Amethi City
Program Implementation Plan
National Urban Health Mission
Prepared by District Health Officials with support from Urban Health Initiative
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District Health Society Amethi
NATIONAL URBAN
HEALTH MISSION
Programme Implementation Plan
of
Amethi 2013-14
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TABLE OF CONTENT
Acronyms 3
City Profile 4-8
Health Scenario 8-9
Key Issues 9-10
Strategies, Activities & Work plan under NUHM 10-15
Programme Management Arrangements 15-17
City level targets & indicators 17-18
Acronyms
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ANM Auxiliary Nurse Midwife
ASHA Accredited Social Health Activist
AWC Aanganwari Center
AWW Aanganwari Worker
BSGY Bal Swasthya Guarantee Yojna
BSUP Basic services for urban poor
BSA Basic Shiksha Adhikari
CDPO Child Development Project Officer
DH District Hospital
DHS District Health Society
DUDA District Urban Development Authority
ICDS Integrated Child Development Scheme
IDSMT
Integrated Development of Small &
Medium Towns
IDSP Integrated Diseases Surveillance
Program
IHL Individual House level
IMR Infant Mortality Rate
KFA Key Focus Area
LHV Lady Health Visitor
LT Lab Technician
MAS Mahila Arogya Samiti
MMR Maternal Mortality Ratio
NHM National Health Mission
NPP Nagar Palika Parishad
NPSP National Polio Surveillance Program
NRHM National Rural Health Mission
NUHM National Urban Health Mission
OD Open Drainage
RSAP Remote Sensing Application Center
UA Urban Agglomeration
UCHC Urban Community Health Center
UFWC Urban Family Welfare Center
UHI Urban Health Initiative
UHP Urban Health Post
UPHC Urban Primary Health Center
SAM Severely acute Malnourishment
National Urban Health Mission- Programme Implementation Plan
Amethi 2013-14
1. Amethi Profile
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Amethi is a city in Faizabad division of the Indian state of Uttar Pradesh. Gauriganj town is the
headquarters of the Amethi district. Amethi was recently changed to district and officially named
after Chhatrapati Shahuji Maharaj, by B.S.P. Govt., and is 72nd district in the state of Uttar
Pradesh in northern India. Recently the name Chatrapati Shahuji Maharaj Nagar changed back
to Amethi as SP govt. came in the power this year (2012)
Amethi lies in latitude 26 degree 9 minute north and longitude 81 degree 49 minute east
on Raebareli-Amethi-Sultanpur road about 40 km south-west of Sultanpur. Also called as Raipur-
Amethi, of which Raipur belonged to the Raja of Amethi who lived at Ram Nagar. His ancestors
used to reside in Raipur-Phulwari where the old fort is still found. Here is also a temple
called Hanumangarhi and a mosque both built about hundred years ago. About three kilometres
north of Ram Nagar there is a tomb of famous poet, Saint Malik Muhammad Jayasi where he
died, and the fort was built by Bachghoti Rajas.
It is known as the seat of power of the Indian Nehru-Gandhi political dynasty. Former prime
minister Jawaharlal Nehru, his grandsons Sanjay and Rajiv Gandhi (the sons of Indira Gandhi),
as well as Rajiv's widow Sonia Gandhi have all represented this constituency. In 2004, a fifth
member of the family, Sonia and Rajiv's son Rahul Gandhi, was easily elected to the seat in
the 2004 general elections. As an educational hub of the area it has got 100yrs Old Rajarshi
Rananjay Sinh Group of Institutions, Prime Educational Institutes are Indian Institute of
Information Technology, Rajarshi Rananjay Sinh Institute of Management & Technology,
Rajarshi Rananjay Sinh College of Pharmacy and Rajarshi Rananjay Post Graduate College.
Amethi also boasts of the Avionics Division of Hindustan Aeronautics Limited, the organisation
responsible for manufacture of Aircraft for Indian Airforce. Amethi has also a unit of Indo Gulf
Fertilisers
In Lucknow on 7 October 2003, the State Cabinet revoked the earlier notification regarding
renaming of Amethi as Chhatrapati Shahu Ji Maharaj Nagar. Now the Amethi will be known as its
previous name, told Chief Secretary Mr. Akhand Pratap Singh in a media.Amethi has well known
hospital known as Sanjay Gandhi Hospital at Munshiganj.Society for Animal Health Agriculture
Science and Humanity is well known non-government organisation whose registered office is
located at Munshiganj which is dedicated for transformation of rural life in Amethi.
General Characteristics of the district
This is the 72nd district of Uttar Pradesh which came into existence on 1 July 2010 by merging
three tehsils of the erstwhile Sultanpur district, namely, Amethi, Gauriganj and Musafirkhana and
two tehsils of the erstwhile Raebareli district, namely, Salon and Tiloi and was named as
Chhatrapati Shahuji Maharaj Nagar. However, its name has been changed to Amethi recently.
Location & Geographical Area
District Amethi lies at the latitude 26°9’ north and longitude 81°49’ east at an average elevation of
101 metres(331 feet) from mean sea level. Thetotal geographic area of the districts is about 3063
km2. The surface is generally level, being broken only by ravines in the neighborhood of the
rivers. The principal river is Gomti,which passes through the centre of the district. North side of
this district is bounded by Faizabad District; South side is bounded by Pratapgarh District. West
side is bounded by Bara-Banki District and Rai Baeilly District and the East side is bounded by
Amethi District.
Topography
The land of Amethi district is generally plane except some regions around the Gomti River which
drains almost the whole district. It may be called an agrarian area as agriculture is the main
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occupation of the people. Amethi district has a wet and dry climate with average temperatures
ranging between 23°C to 28 °C. Amethi experiences three distinct seasons: summer, monsoon
and a mild autumn. Typical summer months are from March to May,with maximum temperatures
ranging from 36° to 44°C. The rainy season in the districts falls between June and September
and July being the wettest month of the year. Winter starts from November. The daytime
temperature hovers around 22 °C while night temperature is below 8°C during December and
January, often dropping to 2°to 3°C.
Mining
No major minerals are found in the districts. Only sand is available along the bank of river Gomti
which is used in construction of permanent houses. In some places stones are also found which
are used by the Public Work Department for road construction in the districts.
Forest
The forest and the rivers of district Amethi are very important from the standpoint of climate and
as a provider of life, providing water to a large part of the districts. They also harbor a rich variety
of flora, fauna. The forests cover an area of 3749 hectares in 2009-10. The forest crop in the
Amethi district is very poor and the commercial tree like Mango, Mahuwa, Jamun and Eucalyptus
are found in the forest. The wood from Eucalyptus tree is used in the plywood industries.
1.1. Amethi City
Amethi Nagar panchayat was created after 1971. Total population of Amethi NP as per census
2011 is 13,849.
Decadal Growth
Year 1981 1991 2001 2011
Population 7,132 10,661 12,836 13,849
Amethi City Total Male Female
Population 13849 7049 6800
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Literates 9488 5314 4174
Children (0-6) 1731 871 860
Average Literacy (%) 68.5 38.37 30.1
Sex ratio 964 -----------
------ -------------
Table 1:
Total Population of city (in lakhs) 13,849
Slum Population (in lakhs) 7,000
Slum Population as percentage of urban population 50.5
Number of Notified Slums
Number of slums not notified
No. of Slum Households
No. of slums covered under slum improvement programme
(BSUP,IDSMT,etc.)
Number of slums where households have individual water connections*
Number of slums connected to sewerage network*
Number of slums having a Primary school 12
No. of slums having AWC 12
No. of slums having primary health care facility
1.3. Work Participation & Occupation Structure1
The work participation rates as per census 2011 for City are:
Total Workers Population 3,817
Total Workers Male 3,155
Total Workers Female 662
Main Workers Population 2,948
Main Workers Male 2,583
Main Workers Female 365
Main Cultivaters Population 110
Main Cultivaters Male 101
Main Cultivaters Female 9
Main Agricultural Labourers Population 184
Main Agricultural Labourers Male 166
Main Agricultural Labourers Female 18
Main Household industries Population 470
1 Census 2011
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Main Household industries Male 429
Main Household industries Female 41
Main Other workers Population 2,184
Main Other workers Male 1,887
Main Other workers Female 297
1.4. Urban Poor & Slums2
The UP Slum Areas (Improvement and Clearance) Act, 1962, considers an area a slum if the
majority of buildings in the area are dilapidated, are over-crowded, have faulty arrangement of
buildings or streets, narrow streets, lack ventilation, light or sanitation facilities, and are
detrimental to safety, health or morals of the inhabitants in that area, or otherwise in any respect
unfit for human habitation. It mentions factors such as repairs, stability, extent of dampness,
availability of natural light and air, water supply; arrangement of drainage and sanitation facilities
as considerations.
The rapidly growing urban population poses great challenge to the efforts of the state
government towards improving the health of the urban poor.
2. Health Infrastructure and scenario
Unlike in the rural areas, where the health department has a wide network of primary health care
facilities providing reproductive and child health services, the urban slums lack basic health
infrastructure and outreach services. Thus, they are often bypassed even by national
programmes providing immunization, safe motherhood and family planning services. The sparse
health coverage provided by health facilities like urban family welfare centers, health posts, and
maternity homes in cities is used more for emergencies and curative services. Often these
facilities are far from their service area, poorly staffed, with inadequate space and supply of
medicines and equipment. Urban local bodies like municipal corporations and nagar panchayats
are also expected to provide health care, but resource scarcity restricts them to only providing
sanitation services. NGOs and private trusts are also few and far between.
Sl.
No.
Name & type of
facility (DH,
Maternity Home,
CHC, other ref.
hospital UFWC,
UHP
PHC,Dispensary
etc.)
Managing
Authority
(Municipal
Council,
State Health
Department,
facilities
functioning
on PPP
basis)
Location
of
Health
facility
Population
covered
by the
facility
Services
provided
Human
Resources
available –
list type
and
number of
HR
available
i.e. ANM,
LT, SN,
MOs,
Specialists
etc.
No. and
type of
equipment
available:
X-ray
machine,
USG,
autoclave
etc.
1. CHC Amethi State Health
Department,
AMETHI
NP
as per
NRHM
and state
guidelines
2 State of Urban Health in Uttar Pradesh, 2006
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Health/Morbidity Profile of the City:
Sl. No. Name of Disease/ cause of morbidity (e.g. COPD,
trauma, cardiovascular disease etc.)
Number of cases
admitted in 2012
1. Injuries and Trauma NA
2. Self inflicted injuries/suicide NA
3. Cardiovascular Disease NA
4. Cancer (Breast cancer) NA
5. Cancer (cervical cancer) NA
6. Cancer (other types) NA
7. Mental health and depression NA
8. Chronic Obstructive Pulmonary Disease (COPD) NA
9. Malaria NA
10. Dengue NA
11. Infectious fever (like H1N1, avian influenza, etc.) NA
12. TB NA
13. MDR TB NA
14. Diarrhea and gastroenteritis NA
15. Jaundice/Hepatitis NA
16. Skin diseases NA
17. Severely Acute Malnourishment (SAM) NA
18. Iron deficiency disorder NA
19. Others NA
(Source: )-District male and Female Hospital and other dispensaries
3. Key Issues
The Eleventh Plan had suggested Governance reforms in public health system, such as
Performance linked incentives and Devolution of powers and functions to local health care
institutions and making them responsible for the health of the people living in a defined
geographical area. NRHM’s strategy of decentralization, PRI involvement, integration of vertical
programmes, inter-sectoral convergence and Health Systems Strengthening has been partially
achieved. Despite efforts, lack of capacity and inadequate flexibility in programmes forestall
effective local level Planning and execution based on local disease priorities.
In order to ensure that plans and pronouncements do not remain on paper, NUHM UP would
strive for system of accountability that shall be built at all levels, reporting on service delivery and
system, district health societies reporting to state, facility managers reporting on health outcomes
of those seeking care, and territorial health managers reporting on health outcomes in their area.
Accountability shall be matched with authority and delegation; the NUHM shall frame model
accountability guidelines, which will suggest a framework for accountability to the local
community, requirement for documentation of unit cost of care, transparency in operations and
sharing of information with all stakeholders. The state will incorporate the core principles of The
National Health Mission of Universal Coverage, Achieving Quality Standards, Continuum of Care
and Decentralized Planning.
Following would be the issues for the cities to address: City Health Planning, Public Private
Partnership, Convergence, Capacity Building, Migration, Communitization, Strengthen Data,
Monitoring and Supervision, Health Insurance, Information Dissemination and Focus on NCDs/
Life-Style Diseases.
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After considering the available data, city scenario and analysis, the City planning team has identified issues
at both service delivery & demand generation level. Following are the details of issues which would be
addressed through NUHM at the city level:
1) Need of community volunteers (ASHAs) for taking up the community mobilization activities
2) Need of Mahila Arogya Samiti (MAS- a group of 10-12 women) for wider spread of information/
rights and entitlements
3) Strengthening of ANC, PNC & identification of high risk pregnancies at community level
4) Home based care of neonates at community level
5) Promotion of institutional deliveries
6) Health education for all, especially for adolescent group
7) Complete immunization of pregnant women & children
8) Needs to strengthen the existing health care facilities by recruiting human resources
9) Need assessment of community in health scenario
10) Need a better convergence with other programs and wider determinants
11) Need of training & capacity building of human resources
12) Need of Strengthened program management structure at district level
13) Need of intensive baseline survey to start the community processes and identifying local needs
14) Involvement of local bodies in decision making and managing the program locally
15) Gap analysis of HR & recruitment
16) Promotion of family planning methods through basket of choice approach & counselling because
unmet need for family planning is high in Lucknow
17) Management of communicable & non- communicable diseases
18) Strengthening AYUSH
19) Constitution of BSGY team for urban areas.
20) Identification & management of SAM children
4. Strategies, Activities and Work plan
The key overarching strategies under NUHM for 2013-14 include data based planning,
strengthening of management and monitoring systems at the state and district level, improving
the primary health care delivery system and community outreach through ASHAs, MAS and
Urban Health and Nutrition Days(UHNDs).
The key activities at the district level will include convergence with key urban stakeholders,
sensitization of ULBs on their role in urban health, strengthening UPHCs for provision of primary
health care to urban poor, community outreach through selection, training and support to ASHAs
and MAS, conducting UHNDs and outreach camps to get services closer to the community and
reach complete coverage of slum and vulnerable populations.
With the aim to improve the health parameters of urban population in the city, structures and
strategies as recommended for the NUHM in its framework will be adopted and operationalised
rapidly over the years.
4.1. Listing and Mapping of Households in slums and Key Focus Areas
Listing and mapping of households will provide accurate numbers for population their family size
and composition residing in slums. Currently, estimates of population residing in slums are
available from District Urban Development Agency (DUDA) and National Polio Surveillance
Project as the immunization micro plans (under NPSP) provide updated estimates of slum and
vulnerable populations and are expected to be fairly complete. The current plan for covering
slums is based on the currently available data of urban population of each city.
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Once the ASHA are deployed they will list all households and fill the Slum Health Index Registers
(SHIR) including the number and details of family members in each household. This data will be
compiled for city and will provide the population composition of slums and key focus areas. This
will also help the urban ASHA know her community better and build a rapport with the families
that will go a long way in helping her advocate for better health behaviors and link communities to
health facilities under the NUHM. It is expected that once the household mapping is completed in
cities, the number of ASHAs will be reviewed and adjusted upwards or downwards and the
geographical boundaries of the coverage area for each ASHA would be realigned. This is due to
the reason that the actual population may be higher or lower than the original estimate used for
planning.
4.2. Facility Survey for gaps in infrastructure, HR, equipment, drugs and consumables
Facility survey will be carried out in the public facilities to assess the gaps in infrastructure,
human resource, equipment, drugs and consumables availability as against expected patient
load. Further planning, particularly for UCHCs, will be based on these gaps. This work will be
outsourced to a research agency. Development Partners like Health of the Urban Poor project
will technically support this effort.
4.3. Baseline Survey
The state envisions monitoring progress in health indicators in urban areas and among urban
poor over the period of implementation of NUHM. This proposed Baseline survey will generate
data on the health and related indicators which will be reviewed during the course of
implementation of the program to assess the impact of implementation and necessary course
corrections can accordingly be made and use of resources can be optimized.
4.4. Training and Capacity Building
ULB, Paramedical staff, Urban ASHAs and MAS will be trained. The trainings will have to be
followed by periodic refresher trainings to keep these frontline health workers motivated. NUHM
will engage with development organizations to develop the training modules and facilitate the
trainings.
4.5. Monitoring & Evaluation
The M&E systems would also capture qualitative data to understand the complexities in health
interventions, undertake periodic process documentation and self evaluation cross learning
among the Planning Units to be made more systematic.
The Monitoring and Evaluation framework would be based on triangulation of information. The
three components would be Community Based Monitoring, HMIS for reporting and feedback and
external evaluations.
4.6. Targeted intervention for urban poor –
The process of listing of households in the KFAs, mapping of KFAs and health facilities and
baseline survey of the KFA households will help determine the scope and extent of services
required for targeting of the urban poor. A deliberate effort will be made to identify the vulnerable
poor on the basis of their residence status, occupational status and social status, besides other
micro-level indicators, which will further help focusing the health care services to the most
deserving.
4.7. Mahila Arogya Samiti (MAS)-
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MAS will act as community based peer education group in slums, involved in community
mobilization, monitoring and referral with focus on preventive and promotive care, facilitating
access to identified facilities and management of grants received. Existing community based
institutions could be utilized for this purpose. City planning team is proposing formation of only
one MAS under each ASHA in the first year and the identification of the remaining planned MAS
will be undertaken in the subsequent years.
4.8. ASHA-
For reaching out to the households ASHAs (frontline community worker) would serve as an
effective and demand–generating link between the health facility and the urban slum population.
Each link worker/ASHA would have a well-defined service area of about 1000-2,500
beneficiaries/ between 200-500 households based on spatial consideration.
4.9. Outreach services –
Outreach services will be provided to the slum areas and KFAs through ANMs who would be
responsible for providing preventive and promotive healthcare services at the household level
through regular visits and outreach sessions. Each ANM will organize a minimum of one routine
outreach session in her area every month.
Special outreach sessions (for slum and vulnerable population) will be organized once in a week
in partnership with other health professionals (doctors/ pharmacist/ technicians/ nurses –
government or private). It will include screening and follow-up, basic lab investigations (using
portable /disposable kits), drug dispensing, and counseling. The outreach sessions (both routine
and special outreach) could be organized at designated locations mentioned in the aforesaid
paras in coordination with ASHA and MAS members
4.10. Innovations –
4.10.1. PPP & CSR –
For Amethi city a few innovative interventions would be planned. Interventions performed under
Public Private Partnership (PPP) arrangements and Corporate Social Responsibiltoy (CSR) will
be undertaken with the intent to evolve successful models for health care delivery to the urban
poor
4.10.2. School Health Services
School health program under NUHM has been an important component to provide not only the
preventive and curative services to children but also to ensure their contribution in overall health
development of the urban communities. It is envisaged that the active involvement of children in
the program will enable them to be a change agent for themselves as well as communities by
taking home good knowledge and practices in terms of preventive health care activities. It is
planned that children will be engaged through innovative and creative actions to make the
learning entertaining and educational.
4.11. Convergence –
Intra-sectoral convergence is envisaged to be established through integrated planning for
implementation of various health programmes like RCH, RNTCP, NVBDCP, NPCB, National
Mental Health Programme, National Programme for Health Care of the Elderly, etc. at the city
level. Inter-sectoral convergence with Departments of Urban Development, Housing and Urban
Poverty Alleviation, Women & Child Development, School Education, Minority Affairs, Labour will
be established through DHS headed by the District Magistrate.
5. Activity Plan under NUHM
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Act
.
No.
Activity
Months : October'13 - March'14 Remarks
City
level
Oct.
No
v.
Dec
Jan
Feb
Mar
1
Establishment of Platform for
Convergence at state level
Circular to be
isued from state
level to all their
district level
nodal officers
2
Preparation & Finalization of
Guidelines for City Coord.
Committee/ City Program
Management Committee
These will be
one time
activities and
will apply across
the state
3 Preparation & Finalization of
Guidelines for Urban ASHAs
4
Preparation & Finalization of
Guidelines for Mahila Arogya
Samiti
5 Preparation & Finalization of
Guidelines for UHND
6
Preparation & Finalization of
Guidelines for Outreach
sessions/ School Health
Programs
7
Preparation & Finalization of
Job Descriptions for all
district level NUHM positions
8 Preparation & Finalization of
Guidelines for PPP
9 Induction of state level staff
for Urban Health Cell
10 Induction of city level staff for
Urban Health program
11
Meeting of DHS for
establishment of City Program
Management Committee (UH)
12 Sensitization of new probable
members on NUHM
13 Identification of NGOs for their
role under NUHM
14
Establishment & orientation of
City Program Management
Committee (UH)
15
Identification of groups,
collectives formed under
various govt. programs (like
NHG under SJSRY, self help
groups etc.) for MAS
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16
Organize meetings with
women in slums where no
groups could be identified
17
Formation and restructuring
of groups as per MAS
guidelines
18 Orientation of MAS members
18 Selection of ASHAs
18a - Selection of local NGOs for
ASHA selection facilitation
18b
- Listing of local community
members as facilitators by
NGOs
18c - Listing of probable ASHA
candidates and finalize selection
19 Convergence meeting with
govt. Stakeholders
20 Mapping & listing exercise (for
health facilities and slums)
20a
- Mapping of all urban health
facilities (public & pvt.) for
services
To continue in
2014-15
20b - Mapping of slums (listed and
unlisted)
To continue in
2014-15
20c - Houselisting of slums/ poor
settlements
To continue in
2014-15
21 Planning for strengthening of
health facilites/ services
- Health Facility Assessment (of
public facilities including listing of
public facility wise infra & HR
requirement)
To continue in
2014-15
22 Baseline survey of urban
poor/ slums (KFAs)
(to determine vulnerability,
morbidity pattern & health
status)
23
Meetings of RKS for all the
public health facilites under
NUHM
24
Identification of alternate/
suitable locations for UPHCs
under various urban devp.
Programs
To continue in
2014-15
25 Strengthening of public health
facilities
- Selection, training and
deployment of HR in pub. health
facilities
To continue in
2014-15
26 IEC activities
27 Outreach camps & UHNDs
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(from existing UHPs)
28
Empanelment of Private
Health Facilities for health
care provisioning
To continue in
2014-15
29 Involvement of CSR activities
6. Programme Management Arrangements
Districts Heath Society will be the implementing authority for NUHM under the leadership of the
District Magistrate. District Program Management Units have been further strengthened to
provide appropriate managerial and operational support for the implementation of the NUHM
program at the district level.
After extensive deliberations the state plans to designate the District Health Society under the
chairmanship of the District Magistrate as the implementing authority for NUHM
Fund flow mechanisms have been set up and separate accounts will be opened at in the district for
receiving the NUHM funds.
Urban Health will be included as a key agenda item for review by the District Health Society with
participation of city level urban stakeholders.
An Additional / Deputy CMO has been designated as the nodal officer for NUHM at the district level.
The District Program Management Unit will co-opt implementation of NUHM program in the district and
the District Program Manager will be overall responsible for the implementation of NUHM. To support
this the following additional staff and funds are proposed for strengthening the District Program
Management Units for implementing NUHM:
a. Urban Health Coordinator, Accountant and Data Entry Operators according to the following
norms:
Amethi Urban
population
Additional Staff Proposed
50 Thousand to 1lakh 1 Urban Health Coordinator,1 Accountant and 1 Data Entry
Operator
b. District Programme Manager will be nodal for all NUHM activities so extra incentive and
budget for 1 laptop to each DPM has been proposed for DPM for undertaking NUHM activities.
c. A onetime expense for computers, printer and furniture for the above staff has been budgeted
along with the recurring operations expenses.
d. Onetime expenses have been budgeted for up-gradation of the office of Additional/ Deputy
CMO and District Programme management Unit.
The City Program Management Committee will function as an Apex Body for management of the
City
Health Plan, which will lead to delivery of Maternal, Newborn, Child Health and Nutrition
(MNCHN) and water, sanitation and hygiene (WASH) services to the urban poor and will work
towards the following objectives:
1. Establish a forum for convergence of city level stakeholders for the delivery of
MNCHN and WASH services to the urban poor.
2. Serve as the nodal body for the planning and monitoring of MNCHN and WASH
service delivery to the urban poor.
3. Provide a forum for exploring, reviewing and approving PPP initiatives and
innovations to address the gaps in MNCHN and WASH service delivery to the urban
poor.
The structure proposed for the City Coordination Committee :
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Chairperson - DM
Convener - CMO
Members – Health - ACMO-Urban
Member – ICDS - CDPO
Member – Nagar Nigam - Sum Improvement Officer
Member – Water & Sanitation- Sup. En. / Ex.En. JalKal Vibhag, Nagar Nigam
Member DUDA & UD - Project Officer
Members – School Education - BSA & DIOS
Members – Dev. Partners - Partners working in urban NGO's
Review Meetings at UPHC and City Level
Nature of Meeting Periodicity Meeting
Venue
Participants
Mahila Aarogya
Samiti Meeting
Once a month
for each MAS
Slum ANM, HV, Community Organizer,
Social Mobilization officer
Review meeting with
Link workers and
MAS representatives
Once a month UPHC All ANMs, PHN, LMO, Community
Organizer, Social Mobilization officer
Meeting of UPHC
Coordination
Committee
Once a month UPHC LMO, PHN/Community Organizer,
Social Mobilization officer,
representative from 2nd tier facility, and
reps. From other departments
Meeting with CMO &
UH Program
Coordinator
Once a month CMO Office CMO, Program Coord., Asst. Program
Coordinator, LMO/ PHN/ Community
Organizer, Social Mobilization officer
City Task Force
Meeting
Once in two
months
DM’s office CMO, Program Coord. UH, Various
departments’ reps. , private partners,
NGOs
7. City Level Indicators & Targets
Processes & Inputs
Indicators Baseline (as
applicable)
Number
Proposed (2013-14)
Number
Achieved
(2013-14)
Community Processes
1. Number of Mahila Arogya Samiti (MAS) to be formed * 0 8
2. Number of MAS members to be trained * 0 80
3. Number of Accredited Social Health Activists (ASHAs) to 0 4
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Processes & Inputs
Indicators Baseline (as
applicable)
Number
Proposed (2013-14)
Number
Achieved
(2013-14)
be selected and trained *
Health Systems
4. Number of ANMs to be recruited * 0 1
5. No. of Special Outreach health camps to be organized in the slum/HFAs *
0 1
6. No. of UHNDs to be organized in the slums and vulnerable
areas *
0 7
7. Number of UPHCs to be made operational * 0 0
8. Number of UCHCs to be made operational * 0 0
9. No. of RKS to be created at UPHC and UCHC * 0 0
10. OPD attendance in the UPHCs 0 0
11. No. of deliveries conducted in public health facilities 0 0
RCH Services 0
12. ANC early registration in first trimester NA 0
13. Number of women who had ANC check-up in their first
trimester of pregnancy
NA 0
14. TT (2nd dose) coverage among pregnant women NA 0
15. No. of children fully immunised (through public health facilities)
NA 0
16. No. of Severely Acute Malnourished (SAM) children identified and referred for treatment
NA 0
Communicable Diseases
17. No. of malaria cases detected through blood examination NA 0
18. No. of TB cases identified through chest symptomatic NA 0
19. No. of suspected TB cases referred for sputum
examination
NA 0
20. No. of MDR-TB cases put under DOTS-plus NA 0
Non Communicable Diseases NA 0
21. No. of Diabetes cases screened in the city NA 0
22. No. of Cancer cases screened in the city NA 0
23. No. of Hypertension cases screened in the city NA 0