

2008 54,721 7090 12.95 339 334 6.19 4.78 4.71 NIL

2005 14,471 722 4.98 21 20 1.45 2.90 2.77 NIL


Gunjung PHC

2006 14,761 1205 8.16 258 256 17.47 21.24 21.24 NIL

2007 14,875 803 5.39 165 165 11.09 20.54 20.54 NIL

2008 15,083 766 5.07 56 55 3.71 7.31 7.18 NIL

Harangajao PHC

2005 62,225 5061 8.13 984 526 15.81 19.44 10.39 NIL

2006 63,418 5309 8.37 740 445 11.66 13.96 8.38 NIL

2007 65,352 5978 9.14 888 588 13.58 14.85 9.83 NIL

2008 67,628 5090 7.52 511 358 7.55 10.03 7.03 NIL

Diyungmukh PHC

2005 45,816 6414 13.99 706 583 15.40 11.00 9.08 NIL

2006 46,905 9836 20.97 1231 953 26.24 12.51 9.68 NIL

2007 47,479 7631 16.07 1023 698 21.54 13.40 9.14 NIL

2008 48,385 10175 21.02 1598 1331 33.02 15.70 13.08 NIL

District Total

2005 2,04,791 24,195 11.81 2587 1962 12.63 10.69 8.10 NIL

2006 2,08,944 27,350 13.08 3116 2499 14.91 11.39 9.13 1

2007 2,14,504 26,999 12.58 2738 1989 12.76 10.14 10.14 NIL

2008 2,19,361 28,085 12.80 2842 2369 12.95 10.11 10.11 2

C-2

HIGH RISK AREAS BASED ON THE EPIDEMIOLOGICAL DATA

Sl.

No.

Name of PHC No. of High risk

Sub-centre

No. Of High risk

Village

High risk

Population

Tribal

Population

1.

GUNJUNG

9

68

14,947

14,594

2.

DIYUNGMUKH

9

158

48,183

34,364

3.

LANGTING

17

222

52,091

43,643

4.

HARANGAJAO

16

206

64,271

44,122

5.

MAHUR

22

124

32,216

27,372

DISTRICT TOTAL:-

73

778

2,11,708

1,64,096

C-3

SUB-CENTRE WISE EPIDEMIOLOGICAL INFORMATION 2007-2008.

Name of

PHC

Name of

Sub-Centre

Year

Population

BSC/BSE

ABER

Total

Malaria

Case

PF

Cases

API

SPR

SFR

MA

HU

R P

HC

Lasang

2007 1153 120 10.4 37 33 32.09 30.83 27.5

2008 1849 135 7.30 25 20 13.52 18.51 14.81

Taulpui

2007 1527 51 3.33 6 6 3.92 11.76 11.76

2008 1559 102 6.54 9 8 5.77 8.82 7.84

Borowapu

2007 599 130 21.7 12 12 20.03 9.23 9.23

2008 653 136 20.80 10 10 15.31 7.35 7.35

Asalu

2007 1318 129 9.78 31 28 23.52 24.03 21.70

2008 1340 77 5.74 6 5 4.47 7.79 6.49

Boro leikek

2007 440 50 11.36 11 11 25 22 22

2008 445 65 14.60 8 8 17.97 12.30 12.30

P.Leikul

2007 726 93 12.8 28 23 38.56 30.1 24.73

2008 736 82 11.14 12 10 16.30 14.63 12.19

Dautohaja

2007 2184 134 6.13 9 8 4.12 6.71 5.97

2008 2211 145 6.58 11 10 4.99 7.58 6.89

P.Songkai

2007 589 63 10.69 4 4 6.79 6.34 6.34

2008 601 65 10.81 7 7 11.64 10.76 10.76


Hangrum

2007 2559 104 4.06 3 3 1.17 2.88 2.88

2008 2565 128 5.00 8 8 3.12 6.25 6.25

Hereilo

2007 472 13 2.75 1 1 2.11 7.69 7.69

2008 480 37 7.70 5 5 10.41 13.51 13.51

Tunje

2007 429 53 12.35 14 14 32.63 26.41 26.41

2008 436 42 9.63 6 6 13.16 14.28 14.28

Laisong Bagan

2007 1142 45 3.94 6 6 5.25 3.33 3.33

2008 1162 107 9.20 8 8 6.88 7.47 7.47

Vongzawl

2007 916 32 3.49 - - - - -

2008 927 101 65 6 6 6.47 9.23 9.23

Khongloung

2007 1329 87 6.54 1 1 0.75 1.14 1.14

2008 1347 112 8.31 5 5 3.71 4.46 4.46

Lodi kuki

2007 605 61 10.08 3 3 4.95 4.91 4.91

2008 612 82 13.39 7 7 11.43 8.53 8.53

Leiri

2007 454 60 13.21 3 3 6.6 5 5

2008 462 49 10.60 4 4 8.85 8.16 8.16

Khangnam

2007 515 78 15.14 5 5 9.7 6.41 6.41

2008 520 53 10.19 5 5 9.61 9.43 9.43

Mahur FW SC

2007 552 86 15.57 22 19 39.85 25.58 25.58

2008 560 50 8.92 10 9 17.85 20.00 20.00


Name of

PHC

Name of

Sub-Centre

Year

Population

BSC/BSE

ABER

Total

Malaria

Case

PF

Cases

API

SPR

SFR

M

AH

UR

PH

C

Laisong SHC

2007 1937 40 2.06 7 7 3.61 17.5 17.5

2008 1958 142 7.25 13 12 6.63 9.15 8.45

Boro Arkap

2007 1383 489 35.35 9 8 6.5 1.84 1.63

2008 1402 544 38.80 14 12 9.98 2.57 2.20

Pangmoul

2007 458 108 23.58 20 18 43.66 18.51 16.66

2008 467 62 13.27 9 8 19.27 14.51 12.90

Mahur PHC

2007 11568 2175 18.8 123 102 10.63 5.65 4.68

2008 11262 2684 23.83 150 118 13.31 5.58 4.39

PHC Total

2007 32854 4201 12.78 355 315 10.8 8.45 7.49

2008 33544 4964 14.79 338 291 10.07 6.80 5.86



Name of

PHC

Name of

Sub-Centre

Year

Population

BSC/BSE

ABER

Total

Malaria

Case

PF

Cases

API

SPR

SFR

H

AR

AN

GA

JA

O P

HC

Songpijang

2007 3498 41 1.17 7 6 2 17.07 14.63

2008 3579 92 2.57 9 9 2.51 9.78 9.78

Digrik

2007 3600 129 3.58 7 7 1.94 5.42 5.42

2008 3729 120 3.21 12 12 3.21 10 10

Samphardisa

2007 2325 86 3.69 5 4 2.15 5.81 4.65

2008 2628 95 3.61 10 10 3.80 10.52 10.52

Rachibanglo

2007 2144 36 2.84 5 5 3.26 11.47 11.47

2008 2201 52 2.36 8 8 3.63 15.38 15.38

Haflong Urban

2007 29752 2352 6.99 381 378 12.00 17.25 16.07

2008 30421 2163 7.58 191 189 6.69 8.83 8.73

Boro Chenam

2007 772 32 4.14 4 4 5.18 12.5 12.5

2008 800 61 7.62 9 9 11.25 14.75 14.75

Baungkung

2007 587 93 15.84 6 6 10.22 6.45 6.45

2008 650 72 11.07 7 7 10.76 9.72 9.72

D. Hokehera

2007 3477 336 9.66 20 9 5.75 5.95 2.67

2008 3830 476 12.42 41 19 10.70 8.61 3.99

Boro Moulkoi

2007 1442 131 9.08 12 6 8.32 9.16 4.58

2008 1483 122 8.22 13 7 8.76 10.65 5.73

Kapurcherra

2007 1169 120 10.26 10 2 8.55 8.33 1.66

2008 1222 105 8.59 15 8 1.22 14.28 7.61

Khobak

2007 779 38 4.87 4 2 5.13 10.52 5.26

2008 807 46 5.70 7 4 8.67 15.21 18.69

Mouldam

2007 944 66 6.99 6 1 6.35 9.09 1.51

2008 982 78 7.94 9 5 9.16 11.5 36.41

Pura

2007 428 43 10.04 4 3 9.34 9.3 6.97

2008 448 45 10.46 5 5 11.62 11.11 11.11

Retzol

2007 1124 120 10.67 5 2 4.44 4.16 1.66

2008 1155 106 9.36 7 7 6.18 6.60 6.60

Jatinga S.D.

2007 4944 563 11.38 23 7 465 4.08 1.24

2008 5054 364 7.20 12 7 2.37 3.29 1.92

Harangajao PHC 2007 8367 1792 21.41 389 65 46.49 21.7 3.62

2008 8639 1103 12.76 156 52 18.05 14.14 4.71

PHC Total:-

2007 65352 5978 9.14 888 507 13.58 14.85 8.48

2008 67628 5090 7.52 511 358 7.55 10.03 7.03



Name of

PHC

Name of

Sub-Centre

Year

Population

BSC/BSE

ABER

Total

Malaria

Case

PF

Cases

API

SPR

SFR

GU

NJU

NG

PH

C

Choto wapu

2007 1902 52 2.73 10 10 5.25 19.23 19.23

2008 1919 35 1.82 5 5 2.60 14.28 14.28

Thanalambra

2007 2009 151 7.51 25 25 12.44 16.55 16.55

2008 2051 187 9.11 10 10 4.87 5.34 5.34

Thingdol Boulmuol 2007 831 49 5.89 9 9 10.83 18.36 18.36

2008 841 32 3.80 5 5 5.94 15.62 15.62

Amrudisa

2007 1150 62 4.26 9 9 7.82 14.51 14.51

2008 1168 28 2.39 4 4 3.42 14.28 14.28

Dimadao wapu

2007 902 70 7.76 10 10 11.08 14.28 14.28

2008 923 30 3.25 5 5 5.41 16.66 16.66

Baigao

2007 1078 25 2.31 5 5 4.63 20 20

2008 1095 70 6.39 5 5 4.56 7.14 7.14

N.Sangbar

2007 2128 50 2.34 11 11 5.16 22 22

2008 2145 76 3.54 5 5 2.33 6.57 6.57

Dehangi SD

2007 1657 126 7.6 29 29 17.5 23.01 23.01

2008 1684 146 8.66 9 9 5.34 6.16 6.16

Gunjung PHC

2007 3218 218 6.77 57 57 17.71 26.14 26.14

2008 3264 162 4.96 8 7 2.45 4.93 4.32

PHC Total

2007 14875 803 5.39 165 165 11.09 20.54 20.54

2008 15090 766 5.07 56 55 3.71 7.31 7.18



Name of

PHC

Name of

Sub-Centre

Year

Population

BSC/BSE

ABER

Total

Malaria

Case

PF

Cases

API

SPR

SFR

D

IYU

NG

MU

KH

PH

C

Diyungmukh

FWSC

2007 2987 109 3.64 15 9 5.02 13.76 8.25

2008 3085 292 9.73 89 76 29.66 30.47 26.02

Digandu

2007 3000 116 3.86 23 10 7.66 19.82 8.62

2008 2995 232 7.75 102 93 34.11 43.96 40.08

Langku

2007 2499 85 3.4 12 7 4.8 14.11 8.23

2008 2537 195 7.68 52 40 20.49 26.66 20.51

Langkula

2007 3311 75 2.26 11 6 3.32 14.66 8

2008 3480 202 5.80 65 47 18.67 32.17 23.26

Thaijuwari

2007 5960 82 1.37 6 6 1 7.31 7.31

2008 6147 552 8.97 215 197 34.97 38.94 35.68

3 Kilo

2007 4228 1538 36.37 113 87 26.72 7.34 5.65

2008 4318 402 9.30 125 103 28.94 31.09 25.62

Lobang

2007 808 370 45.79 135 127 16.7 36.48 34.32

2008 824 87 10.55 22 15 26.69 25.28 17.24

Umrangso CHC

Area

2007 19809 2985 15.06 392 286 19.78 13.13 9.58

2008 19973 4858 24.32 578 530 28.93 11.09 10.90

Diyungmukh

PHC Area

2007 4877 2271 46.56 316 160 6.47 13.91 7.04

2008 5026 3355 60.27 350 230 62.88 10.43 6.85

PHC Total

2007 47479 7631 16.07 1023 698 21.54 13.4 9.14

2008 48385 10175 21.02 1598 1331 33.02 15.70 13.08


Name of

PHC

Name of

Sub-Centre

Year

Population

BSC/BSE

ABER

Total

Malaria

Case

PF

Cases

API

SPR

SFR

L

AN

GT

ING

PH

C

Lalbong

2007 1244 119 9.56 26 26 10.8 8.45 21.84

2008 1265 125 9.98 17 17 13.43 13.06 13.6

Thaijudisabra

2007 1037 112 10.8 13 13 12.53 11.6 11.60

2008 1047 119 11.36 12 12 11.46 10.08 10.08

Mailu

2007 2852 102 3.57 14 14 4.9 13.72 13.72

2008 2873 115 4.00 15 15 5.22 13.04 13.04

Manderdisa

2007 1516 202 13.32 13 13 8.57 6.43 6.43

2008 1526 217 14.22 14 14 9.17 6.45 6.45

Hatikhali

2007 5497 200 3.63 14 14 2.55 7 7

2008 5573 265 4.75 16 16 2.87 6.03 6.03

Mupa

2007 1127 80 7.1 7 7 6.21 8.75 8.75

2008 1144 92 8.04 7 7 6.11 7.60 7.60

Maibongdisabra

2007 653 91 13.93 9 9 13.78 9.1 9.1

2008 663 102 15.38 8 8 12.06 7.84 7.84

Langting PHC

2007 6169 1519 24.63 110 110 17.83 7.24 7.24

2008 6282 1484 23.62 167 167 26.58 11.25 11.25



Name of

PHC

Name of

Sub-Centre

Year

Population

BSC/BSE

ABER

Total

Malaria

Case

PF

Cases

API

SPR

SFR

L

AN

GT

ING

PH

C

Khepre

2007 1366 95 6.95 5 5 3.66 5.26 5.26

2008 1407 100 7.10 5 5 3.55 5 5

Bongkhai

2007 730 72 9.86 3 3 3.66 5.26 5.26

2008 745 74 9.93 2 2 2.68 2.70 2.70

Pedik

2007 1016 62 6.1 4 4 3.93 6.45 6.45

2008 1036 70 6.75 4 4 3.86 5.71 5.71

Thingvom

2007 892 58 6.5 3 3 3.36 5.17 5.17

2008 913 65 7.11 4 4 4.38 6.15 6.15

Wajao

2007 1126 52 4.61 2 2 1.77 3.84 3.84

2008 1161 49 2.00 2 2 .81 4.08 4.08

Noblaidisa

2007 3493 76 2.17 4 4 1.14 5.26 5.26

2008 3518 80 2.27 4 4 1.13 5 5

Hajadisa

2007 3472 86 2.47 5 5 1.14 5.81 5.81

2008 3480 90 2.56 4 4 1.14 4.44 4.44

Simtuilong

2007 956 72 7.53 3 3 3.13 4.16 4.16

2008 975 82 8.41 3 3 3.07 3.65 3.65

Notundisa

2007 1702 116 6.81 6 6 3.52 5.17 5.17

2008 1725 120 6.95 5 5 2.89 4.16 4.16

Kalachand

2007 3858 91 2.35 5 5 11.29 5.49 5.49

2008 3926 102 2.59 4 4 1.01 3.92 3.92

Wadrengdisa

2007 2622 102 3.89 4 4 1.52 3.92 3.92

2008 2675 107 4 4 4 1.49 3.73 3.73

Semkhor

2007 1964 50 2.54 3 3 1.52 6 6

2008 1991 55 2.76 3 3 1.50 5.45 5.45

Maibong CHC

2007 10651 5029 47.21 54 51 5.06 1.07 1.07

2008 10796 3577 33.13 39 34 3.16 1.09 1.09

PHC Total

2007 53943 8386 15.54 307 304 5.69 3.66 3.66

2008 54721 7090 12.95 339 334 6.19 4.78 4.71

� DISTRICT

TOTAL

� 2007 � 2,14,504 � 26,999 � 12.58 � 2738 � 1989

� 2008 � 2,19,361 � 28,085 � 12.80 � 2842 � 2369

C-4 CLASSIFICATION OF AREAS AS PER API RANGES

Sl.

No

Name of PHC

API

No. of PHC

No. of Sub-

centre

No. of

Village

Population % population of

District

1.

Harangajao

<1 1 2 8 1384 2.04%

1-2 1 1 3 3927 5.80%

2-5 1 5 27 16752 24.77%

5-10 1 16 70 27930 41.29%

>10 NIL 11 100 17635 26.07%


2.

Langting

<1 1 11 46 10312 18.84%

1-2 1 2 2 1037 1.89%

2-5 1 15 82 23704 43.31%

5-10 1 16 64 10342 22.55%

>10 NIL 6 35 7326 13.38%

3.

Diyungmukh

<1 NIL NIL NIL NIL NIL

1-2 NIL NIL NIL NIL NIL

2-5 NIL NIL NIL NIL NIL

5-10 1 2 4 1306 2.69%

>10 1 9 155 47079 97.30%

4.

Mahur

<1 1 1 1 158 0.47%

1-2 1 2 2 1328 3.95%

2-5 1 7 13 7530 22.44%

5-10 1 11 47 14176 42.26%

>10 1 12 63 10352 30.86%

5.

Gunjung

<1 1 8 22 3435 22.77%

1-2 1 1 1 706 4.68%

2-5 NIL 7 17 5967 39.56%

5-10 NIL 9 30 4975 32.98%

>10 NIL NIL NIL NIL NIL

E

OUTBREAK :- YES/NO if yes ---------------- NO.

o No. of Outbreaks.

o Area Affected

o Period of Outbreak.

o No. of death reported during outbreak.

o Reasons for outbreak.

o Containment measures taken.


MONTH WISE EPIDEMIOLOGICAL REPORT FOR THE YEAR 2009.

Month

BSC/BSE

No. of

total

positive

No. of

Pf

No. of

Pv

SPR

SFR

MBER

RT

Given

Death due

to Malaria

January 962 76 65 11 7.90 6.75 0.43 74 Nil

February 1198 75 65 10 6.26 5.42 0.53 75 Nil

March 1706 154 140 14 9.02 8.20 0.76 149 Nil

April 2055 209 179 30 10.17 8.71 0.91 201 Nil

May 2577 340 280 60 13.19 10.86 1.15 333 Nil

June 4569 510 450 60 11.16 9.84 2.04 497 1

July 5962 657 571 86 11.01 9.57 2.66 652 Nil

August 4875 471 400 71 9.66 8.20 2.18 469 Nil

September 3761 308 271 37 8.18 7.20 1.68 307 Nil

Progressive

upto Sept. 09

27665

2800

2421

379

10.12

8.75

12.37

2757

1


2.Annual Plan for Programme Performance & Budget for the year for RNTCP

1st April _10__ to 31

st March__11__

District North Cachar Hills State Assam

This action plan and budget have been approved by the DTCS.

Signature of the DTO _________________________________________

Name DR. SHIL BHADRA HAGJER______________ Designation ____DTO_____

Section-A – General Information about the District

1 Population (in lakh) please give projected population (as on July 1st) 2.06 lakhs

2 Urban population 0.53 lakhs

3 Tribal population 1.53 lakhs

4 Hilly population 1.53 lakhs

5 Any other known groups of special population for specific interventions

(e.g. nomadic, migrant, industrial workers, urban slums)

Nil

(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 North Cachar Hills 2.06 lakhs 1 0 4 0 0

Total 2.06 lakhs 1 0 4 0 0


RNTCP performance indicators:

Important: Please give the performance for the last 4 quarters i.e. October _06__ to September _07__

Name of the TU

(also indicate if it is

predominantly urban

/ rural / hilly /

special group

Total

number of

patients

put on

treatment

Annualised

total case

detection

rate

(per lakh

pop.)

No of new

smear

positive

cases put

on

treatment

Annualised

New smear

positive case

detection

rate (per

lakh pop)

Cure rate

for cases

detected in

the last 4

correspondi

ng quarters

Plan for the next year

Annualized

NSP case

detection

rate

Cure rate

N.C. Hills

TU 1 4th Qtr. 06 54 105 22 43 93% 70% 85%

TU 2 1st Qtr.07 84 163 33 64 86% 70% 85%

TU 3 2nd Qtr.07 63 122 28 54 84% 70% 85%

TU 4 3rd Qtr.07 57 111 21 41 86% 70% 85%

TU 5

TU 6

TU 7

TU 8

District (total) 258 125 104 51 87% 70% 85%

Section B – List Priority areas for achieving the objectives planned:

Sl.

No.

Priority areas Activity planned under each priority area

1 Whole district is hilly & backward with poor

road and telecommunication. People are

poor, tribal and live in not easily accessible

places.

1 a) More effort in IEC and community meetings.

Training of more community volunteers in the

programme.

1 b)

1 c)

2 2 a)

2 b)

3 3 a)

3 b)

4 4 a)

4 b)

4 c)

5 5 a)

5 b)


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

upgradation 1 1 Nil Does not arise 4500/- 1

st Qtr

No. of TUs

upgraded 1 1 Nil Does not arise 1300/- ’’

No. of MCs

upgraded 4 4 0 Does not arise 4000/- ’’

TOTAL Rs.9800/-

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

Rs.40170/- Rs.29915 Rs.10,000 Rs.41000 As per norms

Honorarium

Activity Amount

permissible

as per the

norms in the

district

Amount

actually

spent in

the last 4

quarters

Expenditure

(in Rs)

planned for

current

financial

year

Estimated Expenditure

for the next financial

year for which plan is

being submitted

(Rs.)

Justification/ Remarks

for (d)


(a) (b) (c) (d) (e)

Honorarium Rs.68.000/- Rs.27250 Rs.20,000 Rs.68,000 As per norms

No. presently involved in RNTCP Additional enrolment proposed for the next fin.

Year

Community volunteers 53 50


IEC/Publicity: Permissible budget as per Norms: Rs.19,500/-

Budget for next financial year proposed as per action plan detailed below:

Target

Group/

Objective

Activities Planned at District Level

Total

activit

ies

propo

sed

durin

g next

fin.

year

Estimated

Cost per

activity

unit

Total

expenditur

e for the

activity

during the

next fin.

year

Activity

(All activities to

be planned as

per local needs,

catering to the

target groups

specified)

No. of

activitie

s held in

last 4

quarters

No of activities proposed in

the next financial year, quarter

wise

Apr-

Jun

July-

Sep

Oct-

Dec

Jan-

Mar

Patients

and

General

public /

for

awarenes

s

generatio

n and

social

mobilizat

ion

Outdoors:

- wall paintings

- Hoardings

- Tin plates

- Banners

10

4

1

4

4

1

4

4

1

4

4

1

4

4

4

16

Rs.500/-

Rs.2000/-

Rs.500/-

Rs.8000

Rs.8000

Rs.8000

- others

Outreach

activities:

- Patient

provider

interaction

meetings

- Community

meetings

- Mike

publicity

- Others

8

14

6

12

6

12

6

12

24

48

Rs.200

Rs.700

Rs.4800

Rs.33600

Puppet shows/

street plays/etc.

Nil Nil Nil Nil Nil Nil Nil

School activities Nil Nil Nil Nil Nil Nil Nil

Print publicity

- Posters

- Pamphlet

s

- Others

600

4000

200

500

200

500

200

500

200

500

800

2000

Rs.8

Rs.0.70

Rs.64,00

Rs.14,00

Media activities

on Cable/local

channels

Radio

0 2 2 2 2 8 Rs.500 Rs.4000


Any other

activity 0 Nil Nil Nil Nil Nil Nil Nil

Opinion

leaders/N

GOs for

advocacy

Sensitization

meetings 1 1 1 1 1 4 Rs.700 Rs.2800

Media activities 0 1 1 1 1 4 Rs.1000 Rs.4,000

Power point

Presentations /

one to one

interaction

Nil Nil Nil Nil Nil Nil Nil Nil

Information

Booklets/

brochures


World TB Day

activities 1 1 1 Rs.20,000 Rs.20,000

Any other public

event


Health

Care

providers

– public

and

private

- CMEs

- Interactio

n

meetings

- one to

one

interactio

n

meetings


- Informati

on

Booklets

- Any

other


Any

Other

Activities

proposed



Total Budget Rs.101000

Equipment Maintenance:

Item No.

actually

present

in the

district

Amount

actually

spent in the

last 4

quarters

Amount

Proposed for

Maintenance

during

current

financial yr.

Estimated

Expenditure for

the next financial

year for which

plan is being

submitted

(Rs.)

Justification/

Remarks for (d)

(a) (b) (c) (d) (e)


Computer

(maintenance includes AMC,

software and hardware upgrades,

Printer Cartridges and Internet

expenses)

1 33650 10,000

Rs.46800

As per norm Photocopier

(includes AMC, toner etc.)

1 2890 10,000

Fax Nil 0

OHP 1 0

Binocular Microscopes 5 0 3000

TOTAL 46,800

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

Estimated

Expenditure

for the next

financial

year for

which plan

is being

submitted

(Rs.)

Justification/

remarks

Q1 Q2 Q3 Q4

(a) (b) (d) (e) (f)

Training of MOs 57 49 Nil Nil Nil Nil

Rs.16,000/- Nil Nil

Training of LTs of DMCs-

Govt + Non Govt

4 4 Nil Nil Nil Nil

Nil Nil Nil

Training of MPWs 182 161 Nil Nil Nil Nil

Rs.12,000 Nil Nil

Training of MPHS,

pharmacists, nursing staff,

BEO etc

37 31 Rs.6000 Nil Nil

Training of Comm

Volunteers

53 4 10 10 10 10 Rs.10,000 Nil Nil


Training of Pvt Practitioners 1 1 Nil Nil Nil Nil

Nil Nil Nil

Other trainings # Nil

Re- training of MOs 57 49 Nil Nil Nil Nil

Nil Rs.20,000 Nil

Re- Training of LTs of DMCs 4 4 Nil Nil Nil Nil

Nil Nil Nil

Re- Training of MPWs 182 161 Nil Nil Nil Nil

Rs. 5,000 Rs.10,000 Nil

Re- Training of MPHS,

pharmacists, nursing staff,

BEO

37 31 Nil Nil Nil Nil

Rs.5,000 Rs.10,000 Nil

Re- Training of CVs 53 4 Nil Nil Nil Nil

Nil Nil

Re-training of Pvt

Practitioners

1 1 Nil Nil Nil Nil

Nil Nil Nil

Nil

TB/HIV Training of MOs 0 0

Nil

TB/HIV Training of STLS,

LTs , MPWs, MPHS, Nursing

Staff, Community Volunteers

etc

0 0 Nil Nil Nil Nil

Nil Nil Nil

TB/HIV Training of STS 1 1 Nil Nil Nil Nil

Nil Nil Nil

Provision for Update

Training at Various Levels

Nil

Nil

Nil

Nil

Nil Nil Nil Nil

Nil

Nil

Nil

Any Other Training Activity

#

Nil Nil Nil Nil

# Please specify TOTALRs.40,000


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

Expenditure

(in Rs)

planned for

current

financial

year

Estimated

Expenditure for the

next financial year

for which plan is

being submitted

(Rs.)

Justification/

remarks

(a) (b) (c) (d) (e) (f)

Four Wheelers 1 1 Rs.137988/- Rs75000/- Rs.227500/- As per norm

Two Wheelers 1 1 Rs.6802/-

TOTAL Rs. 227500/-

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

Expenditure

(in Rs)

planned for

current

financial year

Estimated

Expenditure for the

next financial year

for which plan is

being submitted

(Rs.)

Justification/

remarks

(a) (b) (c) (d) (e) (f)

For DTO Nil Nil Nil Nil Nil

RNTCP

vehicle

present

For MO-TC 1 1 Rs. 16700 Nil Nil No vehicle

for MOTC

TOTAL

NGO/ PP Support:

Activity No. of

currently

involved

in

RNTCP

in the

district

Additional

enrolment

planned

for this

year

Amount

spent in

the

previous

4

quarters

Expenditure

(in Rs)

planned for

current

financial

year

Estimated

Expenditure

for the next

financial year

for which plan

is being

submitted

(Rs.)

Justification/

remarks


(a) (b) (c) (d) (e) (f)

NGOs involvement

scheme 1 2 5000

NGOs involvement

scheme 2

NGOs involvement

scheme 3

NGOs involvement

scheme 4 Rs.11800/- Rs.15,000/-

NGOs involvement

scheme 5

NGOs involvement

unsigned

Private practitioners

scheme 1 1


scheme 2A


scheme 2B


scheme 3


scheme 4

TOTAL Rs.15,000


Miscellaneous:

Activity* Amount

permissibl

e as per

the norms

in the

district

Amount

spent in

the

previous

4

quarters

Expenditure

(in Rs)

planned for

current

financial

year

Estimated

Expenditure for the

next financial year

for which plan is

being submitted

(Rs.)

Justification/ remarks

(a) (b) (c) (d) (e)

Main

activities

TA/DA

Rs.39,000 Rs.97037 Rs. 60,000 Rs.100000 Inflation, Tribal &

hilly & backward

area, costs high

TOTAL Rs.100000

* Please mention the main activities proposed to be met out through this head

Contractual Services:

Activity No. required

as per the

norms in the

district

No.

actually

present

in the

district

No.

planned to

be

additionall

y hired

during this

year

Amount

spent in

the

previous

4

quarters

Expendit

ure (in

Rs)

planned

for

current

financial

year

Estimated

Expenditur

e for the

next

financial

year for

which plan

is being

submitted

(Rs.)

Justificatio

n/ remarks

(a) (b) (c) (d) (e)

Medical

Officer-DTC

Not to be

filled

0 0 0 0

STS 1 1 0 107100 55800 111600 Payment


STLS 1 1 0 107100 55800 111600 of

TBHV 1 1 0 75600 39600 79200 5%

DEO 1 1 0 75600 39600 79200 increment

Accountant –

part time

1 1 0 25200 13200 26300

Contractual LT Not to be

filled

1 0 94500 49200 98400

TOTAL Rs.506300

Printing:

Activity Amount

permissible

as per the

norms in the

district

Amount

spent in

the

previous

4 quarters

Expenditure

(in Rs)

planned for

current

financial year

Estimated Expenditure for

the next financial year for

which plan is being

submitted

(Rs.)

Justification

/ remarks

(a) (b) (c) (d) (e)

Printing*

Rs.40170/- Rs.19640/

-

Rs.20,000/- Rs.41000 As per norm

* Please specify items to be printed


Research and Studies:

Any Operational Research project planned (Yes/No) _____________No_________________________

(If yes, enclose annexure providing details of the Topic of the Study, Investigators and Other details)

Whether submitted for approval/ already approved? (Yes/No) ________Does not arise_________________

Estimated Budget (to be approved by STCS).__________Does not arise____________

Medical Colleges

Activity Amount

permissible as

per norms

Estimated Expenditure

for the next financial

year(Rs.)

Justification/

remarks

(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)

Does not arise

Does not arise

Does not arise

Research and Studies:

� Thesis of PG Student

� Operations Research*

Does not arise Does not arise Does not arise

Travel Expenses for attending

STF/ZTF meetings

IEC: Meetings and CME planned

* Expenditure on OR can only be incurred after due approvals of STF/ STCS/ZTF/CTD (as applicable)

Procurement of Vehicles:

Equipment No.

actually

present in

the district

No.

planned

for this

year

Estimated Expenditure for the

next financial year for which

plan is being submitted (Rs.)

Justification/

remarks

(a) (b) (c) (d)


4-wheeler ** Nil Nil Nil Nil

2-wheeler Nil Nil Nil Nil

** Only if authorized in writing by the Central TB Division

Procurement of Equipment:

Equipment No. actually

present in the

district

No.

planned

for this

year

Estimated

Expenditure for the

next financial year

for which plan is

being submitted (Rs.)

Justification/

remarks

(a) (b) (c) (d)

Computer Nil Nil Nil Nil

Photocopier Nil Nil Nil Nil

OHP Nil Nil Nil Nil

Any Other Nil Nil Nil Nil


Section D: Summary of proposed budget for the district –

Category of Expenditure Budget estimate for the coming FY 2009

(To be based on the planned activities and

expenditure in Section C)

1. Civil works Rs.9800.00

2. Laboratory materials Rs.41000.00

3. Honorarium Rs.68000.00

4. IEC/ Publicity Rs.10100.00

5. Equipment maintenance Rs.46800.00

6. Training Rs.40,000.00

7. Vehicle maintenance Rs.227500.00

8. Vehicle hiring Nil

9. NGO/PP support Rs.15000.00

10. Miscellaneous Rs.10,0000.00

11. Contractual services Rs.506300.00

12. Printing Rs.41,000.00

13. Research and studies Nil

14. Medical Colleges Nil

15. Salaries of regular staff** Nil

16. Procurement – drugs Nil

17. Procurement –vehicles Nil

18. Procurement – equipment Nil

** Only if authorized in writing by the Central TB Division


3. Action Plan for National Leprosy Eradication Programme (NLEP), N.C. Hills

Introuduction

The District, N.C.Hills is Switzerland of Assam is Lies approximately

between Latitudes 24054 and 26042/ N and Longitudes 92053/ E covering about

4888 Sq. KM. It is Surrounded in the North Nagaon District, in the East by

Nagaland Manipur and parts of Karbi Along and West by Megalaya and South

Cachar. Haflong the District Head Quarter. The District is inherited by group

of Tribes with mutually which exclusive Tribal Social systes. The main Hills

tribes living in this District are the Dimasas, Zeme Nagags, Kukuis, Hmars,

Karbies, Khasis, Biates, Hrangkhals, & Vaipheis Assamese, Napalies,

Bangolies. The density of the population is 38 persons per Sq.Km.The North

Cachar Hills was the most Backward District in Assam. Even today it

continuous to be the most backward district in the state. The reasons are nor

far to seek. The villages in the N.C.Hills are spread through the length and

breath of the mountainous regions, which are unreachable due to absence of

motorable roads, Interior villages thus remain cut-off from its Head Quarter

for long period of time.

Situation Analysis.

As NLEP has been integrated with GHC, Drugs for the treatment(MDT) are

available at PHC’s MO’s are diagnosing leprosy cases who have come

voluntarily and Pharmacists are distributing MDT to them. NLEP staff is

assisting GHC staff at every level as per need.

Now, NLEP is also integrated with NRHM and involvement of ASHA’s to

ensured for regular treatment. In addition, Monitoring and Supervision will

become more effective.

As there are no survey activities, we have to initiate regular IEC

activities in the community detect more cases as well as to increase

awareness, detection more cases, decrease system as well as discrimination in

the society.

As attempt was made to analyze the programme component by SWOT analysis

as under.

Strengths.

i) Trained District Nucleus staff.

ii) Trained and Motivated GHC staff.

iii) Availability of Guidelines from the state time to time. iv) Good Co-ordination with Jt. Director of Health Services(Leprosy)Assam

and department level.

v) Review and monitoring is being does regularly.

vi) Amble funds are available for activities.

Weakness:-

i) NLEP & GHS staff at all level are engaged more in other activities.

ii) Inadequate mobility at PHC level as well as non availability of TA/DA

leads to poor monitoring and supervision.


iii) Low female coverage as stigma still persists. iv) Inadequate integration at District Hospitals and other Urban

Hospitals.

v) Awareness of RCS services in patients is low.

vi) Hilly District, so high cost of all side. Cost of living is very

high. Due to poor compilation.

Opportunities:-

i) Integration of NLEP with GHS staff.

ii) Support of ILEP and WHO is available.

iii) Good support of Ngo’s and Non Govt. Hospitals.

Threats:-

i) Poor Priority to NLEP at all levels.

ii) Shortage of NLEP staff and staff posted improperly.

iii) Involvement of NLEP staff in other programs. iv) No proper arrangements for sitting and keeping records in some PHC’s

& CHC’s .

v) Frequent transfer of staff.

On the basics of situation analysis and SWOT, the following problems

have been identified in running the NLEP programme of N.C.Hills.

Reaction Management and other DPMR servos are yet to be streamlined.

Objectives (Re Results to be achieved) identified:-

Objective / Results:-

i) DPMR services improved.

ii) Drugs management Improved.

iii) Programme management Insured. iv) DN/GHS staff performance improved.

v) Supervision system improved.

vi) IEC decreased discrimination of patients and family.

vii) IEC increased awareness of treatment and disease. viii) IEC increased attention by decision makers to Leprosy.

ix) TA/DA of DN/NLEP staff insured.

x) Leprosy services established under NRHM.

District Profile and Staff Position.

1) Name of District :- North Cachar

Hills.

2) Total population in project area :- 213573.

3) Density of population :- 38/Sq Km.

4) Total no of village :- 793(Review

Non review)

5) Sub-Division :- 2 Nos

6) Nos of Town :- 4 nos

7) No of Civil Hospital :- 1 Nos

8) No of PHC :- 2 nos.

9) No of CHC :- 2 Nos

10) No of BPHC :- 3 Nos.

11) No of SHC :- 3 Nos.

12) No of State Dispensary :- 2 Nos

13) No of FWSC :- 60 Nos.

14) No of Med. SC :- 5 Nos.

15) No of Block :- 5 Nos.


Staff Position. Sl

No.

Name of Post In Position Vacant Remarks

1 Joint Director 1 Nil

2 CM&HO (CD) 1 Nil

3 Superintendent 0 1

4 SDM&HO 9 7

5 Sr.M.&H.O 10 12

6 M.&H.O. 11 6

7 M.O(A) 11 9

8 Hemo Physians 4 0

9 Pharmacist 22 4

10 GNM 30 0

11 ANM 24 0

12 SI (PH) 4 0

13 H.E 7 0

14 RHI 4 0

15 HA 7 0

16 Vacc. 15 0

17 BCG(Tech) 6 0

Under ADDL.C.M.& HO Establishment.

1 AddL.C.M.&H.O. 0 1 In Charge

2 Sr. M.&H.O 1 2

3 M.&H.O-1 2 0

4 DEMO 1 0

5 Dy.E&MO 2 0

6 DPHN 1 0

7 SI 1 0

8 BEE 3 0

9 LHV 3 3

10 ANM 9 2

11 SW 2 0

12 FW 2 0

13 Lab.Tech 1 0

Under DLO Establishment.

1 DLO 0 1 In Charge

2 Sr.M&HO 1 1

3 M&HO 1 0

4 NMS 2 0

5 HE 1 1

6 NMA 1 1

7 LI 10 1

8 Phy.Tech. 6 2

9 Pharmacist 1 0

10 Lab.Tech. 2 0

Under Malaria Establishment

1 DMO 1 0

2 AMO 1 0

3 SMI 1 0

4 MI 3 0

5 SI 3 4

6 SW 25 0


7 SFW 2 0

8 MPW 9 0

9 Field Worker 5 0

Under NRHM Establishment

1 DPM 1 0

2 Specialist 2 0

3 MO(A) 5 0

4 DME 1 0

5 DAM 1 0

6 DDM 1 0

7 BPM 5 0

8 PHARMACIST 3 0

9 RHP 4 0

10 GNM 12 0

11 ANM 34 0

12 ASHA 187 0

13 Health Supervisor 27 0

14 HW 298 0

Under IDSP Establishment

1 DSO 1 0

2 DDM 1 0

3 Accountant 1 0

4 Administrative

Assistant

1 0

5 DEO 0 1

BEDGET BREAKUP AND ACTIVITY PLAN FOR THE

YEAR 2010-11,NLEP,N.C.HILLS. Sl.No

.

Activities Responsib

le

Duration &

date

Expenditure Details Total

cost

Result---- 1 DPMR Services Improved

A

4 day

training of

56

untrained

MO on DPMR

& Leprosy

Management.

DN 4 days

June/2010

Stationary =56Nos x 60=

Lunch& tea=56x80x4=

TA/DA=56x300x4=

Trainers=3x300x4=

M/S=

3360.00

17920.00

67200.00

3600.00

2000.00

94080.00

4 days

training of

77 nos. of

HW&

supervisor

on DPMR &

Leprosy

Management

DN 4 days

June/2010

Stationary = 77 x 60

TA/DA=77x200x4

Lunch & Tea=85x80x4

Trainers=3x300x4

MIS

=

4620.00

=61600.0

0

=27240.0

0

=3600.00

=2000.00

95460.00


B

1 day

orientation

training of

30 nos of

MO on DPMR

& Leprosy

Management.

DN

1 day

June/2010

Stationary=30x60

TA/DA=30x300

Lunch & tea=38x80

Trainers=3x300

MIS

=1800.00

=9000.00

=3040.00

=

900.00

=

600.00

15340.00

1 day

orientation

training of

248 nos of

HW x

Supervisor

on DPMR &

Leprosy

Management

DN

1 day

(1+1+1)Ju

ne/2010

Stationary 50 x 298

TA/DA=200 x 298

Lunch&Tea=80x110

Trainers 300x314

MIS

=14900.0

0

=56600.0

0

=

8800.00

=

3600.00

=

2400.00

86300.00

C

Procurement

of MCR

DN July/2010 From 2002 to award 36

nos of

patients=36x@300/-

=10800.0

0

10800.00

D

Patients

welfare

DN As per

need of

patient

Blankets = 36x@400/- 14400 14400

E

Mobilizatio

n of

disabled

Leprosy

cases

affected

persons for

disability

assessment

refill to

Hospital

for

treatment

and

investigati

on (RCS)

DN Aug/20102

Sep/2010

Convvance

Lunch & Tea

TA / DA for (5 members)

Lunch for 5 members

Mis

1600/-

2000/-

1000/-

1800/-

600/-

7000/

F

Procurement

of

Supporting

Medicines

DN May &

June /

2010

For Leprosy patients 20,000/- 20,000/

Result & Drug management

Improved

Stationary 26x60=

Lunch & Tea 32x80=

TS / DA = 26x200=

Trainées @ 2 x 300

Mis

1560

2560

5200

600

500

10420

A

One day

training of

Pharmacist

26 nos

DN May/2010

B

MDT Delivery

services &

Follo up

DN As per

situation

As per allotment 15000/- 15000/

Result – 3 Programme Management Improved

A Review DN Every 3000x4 12000 12000


Meeting

quarterly

quantum

B

Honorarium

to

Accountant

DN Per month 400x12 7200 7200

C

Honorarium

to Driver TA

/DA

DN Per month 5000x12

500x12

60000

6000

66000

D Honorarium

to swapper

DN Per month 500x12 6000 6000

Result – 4 DN /GHC Staff performance Improved

Sl Activities Responsib

le staff

Duration

Date

Expenditure details Total

cost

A

Printing of

formats &

registers

etc.

DN April,

2010

L.F. – 01

LF – 04

Others case register

50x@80

register for ASHA

Patients card for NLEP,

GHC & ASHA

10000

4000

1500

2500

18000

B

Capacity

Building and

training of

clinical

skill of GHC

& DN

DN Routine - - -

C

On Job

Training

during

Supervision

DN Routine - - -

Result – 5 Supervision system Improved

A

Monthly

meeting of

NLEP staff

25 nos

DN 6th of

every

month

30x80x12

File & pen etc. 25x15x12

TA / DA= 25x200x12

28000

4500

60000

93400

B

Increase

supervision

of health

facilities

DN Routine Visit per month - -

C

Ensure

submission

0f ATP &Tour

diary

DN Regular - - -

D

Use of check

list in

supervision

DN Regular Printing formats 10000 10000

E

Office

maintainace

DN Regular Telephone bill =700x12

Buy Fax machine 1x15000

2 Computer 2x 30000

Stationary

Internet

8400

15000

60000

35000

10000

1284000

F Vehicle

operation &

DN Routine - 200000 200000


Hiring of

vehicle

Result – 6 IEC Decreased discrimination of patients and family

A

Making

patients /

worker Human

chain at

Block level

& District

Level

DN 4 Oct/ 2010 2000x4 80000 8000

B

Distribution

of snakes /

fruits to

leprosy

patients on

special

occasions

DN In meeting & camp - 7000 7000

C

Consoling of

LAPs family

& villages &

community

during

healthy

contacts

DN During healthy

contact

examination

- - -

Result – 7 IEC increased awareness of treatment and disease

A

Rallies (i)

Anti leprosy

day

DN 30th January 2011 10000 x 1

Arrangement for

sweet, fruit for

student & others

10000 10000

B

School Quiz

- 10 nos

DN Aug/sep/oct/Nov/2

010

1 no HSS school

Haflong

1 no HSS School

Maibang

High School= 3

nos

ME school=3 nos

LP school=2nos

1st prize = 500/-

2nd prize 300/-

3rd prize 200/- =

1000/-

Total 10 nos of

Quiz 1000x10

Refreshment &

Question paper

10000

9000

19000

C

Hoarding at

PHC /CHC and

Other public

places – 10

wall

painting –

50 nos

Flock show –

50 nos

Streets

Drama- 10

DN Dec / 2010

Jan / 2011

Feb / 2011

Hoarding 10x

10000

Wall painting

=50x400

Flock

show=50x4000

Streets drama =

10x 2000

100000/

-

20000/-

200000/

-

20008/-

520000/

-


nos

D Printing of

posters

DN Aug/2010 1500@60/ 9000 9000

E Health Mela DN Dec/2010 5000x1 5000 5000

F

IPC work

shop of no&

HW-02

DN Oct &Nov/2010 6000x2 12000 12000

G

Orientation

camp for

NGOs-02

DN Oct&Nov/2010 6000x2 12000 12000

Result-8 IEC increased attention by decision maker to Leprosy

A

Public

opinion

lead work

shop-10

DN Nov/2010 to Feb

2011

3000x10 30000 30000

B

Quarterly

meeting of

DHS headed

by DM

DN Each Quarter 15 members x 60/-

x 4Q

3600

3600

Result-9 TA/DA of DN & NLEP staff Insured

A

TA/DA for DN

& NLEP Staff

DN Per month DN staff=2400x12

NLEP 20 nos

20x300x12

28800

7200

36000

Result-10 Leprosy Services established under NRHM

A

One day

Training of

ASHA

DN Every Month TA/DA100x187=

Refreshment@40x19

3=

Stationary=15x187

=

Trainers =1x300=

18700

7720

2805

300

29525

B Incentives

for ASHA

DN As information MB cases-15x500

PBcases=10,10x300

7500

3000

10500

TOTAL

GANNT CHART FOR ACTIVITIES IN 2010-2011

SL.No Activity April May June Aug Sep Oct Nov Dec Jan Feb March

1

4 days training

of 56 MO on

DPMR & Leprosy

Magement

4 days training

of-77 nos of

Health

worker/Health

Supervisor on

DPMR & Leprosy

Magement


One day

orientation

training of 30

nos of MO on

DPMR&Leprosy

management

One day

orientation

training of 248

nos of H/W on

DPMR& Leprosy

management

Procurement of

MCR

Patients

Welfare

Mobilization of

disabled

Leprosy office

person for

disability

assessment

Procurement of

supporting

medicine

2

One day

training of

Pharmacies

MDT delivery

services &

follow up

3 Review meeting

Quarterly

4

Printing

formats &

register

5

Monthly meeting

of NLEP staff-

25

Increase

supervision of

Health

facilities.

Ensure

submission of

ATP & tom Diam

Use of check-

list in

supervision

Office

maintains

Vehicle

operation &

Hiring of

Vehicle


6

Making

patients/worker

human chain at

Block & Dist.

Level

Distribution of

sweets/ fruits

to leprosy

patients on

special

occasion

Counseling of

LAPS family in

villages and

community

during Healthy

contacts

7

Rallies 30th

jan / 2011 Anti

Leprosy

School Quiz –

10

Hoarding at PHC

/ CHC etc

Wall painting

Folcia show,

streth Drama

Pasting of

poster in Govt.

Office

Health Mela –

01

IPC work shop

of Mo & HS/HW

Orientation

camp for NGOS

8

Public opinion

leader work

shop

Meeting of DHS

headed by DM

9 TA / DA for DN

& NLEP staff

10

One day

training of

ASHA

Incentive of

ASHA


4. Action Plan for National Blindness Control Programme (NBCP), N.C. Hills

Action to be taken – Identification – Sl. No

Activity 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter

1 IOL Camp 4 Nos. 4 Nos. 6 Nos. 6 Nos.

2 Teaching Training 12 Nos. 6 Nos. 12 Nos. 6 Nos.

3 School student scanning

24 Nos. 24 Nos. 24 Nos. 24 Nos.

4 Spectacle given to the school children

10 Nos. 10 Nos. 10 Nos. 10 Nos.

5 IEC

a) Leaflets distributed to periphery

10,000 copies

10,000 copies

10,000 copies

10,000 copies

b) Poster distributed to periphery

3,000 copies

3,000 copies

3,000 copies

3,000 copies

c) Hording 10 Nos.

5. Action Plan for Integrated Disease Surveillance Project (IDSP)

N.C. Hills INTRODUCTION OF IDSP:

Integrated Disease Surveillance Project (IDSP) is a decentralized, state

based surveillance programme in the country. It is intended to detect early

warning signals of impending outbreaks and help initiate an effective

response in a timely manner. It is also expected to provide essential data to

monitor progress of on-going disease control programmes and help allocate

health resources more efficiently.

DISTRICT INTROUDUCTION:

The District, N.C.Hills is Lies approximately between Latitudes 24054

and 26042/ N and Longitudes 92053/ E covering about 4888 Sq. KM. It is

Surrounded in the North Nagaon District, in the East by Nagaland Manipur and

parts of Karbi Along and West by Megalaya and South Cachar. Haflong the


District Head Quarter. The District is inherited by group of Tribes with

mutually which exclusive Tribal Social systes. The main Hills tribes living

in this District are the Dimasas, Zeme Nagags, Kukuis, Hmars, Karbies,

Khasis, Biates, Hrangkhals, & Vaipheis Assamese, Napalies, Bangolies. The

density of the population is 38 persons per Sq. Km. The North Cachar Hills

was the most Backward District in Assam. Even today it continuous to be the

most backward district in the state. The reasons are nor far to seek. The

villages in the N.C.Hills are spread through the length and breath of the

mountainous regions, which are unreachable due to absence of motorable roads,

Interior villages thus remain cut-off from its Head Quarter for long period

of time.

STRENGTHS:

vii) Trained District Nucleus staff. viii) Availability of Guidelines from the state time to time.

ix) Good Co-ordination with Jt. Director of Health Services & NRHM, N. C.

Hills, Assam and department level.

x) Review and monitoring is being does regularly.

CONSTRAINS:

vii) No office building for IDSP’s contractual staffs. Already, the

estimate of Office building submitted to Mission Director, NRHM,

Assam, for his approval. The estimated amount is Rupees Ten Lac

Seventy thousand only.

viii) No Officials furniture for DSO in the Office. ix) Hilly District, so high cost of all side. Cost of living is very

high.

x) No furniture of conference hall, like round table, chair etc.

DISTRICT PROFILE AND STAFF POSITION:

1) Name of District :- North Cachar

Hills.

2) Total population in project area :- 213573.

3) Density of population :- 38/Sq Km.

4) Total no of village :- 793(Review Non

review)

5) Sub-Division :- 2 Nos

6) Nos of Town :- 4 nos

7) No of Civil Hospital :- 1 Nos

8) No of PHC :- 2 nos.

9) No of CHC :- 2 Nos

10)No of BPHC :- 3 Nos.

11)No of SHC :- 3 Nos.

12)No of State Dispensary :- 2 Nos

13)No of FWSC :- 60 Nos.

14)No of Med. SC :- 5 Nos.

15)No of Block :- 5 Nos.


STAFF POSITION. (IDSP):

Sl

No.

Name of Post In Position Vacant Remarks

1 DSO 1 0

2 DDM 1 0

3 Accountant 1 0

4 Administrative

Assistant

1 0

5 Data Entry Operator 0 1

BEDGET BREAKUP AND ACTIVITY PLAN FOR THE

YEAR 20010-2011, IDSP, N.C.HILLS.

SALARY:

Sl No

Designation Monthly Salary Total

1 DSO

2 DM @ Rs.13,500 x 12 months Rs 1,62,000.00/-

3 Accountant @ RS. 9,500 x 12 months Rs 1, 14,000.00/-

4 Data Entry

Operator

@ Rs. 85000 x 12 months Rs 1,02000.00/-

5 Administrative

Assistant

@ Rs. 7000 x 12 months Rs 84,000.00/-

TOTAL Rs 4,62,000.00/-

BUDGET OF NEW OFFICE BUILDING OF IDSP

BUILDING:

Sl No Subject Estimated Amount Remarks

1 Abstract cost of new

office building

(construction of 2 (two)

rooms with R.C.C.

attached to IDSP.

Rs. 10,75,000.00/- The Official

letter &

estimate are

already

submitted to

Mission

Director, NRHM,

Assam for his

approval.

TOTAL Rs 10,75,000.00/-

OFFICIALS EQUIPMENTS:


Sl No Description Rate Amount

1 One digital Xerox

machine

@ Rs.1,75,000.00/- Rs. 1,75,000.00/-

2 One AC(Split)

machine for

conference hall

@ Rs. 65,000.00/- Rs. 65,000.00/-

3 Furniture of

conference hall

@ Rs. 1,20,000.00 Rs. 1,20,000.00/-

4 Furniture of DSO @ Rs. 12,000.00 Rs. 12,000.00/-

TOTAL Rs 3,72,000.00/-

TRAINING PURPOSE (REMAINING):

Sl No

Description Rate Amount

1 Medical Officers & SPP

(12 nos)

Rs.30,000.00 Rs. 30,000.00/-

2 Laboratory Technicians 30

nos)

Rs.35,550.00 Rs 35,550.00/-

3 Health Workers (161 nos) Rs.1,24,775.00 Rs. 1,24,775.00 TOTAL Rs 1,90,325.00/-

OTHER:

Sl No Description Rate Amount

1 Renovation of District

Labs and DSU

Rs. 1,40,000/- Rs. 1,40,000/-

2 Estimated Costs for

Laboratories and

Surveillance Unit

Rs. 60,000/- Rs. 60,000/-

3

Information, Education & Communication

(i) Organization of

sensitization workshops

Rs. 30,000/- Rs. 30,000/-

(ii) Review meeting of

District Committee

Rs. 10,000/- Rs. 10,000/-

(iii) Press Advertisements Rs. 20,000/- Rs. 20,000/-

(iv)Print media Rs. 20,000/- Rs. 20,000/-

(v) Others including

indigenous methods

Rs. 20,000/- Rs. 20,000/-

TOTAL Rs. 300000.00/-

OPERATIONAL COST:-

Sl No Description Rate Rs. Amount

1

Travel Cost, POL,

maintenance or hiring of

vehicle

Rs.40,000 Rs. 40,000.00

2 Office expenses on

telephone, fax,

electricity etc.

Rs. 20,000 Rs. 20,000.00

3 Office stationery and

other consumable items

Rs. 20,000 Rs. 20,000.00

4 DA of officers / staff

engaged under IDSP

Rs. 30,000 Rs. 30,000.00


5 Miscellaneous including

contingencies

Rs. 20,000 Rs. 20,000.00

TOTAL Rs. 130,000.00

Total Amount : Rs. 25,25,325.00

Rupees Twenty Five Lakh Twenty Five Thousand Three Hundred and Twenty Five Only.

*******

6. Action Plan for HIV / AIDS Control , N.C. Hills

The District HIV / AIDS control activities was started in the year 1998 by the department of Health

& Family Welfare under direct supervision & help of Assam State AIDS Control Society, Guwahati. In the initial stage only Awareness campaign for prevention of AIDS was launched.

Later on, the Under mentioned mandatory infrastructure have been developed in the District Hospital, at Haflong, N.C. Hills –

1. Blood Bank 2. Sexually Transmitted Diseases Clinic (STD Clinic) 3. Voluntary Counseling & Testing Centre (VCTC)

Plan of Action : Priority is to be given to establish a fully functional District AIDS Control Cell.

Activities to be taken :-


A) BCC / IEC & training activities :-

i. Training of Staffs ( Medical & Non-Medical) ii. Organizing awareness meeting at District & PHC level. iii. Distribution of leaflets, posters. iv. Hoardings and wall writings.

B) Human resources :- Required man-power specially Female Councilor in VCTC, Lab-Technicians in VCTC.

Part E : Convergence :-

As the indicators of Health depend as much on drinking water, nutrition, sanitation, female literacy, women’s empowerment as they do on functional health facilities, NRHM seeks to adopt a convergent approach for interventions under the umbrella of the district plan which seeks to integrate all the related initiative at the village, block and district levels. Priorities :

Convergence of programme for combating / preventing HIV / AIDS, chronic diseases, malnutrition, providing safe drinking water etc. with community support. Constrains :

• Vertical implementation of programme

• Only curative care

• Inadequate service delivery

• Non-involvement of community Action to overcome constrains :

• Convergence of programme


• Preventive care

• Health & Education

• Empowering communities

• Providing functional health facility (SHC), PHC (CHC) for effective intervention.

While substantial spending in each of these sectors would be from the concerned departments,

the district plan would provide for some catalytic resources through untied grants for convergent action.

Chapter (8)

Monitoring and Evaluation Monitoring and Evaluation Monitoring and Evaluation Monitoring and Evaluation

District has to monitor the following inputs, process and out put indicators to evaluate the desired result in different programmes. Input indicators

• Number of additional ANMs positions filled against required

• Number of ASHAs selected and trained

• Number of SC’s strengthened against proposed

• % of ASHAs in position

• Number of VH &SC constituted and grants given (proposed vs actual)

• Number of RKS registered/established against proposed

• Number of CHCs upgraded as per IPHS

• Number of PHCs strengthened to provide 24 * 7 services (No. proposed and actual functioning)

• % of upgraded CHCs providing EmOC services ((No. proposed and actual functioning)

• Number of static facilities offering sterilization services (Male and Female)


• Number of DH/SDH/CHC/Block PHC providing sterilization services

- Male – NSV

- Female – Minilap / Laparo. Ster.

• Number of CHC/PHC/SC providing IUD services

• Frequency of provision of service at different places (DH/SDH/CHC/PHC/SC) – fixed day or not

• Number of trained and certified trainers and providers available for NSV/ minilap/ laparo / IUD

• Number of CHCs / PHCs providing RTI services (% of the total)

• Number of PHCs / CHCs providing ARSH services

• % of health facilities (CHCs / PHCs) not having at least one month stock of anti-TB drugs,

measles vaccine, OCP and gloves

• % of outreach sessions where AD syringe and safe disposal needles are used (Total outreach

session is the base)

Process Indicators Maternal Health

� ANC registration during the first trimester (Separately for vulnerable groups and others)

� Total ANC Coverage for different ANC services (Separately for vulnerable groups and

others)

� Number of eligible pregnant woman receiving complete ANC package (Base 7-9 months

pregnant woman) (Separately for vulnerable groups and others)

� % of pregnant woman with obstetric complications identified and treated (Separately for

vulnerable groups and others)

� % of deliveries with skilled attendance including institutional deliveries (Separately for


� % of C-section deliveries and institution break-up of C-sections (Separately for vulnerable

groups and others)

� Coverage of eligible pregnant woman covered under JSY (Separately for vulnerable groups

and others)

� Number of woman receiving post-partum care within two weeks of delivery (Separately for


� % of pregnant woman having 4 or more living children

� Number of maternal deaths by weeks after births (by caste) (Separately for vulnerable

groups and others)

� Number and percent of 24 hour PHCs conducting minimum of 10 deliveries per month

� Number and percent of FRUs, CHCs and 24 hrs. PHCs reporting having conducted at least

10 wet mount test in the months

Child Health


� Number of live births by sex and caste

� % of live births weighed

� % of infants under weighed

� Number of infant/child deaths

� Number of infants (0-11months) by vaccination status-by sex and caste

� Number of 9-36 month old given Vit A-by sex and caste

� Number of children severely malnourished children (<6 yrs by sex and caste) referred to

institutions

� Number of children who suffered from diarrhea/ARI and % who sought treatment

Family Planning

Number of female and male sterilization operations performed during the month

Number of new and continuing spacing method users

Parity of sterilization acceptor

Mean age of sterilization acceptor

% deaths, failures, complications reported

% compensated through National FP Insurance Scheme

% of correctness of Sterilizations and IUDs reports

Release of compensation money as against number of cases done

% of ELAs covered

NVBDCP

NVBDCP should be considered with the following input and programme output indicators. Input

- Percentage of PHCs having functional laboratory for malaria microscopy

- Percentage of DDCs/FTDs/ASHA/AWW reporting stock out of anti-malarial drugs/anti kalaazar

drug (endemic PHCs only) during last three month

- Percentage of PHCs /CHCs with facilities for treatment of Acute Encephalitis syndrome (JE

endemic areas)

- Percentage of PHCs/CHCs having facilities for detection and treatment of Kala-azar cases

Programme Output Indicator

Percentage of target population screened for malaria parasite

Percentage of positive malaria causes radically treated within 72 hours of blood smear collection

Number of severe cases of malaria treated at the PHCs/CHCs Number of cases of Acute Encephalitis Syndrome manage at PHCs/CHCs (in JE endemic district)


Number of hydrocele operations conducted at PHCs/CHCs (in Filaria endemic district)

Number of Kala-azar patients completely treated at the PHCs/CHCs

API for MP

Annual blood examination rate for MP increased (over 10 % of all OPD cases)

Slide Positivity Rate

No. of death due to malaria

RNTCP should be considered with the following indicators

Percentage of PHC/CHC having RNTCP DMC with functional BM ( Binocular Microscope) and

trained lab technician

Percentage of TB suspects examined out of the total outpatients

Annualized New Smear Positive (NSP) case detection rate per 100,000 populations

Annualized Total case detection rate per 100,000 populations

Treatment success rate

NLEP should be considered with the following indicators.

Pr

ANCDR

Proportion MB, Female, Child, ST, SC cases among the new cases detected

Proportion of Patients completed treatment

Cure rate for MB & PB cases separately – Periodic cohort analysis

National Blindness Control Programme

� Cataract surgery rate (450/100,000 population)

� % surgery with IOL (80%)

� % school Eye Screening

� Screening of school children for defection of refractive errors and providing 3.1 lakh free

spectacles to poor children

� Collection of 1.75 lakh donated eyes (after death) for transplantation in persons with corneal

blindness

� Setting up 2000 vision centres in rural areas at Primary Health Centres and NGO facilities for

providing basic services to rural population.

� Proving non-recurring to 50 voluntary organizations for strengthening/expanding eye care

services


Output Indicators through evaluation

� Contraceptive prevalence rate

� % eligible couples using any spacing method for more than 6 month

� % of eligible couples of higher order of births (3 & 3 +), accepted permanent method

� % of woman delivered during past one year who received 100 IFA tablets

� % of deliveries conducted by skilled providers (doctors, nurses or ANMs)

� % of 12-23 months children fully immunized

� % of mothers and new born children visited within 2 weeks of delivery by a trained community

level health provider/AWW or health stuff (ANM/Nurse/Doctor)

� % of children suffering from diarrhea during past 2 weeks received Oral Rehydration Solution

� Polio free status achieved

� Total number of percentage of vulnerable groups covered under the programme vis-à-vis others

In sum, information on these indicators will have to be gathered by SC, ST and others and wherever

applicable by male and female. The new monitoring format that is going to be introduced from the state

to national levels is being finalized and takes the above elements into consideration.

User of the Information (Who)

Action Based on Information (Why)

What Indicator (What) Data Source

(Inclusive of from whom)

How many times information is reviewed (When)

Any responsible officials from

Improving Maternal Health

% ANC registration Office register Monthly/yearly report


Health dept/NRHM officials etc.

% ANC coverage for different ANC services

Survey report Monthly Review meeting

% of pregnant women with Obstetric complication

Hospital document

% deliveries with skilled attendance

% institutional deliveries

% of C-section deliveries

% of JSY coverage

Improving Child Health

% of live birth Hospital document Monthly/yearly report

% of live birth weighed Office register

% of live birth underweight Survey report

% of infant /child death Review meeting

% of children given vaccination

% of children given Vit-A

% of malnourished children

% of ARI treatment

Population stabilization &

improved lifestyle through family

planning

% of male & female, sterilization operation performed

Hospital document Monthly/yearly report

% of user of family planning devices Office register

% death, failures, complications reported

Survey report

% compensated through National FP insurance scheme

Review meeting

% of correctness of sterilization & IUD reports

% of ELA covered

Controlling vector born diseases

through NVBDCP

% of target population screened for malaria parasite

Hospital records Monthly/Yearly report

% of malaria positive cases Office register

% of prevalence of acute encephalitis syndrome

Survey report

% of prevalence of kala-azar

Controlling TB through RNTCP

% of NSP case detection Hospital records Monthly/yearly report

% of Treatment success rate Office register

% of TB suspects examined out of total out patients

Survey report

% of PHC/CHC having RNTCP DMC with functional BM & trained lab technician


Chapter (9)

Work plan:

Strategy / Activity

Timeline

Responsibility 2010-11

Q1 Q2 Q3 Q4

MATERNAL HEALTH

.Operationalise facilities

a) Operationalise CHCs as FRUs

1. Organizing dissemination workshops for FRU guidelines

Addl. CM & HO

2. Prepare plan for operationalisation across districts (including staffing, infrastructure, training, equipment, drugs & supplies, etc.)

Addl. CM & HO

3. Monitor progress against plan; follow up with training, procurement, etc

Addl. CM & HO

4. Monitor quality of service delivery and utilisation including through field visits.

Addl. CM & HO

b) Operationalise PHCs to provide 24-hour services

1. Prepare plan for operationalisation across districts (including staffing, infrastructure, training, equipment, drugs & supplies, etc.)

Addl. CM & HO


2. Monitor progress against

plan; follow up with training,

procurement, etc

Addl. CM & HO


Addl. CM & HO

c) Operationalise MTP services at health facilities

1. Prepare plan for operationalisation across districts (including training, equipment, drugs & supplies, etc.)

Addl. CM & HO


Addl. CM & HO


Addl. CM & HO

d) Operationalise RTI/STI services at health facilities

1. Prepare plan for operationalisation across districts (including training, equipment, drugs & supplies, etc.)

Addl. CM & HO


Addl. CM & HO


Addl. CM & HO

e) Operationalise sub-centres

1. Prepare plan for operationalising services at sub-centres (for a range of RCH services including antenatal care and post natal care)

Addl. CM & HO

2. Monitor quality of service delivery and utilisation including through field visits

Addl. CM & HO

Referral Transport


1. Prepare and disseminate guidelines for referral transport for pregnant women and sick newborns / children

Addl. CM & HO

2. Implementation by districts Addl. CM & HO

Integrated outreach RCH services

1. RCH Outreach Camps in un-served/ under-served areas

2. Implementation by districts of RCH Outreach Camps in un-served/ under-served areas

Addl. CM & HO

3. Monitor quality of services and utilisation.

Addl. CM & HO

4. Monthly Village Health and Nutrition Days at Anganwadi Centres

5. Implementation by districts of Monthly Village Health and Nutrition Days at Anganwadi Centres

Addl. CM & HO

6. Monitor quality of services and utilisation

Addl. CM & HO

Janani Suraksha Yojana/ JSY.

1. Dissemination of JSY guidelines to districts and sub-districts.

Addl. CM & HO

2. Implementation of JSY by districts.

Addl. CM & HO

3. Monitor quality and utilisation of services.

Addl. CM & HO

CHILD HEALTH

a) IMNCI.

1. Prepare detailed operational plan for IMNCI across districts (including training, BCC/IEC, drugs and supplies, etc.).

2. Implementation of IMNCI activities in districts

3. Monitor progress against plan; follow up with training, procurement, etc.


b) Facility Based Newborn Care.

1. Prepare and disseminate guidelines for FBNC.

Addl. CM & HO

2. Prepare detailed operational plan for FBNC across districts (including training, BCC/IEC, drugs and supplies, etc.).

Addl. CM & HO

3. Implementation of FBNC activities in districts.

Addl. CM & HO


Addl. CM & HO

c) Home Based Newborn Care/HBNC.

1. Prepare and disseminate guidelines for HBNC.

Addl. CM & HO

2. Prepare detailed operational plan for HBNC across districts (including training, BCC/IEC, drugs and supplies, etc.).

Addl. CM & HO

3. Implementation of HBNC activities in districts.

Addl. CM & HO


Addl. CM & HO

School Health Programme

1. Prepare and disseminate guidelines for School Health Programme.

Addl. CM & HO

2. Prepare detailed operational plan for School Health Programme across districts.

Addl. CM & HO

3. Implementation of School Health Programme by districts.

Addl. CM & HO

4. Monitor progress and quality of services.

Addl. CM & HO

Infant and Young Child Feeding/IYCF.


1. Prepare and disseminate guidelines for IYCF.

Addl. CM & HO

2. Prepare detailed operational plan for IYCF across districts (including training, BCC/IEC, drugs and supplies, etc.).

Addl. CM & HO

3. Implementation of IYCF activities in districts.

Addl. CM & HO


Addl. CM & HO

d) Management of Diarrhoea, ARI and Micronutrient malnutrition

Addl. CM & HO

FAMILY PLANNING

a) Terminal/Limiting Methods

1. Dissemination of manuals on sterilisation standards & quality assurance of sterilisation services.

Addl. CM & HO

2. Prepare operational plan for provision of sterilisation services across districts (including training, BCC/IEC, equipment, drugs and supplies, etc.).

Addl. CM & HO

3. Implementation of sterilisation services by districts

4. Provide female sterilisation services on fixed days at health facilities in districts

Addl. CM & HO

5. Provide NSV services on fixed days at health facilities in districts

Addl. CM & HO

6. Organise female sterilisation camps in districts.

Addl. CM & HO

7. Organise NSV camps in districts. Addl. CM & HO

8. Monitor progress, quality and audit of services through Quality Assurance Committees

Addl. CM & HO

b) Spacing Methods


1. Prepare operational plan for provision of spacing methods across district.

Addl. CM & HO

2. Implementation of IUD services by districts.

Addl. CM & HO

3. Provide IUD services at all health facilities in districts.

Addl. CM & HO

4. Organise IUD camps in districts. Addl. CM & HO

5. Social Marketing of contraceptives

Addl. CM & HO

Set up CBD Outlets

1. Organise Contraceptive Update seminars for health providers

Addl. CM & HO

2. Monitor progress, quality and utilisation of services.

Addl. CM & HO

c)Involvement of FNGO Addl. CM & HO

ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / ARSH

a) Adolescent friendly services

1. Disseminate ARSH guidelines. Addl. CM & HO

2. Prepare operational plan for ARSH services across districts (including training, BCC/IEC, equipment, drugs and supplies, etc.).

Addl. CM & HO

3. Implement ARSH services in districts.

4. Setting up of Adolescent Clinics at health facilities.

Addl. CM & HO


Addl. CM & HO

URBAN RCH

a) Urban RCH Services

1. Identification of urban areas / mapping of urban slums

Addl. CM & HO

2. Prepare operational plan for urban RCH (including infrastructure and human resources, training, BCC/IEC, equipment, drugs and supplies, etc.).

Addl. CM & HO


3. Implementation of Urban RCH plan/ activities

Addl. CM & HO

4. Recruitment and training of link workers for urban slums

Addl. CM & HO

5. Strengthening of urban health posts and urban health centres

Addl. CM & HO

6. Provide Maternal Health services

Addl. CM & HO

7. Provide Child Health services Addl. CM & HO

8. Provide Family Planning services

Addl. CM & HO

9. Provide ARSH services Addl. CM & HO


Addl. CM & HO

Major civil works (New constructions/ extensions/additions)

1.CHC up gradation to IPHS in Maibong & Umrangshu CHC.

Jt. DHS

2.Rural health block pooling at Maibong CHC. Jt. DHS

3.Construction of doctor & nurses Qurt. At Umrangshu,CHC,Mahur PHC,Jatinga SD & Gunjung PHC.

4. Repairing and renovation of ANM school. Jt. DHS

5.Construction of new GNM school. Jt. DHS

Monitoring & Evaluation / HMIS

1. Strengthening of M&E Cell

2. Operationalising the new MIES format

3. Review of existing registers Jt. DHS

4. Printing of new forms Jt. DHS

5. Training of staff Jt. DHS

BCC / IEC

1. Strengthening of BCC/IEC Bureaus

2. Development of BCC strategy DME


3. BCC/IEC activities/campaigns for maternal health

DME

4. BCC/IEC activities for maternal health interventions (except JSY)

DME

5. BCC/IEC activities for JSY DME

6. BCC/IEC activities/campaigns for child health

DME

7. BCC/IEC activities/campaigns for family planning

DME

8. BCC/IEC activities/campaigns for ARSH

DME

NRHM additionalities

1.VHSC to be strengthened by

providing capacity building

trainings.

2.Trainning and incentives to

ASHAs for motivation.

3.Organzing health melas .

4.Support to MMU/heath camps.

5.Upgrading the durg ware house

6.Ensuring waste disposal

system in heath facilities.

7. Capacity building at all level

along with training.


Chapter – (10) Budget

BUDGET SUMMARY FOR NRHM FOR 2010-11 (Rs. in crore)

Part Programme Budget estimate for 10-11 Remarks

A Reproductive and Child Health Programme

II 1.7028

B NRHM Additionalities 10.9192

C Universal Immunization Programme 0.4911

D National Disease Control Programmes 1.50187

E Intersectoral Convergence 0.065

TOTAL

14.67997


Part: A RCH II

Items Targts Amt.

( Rs.Cr.)

SC Repairing nil

Up gradation of CHC to FRU 2 0.03

Referral Transport 114 0.2052

Vehicle Repairing 20 0.05

Logistics 0.2

Outreach session 0.0036

JSY 3942 0.78

Sterilization 200 0.02

Hospital waste Mgt 0.05

DPMU 0.0972

ORT Corner 11 0.0275

Equipments for Labour Room 4 0.080

Adolescent Clinic 5 0.0125

A / V aids 0.01

Maint. of generator set at CHC / PHC 10 0.024

Monitoring & Supervision (Dist Level) 0.036

Monitoring & Supervision (Block Level) 5 0.048

Monitoring & Supervision ( LHV ) 0.0048

Hiring of Vehicle (DPMU) 0.024

Total = 1.7028

Part – B. NRHM additionalities: Sl. No.

Activity Current status Proposed in 2009-10

Amount Justification

1 Village level Activity


Untied grants to Village Health and Sanitation Committees (VHSC) @ Rs10000.00 per VHSC.

187 187X10000 0.187

Selection & Training of to be newly recruited ASHA. If reqd @ Rs. 5815 / per ASHA

187 Nos. 30 0.108 For 30 Nos. of ASHA

Apron & I-Card for ASHA @ Rs 230.00 (Rs. 200/- + Rs. 30/-for 187 Nos.

187 Nos. 217 0.0043

Ensuring Nutrition and health education programme for the women groups. One health day per month in each of the AWC.

187 Nos. 187 Nos. + 30 Nos.)

0.026

2 Sub Centre level activity

Untied Fund to SC 65 Nos. 65 Nos. X 10,000 0.065

Maintenance fund to SC 65 Nos. 65 Nos. X 10,000 0.065

Construction of sub-centre building (which are functioning at the rented houses).

17 Nos. 10 Nos. X 7.5 Lakh

0.75

Second ANM for SCs to be provided in all the SCs.

34 Nos. 10 0.264

3 PHC level activity

Untied Fund to PHCs 5 Nos. - 5 Nos. X Rs. 25,000/-

0.0075

Maintenance fund to PHCs 5 Nos 5 Nos. X Rs. 50,000/-

0.025

4 additional quarters (one for MO and three for GNMs) for 5 PHCs are taken up 24X7 services @ 28.80 lakh per unit (4 quarters).

3 Nos. X 28.80 Lakh

0.864

Homeo Medical Officer - -

Hiring of vehicle for supervision at the Block PHC level.

3 Nos. 1 0.006

New BPHC to be established as per the population norms in those areas where there is no PHC including civil constriction of building and quarters.

- -

GNM in 24x7 health facilities 6 10Nos. X @ Rs. 7000/- X 12

0.504 Also include salary for existing GNM

4 CHC level activity

Untied Fund to CHCs 2 Nos. 2 Nos. X 50,000 0.01

Maintenance fund to CHCs 2 Nos. 2 Nos. X 1,00,000 0.02

Physical infrastructures of CHC already under provision of IPHS.

2 0.80 Carry forward from 2008- 09

Block pooling of quarters for 2 CHC 2 Nos 2.00 Carry forward from 2008-09


New CHCs to be established - -

Contractual specialist in CHCs 1 2 Nos. X 3 @ Rs. 38,000/- X 12

0.2736

Contractual GNM in CHCs. 4 GNM including 1 PHN per CHC. Total 2 CHCs.

3 6 Nos. @ Rs. 7000/- x 12

0.0756 Salary for existing GNM

5 Maintenance, RKS and untied grant for 2 SD, 3 SHC & 1 urban centre.

6 @Rs.0.0175 0.105

6 District Hospital level activity

Rogi Kalyan Samitis

Fund for Rogi Kalyan Samitis / Hospital Management Committees

1 No. 1 0.05

For telephone connection in the Rs 2000.00 per PHC proposed and recurring expenses @ Rs 500.00 p.m

4 0.0032

GNM in Civil Hospital 4 6X@7000X12 0.084 Salary for existing GNM

Strengthening the Nursing Schools

For ANM training Schools (18) @ 25 lakhs (repair of class room, hostel, field practice areas book, furniture) for 17 schools. Already sanctioned for 17 schools.

1 Nos. @ Rs. 25 Lakh

0.25

For GNM schools 1 @ 2 Cr. For 1 schools.

1 No. 2.00

Special programme for the early detection of cancer

- -

7 Public Private Partnership

PPP with charitable hospital – Holy Spirit Hospital, Haflong

1 0.15

8 Others

Preparation of health action plans 1 DHAP + 3 BHAP

0.015

Organizing Health Melas(Block wise) 1 Nos. @ Rs. 5 Lakh

2 0.10

Support to Mobile Medical Units (MMU)/ Health Camps (recurring cost @ Rs11.73 lakhs per unit and manpower).

1 0.1173

9 Procurement


Drugs (IPHS)

SC @ Rs 18135.00 65 Nos. X 18135 0.1178

PHCs @ Rs.3 lakhs 5 Nos. X 3 Lakh 0.15

CHCs @ Rs 10 lakhs 2 Nos. X 10 Lakh

0.20

SDH @ Rs 10 lakhs -

DH @ Rs 30 lakhs 1 Nos. X 30 Lakh

0.30

10 Equipments & Kits

Equipments for CHCs (as per IPHS) along with AMC

Provision of 1 vehicles for district to ensure the regular supply of medicines/ vaccines etc

1 Nos. @ Rs. 15,000/-

0.018

Drug Warehouse for district. 1 Nos. @ Rs. 15,000/-

0.018

One Pharmacist (B.Pharma) for drug warehouse

1 Nos. @ Rs. 15,000/-

0.018

One Office Asstt for the Pharmacist (B.Pharma) of the drug warehouse

1 Rs. 7000/- 0.0084

To strengthen the health institutions in terms of proper waste disposal

0.25

11 HMIS/M & E

Mobilty for Monitoring & supervision 3

District @ Rs. 40000.00 0.048

Block 3 @Rs.25000 0.09

Sector level 5 @Rs.5000

0.03 Due to hilly terrain

Block level computers 3 For accountant

Software and AMC

Printing of formats 0.02

SC to PHC

PHC / BPHC to BPHC / District

District to State

Review Meetings (PHC/CHC ) 4 @ Rs. 1000.00 0.0048

BPHC level-monthly 4 @ Rs. 1000.00 0.0048

District level-monthly 1 @ Rs.2000 0.0024

12 IEC/BCC 0.09

13 New initiatives:

Incentives and rewards


Laboratoy Technician (Salary)

One Dental Surgeon (Salary)

Sensitization workshop for all SDH&MO, 2 days 3 BPHC, 2 CHCs). Per batch 30 participants will be there. Therefore 1 batch. Per batch Rs.45000.00

0.0045

Block Programme Management Unit 4 Nos. (3 Nos. + 1 No. Civil Hospital)

School Health Programme 0.03

TOTAL 10.9192

Part – C. UIP

SUMMARY BUDGET-UIP pt.C, 2010-11, ASSAM

MAJOR HEAD DIST.LEVEL A

1 POL& TRANS 50,400

2 ALT.VACC.DEL (normal) 2,89,200.00

(Underserved) 7,74.000.00

3 COMP.ASSTT./ RIMS 60,000


4 REV.MEETING 20,000

Block level 1,09,500.00

5 Mobility for SUPERVISION 7,48,800.00

6 SERVICE DELIVERY

Mob.of Ch.by ASHA 7,38,000.00

Underserved Area 1.54,000.00

7 REMOTE/UNREACHED AREA

8 COLD-CHAIN ITEM

9 COLD-CHAIN MAINTCE. 79,200

10 UP-GR.OF COLD-CHAIN ROOM

11 INJECTION SAFETY

12 TICKLER BOX / Data Logger

13 TRAINING

3-day TOT Mos TRG. ON RI

Reporting Format Trg.for CA,SI

Imm.Trg. For ANM 1,51,915.00

CCM trg.for Mos 8,000

Vacc.Handlers Trg. 12,600

Trg.on Micro-planning 19,500

3-day Mos Trg.on R.I 69,920

Bl.Data handlers Trg. On reporting. 10,650

14 CONTINGENCY 2,16,000.00

15 DIST.SPECIFIC; Incentive to ASHA 13,99,500.00

for Full Imm.

16 STATIONERY

17 PRINTING MATERIALS

TOTAL BUDGET-UIPpt.c (A+B) 49,11,185.00


Part – D.NDCP


NATIONAL DISEASE CONTROL PROGRAMME ( NDCP )

Sl Programme Budget (Rs. in crore) For 2010-11

1 RNTCP 0.11937

2 IDSP 0.2525325

3 NLEP 0.15

4 NPCB 0.08

5 NVBDCP 0.90

Total 1.50187

N.C. Hills

Page 127 of 127

Part – E.Convergence

Sl. No

Items Amount ( In Cores)

1 Convergence Meeting 0.005

2 Convergence Workshop 0.01

3 Training 0.05

Total - 0.065

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