FORM-IV REGIONAL OFFICES OF HEALTH & FAMILY WELFARE …rltrird.cg.gov.in/pdf/ROHFW/field...

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FORM-IV

REGIONAL OFFICES OF HEALTH & FAMILY WELFARE

DATA COLLECTION FORMATS FOR REVIEW OF PERIPHERAL INSTITUTES

Name of the Regional Office: Raipur

Report for the Month of: SEPTEMBER 2010

1. ASSURED SERVICES:

Sl. No. Assured Services District - Mahasamund

I Formation of Programme Management Unit (PMU) Yes

ii Plan and execute Health Related Activities

iii Formation of Health Planning & Health Monitoring

Committees Yes

iv Release and account the funds to subordinate Offices

under NRHM Yes

v Development/Upgrade the peripheral institute as per

IPHS No

vi Arrange for procurement of the logistics required for the implementation of the planned activities.

vii Implementation of National Health programme

NRHM Yes

NVDDCP Yes

RNTCP Yes

NLEP Yes

NBCP Yes

HIV/AIDS Yes

NIDDCP Yes

IDSP Yes

viii Non Communicable Diseases

Tobacco control No

Injuries and Trauma No

CVD No

Mental Health No

NOHP No

Diabetes control No

2

ix IEC activities related to National Health programmers NA

x Develop training institutes for providing appropriate training to strengthen the skills of the staff.

NA

xi Work towards achievements of Set Mile stones NA

xii Generate Performance related indicators NA

xiii Generate Indicators under Millennium Development

Goals (MDGs)

NA

xiv Monitoring and quality control NA

Total Activities undertaken

% of activities undertaken

2. OTHER SERVICES

2.1. Accessory services District - Mahasamund

Citizen's charter Yes

Electricity supply Yes

Emergency Lights Yes

Civil engineering Yes

Fire protection No

Water supply Yes

Waste disposal No

Total

%age

3. INFRASTRUCTURE DEVELOPMENT

3.1. Formation of Programme management Units

Sl. No. Particulars District

I Whether PMU formed Yes

ii Adequate Official Accommodation available

Available

iii Planning unit Available

iv Financial Management unit Available

v IEC management unit Available

vi Training Unit Not Available

vii Management Information System Unit Available

viii Other (Specify)

ix Other (specify)

Total Units formed

% Units formed

3

Sl. No. Manpower category-wise District

I Programme managers Appointed

ii Technical Officers

iii IT personnel Appointed

iv Statistical personnel Not Appointed

v Other Support staff Data Entry Operators & Data Assistants

Appointed

vi Other

Total Staff

% of staff available

3.3. Logistics available in PMU (State & District)

Sl. No. Logistics District - Mahasamund

Office logistics (Specify)

I Necessary Furniture Available

ii Computers Available

iii Printers Available

iv Telephones Available

vi Faxes Available

vii Storages Available

viii Vehicle for Mobility (specify) Available

Total

%age

3.4. Constitution of Health Planning & Monitoring Committee (HP&MC)

I Whether HP&MC are constituted No

ii Whether the composition is as the

guidelines. - not applicable -

iii Whether HP&MC convening meeting regularly

- not applicable -

iv If Yes, at what interval - not applicable -

v Whether Discussion as agenda are

undertaken. - not applicable -

vi Whether the Minutes prepared & circulated

- not applicable -

vii Whether feed back on minutes is

received. - not applicable -

Total

%age

4

3(a). HEALTH INFRASTRUCTURE IN THE VISITED STATE/DISTRICT

3.5. Health Infrastructure available in the Stat/Districts

Sl. No. Particulars District - Mahasamund

I # Districts 01

ii # District Hospitals 01

iii # Sub-Divisional Hospitals 0

iv # CHCs 04

v # PHCs 28

vi # SHCs 219

vii # Health NGOs 05

viii # instts. providing disability care services 0

ix # CHC/PHC strengthened for BEmoNC facilities 04

x # CHC/PHC strengthened for CEmoNC facilities 0

xi # CHC/District Hospital Strengthened for FRUs 02

xii # SHCs Strengthened with 2 ANMs 0

xiii # ASHAs functioning 2007

xiv # AWWs Functioning 1426

Total Number of Units

% units Strengthened

3.6. Staff Strength available against the sanctioned strength in the entire state/District visited

I # Programme Officers 0

ii # Medicine Specialists 01 / 05

iii # Surgical Specialist 0 / 05

iv # Pediatricians 02 / 05

v # O&G Specialists 0 / 05

vi # Anesthetics 0 / 05

vii # Eye Surgeons 01 / 01

viii # Dental Surgeons 01 / 01

ix # Medical Officers 23 / 30

x # Ayush Medical Officers 0 / 0

xi # Health Supervisors 18 / 40

xii # LHVs 22 / 44

xiii # Key Technical staff (Staff Nurse) 10/12 in CHC & 14 / 18 in DH

xiv # Paramedical staff (LT + Pharmacist)

in DH in CHC PHC

LTs 02/02 04/04 02/28

Radiographer 01/02 02/04 0

Pharmacist 01/02 04/08 24/28

Oph. Asst. 01/02 -- 07/28

xv # Ministerial Staff

Total Staffs

% staff available

5

4. BUDGET ALLOCATION AND UTILIZATION


1 Balance from the previous Years 8,83,92,603

2 Funds received under NRHM 4,40,68,787

3 Funds utilized under NRHM 2,27,25,370

4 Balance at the end 10,97,36,020

5 % Utilization funds 17.15%


PMU DPMU, BPMU, PPMU

District staff CMHO, DHO, All Nodal Officers

6. QUALITY MONITORING


i HIS Established

Diseases are classified as per ICD-10

pattern

MPR Format Developed

QPR format developed

Half yearly report format developed

Annual Report Format developed

Monitoring Indicators Identified

All Necessary Records Registers maintained

a

b

ii Admin Monitoring

Monthly Reports submitted Yes

Quarterly Reports submitted Yes

Half yearly Reports submitted Yes

Annual Reports Prepared Yes

Monitoring indicators developed Yes

If prepared , provide a copy of the Report

for the last Month/Quarter/year? Attached

6

Iii Int. Audit

Monthly Review meeting organized Yes

Quarterly meeting organized Yes

Half Yearly Review meeting Organized Yes

Annual Meeting Organized Yes

National Review meeting organized No

If yes, provide a copy of ATR on the minutes

Iv Patient care (# Developed complications)

Ante-natal cases

Post natal complication

New born/Infants

IOL cases under NBCP

TB cases

Leprosy cases

other cases

If yes, provide a copy of the ATR

V Medical Audit (# Deaths reported &reviewed)

Maternal Deaths 09

Child deaths 302

Malaria deaths 0

Tuberculosis Deaths 0

Others (specify) 0

If undertaken, provide a copy of the ATR

Vi Supervisory visits by State/National Prog. Manager

what was checked NA

what gaps were found NA

what instructions were given NA

what administrative directions given NA

Provide a copy of the follow up action taken NA

Vii External Audit NA

Independent Review NA

Review by Expert Groups NA

If undertaken, provide a copy of the ATR NA

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7. PERFORMANCE

7.1. Milestone on Achievement since Date of implementation of NRHM activities in the States & Districts:

Sl. No. Action points District

I Whether district Rural Health Mission has been set

up? No

Ii Whether HFW societies have been merged into one

society? Yes

Iii Whether State and District Plans are prepared for

implementation of the identified activities. Yes

Iv Whether Project Management Teams are in place

and provided the necessary training. Yes

V Whether mobile medical units are sanctioned and functionalized. No

Vi Whether main streaming of AYUSH ha been

undertaken. Yes

Vii Whether networking with NGOs has been made. No

Viii Whether Public Private Partnership has been established for referring the BPL cases and out

sourcing of some of the activities

No

ix Whether JSY scheme is launched and practice of

reporting every maternal death to DM is followed.

Death Audit Committee is Constituted, but number of audited death by committee is 0 (zero)

till date.

X Whether Quality Assurance Committee is

Operational zed. Yes

Xi

Whether BEmONC facilities (including Civil

hospitals, CHCs and PHCs) are strengthened with

03 staff nurse to provide service guarantee as per

IPHS.

No

Xii

whether CEmONC institutions ( PHCs & CHCs)

strengthened with 7 Specialists with 9 Staff nurses to

provide service guarantee as per IPHS. No

Xiii

Whether Sub-Centers Strengthened by providing 2 ANMs and UNTIED funds of Rs. 10000/+ are given Each SHC is provided by untied fund of Rs.

10000/-, but not strengthen by 2 ANMs.

xiv

Whether Rogi Kalyan Samiti (RKS) at District/CHC/PHC are formed and one time support

to RKS are provided Yes

xv

Whether streamlining of provisions for drug logistics

at CHC, PHC and SHC for common ailments has been made under mission.

No

8

Xvi

Whether access to Universal Immunization through

introduction of Autosyrings, alternate delivery of vaccine is ensured.

Yes

Xvii

Whether involvement of PRIs is ensured in the implementations of Health Schemes at the village

level (i.e. immunization, JSY, sanitation, drinking

water, etc.)

Yes, PRIs are involved in health activities through

VHSC.

xviii Whether strengthening of Anganwadi through

involvement of AWW in MCH programme is done. No

Xix Whether selection and training of ASHA @ 1 ASHA

per 1000 population is done and ASHA Kit is given. Yes

Xx Whether Village Health & Sanitation Committee are

constituted and UNTIED grant is provided. Yes

Xxi

Whether SHC/PHC/CHC/DH are fully equipped to

develop intra-Health sector convergence,

coordination & services guarantees for FW,

NVBDCP, RNTCP, HIV/AIDS, etc.

Yes

xxii Annual need for FW and RCH services has been

calculated in the district as per operation manual and monitoring of state programme implementation

plans? Yes

Xxiii Whether performance report is submitted by the district in revised MIES Formats Yes

xxiv whether Annual State and District Specific Public Reports on Health are Published Yes

xxv

Whether institute wise assessment of performance

against assured services guarantee carried out. Inspection carried out for

No

Total Number of activities completed

% miles stones completed

9

7.2. Achievements of the MDGs at the end of previous year

Sl. No. Particulars Distt

Target 5 - Reduce by 2/3rd between 1990 and 2015, the under five mortality rate

13 Under Five mortality rate NA

14 infant mortality rate NA

15 proportion of 1 year-old children

immunized against measles

NA

Target 6 - Reduce three quarters,

between 1990 and 2015, the maternal

mortality ratio

NA

16 Maternal Mortality ratio NA

17 Proportion of births attended by skilled

health personnel

NA

Target 7 - Have halted by 2015 and begun to reverse the spread of HIV/AIDS

18 HIV prevalence among women aged 15-

24 years

NA

19 Condom use rate of the contraceptive

prevalence rate

NA

19A Condome use of last high risk sex NA

19B

percentage of population of aged 15-24

years with comprehensive correct

knowledge of HIV/AIDS

NA

19C Contraceptive prevalence rate NA

20 Ratio of school attendance of orphans to school attendance of no-orphans aged

10-14 years

NA

Target 8 - Have halted by 2015 and begun to reverse the incidence of Malaria and other major

diseases spread of HIV/AIDS

21 prevalence and death rate associated with malaria

NA

22

Proportion of population in malaria risk

areas using effective malaria prevention

and treatment measures

NA

23 Prevalence and death rates associated with Tuberculosis

NA

24 Proportion of tuberculosis cases detected and cured under DOTS

NA

No. of Indicators Developed NA

%age NA

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FORM-IV


DATA COLLECTION FORMATS FOR REVIEW OF PERIPHERAL INSTITUTES

Name of the Regional Office: REGIONAL OFFICE FOR HEALTH AND FAMILY WELFARE, RAIPUR


1. ASSURED SERVICES

Sl. No. Services CHC 1 CHC 2 CHC 3 CHC4 Total

Bagbahara Pithora Sarapali Basna

I Specialists medical Care services available

No No No(Pediatrician) Yes (Medicine)

Ii Care of routine & emergency cases of surgery Yes No No No

Iii Care of routine & emergency cases of Medicine Yes No No Yes( No)

Iv Care of routine & emergency cases of Obstetrics

Yes No

(PGOM) No No

V Care of routine & emergency cases of Sick Children Yes No Yes No

Vi 24 Hrs Delivery Services Yes Yes Yes Yes

Vii Safe abortion services No No No No

Viii New Born Care Services No Yes Yes No

Ix Full Range of Family Planning Services Yes Yes Yes Yes

X Other Medical care for management of nasal

packing, Snake bite, dog bite, etc. Yes Yes No No

Xi Blood Storage Unit No No No No

Xii Implementation of NHP activities

NRHM Yes Yes Yes Yes

NVDDCP Yes Yes Yes Yes

RNTCP Yes Yes Yes Yes

NLEP Yes Yes Yes Yes

NBCP Yes Yes Yes Yes

HIV/AIDS Yes Yes Yes Yes

NIDDCP Yes Yes Yes Yes

IDSP Yes Yes Yes Yes

Xiii Non Communicable Diseases

Tobaccos control No No No No

Injuries and Trauma No No No No

CVD No No No No

Mental Health No No No No

NOHP No No No No

Diabetes control No No No No

Total Assured Services

% Assured Services 61.53% 38.46% 38.46% 38.46%

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2. Other Services

Sl. No. Services CHC 1 CHC 2 CHC 3 BASNA Total

Bagbahara Pithora Sarapali BASNA

2.1 Support Services

I Standards Treatment protocols No No No No

Ii IEC Material Yes Yes Yes Yes

Iii Training manuals No No No No

Iv Skill Strengthening Training of staff Yes Yes Yes Yes

V Diet to patients No No No No

Vi Sterilization room No No No No

Vii Central Sterilization storage Depot. (CSSD) No No No No

Viii Laundry Yes Yes No No

Ix Storage No No No No

2.2. Accessory Services

I Citizen’s charter No No No No

Ii Electricity supply Yes Yes Yes Yes

Iii Emergency Lights Yes Yes Yes Yes

Iv Telephone Yes Yes Yes Yes

V Civil engineering No No No No

Vi Fire protection No No No No

Vii Water supply Yes Yes Yes Yes

Viii Waste disposal Manually Manually Manually Manually

Ix Mortuary No Yes Yes Yes

2.3. Diagnostic Laboratory) (180 Sq. Mts)

I Pathology (Clinical Laboratory)* Yes Yes Yes Yes

* not

separate

Ii Bacteriology Laboratory* Yes Yes Yes Yes

Iii Hematological laboratory* Yes Yes Yes Yes

Iv Serological Laboratory* Yes No No Yes

V Biochemistry Laboratory No No No No

Vi Cardiac laboratory (ECG) Yes Yes No Yes

Vii Ophthalmologic Laboratory Yes Yes Yes Yes

Viii Imaging/Radiological Laboratory( *Sonography) Yes Yes Yes Yes

The exact space of the diagnostic lab was not

available at CHC. There is no separate items 1 to 4

2.4. Activities of NHP

I Human Control

I Diagnostic Services Yes Yes Yes Yes

Ii Treatment Yes Yes Yes Yes

Iii Disability management ( note restricted to the only screening and health

education) No No No No

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II Vector Control Bagbahara Pithora Sarapali BASNA

I Interval Residual Spray Yes Yes Yes Yes

ii Space spray No No No No

iii Impregnated Bed Net Provision No No No No

III Biological Control

I Maintenance of Hatcheries No No No No

ii Release of Anti-larval Fishes No No No No

iii Others No No No No

IV Chemical Control

I Oil spray on water surface No No No No

ii Others No No No No

V Others Activities

I Health Education

ii Training Yes Yes Yes Yes

iii Conversance At district level

At district

level

At district

level

At district

level

2.5 NRHM Yes Yes Yes Yes

1 Ante-natal Care Services

I Intra-natal care services Yes Yes Yes Yes

ii Post natal care services Yes Yes Yes Yes

iii JSY care Services Yes Yes Yes Yes

iv Immunization of Children Yes Yes Yes Yes

v Full Range of FP Services (Camps) Yes Yes Yes Yes

vi Health Education Yes Yes Yes Yes

vii Training at district level or Block Yes Yes Yes Yes

At district level

At district

level

At district

level

At district

level

Total Services provided

% services provided

3. INFRASTRUCTURE AVAILABLE

3.1. Physical Infrastructure (1503.32 Sq Mts)

Sl. No. Services Bagbahara Pithora Sarapali BASNA

I Review by VH&SC

I Whether VH&SC are constituted Yes Yes Yes Yes

Ii Whether the composition of the VH&SC is as the

guidelines. Yes Yes Yes Yes

Iii Whether VH&SC are convening the meeting regularly

No No No No

Iv If Yes, at what interval No No No No

V Whether Discussion as agenda are undertaken. No No No No

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Vi Whether the Minutes of the meeting are prepared

and circulated to all the concerned No No No No

Vii Whether the feed back on the minutes is received. No No No No

Viii Village Health day & Health camps are organized Yes Yes Yes Yes

Ii Entrance Zone: (72 Sq. Mts)

Location & Floor Area NA NA NA NA

Registration & Records Yes Yes Yes Yes

Pharmacy Yes Yes Yes Yes

Drugs Storage Yes Yes Yes Yes

Public Utility Yes Yes Yes Yes

Circulation space No No No No

Iii Ambulatory Zone (OPD) (321.4 Sq. Mts) NA NA NA NA

Causality/Emergency Yes(2) Yes(4) Yes Yes(2)

GDMO Room No No No(Under

construction) No(Under

construction)

AYUSH MO Room No No No No

8 Specialists Room Yes Yes Yes Yes

Treatment Room Yes Yes Yes No

Refraction Room Yes No No No

Nursing station Yes No No No

Causality/Emergency Yes Yes Yes Yes

Dress Room Yes Yes Yes Yes

Injection Room No No No No

Female Injection Room Yes No No No

Public Utilities Yes No No No

Waiting Room Bagbahara Pithora Sarapali BASNA Total

Iv In-Patient Zone (313.76 Sq. Mts) Yes(15) No No Yes

Male Wards Yes(15) No No Yes

Female wards No No No No

Private Room No No Yes No

Isolation Room Yes No No Yes

Nursing station NA NA NA NA

Patient areas NA NA NA NA

Ancillary areas NA NA NA NA

Rest Rooms

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V Critical Zone (Operation Room/Labour Room)-(240 Sq. Mts)

Patient Area NA NA NA NA

Staff Area NA NA NA NA

Supply areas NA NA NA NA

OT/LR area Yes Yes Yes NA

Public Utility No NA NA NA

Circulation area No No No NA

Vi Administration Zone ( 60 Sq. Mts)

General administration Yes Yes Yes Yes

Establishment Yes Yes Yes Yes

Accounts Yes Yes Yes Yes

General Store Yes Yes Yes Yes

Total No. I/S items Present

% of I/S items Present

3.2. Manpower available in the CHCs as per IPHS

Sl. No. Categories of staff

Specialist Staff

I General Surgeon No No No No

Ii Physician No No No Yes

Iii O&G No No No No

Iv Pediatrics No No No No

V Anesthetist No No No NO

Vi Public Health manager No No No Yes

Vii Eye Surgeon (1for every 5 CHC) Yes Yes Yes Yes

Viii Dental Surgeon No No No No

Total Staff

% staff against sanctioned

Key Essential Staff

Ix GDMOs with at least 2 female MO) Yes(1) Yes (1) No No

X Specialist of AYUSH No No No No

Xi GDMO (AYUSH ) Yes No No Nil

Xii Staff Nurse 3 3 2 3

Xiii PHN No No No Nil

Xiv ANM 1 - 0 1

Xv Pharmacist/Compounder 1 1 1 1

Xvi Pharmacist – AYUSH No NO Nil Nil

Xvii Lab. Technician No(1 ICTC) 01 3 2(HIV/)

Xviii Radiographer 1 1 1 1

Xix Ophthalmic Assistant 1 1 2 No

Xx Dresser 1 2 1 2

Total Staff


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Other staff

Xxi Ward boy /Nursing orderly 1 2 1 1

xxii Sweeper 1 2(2 JDS) 1 No

xxiii Chowkidar 1 - 1 Nil

xxiv Dhobi 1 Nil Nil Nil

Xxv Mali No Nil 1 Nil

xxvi Aya 1 1 1 1

xxvii Peon ` 2 2 2 4

xxviii OPD attendant No Nil 02 Nil

xxix Registration Clerk 1(JDS) Nil 1 No

Xxx Statistical Assistant /Data entry operator 1 1 1 1

xxxi Accountant/Administrative Assistant 1 1+1 1 1

xxxii OT Technician No Nil Nil Nil

Total


Grand Total Staff


3.3. Logistic Support

Sl. No. Logistics Bagbahara Pithora Sarapali BASNA Total

3.3.1 Logistics – Vehicle/Referral transport Model

I Bicycles/ Moped

Ii Ambulances 2 1 2 3

Iii Call vehicles 1 1 1

Iv Out sourced vehicles

3.3.2 Logistic Equipments

I Surgical Instruments Set I No No No No

Ii Surgical Instruments Set II No No No No

Iii Surgical Instruments Set III No No No No

Iv Surgical Instruments Set IV No No No No

V Surgical Instruments Set V No No No No

Vi Surgical Instruments Set VI No No No No

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Vii IUD insertion Equipment Kit Yes Yes Yes Yes

Viii Normal Delivery Kit Yes Yes Yes Yes

Ix Equipment for Anesthetic No No No No

X Equipment for Neonatal Resuscitation Yes No No No

Xi Material Kit for Blood transfusion No No No No

Xii Equipment for OT Yes No No No

Xiii Equipment for LR No No No No

Xiv Equipments for Radiology Yes Yes Yes Yes

3.3.3 Logistics- Drugs

I Routine Drugs Yes Yes Yes Yes

Ii Tablets Yes

Yes Yes Yes

Iii Capsules Yes

Yes Yes Yes

Iv Injections Yes

Yes Yes Yes

V Vaccines & Antiserum Yes

Yes Yes Yes

Vi Ayurvedic drugs No

No No No

Vii Unani drugs No No No No

Viii Sidha Drugs No No No No

Ix Homeopathic drugs No No No No

X Programme related drugs Yes Yes Yes Yes

Programme related drugs

NRHM Yes Yes Yes Yes

NVDDCP Yes Yes Yes Yes

RNTCP Yes Yes Yes Yes

NLEP Yes Yes Yes Yes

NBCP Yes Yes Yes Yes

HIV/AIDS No No No No

NIDDCP Yes Yes Yes Yes

IDSP Yes Yes Yes Yes

NCD Yes Yes Yes Yes

Total No. of Logistic Items Present

% logistic items present

17

4 Funds allocation & Utilization(JSY) Bagbahara Pithora Sarapali Basna Total

I Funds allocated 1500000 NA NA 2453200

Ii Funds utilized 1172700 NA NA 1757350

Iii % funds utilized 695850

5 CROSS-VERIFICATION/FIELD VERIFICATION

I Malaria Slides Bagbahara Pithora Sarapali BASNA

+ve slides cross examined

Discrepancies found

-ve blood slides cross-examined

Discrepancies found

Total Slides cross-examined

Total discrepancies found

% discrepancies found

Ii Peripheral Laboratories

Adequacy of Infrastructure of the laboratories No No No No

Trained Technician in-position Yes Yes Yes Yes

Adequate testing equipments in place No Yes Yes Yes

adequate chemicals in place No No Yes Yes

Average no. of tests undertaken per day 102 30+30 70 70

Is it overburdened Yes yes Yes Yes

Adequacy of records maintained No No No No

Validity of results by cross checking No No No No

Quality of slides and tests No NA NA NA

SOP/ Guidelines in place No NA NA NA

Test results are given on the same day. No No No No

% of quality items present

6 SATISFACTION STUDIES Bagbahara Pithora Sarapali BASNA

I Job Satisfaction (as per format) 2 2 2 2

Ii Patient’s Satisfaction (as per format) 2 2 2 2

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7. SUPERVISION & MONITORING

Sl. No. Particulars Bagbahara Pithora Sarapali BASNA

I MIS Established

Diseases are classified as per ICD-10 pattern No No No No

MPR Format Developed Yes Yes Yes Yes

QPR format developed Yes Yes Yes Yes

Half yearly report format developed Yes Yes Yes Yes

Annual Report Format developed Yes Yes Yes Yes

Monitoring Indicators Identified Yes Yes Yes Yes

If MIS is functional, provide a copy of the

consolidated Report of last month

Yes Yes Yes Yes

All Necessary Records Registers maintained Yes Yes Yes Yes

A HIMS Yes Yes Yes Yes

B JSY Yes Yes Yes Yes

C ANC, PNC Yes Yes Yes Yes

D Immunization Yes Yes Yes Yes

E ODDI IOD Yes Yes Yes Yes

F NLEP Yes Yes Yes Yes

G RNTCP Yes Yes Yes Yes

H NVBDCP Yes Yes Yes Yes

I JDS Yes Yes Yes Yes

J F.P. Register Yes Yes Yes Yes

K MCH Register Yes Yes Yes Yes

L Death Register Yes Yes Yes Yes

M Contraceptive Register Yes Yes Yes Yes

Ii Admin Monitoring Bagbahara Pithora Sarapali BASNA

Monthly Reports submitted Yes Yes Yes Yes

Quarterly Reports submitted Yes Yes Yes Yes

Half yearly Reports submitted Yes Yes Yes Yes

Annual Reports Prepared Yes Yes Yes Yes

Monitoring indicators developed No No No No

If prepared, provide a copy of the Report for the

last year?

Iii Int. Audit

Monthly Review meeting organized Yes Yes Yes Yes

Quarterly meeting organized Yes Yes Yes Yes

Half Yearly Review meeting Organized Yes Yes Yes Yes

Annual Meeting Organized NA NA NA NA

National Review meeting organized NA NA NA NA

If yes, provide a copy of ATR on the minutes

19

Iv Patient care ( Developed complications)

Ante-natal cases 233 NA 505 115

Post natal complication 156 NA 266 46

New born/Infants 24 NA 200(LBW)

IOL cases under NBCP Nil NA 484 32

TB cases 84(NA) Nil

Leprosy cases Nil Nil Nil

other case


V Medical Audit ( Deaths reported &reviewed) Bagbahara Pithora Sarapali BASNA

Maternal Deaths 01 02 01 01

Child deaths 52 21

Malaria deaths Nil 00 Nil Nil

Tuberculosis Deaths Nil 00 01

Others (specify) adult death since april 10 to till

date


Vi Supervisory visits by State/National Prog.

Manager Bagbahara Pithora Sarapali BASNA

what was checked Yes Yes Yes Yes

what gaps were found NA NA NA NA

what instructions were given NA NA NA

what administrative directions given NA NA NA NA

Provide a copy of the follow up action taken

Vii External Audit

Independent Review NA NA NA NA

Review by Expert Groups NA NA NA NA

If undertaken, provide a copy of the ATR NA NA NA NA

Vii Whether the feed back on the minutes is

received.

NA NA NA NA

viii Village Health day & Health camps are organized

Total No. of Monitoring Items present

% Monitoring Items Present

20

8 Performance of services Bagbahara Pithora Sarapali BASNA

8.1 Hospital performance

patients reported in OPD in last one year 39269 14221 25925 20258

days hospital OPD operated All working days

All

working

days

All

working

days

Patient days in Hospitals NA NA NA

Patients admitted in Hospital 2919 969 1732 2185

of Bed days NA

patients died in hospital 19 NA NA

Patients Discharged 2919 969 1732 2185

Live births occurred in hospital during reference period 499 302 745

137(April to

Aug

of infant deaths 20 -

of Maternal Death Nil - 01

of abortions NO - Nil Nil

8.2 Hospital Performance Indicators

Average daily Attendance in OPD in last one year 100 102

Average duration stay in hospital NA NA NA NA

Bed Occupancy Ratio NA NA NA NA

Bed Turn over rate NA NA NA NA

Death rate 2.1 NA NA NA

IMR 27.6 NA NA NA

MMR 1 NA NA NA

8.3 NHP (Leprosy) 3.3 per 1000

5.5 per

10000

4.4 per

10000

NA

Prevalence rate NA NA 112.9 NA

New cases detection rate NA NA NA

Prop. Of Sever cases 5/115 7% NA

Prop. Of Child cases NA 38.2 NA

Prop. Of female cases NA NA 5.2% NA

Prop. Of Deformity cases NA NA NA

Prop. Of cases put on treatment among the new

cases NA NA

NA

Number of cases completed treatment among those

put on treatment NA NA

NA

Number of Prevalent cases on record at the end of report month

Nil nil nil

NA

Number of resistant/relapse cases NA NA NA

of CHCs developed Indicators NA

21

FORM-IV


DATA COLLECTION FORMATS FOR REVIEW OF PRIMARY HEALTH CENTERS

Name of the Regional Office: Regional Office for Health & Family Welfare


1 ASSURED SERVICES:

Sl. No. Assured Services Under PHCs Tumgaon Khallari Sankara Baloda Barauli

1.1 Medical Care Services

I OPD services Yes Yes Yes YES YES

ii Emergency Services (24 Hrs) Yes YES YES YES YES

iii Referral services Yes YES YES YES YES

iv In-patient Services Yes YES YES YES YES

1.2 Treatment of Specific cases

I Cataract surgeries No NO NO NO NO

ii Primary management of Wounds Yes YES YES YES NO

iii Primary management of Fractures Yes NO YES NO NO

iv Minor Surgeries Yes NO YES YES NO

v Primary management of Poisoning,

snake bite, dog bite, etc. No NO NO

NO NO

vi Primary management of Burns No

1.3 MCH & FP Services Tumgaon khallari Sankara Baloda Barauli

I ANC Yes YES YES YES YES

ii INC (24x7 Hrs services) Yes YES YES YES YES

iii PNC Yes YES YES YES YES

iv JSY Yes YES YES YES YES

v Immunization(only on Tuesday) Yes NO YES NO YES

vi MTP services No NO NO NO NO

vii RTI/STD management Yes NO YES YES NO

viii FP methods Yes YES YES YES YES

ix New Born care No NO NO NO NO

x Sick child care No NO NO NO NO

1.4 Other Services

I Nutritional Services No NO NO NO NO

ii School Health Services Yes YES YES YES YES

iii Safe drinking water Yes NO NO YES YES

iv Control of locally endemic diseases Yes YES YES YES YES

v Surveillance & control of epidemic

diseases Yes YES YES

YES YES

vi Collection of vital Statistics Yes YES YES YES YES

vii Health Education Yes YES YES YES YES

viii AYUSH services No NO NO NO NO

22

1.5 National Health programme

I NRHM Yes YES YES YES YES

ii HIV/AIDS No NO YES NO NO

iii NVBDCP Yes YES YES YES YES

iv RNTCP Yes YES YES YES YES

v NLEP Yes YES YES YES YES

vi NBCP No NO NO NO NO

vii NIIDCP No NO NO NO NO

viii IDSP Yes YES YES YES YES

iv NCD-Newer initiatives No NO NO NO NO

1.6 Field Activities

Monitor activities of the SHCs

Activities of the ASHAs yes yes yes yes yes

MO to visit all SHC once in a month

No No No No No

HS/LHV to visit once a week No No No No No

Total activities undertaken

% of activities against total

2 Other Services

2.1 Basic Laboratory Services TUMGAON KHALLARI SANKARA BALODA BARAULI

I Routine -Urine, stool & blood

ii BT&CT No NO NO NO NO

iii Bacteriology-RTI, Sputum No NO NO NO NO

iv Blood smear for malaria parasite No NO YES YES NO

v Rapid test for pregnancy Yes NO YES YES NO

vi RPR test Syphilis/yaws Yes NO NO YES NO

vii Rapid Diagnostic test for Typhoid No NO NO NO NO

viii Rapid test kit for fecal

contamination of water No NO NO

NO NO

2.2 Support Services No NO NO NO NO

i Standards Treatment protocols

ii IEC Material NA NA NA NA NA

iii Training Manuals Yes YES YES NO NO

iv

Skill Strengthening Training of

staff No NO NO

NO NO

v Diet to patients No NO NO NO NO

vi Sterilization room No NO NO NO NO

vii

Central Sterilization storage

Depot. (CSSD) No NA NA

NA NA

viii Laundry No NA NA NA NA

ix Storage No NA NA NA NA

Yes YES YES YES YES

23

2.3 Amenities/Accessory Services TUMGAON KHALLARI SANKARA BALODA BARAULI

Citizen's charter No NO NO NO NO

Adequate Residential Accommodation

with all amenities No NO NO

NO NO

Lecture Hall for training No NO NO NO NO

Electricity with adequate back-up No NO YES YES YES

Adequate water supply No NO NO NO YES

Telephone Yes YES YES YES YES

Garden No NO NO YES NO

Waste disposal facilities No NO NO NO NO

2.4. Activities of NHP

I Human Control

I Diagnostic Services Yes YES YES YES YES

ii Treatment Yes YES YES YES YES

iii Disability management No NO NO NO NO

II Vector Control

I Interval Residual Spray Yes YES YES YES YES

ii Space spray No NO NO NO NO

iii Impregnated Bed Net Provision No NO NO NO NO

III Biological Control

I Maintenance of Hatcheries No NO NO NO NO

ii Release of Anti-larval Fishes No NO NO NO NO

iii Others NA NA NA NA NA

IV Chemical Control

I Oil spray on water surface No NO NO NO NO

ii Others NA NA NA NA NA

iii Others NA NA NA NA NA

V Others Activities TUMGAON KHALLARI SANKARA BALODA BARAULI

I Health Education Yes YES YES YES YES

ii Training No NA NA NA NA

iii Conversance

2.5 NRHM

1 Ante-natal Care Services Yes YES YES YES YES

I Intra-natal care services Yes YES YES YES YES

ii Post natal care services Yes YES YES YES YES

iii JSY care Services Yes YES YES YES YES

24

iv Immunization of Children Yes YES YES YES YES

v Full Range of FP Services No NA NA NA NA

vi Health Education Yes YES YES YES YES

vii Training No NA NA NA NA

Total activities undertaken

% of activities against total

Sl. No. Infrastructure TUMGAON KHALLARI SANKARA BALODA BARAULI

3.1 Review by HP&HM Committee/RKS

i Whether VH&SC are constituted Yes YES YES YES YES

ii Whether the composition of the

VH&SC is as the guidelines. NA NA NA

NA NA

iii Whether VH&SC are convening the meeting regularly NA NA NA

NA NA

iv If Ye, at what interval NA NA NA NA NA

v Whether Discussion as agenda are

undertaken. NA NA NA

NA NA

vi Whether the Minutes opf the meeting

are prepared and circulated to all the

concerned NA NA NA

NA NA

vii Whether the feed back on the minutes is

received. NA NA NA

NA NA

viii Village Health day & Health camps are

organized NA NA NA

NA NA

3.2 Physical Infrastructure TUMGAON KHALLARI SANKARA BALODA BARAULI

I PHC Building

Easily accessible within locality Yes YES YES YES YES

Building government or rented Govt GOVT GOVT GOVT GOVT

Wheel chair friendly No NO NO NO NO

Well Lit & Ventilated No YES YES YES YES

Plinth Area 375 to 450 Sq. mtrs NA NA NA NA NA

Boundary wall/fence No NO NO NO NO

ii Entrance

Registration and Record Room Yes NO NO NO YES

Drug dispensing room Yes YES YES YES NO

Waiting area for patients Yes YES NO YES YES

Ramps at the doorways No NO NO NO NO

iii Waiting area

Adequate seating No NO NO NO NO

Display of HE Material Yes YES YES NO NO

Separate Public utility No YES NO NO NO

Facility for drinking water No NO NO YES YES

Proper sign boards No NA NA NA NA

Complaint box No NA NA NA NA

clean surrounding, no water logging No NO YES NO NO

25

iv Outpatient Department Tumgaon khallari sankara Baloda barauli

Separate consultation & examination

room No NA NA

NA NA

Privacy for physical examination Yes YES YES YES YES

Public utility NA YES NO NO NO

v In-patient Wards

4-6 beds separate wards for Male &

females No NO NO

NO NO

Facility for drinking water NO NO NO NO NO

clean toilet No NO NO NO NO

separate nursing duty room No NO NO NO NO

Nursing station No NO NO NO NO

clean linen No NO NO NO NO

provisions of Diet NO NO NO NO NO

Cleaning of wards Fair GOOD FAIR FAIR FAIR

vi Operation Theater

change room No NO NO YES NO

Separate storing sterile & other

material No NO NO

NO NO

Adequate Equipments NO NA NA NA NA

Simple Surgical Procedures Yes YES YES YES NO

vii Labour Room

Separate septic & aseptic deliveries No NO NO NO NO

well lit & ventilated No NO YES YES YES

Toilet No YES NO YES YES

Drinking water No NO NO YES YES

separate storing of dirty & clean linen No NO NO NO NO

Baby care room NO NO NO NO NO

viii Minor OT

Minor surgeries Yes Yes YES YES NO

Emergencies/causality management No YES NO NO NO

well equipped to handle emergencies No NO NO NO NO

ix Laboratory

Sufficient space No NO YES NO NO

Separate areas for collection &

Screening No NO NO

NO NO

should have marble /stone tables &

bash basins No NO NO

NO NO

x General Stores

Separate sterile & common linen,

drugs etc. No NO NO

NO NO

well lit & ventilated No YES YES YES YES

Sufficient space No YES NO NO NO

dispensing cum store No NO NO NO NO

Vaccine & antiserum NA NA YES YES NO

Grand total Infrastructure Facilities

% of physical infrastructure Facilities

26

3.3. MANPOER IN PHC

Sl. No. Action points Tumgaon Khallari Sankara Baloda Barauli

I Medical officer (Exiting-1, Recommended -3)

01 01 01 1 1

AYUSH Practioner (Exiting-0, Recommended -1)

00 00 0 0 0

Account Manager

(Exiting-0, Recommended -1) 00 00 00

0 0

ii Pharmacist


1 1

iii Nurse – Midwife/Staff Nurse (Exiting-1, Recommended -5)

01 00 01 0 1

iv Health Worker (female)


1 0

v Health Educator


0 0

vi Health Assistant (1 (M), 1 (F) (Exiting-2, Recommended -2)

00 00 0 0 0

vii Clerks


0 0

viii Laboratory technician


1 0

ix Driver (Exiting-1, Recommended -0)

01 0 0 0 0

x Class IV


3 1

TOTAL

(Exiting-15, Recommended -24/25) 10 5 8

7 4

3.4. LOGISTICS SUPPORT IN PHC

Sl. No. Logistics TUMGAON KHALLARI SANKARA BALODA BARAULI

I Equipment:

Physical Examination in OPD Yes YES YES YES YES

Ophthalmologic examination & Eye care No NA NA

NA NA

Equipment required under NHP No NA NA NA NA

Set for Labour Room for Normal/assisted delivery No YES NA

NA NA

Equipment for IUD No NA YES YES YES

Equipment for pap smear No NA NA NA NA

Equipment for laboratory No NA YES YES NA

Necessary Furniture No NA NA NA NA

ii Drugs

General Drugs Yes YES YES YES YES

Ayush drugs NA NA NA NA NA

Drugs for RCH programme NA NA NA NA NA

Drugs for RTI/STI NA NA NA NA NA

Ayurvedic Drugs NA NA NA NA NA

Unani medicines NA NA NA NA NA

Sidha Medicines NA NA NA NA NA

Homeopathy medicines NA NA NA NA NA

27

Logistics TUMGAON KHALLARI SANKARA BALODA BARAULI

iii Transport Facilities

Referral facilities for emergency

patients Yes

Supervision & other out reach activities Yes YES YES

YES YES

4

FUNDS ALLOCATION &

UTILIZATION

I Funds allocated JSY APRIL -10 175000

ii Funds Utilized 40770

iii % utilization 27

5

I Malaria Slides TUMGAON KHALLARI SANKARA BALODA BARAULI

+ve slides cross examined NA NA NA NA NA

discrepancies found NA NA NA NA NA

-ve blood slides cross-examined NA NA NA NA NA

Discrepancies found NA NA NA NA NA

Total Slides cross-examined NA NA NA NA NA

Total discrepancies found NA NA NA NA NA

% discrepancies found NA NA NA NA NA

Ii Peripheral Laboratories

Adequacy of Infrastructure of the laboratories Poor - FAIR

FAIR -

Trained Technician in-position 01 - 02 1 -

Adequate testing equipments in place NA - NO NO -

adequate chemicals in place Yes - YES YES -

Average no. of tests undertaken per day 50 - 50 8 -

Is it overburdened Yes - YES YES -

Adequacy of records maintained No - NO NO -

Validity of results by cross checking NA - NA NA -

Quality of slides and tests Fair - POOR NA -

SOP/ Guidelines in place NA - NA NA -

Test results are given on the same day. No - NO YES -

% of quality items present

6 SATISFACTION STUDIES

I Job Satisfaction (as per format) 1 1 1 1 Attached

Ii Patient's Satisfaction (as per format) 1 1 1 1

28

7. SUPERVISION & MONITORING

Sl. No. Particulars Tumgaon Khallari Sankara Baloda Barauli

i MIS Established

Diseases are classified as ICD-10 Pattern

No NO NO NO NO

MPR Format Developed Yes YES YES YES YES

QPR format developed NA NA NA NA NA

Half yearly report format developed NA NA NA NA NA

Annual Report Format developed Yes YES YES YES YES

Monitoring Indicators Identified

If MIS is functional, provide a copy of the consolidated Report of last

month

All Necessary Records Registers

maintained

a ANC Yes YES YES YES YES

b PNC Yes YES YES YES YES

c DEATH AND BIRTH REG. Yes YES YES YES YES

d IMMUNISATION Yes YES YES YES YES

e JSY EXPENDITURE. Yes YES YES YES YES

f JDS EXPENDITURE. Yes YES YES YES YES

g OPD/IPD Yes YES YES YES YES

ii Admin Monitoring Yes YES YES YES YES

Monthly Reports submitted

Quarterly Reports submitted Yes YES YES YES YES

Half yearly Reports submitted NA NA NA NA NA

Annual Reports Prepared NA NA NA NA NA

Monitoring indicators developed Yes YES YES YES YES

If prepared , provide a copy of the Report for the last year?

iii Int. Audit

Monthly Review meeting organized

Quarterly meeting organized Yes YES YES YES YES

Half Yearly Review meeting

Organized NA NA NA

NA NA

Annual Meeting Organized NA NA NA NA NA

National Review meeting organized Yes YES YES YES YES

If yes, provide a copy of ATR on the

minutes NA NA NA

NA NA

29

Somani Jalbhanda Sukaldheia LB Nagar Karmatara

iv Patient care ( Developed

complications)

Ante-natal cases NA NA NA NA NA

Post natal complication NA NA NA NA NA

New born/Infants NA NA NA NA NA

IOL cases under NBCP NA NA NA NA NA

TB cases NA NA NA NA NA

Leprosy cases NA NA NA NA NA

other cases NA NA NA NA NA


v Medical Audit ( Deaths reported

&reviewed)

Maternal Deaths NA NA NA NA NA

Child deaths NA NA NA NA NA

Malaria deaths NA NA NA NA NA

Tuberculosis Deaths NA NA NA NA NA

Others (specify) NA NA NA NA NA


vi Supervisory visits by State/National

Prog. manager

what was checked NA NA NA NA NA

what gaps were found NA NA NA NA NA

what instructions were given NA NA NA NA NA

what administrative directions given NA NA NA NA NA

Provide a copy of the follow up

action taken NA NA NA

NA NA

vii External Audit

Independent Review NA NA NA NA NA

Review by Expert Groups NA NA NA NA NA

If undertaken, provide a copy of the

ATR NA NA NA

NA NA

Total No. of Monitoring Items

present

% Monitoring Items Present

30

Tumgaon Khallari Sankara Baloda Barauli

8 Performance of services

8.1 Hospital performance

patients reported in OPD in last one

year 26298 2554 2808

2100 2338

days hospital OPD operated NA NA NA NA NA

Patient days in Hospitals NA NA NA NA NA

Patients admitted in Hospital 231 83 129 37 171

of Bed days NA NA NA NA NA

patients died in hospital 00 00 00 0 0

Patients Discharged NA NA NA NA NA

Live births occurred in hospital

during reference period 117 19 66

27 94

of infant deaths 00 00 00 0 0

of Maternal Death 00 00 00 0 0

of abortions 00 00 00 0 0

8.2 Hospital Performance Indicators

Average daily Attendance in OPD in

last one year 80 25 15

15 20

Average duration stay in hospital 6 Hour 6Hour 6 Hour 6 Hour 6 hour

Bed Occupancy Ratio NA NA NA NA NA

Bed Turn over rate NA NA NA NA NA

Death rate NA NA NA NA NA

IMR NA NA NA NA NA

MMR NA NA NA NA NA

8.3 NHP

Prevalence rate NA NA NA NA NA

New cases detection rate NA NA NA NA NA

Prop. Of Sever cases NA NA NA NA NA

Prop. Of Child cases NA NA NA NA NA

Prop. Of female cases NA NA NA NA NA

Prop. Of Deformity cases NA NA NA NA NA

Prop. Of cases put on treatment

among the new cases NA NA NA

NA NA

Number of cases completed treatment among those put on treatment NA NA NA

NA NA

Number of Prevalent cases on record

at the end of report month NA NA NA

NA NA

Number of resistant/relapse cases NA NA NA NA NA

31

FORM-IV REGIONAL OFFICES OF HEALTH & FAMILY WELFARE

DATA COLLECTION FORMATS FOR REVIEW OF SUB-HEALTH CENTERS

Name of the Regional Office:

Report for the Month of: Sept 2010

1. ASSURED SERVICES BY HSC:

Sl.

No.

Services Bhoring Khallari Paraswani Baloda Akori

1.1 Maternal Health Y Angan Badi Y Angan

Badi Y Angan badi

PHC / Angan

Badi Anganbadi

Antenatal Care YES YES NO YES YES

Intranasal care YES YES NO YES YES

Postnatal Care YES YES YES YES YES

JSY Scheme

1.2 Child Health: YES YES NO YES NO

Newborn Care Services YES YES NO YES NO

Promotion of exclusive breast feeding YES YES YES YES YES

Full Immunization of Children YES YES YES YES YES

Vitamin A prophylaxis YES YES YES YES YES

Assistance to school health services YES YES YES YES YES

Prevention & control of Childhood diseases

1.3 Family planning & Contraceptive: YES YES OP, Condom

TT YES OP.Condom.TT.

IEC to ECs for adopting FP methods YES YES NO YES NO

Provision of contraceptives NO NO NO NO NO

Follow up services to Ecs adopting CCs NO NO NO NO NO

1.4 Counseling for safe abortion (MTP) &

proper referral YES YES YES YES YES

1.5 Assistance for School Health Services YES YES YES YES YES

1.6 Control of locally endemic diseases

1.7 Disease Surveillance & Control: YES YES YES YES YES

Surveillance of abnormal increase of cases YES YES YES YES YES

Weekly reporting of information on

syndromes surveillance YES YES YES YES YES

High level of alertness for unusual events &

action NO NO NO NO NO

1.8 Water Quality Monitoring NO NO NO NO NO

Disinfections of water NO NO NO NO NO

testing of water quality NO NO NO NO NO

1.9 Promotion of sanitation & disposal of

garbage

1.1 Curative Services YES YES YES YES YES

Treatment of minor ailments YES YES YES YES YES

Proper referral YES YES YES YES YES

Organizing Health days NO NO NO N O NO

Provide treatment as per AYUSH 27 / 19 27 / 19 27 / 14 27 / 19 27 - 16

Total 70 .37% 70 . 37 % 51 . 85 % 70 . 37 % 59 .25 %W

%age

32

Services SHC 1 SHC 2 SHC 3 SHC 4 SHC 5

2 Other Services

2.1 Support services

Availability of the Guidelines YES YES YES YES YES

Laboratory -Routine tests HB HB HB HB NO

Regular Skill development training/CME

YES YES YES YES YES

IEC material YES YES NO YES NO

Waste disposal NO NO NO NO NO

2.2 Accessory Services

Availability of Regular Electricity YES NO TEMPARYES YES Tempari

Availability of safe drinking Water NO NO NO NO NO

Telephone NO NO NO YES NO

Transport NO NO NO NO NO

Citizen's Charter NO NO NO NO NO

2.3 Others field activities

field visits YES YES YES YES YES

Community need assessment YES YES YES YES YES

Training NO YES NO YES NO

Records of vital events YES YES YES YES YES

2.40 National Health programme

NRHM YES YES YES YES YES

HIV/AIDS NO NO NO NO NO

NVBDCP YES YES YES YES YES

RNTCP YES YES YES YES YES

NLEP YES YES YES YES YES

NBCP NO NO NO NO NO

IDSP YES YES YES YES YES

NCD & Cancer Control NO NO NO NO NO

Total 22 - 13 22 - 13 22 - 11 22 - 15 22 - 11

%age 59 . 09 % 59 . 09 % 50 % 68 . 18 % 50 %

3 INFRASTRUCTURE

REQUIREMENTS:

3.1 Review by VH&SC

i Whether VH&SC are constituted YES YES YES YES YES

ii Whether the composition of the VH&SC is as the guidelines.

YES YES YES YES YES

iii Whether VH&SC are convening the

meeting regularly NO NO NO NO NO

iv If Ye, at what interval NO NO NO NO NO

v Whether Discussion as agenda are undertaken.

NO NO NO NO NO

vi Whether the Minutes of the meeting

are prepared and circulated to all the concerned

NO NO NO NO NO

vii Whether the feed back on the minutes

is received. NO NO NO NO NO

viii Village Health day & Health camps are organized

NO YES YES YES YES

33

Services SHC 1 SHC 2 SHC 3 SHC 4

3.2 Physical Infrastructure Bhoring Khallari Paraswani Baloda Akori

I Building

SHCs located within locality OUT SIDE CENTER CENTER LOST Center

Government building for SHCs Govt.

Building Rented Home.

Govt.

Building PHC BUIL. Govt. Building

Compound wall / Fencing gate NO NO YES NO YES

Residential facility for HW (F)? YES NO YES NO YES

Separate public utilities for M&F NO NO NO NO YES

Plinth area (73.50 to 100.20 Mtrs) 73.50 Mtrs. NO 73.50Mtrs. NO 73.50 Mtrs.

Present condition of building. GOOD NIL POOR NIL Poor

Condition of plaster on walls GOOD NIL POOR NIL Poor

Condition of floor. GOOD NIL POOR NIL Poor

Whether the cleanliness is maintained GOOD GOOD GOOD GOOD Poor

ii Waiting Area

Prominent display boards in local

language

NO NO NO NO NO

Visit Schedule of ANM NO NO YES YES NO

Suggestion / complaints box NO NO NO NO NO

Display of IEC material YES N NO YES NO

Seating arrangements YES NO YES NO YES

iii Clinical Room

Examination table YES YES YES YES YES

OPD Equipment (stethoscope, BP

apparatus, Weight Machine, etc)

YES YES YES YES YES

Necessary furniture NO NO NO NO NO

iv Labour room available

Labour room available YES NO YES NO PHC NO

Lithotomy table NO NO NO NO NO

Equipment trolly NO NO NO NO NO

Linen NO NO NO NO NO

Delivery Set Y YES YES YES NO

Suction apparatus NO YES NO NO NO

Newborn case set NO YES NO NO NO

v Residential Accommodation

Living Room - 2 YES N YES NO YES

Kitchen YES NO YES NO YES

W.C. YES NO YES NO YES

Bath Room YES NO YES NO YES

ANM Stays at Sub-center YES NO NO NO NO

HW(M) stays at Sub-center NO NO YES NO YES

3.3 Man power

ANM YES YES YES YES YES

Additional ANM NO NO NO NO NO

HW (Male) YES YES YES N YES

AWW 5 3 2 4 1

ASHA 5 4 2 7 3

Volunteer Worker NO NO NO NO NO

Total 45 -23 45 45 45 45

%age 51 .11 % 26 .66 % 53 .33 % 20 %

34

3.4 LOGISTIC SUPPORT Bhoring Khallari Paraswani Baloda Akori

I Equipments

OPD set YES YES YES YES YES

Delivery Set YES YES YES YES YES

IUD set YES YES YES YES YES

First Aid set YES YES YES YES YES

DDKs YES NO NO YES YES

Furniture NO NO NO NO NO

ii Drugs

Drug Kit-A (ORS, IFA, Vit.A,Co-tri) YES YES YES YES YES

Drug kit-B (Drugs related to delivery) YES YES YES YES NO

Additional drugs (used for sever

infection) YES YES YES YES

YES

Other Drugs & vaccine (UIP Vaccine) YES YES YES YES YES

NHP drugs (Malaria, MDT, DOT YES YES YES YES YES

Contraceptive supplies (Nirodh, OP,

Cu.T) YES YES YES YES

YES

AWW drug Kit NO NO NO NO NO

ASHA drug Kit YES NO YES YES YES

iii Referral Services

Provisions of referral YES YES YES YES YES

Total 15 - 13 15 - 11 15 - 12 15 - 13 15 - 12

%age 88. 66 % 73. 33 % 80 % 88.66 % 80 %

4 Funds allocated & Utilization

Un-Tied Funds of Rs. 10000/annum

Funds allocated & Utilization 10,000 10,000 N A 10, 000 NA

Funds utilized 6,000 3,000 NIL 7,000 Nil

% utilization 60 % 30 % 0 % 70 % O %

4 Field verifications

4.1 Field Verification CC Users

Sterilization UP TO April 2010 1 1 4 1 2

IUD 0 1 0 0 0

Oral Pill 1 3 2 1 2

Nirodh 0 1 0 1 2

4.2 Field verification of the Mothers

ANC 4 2 4 2 2

PNC 3 5 3 3 3

JSY mothers 1 4 2 4 3

4.3 Field Verification of the Children

5 Satisfaction studies

5.1 Client satisfaction

Client satisfaction towards ANM 3 5 3 3 3

Client satisfaction towards ASHA 3 5 3 3 3

Satisfaction of PRI 2 1 1 2 3

5.2 Job Satisfaction

SHC staff 1 1 1 1 1

PHC staff 1 1 1 1 1

CHC staff 1 1 1 1 1

35

6 Record Maintenance Bhoring Khallari Paraswani Baloda Akori

Sl. No. Registers Maintained SHC 1 SHC 2 SHC-3 SHC-4 HSC5

I Eligible Couples Register YES YES YES YES YES

ii Maternal & Child Health Register YES YES YES YES YES

a Antenatal, Intra-natal, postnatal YES YES YES YES YES

b Under five Register – Immunization YES YES YES YES YES

c Under five Register – Growth Monito NO NO NO NO NO

iii Birth & Death Register YES YES YES YES YES

iv Drug Register YES YES YES YES YES

v Equipment/Furniture Register YES YES YES YES YES

vi Communicable diseases/ Epidemic

Register YES YES YES YES

YES

vii Passive surveillance register for malaria cases YES YES YES YES

YES

viii Register for record pertaining to

JSYES YES YES YES YES

YES

ix Register for maintenance of account

including untied funds YES YES YES YES

NO

x Register for water quality and

sanitation NO NO NO NO

NO

xi Minor ailments Register YES YES YES YES YES

xii Records/registers as per various

National Health Programme guidelines YES YES YES YES

YES

No of Register Maintained properly

% of Maintained properly

7 SPERVISION & MONITORING

Sl. No. Particulars

i HIS Established

Diseases are classified as per ICD-10 NA NA NA NA NA

Monthly Progress Report Format used NA NA NA NA NA

MPR received from all reporting units NA NA NA NA NA

MPR Summarized & Reviewed NA NA NA NA NA

Feedback on MPR given NA NA NA NA NA

ii Admin Monitoring

Monthly Reports submitted NA NA NA NA NA

Quarterly Reports submitted NA NA NA NA NA

Half yearly Reports submitted NA NA NA NA NA

Annual Reports Prepared NA NA NA NA NA

iii Int. Audit

Monthly Review meeting organized NA NA NA NA NA

Quarterly meeting organized NA NA NA NA NA

Half Yearly Review meeting

Organized

NA NA NA NA NA

Annual Meeting Organized NA NA NA NA NA

iv Medical Audit

Maternal Deaths NA NA NA NA NA

Child deaths NA NA NA NA NA

Malaria deaths NA NA NA NA NA

Tuberculosis Deaths NA NA NA NA NA

Others (specify) NA NA NA NA NA

36

Bhoring Khallari Paraswani Baloda Akori

V Supervisory visits by State/National

Prog. Manager

what was checked NA NA NA NA NA

what gaps were found NA NA NA NA NA

what instructions were given

what administrative directions given NA NA NA NA NA

what follow up action taken

vi External Audit

Independent Review

Review by Expert Groups

8 Performance Indicators NA NA NA NA NA

I

ECs using CCs methods for more than 6 months continuously. 50 152 84 67

119

ii ANC mothers Registered 79 41 61 31 26

iii Mothers gone through the delivery 75 56 30 33 33

iv mothers have hospital deliveries 12 29 21 22 22

v Children upto 23 months immunized 48 47 00 34 28

vi Infant deaths Nil Nil Nil Nil 1

vii Maternal Deaths Nil Nil Nil Nil Nil

viii Malaria cases treated 486 / 3 262 / 0 383 / 0 282 / 0 228

ix TB cases under treatment Nil Nil Nil 2 3

x Leprosy cases under treatment 1PB 1PB – 3MB 2PB 1PB 1PB

xi cases blindness & refractive errors treated Nil Nil Nil Nil Nil

xii HIV/AIDS cases under treatment Nil Nil Nil Nil Nil

37

MONTHLY PERFORMANCE REPORT ON TECHNICAL ACTIVITIES FOR ROH&FW

INFORMATION ON SHCs

Name of the ROH&FW: Raipur


5.1. Field verification Children for fully immunization at SHCs

. Action points Bhoring Khallari Paraswani Baloda Ankori

1 Total beneficiaries selected 6 5 6 5 6

2 Total beneficiaries contacted 4 4 3 3 4

3 Beneficiaries could not be contacted due to

A) No such person living in the area. 0 0 0 0 0

B) Left the place temporarily. 2 1 1 2 0

C) Left the place permanently 0 0 0 0 0

D) Dead 0 0 0 0 0

E) Wrong /Incomplete address 0 0 0 0 0

F) Others 0 0 2 0 2

Total 2 1 3 2 2

4 No. of beneficiaries confirmed with full doses 4 4 3 2 4

5 No. of beneficiaries not confirmed with dose 0 0 0 1 0

6 Discrepancies in entries in the age of beneficiaries 0 0 0 0 0

7 Children have Complication after receiving the

services No No No No No

8 Satisfied with the services Yes Yes Yes Yes Yes

5.2. Field verification of ANC and PNC mothers at SHCs

Sl. No. Action points Bhoring Khallari Paraswani Baloda Ankori

ANC PNC ANC PNC ANC PNC ANC PNC ANC PNC

1 Total No of beneficiaries selected 7 5 3 5 5 4 4 5 5 4

2 Total beneficiaries contacted 4 3 2 5 4 3 2 0 2 3

3

Beneficiaries could not be contacted due to

A) No such person living in the area. 0 0 0 0 0 0

0

0 0 0

B) Left the place temporarily. 0 0 0 0 1 1 2 0 0 1

C) Left the place permanently 0 0 0 0 0 0 0 0 0 0

D) Dead 0 0 0 0 0 0 0 0 0 0

E) Wrong/Incomplete address 0 0 0 0 0 0 0 0 0 0

F) Others 3 2 1 0 0 0 0 2 3 0

Total 3 2 1 0 1 1 2 2 3 1

4 Discrepancy in age of beneficiaries 0 0 0 0 0

5 TT received during the pregnancy 3 3 1 5 4 3 2 3 2 3

6 IFA tablet received during the pregnancy 3 3 1 5 4 3 2 3 2 3

7 IFA consumed as per instruction 3 3 1 5 3 3 2 3 2 3

8 Received three Ante natal check up 3 3 1 5 4 3 2 3 2 3

9 No of women have gone through delivery 1 3 1 5 0 3 0 3 0 3

9.1. No. of Instts Deliveries 0 1 1 4 0 2 0 3 0 2

10 DDK used during delivery 0 1 1 4 0 2 0 3 0 2

11 Child fed within 30 minute of delivery 1 3 1 5 0 2 0 3 0 3

12 Used colostrums as per advise 1 3 1 5 0 3 0 3 0 3

13 Exclusive Breast feeding 0 3 0 4 0 3 0 2 0 3

14 Three post natal check up 0 0 1 4 0 2 0 3 0 0

38

5.3. Field verification of JSY beneficiaries at SHCs


1 Total No of beneficiaries selected 4 6 3 5 5

2 Total beneficiaries contacted 1 4 2 4 3

3

Beneficiaries could not be contacted due to

A) No such person living in the area. 0 0 0 0 0

B) Left the place temporarily. 2 2 1 0 2

C) Left the place permanently 0 0 0 0 0

D) Dead 0 0 0 0 0

E) Wrong/Incomplete address 0 0 0 0 0

F) Others 1 0 0 1 0

Total 3 2 1 1 2

4 Discrepancy in reporting of beneficiaries No No No No No

5 TT received during the pregnancy Yes Yes Yes Yes Yes

6 IFA tablet received during the pregnancy Yes Yes Yes Yes Yes

7 IFA consumed as per instruction Yes Yes Yes Yes Yes

8 Received three Ante natal check up No Yes Yes Yes Yes

9 Three post natal check up No Yes Yes Yes No

10 Monetary benefit under JSY Yes Yes Yes Yes Yes

11 Satisfied with services Yes Yes Yes Yes Yes

5.4. Field verification of Clients practicing Contraceptive methods – Sterilization


1 of selected cases 3 2 6 4 3

2 of contacted cases 1 1 4 1 2

3 Cases not contacted due to

a NSP 0 0 0 0 0

b IA/WA 0 0 0 0 0

h PO 0 0 0 0 0

d TO 0 1 2 3 0

e Others 2 0 0 0 1

Total 2 1 2 3 1

00 Discrepancy

a Age of acceptors 0 0 0 0 0

b Age of spouse 0 0 0 0 0

d No. of Total child 0 0 0 0 0

e No.of Male child 0 0 0 0 0

Total 0 0 0 0 0

5 Ineligible Cases 0 0 0 0 0

6 Denial/ Fake

a Denial cases 0 0 0 0 0

b Fake cases 0 0 0 0 0

c Double reported cases 0 0 0 0 0

Total 0 0 0 0 0

7 Follow up by Staff out of found genuine cases No No No No No

8 Pregnancy during the use of method out of

found genuine cases No No Yes 1 No No

9 Complaints if any out of found genuine cases No No Yes No No

10 Satisfied with method out of found genuine

cases Yes Yes No Yes Yes

39

5.4. Field verification of Clients practicing Contraceptive methods – IUDs

Sl. No. Action points Bhoring Khallari

Paraswa

ni Baloda Ankori




A NSP 0 0 0 0 0

B IA/WA 0 0 0 0 0

H PO 0 0 0 0 0

D TO 2 2 1 2 0

E Others 0 0 3 0 0

Total 2 2 4 2 2

4 Discrepancy

A Age of acceptors 0 0 0 0 0

B Age of spouse 0 0 0 0 0

D No. of Total child 0 0 0 0 0

E No.of Male child 0 0 0 0 0

Total 0 0 0 0 0


6 Denial/ Fake

A Denial cases 0 0 0 0 0

B Fake cases 0 0 0 0 0

C Double reported cases 0 0 0 0 0

Total 0 0 0 0

7 Follow up by Staff out of found

genuine cases No Yes No No No

8 Pregnancy during the use of method

out of found genuine cases No No No No No

9 Complaints if any out of found

genuine cases No No No No No

10 Satisfied with method out of found


40

Sl. No. Action points Bhoring Khallari

Paraswan

i Baloda Ankori




a NSP 0 0 0 0 0

b IA/WA 0 0 0 0 0

h PO 0 0 0 0 0

d TO 2 2 3 1 0

e Others 1 0 0 0 3

Total 3 2 3 1 3

4 Discrepancy





Total 0 0 1 0 0


6 Denial/ Fake 0 0 0 0 0




Total 1 0 1 0 0



8 Pregnancy during the use of method

out of found genuine cases No No No No No



10 Satisfied with method out of found

genuine cases No Yes Yes Yes Yes

41

5.4. Field verification of Clients practicing Contraceptive methods – Condom





a NSP 0 0 0 0 0

b IA/WA 0 0 0 0 0

h PO 0 0 5 0 0

d TO 0 2 0 2 3

e Others 0 0 0 0 0

Total 0 2 5 2 3

4 Discrepancy





Total 0 0 0 0 0


6 Denial/ Fake




Total 0 0 0 1 0


genuine cases No Yes No No Yes

8

Pregnancy during the use of

method out of found genuine

cases No No No No No



10 Satisfied with method out of

found genuine cases No Yes No Yes Yes

42

6.1. Community satisfaction of Mother for Work of ASHAs

Sl.

No.

Action points BHORING KHALLARI

PARASWA

NI BALODA AKORI

1 ANMs visited village regularly Yes Yes Yes No No

2 Mothers had some problem in last pregnancy No No No No No

3 Mothers received timely advices for getting

treatment

Yes Yes Yes No No

4 Institutional deliveries Yes Yes Yes Yes Yes

5 Babies weighed after birth Yes Yes Yes Yes Yes

6 Mothers aware about JSY Yes Yes Yes Yes Yes

7 Mothers received three PNC No Yes No Yes No

8 Mothers advised regarding colostrums Yes Yes No Yes No

9 Mothers get information about proper breast

feeding Yes Yes No Yes No

10 Mothers have knowledge about the

dangerous sign of ARI- No No No No No

11 Mothers have knowledge about fluid that is to be given during diarrhea Yes Yes Yes No No

12 Mothers have knowledge about schedule of Child immunization

No No Yes Yes Yes

13 Mothers aware about the disease for which

immunization given to their child - No No Yes No Yes

14 Mothers aware about the immunization against measles to be given in the 9th month

Yes No No No Yes

15 Awareness of mothers about the

contraceptive method - No No No No No

16 Mothers aware about the side effect of the contraceptive.

No No No No No

17 Awareness about the ideal gap between two

children No No No No No

43

6.1. Community satisfaction of Mother for Work of ASHAs

Sl. No. Action points

Bhoring Khallari Paraswani

Baloda AKORI

1 ASHA visited mothers during period from

pregnancy to delivery No Yes Yes Yes Yes

2 Mothers Received three ANC No Yes Yes Yes Yes

3 Mothers had some problem in last pregnancy No No No No No

4 Mothers received timely advices for getting treatment No Yes Yes Yes Yes

5 Institutional deliveries No Yes Yes Yes Yes

6 Babies weighed after birth No Yes Yes Yes Yes

7 Mothers received three PNC No Yes Yes Yes Yes

8 Mothers get information about proper breast

feeding No Yes Yes Yes Yes

9 Mothers have knowledge about the

dangerous sign of ARI. No No No No Yes

10 Mothers have knowledge about fluid that is to be given during diarrhea No Yes Yes Yes No

11 Mothers have knowledge about the immunization given to their child No No Yes No No

12

Mothers nave knowledge about that the

immunization against measles given in the ninth month No Yes Yes No No

6.1. Key Information from sarpanchs on the work of ANMs

Sl. No. Action points

No. of Panchayat Members contacted 2 1 1 2 3

1 Do you know about NRHM? Yes Yes No No Yes

2 Activities of NRHM are smoothly functioning ? No Yes Yes No Yes

3 Whether the JSY benefited to all the villagers? No Yes Yes Yes Yes

4 Do you know about untied funds? Yes Yes Yes Yes Yes

5 Do you have a Joint account with ANM in bank for

untied funds? Yes Yes Yes Yes Yes

6 Is there proper utilization of untied funds? No No Yes No Yes

7 Are the Villagers are benefited out of the untied funds?

No Yes Yes No Yes

8 In your village when and where the health camps are

organized? Yes No No No No

9 Who is ASHA in your Village? Yes Yes Yes Yes Yes

10 You know about the functioning of ASHA? Yes Yes Yes Yes Yes

11 Know about the how many Link Worker are working in

your Village? Yes Yes Yes Yes Yes

12 In your village whether the cases of Institutional

deliveries are increased? Yes Yes Yes Yes Yes

13 Any Polio case found in your Village? Yes Yes Yes Yes Yes

14 Is there regular immunization of children from time to

time in your Village? Yes Yes Yes Yes Yes

44

JOB SATISFACTION (CHC)

S. No Particulars 1 2 3 4 5 6 7

1 Organization Yes Yes Yes Yes Yes Yes Yes

i Clear Goal’s & Targets NO Yes Yes Yes Yes Yes Yes

ii

Reporting structure very easy

and clear Yes Yes Yes Yes Yes Yes Yes

iii Feedback is given on important issues Yes Yes Yes Yes Yes Yes Yes

iv Facilitate Team work Yes Yes Yes Yes Yes Yes Yes

v

Employees are considered as

an assets Yes Yes Yes Yes Yes Yes Yes

2 General Working Conditions

i Hours worked each week 8 Hours 8 Hours 8 Houes 8 Hours

8

Hours 8 Hours 8 Hours

ii Activities involves field tours Yes Yes Yes Yes Yes Yes Yes

iii

Location of work/safe working

conditions Good Good Good Good Good Good Good

iv Paid vacation/sick leave offered Yes Yes Yes Yes Yes Yes Yes

v Stress free working condition NO NO NO NO NO NO NO

3 Pay & promotion potential

i salary - timely payments Yes Yes Yes Yes Yes Yes Yes

ii Opportunity of promotion Yes Yes Yes Yes Yes Yes Yes

iii

Compensation for additional

work NO NO NO NO NO NO NO

iv Job Security Yes Yes Yes Yes Yes Yes Yes

v Recognition of work Yes Yes Yes Yes Yes Yes Yes

4 Work Relationship

i Relationship with coworkers Good Good Good Good Good Good Good

ii relationship with supervisors Good Good Good Good Good Good Good

iii relationship with subordinates Good Good Good Good Good Good Good

iv

Discuss and acceptance of

views Yes Yes Yes Yes Yes Yes Yes

v Accountability to Boss NO NO NO NO NO NO NO

45

5 Use of Skills and Abilities

i

Opportunities to utilize skills &

talents Yes Yes Yes Yes Yes Yes Yes

ii Opportunities to learn new skills Yes Yes Yes Yes Yes Yes Yes

iii Support for additional training Yes Yes Yes Yes Yes Yes Yes

iv It is a challenging Job Yes Yes yes Yes Yes Yes Yes

v Provides all resources& Logistics Yes Yes Yes Yes Yes Yes Yes

6 Work Activities

i Variety of job responsibilities Good

Very

Good Good Good

Very

Good

Very

Good

Very

Good

ii

Independence of your work

Role Good Good Good Good Good Good Good

iii Opportunities for periodic changes in duties Yes Yes Yes Yes Yes Yes Yes

iv Flexibility of Scheduling Yes Yes Yes yes Yes Yes Yes

v Fixed duty rosters Yes Yes Yes Yes Yes Yes Yes

7 Personal

i

Residential accommodation

provided NO yes NO Yes Yes Yes Yes

ii

Transportation arranged for

duties NO NO NO NO NO NO NO

iii benefits for children education NO NO NO NO NO NO NO

iv

Health insurance of family

members NO NO NO NO NO NO NO

v Risk coverage/life insurance NO NO NO NO NO NO NO

46

JOB SATISFACTION (CHC and PHC)

S. No Particulars

1 Organization

i Clear Goal’s & Targets YES YES YES NO NO YES NO

ii

Reporting structure very easy and

clear NO NO YES NO NO YES NO

iii

Feedback is given on important

issues YES NO YES YES NO YES YES

iv Facilitate Team work NO YES YES YES NO YES YES

v

Employees are considered as an

assets YES YES YES NO NO YES NO


i Hours worked each week 48 60 40 60 54 40 60

ii Activities involves field tours YES YES YES YES YES YES YES

iii

Location of work/safe working

conditions NO NO NO NO NO NO NO

iv Paid vacation/sick leave offered NO YES NO NO NO NO NO

v Stress free working condition NO YES YES NO NO YES NO


i salary - timely payments YES YES YES NO NO YES NO

ii Opportunity of promotion POOR NO NO NO NO NO NO

iii Compensation for additional work NO NO NO NO NO NO NO

iv Job Security NA NA POOR YES NO POOR YES

v Recognition of work YES YES YES YES YES YES YES

4 Work Relationship

i Relationship with coworkers FAIR FAIR FAIR FAIR FAIR FAIR FAIR

ii relationship with supervisors FAIR FAIR FAIR FAIR FAIR FAIR FAIR

iii relationship with subordinates POOR YES YES FAIR FAIR YES FAIR

iv Discuss and acceptance of views YES YES YES YES YES YES YES

v Accountability to Boss NO YES YES NO NO YES NO

47

S. No Particulars BHORING

KHALLARI

PARSWANI

BALODA AKORI

1 Organization

i Clear Goal’s & Targets Y Y Y Y Y

ii Reporting structure very easy and clear Y Y Y Y Y

iii Feedback is given on important issues Y Y Y Y Y

iv Facilitate Team work Y Y Y Y Y

v Employees are considered as an assets Y Y Y Y Y


i Hours worked each week 8Hours 8 Hours 8 Hours 8 Hours 8 Hours

ii Activities involves field tours Y Y Y Y Y

iii Location of work/safe working conditions Y Y Y Y Y

iv Paid vacation/sick leave offered Y Y Y Y Y

v Stress free working condition Y Y Y Y Y


i salary - timely payments Y Y Y Y Y

ii Opportunity of promotion N N Y N Y

iii Compensation for additional work N N N N N

iv Job Security Y Y Y Y Y

v Recognition of work Y Y Y Y Y

4 Work Relationship

i Relationship with coworkers GOOD GOOD GOOD GOOD GOOD

ii relationship with supervisors GOOD GOOD GOOD GOOD GOOD

iii relationship with subordinates GOOD GOOD GOOD GOOD GOOD

iv Discuss and acceptance of views Y Y Y Y Y

v Accountability to Boss N N N N N

5 Use of Skills and Abilities

i Opportunities to utilize skills & talents Y Y Y Y Y

ii Opportunities to learn new skills Y Y Y Y Y

iii Support for additional training Y Y Y Y Y

iv It is a challenging Job Y Y Y Y Y

v Provides all resources& Logistics Y Y Y Y Y

6 Work Activities

i Variety of job responsibilities Y Y Y Y Y

ii Independence of your work Role Y Y Y Y Y

iii Opportunities for periodic changes in duties Y Y Y Y Y

iv Flexibility of Scheduling Y Y Y Y Y

v Fixed duty rosters Y Y Y Y Y

7 Personal

i Residential accommodation provided N N N N N

ii Transportation arranged for duties N N N N N

iii benefits for children education N N N N N

iv Health insurance of family members Y N N N Y

v Risk coverage/life insurance Y Y Y N Y

JOB SATISFACTION

48

S. No Particulars P1 P2 P3 P4 P5 P6 P7

1 Socio-economic correlation

I Age/Yr 62 35 70 25 34 23 45

Ii sex M F M M F M F

Iii education 5TH NIL NIL 5TH NIL 5TH NIL

Iv race INDIAN INDIAN INDIAN INDIAN INDIAN INDIAN INDIAN

V marital status MARIED MARIED MARRIED MARRIED MARIED

MARRIE

D MARIED

Vi facility size 6 7 16 11 4 11 4

Vii occupation FORMER H.W. SHOP OWNER DRIVER H.W. DRIVER H.W.

viii Income FAMILY (month) 2000 1200 3000 7000 11000 7000 11000

ix social class BPL BPL BPL APL APL APL APL

2 Art of Care

i friendliness YES NO YES YES NO YES NO

ii Patience, sincerity GOOD

NOT

KNOWN GOOD FAIR NO FAIR NO

iii Consideration, concern FAIR GOOD GOOD GOOD FAIR GOOD FAIR

iv Disrespect, embarrassment NO NO NO NO YES NO YES

v Hurt, insult NO NO NO NO YES NO YES

vi making worry, abruptness NO

SOMETI

MES NO

SOMETIM

ES YES

SOMETI

MES YES

2 Technical Quality of Care

i Ability, accuracy GOOD GOOD GOOD GOOD FAIR GOOD FAIR

ii Experience, thoroughness YES

NOT

KNOW YES YES

NOT

KNOWN YES

NOT

KNOWN

iii training

NOT

KNOWN

NOT

KNOWN

NOT

KNOWN

NOT

KNOWN

NOT

KNOWN

NOT

KNOWN

NOT

KNOWN

iv defective equipments

NOT

KNOWN

NOT

KNOWN

NOT

KNOWN

NOT

KNOWN

NOT

KNOWN

NOT

KNOWN

NOT

KNOWN

v over prescribing

NOT

KNOWN

NOT

KNOWN

NOT

KNOWN

NOT

KNOWN

NOT

KNOWN

NOT

KNOWN

NOT

KNOWN

vi outdated regimens NO NO

NOT

KNOWN

NOT

KNOWN

NOT

KNOWN

NOT

KNOWN

NOT

KNOWN

vii taking unnecessary risk NO NO NOT KNOWN

NOT KNOWN

NOT KNOWN

NOT KNOWN

NOT KNOWN

49

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