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MINUTES OF THE (36th) MONTHLY REVIEW MEETING OF DISTRICT_DADU
Monthly Review Meeting (MRM) of District, DADU for the Month of January, 2012 was held on 09/02/2012 at DC Darbar Hall Dadu. Written invitations to participate were sent to the DC, the EDO(H), the EDO(F&P) and District Incharge of EPI, LHW and all other National Programs as usual. The list of participants follows: List of Participants:
S # Names/Designation S # Names/Designation
1 Mr. Huzoor Bukhsh Laghari RPD Hyderabad
2 Mr. Moula Bux Solangi DSM PPHI Dadu
3 Dr. Rubeena A.D Memon Associate Proffessor PUMHS Nawab Shah
4 Dr. Nazeer Begum Associate Proffessor PUMHS Nawab Shah
5 Peer Ashfaque Ahmad Executive (M&E)
6 Abdul Sattar Soomro Executive (F&A)
7 Mr. Muzamil Memon Facilitator
8 Dr. Niaz Ahmad Jamali Dist: Co-Ordinator DHIS
9 Dr. Bhajan Lal Matlani MO I/c BHU Phakka
10 Dr. Muhammad Saleh Gadhi I/c MO BHU Phulji Station
11 Dr. Nizamudin Abro MO I/c BHU Mounder
12 Dr. Bashir Ahmad Channa MO I/c BHU Makhdoom Bilawal
13 Dr. Sayed Lal Shah I/c MO BHU Sita Village
14 Dr. Fayaz Ahmad Panhwar I/c MO BHU Ibrahim Panhwar
15 Dr. Abdul Hakeem Solangi I/c MO BHU Piaro Goth
16 Dr. Abdul Kareem Jamali MO I/c BHU Samtani
17 Dr. Shams Din Jokhio I/c MO BHU Betto
18 Dr. Sanaullah Soomro I/c BHU Aminani
19 Dr. Allah Dino Khoso I/c MO GD Nawab jo Patt
20 Dr. Deedar Hussain Abbasi I/c MO BHU Fareed Abad
21 Dr. Altaf Ahmad Qureshi GD Jatt Shahdad
22 Dr. Nizakat Ali Sahar MO I/c BHU Thareri Mohabat
23 Dr. Nazeer Ahmad Kandhro MO I/c BHU Kolachi
24 Dr. Mohammad Naeem Mahesar I/c BHU Aghamani
25 Dr. Ashok Kumar I/c MO BHU Butt Serai
26 Dr. Ammanullah Chandio MO I/c GD Gul Mohammad Jatoi
27 Dr. Hidayatullah Chandio MO I/c GD Qadir Bux Rind
28 Dr. Mohammad Azam Chandio I/c BHU Gozo
29 Dr. Imdad Hussain Kalhoro I/c MO BHU Burera
30 Dr. Rasheed Ahmad Chandio I/c MO BHU Thallo
31 Dr. Abdul Raheem Saryo MO I/c MCH Khanpur
32 Dr. Karam Yousif Outho I/c MO BHU Dhani Bux Bughio
33 Dr. Akram Ali Soomro I/c MO BHU Dougar
34 Dr. Shamas Din Kalhoro I/c MO GD Gul Mohammad Chandio
35 Dr. Irshad Ahmad Shah I/C MO BHU Boriri
36 Dr. Mumataz Ali Khand I/c MO BHU Chorr
37 Dr. Assadullah Lakhair MO I/c BHU Essa Kahn Thebo
38 Dr. Ayaz Ahmad Jokhio I/c MO BHU Baid
39 Dr. Khalid Hussain Laghari 40 Dr. Abdullah Sameejo
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I/c MO BHU Allahyarani I/C MO BHU Bahawalpur
41 Dr. Manzoor Ali Sario I/C BHU Qasbo
42 Dr. Altaf Ahmed Lund I/c BHU Kamal Khan Lund
43 Dr, Awais Ahmad Bughio I/c MO GD Mureed Babar
44 Dr. Mohammad Waseem Arain I/c MO BHU Haji Khan
45 Mr. Mohammad Khan Rustamani Dispenser GD Murad Khan Jamali
46 Dr. Qamarudin Abbasi MO I/c GD Peer Gaji Shah
47 Disp. Imam Bux Laghari GD. K.B.Chakkar Khan Shahani
48 Dr. Akbar Ali Panhwar I/c MO Sijawal Khan Alkhani
49 Ali Raza Jamali I/C Dispenser GD Moundar khan Jamali
50 Dr. Mehnaz Saeed Soomro Female Medical Officer
51 Dr. Fareeda Noonari FEMALE MEDICAL OFFICER
52 Dr. Farhana Shah Female Medical Officer
53 Dr. Naheed Akbar Janwari FEMALE MEDICAL OFFICER
54 Dr. Kalsoom Janwary Female Medical Officer
55 Dr. Shabnam Niaz Gorar FEMALE MEDICAL OFFICER
56 Dr. Fahmeeda Shaikh Female Medical Officer
57 Dr. Farzana Qureshi Female Medical Officer
58 Dr. Ameena Bughio FEMALE MEDICAL OFFICER
59 .Dr. Zakia Larik FEMALE MEDICAL OFFICER
60 Dr. Sabiha Khaskheli FEMALE MEDICAL OFFICER
61 Dr. Farzana Jokhio FEMALE MEDICAL OFFICER
62 Mansoor Ali Panhwar Social Mobilizer
63 Dr. Jameela Khoso FEMALE MEDICAL OFFICER
64 Syed Abdul Gaffar Shah Assistant Admin
65 Mr. Hakim Ali Jatoi Social Mobilizer
66 Mr. Abdul Hafeez Bhatti Social Mobilizer
67 Naveed Ali Junejo Social Mobilizer
68 Abid Ali Jatoi Assistant Accounts
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons S # Names/Designation Reasons
1 Dr. Altaf Hussain Shah I/c MO BHU Purano Dero
Engage in SNID 2 Dr, Naheed Solangi Female Medical Officer
She is on U/S Training
3 Dr. Ghullmullah Samoo I/C MO BHU Patt
Engage in SNID 4 Dr. Akhtar Hussain Shaikh I/c MO BHU Qazi Arif
Engage in SNID
5 Mr. Allahwarayo Khoso I/c GD Paryo Jamali
Engage in SNID 6 Dr. Afshan Memon FEMALE MEDICAL OFFICER
On Maternity Leave
7 Dr. Reeta Khushal Das Sonologist
C/L 8
Dr. Zubair Ahmad Panhwar I/c MO BHU Wahi Pandhi
Busy in SNID
A. HFs WITH PPHI
BHUs: 35 Dispensaries: 12 MCHCs: 02 Others:______ TOTAL: 49
B. Population of the Catchments Area: 699342
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C. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant (Sanc-Govt)
MOs 49 44 20 24 29
WMO
FMOs - 17 0 17 06
LHVs 8 37 8 29 20
MTs/MAs Male
- - - -
- Female - - -
Dispensers/HT 78 53 24 29 0
D. CLUSTERS OF HFs WITH ONE MO
WITH ONE FMO
NOTE: One Sonologist is working
E. CAPACITY BUILDING 1. First Session: During MRM
Dr. Rubina A.D.Memon (Associate Professor Gynae/Obst PUMHS Nawabshah) in his lecture focused on Postpartum Hemorrhage (PPH) on the following points:-
Introduction
Causes of Maternal Death Globally
Major Causes of Maternal Death in Pakistan
PPH:The Facts (Time between appearance of symptoms and death)
FACTS ABOUT PAKISTAN
Four Delays – Responsible for Maternal Death
Definition
Prevalence of PPH
Aetiology
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs Clusters of 2 HFs
Single HFs 44 Single HFs 44
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 12 Clusters of 2 HFs 11
Single HFs 5 Single HFs 5
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Can we Predict PPH?
MANAGEMENT OF P.P.H
Prevention of P.P.H
COMPLICATIONS
TREATMENT 2. Second Session: During MRM
3. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates Date Venue Topic No. of
Participants
Dr. Abdul Kareem Jamali 13/01/2012 BHU
Samtani Vaccination 18
Dr. Ameena Bughio 23/01/2012 BHU Sita
Village Family Planning
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F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 1065
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 903
No. of Immunization & Vaccination Administered by out- reach EPI Teams -
Total vaccination / immunization for the month December 2011 1968
2. National Immunization Days (NIDs)
Dates of NIDs Target of coverage Actual coverage Percentage of
coverage
Data has not Shared with this Office
3. Other Preventive/Promotional Services .
S # Service Number
1 Passive Case Detection (PCD) Slides 12056
2 Active Case Detection (ACD) Slides -
3 Visits to Check Sanitation (individual house holds + streets) -
4 Notices issued against Poor Sanitation -
5 Challans sent to Court against Poor Sanitation -
6 Patients Nebulized -
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review 1. Female Health
S #
Names of FMOs Ante-Natal Cases Neo-Natal Cases Other OPD Total
1 Dr.Afshan Memon ON Maternity Leave ON
2 Dr.Ameena Bughio 84 11 960 1055
3 Dr Fahmeda Shaikh 121 15 1518 1654
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4 Dr.Fareeda Noonari 51 8 790 849
5 Dr.Farhana Shah 150 11 953 1114
6 Dr Farzana Jokhio 244 5 759 1008
7 Dr.Farzana Quershi 45 7 768 820
8 Dr Jamila Khoso 85 9 531 625
9 DR. Kalsoom Janwari 138 11 772 921
10 Dr.Mehnaz Soomro 53 8 713 774
11 Dr.Naheed Akbar 190 10 541 741
12 Dr Naheed Solangi 64 13 670 747
13 Dr.Sabiha Khaskheli 68 8 1058 1134
14 Dr Saima Hingoro 36 3 445 484
15 Dr.Shabnam Niaz 57 5 927 989
16 Dr.Zakia Larik 38 3 642 683
TOTAL 1424 127 12047 13598
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 46
2 Deliveries Assisted at Homes 01
3. Lab/ Diagnostic Tests
4. Important Discussion on Mother and Child and Reproductive Health during MRM The MOs and FMOs demanded that supply of the Tables Ponstan, Paracetamol, Brufen and Amoxil Drops. Increase quantity of peads: medicine especially in suspension form and Tablet forms.
5. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
1 Consultation / Advice 220
2 Oral Pills 365-cycles
3 IUCDs 00
4 Injections Depo 00
5 Injection Noregest 00
6 Others (Condoms) (Tab. Nova) 220
Total 805
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: ------47------------ Number of Female SGs: -------02------- 2. Performance of Social Organizers
S # Test Number
1 Pregnancy Tests 74
2 Blood Sugar Tests 13
3 Hemoglobin Tests 29
4 Ultra Sound Test 827
5 Other 101
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Names of Social Organizers
Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of
Participants
Mr.Abdul Hafeez Bhatti 132 6x22=132 8 8x27=216
Mr.Hakim Ali Jatoi 105 5x21=105 7 7x21=147
Mr.Naveed Ali Junejo 80 4x20=80 4 4x20=80
Mr.Mansoor Ali Panhwar 105 5x21=105 7 7x23=161
Total 422 422 26 604
2. School Health Sessions & Community Health Sessions
Names of MO / FMOs/Paramedics
Community Health Sessions School Health Sessions
Sessions Participants
Sessions Children Examined
Children Treated
Dr.Afshan Memon --- On maternity Leave ---
Dr.Ameena Bughio 2 50 2 11 10
Dr Fahmeda Shaikh 2 60 2 25 15
Dr.Fareeda Noonari 2 60 2 23 14
Dr.Farhana Shah 2 60 2 15 8
Dr Farzana Jokhio 2 73 2 27 17
Dr.Farzana Quershi 2 70 2 18 11
Dr Jamila Khoso 2 40 0 0 0
DR. Kalsoom Janwari 2 55 2 13 8
Dr.Mehnaz Soomro 2 53 2 12 7
Dr.Naheed Akbar 2 60 2 12 6
Dr Naheed Solangi 2 48 0 0 0
Dr.Sabiha Khaskheli 2 31 2 29 13
Dr Saima Hingoro 0 0 0 0 0
Dr.Shabnam Niaz 2 54 2 29 16
Dr.Zakia Larik 2 39 1 8 2
Totals 28 753 23 222 127
4. Important Points during Support Group Meetings. a) CSG demanded that the Ultrasound facility may be provided at uncovered areas. b) CSG members demanded that health facilities may be repaired. 5. Important Points during SHSs A) Prevention of Scabbies b) Prevention of Diarrhea c) Increase awareness regarding the prevention of Malaria. d) Precaution of Acute respiratory Infection. 6. Important Points during CHSs c Prevention of Diarrhea b) Prevention of Polymylitis c) Prevention of Family Planning d) Prevention of Maleria
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7. Topics for SHSs for the Month
Sr. No. Topics
1 Health Education
2 Hand Washing
3 ARI
4 Scabbies
5 Diarrhea
8. Topics for CHSs for the Month
S # Topics
1 Anti natal care
2 PID
3 Immunization
4 Anemia
9. Important Discussion on Community Participation during MRM
The DSM urged the MOs and FMOs to conduct regular monthly meetings with CSG/ CHS/ SHS and send a copy of minutes of the meeting to DSU for record purpose. He further directed keep record of the same and focus on the staff regularity and punctuality. 10. Health Camps: Number Held: 00. Number of Patients: 00 11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent
Present status
I Sanitation - - -
Ii Drainage / sewerage - - -
Iii ……… drinking water - - -
Iv Prevention of adulteration - - -
V Tree Plantation - - -
Vi Roads and infrastructure - - -
Vii Environmental Improvement - - -
Viii Others - - -
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
65465 467 65932
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 BHU Wahi Pandhi 3054 BHU Chorr 671
2 BHU Thareri Mohabat 2446 GD Mondar Khan Jamali 710
3 BHU Allahyarani 2242
GD Gul Mohammad Jatoi
732
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3. Top Five Diseases Treated during School Health Sessions/Camps *All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases During OPD
S # Disease No. of Patients
1 ARI 14045
2 SKIN DISEASE 5864
3 DIARRHOEA / DYSENTERY 5030
4 SUSPECTED MALARIA 4731
5 EYE/ENT 1019
6. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 402
ARV Administered 220
ARV Available Doses 416
Snake bite cases reported 0
ASV Vaccine Administered 0
ASV Vaccine Available Doses 5
S 6. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive
Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 404
2 Blood Sugar Tests 136
3 Haemoglobin 29
4 X-Rays (if available) -
5 Ultra Sound 827
6 Others (please specify) 101
7. B & C SCREENING TESTS
Screening No. of Tests
Performed
No. of cases found
positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B 11 1 - - -
Hepatitis C 26 - - - -
S # Diseases No. of Patients
1 Respiratory Disease 28
2 MALARIA 19
3 SCABBIES 17
4 DIARRHOEA 13
5 EYE INFECTION 08
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8. TUBERCLOSIS
Patients Receiving Treatment
New Cases During the Month
Under Diagnosis
113 15 48
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
2 - - - - - -
3 - - - - - -
4 - - - - - -
10. Inverse Referrals
S.No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 - - - - - -
3 - - - - - -
4 - - - - - -
G. MONITORING DURING MONTH UNDER REVIEW
1. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
42 45 143 230
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
1 BHU Fareed Abad MO demanded start of R&R work
Work will start soon
2 BHU Boriri MO demanded repair of motor
Motor has been repaired
3 BHU Gozo M.O demanded the repair of Water Tank & Sanitary Fitting
Work has been done
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for ……………… Weeks 2. Important Issues raised relating to Medicines, etc. during MRM Few Doctors pointed out that the quality of medicine may be improved and also increase the quantity of medicine. The DSM apprised the medical officers that 10 items of medicine were procured from multinational companies and rest of the items are also of good quality and efficacious.
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
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S # Name of HFs Description of Repair /
Maintenance incl. Electrification Status / Remarks
1 BHU Aminani Completed MB recorded Completed
2 BHU Ibrahim Panhwar Completed MB recorded Completed
3 BHU Khanpur Completed MB recorded Completed
4 BHU Makhdoom Bilawal Completed MB recorded Completed
5 BHU Pyaro Goth Completed MB recorded Completed
6 BHU Kolachi Completed MB recorded Completed
7 BHU Allahyarani Completed MB recorded Completed
8 BHU Bahawalpur Completed MB recorded Completed
9 BHU Gozo Completed MB recorded Completed
10 BHU Betto Completed MB recorded Completed
11 BHU Kamal Khan Lund Completed MB recorded Completed
12 BHU Phakka Completed MB recorded Completed
13 BHU Samtani Completed MB recorded Completed
14 BHU Qazi Arif Completed MB recorded Completed
15 BHU Boriri Completed MB recorded Completed
16 BHU Thallo Completed MB recorded Completed
17 BHU Haji Khan Completed MB recorded Completed
18 BHU Thareri Mohabat Completed MB recorded Completed
19 BHU Moundar Work Completed Completed
20 BHU Dhani Bux Bughio Work Completed Completed
21 BHU Phulji Station Work Completed Completed
22 GD G.Mohammad Chandio Work Completed Completed
23 BHU Sita Village Work Completed Completed
24 BHU Essa Khan Thebo Work Completed Completed
25 BHU Burera Work in progress 55%
26 BHU Wahi Pandhi Work in progress 50%
27 BHU Baid Work in progress 65%
28 BHU Patt Work in progress 20%
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
---- ---- ----
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM On Staff Matters:
Involve of PPHI staff in NIDs .
Regularity and punctuality.
HF Record updated. On Preventive Health:
The DSM emphasizes the regular CSG Meetings and CHS Meeting.
Keeping the view the Polio Drops, the awareness of this disease was on top priority.
Establish the Wastage Pitch.
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Role on awareness rising about vaccination and it was shared with the forum that DSU-PPHI Dadu has appointed the 10 vaccinator for said purpose.
On Curative Health:
Properly usage of laboratory machine, Pregnancy strips, Nabulizer Machine and Glucometer strips.
The DSM emphasize on the properly Keeping Record and HF cleanliness. On Mother, Child & Reproductive Health:
Female Deliveries.
The DSM appreciate the increase in Vaccination.
Ensure the fully participation in NIDs Other Matters: The DSM stressed upon furnishing the record of inverse cases of HB / HC. Date /Time for Next MRM: Date /Time for Next MRM: On 10 March at 10:30 am. Comments on Targets vs Achievements (by DSM)
Repair of the HFs.
Provided ARVs / ASVs
Provided Water Connection at HFs
Maintaince of HFs Record
Regularity and Punctuality of Staff
Established link with Community Support Group and meeting there and tell them about PPHI and there Services at HFs.
MOULA BUX SOLANGI DISTRICT SUPPORT MANAGER
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MINUTES OF THE 35th MONTHLY REVIEW MEETING OF DISTRICT THATTA
Monthly Review Meeting (MRM) of District, Thatta for the Month of January, 2012 was held on 11th February, 2012 at DHDC Hall, DHO Complex Makli. Written invitations to participate were sent to the DC, the DHO Thatta, the DO (F&P) and District Incharge of EPI, LHW and all other National Programs as usual. The list of participants follows: List of Participants:
The following could not attend the meeting for the reasons stated against each:-
S #
Names/Designation Reasons S #
Names/Designation Reasons
1 Dr Shaheen Karnani/FMO Leave 2 Dr Hakima Palijo.,FMO Leave
3 Dr Asha kumari,FMO C/L 4 Dr Badarunissa FMO Mat.leave
5 Dr Girdhari Lal,MO BHU Goongani Polio duty 6 Dr Akhtar Ali shah /MO BHU Chatochand
Polio duty
7 Dr Altaf Hussain,MO BHU Muzaffar Leghari
Polio duty 8
Dr Akhtar Hussain katiyar ,MO BHU Kothi
Polio duty
9 Dr Attaullah Baloch /MO BHU Buhara
Polio duty 10
Dr Dost Muhammad MO BHU M.K Rind
Polio duty
11 Dr Muzaffar Shah/MO-BHU S.Q.D Shah
Polio duty 12
Dr Abdul Wahab MO BHU Ali Bahar.
Polio duty
13 Dr Zeeshan Shah/MO BHU Jhangri Polio duty
14 Dr Shafi Memon,I/C MO BHU N.M.Thaheem
Polio duty
15 Dr Narain Das,MO BHU G.M Shah Polio duty 16 Dr M Aslam I/C MO BHU Polio duty
S # Names/Designation S #
Names/Designation
1 Mr. Maqsood Ahmed Baloch/DSM-Thatta 2 Dr Agha Iftikhar DHO Thatta.
3 Dr Ghulam Qadir Sheikh, THO Thatta 4 Dr Ghulam Nabi khushk,FP WFP Thatta
5 Mr Hassan Ali Memon/Ex M&E Thatta. 6 Dr Waqar Ahmed DHCO UNICEF.
7 Dr Naseem Bano, FMO. 8 Dr Imtiaz Jogro MO BHU G.M Baran
9 Dr Devi Sadho/FMO 10 Dr Irshad Memon,MO BHU Laiqpur
11 Dr Zareen Kehar,FMO 12 Dr Abdul Jabbar Memon MO BHU Kot Alamo.
13 Dr Rubina Khokhar/FMO 14 Dr Imam Bux MO BHU Raj Sheikh Bachal
15 Dr Umaira Jabeen/FMO 16 Dr M.Umer Memon MO BHU Banno.
17 Dr Rukhsana Leghari,FMO 18 Dr Gulzar Uqaili,MO BHU Aachar Jakhro
19 Dr Zehra Abbasi,FMO 20 Dr Sadhu Ram I/C MO BHU Mureed khoso
21 Dr Marvi Shah/FMO 22 Dr M.Jaffar Almani MO BHU Ladiyoon
23 Dr Zuhra Kiran/FMO 24 Dr Jamshed /Dental Surgeon, BHU Dhabeji.
25 Dr Razia Raheem,FMO 26 Dr Jamal Memon/MO BHU Pir Jo Goth.
27 Dr Farhana Memon FMO 28 Dr Nisar Memon, MO (HQ).
29 Dr Farah Rafique, Sonologist. 30 Dr Murad Baloch MO BHU Jokhio village
31 Dr Saba Fatima/FMO 32 Dr Ghulam Murtaza MO BHU Ali M.Guggo
33 Dr Shaheen Brohi,FMO 34 Dr M.Ibrahim Memon,MO BHU Kandra
35 Dr Mehnaz Ghouri FMO 36 Dr Parkash Kumar,MO BHU Marho Bula Khan
37 Dr Ruqia Turk ,FMO 38 Mr Teerath Das,Ex.const Thatta
39 DR Noreen Sharif FMO 40 Mr Chetan Lal SM-5
41 Dr Shehla Sheikh FMO 42 Mr Hassan Dholo ADPW.
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Jungo Jalbani
17 Dr Asif Behrani MO BHU Jhimpir. Polio duty
18 Dr Abdul Hussain Shah/MO BHU Gail Mori
Polio duty
19 Dr Naimatullah/MO BHU Mureed Jarejo
Polio duty 20
Dr Soofi Azeem MO BHU Jhoke Sharif.
Polio duty
21 23
Dr Imtiaz kakepoto /MO BHU Khair Bux Leghari
Polio duty 22
Dr Karim khawaja MO BHU HM Sodho.
Polio duty
25 Dr Ashfaque Ahmed MO Boohar Polio duty
24 Dr Anwar Memon,MO BHU Bello
Polio duty
27 Dr Nisar Memon,MO BHU Nodo Baran
Polio duty 26
Dr Hussain Gul MO BHU Dhabeji
Polio duty
29 Dr Samiullah,MO BHU Sajanwari Polio duty
28 Dr Sajid Kehar MO BHU Ghulamullah
Polio duty
31 Dr Aijaz khawaja MO BHU Gariwah. Polio duty
30 Dr A.Rasheed Memon,MO BHU T.H Shah
Polio duty
33 Dr Anwar Khawaja/MO BHU Garho. Polio duty
32 Dr M.Ibrahim Soomro MO, BHU Gujjo.
Polio duty
35 Dr A.Ghani Soomro /MO BHU Ghorabari.
Polio duty 34
Dr Jai Kumar/MO BHU Rahoot.
Polio duty
B. HFs WITH PPHI
BHUs: 50 Dispensaries: 01 MCHCs: 0 Others: 0
TOTAL: 51 B. Population of the Catchments Area:
E. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant (Sanc-Govt)
MOs 51
46 11 35 5
WMO 0 0 0
FMOs 0 22 01 20 ….
LHVs 51 20 12 8 31
MTs/MAs Male
51 34 34 0
0 Female 0 0 0
Dispensers 51 36 16 20 3
F. CLUSTERS OF HFs WITH ONE MO
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 03 Clusters of 2 HFs 05
Single HFs 43 Single HFs 41
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WITH ONE FMO
E. CAPACITY BUILDING
1. First Session: During MRM
Dr. Waqar Ahmed, DHCSO UNICEF in his lecture on “ANALYSIS OF ROUTINE IMMUNIZATION AT THATTA” focused on the following points:-
UC wise coverage.
Antigen wise coverage.
Category wise coverage.
How to improve routine immunization.
7. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates Date Venue Topic No. of
Participants
F. REVIEW OF THE PERFORMANCE (I) PREVENTIVE HEALTHCARE
During Month under Review 1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 3021
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 2498
No. of Immunization & Vaccination Administered by out- reach EPI Teams 4834
Total vaccination / immunization for the month Dec 2011 10353
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of
coverage
30th Jan2012 to 1st Feb2012 251462 101%
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides NA
2 Active Case Detection (ACD) Slides NA
3 Visits to Check Sanitation (individual households + streets) NA
4 Notices issued against Poor Sanitation NA
5 Challans sent to Court against Poor Sanitation NA
6 Patients Nebulized 164
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs 0 Clusters of 3 HFs 0
Clusters of 2 HFs 18 Clusters of 2 HFs 17
Single HFs 04 Single HFs 03
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(II) MOTHER, CHILD & REPRODUCTIVE HEALTH During Month under Review
1. Female Health
S #
Names of FMOs Ante-Natal Cases Natal Cases Other OPD Total OPD
1 Dr Razia Palijo 217 0 112 1193
2 Dr Shaheen Brohi 173 0 114 1097
3 Dr Mehnaz Ghouri 61 0 105 1047
4 Dr Saba Fatima 63 0 146 1008
5 Dr Hakima Palijo 108 0 42 980
6 Dr Rukhsana Leghri 56 0 38 936
07 Dr Zareen Kehar 83 0 170 941
08 Dr Shaheen Karnani 91 0 65 855
09 Dr Zehra Qureshi 124 2 187 845
10 Dr Rubina Chander 67 0 31 829
11 Dr Devi Sadhu 52 0 15 728
12 Dr Naseem Bano 110 1 90 706
13 Dr Marvi Shah 15 0 21 692
14 Dr Farhana Memon 51 0 82 661
15 Dr Shehla Sheikh 41 1 142 615
16 Dr Umaira Bhutto 23 0 115 585
17 Dr Ruqia Turk 62 1 59 570
18 Dr Asha Kumari 35 2 73 532
19 Dr Noreen Sharif 30 0 110 502
TOTAL 1462 07 1717 15322
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 08
2 Deliveries Assisted at Homes 41
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 263 (42 +ve)
2 Blood Sugar Tests 113
3 Hemoglobin Tests 06
4 Ultra Sound Test 785
5 Other (RDT)Malaria 449 (16 +ve)
8. Important Discussion on Mother and Child and Reproductive Health during MRM 9. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
1 Consultation / Advice 593
2 Oral Pills 237
3 IUCDs 0
4 Injections 287
5 Others 154
Total 1271
16
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: 51 Number of Female SGs: 06 2. Performance of Social Organizers
Names of Social Organizers
Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of
Participants
Mr. Lutif Ali Shah 06 1 75 17 268
Mr. Zubair Ahmed 08 0 88 15 219
Mr Munawar leghari 06 0 58 12 175
Mr Chetan Lal 02 0 23 12 175
Total 22 01 244 56 837
I. School Health Sessions & Community Health Sessions
Names of MO / FMOs/Paramedics
Community Health Sessions School Health Sessions
Sessions Participants Sessions Children
Examined Children Treated
Dr Shaheen Brohi 2 47 2 35 0
Dr Razia Palijo 2 27 2 15 8
Dr Ruqia Turk 2 20 2 24 5
Dr Zehra Qureshi 2 23 2 5 0
Dr Saba Fatima 2 49 2 12 4
Dr Hakima Palijo 2 27 2 22 13
Dr Rukhsana Leghri 2 65 2 70 55
Dr Rubina Chander 2 19 1 22 8
Dr Devi Sadhu 2 126 0 0 0
Dr Farhana Memon 2 38 2 25 16
Dr Shaheen Karnani 2 27 2 60 5
Dr Marvi Shah 2 22 2 10 2
Dr Naseem Bano 2 17 2 18 3
Dr Asha Kumar i 2 33 2 2 0
Dr Umaira Bhutto 3 54 1 0 0
Dr Noreen Sharif 2 25 2 65 35
Dr Mehnaz Ghouri 4 155 0 0 0
Dr Zareen Kehar 2 18 2 0 0
Dr Shehla Sheikh 0 0 0 0 0
4. Important Points during Support Group Meetings.
Role of the community support group in vaccination and polio campaigns.
Role of the community support group for the arrangements of school health sessions.
Role of the community support group for the arrangements of Community health sessions for male and female participants.
Support of the community during the R&R work.
Support of the community groups for plantation.
17
Increasing the number of members in each community meeting while inviting the social people of the catchments area of the facility
II. Important Points during SHSs
Immunization
Personal Health and hygiene
Nutrition
Polio
Skin disease
10. Important Points during CHSs
Family Planning
Vaccination/Polio
Personal Hygiene.
Scabies.
Antenatal care.
TB
I. Topics for SHSs for the Month
Sr. No. Topics
1 Personal Hygiene
2 Importance of vaccination/Polio
3 Malaria
4 Diarrhea
5 Scabies
8 Topics for CHSs for the Month
S # Topics
1 Antenatal care
2 Polio
3 Malaria
4 Family Planning
5 Importance of breast feeding
6 Tuberculosis
7 Personal Hygiene
8 ARI
10. Important Discussion on Community Participation during MRM
To Conduct regular CSG meetings
Active Participation of CSG members
Change / Replace inactive members of CSG
Develop Ownership of BHUs among community
Cooperation for arranging SHS & CHS.
Active Participation of CSG members in polio campaign 10. Health Camps: Number Held: 0 Number of Patients:
18
11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent
Present status
i Sanitation
ii Drainage / sewerage
iii ……… drinking water
iv Prevention of adulteration
v Tree Plantation
vi Roads and infrastructure
vii Environmental Improvement
viii Others
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
I. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
57556 1158 58724
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 Chatochand 2619 Raj Malik 193
2 Gujjo 2258 Ali Mohd Guggo 296
3 Dhabeji 2220 Muzaffar Leghari 451
4 Aacher Jakhro 2059 Jungo Jalbani 457
5 Gariwah 1891 Jeand Zangejo 485
3. Top Five Diseases Treated during School Health Sessions/Camps 4. Top Five Diseases during OPD
S # Disease
1 ARI
2 Scabies
3 Malaria
4 Diarrhea
5 Cough more than 02 weeks
11. ARV / ASV used during the month
S # Diseases
1 RTI
2 Scabies
3 GIT
4 ENT
5 Malaria
19
No. of Patients
Dog bite cases reported 110
ARV Administered 91
ARV Available Doses 865
Snake bite cases reported 01
ASV Vaccine Administered 01
ASV Vaccine Available Doses 72
9. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive
Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 263
2 Blood Sugar Tests 113
3 Hemoglobin 06
4 X-Rays (if available) 0
5 Ultra Sound 785
6 Others (Malaria) 449
10. B & C SCREENING TESTS: N/A
Screening No. of Tests Performed
No. of cases found
positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B
Hepatitis C
11. TUBERCLOSIS
Patients Receiving Treatment
New Cases During the Month
Under Diagnosis
08 0 05
9. Referrals
S.No Totals Cases Referred To
TB DOT Deliveries Others RHCs THQs DHQs
1 06 05 0 01 05 0 01
10. Inverse Referrals
S.No Totals Cases Referred from
ARV ASV Others RHCs THQs DHQs
1 12 12 0 0 2 10 0
I. MONITORING DURING MONTH UNDER REVIEW
2. Monitoring Visits during the month
20
DSM Executive Monitoring Other Staff Total
49 62 182 293
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
01 BHU Gail Mori Electricity & Cold chain Cold chain repaired and service wire provided.
Solved.
02 BHUs Nodo Baran,G.M Shah,Jangri,GM Baran
Electricity Connection Applied for new connection, demand draft paid, reminder written to HESCO officials.
Pending
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for 14 Weeks 2. Important Issues raised relating to Medicines, etc. during MRM
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance
incl. Electrification Status / Remarks
01 BHU Aachar Jakhro Completed MB recorded
02 BHU Gujjo Completed MB recorded
03 BHU NM Thaheem Completed MB recorded
04 BHU Jokhio Village Completed MB recorded
05 BHU Ali Bahar Completed MB Recorded
06 BHU Chato Chand Completed MB recorded
07 BHU Haji M. Sodho Completed MB recorded
08 BHU Dhabeji Completed MB Recorded
09 BHU Ghari Wah Completed MB recorded
10 BHU Garho Completed MB recorded
11 BHU Ghorabari Completed MB recorded
12 BHU Khair Bux Leghari Completed MB recorded
13 BHU Kandra Completed MB recorded
14 BHU S.Qadir dino Shah Completed MB recorded
15 BHU Mureed Khoso 80% In progress
16 BHU MK Rind 80% In progress
17 BHU Jhoke Sharif Completed In progress
18 BHU Gail Mori 80% In progress
19 BHU Muzaffar Leghari 90% In progress
20 BHU Shahnawaz Leghari 90% In progress
21 BHU Laiqpur 90%
22 BHU Banno 20%
23 BHU Sajanwari 10%
24 BHU T.H Shah 10%
25 BHU Goongani 10%
26 BHU Rahoot 10%
27 BHU G.M aran 10%
21
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM On Staff Matters:
Regularity & punctuality of staff.
Maintenance of all records.
Submission of reports on time.
Doctors & paramedical staff should wear apron during working hours.
Maintenances of leave record of HF staff at BHUs/GD.
Maintenance of V-phone at health facilities. On Preventive Health:
Conduct health sessions on regular basis and include topics of seasonal disease.
Arranging of quality/genuine health sessions. On Curative Health:
MOs & FMOs with low OPD were directed to increase liaison with community and make regular CSG meetings.
MOs/FMOs were informed about conduct of diabetes camps with the consultation of CSGs.
MOs/FMOs were advised to use deworming tablets in children under 5 yrs of age. On Mother, Child & Reproductive Health:
During MRM it was emphasized that all female medical officers should concentrate more on mother and child health, besides their general OPD they should focus on ANC/PNC, normal delivery cases and also make counseling of patients. Make public family planning services to the clients.
Other Matters: Date /Time for Next MRM:
The tentative date for next MRM was fixed on March 09,2012 Comments on Targets vs Achievements (by DSM): DSM gave a detailed presentation on the progress for the reporting month. He directed all Medical Officers to lay special focus on routine immunization and polio eradication campaigns as Thatta was one of the poorest performing districts. He directed all FMOs to conduct meaningful Community health sessions and school health sessions. He also directed all FMOs to increase ANC and PNC as it was one of their primary responsibilities. In the end DSM thanked DHO and his team for attending MRM and extending full cooperation and he assured the same from PPHI management.
22
MINUTES OF THE (5th) MONTHLY REVIEW MEETING OF DISTRICT JAMSHORO
5th Monthly Review Meeting (MRM) of District Jamshoro for the Month of January, 2012 held on 9th February, 2012 at District Assembly Hall - Jamshoro. Written invitations were sent to the DC, the DHO, the EDO(F&P) and District Incharges of EPI, LHW, T.B Program, Malaria ,DHIS, family planning, District Surveillance Officer WHO and all other National Programs as usual. The list of participants is as follows: List of Participants:
1. Mr. Saifullah Abro District Support Manager DSU PPHI Jamshoro
2. Mr. Niaz Hussain Channa EO(M&E) DSU PPHI Jamshoro
3. Dr. Rubina FMO BHU Wahur
4. Dr. Tehseen Sonologist PPHI Jamshoro
5. Dr. Anjum Shaikh WMO GD Sindh University
6. Dr. Shahida Shoro FMO BHU Karo Khao/ Gd Budhapur
7. Dr. Khalida FMO HU KK Basti / Khanote
8. Dr. Fareha Javed FMO BHU Thano Ahmed Khan
9. Dr. Rozina FMO BHU Khado / GD Mehada Palari
10. Dr. Shazia Memon FMO BHU Lakha / GD Christian Colony
11. Dr. Iram Naz FMO BHU Sari / GD Khurshed Colony
12. Dr. Shah Bano FMO GD Bihar Colony
13. Dr. Naseem Junejo FMO BHU Amri/ GD Qubi
14. Dr. Zulekha Memon FMO BHU Garwari/ BHU Laki
15. Miss Rubina Dai BHU Sari
16. Dr. Muhammad Ramzan I/C MO BHU Bubak
17. Dr. Shahid Hussain Khoso I/C MO BHU Amri
18. Dr. Muhammad Taqi Soomro I/C MO GD LSB Jamshoro Colony
19. Dr. Irshad Nonari I/C MO SHC Thano Arab Khan
20. Dr. Jahanzaib Bhatti M.O (HQ) PPHI DSU Jamshoro
21. Dr. Hafeez Ahmed I/C MO BHU Khuda Ki Basti
22. Dr. Javed I/C MO BHU Thano Ahmed Khan
23. Dr. Sultan Ali Qureshi I/C MO GD Qubi
24. Dr. Prem Chand I/C MO Gd Mahenda palari/GD Ali Murad Bareja
25. Dr. Abdul Khalique I/C MO BHU Laki
26. Dr. Riaz Ahmed Shaikh I/C MO GD Christian Colony
27. Dr. Zunair Shoro I/C MO GD Budhapur
28. Dr. Nazir Feroz I/C MO GD Bihar Colony
29. Dr. Muzamil I/C MO SHC Dhamach
30. Dr. Feroz-u-Din Sehto I/C MO BHU Talti
31. Dr. Zakir I/C MO BHU Garwari
32. Dr. Nisar Ahmed I/C MO GD Band Manchar
23
33. Dr. Sohail Ahmed Soomro I/C MO GD Khurshed Colony
34. Dr. Asar Mal I/C SMO BHU Sari
35. Dr. Asan I/C MO BHU Mole
36. Dr. Aftab Ahmed Soomro I/C MO BHU Walidad Gabool
37. Dr. Faraz Memon I/C MO BHU Lakhal
38. Dr. Allah Jurio I/C MO GD Bajara
39. Dr. Khalid Yousaf Guest
40. Mr. Allah Bachayo H.T GD Gul Mohd Sehtani
41. Mr. Khadim Hussain Dispenser BHU Taung
42. Mr. Abdul Salam Dispenser BHU Sari
43. Mr. Mashooq Ali H.T BHU Tajuji
44. Mr. Shahzad Ali Soomro SO-/Assistant DSU PPHI Jamshoro
45. Mr. Mujeeb-u-Rehman SO-/Assistant DSU PPHI Jamshoro
46. Mr. Allah Dino SO-/Assistant DSU PPHI Jamshoro
47. Abdul Majeed CSG Member
48. Mr. Gulam Subhani Chokidar BHU Sari
The following could not attend the meeting for the reasons stated against each:-
1. Dr. Naheed Akhtar FMO SHC Dhamach C/L
2. Dr.Nighat FMO GD LSB Jamshoro
C. HFs WITH PPHI BHUs: 19 Dispensaries: 13 MCHCs: 01 Others: 01(RHC)
TOTAL: 34 B. Population of the Catchments Area: 640303
G. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant (Sanc-Govt)
MOs 37
32 16 16 19
WMO 02 02 00
FMOs - 12 - 12 -
LHVs/MW/F. Nurse 20 26 20 06 0
MTs/MAs Male
26 26 26 0
0 Female - - -
Dispensers 11 21 11 10 0
H. CLUSTERS OF HFs WITH ONE MO
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 01 Clusters of 2 HFs 01
Single HFs 28 Single HFs 28
24
WITH ONE FMO
E. CAPACITY BUILDING
1. First Session: During MRM DR NAZNEEN ALI KHASKHELI PG MS GENERAL SURGERY gave lecture on Bleeding per rectum (topic) focused on the following points:- a) Causes Of Bleeding. b) Hemorrhoid c) Formation Of Hemorrhoid d) Clinical Features e) Management f) TREATMENT g) COMPLICATIONS h) ANAL FISSURE i) DIAGNOSES
DR KHALID YOUSUF MEMON Lecturer in Pathology Department LUMHS gave lecture on Significance Of Routine Investigation In Diagnosis Of Disease focused on the following points:-
a) INTRODUCTION b) Limitations of reference ranges c) Interpret results in clinical context d) History and clinical examination e) Neutrophils – Low f) Neutrophils – High g) Lymphocytes h) Procedure of urine sample collection i) Indications
3. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates
Date Venue Topic No. of
Participants
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE During Month under Review
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 7 Clusters of 2 HFs 9
Single HFs 5 Single HFs 5
25
1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 1716
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 310
No. of Immunization & Vaccination Administered by out- reach EPI Teams
Total vaccination / immunization for the month October 2011 2026
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of coverage
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides
2 Active Case Detection (ACD) Slides
3 Visits to Check Sanitation (individual house holds + streets)
4 Notices issued against Poor Sanitation
5 Challans sent to Court against Poor Sanitation
6 Patients Nebulized 18
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review 1. Female Health
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 02
2 Deliveries Assisted at Homes -
S # Names of FMOs Ante-Natal Cases Neo-Natal Cases Other OPD Total OPD
1 Dr. Khalida Buriro 74 0 704 778
2 Dr. Shazia Memon 83 0 1460 1543
3 Dr. Rubina Memon 34 0 1725 1759
4 Dr. Rozina Memon 24 0 517 541
5 Dr. Fareeha Javed 8 0 407 415
6 Dr. Shahida Shoro 15 0 351 366
7 Dr. Naheed Akhtar 13 0 241 254
8 Dr. Erum Naz 32 0 1082 1114
9 Dr. Shah Bano 166 0 2564 2730
10 Dr. Anjum shaikh 16 0 526 542
11 Dr. Nighat 23 3 733 759
12 Dr. Naseem Junejo 8 0 210 218
Total 496 03 10520 11019
26
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 69
2 Blood Sugar Tests 106
3 Hemoglobin Tests -
4 Ultra Sound Test -
5 Other -
4. Important Discussion on Mother and Child and Reproductive Health during MRM
5. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
Consultation / Advice 263
Oral Pills 66
IUCDs 01
Injections 63
Others(RC) 41
Total 434
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: 20 Number of Female SGs: -------------- 2. Performance of Social Organizers
Names of Social Organizers
Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of
Participants
Shahzad Ali Soomro 6 - 92 23 676
Mujeeb-u-Rehman Shaikh 05 - 81 12 487
Allah Dino Otho 08 - 121 19 741
Total - - - 38 1215
3. School Health Sessions & Community Health Sessions
Sr. No
Name of FMO/ MO CHS School Health Session
No. Part: NO. Examined Treated
1 Dr. Khalida Buriro 2 58 2 14 7
2 Dr. Shazia Memon 2 70 2 - -
3 Dr. Rubina Memon 2 45 2 55 55
4 Dr. Rozina Memon 2 47 2 14 9
5 Dr. Fareeha Javed 1 10 1 40 30
6 Dr. Shahida 1 35 2 3 3
7 Dr. Shah Bano 1 32 1 5 -
8 Dr. Erum Naz 2 70 2 - -
9 Dr. Naheed Akhtar 1 32 1 11 -
27
10 Dr. Anjum shaikh 1 12 - - -
11 Dr. Nighat - - 1 - -
12 Dr. Naseem Junejo 2 65 1 5 3
Total 17 476 17 147 107
4. Important Points during Support Group Meeting
Support in polio eradication campaign
Arrange CHS & SHS in catchment area
Arrange medical camps.
5. Important Points during SHSs
Discussed importance of immunization, personal health & hygiene, nutritional status and other diseases.
6. Important Points during CHSs
Importance of breast feeding and maternal health. 7. Topics for SHSs for the Month
Sr. No. Topics
1 Immunization
2 Personal Health and hygiene
3 Nutrition
4 Diarrhea (Prevention & Treatment)
5 Malaria
8 Topics for CHSs for the Month
S # Topics
1 Immunization
2 Personal Health and hygiene
3 Nutrition
4 Mother and child health
9. Important Discussion on Community Participation during MRM The schedule of the CSG meetings was shared and finalized with MOs consultation. DSM guided the MOs to arrange the community support groups on mentioned dates in the schedule. Invite and ensure the maximum participation of the members from the CAs of the health facility in the CSG meetings. 10. Health Camps: Number Held: 00. Number of Patients: 00. 11. Measures for improvement / provision of Services by other Department / Agencies
Sr No
Description Recommendation To whom sent
Present status
I Sanitation No No No
Ii Drainage / sewerage No No No
Iii ……… drinking water No No No
Iv Prevention of adulteration No No No
V Tree Plantation No No No
28
Vi Roads and infrastructure No No No
Vii Environmental Improvement No No No
viii Others No No No
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
33778 2542 36320
2. Maximum OPD** Minimum OPD**
S #
BHF name OPD S #
BHF name OPD
01 GD Bihar Colony 4062 19 BHU Talti 847
02 GD Khurshed Colony 3340 20 GD Ali Murad Barejo 803
03 GD Christian Colony 2221 21 GD Mehenda palari 783
04 BHU Khuda ki basti 2053 22 BHU Thano Ahmed Khan 781
05 GD LSB Jamshoro Colony 1777 23 BHU Amri 772
06 BHU Lakha 1548 27 BHU Laki 740
07 GD Bajara 1502 25 BHU Tajuji 736
08 BHU Wahur 1399 27 GD Budhapur 635
09 GD Sindh University 1297 28 BHU Khado Village 612
10 BHU Seri 1276 29 GD Gu Muhammadl Sehtani 594
11 BHU Khanot 1199 30 BHU Mole 548
12 BHU Karo Khao 974 26 SHC Dhamach 523
14 BHU Taung 961 26 GD Qubi 447
15 BHU Bubak 933 31 BHU Garwari 245
16 BHU Walidad Gabol 926 32 GD Karchat -
17 SHC Thano Arib Khan 905 33 RHC Unerpur -
18 GD Band Manchar 881 34 MCHC Sewhan N/A
3. Top Five Diseases Treated during School Health Sessions/Camps 4. Top Five Diseases During OPD
S # Disease No. of Patients
1 ARI
2 Fever(clinical Malaria)
3 Scabies
4 Diarrhea
5 Dysentery
S # Diseases No. of Patients
1 ARI
2 Fever(clinical Malaria)
3 Scabies
4 Diarrhea
5 Dysentery
29
6. ARV / ASV used during the month
No. of Patients
Dog bite cases reported -
ARV Administered -
ARV Available Doses -
Snake bite cases reported -
ASV Vaccine Administered -
ASV Vaccine Available Doses -
12. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive
Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 69
2 Blood Sugar Tests 188
3 Hemoglobin 0
4 X-Rays (if available) 0
5 Ultra Sound 0
6 Others (please specify) 0
13. B & C SCREENING TESTS
Screening No. of Tests
Performed
No. of cases found
positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B 0 0 0 0 0
Hepatitis C 0 0 0 0 0
14. TUBERCLOSIS
Patients Receiving Treatment
New Cases During the Month
Under Diagnosis
0 0 0
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
2 27 27 0 0 0 27 -
3
4
10. Inverse Referrals
S.No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 0 0 0 0 0 0 -
3
4
30
G. MONITORING DURING MONTH UNDER REVIEW
3. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
38 46 124 208
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for Weeks: 24 weeks
4. Important Issues raised relating to Medicines, etc. during MRM a. Shortage of medicine b. Number of items provided is less than 30 c. ARV & ASV is required
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair /
Maintenance incl. Electrification Status / Remarks
1 BHU Wahur R&R TS Approved
2 BHU Bubak R&R TS Approved
3 BHU Khurshed Colony R&R TS Approved
4 BHU KK Basti R&R TS Approved
5 BHU Laki R&R TS prepared
6 BHU Khando R&R TS prepared
7 GD Christian Colony R&R TS prepared
8 BHU Khanothe R&R TS prepared
9 BHu Thano Ahmed Khan R&R TS prepared
10 BHU Sari R&R TS prepared
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM DSM presented the progress of PPHI and openly discussed the issues related to health facilities. Date / Time for Next MRM: 7th of March 2012 at 10:00am Comments on Targets v/s Achievements (by DSM) DSM Appreciated the efforts of the MOs and FMOs regarding their working at HFs. He said that the cases of TB must be referred to the TB Diagnostic centers and then must be followed.
31
MINUTES OF THE (38th) MONTHLY REVIEW MEETING OF DISTRICT MATIARI
Monthly Review Meeting (MRM) of District Matiari for the Month of January, 2012 was held on 9th February, 2012 at DSU PPHI Matiari Office. Written invitations to participate were sent to the Deputy Commissioner, the DHO(H), the EDO(F&P) and District Incharge of EPI, LHW, T.B Program, Malaria ,family planning and all other National Programs as usual. The list of participants as follows: List of Participants:
49. Inam-ur-Raheem Abro District Support Manager DSU PPHI Matiari
50. Muhabat Ali Shah EO(M&E) DSU PPHI Matiari
51. Mr.Imran Qureshi EO(F/A) DSU PPHI Matiari
52. Dr.Erum Parveen FMO Guest Speaker
53. Abdul Malik A.DPWO A.DPWO Office Matiari
54. Dr.M.Aslam Siddiqui MS RHC Bhit Shah
55. Dr.Abdul Fatan Abro I/C MO BHU Bau Khan Pathan
56. Dr.Salma Shah I/C Sr.WMO DCD Jumo Shahoke
57. Dr.Aijaz Ali Memon I/C MO GD Shahmeer Ji Wasi/DCD Pali Jani
58. Dr.Munir Jamali I/C MO BHU Bagho Khan Jamali/ BHU Nabi Bux Jamali
59. Dr.Shuja Muhammad Shah I/C MO BHU Udero Lal Village
60. Dr.Azra Shakoor Shaikh FMO BHU Laloo Magnwano/ GD Sher M. Thora
61. Dr.Naeem Ahmed Memon I/C MO BHU Fakir Nooh Hothiani
62. Dr.Shakeel Ahmed I/C MO GD Soomar Chand
63. Dr.Safdar Ali Rajpar I/C MO GD Sher M. Thora
64. Dr.Imtiaz Ali Memon I/C MO BHU Karam Khan Nizamani
65. Dr.Shazia Naz Memon FMO RHC Bhit Shah (evening)
66. Dr.Afshan Rafique FMO BHU Shahmeer Rahu/BHU Seerachoo Kaka
67. Dr.Shahid Memon I/C MO BHU Seerachoo Kaka
68. Dr.Amir Ali Sangrasi I/C MO BHU Khando
69. Dr.Sajida Raza FMO BHU K.K.Nizamani/ GD Old Saeedabad
70. Dr.Shahnaz Altaf FMO BHU Bagho Khan Jamali/BHU NBJ
71. Dr.Safina Ahmed Sonologist DSU PPHI Matiari
72. Dr.Amina Bano Sonologist DSU PPHI Matiari
73. Dr.Shabana Shah FMO MCH/BHU Sekhat
74. Dr Rukhsana Zahid FMO BHU Tahir Hingoro&DCD Dhaloo Khaskheli
75. Dr.Saran Shakeel FMO BHU Ilyas Abrejo/BHU Yousuf Hajano
76. Dr.Zainab Abro FMO GD Khanothe/ GD Rano Bughio
77. Dr.Faisal Shahzad I/C MO BHU Shahmeer Rahu
78. Dr.Shakeel Ahmed I/C MO GD Khanothe/BHU Mahar Shah
32
79. Dr.Nuzhat Zubair FMO MCH BHU Panj Moro
80. Dr.Jameela Memon FMO BHU Yousuf Hajano/ BHU Bhanothe
81. Dr.Sana Hussain FMO DCD Mari M. Khan/GD Punhal Khan Jamali
82. Dr.M.Soomar Memon I/C MO BHU Bhanothe
83. Dr.Allah Bux Arbab Sr.MO RHC Bhit Shah
84. Dr.Parveen Hafeez FMO BHU Udero lal Village
85. Dr.Khuda Dino Sahito I/C MO GD Old Saeedabad
86. Dr.Sameena Rasheed FMO BHU Bau Khan Pathan/ BHU Allah Dino Sand
87. Dr.Romi Aijaz Ali Memon FMO DCD Pali Jani/GD Shahmeer Ji Wasi
88. Dr.Ghulam Fatima FMO BHU Mahar Shah/DCD Awal Chachar
89. Dr.Parvez Ahmed I/C MO BHU Hala Old
90. Dr.Saba Faiz FMO MCH BHU Saeed Khan Laghari
91. Dr.Waseem Ahmed Laghari I/C MO DCD Jumo Shahoke
92. Dr.Toufeeque Ahmed Memon I/C SMO BHU Sekhat
93. Dr.Jamaluddin Ansari I/C MO BHU Yousuf Hajano
94. Dr.Shahzeb Ali Shah I/C MO BHU Panj Moro
95. Dr.Mushtaq Ahmed Memon I/C SMO DCD Awal Chachar
96. Dr.Fozia Zaheer FMO MCHC BHU Khando
97. Dr.Asif Zaffar Abro MO RHC Bhitshah (night shift)
98. Ghulam Rasool Dispenser RHC Bhit Shah
99. Meer Zulifiqar Ali Clerk RHC Bhit Shah
100.Dr.Khalid Saghir I/C SMO BHU Allah Dino Sand
101.Dr.Sache Dino I/C MO DCD Zair Pir
102.Dr.Sumera Naz FMO BHU Fakir Nooh Hothiani/GD Soomar Chand
103.Dr.Sahib Dino Memon I/C MO DCD Mari Muhammad Khan
104.Rabdino Abid Kazi SO-I/Assistant Taluka Hala
105.Hakim Ali Bhatti SO-III Taluka Matiari
106.Liaqat Jamali SO-II Taluka Saeedabad
107.Ayaz Soomro Assistant Admin DSU PPHI Matiari
108.Imran Memon Assistant DSU PPHI Matiari
109.Mr.Abdul Ghaffar Assistant DSU PPHI Matiari
110.Mr.Kirshan Mal Store Manager DSU PPHI Matiari
The following could not attend the meeting for the reasons stated against each:-
D. HFs WITH PPHI
BHUs: 13 Dispensaries: 16 MCHCs: 06 Others: 01(RHC)
TOTAL: 36 B. Population of the Catchments Area: 546512
I. STAFF STRENGTH
33
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant (Sanc-Govt)
MOs 31
32 14 20 10
WMO 02 02 -
FMOs - 24 - 24 -
LHVs/MW/F. Nurse
41 45 23 22 18
MTs/MAs Male
22 16 16 0
06 Female - - -
Dispensers 1 22 1 21 0
J. CLUSTERS OF HFs WITH ONE MO
WITH ONE FMO
E. CAPACITY BUILDING 1. First Session: During MRM
Mr./Dr Dr.Erum Parveen ,FMO (PPH).
12. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates Date Venue Topic No. of
Participants
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 13005
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 3488
No. of Immunization & Vaccination Administered by out- reach EPI Teams -
Total vaccination / immunization for the month January 2012 16493
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 3 Clusters of 2 HFs 5
Single HFs 29 Single HFs 28
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 13 Clusters of 2 HFs 13
Single HFs 6 Single HFs 6
34
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of
coverage
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides
2 Active Case Detection (ACD) Slides
3 Visits to Check Sanitation (individual house holds + streets)
4 Notices issued against Poor Sanitation
5 Challans sent to Court against Poor Sanitation
6 Patients Nebulizer
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review 1. Female Health
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 177
2 Deliveries Assisted at Homes 342
S # Names of FMOs Ante-Natal Cases Neo-Natal Cases Other OPD Total OPD
1 Dr.Azeema Raza 549 - 2519 3068
2 Dr.Naheed & Dr.Sadaf Naz 505 - 1608 2113
3 Dr.Fozia Zaheer 167 - 1337 1504
4 Dr.Shabana 157 - 1243 1400
5 Dr.Sameena 180 - 1181 1361
6 Dr.Nuzhat 152 - 1139 1291
7 Dr.Sajida Raza 170 - 1067 1237
8 Dr Salma Shah 116 - 1047 1163
9 Dr.Azra Shakoor 171 - 870 1041
10 Dr Roomi Aijaz 82 - 930 1012
11 Dr.Parveen Hafeez 73 - 920 993
12 Dr.Jamila 95 - 854 949
13 Dr.Saba Faiz 132 - 785 917
14 Dr.Saran Shakeel 69 - 838 907
15 Dr.Shahnaz Altaf 64 - 826 890
16 Dr.Zainab Abro 109 - 765 874
17 Dr.Gh.Fatima 40 - 755 795
18 Dr.Rukhsana Zahid 89 - 680 769
19 Dr.Sumera Naz 63 - 630 693
20 Dr.Afshan Rafiq 42 - 446 488
Total 3025 0 20440 23465
35
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 485
2 Blood Sugar Tests 277
3 Hemoglobin Tests 321
4 Ultra Sound Test 1640
5 Other --
13. Important Discussion on Mother and Child and Reproductive Health during MRM 14. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
1 Consultation / Advice 273
2 Oral Pills 146
3 IUCDs 0
4 Injections 167
5 Others(RC) 113
Total 699
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: 34 Number of Female SGs: -------------- 2. Performance of Social Organizers
Names of Social Organizers
Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of
Participants
Abid Kazi 5 - 42 19 215
Liaqat Jamali 7 - 51 36 244
Hakim Bhatti 7 - 60 39 220
Total 19 - 153 94 679
3. School Health Sessions & Community Health Sessions
Sr. No
Name of FMO/ MO CHS School Health Session
No. Part: NO. Examined Treated
1 Dr.Shabana 2 45 1
2 Dr.Rozia Zaheer 1 42 1
3 Dr.Jameela 2 83 2
4 Dr.Saba Faiz 1 33 1
5 Dr.Ghulam Fatima 2 30 2 143 81
6 Dr.Azra Shakoor 2 46 2 20 20
7 Dr.Romi Aijaz 2 72 1
8 Dr.Sameena Rasheed 2 68 1
36
9 Dr.Salma Shah 1 14
10 Dr.Nuzhat Zubair 2 58
11 Dr.Sajida Raza 2 100 2 17 17
12 Dr.Zainab Abro 2 43 2 2 2
13 Dr.Rukhsana Zahid 2 57 2
14 Dr.Sumera Naz 2 43 2 32
15 Dr.Afshan Rafique 2
16 Dr.Saran Shakeel 2 45 2 1
17 Dr.Shahzeb Ali Shah 1 30 1 11 11
18 Dr.Toufique Ahmed 1 30 1
19 Dr.Khalid Saghir 1 21 1
20 Dr.Shakeel Ahmed 1 24 2
21 Dr.Mushtaq Ahmed 1 22 1
22 Dr.Anwar Ali Soomro 1 19 1 37 7
23 Dr.Ismail Laghari 1 44 1 12
24 Dr.Abdul Sattar 1 18 1 11 11
25 Dr.Safdar Rajpar 1 14 2 41
26 Dr.Amir Ali Sangrasi 1 14 1 1 1
27 Dr.Waseem Laghari 1 14
28 Dr.Naeem Ahmed 1 15 1
29 Dr.Sahib Dino Memon 1 12 1
30 Dr.M.Soomar Memon 1 31 1 36
31 Dr.Shuja M. Shah 2 42 1 91
32 Dr.Jamaluddin Ansari 2 69 1
33 Dr.Sach Dino Memon 1 27
34 Dr.Khuda Dino 2 24 1
35 Dr.Munir Ahmed 2 43 2
36 Dr.Faisal Shahzad 1
Total 50 1292 44 455 150
4. Important Points during Support Group Meetings.
Dissemination the message of facilities available at HFs.
Role of the community support group in vaccination and polio campaigns.
Role of the community support group for the arrangements of school health sessions.
Role of the community support group for the arrangements of Community health sessions for male and female participants.
Support of the community during the R&R work.
Support of the community groups for plantation.
Increasing the number of members in each community meeting while inviting the social people of the catchments area of the facility.
5. Important Points during SHSs
Immunization
Personal Health and hygiene
Nutrition
Use of fruits and vegetables in daily life
6. Important Points during CHSs Participants were guided that during the polio campaign they should cooperate with the teams and support in vaccination and immunization process at their villages or Muhallas. They were guided regarding their personal
37
health and Hygiene. Doctors shared the facilities available at the nearest health facility to that community. The use of vegetables and fruits was also focused. 7. Topics for SHSs for the Month
Sr. No. Topics
1 Immunization
2 Personal Health and hygiene
3 Nutrition
4 Diarrhea (Prevention & Treatment)
8 Topics for CHSs for the Month
S # Topics
1 Immunization
2 Personal Health and hygiene
3 Nutrition
4 Mother and child health
9. Important Discussion on Community Participation during MRM The schedule of the CSG meetings was shared and finalized with MOs consultation. DSM guided the MOs to arrange the community support groups on mentioned dates in the schedule. Invite and ensure the maximum participation of the members in the CSG meetings. The DSM guided the MOs to increase the number of the participants while inviting the new members from the CAs of the health facility. 10. Health Camps: Number Held: 00 . Number of Patients: 00 11. Measures for improvement / provision of Services by other Department / Agencies
Sr No
Description Recommendation To whom sent
Present status
I Sanitation No No No
Ii Drainage / sewerage No No No
Iii ……… drinking water No No No
Iv Prevention of adulteration No No No
V Tree Plantation No No No
Vi Roads and infrastructure No No No
Vii Environmental Improvement No No No
Viii Others No No No
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
66,943 2,103 69,046
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 RHC Bhit Shah 7719 BHU Allah Dino Sand 1615
38
2 BHU Hala Old 5614 BHU Bagho Khan Jamali 1483
3 BHU Sekhat 3594 BHU Bau Khan Pathan 1703
4 BHU Khando 2416 BHU Fakir Nooh Hothiani 1363
5 BHU Udero lal Village 2264 BHU Ilyas Abrejo 1127
6 DC Dispensary Pali Jani 2255 BHU Laloo Mangwano 1222
7 DC Dispensary Awal Chachar 2240 BHU Mahar Shah 1393
8 GD Old Saeedabad 2213 BHU Seerachoo Kaka 1391
9 BHU Panj Moro 2210 BHU Tahir Hingoro 1286
10 GD Sher Muhammad Thora 2144 BHU Yousuf Hajano 1129
11 BHU Bhanothe 1995 DC Dispensary Mari Muhammad Khan 1333
12 BHU Saeed Khan Laghari 1970 dC Dispensary Zair Pir 1518
13 BHU Karam Khan Nizamani 1954 GD Khanothe 1442
14 BHU Shahmeer Rahu 1837 GD Punhal Khan Jamali 1341
15 DC Dispensary Jumo Shahoke 1824 GD Rano Bughio 1185
16 BHU Nabi Bux Jamali 1782 GD Shahmeer JI Wasi 1567
17 DC Dispensary Dhaloo Khaskheli 1721 GD Soomar Chand 1196
3. Top Five Diseases Treated during School Health Sessions/Camps *All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases during OPD
S # Disease No. of Patients
1 ARI 7372
2 Diarrhea 4406
3 Fever(clinical Malaria) 240
4 Scabies 2565
5 Dog Bite 55
15. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 55
ARV Administered 55
ARV Available Doses 636
Snake bite cases reported 00
ASV Vaccine Administered 00
ASV Vaccine Available Doses 30
15. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive
Health) 3. (Lab / Diagnostic Tests)
S # Diseases No. of Patients
1
2
3
4
39
S # Tests Number
1 Pregnancy Tests 302
2 Blood Sugar Tests 220
3 Hemoglobin 110
4 X-Rays (if available) 210
5 Ultra Sound (Male) 430
6 Others (please specify) --
16. B & C SCREENING TESTS
Screening No. of Tests
Performed
No. of cases found
positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B 234 9 9 9
Hepatitis C 234 15 15 15
17. TUBERCLOSIS
Patients Receiving Treatment
New Cases During the Month
Under Diagnosis
127 42 --
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
2 52 52 52
3
4
10. Inverse Referrals
S.No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 10 06 0 04 10
3
4
G. MONITORING DURING MONTH UNDER REVIEW
5. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
31 52 250 333
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for Weeks: 30 weeks
40
2. Important Issues raised relating to Medicines, etc. during MRM
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair /
Maintenance incl. Electrification Status / Remarks
1 BHU Laloo Mangwano R&R Work Completed
2 BHU Tahir Hingoro - Completed
3 BHU Udero Lal Village - Completed
4 BHU Khando - Completed
5 BHU Bhanothe - Completed
6 BHU Saeed Khan Laghari - Completed
7 GD Old Saeedabad - Completed
8 GD Sher Muhammad Thora - Completed
9 GD Punhal Khan Jamali - Completed
10 GD Rano Bughio -- Completed
11 GD Soomar Chand -- Completed
12 GD Shahmeer Ji Wasi -- Completed
13 DC Dispensary Jumo Shahoke - Completed
14 DC Dispensary Dhaloo Khaskheli - Completed
15 DC Dispensary Mari Muhammad Khan - Completed
16 BHU Hala Old - Completed
17 BHU Ilyas Abrejo - Completed
18 BHU Mahar Shah - Completed
19 BHU Yousuf Hajano - Completed
20 DC Dispensary Zair Pir - Completed
21 BHU Seerachoo Kaka - Completed
22 BHU Nabi Bux Jamali - Completed
23 BHU Bau Khan Pathan - Completed
24 BHU Karam Khan Nizamani - Completed
25 BHU Panj Moro - Completed
26 BHU Shahmeer Rahu - Completed
27 BHU Bagho Khan Jamali - Completed
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM DSM made presentation on Monthly Progress of health facilities and female Medical Officer, and also appreciated the incharge MOs regarding their efforts for the better health services provision at the HFs. He directed all Inchrges to check the record of their EPI centre on daily basis. Date /Time for Next MRM: 9th of March 2012 at 10:00am Comments on Targets vs Achievements (by DSM)
41
MINUTES OF THE (39th ) MONTHLY REVIEW MEETING OF DISTRICT TANDO MUHAMMAD KHAN
Monthly Review Meeting (M.R.M) of District, Tando Muhammad Khan for the Month of
January,2012 was held on 11-02-2012 at meeting Hall of District Government Complex. Written invitations to participate were sent to the Administrator/ DCO, the EDO(H), the EDO (Education), the EDO(Revenue), the EDO(F&P), Focal Persons, EPI, TB DOTS, National Program, Malaria Control, Hepatitis, HMIS & DEWS, District Population Welfare Officer, representatives Bridge Consultants, representatives WHO, all I/ce Medical Officers/ FMOs/LHVs etc. List of Participants:
S # Names Designation S # Names Designation
1 Mustafa Kamal Tagar DSM T.M.Khan 39 Dr. Sajida Memon FMO-PPHI
2 Dr. M. Ismail Soomro F/P (HMIS) 40 Dr. Shazia Qayoom FMO-PPHI
3 Dr. Gaajan Mastoi D.O HQ 41 Dr. Rubina Abbassi FMO-PPHI
4 Akbar Ali Qureshi DO(D.P.W) 42 Dr. Shazia Dal FMO-PPHI
5 Dr. Mir Hassan Turk MO-DG 43 Dr. Sadaf Faraz FMO-PPHI
6 Dr. M. Hussain Notkani MO- DG 44 Dr. Ali Anwar MO-PPHI
7 Dr. Narinder Kumar MO- DG 45 Dr. Sabir Kolachi MO-PPHI
8 Dr. Makhdom Ali Nawaz MO-DG 46 Dr. Abdul Malik Shaikh MO-PPHI
9 Dr. Shamshad Memon MO- DG 47 Dr. Kashif Jafferi MO-PPHI
10 Dr. Sadiq Khwaja MO- DG 48 Dr. Sadaf Sabir Sonologist
11 Dr. Talib Hussain MO- DG 49 Dr. Farzana Chachar Sonologist
12 Dr. A.Kareem Leghari MO- DG 50 Shela Gul LHV
13 Dr. Dhaloo Mal MO- DG 51 Farhat Parveen LHV
14 Dr. Mumtaz Bhatti MO- DG 52 Ghazala LHV
15 Dr. Abass Ali Mallah MO-PPHI 53 Farhat Parveen LHV
16 Dr. Sajan Sawai MO-PPHI 54 Najma Parveen LHV
17 Dr. M.Ali Talpur MO-PPHI 55 Dr. Lekho Mal LHV
18 Dr. Waheed Abass MO-PPHI 56 Ajmal Memon (D.P.W)
19 Dr M. Aslam Rustamani MO-HQ 57 Dr. Naheed Akhtar (D.P.W)
20 Dr. Shahbaz Mughal MO-PPHI 58 Dr. Hafeez Pasha D.O (H)
21 Dr. Aamir Khushk MO-PPHI 59 Sharjeel Siddique Ex (M&E)
22 Dr. Ayoub Memon MO-PPHI 60 Haji Noor Muhammad S.O
23 Dr. Intekhab Alam MO-PPHI 61 Muhammad Azeem S.O
24 Dr Chatro mal MO-PPHI 62 Salman Chang S.O
25 Dr Nizam Soomro MO-PPHI 63 Naveed Khaskheli S.O
26 Dr. Manoj Kumar MO-PPHI 64
27 Dr. Aslam Channa MO-PPHI 65
28 Dr. Raja M. Ishaque MO-PPHI 66
29 Dr. Asghar Talpur MO-PPHI 67
30 Dr. Farzana Jarwar FMO-PPHI 68
31 Dr. Nirmala Devi FMO-PPHI 69
32 Dr. Shazia Sattar FMO-PPHI 70
33 Dr. Irshad Fareed FMO-PPHI 71
34 Dr. Hifza Kainat FMO-PPHI 72
35 Dr. Sadaf Shaikh FMO-PPHI 73
36 Dr. Sofia Balouch FMO-PPHI 74
37 Dr. Sanober Ujjan FMO-PPHI 75
42
38 Dr. Zaid Jamali FMO-PPHI 76
The following could not attend the meeting for the reasons stated against each:-
S # Names Reasons for absence
1 Dr. Razia Khwaja On ultrasound training at Karachi
2 Dr. Farzana Malik On ultrasound training at Karachi
3 Dr. Liaquat Ali Siyal On Sick leave
4 Dr. Nizamuddin Soomro On leave
5 Dr. Ali Muhammad Qureshi On leave
6 Dr . Ghulam Sarwar Kumbo On leave
7 Dr. Mumtaz Talpur On Leave
8 Dr. Karim Bux Nizmani On Leave
9 Dr. Kashif Faraz Hingoro On leave
E. HFs WITH PPHI RHC: 01 BHUs: 13 Dispensaries: 20 Others: 01
TOTAL: 35
K. Population of the Catchments Area: 611,863
L. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant (Sanc-Govt)
MOs 42
34 12 22 07
WMO 01 01 0
FMOs include sonolgist 0 14 0 14 03
LHVs 4 19 7 12 0
MTs/MAs Male
32 41 07 34 25 Female
Dispensers
M. CLUSTERS OF HFs WITH ONE MO
WITH ONE FMO
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 1 Clusters of 2 HFs 1
Single HFs 33 Single HFs 33
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs 4 Clusters of 3 HFs 3
43
E. CAPACITY BUILDING
1. 1st Session: Dr. Muhammad Ismail Soomro conducted session on ―DHIS System” and focused on the following points:-
Introduction
Objective of the DHIS System
Overview of DHIS System
DHIS Structure, Data collection and reporting mechanism
Calculating performance indicators
Checking Data Accuracy of Monthly Report.
2. 2nd Session: Dr. Nirmal Devi conducted session on “ APH ” and focused on the following points:-
a) Introduction b) Risk factors c) Placenta Previa d) Abruption placenta e) Placental Abruption f) Complications g) Initial management of APH
2. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates
Date Venue Topic No. of
Participants
F. REVIEW OF THE PERFORMANCE (I) PREVENTIVE HEALTHCARE
During Month under Review 1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities.
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities.
No. of Immunization & Vaccination Administered by out- reach EPI Teams
Total vaccination / immunization for the month Jan, 2011
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Total Target of
coverage Actual coverage
Percentage of coverage
Clusters of 2 HFs 10 Clusters of 2 HFs 10
Single HFs 0 Single HFs 0
44
29th 30th 1st 2nd January / February 106,127
112,109
107%
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (APCD) Slides 590
2 Malaria Metro Survey (MMS) Slides 280
3 +ve Slides 19
4 Follow up 15
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review 1. Female Health
Sr # NAME OF FMO
OBSTETRICAL
Antenatal Natal Post Natal Total
1 Dr. Mahjabeen 0 0 0 0
2 Dr.Razia Khowaja 70 1 1 72
3 Dr. Laila Khowaja 132 5 5 142
4 Dr,Shazia Sattar 256 - 11 267
5 Dr.Farzana Jarwar 109 - 5 114
6 Dr.Irshad Fareed 221 3 15 239
7 Dr.Zaid 120 25 28 173
8 Dr. Hifza Kainat Shah 14 - 2 16
9 Dr. Sajida Memon 165 1 14 180
10 Dr. Sofia Baloch 6 242 15 263
11 Dr,Narmila 217 25 16 258
12 Dr.Farzana Malik -
13 Dr. Shazia Qayoom 55 1 10 66
14 Dr. Naima Memon 79 - - 79
Total 1,444 303 122 1,869
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 70
2 Deliveries Assisted at Homes 00
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 228
2 Blood Sugar Tests 140
3 Hemoglobin Tests 106
4 Ultra Sound Test 493
5 Other 915
3. Important Discussion on Mother and Child and Reproductive Health during MRM
45
a. No: of Deliveries has greatly increased at 24 hours MCHCs. Medicine indent has been circulated by PSU and medicines have been purchased. P.O for tablet cytotec has been supplied at Delivery centers.
b. Pre-diagnosis screening of patients for vaccine should be done religiously. c. Where vaccinator are provided under National Program, the duty roster should be signed by
I/c Medical Officer and absence report should immediately be sent to Focal Person. d. Pregnant females should be encouraged for delivery at BHU. e. F.P advice should be part of diagnosis and separate record be maintained. f. Sonologists shall furnish their presentation on the findings, referral and follow up. g. MNCH record and Growth monitoring record should be maintained by FMOs where LHV is
not provided. In all cases, record should be legible, complete and traceable. h. Baby Weighing Scales/ Adult Bath Scales, Hemoglobin Meters and Height Charts
have been provided. Ensure proper usage of the equipments and report of out of order weight machines should be immediately conveyed to I/c MO in writing.
i. Training on Hemoglobin meters have been provided to all Medical and Paramedical Staff for blood tests preferably for Pregnant women and same will be repeated for retention.
j. Focal Person (EPI) has declined to provide District Government vaccinators during FMO Days at the places where FMO cover is provided. The Vaccinator at all FMO covered facilities for that day used to bring vaccines in carrier and remarkable increase had been achieved in coverage for TT and BCG vaccines. But, now such matter will thoroughly be discussed with EDO (Health).
16. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
Consultation / Advice 535
Oral Pills 225
IUCDs 35
Injections 34
Others 326
Total 1,155
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: 33 Number of Female SGs: 00 2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups
conducted by him
CHSs/SHSs arranged by him
No. No. of
Participants No.
No. of Participants
Haji Noor Muhammad 6 125 8 215
Naveed Khaskeli 5 112 9 201
Muhammad Azeem 6 132 8 192
Total 18 369 25 608
2. School Health Sessions & Community Health Sessions
46
S. # NAME OF FMO CHS No. of Part: SHS No. of Chil:
Exam: No. of Chil:
Treated:
1 Dr. Irshad Fareed Siyal 2 76 0 0 0
2 Dr. Sofia Baloch 2 60 0 0 0
3 Dr. Shazia Sattar 2 51 1 31 0
4 Dr. Razia Khowaja 2 150 1 50 30
5 Dr. Laila Khowaja 2 40 2 28 26
6 Dr. Naima Memon 2 43 2 19 19
7 Dr. Farzana Jarwar 2 35 2 22 0
8 Dr. Hifza Kainat Shah 0 0 1 26 20
9 Dr. Zaid Jamali 2 48 0 0 0
10 Dr. Sajida Memon 1 42 2 1 13
11 Dr. Nirmala Devi 2 250 2 72 70
12 Shaziz Qayoom 0 0 0 0 0
13 Dr. Mahjabeen 0 0 0 0 0
14 Dr.Farzana Malik 0 0 0 0 0
TOTAL 13 608 12 218 178
4. Important Points during Support Group Meetings.
The CSG members should help in monitoring and facilitation.
RHC Rajo Nizamani shall be inaugurated by Federal Minister for Water and Power in the month of November as R&R work is still left. However, purchase of O.T equipment is in process.
RHC Rajo Nizamani has been made functional for 24 hours with 03 shifts having medical and paramedical staff.
I/c Medical Officer has been trained for undertaking necessary day to day equipments/asset repairs on need basis after seeking administrative approval from DSM- should be regular feature.
Moral support to medical/paramedical staff working at HF.
Arranging of awareness sessions at their respective villages
Information sharing to the rest of the villages regarding facilities at HF
Reformation of CSGs and individual roles of the members
Effective local facilitation by CSG members to the hf staff
Developing greenery at HFs by the CSG members
Ownership of the HFs 5. Important Points during SHSs
To drink clean & safe water and Washing hands after toilet.
Awakening health consciousness in children regarding new aspects of diseases like Dengue Fever, Swine Flue, Congo Fever etc.
Nutritional awareness to be transferred to mothers through their kids.
Hair trimming, clean clothes, nails clipping, washing fruit/vegetables before eating. 6. Important Points during CHSs
Primary health care awareness.
Educate about immunization against infectious disease.
Personal Hygiene and worm infestation.
47
De-worming of children
Prevention from diabetes
Precautions from Malaria and Hepatitis
Importance of family Planning
Importance of Vaccination
Importance of ultrasound
Importance of antenatal and postnatal care 7. Topics for SHSs for the Month
Sr. No. Topics
1 Diarrhea
2 Malaria/Dengue
8 Topics for CHSs for the Month
S # Topics
1 Diarrhea
2 Malaria/Dengue
9. Important Discussion on Community Participation during MRM
Community Health Sessions are to be planned and held on Sonologist days.
Participation should be ensured through formal contact with LHWs.
Sessions are to be held preferably at Health Facility or at community home duly coordinated and facilitated by DSU/HF staff.
DSU field staff shall attend 50% of all the CSG meetings conducted during the month.
TORs of CSG must be shared with CSG members in every meeting of CSG.
Formal invitation to the CSG members in meeting
Presiding of the meeting by the CSG members
Participation of notable CSG member in MRM
Effective Mobilization of female CSGs and developing their ownership at H.Facility.
Involvement of notable in solving day to day problems of HFs.
CSG should be held at BHU.
Developing greenery at HFs.
10. Health Camps: Number Held: 00 Fixed and 00 Mobile camps Number of Patients: 11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent
Present status
I Sanitation Not discussed in this meeting. Normally, a separate Quarterly Review meeting of Public Representatives and District Government officials/officers/NGOs is being held where such issues are discussed and decisions are taken.
Ii Drainage / sewerage
Iii ……… drinking water
Iv Prevention of adulteration
V Tree Plantation
Vi Roads and infrastructure
Vii Environmental Improvement
Viii Others
48
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
49,768 626 50,394
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 RHC Rajo Nizamani 4,793 BHU Nazar Pur 1,524
2 MCH Saeed Khan Lund 4,178 BHU Saeed Pur 1,404
3 BHU Jinhan Soomro 2,850 BHU Seehrani 1,355
4 MCH Shaikh Bhirkio 2,599 BHU Ghulam M Jat 1,348
5 BHU Dadoon 1,618 BHU Saeed Matto 1,066
3. Top Five Diseases Treated during School Health Sessions/Camps
S # Diseases No. of Patients
1 ARI 29
2 Allergic Rhnites 25
3 Scabies 31
4 Malaria 24
5 Diarrhea 18
*All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases During OPD
S # Disease S # Disease
1 ARI 12,703 6 Suspected Viral Hepatitis
2 Scabies 4,083 7 Dog Bite
3 Diarrhea 3,899 8
4 Malaria 2,738 9
5 Cough more than 2 week 10
17. ARV / ASV used during the month
Particulars No. of Patients
Dog bite cases reported 18
ARV Administered ( @ 5 Dozes per patient) 00
ARV Available Doses ( @ 24 dozes/vial) 00
Snake bite cases reported 00
49
ASV Vaccine Administered 00
ASV Vaccine Available Doses 00
18. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Ch & Reproductive
Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Blood Sugar Tests 153
2 Hemoglobin 116
3 X-Rays (if available) 162
4 Ultra Sound 975
5 Others (Lab Tests) 824
19. B & C SCREENING TESTS
Screening No. of Tests
Performed
No. of cases found
positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B
Hepatitis C
20. TUBERCLOSIS
Patients Receiving Treatment
New Cases During the Month
Under Diagnosis
49
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
2 49 49 49
3
4
10. Inverse Referrals
S.No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2
3
4
G. MONITORING DURING MONTH UNDER REVIEW
6. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
20 80 108 208
50
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
01
02
03
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for: 30 Weeks 2. Important Issues raised relating to Medicines, etc. during MRM
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair /
Maintenance incl. Electrification Status / Remarks
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM On Staff Matters:
All I/c M.Os/FMOs were asked to prepare the base data of that area and set the targets for A.N/P.N, immunization, Deliveries ets. Just reporting the figure does not solve the problems
Every Medical Officer has to commence a journey to become Health Officer sensitized for all 08 components of Primary Health.
All I/c M.Os/FMOs were given Leave formats to discourage sms leaves or hand written applications.
The DSM, PPHI TM Khan requested the in charges of health facilities for their timely submission of DHIS reports, Along with self created form for data required for MPR etc.
DSM advised all MO/FMO Submit advance leave application of planed leaves.
DSM advised all Incharge MO share all access medicine with other BHU with the help of monitoring team
All I/c M.Os should counter-sign on Bin Cards and Stock registers at every receiving and usage of stocks.
On Preventive Health:
All I/c M.Os should ensure checking of temperature chart as well as stock and expiry of vaccines.
Quality of HE sessions not yet improved. S.O should facilitate in arranging most of The CHS in communities
On Curative Health:
Quality of medicines has improved with clear impact on increased cost of medicines.
51
Rise in OPD and consequent rise in medicine consumption.
Patient coming from farther areas demand for more medicine dosages. On Mother, Child & Reproductive Health:
Baby Weighing Scales have been provided at all 35 facilities where FMO cover has been provided.
New DHIS MNCH registers and Growth monitoring registers will be maintained at each facility where FMO cover is provided. Training has already been provided to all FMOs in this regard. The DHO office will provide new DHIS register as per requirement.
The registers will be maintained by LHVs wherever provided. Otherwise, FMO will record and maintain.
For NVDs, FMOs should motivate to pregnant ladies for deliveries at BHUs.
All staff members of BHU Saeed Khan Lund and BHU Shaikh Bhirkyo were appreciated for conducting 55 deliveries during the month .
Other Matters:
One Pathological laboratory have been made functional at BHU Jinhan Soomro. Now, 04 Pathological Laboratories and 03 X-ray units have started functioning and periodically they have become self sustainable for purchasing diagnosis kits.
I/c Medical Officers requested not to wait for DSU for minor repairs and to undertake necessary repair in lines with procedures and policies already shared and claim reimbursements.
Date /Time for Next MRM: Tentative Date for next MRM is 09-03-2012 Comments on Targets vs Achievements (by DSM)
MEETING WAS SUCCESSFUL
(Mustafa Kamal Tagar),
District Support Manager, PPHI, Tando Muhammad Khan.
Copy for information to:
1) P.S to Syed Naveed Qamar Zaman Shah Sahib, Federal Minister for Water & Power, Govt of Pakistan.
2) Secretary to Government of Sindh for Health Department, Karachi. 3) Program Director, PSU, PPHI, Karachi. 4) Deputy Commissioner, District Tando Muhammad Khan. 5) Director General Health, Directorate of Health Hyderabad. 6) Regional Program Director, Region-I @ Hyderabad. 7) District Health Officer, District T.M Khan. 8) Dr. Samar Memon, S.O, WHO. 9) Incharge Medical Officer(s) all PPHI managed Health Facilities, T.M Khan.
(Mustafa Kamal Tagar), District Support Manager, PPHI,
52
MINUTES OF THE (45th ) MONTHLY REVIEW MEETING OF DISTRICT NAUSHEHRO FEROZE
45th Monthly Review Meeting (MRM) of District, Naushehro Feroze for the Month of January-2012 was held on 11th-February-2012 at DCO-Commette at NF. Written invitations to participants were sent to the DC, the DO (H), the DO (F&P) and District Incharge of EPI, notable of CSG members and Incharge of all other National Programs as usual. The list of participants is as follows: List of Participants: (Enclosed as annex.) The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons S # Names/Designation Reasons
1 Dr. M.Mithal Bhatti Leave Dr. Sajjad Hyer Shah Leave
3 Dr. Rafiqu Mangrio Polio duty Dr. Hafiz Akhter Leave
5 Dr. Nasir Khoso Leave Dr. Rahmatullah Channa Leave
7 Dr. Zulfiqar Solangi C/L Dr. Rafeeq Ahmed Jalbani Leave
8 Dr. Ghulam Zaineb Soomro U/S training
F. HFs WITH PPHI
BHUs: 46 Dispensaries: 3 MCHCs: Others: ______ TOTAL: 49
B. Population of the Catchments Area: 856,442
N. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant (Sanc-Govt)
MOs 51
49 31 22 20
WMO 1 01 00
FMOs 00 30 00 28 00
LHVs 3 00 00 27 3
MTs/MAs Male
71 4 4 00
64 Female 3 3 00
Dispensers/Vacci: 4 66 34 32 13
53
O. CLUSTERS OF HFs WITH ONE MO
WITH ONE FMO
E. CAPACITY BUILDING 1. First Session: During MRM
1- No Session held duting MRM.
18. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates Date Venue Topic No. of
Participants
N/A
F. REVIEW OF THE PERFORMANCE (I) PREVENTIVE HEALTHCARE
During Month under Review 1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 38,43
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 935
No. of Immunization & Vaccination Administered by out- reach EPI Teams -
Total vaccination / immunization for the month 4,778
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of
coverage
January30 to February 1-2012 257720 267446 104% 3. Other Preventive/Promotional Services
S # Service Number
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 00 Clusters of 2 HFs 01
Single HFs 48 Single HFs 46
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 18 Clusters of 2 HFs 18
Single HFs 11 Single HFs 09
54
1 Passive Case Detection (PCD) Slides -
2 Active Case Detection (ACD) Slides -
3 Visits to Check Sanitation (individual house holds + streets) -
4 Notices issued against Poor Sanitation -
5 Challans sent to Court against Poor Sanitation -
6 Patients Nebulized 15
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH During Month under Review
1. Female Health
NAME OF FMO Neo-Natal Post Natal Others Total
Dr. Afsheen Sahar 55 0 55 799
Dr. Amber Khehro 92 13 105 864
Dr. Aneesa Sahito 38 10 48 972
Dr. AQeela Qureshi 81 4 85 701
Dr. Arfeen Korai 54 0 54 741
Dr. Fozia Abbassi 69 5 74 1153
Dr. Ghulam Qubra Buriro' 79 0 79 769
Dr. Ghulam Zaineb 74 0 74 1032
Dr. Khoula Naz 128 14 142 707
Dr. Marya Khaskheli 101 5 106 1579
Dr. Naima Batool 84 4 88 946
Dr. Naseem Khatoon Rajper 25 1 26 703
Dr. Nusrat Parween 21 2 23 706
Dr. Nuzhat Anwar 117 4 121 1138
Dr. Ruqaya Samo 36 5 41 632
Dr. Sadia Shah 48 3 51 905
Dr. Safia Memon 78 1 79 1000
Dr. Salma Amjad 47 5 52 725
Dr. Shamasunisa 11 2 13 651
Dr. Shehnaz Begum 97 12 109 1054
Dr. Rehana Sardar 92 60 152 835
Dr. Sughra Badar 166 38 204 1610
Dr. Tabbasum Buriro' 42 22 64 744
Dr. Usha 48 0 48 878
Dr. Shahzadi Sarwat 65 3 68 1031
Dr. Azra 79 22 101 1475
Dr. Zareena Noonari 128 24 152 1366
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 27
55
2 Deliveries Assisted at Homes -
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 926
2 Blood Sugar Tests 730
3 Hemoglobin Tests 627
4 Ultra Sound Test 1,420
5 Other -
19. Important Discussion on Mother and Child and Reproductive Health during MRM 20. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
Consultation / Advice 665
Oral Pills 236
IUCDs 19
Injections 341
Others -
Total 1,261
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: 48 Number of Female SGs: 48 2. Performance of Social Organizers
Names of Social Organizers
Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of
Participants
Zubair Ahmed Memon-SM1 8 - 152 6 211
Zia-ur-Rehman Mastoi-SM2 6 - 114 5 179
Waheed Bhatti- SM3 6 - 108 7 287
Munawar Kaleri- SM4 5 - 95 8 241
Total 25 - 469 28 918
3. School Health Sessions & Community Health Sessions
Names of MO / FMOs/Paramedics
Community Health Sessions School Health Sessions
Sessions Participants Sessions Children
Examined Children Treated
All MOs and FMOs 67 2,109 72 4,193 1,430
Totals 67 2,109 72 4,193 1,430
4. Important Points during Support Group Meetings.
56
Coverage of PPHI- EPI centers and working of the new appointed EPI vaccinators
Facility of the different Tests at MCHCs
Encouraging support group members to help during NIDs.
Floating the message of PPHI service to the respective catchment area.
Arranging of awareness sessions at their respective villages
Developing greenery at HFs 21. Important Points during SHSs
Prevention from cold
Importance of primary healthcare
Personal hygiene
Cleanliness
Prevention from Diarrhea 6. Important Points during CHSs
Preventive measures of scabies
Importance of familty planning
Prevention from Diarrhea
Prevention from Malaria 7. Topics for SHSs for the Month
Sr. No. Topics
1 Prevention from Malaria
2 Primary health
3 Cleanliness
4 Personal hygiene
5 Diarrhea
8 Topics for CHSs for the Month
S # Topics
1 Scabies
2 Importance of TT vaccination
3 Diarrhea
4 Malaria
9. Important Discussion on Community Participation during MRM
Involvemtent and solution of day to day problems at HF by CSG members
Presiding of the CSG meeting by all members on rotation basis.
Regular meeting with CSG members and proper updating of the minutes
Review of TORs of CSG must be shared with CSG members in every meeting of CSG.
Establishment of greenery at all HFs
Formal invitation to the CSG members for monthly meeting
Effective Mobilization of female CSGs and developing their ownership @ hf.
Involvement of notable in solving day to day problems of HFs.
57
10. Health Camps: Nil. 11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
i Sanitation
ii Drainage / sewerage
iii ……… drinking water
iv Prevention of adulteration
v Tree Plantation
vi Roads and infrastructure
vii Environmental Improvement
viii Others
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Follow-up patients treated during the
month
Total OPD during the month (New+Old+Ultrasonologist)
76,758 1,209 77,967
2. Maximum OPD** Minimum OPD**
S# Name of BHU OPD BHU OPD
1 BHU-Bhirya Road 3775 BHU-Saeedpur 960
2 BHU-Lakha Road 2882 BHU-Fatoo Balal 899
3 BHU-Kundha Khahi 2976 BHU-Mehmood Chandio 867
4 BHU-Deparja 2627 BHU-Fazul Sahito 817
5 BHU-Phull 2618 BHU-Ali Mohammad Phariro 551
5 BHU-Ghair Gaju 2618
3. Top Five Diseases Treated during School Health Sessions/Camps *All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases during OPD
S # Disease No. of Patients
1 ARI 15,267
2 Diarrhea 5,267
3 Scabies 3,486
4 Fever 3,198
S # Diseases No. of Patients
1 ARI 460
2 Fever 531
3 Diarrhea 218
4 Scabies 221
5 Dysentery -
58
5 Dysentery -
22. ARV / ASV used during the month
Names No. of Patients
Dog bite cases reported 538
ARV vial used/ Administered 319
ARV Available Ampules 29
Snake bite cases reported 02
ASV Vaccine Administered 00
ASV Vaccine Available Doses 08
21. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive
Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 926
2 Blood Sugar Tests 730
3 Hemoglobin 627
4 X-Rays (if available) 34
5 Ultra Sound 1,420
6 Others (please specify) -
22. B & C SCREENING TESTS
Screening No. of Tests
Performed
No. of cases found
positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B 0 0 0 - -
Hepatitis C 0 0 0 - -
23. TUBERCLOSIS
Patients Receiving Treatment
New Cases During the Month
Under Diagnosis
00 22 -
9. Referrals
S.No
Totals Cases Referred To
TB DOT Deliveries Others RHCs THQs DHQs
1 22 22 0 0 15 5 2
2
3
10. Inverse Referrals
S.No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 264 264
3
59
4
G. MONITORING DURING MONTH UNDER REVIEW
7. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
39 55 121 215
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
01 Nil
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS 1. Medicines available for 41 Weeks 2. Important Issues raised relating to Medicines, etc. during MRM
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair /
Maintenance incl. Electrification Status / Remarks
1
Repair and Renovation work of all assigned HFs have been completed satisfactorily.
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
Mr. Muzaffar Hussain Assistant Commissioner Bhirya
BHU/MCHC-Bhirya Road
Appreciated the service delivery at BHU along with X-Ray and U/sound facility.
Satisfactory note wirh regard of EPI work also.
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM On Staff Matters:
Getting proper history of patients
Wearing of aprons by all staff members
Proper timing and facilitation of patients
Regularity and punctuality of the staff
Proper updating and reconciliation of the record especially stock and daily expense register
Daily visit of the MO and FMO of the medicine store
Medicine management On Preventive Health:
Holding awareness sessions in catchment area
Waste disposal pit must be properly used
Getting proper history of the patients
Arranging of quality CHS session
Agenda of the sessions must be with planning and in simple language.
Cleanliness of the HFs on regular basis. On Curative Health:
60
Lab: tests at HFs
Arranging of the Diabetes Camps in the catchment areas of the HFs
Medicine must be properly managed
Proper record also maintained and reconciled
Least use of injections
House keeping of the HFs is must.
X-Ray and Ultrasound facility On Mother, Child & Reproductive Health: Other Matters: Date /Time for Next MRM: Next 46th MRM shall be held on 8th March 2012 at 10:00 am. Comments on Targets vs Achievements (by DSM)
MINUTES OF THE (2nd) MONTHLY REVIEW MEETING OF DISTRICT HYDERABAD
3rd Monthly Review Meeting (MRM) of District Hyderabad for the Month of January, 2012 held on 11th February 2012 at Ex: District Nazim Hall - Hyderabad. Written invitations were sent to the the Commissioner Huderabad, Deputy Commissioner Hyderabad, DHO Hyderabad, District Population welfare officer, District Focal person EPI/ Hepatitis/ AIDS/ T.B/DOTS/Malaria/MNCH/Polio/DHIS, Surveillance Officer WHO, THO Qasimabad Hyderabad (Rural), MS RHCs, Incharge Medical Officer, MOs, WMOs (BHUs/MCHCs/ GDs/ DCDs all under administration control of PPHI Hyderabad), The Female medical Officers of PPHI/ Govt. WMOs MNCHs and other National Programs as usual. The list of participants is as follows: List of Participants:
100. Dr. Bux Ali Pittafi DHO Hyderabad District Hyderabad
101. Abdul Shakoor Shaikh District Support Manager DSU PPHI Hyderabad
102. Muhammad Asif Patoli EO(M&E) DSU PPHI Hyderabad
103. Dr. Khalid Sidiki MO (HQ) DSU PPHI Hyderabad
104. Dr. Sono Khan Bhurgri THO Hyderabad ® Taluka Hyderabad (R)
105. Dr. Beekha Ram Professor LUMHS Jamshoro
106. Dr. Abdul Majeed Abbasi I/C M.O BHU Sehrish Nagar
107. Dr. Wali Muhammad I/C M.O BHU Jhando Narejo
108. Dr. Attaullah Shahani I/C S.M.O DCD Taj Mohd Jonejo
109. Dr. Abdul Majeed Samo I/C S.M.O BHU Moosa Khatian
110. Dr. Raza Mohd Chandio I/C S.M.O DCD Taj Muhammad Jonejo
111. Dr. Amanullah Ogahi I/C SMO BHU Masoo Bhurgri
112. Dr. Abdul Hameed Mangi I/C S.M.O BHU AMI Qazi
113. Dr. Sohrab Khan Hisbani I/C SMO BHU Tando Fazal
114. Dr. Talib Ali Memon I/C MO BHU Mir Allah Bux Talpur
115. Dr. Azeem Shah I/C SMO BHU Dariya Baig Mughal
116. Dr. Mehboob Abdul Qadir I/C MO GD Mehrab Talpur
117. Dr. Hari Kirshan I/C MO DCD Moosa Shoro
118. Dr. Shoaib Hanif I/C MO GD Mehrab Solangi
119. Dr. Muhammad Asif I/C MO DCD Mori Mangar
120. Dr. Manzoor Memon I/ C MO BHU Bahawal Zaunr
61
121. Dr. Ali Ahmed Memon I/C SMO GD Wanki Wasi
122. Dr. Kadir Bux Leghari I/C SMO BHU Hatri
123. Dr. Saleem Bohri I/C SMO GD Ibrahim Seenharo
124. Dr. Muqadas Rizvi I/C MO MCHC Jhando Khoso
125. Dr. Abdullah Nizamani I/C MO RHC Tando Qaiser
126. Dr. Sadaf Shaikh FMO MCHC Jhando Khoso
127. Dr. Aruna Kumari FMO BHU Moosa Khatian/
128. Dr. Erij Kamal FMO RHC Hoosri
129. Dr. Rukhsana Dal FMO Cluster
130. Dr. Rubina Abro FMO BHU Khesana/ DCD Mori Mangar
131. Dr. Shazia Zeeshan FMO BHU Sono Khan Almani/ BHU Hatri
132. Dr. Rubina Shaikh FMO BHU Sehrish Nagar
133. Dr. Samira Tayebani FMO BHU Dariya Baig Mughal
134. Dr. Mumtaz Khatoon FMO BHU Masoo Bhurgri/ BHU Mir Allah Bux Talpur
135. Dr. jehan Ara Ansari FMO BHU Jhando Narejo/ GD Bheendo Sharif
136. Dr. Naila Shaikh WMO BHU AMI Qazi
137. Dr. Mumtaz Soomro SWMO RHC Tando Jam
138. Dr. Raheela Solangi WMO RHC Tando Qaiser
139. Dr. Shahida Deen Sonologist Cluster
140. Dr. Shabana Junejo WMO MCHC Seri
141. Dr. Farzana Chachar Sonologist Cluster
142. Dr. Sadia Peer WMO GD Wanki Wasi
143. Dr. Qaiser Zaman Khan DCO for EPI Hyderabad
144. Dr. Khadim Hussain Abro S.M.O BHU Sehrish Nagar
145. Dr. Rafique Ahmed S.M.O GD Arif Khatian
146. Dr. Saleem Akhtar Rajput Acting M.S RHC Tando jam
147. Dr. Pervaiz Talpur M.O BHU Mir Allah Bux Talpur
148. Dr. Muhammad Qasim SMO DCD Darhoon Panhwar
149. Dr. Muhammad Ali Gadhi MO RHC Tando Jam
150. Dr. Thanwar Das MO BHU Khesana Mori
151. Dr. Nazeer Ahmed SMO DCD Ibraheem Seenhro
152. Dr. Gul Hassan MO RHC Hoosri
153. Dr. Ramesh Kumar MO DCD Umed Ali Rind
154. Dr. D.M Khatwani SMO BHU Sono Khan Almani
155. Dr. Iftikhar Ahmed MO RHC Tando Qaiser
156. Dr. Wahid Bux jahejo SMO MCHC Jhando Khoso
157. Dr. M. Ilyas Memon M.O BHU Hatri
158. Dr. Riaz Ahmed Qureshi M.S RHC Hoosri
159. Dr. Nazia Soomro FMO RHC Tando Jam
160. Dr. Arshad DFP MNCH DHO office Hyd
161. Dr. Sammar Memon SO Dews WHO Hyderabad
The following could not attend the meeting for the reasons stated against each:-
1- Dr. Khalid Dawach DCD Noor Khan Chang Relative Death
62
2- Dr. Neelofer Dawach DCD Noor Khan Chang Relative Death
3- Dr. Aqsa Mushtaque BHU Tando Faza/ GD Hussain Khan Thorha Mothers Death
G. HFs WITH PPHI
H. HFs WITH PPHI
BHUs: 13 Dispensaries: 22 MCHCs: 02 RHCs: 3
TOTAL: 40 B. Population of the Catchments Area:
P. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant (Sanc-Govt)
MOs 159
59 54 5 92
WMO 13 13 0
FMOs - 11 - 11 -
LHVs/MW/F. Nurse 33 28 28 0 05
MTs/MAs Male
26 26 26 0
0 Female - - -
Dispensers 5 8 5 3 0
Q. CLUSTERS OF HFs WITH ONE MO
WITH ONE FMO
E. CAPACITY BUILDING 1. First Session: During MRM
Dr. Beekha Ram (topic) focused on the following points:- j) Hepatitis C k) Introduction of Hepatitis
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs Clusters of 2 HFs
Single HFs 2 Single HFs 5
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 6 Clusters of 2 HFs 6
Single HFs 2 Single HFs 2
63
l) Means of spread of Hepatitis m) Prevention and treatment of Hepatitis
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 1215
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 391
No. of Immunization & Vaccination Administered by out- reach EPI Teams -
Total vaccination / immunization for the month October 2011 1606
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides
2 Active Case Detection (ACD) Slides
3 Visits to Check Sanitation (individual house holds + streets)
4 Notices issued against Poor Sanitation
5 Challans sent to Court against Poor Sanitation
6 Patients Nebulized
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
1. Female Health
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 91
2 Deliveries Assisted at Homes 222
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 86
2 Blood Sugar Tests 49
3 Hemoglobin Tests 0
S # Names of FMOs Ante-Natal Cases Neo-Natal Cases Other OPD Total OPD
1 Dr. Mumtaz Khatoon 105 24 129 1081
2 Dr. Rubina Abro 99 10 109 663
3 Dr. Sadaf Sheikh 158 11 169 1474
4 Dr. Aqsa Mushtaq
5 Dr. Niala Sheikh 10 1 11 386
6 Dr. Erij Kamal 54 0 54 1077
7 Dr. Aruna Kumari 87 6 93 800
8 Dr. Rubina Sheikh 8 30 38 1016
Total 521 82 603 6497
64
4 Ultra Sound Test 1,377
5 Other 635
23. Important Discussion on Mother and Child and Reproductive Health during MRM 24. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
Consultation / Advice 172
Oral Pills 26
IUCDs 0
Injections 58
Others(RC) 14
Total 270
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: Number of Female SGs: -------------- 2. Performance of Social Organizers
Names of Social Organizers
Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of
Participants
Maqsood Arisar 3 0 75 2 140
Irfan Soomro 1 0 25 9 210
Wasim Jokhio 3 0 85 1 115
Total
3. School Health Sessions & Community Health Sessions
Sr. No
Name of FMO/ MO CHS School Health Session
No. Part: NO. Examined Treated
1 Dr. Mumtaz Khatoon 2 55 0 0 0
2 Dr. Rubina Abro 2 113 2 113 5
3 Dr. Sadaf Sheikh 2 204 0 0 0
4 Dr. Khursheed Soomro 1 35 0 0 0
5 Dr. Niala Sheikh 1 22 0 0 0
6 Dr. D M Khatwani 1 20 0 0 0
7 Dr. M Asif 1 38 0 0 0
8 Dr. Abdul Hameed 0 0 1 35 4
9 Dr. Shoaib Hanif 1 20 0 0 0
Total 11 487 3 148 9
25. Important Points during Support Group Meeting:
The CSG members should help in monitoring and facilitation.
CSG member will select 2 members for Project committee.
65
Moral support to medical/paramedical staff working at HF.
Arranging of awareness sessions at their respective villages
Information sharing to the rest of the villages regarding facilities at HF.
Effective local facilitation by CSG members to the hf staff
Developing greenery at HFs by the CSG members
Ownership of the HFs.
26. Important Points during SHSs
To drink clean & safe water and Washing hands after toilet.
Hand washing before and after taking meals.
Awakening health consciousness in children regarding new aspects of diseases like Dengue Fever, Swine Flue, Congo Fever etc.
Nutritional awareness to be transferred to mothers through their kids.
Hair trimming, clean clothes, nails clipping, washing fruit/vegetables before eating.
27. Important Points during CHSs:
Primary health care awareness.
Educate about immunization against infectious disease.
Personal Hygiene and worm infestation.
De-worming of children
Prevention from diabetes
Precautions from Malaria and Hepatitis
Importance of family Planning
Importance of Vaccination
Importance of ultrasound
Importance of antenatal and postnatal care
7. Topics for SHSs for the Month
Sr. No. Topics
1 Immunization
2 Personal Health and hygiene
3 Nutrition
4 Diarrhea (Prevention & Treatment)
5 Malaria
8. Topics for CHSs for the Month
S # Topics
1 Immunization
2 Personal Health and hygiene
3 Nutrition
4 Mother and child health
9. Important Discussion on Community Participation during MRM The schedule of the CSG meetings was shared and finalized with MOs consultation. DSM guided the MOs to arrange the community support groups on mentioned dates in the schedule. Invite and ensure the maximum participation of the members from the CAs of the health facility in the CSG meetings.
66
10. Health Camps: Number Held: 00. Number of Patients: 00. 11. Measures for improvement / provision of Services by other Department / Agencies
Sr No
Description Recommendation To whom sent
Present status
I Sanitation No No No
Ii Drainage / sewerage No No No
Iii ……… drinking water No No No
Iv Prevention of adulteration No No No
V Tree Plantation No No No
Vi Roads and infrastructure No No No
Vii Environmental Improvement No No No
viii Others No No No
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
40,610 4,198 44,808
2. Maximum OPD** Minimum OPD**
S #
BHF name OPD S #
BHF name OPD
01 RHC Tando Jam 5,035 18 DCD Mori Mangar 1,172
02 RHC Hoosri 3,617 19 BHU Jhando Narejo 1,143
03 RHC Tando Qaiser 2,425 20 BHU Tando Fazal 1,121
04 BHU Sehrish Nagar 2,957 21 BHU Sono Khan Almani 1,075
05 MCH Jhando Khoso 2,782 22 BHU AMI Qazi 971
06 BHU Hatri 2,703 23 DCD Umaid Ali Rind 815
07 BHU Bhawal Zaur 1,719 24 DCD Umar Jamali 790
08 GD Habibullah Memon 1,791 25 GD Mehrab Talpur 798
09 BHU Kishana Mori 1,646 26 DCD Darhoon Panwar 715
10 BHU Moosa Khatyan 1,643 27 GD Hussain Khan Thora 642
11 GD Wanki Wasi 1,484 28 DCD Moosa Shoro 535
12 BHU Noorai Sharif 1,365 29 GD Mehrab Solangi 160
13 BHU Darya Baig Mughal 1,369
14 BHU Massu Bhurgri 1,349
15 BHU Mir Allah Bux Talpur 1,335
16 GD Arif Khatyan 1,281
17 DCD Noor Khan Chang 1,246
3. Top Five Diseases Treated during School Health Sessions/Camps
S # Diseases No. of Patients
1 Malaria 2
2 Scabies 5
3 ARI 2
4 Diarrhea 0
5 Total 09
67
4. Top Five Diseases During OPD
S # Disease No. of Patients
1 ARI 11,068
2 Fever(clinical Malaria) 1959
3 Scabies 1737
4 Diarrhea 2,204
28. ARV / ASV used during the month
No. of Patients
Dog bite cases reported
ARV Administered
ARV Available Doses
Snake bite cases reported
ASV Vaccine Administered
ASV Vaccine Available Doses
24. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive
Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 86
2 Blood Sugar Tests 49
3 Hemoglobin 0
4 X-Rays (if available) 0
5 Ultra Sound 1,377.
6 Others (please specify) 269
25. B & C SCREENING TESTS
Screening No. of Tests
Performed
No. of cases found
positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B 0 0 0 0 0
Hepatitis C 0 0 0 0 0
26. TUBERCLOSIS
Patients Receiving Treatment
New Cases During the Month
Under Diagnosis
5 0 0
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
68
2 65 5 0 60 0 65 -
3
4
10. Inverse Referrals
S.No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 0 0 0 0 0 0 -
3
4
G. MONITORING DURING MONTH UNDER REVIEW
8. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
30 121
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for Weeks: 24 weeks
9. Important Issues raised relating to Medicines, etc. during MRM a. Shortage of medicine b. Number of items provided is less than 30 c. ARV & ASV is required
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair /
Maintenance incl. Electrification
Status / Remarks
1
2
3
4
5
6
7
8
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
* To reflect only non-PPHI Visitors.
69
J- DISCUSSION DURING MRM
On Staff Matters:
Some Medical Officers are not following the proper Leave Process as their leave approving authority is DSM sb. First DSM approve their leave and then they will go on leave.
All HFs will submit their Weakly e Dews report and Monthly DHIs report on their nearest focal Health Facility which are decided in meeting.
All HF will submit their eDews report on every Saturday of the weak after closing their OPD. And as well as they submit their DHIS report during the date 1st and 5th of every month. And PPHI Monitoring team will collect these report from the focal centre.
Date / Time for Next MRM: Tentative Date for next MRM is 10-03-2012 Comments on Targets v/s Achievements (by DSM)
MEETING WAS SUCCESSFUL
(Abdul Shakoor Shaikh), District Support Manager,
PPHI, Hyderabad. Copy for information to:
10) Secretary to Government of Sindh for Health Department, Karachi. 11) Program Director, PSU, PPHI, Karachi. 12) Deputy Commissioner, District Hyderabad. 13) Director General Health, Directorate of Health Hyderabad. 14) Regional Program Director, Region-I @ Hyderabad. 15) District Health Officer, District Hyderabad. 16) Dr. Samar Memon, S.O, WHO. 17) Incharge Medical Officer(s) all PPHI managed Health Facilities, Hyderabad.
(Abdul Shakoor Shaikh), District Support Manager, PPHI,
70
MINUTES OF THE (47) MONTHLY REVIEW MEETING OF DISTRICT MIRPURKHAS
Monthly Review Meeting (47th MRM) of District, Mirpurkhas for the Month of JAN, 2012 was held on 11th feb, 2012 at Bisma Hotel , Hyderabad Road Mirpurkhas. Written invitations to participate were sent to the DCO, and District In charge of EPI, LHW and all other National Programs as usual but they could not attend the meeting due to their engagements. The list of participants follows: List of Participants:
S. Names Designation S. Names Designation
1 Mr Riaz Abbassi RPD,PPHI MPS 56 Dr Saeeda Mari FMO MCH
2 Engr M Juman Thebo DSM,PPHI MPS 57 Dr Hina Karim FMO MCH
3 Dr Shafqat Hussain EDOH MPS 58 Dr Shaista FMO MCH
4 Dr Javed Mari DOH ,TB Dot, EDOH MPS 59 Dr Sajida Tahir FMO- MCH
5 Dr Khalid Memon Surveillance Officer, EDOH MPS 60 Dr Bushra Farhin FMO MCH
6 Dr Shahbaz Ali MO, Novartis Vaccine 61 Dr Naina Kumari FMO
7 Syed Irfan Shah Exe M/E-MPS 62 Dr Tahira Masum WMO
8 Mr Adil Rasheed Exe(A&A) 63 Dr. Farhana Qureshi WMO Govt
9 Haji Imdad Ali Exe(M/E) 64 Dr Rasheed Mari MO-PPHI
10 Dr Safdar Ali SMO Govt 65 Dr Ghazanfer MO-PPHI-MPS
11 Dr Ranu Mal SMO Govt 66 Dr Wishan Das MO-PPHI-MPS
12 Dr. Khan Mohd SMO Govt 67 Dr Baldeve Kumar MO-PPHI-MPS
13 Dr Atta Hussain SMO Govt 68 Dr Anis Mari MO PPHI Mps
14 Dr Narain SMO Govt 69 Dr Mumtaz Ali MO PPHI Mps
15 Dr Narain Das MO I/C 70 Dr Afzal Laghari MO PPHI Mps
16 Dr Noor Hasan MO I/C 71 Dr Wishan MO PPHI Mps
17 Dr Yousif SMO I/C 72 Dr Parkash MO-PPHI
18 Dr Imtiaz Ali MO Govt 73 Dr Moazam MO PPHI Mps
19 Dr Ghulam Mustafa SMO Govt 74 Dr. Chander MO PPHI
20 Dr Ghulam Mustafa MO Govt 75 Dr Mehmmood MO-PPHI-MPS
21 Dr Arshad Nihal SMO Govt 76 Dr Zahid Hussain MO-PPHI-MPS
22 Dr Allah Ditto SMO Govt 77 Dr. Imran Laghari MO-PPHI
23 Dr Farouque MO Govt 78 Dr. Imran Jarwar MO-PPHI
24 Dr Arif Shamim MO I/C 79 Dr Mohd Urs MO PPHI Mps
25 Dr Saleh Memon MO Govt 80 Dr Rajesh Kumar MO-PPHI
26 Dr Naveen Kumar MO Govt 81 Dr Naraindar Kumar MO PPHI
27 Dr Ashoke Kumar MO Govt 82 Dr Naraindar Sufi MO PPHI Mps
28 Dr. Alya Shamim FMO U/S 83 Dr Pardeep Kumar MO PPHI
29 Dr Rajni Davi FMO U/S 84 Dr. Ramesh MO PPHI
30 Dr Salma Khan FMO U/S 85 Dr. Liaqat Hussain MO-PPHI
31 Dr. Ramila FMO U/S 86 Dr Zulfiquar Ali MO PPHI
32 Dr Faria FMO-PPHI 87 Dr Shankar lal MO PPHI
33 Dr Sahira Baloch FMO-PPHI 88 Dr Naeem MO PPHI
34 Dr Hamida Ali FMO-PPHI 89 Dr Khalid Hussain MO PPHI
35 Dr Aneela Zahoor FMO-PPHI 90 Dr Mukesh Kumar MO PPHI
36 Dr Gulshad FMO-PPHI 91 Dr. Neel Kanth MO PPHI
37 Dr Kamni Kumari FMO 92 Dr Kishore Kumar MO PPHI
38 Dr Asia Narejo FMO 93 Dr Ramesh Kumar MO PPHI
39 Dr Sana Ayoub FMO 94 Dr Atta Ullah MO PPHI
40 Dr Amna Idrees FMO 95 Dr Pir Nasir Jan MO-PPHI-MPS
71
41 Dr Mohni FMO-PPHI 96 Dr Haroon MO PPHI
42 Dr Adeela FMO -PPHI-MPS 97 Dr Arif Ali MO-PPHI
43 Dr Saba Ilyas FMO-PPHI 98 Dr A Kabir MO-PPHI-MPS
44 Dr Azra Parveen FMO-PPHI 99 Dr Munwer MO-PPHI
45 Dr Shehla Yasir FMO 100 Dr A Hameed MO-PPHI
46 Dr Samreen Shafee FMO-PPHI 101 Dr Shamsher MO-PPHI
47 Dr Kiran Kumari FMO 102 Dr A Hameed MO-PPHI
48 Dr Shazia FMO 103 Mr Nikhtu Ram HT, BHU Sindhri
49 Dr Saneela FMO 104 Mr Farhan Rasheed SO DSU
50 Dr. Fahmida Kolachi FMO 105 Mr Jethanand SO DSU-PPHI
51 Dr Nargis Naz FMO 106 Mr Bharji SO DSU-PPHI
52 Dr Irum FMO 107 Mr Farukh Asstt Accounts
53 Dr Nighat FMO 108 Mr Naresh Kumar Asstt Admin
54 Dr Quratulain FMO MCH 109 Mr Khair Mohammad SO DSU-PPHI
55 Dr Noor Nisa FMO MCH 110
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons S # Names/Designation Reasons
1 Dr Sheerin Maternity Leave 2 Dr Maria Leave
3 Dr Mohidin SheiKh Leave
I. HFs WITH PPHI
BHUs: _______ 38 Dispensaries: _______48 MCHCs: _______10 others: ______2 TOTAL: _______98
B. Population of the Catchments Area: 1681107
R. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant (Sanc-Govt)
MOs 79 69 20 49 10
WMO 04 3 3 0 01
FMOs 56 39 0 39 17
LHVs 08 40 8 32 0
MTs/MAs Male
79 55 50 0
5 Female 24 24 0
Dispensers 06 46 6 40 0
S. CLUSTERS OF HFs WITH ONE MO
Previous Month Total Month under Review Total
Clusters of 6 HFs 0 Clusters of 6 HFs 0
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 0 Clusters of 4 HFs 0
Clusters of 3 HFs 0 Clusters of 3 HFs 0
Clusters of 2 HFs 11 Clusters of 2 HFs 10
Single HFs 58 Single HFs 59
72
WITH ONE FMO
E. CAPACITY BUILDING 1. First Session: During MRM
Dr. Shahbaz Ali, MO Novartis vaccines in his lecture on ‗Dog bite and its treatment, focused on the following points:-
29. History. 30. Introduction 31. Treatment of dog bite 32. Arv vaccine and its types 33. ARV and its dosage 34. Protection and use of RIG 35. Case study and WHO standard 36. Conclusion
Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates Date Venue Topic No. of
Participants
Dr Narain 17-1-2012 BHU
Hameedpura EPI 12
F. REVIEW OF THE PERFORMANCE (I) PREVENTIVE HEALTHCARE
During Month under Review 1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 20,936
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 5667
No. of Immunization & Vaccination Administered by out- reach EPI Teams 0
Total vaccination / immunization for the month ______JAN-2012 26,603
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of
coverage
30-31st Jan-1st Feb-2nd , 2012 97% 97%
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides 0
2 Active Case Detection (ACD) Slides 0
3 Visits to Check Sanitation (individual house holds + streets) 0
4 Notices issued against Poor Sanitation 0
Previous Month Total Month under Review Total
Clusters of 6 HFs 04 Clusters of 6 HFs 04
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 0 Clusters of 4 HFs 0
Clusters of 3 HFs 0 Clusters of 3 HFs 0
Clusters of 2 HFs 26 Clusters of 2 HFs 26
Single HFs 9 Single HFs 12
73
5 Challans sent to Court against Poor Sanitation 0
6 Patients Nebulized 60
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review 1. Female Health
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 153
2 Deliveries Assisted at Homes 340
S# NAME OF FMO Ante-Natal Cases Neo-Natal Cases Total Other OPD
Total OPD
1 Dr. Faria Atif 45 6 51 1959 2010
2 Dr.Shella Yasir 109 52 161 1054 1215
3 Dr. Kamni 184 18 202 1006 1208
4 Dr.Sahira Baloch 37 7 44 787 831
5 Dr. Aasia Karim Narejo 126 4 130 1162 1292
6 Dr Gulshad Leghari 149 8 157 750 907
7 Dr Sana Ayoub 12 2 14 687 701
8 Dr Mohni 76 33 109 1200 1309
9 Dr Aneela Zahoor 30 13 43 685 728
10 Dr Kiran Kumari 33 7 40 324 364
11 Dr Azra Parveen 39 6 45 749 794
12 Dr Nighat Ashraf 88 12 100 614 714
13 Dr Adeela Sohail 74 13 87 698 785
14 Dr Hamida Ali 97 4 101 1328 1429
15 Dr Samreen Shafee 140 50 190 1094 1284
16 Dr Shazia Zulfqar 65 25 90 540 630
17 Dr Amna Idrees 90 5 95 338 433
18 Dr Saba Ilyas 38 5 43 829 872
19 Dr Saneela Mughal 73 0 73 891 964
20 Dr Fahmeeda Kolache 99 11 110 1198 1308
21 Dr Nargis 32 1 33 377 410
22 Dr Maria 51 10 61 1235 1296
23 Dr Shaista Parveen 82 2 84 505 589
24 Dr Naina 124 22 146 1230 1376
25 Dr Sajida Tahir 150 10 160 422 582
26 Dr Asma Rasool 228 26 254 1238 1492
27 Dr Saeeda Mari 117 8 125 1791 1916
28 Dr Hina Karim 175 36 211 1086 1297
29 Dr Quratulain 136 19 155 2905 3060
30 Dr Bushra Farhin 0 8 8 906 914
31 Dr Shazia memon 45 6 51 1959 2010
32 Dr Noorunnisa 113 23 136 545 681
33 Dr. Erum Naz 63 6 69 1150 1219
74
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 538
2 Blood Sugar Tests 526
3 Hemoglobin Tests 121
4 Ultra Sound Test 2386
5 Other 12
Total 3583
Important Discussion on Mother and Child and Reproductive Health during MRM
Antenatal and postnatal performance shared with the participants. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
1 Consultation / Advice 795
2 Oral Pills 44
3 IUCDs 15
4 Injections 147
5 Others 355
Total 1356
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: --------------90 Number of Female SGs: --------------04 2. Performance of Social Organizers
Names of Social Organizers
Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of
Participants
Jetanand 7 0 112 10 421
Farhan Rasheed 6 01 107 8 318
Mohsin 6 0 78 5 258
Bhareji 6 0 82 6 280
Khair Mohammad 4 0 54 4 128
Total 29 1 433 33 1405
3. School Health Sessions & Community Health Sessions
Names of MO / FMOs/Paramedics
Community Health Sessions School Health Sessions
Sessions Participants Sessions Children
Examined Children Treated
Dr Ramesh 1 40 0 0 0
Dr Safdar Ali 1 12 0 0 0
Dr Afzal 1 10 0 0 0
Dr Khalid 1 9 1 12 2
Dr Narain 1 23 0 0 0
Dr Zahid Hussain 1 20 1 4 4
75
Dr A Kabir 1 26 0 0 0
Dr Abdul Rasheed 1 12 1 14 16
Dr Narain 1 26 1 7 6
Dr Urs 1 60 0 0 0
Dr A Latif 1 18 0 0 0
Dr Sidique Ali 1 12 0 0 0
Dr Liaquat 1 22 1 5 2
Dr Ghazanfer 1 10 0 0 0
Dr Rano Mal 1 30 0 0 0
Dr Muneer 1 40 0 0 0
Dr Wishan 2 93 1 0 0
Dr Neel Kanth 1 14 1 5 5
DrPardeep 1 20 1 10 7
Dr Parkash 1 10 1 2 2
Dr A Rauf 1 22 0 0 0
Dr Shamsher Mari 1 28 1 0 0
Dr Saleem 1 15 1 10 7
Dr Naveen 1 10 0 0 0
Dr Kishore 1 15 0 0 0
Dr Ghualm Mustafa 1 15 0 0 0
Dr Baldeve 1 27 1 10 8
Dr Nadeem 1 18 1 4 4
Dr Zulfiquar Ali 2 18 1 40 20
Dr Ashoke-Kumar 1 11 1 3 3
Dr Arshad Nihal 1 54 0 0 0
Dr Mumtaz 1 17 1 3 3
Dr Arif 1 10 0 0 0
Dr Haroon 1 12 0 0 0
Dr Imran Jarwar 1 21 0 0 0
Dr Mehmoodulhasan 1 18 0 0 0
Dr Rajesh 1 10 1 10 5
Dr Ramesh 1 21 0 0 0
Dr Mozzam 1 15 1 0 0
Dr Imran Laghari 1 51 1 9 9
Dr Wishan 1 30 1 10 6
Dr Shankar 1 12 0 0 0
Dr Narainder Sufi 1 15 1 33 12
Dr Shahid Rizwan 1 20 1 10 7
Dr Dileep 1 23 1 15 10
Dr Anis Mari 1 12 1 5 5
Dr Naraindar 1 24 1 13 13
Dr Attaullah 1 15 0 0 0
Dr Chandar Parkash 1 19 1 2 2
Dr Saleh Memon 1 9 1 20 20
Dr Naeem Sheikh 1 11 0 0 0
Dr Farouque 1 12 1 7 5
Dr Saqib baloch 1 13 1 0 0
Dr Shaista Parveen 1 15 0 0 0
Dr Farhana Qureshi 1 18 0 0 0
Dr Sajida Tahir 1 12 0 0 0
Dr Asma Rasool 1 16 0 0 0
Dr Saeeda 1 40 0 0 0
76
Dr Hina Karim 1 65 0 0 0
Dr Quratulain 1 35 1 8 6
Dr Bushra 1 25 1 10 10
Dr. Faria 1 20 1 13 10
Dr.Shella Yasir 1 15 0 0 0
Dr. Kamni 1 18 1 0 0
Dr.Sahira Baloch 1 10 0 0 0
Dr. Aasia Narejo 1 36 1 16 10
Dr Gulshad Baloch 1 10 1 2 2
Dr Sana Ayoub 1 13 1 0 0
Dr Mohni 1 32 1 10 12
Dr Aneela Zahoor 1 30 1 15 10
Dr Kiran Kumari 1 14 1 5 5
Dr Azra Parveen 1 15 1 20 20
Dr Nighat Ashraf 1 15 1 12 10
Dr Adeela 1 15 1 2 2
Dr Hamida Ali 1 13 1 0 0
Dr Samreen Shafee 1 12 1 5 5
Dr Shazia 1 88 1 6 5
Dr Amna Idrees 1 12 1 5 5
Dr Sabah 1 15 1 0 0
Dr Fahmeeda 1 50 1 10 10
Dr Nargis 1 11 1 8 6
Dr Maria 1 14 0 0 0
Dr Irum 1 20 1 46 46
85 1834 50 456 357
4. Important Points during Support Group Meetings.
Help in waste pit establishing
Over all cleanliness of HFs
LHVs needed
Ultrasound cluster facility needed. 5. Important Points during SHSs
Pneumonia and its treatment
Usage of toilets
Hand wash
Health and Hygiene
Rabies and first aid Important Points during CHSs
Watery diarrhea
EPI and NID
ARI and prevention Topics for SHSs for the Month
Sr. No. Topics
1 Cancer and its impacts
2 Acute Diarrhea
3 Scabies
4 ARI
5 Pneumonia
77
8 Topics for CHSs for the Month
S # Topics
1 Health and Hygiene
2 skin disease
3 Family planning
4 Fever and treatment
5 EPI
9. Important Discussion on Community Participation during MRM NO ANY 10. Health Camps: Number Held: -----------------0. Number of Patients: -----------. 11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
i Sanitation
ii Drainage / sewerage
iii ……… drinking water
iv Prevention of adulteration
v Tree Plantation
vi Roads and infrastructure
vii Environmental Improvement
viii Others
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
113,851 1,225 115,076
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 Hameedpura 5841 Usman Junejo 712
2 Nawab Colony 2581 Doulat Laghari 762
3 Kot Mirs 2344 Kangoro 779
4 Satelite Town 2365 A Qayum Khair 835
5 Patoyoon 2251 Khan 951
3. Top Five Diseases Treated during School Health Sessions/Camps
S # Diseases No. of Patients
1 ARI 182
2 Diarrhea 113
3 Malaria Fever 65
4 Scabies 62
5 Others 35
78
*All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases during OPD
S # Disease No. of Patients
1 ARI 33597
2 Diarrhea 17328
3 Scabies 17237
4 Fever (Clinical Malaria) 12851
5 Dysentery 3611
5. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 224
ARV Administered 122
ARV Available Doses 379
Snake bite cases reported 0
ASV Vaccine Administered 0
ASV Vaccine Available Doses 13
27. Lab / Diagnostic Tests: Includes Tests Reported at No. 28. (II) (Mother, Child &Reproductive Health)
3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 538
2 Blood Sugar Tests 526
3 Hemoglobin 121
4 X-Rays (if available) 12
5 Ultra Sound 2386
6 Others (please specify) 0
29. B & C SCREENING TESTS NO ANY SCREENING TEST OF HB & C AVAILABLE AT PPHI HFs.
Screening No. of Tests Performed
No. of cases found positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B
Hepatitis C
30. TUBERCLOSIS
Patients Receiving Treatment
New Cases During the Month
Under Diagnosis
5 15 10
79
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Viral HB Others RHCs THQs DHQs
2 39 15 24 0 22 7 10
10. Inverse Referrals
S.No Totals Cases Referred from
ARV ASV Others RHCs THQs DHQs
1 52 52 10 15 27
G. MONITORING DURING MONTH UNDER REVIEW
10. Monitoring Visits during the month
DSM Exe M/E Executive Monitoring Other Staff Total
72 79 72 428 651
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
No any No any No any No any
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for ………………………42 weeks
2. Important Issues raised relating to Medicines, etc. during MRM
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance
incl. Electrification Status / Remarks
1 BHU Abdul Qayoom Khair Completed 100%
2 BHU Usman Junejo Color continued 70%
3 GD Jhrubi Color continued 70%
4 BHU Nawab Colony Color stopped due to shortage of amount 60%
5
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM
80
RPD, RSU-II PPHI Mirpurkhas, discussed in brief with PPHI MOs and FMOs about their problems at Health facilities and directed to the DSM for the solution of these problems, He emphasized that DSM collect the data from HFs through his staff and MOs where is the shortage of any thing as equipments, furniture or other, than consolidated all the data and sent to RPD for further action. Where is this is very easy for all MOs/FMOs that if they need any kind work approval first they write an application to the DSM with co signatory of Two CSG members than get approval and in last complete all work , DSU will be reimburse their amount. RPD sb also clear to all MOs/FMOs about the Health session activities that all MOs will be conduct 03 Health sessions in each month and all FMOs will be conduct 04 Health Sessions in each month. He also said that increase the MCHC services at HFs and asked from MOs about R and R work and the progress of both two HFs. All MOs/FMOs visits early morning to whole Health Facility to check EPI work, medicines store and MCHc portion of HFs. Please send the accurate data of DHIS and personally all MOs/FMOs fill these profarmas himself and will submit at DSU within time. On Staff Matters: On Preventive Health:
30 Medical officers performed as a UC medical officer in NID. On Curative Health: On Mother, Child & Reproductive Health: Other Matters: Date /Time for Next MRM: 8th March 2012 Comments on Targets vs Achievements (by DSM)
81
MINUTES OF THE 52nd MONTHLY REVIEW MEETING OF DISTRICT THARPARKAR @ MITHI
Monthly Review Meeting (MRM) of District, Tharparkar for the Month of January, 2012 was held on February 22-2012 at Karoonjhar Hall Mithi. Written invitations to participate were sent to Deputy Commissioner Tharparkar, The DHO (H), District Population welfare Officer and District Incharge of EPI, Secondary Care Doctors, M/S of THQs, Surveillance Officer, WHO Team and all other National Programs as usual. The list of participants given below: List of Participants:
S # Names Designation
1 Raiz Ahmed Jakhrani District Support Manager Tharparkar
2 Nasimuddin Mirani DSM
3 Mohammad Arif Executive Officer (M&E)
4 Dr.Lekhraj DDO Health
5 Dr. Serwan Kumar MO H.Q
6 Altaf Ahmed Executive Officer (F&A)
7 Dr. Saleem Rahimoo Medical Officer
8 Dr. Bhamer Lal Gen Surgeon
9 Dr.Pirkash DHQ.Mithi
10 Dr.Pirwaiz Sajjad Medical Officer
11 Dr.Shahid Medical Officer
12 Dr. Ishtiaq Shah Medical Officer
13 Dr. Lajpat Rai Medical Officer
14 Dr. Mir Imran Talpur Medical Officer
15 Dr .Dileep Kumar (GD Goongio) Medical Officer
16 Dr. Sandeep Medical Officer
17 Dr. Adu Mal Medical Officer
18 Dr. Nand Lal Medical Officer
19 Dr. Muhammad Misri Medical Officer
20 Dr. Madan Lal Medical Officer
21 Dr. Mahesh Kumar Medical Officer
22 Dr. Dechand Medical Officer
23 Dr. Lachman Medical Officer
24 Dr. Parkash Medical Officer
25 Dr. Ashok Medical Officer
26 Dr. Santosh Kumar Medical Officer
27 Dr. Bheru Lal Medical Officer
28 Dr. Dileep Kumar BHU PABOHAR Medical Officer
29 Dr. Moolchand Medical Officer
30 Dr. Mukesh Kumar Medical Officer
31 Dr., Serwan Kumar Medical Officer
32 Dr. Gotam Medical Officer
33 Dr. Suneel Medical Officer
34 Dr. Amanullah Medical Officer
35 Dr. Vijay Kumar Medical Officer
36 Dr. Shagufta Shah Female Medical Officer
37 Dr. Lata kumari Female Medical Officer
38 Dr. Meena Kumar Female Medical Officer
39 Dr. Asma Karam Baloch Female Medical Officer
82
40 Dr.Janta kumari Female Medical Officer
41 Mr. Dewan OT DHQ Mithi
42 Mr. Chandan Kumar HT
43 Mr. Rajesh HT
44 Mr. Mohammad Hashim HT
45 Mr. Mohammad Mohisin HT
46 Mr. Saindad HT
47 Mr. Arjun MT
48 Mr. Abdul Aziz HT
49 Mr. Dheno mal HT
50 Mr. Abdul Sattar HT
51 Mr. Aijaz Ali HT
52 Mr. Moroo Mal Disp
53 Mr. Amir Bux HT
54 Mr. Jhaman das HT
55 Mr. Pirbhu Lal M.T
56 Mr. Lachman Singh HT
57 Mr. Gomoo Mal HT
58 Mr. Sardar Singh HT
59 Mr. Shahab Din HT
60 Mr. Javed Ahmed Social Organizer
61 Mr. Abdul Qadir Social Organizer
62 Mr. Muqeem Social Organizer
63 Mr. Allah Rakhyo Admin Asstt:
64 Mr. Qeemat Rai Att:
65 Mr. Imdad Ali Att: DSU
66 Tosi dina Att:
67 Mohin Electration
68 Baboo Att: Karoonjhar Hall
69 Khair Muhammad Driver
70 Pandhi Driver
The following could not attend the meeting for the reasons stated against each:
S # Names Designation Place of Posting Reason
1 Dr. Bheem Raj Dental THQ Chachro Un Known
2 Dr. Nehchal Das Medical Officer BHU Kaloi Alternate Duty
3 Miss Neelam LHV BHU Jadam Janjhi Un Known
4 Dr.Pirbhu Lal Medical Officer BHU Mubarakh Rind Un Known
5 Dr. Salma Janjhi Gynecologist THQ Nangarparkar Un Known
6 Mr. Paru Mal OT THQ Nangar Un Known
7 Dr. Rizwana Sajjad Female Medical Officer Cluster Leave
8 Mr. Soortoji HT GD Narhoro Un-Known
9 Mr. Bhopal Singh HT GD Jhirmirio Un-Known
11 Dr.Chander Kumar Gen Surgeon THQ Nangarparkar Un Known
12 Mrs.Naseera LHV BHU Kaloi Un Known
13 Muhammad Rahim HT BHU Kharo fazal Un Known
A. HFs WITH PPHI
83
BHUs: 31 Dispensaries: 18 MCHCs: Others: 0 TOTAL: 51
B. Population of the Catchments Area: 901,019/= C. Staff Strength
Staff Sanct: Posts
(Govt) Working Govt:
Employees PPHI
Contract Vacant Sanctioned (Govt)
Remarks
MOs 52 30 07 23 22
FMOs 0 06 0 6 0
WMOs 0 0 0 0 0
MTs/MAs Male 0 0 0 0 -
Female 0 0 0 0 0
LHVs 47 6 2 4 41
Dispensers: 0 16 7 9 0
HTs: 49 42 21 21 07
CLUSTERS OF HFs
WITH ONE MO
WITH ONE FMO
E. CAPACITY BUILDING: 1. First Session: During MRM:
Dr. Dileep Kumar I/C MO BHU Pabuhar conducted Session on MYOCARDIAL INFRECTION
2. Second Session: Capacity Building of LHVs / Dispensers during month under Review:
Names of the Resource Persons with dates
Date Venue Topic
No. of Participants
Previous Month Total Month under Review Total
Clusters of 6 HFs 0 Clusters of 6 HFs 0
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 01 Clusters of 4 HFs 01
Clusters of 3 HFs 03 Clusters of 3 HFs 03
Clusters of 2 HFs 03 Clusters of 2 HFs 03
Single HFs 23 Single HFs 23
Previous Month Total Month under Review Total
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 0 Clusters of 4 HFs 0
Clusters of 3 HFs 06 Clusters of 3 HFs 06
Clusters of 2 HFs 0 Clusters of 2 HFs 0
Single HFs 0 Single HFs 0
84
F. REVIEW OF THE PERFORMANCE: DSM NASIMUDDIN MIRANI Presented DSU Progress
(I) PREVENTIVE HEALTHCARE During Month under Review 1. Vaccination / Immunization
2. National Immunization Days (NIDs) for Polio:
Dates of NIDs Target of coverage Actual coverage Percentage of
coverage
January ,30, to February 01, 2012 196739 196473 99.86%
Note: According to 3rd Party Evaluation percentage of coverage 98%. 3. Other Preventive/Promotional Services:
S # Service Number
1 Passive Case Detection (PCD) Slides (NEGATIVE) 1680
2 Active Case Detection (ACD) Slides (FALCIPARIUM) 89
3 Active Case Detection (ACD) Slides (VIVAX) 29
4 Active Case Detection (ACD) Slides (MIXED) 06
5 Visits to Check Sanitation (individual house holds + streets) 0
6 Notices issued against Poor Sanitation 0
7 Challans sent to Court against Poor Sanitation 0
8 Patients Nebulized 0
MOTHER, CHILD & REPRODUCTIVE HEALTH:
(During the month under Review) I. Female Health:
2. Deliveries Assisted
No. of Doses of Immunization Administered in Children at Health Facilities. 1,919
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 505
No. of Immunization & Vaccination Administered by out- reach EPI Teams NO NIND
Total vaccination / immunization for the month of January, 2012
2,424
S.# Name of FMO ANC cases Natal Post Natal Other OPD Total OPD
1 Dr. Meena 107 0 29 1227 1,363
2 Dr.Asma 119 02 75 583 779
3 Dr.Shagufta 61 0 32 1124 1,217
4 Dr.Lata 39 0 6 805 850
5 Dr.Janta 94 0 8 929 1031
6 Dr.Rizwana 0 0 0 0 0
Grand Total 420 02 150 4668 5,240
S # Service Number
1 Deliveries Assisted at HFs 06
2 Deliveries Assisted at homes 37
Total Deliveries 43
85
3. Lab/ Diagnostic Tests (by MO & FMOs)
4. Important Discussion on Mother and Child and Reproductive Health during MRM
The FMO were directed to keep record of Mother and Child Health in the facilities, improve the family planning Programme by giving medicine and aware about family planning methods.
5. Provision of Family Planning Services during the Month:
S # Name of the Items / Service Number
1 Consultation / Advice 653
2 Oral Pills 130
3 IUCDs 1
4 Injections 31
5 Others 0
Total 815
(III) COMMUNITY PARTICIPATION:
During Month under Review
1. Number of Male SGs: - 49- Number of female SGs: 3 2. Performance of Social Organizers
Names of Social Organizers
Meetings of Support Groups conducted
CHSs /SHSs arranged
No. No. of
Participants No.
No. of Participants
Javed Ahmed 8 110 2 105
Muqeem Ahmed 6 91 3 55
Abdul Qadir 7 96 4 91
Total 21 297 09 251
Important Points during Support Group Meetings:
1. Need of Hand pump . 2. Repair of Roof b/c water leakage the Roof. 3. Availability of Female doctors. 4. Provision of Albendazole in syrup form
3. School Health Sessions & Community Health Sessions
SHSs / CHSs CONDUCTED BY MOs/FMOs/HTs Jan:2012
S.# Name
Community Support Group Meetings
Community Health Sessions School Health Session
Session Participant Session Participant Session Children
Examined Children Treated
1 Dr. Meena 0 0 3 67 1 20 10
S # Test Number
1 Pregnancy Tests 149
2 Blood Sugar Tests 343
3 Hemoglobin Tests 199
4 Ultra Sound Test 331
5 Other(Malaria) 1,804
Grand Total 2826
86
2 Dr.Janta 0 0 3 40 2 12 2
3 Dr.Shagufta Shah 0 0 1 30 1 5 0
4 Dr.Asma Karam 0 0 2 60 1 15 4
5 Dr.Lata Kumari 0 0 3 44 0 0 0
6 Dr.Saleem 1 12 2 68 1 12 6
7 Dr.Shahid 1 5 2 22 0 0 0
8 Dr.Dechand 1 6 3 67 1 19 11
9 Dr. Ashok Kumar 1 9 1 18 1 15 3
10 Dr.Dileep Sonaro 1 12 1 28 2 10 5
11 Dr.Dileep Kumar 1 13 2 34 1 11 1
12 Dr . Parkash Kumar 1 15 0 0 1 53 8
13 Dr.Gotam 2 9 2 10 2 30 9
14 Dr.Amanullah 1 12 1 20 1 20 20
15 Dr.Adu Mal 1 16 2 42 1 24 4
16 Dr.Mahesh Kumar 1 5 0 0 0 0 0
17 Dr.Bheroo Lal 1 17 2 41 1 32 10
18 Dr. Madan Lal 1 8 2 52 1 16 2
19 Dr.Perwaiz Sajjad 1 12 2 45 0 0 0
20 Dr.Lachman 1 4 3 40 1 40 20
21 Dr. Lajpat Rai 1 20 2 52 1 15 5
22 Dr.Vijay Kumar 1 7 0 0 1 19 3
23 Dr.Nand lal 1 8 1 21 0 0 0
24 Dr.Santosh Kumar 2 27 2 32 2 14 6
25 Dr.Sarwan Kumar Chelhar 1 13 3 45 0 0 0
26 Dr.Sundeep Kumar /Nechal 1 8 1 16 2 22 7
27 Dr.Molchand 1 8 0 0 1 0 0
28 Dr.Ishtiaque Shah 1 2 0 0 0 0 0
29 Dr.Pirbhu Lal 1 8 2 185 1 38 14
30 Dr.Misri 1 13 0 0 1 2 2
31 Dr.Mukesh Kumar 1 7 0 0 1 5 2
32 Dr.Suneel Kumar GD 1 10 2 31 0 0 0
33 HT Chander Lal 0 0 1 20 0 0 0
34 HT Abdul Aziz 1 20 2 45 2 19 9
35 HT Hashim 1 20 0 0 0 0 0
36 HT Mohsin 1 18 1 30 1 5 3
37 HT Muhammad Raheem 1 14 0 0 0 0 0
38 HT Sardar Singh 1 17 2 65 1 25 10
39 HT Pirbhu Lal 0 0 1 12 1 14 6
40 HT Amir Bux 1 4 1 21 1 2 0
41 HT Arjun 1 20 0 0 1 25 20
42 HT Dhino 1 10 1 10 1 16 8
43 HT Mooro Mal 1 16 1 25 1 15 12
44 HT Abdul Sattar 1 9 1 9 1 10 5
45 HT Shahbdin 1 13 0 0 0 0 0
46 HT Aijaz 1 8 1 12 1 20 3
87
47 HT Saindad Samejo 1 15 2 32 1 8 3
Grand Total 42 470 64 1391 41 608 233
4. Important Points during CHSs: 1. Malaria 2. Gastro 3. Vaccination 4. Heat Stroke and Prevention 5. Hypertension 6. Antenatal Care 7. Hazards of smoking 8. Snake Bite 9. Routine Vaccination 10. Acid Peptic Disease 11. Tuberculosis 5. Topics for CHS for the Month
S # Topics
1 ARI DISEASE
2 GASTRO
3 DENGUE
4 PEPTIC ULCER, ASTHMA
6. Important Discussion on Community Participation during MRM: All MOs were directed to regularly conduct the CSG meetings and get support of CSG in different RHF level activities & be alert for the out break of Malaria etc. 10. Health Camps (TENT FIX CAMP): Number Held: 0 Number of Patients: - 0 11. Measures for Improvement / provision of Services by other Department / Agencies
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW:
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old
47301 411 47,712
2. Maximum OPD** Minimum OPD**
S. No Description Recommendation To whom sent Present status
I Sanitation - - -
II Drainage / sewerage - - -
III Drinking water - - -
IV Prevention of adulteration
V Tree Plantation - - -
VI Roads and infrastructure - - -
VII Environmental Improvement
- - -
VIII Others - - -
88
S # BHU OPD BHU OPD
1 BHU DANU DANDHAL 2062 GD Mithrio Suthar 222
2 BHU KALOI 1,916 BHU CHACHI MOORA 450
3 BHU CHELHAR 1,793 GD PEELU 500
4 BHU Vira wah 1,437 GD Gorwari 585
5 BHU Jadam Janjhi 1,419 BHU Arokhi 586
3. Top Five Diseases Treated during School Health Sessions/Camps: *All HFs — BHUs and others.
**Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases during OPD:
S # Disease No. of Patients
1 ARI 21172
2 Diarrhea
4285 3 Dysentery
4 Fever 3633
5 Scabies 2351
5. ARV / ASV used during the month:
Detail No. of Patients
Dog bite cases reported 08
ARV Administered 40
ARV Available Doses (DSU) 81
Snake bite cases reported 02
ASV Vaccine Administered 04
ASV Vaccine Available Doses(DSU) 103
Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother Child & Reproductive
Health. 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Blood Sugar Tests 343
2 Hemoglobin 199
3 X-Rays (if available) 0
4 Ultra Sound 331
5 Others 1804
Total 2677
S # Diseases No. of Patients
1 ARI 125
2 Fever 38
3 Ear/Eye Problems 22
4 Cough 22
5 Scabies 26
Total 233
89
B & C SCREENING TESTS:
Screening No. of Tests Performed
No. of cases found positive
No. of cases referred for treatment
Total referred up-to date
Follow up result
Hepatitis B 0 0 0 0 0
Hepatitis C 0 0 0 0 0
8. TUBERCLOSIS
Patients Receiving Treatment New Cases During the Month
Under Diagnosis
6 2 5
9. Referrals
S.No
Totals
Cases Referred To
TB DOT Deliveries Others RHCs THQs DHQ
1 29 0 0 03 06 13 07
10. Inverse Referrals
S.No
Totals
Cases Referred from
ARV ASV Others RHCs THQs DHQs
1 0 0 0 0 0 0 0
G. MONITORING DURING MONTH UNDER REVIEW
1. Monitoring Visits during the month
DSM Executive officer (M&E) Other Staff Total
10 46 105 161
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
1 BHU Mithrio Bhatti Solar Fridge non functional Discussed with focal person of EPI
2 BHU Khetlari Water Rooter out of use Given to Mechanic for repair
3 BHU M.Gechu Electricity, approach road, main gate, and boundary wall destroy due to heavy rain
Contact to Line Deptt: by Admin & resolve electricity problem, Assign to Engineer for estimate of the damages
4 BHUKhario Fazal R&R Work Executive Engineer must be focus & Complete the on going work.
05 BHU Kot Arbab Mir Mohd
R&R Work Executive Engineer must be focus & Complete the on going work.
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS 1. Medicines available for: 45 Weeks
90
2. Important Issues raised relating to Medicines, etc. during MRM: No any issue was discussed in the MRM.
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of
HFs
Description of Repair / Maintenance incl. Electrification
Status / Remarks
1 BHU Virawah Work Completed MB Sent to PSU
2 BHU Dano Dhandhal Work Completed MB Sent to PSU
3 BHU Malanhore vena Work Completed MB Sent to PSU
4 BHU Chelhar Work Completed MB Sent to PSU
5 BHU Kantio Work Completed MB Sent to PSU
6 BHU Wahori Work Completed MB Sent to PSU
7 BHU Mubarak Rind Work Completed MB Sent to PSU
8 BHU Verijhap Work Completed MB Sent to PSU
9 BHU Pabhuar Work Completed MB Sent to PSU
10 BHU KG Shah Work Completed MB Sent to PSU
11 BHU Warkio Work Completed MB Sent to PSU
12 BHU Chanida Work Completed MB Sent to PSU
13 BHU Kolhi Ji Veri Work Completed MB Sent to PSU
14 BHU Kaloi Work Completed MB Sent to PSU
15 BHU Hirar Deda Work Completed MB Sent to PSU
16 BHU Jadam Jhanjhi Work Completed MB Sent to PSU
17 GD Kehri Work Completed MB Sent to PSU
18 GD Jado Joyo Work Completed MB Sent to PSU
19 GD Jogi Mari Work Completed MB is complete
20 GD Bhagisal Work Completed MB is completed
21 GD Peelu Work Completed MB is completed
22 GD Dalan Jo Tar Work Completed MB is completed
23 BHU Amrio Work Completed MB is completed
24 BHU Bhakuo Work Completed 100% work is done
25 BHU Doonjh Work Completed 100% work is done
26 BHU M.Bhatti Work Completed 100% work is done
27 BHU Arokhi Work Completed MB is completed
28 BHU Kankio Work Completed 100 % work done
29 BHU Khetlari Work Completed 100% work done
30 BHU Choopni Work Completed 100% work done
31 BHU Kot Arbab Work in progress 20% work is done
32 BHU Khario Fazal Work in progress 10% work is done
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
MS KAREN WHO OFFICER
BHU MITHRIO BHATTI
DSM gave her presentation about PPHI Services at RHF, of Tharparkar, She chat with FMO Dr. Lata and Incharge MO Dr. Lachman Das, she visited medicine store, EPI Room and wards. She also looked at our health messages, boards, charts. She likes PPHI Support health department in improving EPI services for proper coverage of People and likes us to work
91
hard.
To reflect only non-PPHI Visitor:
J- DISCUSSION DURING MRM: On Staff Matters: 1. The Government Employees were directed to inform the DSM before performing any assignment by EDO Health Office. 2. All In charges of Health Facilities must be inform to the DSU PPHI before giving joining to any newly Appointed staff, also directed to not relieve any employee with-out permission of DSM PPHI. 3. All In charges should be submitted their Monthly Progress Reports before third of the month. 4. All staff under the administration of PPHI district Mithi should be professional, be punctual and bring ownership themselves. 5. Appreciated the PPHI Team (Medic and Paramedic) whom performing their duty for Rain Affecteese. On Preventive Health:
1. All Doctors has been directed that to conduct regular Health awareness Sessions in the community and Schools as we can prevent the souls of Thar from different diseases.
2. Directed to all must be capture the emergency cases, Health Sessions, Deliveries etc. 3. During any visit by any PPHI official including DSM or any other organization, They must remain
there work, no need of protocol. 4. Directed to all must be sent DEWS Report every Saturday 3.00 PM Sharp.
On Curative Health: The Medical and Paramedical Staff has advised to give three days medicine to the patients. In any center there is shortage of medicine the information should be reached to DSU PPHI at least three days in advance. On Mother, Child & Reproductive Health: Directed to the FMOs for regular Health Sessions, motivation and counseling to Community for the importance of deliveries at BHUs and also appreciated their progress which is satisfactory from previous. Other Matters: Directed to all participants be punctual, bring discipline and all reports must be reach before 5TH of the every month. Date /Time for Next MRM: 10-03-2012 10: 00 AM Session on capacity building:
1. Leadership by Riaz Ahmed Jakhrani 2. Road Accidents by Dr. Bhamer Lal 3. Malaria-Causes and Preventive measures by Dr. Sandeep Comments on Targets vs. Achievements (DSM): DSM DSU Tharparkar told that we all are working for the betterment of people, so we should perform our duty honestly with regularly and with the punctuality .He has emphasized over the progress of FMOs and said that FMO should work hard to provide better care of mother and child of respective area. The meeting ended with the vote of thanks to all participants.
92
MINUTES OF THE (37th) MONTHLY REVIEW MEETING OF DISTRICT UMERKOT
Monthly Review Meeting (MRM) of District, Umerkot for the Month of January, 2012 was held on 9th February, 2012 at Darbar Hall, DC Office, Umerkot. Written invitations to participate were sent to the DC, the DHO, the DO (F&P), D.O Population Welfare Department, District In charge, National Program, EPI, HANDS, TRDP, Sami Foundation, Medical officers & Female Medical Officers as usual. The list of participants is as follows: List of Participants:
S #
Names Designation S # Names Designation
1 Ashique Hussain Chandio DSM PPHI U.K 25 Dr. Naresh Kumar MO PPHI
2 Dr Mahboob Ali Samejo ADSM, PPHI,UK 26 Dr Jai Parkash MO PPHI
3 Mohammad Yousif Ex F & A 27 Dr Vasdev MO PPHI
4 Veer Vikram Ex. Const 28 Dr Ashok Kumar MO PPHI
5 Dr Fareed Ahmed HD 29 Dr. Gobind Ram MO PPHI
6 Dr Hemji HD 30 Dr. Mohan Bhoopani MO PPHI
7 Dr Ali Raza Kadri Save the Children 31 Dr Devi das MO PPHI
8 Amjad Khan SDI 32 Dr Malook Oad MO PPHI
9 Duarko TRDP 33 Dr Mansoor Ali Shah MO PPHI
10 Dr Metha Ram MO Govt 34 Dr Nasrullah MO PPHI
11 Dr Talib Mangrio MO Govt 35 Dr Mohan Lal MO PPHI
12 Dr Ghansham MO Govt 36 Dr Nadir Ali MO PPHI
13 Dr Khushal Das MO Govt 37 Dr Dalpat Rai MO PPHI
14 Dr Jeevraj MO Govt 38 Dr M Naeem MO PPHI
15 Dr Sarwan Kumar MO Govt 39 Dr Madhan Rathi MO PPHI
16 Dr Qazi Samejo MO Govt 40 Dr Ghandi Lal MO PPHI
17 Dr Nand Lal MO Govt 41 Dr Chetan Kolhi MO PPHI
18 Dr Bahadur Singh MO PPHI 42 Dr Shazia Asif FMO PPHI
19 Dr Teekam Das MO PPHI 43 Dr Naheed Akhtar FMO PPHI
20 Dr Santosh Kumar MO PPHI 44 Dr Devi Jagdesh FMO PPHI
21 Dr Gomoon Mal MO PPHI 45 Dr Anila Rawal FMO PPHI
22 Dr Vijay Kumar MO PPHI 46 Dr. Husna Bhatti FMO PPHI
23 Dr Mohammad Yousif MO PPHI 47 Dileep Kumar S.O
24 Dr. Mukesh Kumar MO PPHI 48 Hosh Muhammad Assistant
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons S # Names/Designation Reasons
1 Dr Chettan Kumar NID 3 Dr Eassar Das C/L
2 Dr Shankar NID 4 Dr Parshotam NID
J. HFs WITH PPHI
BHUs: 30 Dispensaries: 11 MCHCs: 01 Others: 0 TOTAL: 42
93
B. Population of the Catchments Area: 622,536
T. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant (Sanc-Govt)
Mos 43
37 11 26 32
WMO 0 0 0
FMOs 18 05 0 05 13
LHVs 31 32 08 28 23
MTs/MAs Male
64 31 31 0
33 Female 0 0 0
Dispensers 2 27 0 27 2
U. CLUSTERS OF HFs WITH ONE MO
WITH ONE FMO
E. CAPACITY BUILDING 3. Sessions: During MRM
1st Session: Dr Hemji conducted session on “DHIS” and focused on the following points:-
Report compilation
Target setting
HF code
Format distributed
37. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates Date Venue Topic No. of
Participants
F. REVIEW OF THE PERFORMANCE (I) PREVENTIVE HEALTHCARE
During Month under Review
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 04 Clusters of 2 HFs 04
Single HFs 33 Single HFs 33
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 03 Clusters of 2 HFs 03
Single HFs 02 Single HFs 02
94
1. Vaccination / Immunization *
No. of Doses of Immunization Administered to Children at Health Facilities. 457
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 251
No. of Immunization & Vaccination Administered by out- reach EPI Teams ----
Total vaccination / immunization for the month January 2012 708
*28 BHUs report Vaccination & Immunization data on DHIS format 2. National Immunization Days (`s) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of coverage
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides 00
2 Active Case Detection (ACD) Slides 00
3 Visits to Check Sanitation (individual house holds + streets) --
4 Notices issued against Poor Sanitation --
5 Challans sent to Court against Poor Sanitation --
6 Patients Nebulized --
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review 1. Female Health
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 46
2 Deliveries Assisted at Homes 00
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 284
2 Blood Sugar Tests 361
3 Hemoglobin Tests 229
4 Ultra Sound Test 396
5 Other (Sputum) 18
S # Names of FMOs Ante-Natal Cases Neo-Natal Cases Other OPD Total OPD
1 Dr. Husna Bhatti 132 04 2021 2157
2 Dr Naheed Akhtar 72 0 830 902
3 Dr Devi Jagdesh 364 0 1423 1787
4 Dr Shazia 107 0 588 695
5 Dr Anila Rawal 195 0 380 575
Total 870 4 5242 6116
95
38. Important Discussion on Mother and Child and Reproductive Health during MRM
It was unanimously agree up that PHC services revolve around the mother & child healthcare. It was reiterated that all possible efforts would be taken to improve delivery in this area. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
1 Consultation / Advice 165
2 Oral Pills 75
3 IUCDs 05
4 Injections 70
5 Others 15
Total 165
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: 41 Number of Female SGs: 06 2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups
conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of
Participants
Dileep Kumar 05 63 08 115
Total 05 63 08 115
4. School Health Sessions & Community Health Sessions
Names of MO / FMOs/Paramedics
Community Health Session School Health Session
Session Participants Session Children Examined Treated
Dr Bahadur Singh 2 53 1 7 5
Dr Mukesh Kumar 1 20 1 0 0
Dr Easar Das 2 60 1 0 0
Dr Shanker Kumar 2 36 1 36 6
Dr Chetan Kolhi 2 50 1 0 0
Dr Gomoon 0 0 0 0 0
Dr Ashok Kumar 0 0 0 0 0
Dr Khushahal Das 2 50 1 25 18
Dr Talib Mangrio 1 30 1 0 0
Dr Chetan Kumar 1 15 0 0 0
Dr Parshotam Das 2 40 1 7 7
Dr Vijay Kumar 1 9 1 22 22
Dr Nandlal 1 30 1 0 0
Dr Qazi Samejo 2 48 1 0 0
Dr Gobind Ram, 2 26 1 2 2
Dr Ghansham 1 19 1 0 0
Dr Vasdev 1 27 1 13 7
Dr Metharam 2 44 1 45 4
96
Dr Dalpat Rai 1 18 0 0 0
Dr Nasrullah 2 30 1 0 0
Dr Jeev raj 2 55 1 0 0
Dr Madhan Rathi 2 32 1 0 0
Dr Naresh Kumar 2 32 1 0 0
Dr Sarwan Kumar 0 0 1 0 0
Dr Teekam Das 0 0 0 0 0
Dr Gandhi 2 38 1 21 0
Dr Jai Parkash 2 17 1 10 0
Dr Naeem 2 16 1 0 0
Dr Samiullah 1 12 1 30 30
Dr Mohan Bhoopani 2 18 1 9 9
Dr Santosh Kumar 0 0 0 0 0
Dr Ashok Kumar 2 40 1 23 10
Dr Devidas 2 22 1 0 0
Dr Nadir Ali 0 0 0 0 0
Dr Malook Oad 2 40 1 9 4
Dr M Yousif 1 18 1 0 0
Dr Mohan Rathore 2 21 1 0 0
Dr Mansoor Shah 2 37 1 29 29
Hussna 1 12 0 0 0
Dr Shazia Asif 2 32 0 0 0
Dr Naheed Akhtar 4 66 1 21 0
Dr Anila Rawal 0 0 0 0 0 0
Dr Devi Jagdesh 1 16 1 12 12
62 1129 33 321 165
4. Important Points during Support Group Meetings.
FMO, LHV & Dai needed
Vaccinator & Pathology Laboratory required
Ultra Sound facility be provided
Progress of Health Facility 5. Important Points during CHSs
Skin Disease
Malaria Prevention
Diarrhea Prevention
Water Diseases
Breast feeding is important for newly born baby.
Importance of EPI
39. Topics for SHSs for the Month
Sr. No. Topics
1
8 Topics for CHSs for the Month
S # Topics
1 Scabies
97
2 ARI
3 Measles
4 Polio
9. Important Discussion on Community Participation during MRM 10. Health Camps: Number Held: 0 Number of Patients: 0 11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent
Present status
I Sanitation ----- ----- -----
Ii Drainage / sewerage ----- ----- -----
Iii ……… drinking water ----- ----- -----
Iv Prevention of adulteration ----- ----- -----
V Tree Plantation ----- ----- -----
Vi Roads and infrastructure ----- ----- -----
Vii Environmental Improvement ----- ----- -----
Viii Others ----- ----- -----
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
53235 1513 54748
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 BHU Shadi Palli 4312 BHU Nawaz Ali Shah 354
2 BHU Ghulam Nabi Shah 3360 BHU Dilawar Hussein 463
3 BHU Pir Sarhandi 3128 BHU Siddique Abro 608
4 BHU Mahendre Jo Par 2247 GD Ahmedabad 627
5 GD Shewani 2014 GD Amin Rajar 742
3. Top Five Diseases Treated during School Health Sessions/Camps *All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases During OPD
S # Disease No. of Patients
1 ARI 16713
2 Fever 6968
S # Diseases No. of Patients
1
98
3 Diarrhea 3870
4 Scabies 1791
5 Dysentery 144
40. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 82
ARV Administered 82
ARV Available Doses 71(Patients)
Snake bite cases reported 00
ASV Vaccine Administered 00
ASV Vaccine Available Doses 00
31. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive
Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 284
2 Blood Sugar Tests 361
3 Hemoglobin 229
4 X-Rays (if available) N/A
5 Ultra Sound 365
6 Others (Sputum) 18
32. B & C SCREENING TESTS
Screening No. of Tests
Performed
No. of cases found
positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B N/A N/A N/A N/A N/A
Hepatitis C N/A N/A N/A N/A N/A
33. TUBERCLOSIS
Patients Receiving Treatment
New Cases During the Month
Under Diagnosis
45 03 00
9. Referrals
Sr. Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
2 102 75 00 27 15 51 36
10. Inverse Referrals
Sr. Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 00 00 0 0 00 00 00
99
G. MONITORING DURING MONTH UNDER REVIEW
11. Monitoring Visits during the month
DSM ADSM/ Executive Monitoring Other Staff Total
44 60 46 150
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
1
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for 40 Weeks 2. Important Issues raised relating to Medicines, etc. during MRM
Monthly medicine supplied at all the health Facilities
Health facility wise, monthly medicine consumption and per patients cost were shared with doctors.
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance incl.
Electrification Status / Remarks
1 BHU Rana Jagir Tiles Work, Colour, Repair, Carpenter, Plumbering & Electrification
Complete
2 BHU Aahori Farm Tiles Work, Co lour, Repair, Carpenter, Pulmbering & Electrification
Complete
3 BHU Kharoro Syed Tiles Work, Co lour, Repair, Carpenter & Pulmbering
Complete
4 BHU Moula Bux Rajar
Tiles Work, Co lour, Repair, Carpenter, Pulmbering & Electrification
Complete
5 MCH Umerkot Tiles Work, Co lour, Repair, Carpenter, Pulmbering & Electrification
Complete
6 BHU Digu Co lour, Repair, Carpenter & Pulmbering Complete
7 BHU Samaro Road Co lour, Repair, Carpenter & Pulmbering Complete
8 BHU Kunri Memon Tile work, Co lour, Repair, Carpenter, Pulmbering & Electrification
Complete
9 BHU Sanwan Rajar Tile work, Co lour, Repair, Carpenter & Pulmbering
Complete
10 BHU Pir Sarhandi Tile work, Co lour, Repair, Carpenter, Pulmbering & Electrification
Complete
11 BHU Faqir Ali Bux Halepoto
Tile work, Co lour, Repair, Carpenter & Pulmbering
Complete
12 GD Muzafer Hussain Shah
Tile work, Co lour, Repair, Carpenter & Pulmbering
Complete
13 GD Amin Rajar Tile work, Co lour, Repair, Carpenter & Pulmbering
Complete
14 BHU Nabisar Thar Tile work, Co lour, Repair, Carpenter & Pulmbering
Complete
100
15 BHU Fateh M.Rajar Tile work, Co lour, Repair, Carpenter & Pulmbering
Complete
16 BHU Toban Veri Tile work, Co lour, Repair, Carpenter &n Pulmbering
Complete
17 BHU Haji Pir Shah Tile work, Co lour, Repair, Carpenter & Pulmbering
Complete
18 BHU Siddique Abro New Roof, Co lour, Repair, Carpenter & Pulmbering
Complete
19 BHU Saleh Bhanbhro Co lour, Repair, Carpenter & Pulmbering Complete
20 BHU Mehinry Jo Par Work started Tile work, Co lour, Repair, Carpenter & Pulmbering
Complete
21 BHU Abdul Hakim Aresar
Repair, Tile work, Plumbering & Colour Complete
22 BHU Nawaz Ali Shah Repair, Tile work, Plumbering & Colour Complete
23 BHU Mohd. Hussain Gujrati
Repair, Plumbering & Colour Complete
24 GD Sajan Khan Chandio
Repair, Tile work, Plumbering & Colour Complete
25 G.D Moosa Jan Sarhandi
Repair, Tile work, Plumbering & Colour Complete
26 BHU Araro Bhurgri Repair, Tile work, Plumbering & Colour Complete
27 BHU Dilawar Hussain Shah
Co lour, Repair, Carpenter, Pulmbering & Electrification
Complete
28 GD Noor Mohammad Mangrio
Colour, Repair, Tile, Carpenter & Pulmbering. Complete
29 GD Ismail Nohri Colour, Repair, Tile, Carpenter & Pulmbering & Electrification
Complete
30 BHU Darelo Colour, Repair, Tile, Carpenter & Pulmbering & Electrification
Complete
31 BHU Padheri Farm Colour, Repair, Tile, Carpenter & Pulmbering & Electrification
Complete
32 GD Maghan Khan Chandio
Tiles Work, Colour, Repair, Carpenter & Plumbering
complete
33 BHU Talhi Tiles Work, Colour, Repair, Carpenter & Plumbering
complete
34 BHU Ghulam Nabi Shah
Tiles Work, Colour, Repair, Carpenter & Plumbering
Revised
35 BHU Shadi Pali New Roof, Co lour, Repair, Carpenter & Pulmbering
Revised
Work In Progress
36 GD Ahmedabad In Progress Incomplete
37 BHU Okraro Chanio In Progress Incomplete
38 BHU Mir Din Mohammad
In Progress Incomplete
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
------- -------
-------
* To reflect only non-PPHI Visitors.
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J- DISCUSSION DURING MRM On Staff Matters:
Health Facilities Timings should be followed strictly. On Preventive Health:
School Health Sessions, Community Health Sessions & CSG meetings will continuously be monitored by Monitoring staff.
On Curative Health:
The chair emphasized the importance the presence of the doctor at the health facility which will ensure the provision of curative service in the true sense of the word.
Mother, Child & Reproductive Health:
It was shared with the participants that inclusion of quite a few female technical staff has further strengthened the human resource present at the health facility for provision of healthcare services to the female segment of the population .moreover, conversion of three health facilities into the 24 hour running MCHCs has also started picking the pace towards alleviating the sufferings of female folk.
Other Matters: Date /Time for Next MRM: March 10, 2012 at 10:00 am Comments on Targets vs Achievements (by DSM)
R & R work of 3 health facilities has been completed, while R & R work of three more health facilities will be completed soon.
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MINUTES OF THE (43rd) MONTHLY REVIEW MEETING OF DISTRICT BADIN
Monthly Review Meeting (MRM) of District, Badin for the Month of January, 2012 was held on 11-02-2012 at Darbar Hall DCO Office Badin. Written invitations were sent to the EDO (H), and the Civil surgeon, District Population Welfare Officer, District Incharge of EPI, District Coordinator NP, District Focal Person Malaria, and District Focal Person TB. and District Officer MNCH Badin. The list of participants is enclosed. List of Participants:
# Names/Designation S # Names/Designation
1 Mr Birjlal Dossani DSM Badin 46 Dr Ghulam Rasool Mallah MO
2 Mr Sayed Shahid Ali DSM Badin 47 Dr Gulshan Korejo MO
3 Dr Mohammad Ramzan Khoso Malaria FP 48 Dr Uqail Abbass Pediatritian
4 Dr Noor Mohammad TB Focal Person 49 Dr Zahid Hussain Khawaja MO
5 Mr. Shahbaz Ali Memon Exe M&E 50 Dr Ahmed Khatti MO
6 Mr. Naveed Abbass Baloch Ex M&E 51 Dr Bheemoon MO
7 Mr Aatif Hussain Ex F&A 52 Dr Saleem Nizamani MO
8 Dr Amir Ali Khawaja MO HQ 53 Dr Abudul Ali Shah MO
9 Mr Abdul Razzaque Sheikh S.M 54 Dr Abdul Jabbar Khaskheli MO
10 Mr Aqeel Ahmed Finance Assistant 55 Dr Abdul Rehman Bhurgari MO
11 Mr Mshooque Ali Khawaja Assistant 56 Dr Afaque Ahmed MO
12 Mr Abdullah Tunio Sub Engineer 57 Dr Aijazudin MO
13 Mr Ali Ahmed SO 58 Dr Altaf Basheer MO
14 Mr Imran Ali Talpur S.O 59 Dr Amir Ali MO
15 Mr. Abdul Razzaque Soomro S.O 60 Dr Amir Hassan Memon MO
16 Lemoon Mal Astt: Admin 61 Dr Ashok Kumar K.Q MO
17 Dr Saima Naz FMO 62 Dr Soomar Mal MO
18 Dr Shazia Rauf /FMO 63 Dr Suleman Palijo MO
19 Dr Nida Jaffer / FMO 64 Dr Hafeezullah Memon MO
20 Dr Khadija Qambrani FMO 65 Dr Haji Khan Nizamani MO
21 Dr Tasleem Khawaja FMO 66 Dr Haresh Kumar MO
22 Dr Rehana Fayaz / FMO 67 Dr Mohd Ibrahim Pinjaro MO
23 Dr Yasmeen Abbassi FMO 68 Dr Imtiaz Ahmed MO
24 Dr Fahmida Soomro FMO 69 Dr Javed Iqbal Qambrani / MO
25 Dr Aisha Jamil FMO 70 Dr Sahib Khoso MO
26 Dr Anita Khawaja FMO 71 Dr Santosh Kumar MO
27 Dr Neelofar Shah FMO 72 Dr Mohd Ramzan Soomro MO
28 Dr Rukhsana Memon FMO 73 Dr Mohan Lal MO
29 Dr Abdul Wahid Khatti MO 74 Dr Mohd Sharif Chandio MO
30 Dr Raffique Bhurgari / MO 75 Dr Nadeem Bhurgari MO
31 Dr Rafique Ahmed Memon MO 76 Dr Nisar Ahmed Jaffery MO
32 Dr Irfan Ashraf MO 77 Dr Raza Ali / MO
33 Dr Ilyas Laghari MO 78 Dr Safiullah Abbassi MO
34 Dr Maqbool Ahmed Maroo MO 79 Dr Saleem Notkani / MO
103
35 Dr Mohammad Siddique Pahore SMO 80 Dr Mohd Suleman Palijo MO
36 Dr Iqbal Ahmed Memon MO 81 Dr Shafique Ahmed Laghari MO
37 Dr Murad Ali Nizamani MO 82 Dr Shahzad Ahmed Virk MO
38 Dr Munawar Arain MO 83 Dr Sunil Kumar MO
39 Dr Gulab Hassan Kahmiri MO 84 Dr Abdul Rehman Khatti MO
40 Dr Harichand MO 85 Dr Tufail Ahmed Bhan MO
41 Dr Jamil Ahmed Memon MO 86 Abdul Wahid Pathan N/Q
42 Dr Asif Ali Rind MO 87 Sikiladho / Bishti
43 Dr Chait Raam MO 88 Allah Dino Attendent
44 DR Ghulam Mohammad Memon MO 89 Shahzad Ahmed Chand Driver
45 Dr Ghulam Murtaza Memon MO 90 Mumtaz Ali Chandio Driver
The following could not attend the meeting for the reasons stated against each:-
S #
Names/Designation Reasons S # Names/Designation Reasons
1 Dr Kavita Ashok FMO cl 8 Dr Ashok Kumar Qazi Fateh MO cl
2 Dr Naveen Samoon FMO CL 9 Dr Mohd Hanif cl
3 Dr Saeeda Bano CL 10 Dr Junaid Shah cl
4 Dr Shahnaz Muneer FMO cl 11 Dr Mehmood Memon MO CL
5 Dr Uzma Korejo FMO cl 12 Dr Mohd Ayoub cl
6 Dr Muzafar Ali MO cl 13 Dr M. Saleem Memon Absconder
7 Hakeem Ghulam Nabi CL 14 Dr Sarfraz Amir Kidneped
K. HFs WITH PPHI BHUs: 36 Dispensaries: 66 MCHC: 01 Others: 01
TOTAL: 104 B. Population of the Catchments Area:
V. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant (Sanc-Govt)
MOs 49
17 17 49 32
WMO 0 0 0
FMOs 00 0 0 17 18
LHVs 42 8 8 43 34
MTs/MAs Male
0 0 0 0
0 Female 0 0 0
Dispensers 20 17 17 54 1
W. CLUSTERS OF HFs WITH ONE MO
Previous Month Total Month under Review Total
Clusters of 6 HFs 0 Clusters of 6 HFs 0
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 0 Clusters of 4 HFs 0
Clusters of 3 HFs 2 Clusters of 3 HFs 2
Clusters of 2 HFs 17 Clusters of 2 HFs 18
Single HFs 44 Single HFs 46
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WITH ONE FMO
E. CAPACITY BUILDING
1. First Session: During MRM Dr Mohammad Sharif Chandio MO BHU Ghulam Shah Mori has delivered lecture on ―Integrated Neonatal & Childhood Management Illness‖. 41. Dr Mohammad Ramzan Khoso Focal Person Malaria has delivered lecture on prevention of
Malaria and its reporting mechanism in district Badin. 42. Dr Noor Mohammad Khoso Focal Person Tuberculosis TB has delivered lecture on prevention
of TB and has demonstrated Diagnostic Centers in district Badin.
43. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates
Date Venue Topic No. of
Participants
0 0 0 0
F. REVIEW OF THE PERFORMANCE (I) PREVENTIVE HEALTHCARE
During Month under Review 1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities out- reach EPI Teams.
7520
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities out- reach EPI Teams.
1213
Total vaccination / immunization for the month Dec-2011 8733
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of
coverage
0 0 0 Nil
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides 182
2 Active Case Detection (ACD) Slides 69
3 Visits to Check Sanitation (individual house holds + streets) 0
4 Notices issued against Poor Sanitation 0
5 Challans sent to Court against Poor Sanitation 0 6 Patients Nebulized 644
Previous Month Total Month under Review Total
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 0 Clusters of 4 HFs 0
Clusters of 3 HFs 3 Clusters of 3 HFs 3
Clusters of 2 HFs 11 Clusters of 2 HFs 11
Single HFs 3 Single HFs 3
105
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review 1. Female Health
S # Names of FMOs Ante-Natal
Cases Post-Natal
Cases Other OPD Total OPD
1 Dr Saima Naz 83 6 1452 1541
2 Dr Nida Jaffer 84 50 679 813
3 Dr Tasleem Khawaja 113 32 1314 1459
4 Dr Kavita Ashok 93 13 454 560
5 Dr Rehana Fayaz 141 25 678 844
6 Dr Neelofar Shah 62 17 498 577
7 Dr Uzma Korejo 145 36 969 1150
8 Dr Aisha Jamil 87 44 552 683
9 Dr Beenish Bukhari 199 12 839 1050
10 Dr Dr Rukhsana 317 46 1813 2176
11 Dr Shazia Rauf 36 3 651 690
12 Dr. Khatija Qambrani 184 32 664 880
13 Dr Fahmida Soomro 25 10 940 975
14 Dr Shahnaz Muneer 45 6 624 675
Total 1614 332 12127 14073
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 71
2 Deliveries Assisted at Homes 432
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 242
2 Blood Sugar Tests 65
3 Hemoglobin Tests 164
4 Ultra Sound Test 311
5 Other 241
44. Important Discussion on Mother and Child and Reproductive Health during MRM
a. No: of Deliveries has substantially increased at 24 hours MCHCs. Medicine indent should be standardized.
b. Pre-diagnosis screening of patients for vaccine should be done relugularly. c. Where vaccinators are provided under National Program, the duty roster should be signed by
I/c Medical Officer and absence report should immediately be sent to Focal Person. d. Pregnant females should be encouraged for delivery at BHU. e. F.P advice should be part of diagnosis and separate record be maintained. f. Sinologists shall furnish their presentation on the findings, referral and follow up. g. MNCH record and Growth monitoring record should be maintained by FMOs where LHV is
not provided. In all cases, record should be legible, complete and traceable. h. Baby Weighing Scales/ Adult Bath Scales, Hemoglobin Meters and Height Charts have been
provided. Ensure proper usage of the equipments and report of out of order weight machines should be immediately conveyed to I/c MO in writing.
106
i. Training on Hemoglobin meters have been provided to all Medical and Paramedical Staff for blood tests preferably for pregnant women and same will be repeated for retention.
45. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
Consultation / Advice 395
Oral Pills 89
IUCDs 2
Injections 84
Others 163
Total 733
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: 101 Number of Female SGs: 11 2. Performance of Social Organizers
Names of Social Organizers
Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of
Participants
Ali Ahmed 13 0 189 10 176
Imran Ali Talpur 10 0 129 12 231
Abdul Razzaque Soomro 8 0 91 8 123
Total 31 0 409 30 530
3. School Health Sessions & Community Health Sessions Has not performed due to rain emergency
Names of MO / FMOs/Paramedics
Community Health Sessions School Health Sessions
Sessions Participants Sessions Children
Examined Children Treated
Dr Nida Jaffer 2 36 2 44 11
Dr Tasleem Khawaja 2 51 2 42 10
Dr Kavita Ashok 1 24 2 31 9
Dr Rehana Fayaz 1 19 2 29 11
Dr Neelofar Shah 2 34 2 27 9
Dr Uzma Korejo 2 21 2 32 10
Dr Aisha Jamil 1 19 2 27 12
Dr Beenish Bukhari 2 31 2 22 7
Dr Shazia Rauf 2 54 2 19 11
Dr. Khatija Qambrani 1 27 2 34 7
Dr Saima Naz 2 36 2 28 7
Dr Shahnaz Muneer 2 28 2 41 15
Dr Rafique Memon 1 14 1 19 14
Dr Junaid 1 19 1 12 7
Dr Hafeezullah 1 14 1 13 6
Dr Gulshan Korejo 1 14 1 10 5
107
Dr Soomar Mal 1 17 1 14 4
Dr Raza Ali 1 19 1 12 5
Dr Javed Iqbal 1 14 1 9 7
Dr Abud Ali 1 12 1 12 5
Dr Wahid Khatti 1 8 1 10 4
Dr Abdul Rehman Khatti 1 12 1 14 9
Dr Irfan 1 16 1 12 8
Dr Ashok Kumar KQ 1 15 2 32 21
Dr Ramzan Soomro 1 14 2 28 5
Dr Chait Raam 1 10 2 41 16
Dr Jamil Memon 1 12 1 20 7
Dr Jabbar Khaskheli 1 19 1 34 11
Dr Raffique Bhurgari 1 14 1 33 13
Dr Santosh Kumar 1 15 1 12 5
Dr Ghulam Murtza Memon 1 17 1 17 7
Dr Ghulam Rasool Mallah 1 14 1 10 5
Dr Ahmed Khatti 1 16 1 17 11
Dr Ghulab Kashmiri 2 36 2 42 22
Dr Maqbool Ahmed Maroo 2 52 2 61 16
Dr Muzafar Ali 1 14 1 10 6
Dr Sunil Kumar 1 12 1 23 9
Dr Zahid Hussain 1 17 2 68 14
Dr Mehmood Memon 2 116 2 132 29
Dr Tufail Ahmed Bhan 1 16 1 44 20
Dr Nadeem 1 12 1 19 5
Dr Bheemoon 1 14 1 22 4
Dr Ashok Kumar Ch Fateh 1 21 1 19 5
Dr Mohan Lal 1 17 1 21 6
Dr Mohd Siddique Pahore 1 17 1 22 5
Dr Ibrahim Pinjaro 1 14 1 20 4
Dr Suleman 1 15 1 22 5
Dr Afaque Bhurgari 1 31 1 24 7
Dr Harish Kumar 1 14 1 21 6
Dr Saleem Nizamani 1 15 1 21 7
Dr Murad Nizamani 1 22 1 17 4
Dr Ayoube Pahore 1 29 2 12 6
Dr Sarfraz Amir 1 15 1 14 4
Dr Imtiaz Ahmed 1 19 1 19 5
Dr Shafique Laghari 1 17 1 18 5
Dr Ghulam Mohd 1 14 1 12 8
Dr Sahib Khoso 1 21 2 34 7
Dr Iqbal Memon 1 12 1 10 5
Dr Abdul Rehman 1 14 1 12 4
Dr Nisar Ahmed Jaffery 2 33 2 39 8
Dr Altaf Basheer 1 25 1 20 5
Dr Safiullah 2 51 2 39 19
Dr Aijazudin 2 36 2 56 14
Dr Shahzad Ahmed Virk 2 21 2 61 19
Dr Munwar Arain 1 22 1 19 11
Dr Uqail Abbass 1 19 0 0 0
Mr Chetan Lal Disp 1 17 1 26 14
TOTAL 82 1505 91 1756 602
108
4. Important Points during Support Group Meetings.
Introduction of PPHI
Ownership of HFs
Health Awareness Sessions for prevention at Community Level
Health Awareness Program at School Level
Water and sanitation, Electricity, Cleanliness etc Issues of HFs
Major and Minor Repair & Renovation of HFs
Suggestions for the improvement of HFs
5. Important Points during SHSs
6. Important Points during CHSs
7. Topics for SHS for the Month
Sr. No. Topics
1 Personal Hygiene
2 Scabies
3 Diarrhea
4 Fever
5 RTI
8 Topics for CHS for the Month
S # Topics
1 Tuberculosis
2 Hepatitis
3 RTI
4 HIV Aids
5 Brest Feeding
6 ARV
9. Important Discussion on Community Participation during MRM
Community Health Sessions are to be planned and held on FMO days.
Participation should be ensured through formal contact with LHWs.
Sessions are to be held preferably at Health Facility or at community home duly coordinated and facilitated by DSU/HF staff.
10. Health Camps: Number Held: 0 11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent
Present status
i Sanitation 00 00 00
ii Drainage / sewerage 00 00 00
iii ……… drinking water 00 00 00
iv Prevention of adulteration 00 00 00
v Tree Plantation 00 00 00
109
vi Roads and infrastructure 00 00 00
vii Environmental Improvement 00 00 00
viii Others 00 00 00
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
101507 1678 103175
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 BHU NABI BUX PANJABI 2587 BHU Yousif Shah 521
2 BHU GULAM SHAH MORI 2401 BHU ALI MURAD CHANDIO 607
3 BHU SAEEDPUR 2213 BHU AHMED RAJO 732
4 BHU PUNJAB CHAK II 2198 BHU AHMED RAJO 801
5 BHU RAHUKI 1934 BHU Haji Mohammad Boohar 816
3. Top Five Diseases Treated during School Health Sessions/Camps
6. Top Five Diseases during OPD
S # Disease No. of Patients
1 Acute Respirity Infection 21814
2 Fever 9019
3 Scabies 6271
4 Diarrhea 5472
5 Dysentery 476
6. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 58
ARV Administered 183
ARV Available Doses 385
Snake bite cases reported 0
ASV Vaccine Administered 0
ASV Vaccine Available Doses 48
S # Diseases No. of Patients
1 RTI 256
2 Fever 166
3 Scabies 116
4 Diarrhea 41
5 Dysentery 7
110
34. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 242
2 Blood Sugar Tests 65
3 Hemoglobin 164
4 X-Rays (if available) 0
5 Ultra Sound 311
6 Others (please specify) Malaria 241
35. B & C SCREENING TESTS
Screening No. of Tests Performed
No. of cases found
positive
No. of cases referred for treatment
Total referred upto date
Follow up result
0 0
0 0 0 0
36. TUBERCLOSIS
Patients Receiving Treatment
New Cases During the Month
Under Diagnosis
0 0 0
9. Referrals
S. No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
2 72 9 22 41 11 28 33
10. Inverse Referrals
S. No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 36 36 0 0 7 3 26
G. MONITORING DURING MONTH UNDER REVIEW
12. Monitoring Visits during the month
DSM ADSM Executive Monitoring Other Staff Total
76 0 124 166 371
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for: 10.17 weeks
13. Important Issues raised relating to Medicines, etc. during MRM/ Submission date of Medicine Requisition Form from 21st to 20th of every month
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I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
The status of running R & R schemes was reviewed thoroughly during the MRM and doctors were advised to fill the gaps. Moreover, the new 12 schemes of BHUs and GDs were thoroughly discussed. MOs were motivated to get to work in full throttle and complete the work well before the commencement of TPE.
S # Name of
HFs
Description of Repair / Maintenance incl. Electrification
Status / Remarks
1 GD Seerani Tiles, CC Toping, Plaster, Plinth protection, Colour, Electricity
30%
2 BHU Haji Mohammad Boohar
Tiles, Girder T.R, Plaster, Roof Topping, Plinth protection, Colour, Electricity
80% Estimate Sent for Revise
3 BHU Abdullah Shah Tiles, Girder T.R, Plaster, Roof Topping, Plinth protection, Color, Electricity
70 %
4 BHU Dadah Tiles, Girder T.R, Plaster, CC Toping, Roof Topping, Plinth protection, Colour, Electricity, Girder TR. Plinth Protection
80 %
5 BHU Ahmed Rajo Tiles, CC Toping, Plaster, Roof Topping Color, Plinth Protection
75 %
6 BHU Mataro Mandhro
Tiles, CC Toping, Plaster, Roof Topping, Color, Electricity , Plinth Protection
70 %
7 GD Beero Lanjwani Tiles, CC Toping, Plaster, Color, Roof Topping, Electricity , Plinth Protection
10 %
8 BHU Artilary Chak Tiles, CC Toping, Plaster, Roof Topping, Electricity , Plinth Protection, Tiles, Colour, Electricity
70 % Estimate Sent for Revise
9 BHU Khalifo Qasim Tiles, Girder T.iron, Plaster, CC Toping, Color, Electricity, Plinth Protection Tiles, CC Toping,
85 %
10 BHU Ali Mohammad Maheri
Tiles, CC Toping, Plaster, Color, Roof Topping, Plinth Protection
95 %
11 BHU Rahooki Tiles, CC Toping, Plaster, Color, Roof Topping, Plinth Protection
90 %
12 BHU Saeed Pur Tiles, CC Toping, Plaster, Color, Roof Topping, Electricity , Plinth Protection, CC Roof
Complete
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM On Staff Matters:
Basic issues of HFs & Doctors
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Follow-up of TB referral cases
OPD ratio and per patient cast
Discussed on FMO Progress in which Vaccination, Antenatal, Natal, Post Natal Pregnancy and family Planning
HIMS Monthly Report
Self analyses of HFs by MOs & FMOs
Ownership
Regularity On Preventive Health: Regarding school health session and community health session mostly topic for preventive were briefly discuss. Scabies, Malaria, Diarrhea and Hygiene etc On Curative Health: On Mother, Child & Reproductive Health: MCH Centre should increase Number of deliveries. More MCHC center will be opened soon. Other Matters: Date /Time for Next MRM: 10-03-2012, Time 10: 00 am Comments on Targets vs Achievements (by DSM) Targets vs Achievements: MOs Monitoring Mechanism HMIS Reports Health Sessions Punctuality Doctors have become punctual and are attending their HFs in time, despite the fact that they facing numerous hardships in the difficult-to-access HFs of District Badin. R & R Targets vs Achievements: FMOs Ante-natal care During the month target achieved 1701 cases of antenatal and natal and advised to increase the cases. Family Planning Service FMO‘s have improved on the count of Family Planning clientele. Deliveries 71 Deliveries are at HFs and MCH Center. FMOs are advised to increase the deliveries. Health Sessions All FMOs and MOs were advised to perform as per their job description and conduct as many health education/awareness sessions as possible. A total of 0 Health Session‘s were conducted majority of FMO‘s have done well. Punctuality FMOs have become punctual and are attending their HFs in time, despite the fact that they facing numerous hardships in the difficult-to-access HFs of District Badin. Capacity Building of LHVs Things are improving consistently in Badin. Hopefully, we will be achieving the targets set by PSU in near future Inshallah. District Support Manager PPHI, DSU Badin
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MINUTES OF THE 32st MONTHLY REVIEW MEETING OF DISTRICT_SANGHAR
Monthly Review Meeting (MRM) of District, Sanghar for the Month of January 2012 held on February 09th , 2012 at District Support Unit Office, Sanghar. Written invitations to participates were sent to the District Coordination Officer, the EDO(H), EDO (F&P), In charge WHO, District Sanghar and District Incharge of EPI, LHW and all other National Programs as usual. The list of participants is enclosed.
S. No.
Name / Designation S.
No. Name / Designation
1. Mr.Abdul Rasool Golo DSM DSU,Sgr 31 Dr. Dilshad Ali Khan I/C PPHI, M.O
2. Dr.Mohammad Ali Sheikh
EDO(H) Sanghar 32 Dr. Shafique Ur Rehman I/C PPHI, M.O
3. Mr.Dhoukat Ali Wassan DOH Health 33 Dr. Syed Turab Ali Shah I/C PPHI, M.O
4. Mr. Gul Muhammad Executive (F&A), DSU-Sgr 34 Dr. Muhammad Haroon I/C PPHI, M.O
5. Mr. Ghulam Murtaza Executive (M&E), DSU-Sgr 35 Dr.Mohammad Rafique I/C M.O
6. Mr.Mohammad Tahir Executive (M&E), DSU-Sgr 36 Dr. Aftab Ahmed I/C S.M.O
7. Mr.Imtiaz Ali Store Manager 37 Dr. Anwer Adil Ansari I/C PPHI, M.O
8. Mr.Ghulam Sarwar MO HQ 36 Dr. Bhagwan Das I/C PPHI, M.O
9. Dr. Sher Muhammad Bhurgri
I/C S.M.O 37 Dr. Mehdi Hassan I/C PPHI, M.O
10. Dr. Gul Hassan Dahiri I/C M.O, PPHI 38 Dr. Qamar-ul-Hassan I/C PPHI, M.O
11. Dr. Abdul Waheed I/C PPHI, M.O 39 Dr. RafiqueAhmed I/C PPHI, M.O
12. Dr. Ashfaque Ahmed I/C S.M.O 40 Dr. Faiz Muhammad I/C M.O
13. Dr. Bashir Ahmed I/C PPHI, M.O 41 Dr. Akmal Baig I/C M.O
14. Dr. Pitamber Das I/C PPHI, M.O 42 Dr. Muhammad Aslam I/C PPHI, M.O
15. Dr. Shaman Das I/C PPHI, M.O 43 Dr. Jawaher Lal I/C PPHI, M.O
16. Dr. Allah Jurio Wassan I/C M.O 44 Dr. Aijaz Baig I/C PPHI, M.O
17. Dr. Manzoor Ahmed I/C PPHI, M.O 45 Dr. Nand Lal I/C PPHI, M.O
18. Dr. Jairam Das I/C PPHI, M.O 46 Dr. Kirpal Das I/C PPHI, M.O
19. Dr. Haque Nawaz I/C PPHI, M.O 47 Dr.Abdul Jabbar I/C M.O, PPHI
20. Dr. Muhammad Sharif I/C PPHI, M.O 48 Dr. M.Yaqoob I/C M.O, PPHI
21. Dr. Muhammad Rafique I/C M.O 49 Dr. Parsram I/C M.O, PPHI
22. Dr. Ghulam Hyder I/C PPHI, M.O 50 Dr. Arjun I/C PPHI, M.O
23. Dr. Gobind Ram I/C PPHI, M.O 51 Dr. Rasool Bux I/C M.O
24. Dr. Taj Muhammad I/C PPHI, M.O 52 Dr. Muhammad Zakir I/C PPHI, M.O
25. Dr. Ali Bahar Rind I/C S.M.O 53 Dr. Bashir Ahmed I/C M.O
26. Dr. Aftab Ahmed I/C PPHI, M.O 54 Dr. Mahesh Kumar I/C PPHI, M.O
27. Dr. Asif Khan I/C M.O 55 Dr. Mouhammd Yousif I/C PPHI, M.O
28. Dr. Moula Bux I/C M.O 56 Dr. Gul Afshan Sonologist
29. Dr. Muhammad Mujtaba I/C PPHI, M.O 57 Dr. Shazia Zeeshan F.M.O
30. Dr. S. Atta ul Mustafa I/C PPHI, M.O 58 Dr. Asma Malik F.M.O
31. Dr. Jetha Nand I/C M.O, PPHI 59 Dr. Mahreen F.M.O
32. Dr. Rizwana Channar F.M.O 61 Mr. Ali Asghar Med. Handler
60 Dr. Shamim Begum F.M.O
62 Dr. Jai Shree F.M.O
63 Dr. Ruqayya Chandio F.M.O
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64 Dr. Samina Bhatti F.M.O
65 Dr. Amna Hayat F.M.O
66 Dr. Asma Jabeen F.M.O
67 Dr. Farzana Parveen F.M.O
68 Dr. Fozia Parveen F.M.O
69 Dr. Irfana Irum F.M.O
70 Dr. Misbah F.M.O
71 Dr. Nusrat Jameel F.M.O
72 Dr. Rizwana Khokhar F.M.O
73 Dr. Tasleem Akhtar F.M.O
74 Dr. Zulekha Pari F.M.O
75 Dr. Shazia Sharif Zardari F.M.O
76 Dr. Shumaila Khan F.M.O
77 Dr. Shumaila Naz F.M.O
78 Dr. Sonia Rani F.M.O
79 Dr.Sadaf F.M.O
80 Dr. Satti Jeewat F.M.O
81 Mr. S. Imdad Ali Asst. A/Cs
82 Mr. Imtiaz Ali Store Manager
83 Mr. Sultan Ali Social Organizer
84 Mr. Abdul Ghaffar Social Organizer
85 Mr. Muhammad Faisal Social Organizer
86 Mr. Nadeem Ali Social Organizer
87 Mr. Shabeer Ahmed Asst. Admin
88 Mr. Asif Ali Arain ASM
89 Mr. Muhammad Essa Med. Handler
90 Mr. Muhammad Asif Attendant
91 Mr. Qaim Ali Attendant
92 Mr. Abdul Rasheed Med. Handler
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons
1 Dr. Israr Ahmed
No reason for absence was informed by absconders in MRM.
3 Dr.Irfan Ali
5 Dr.Amil Khan
7 Dr.Ihsan Gohar
9 Dr.Mohammad Ramzan
10 Dr.Qurban Ali
11 Dr.Mohammad Rafique
12 Dr.Shafique Ahmed
13 Dr.M.Mujtaba
14 Ahsan Gohar
15 Dr Narain Das
16 Dr. Mir Mohamamd Dahri
A. HFs WITH PPHI
BHUs: 58 Dispensaries: 36 MCHCs: 0 1 Others: 01 TOTAL: 96 B. Population of the Catchments Area:
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C. STAFF STRENGTH
Sanctioned
Posts Working
Government Employees
PPHI Contract
Vacant (Sanc-Govt)
MOs 77 77 30 52 47
W/FMOs 0 28 2 28 -
LHVs 77 62 17 45 60
MTs/MAs
Male 104 32 32 0 72
Female 0 07 07 0 -07
Dispensers 03 71 32 39 -29
D. CLUSTERS OF HFs
WITH ONE MO
WITH ONE FMO
E. CAPACITY BUILDING 1. First Session: During MRM
Following persons addressed in MRM.
Sr. No. Name of Resource Person Designation Speech Detail
1 Mr.Abdul Rasool Golo DSM.DSU-PPHI-Sanghar
Address and sharing of instructions / suggestion to improve healthcare services at HFs and time punctuation.
2 Mr. Mohammad Tahir Executive M&E Progress of PPHI HFs and FMOs Progress
Previous Month Month under Review Total at Present
Clusters of 6 HFs - Clusters of 6 HFs -
Clusters of 5 HFs - Clusters of 5 HFs -
Clusters of 4 HFs - Clusters of 4 HFs -
Clusters of 3 HFs - Clusters of 3 HFs -
Clusters of 2 HFs 04 Clusters of 2 HFs 04
Single HFs 73 Single HFs 73
Previous Month Month under Review Total at Present
Clusters of 5 HFs - Clusters of 5 HFs -
Clusters of 4 HFs - Clusters of 4 HFs -
Clusters of 3 HFs - Clusters of 3 HFs -
Clusters of 2 HFs 26 Clusters of 2 HFs 27
Single HFs 05 Single HFs 05
116
3 Dr.Mohammad Ali Sheikh EDO(Health) Dr.M.Ali sheikh emphasize all M.O I/C for immunization at their HF,s
Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates
Date
Venue
Topic No. of Participants
F. REVIEW OF THE PERFORMANCE (I) PREVENTIVE HEALTHCARE
During Month under Review 1. Vaccination / Immunization
No. of Doses of Immunization Administered in Children at Health Facilities. 9146
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities.
1568
No. of Immunization & Vaccination Administered by out- reach EPI Teams 10359
Total vaccination / immunization for the month January 2012.
21073
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of coverage
30th Jan to 2nd Feb 2012 267,597 324924 121%
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides
2 Active Case Detection (ACD) Slides -
3 Visits to Check Sanitation (individual house holds + streets) -
4 Notices issued against Poor Sanitation -
5 Challans sent to Court against Poor Sanitation -
6 Patients Nebulized -
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review 1. Female Health
S # Names of FMOs Ante-Natal Cases Neo-Natal Cases Other OPD Total OPD
1. Dr. Satti jeevat 32 0 10 887
2. Dr. Shumiala Naz 50 0 153 746
3. Dr. Shumiala Khan 52 0 96 564
4. Dr. Aisha 84 0 300 793
5. Dr. Amna Hayat 36 0 103 612
6. Dr. Sadaf Choudry 35 0 36 351
7. Dr. Mehreen 0 224
8. Dr. Amna Fatima 42 0 84 647
9. Dr. Shamim Begam 70 0 101 743
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10. Dr. Rizwana Chanar 72 3 80 699
12. Dr. Zulekha Pari 51 0 107 941
13. Dr. Jai Shree 57 0 168 1089
14. Dr. Tasleem Aziz 82 15 115 1084
15. Dr. Hameeda 17 0 135 1253
16. Dr. Qamurnisa Shumaila 3 0 192 510
17. Dr. Asma Jabeen 22 0 441 1106
18. Dr. Nusrat Jameel 60 0 112 686
19. Dr. Farzana Parven 23 0 35 325
20. Dr. Wajiha Anwar 16 0 23 329
21. Dr. Rukia Chandio 47 1 46 621
22. Dr. Fozia Soomro 31 362
23. Dr. Rizwana Khokhar 114 6 20 831
24 Dr. Samena Bhatti 50 0 83 541
25 Dr. Asma 59 1 91 476
26 Dr. Rizwana Shaheen 35 111
27 Dr. Shazia Sharif 51 0 97 860
28 Dr. Rukhsana 44 0 31 330
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 37
2 Deliveries Assisted at homes 155
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 507
2 Blood Sugar Tests 159
3 Hemoglobin Tests 75
4 Ultra Sound Test 363
5 Other 391
7. Important Discussion on Mother and Child and Reproductive Health during MRM
No discussion regarding Mother and child and reproductive health during MRM 8. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
1 Consultation / Advice 343
2 Oral Pills 132
3 IUCDs 8
4 Injections 168
5 Condom 12
Total 320
1. Number of Male SGs: --------------87 Number of Female SGs: -------------01 2. Performance of Social Organizers
118
Names of Social Organizers Meetings of Support Groups
conducted by him CHSs / SHSs arranged by
him
No. No. of
Participants No.
No. of Participants
Mr. Sultan Ali 1 8 1 44
Mr. Abdul Ghaffar 1 7 1 28
Mr. Faisal 2 18 1 38
Mr.Nadeem 0 0 0 0
Mr.Shahid 0 0 0 0
Total 4 33 3 110
3. School Health Sessions & Community Health Sessions
S # Name of Medical Officer School Health Session
No.Of Participants
Community Health
Sessions
No.Of Participants
Male Female
1 Dr.Mohammad Yousif 1 65 1 24 0
2 Dr.Taj Muhammad 1 250 1 15 25
3 Dr.Ramzan Wassan 1 39 1 17 0
4 Dr.Rukhsana Babar 1 60 1 0 13
5 Dr.Shamim 1 30 1 66 0
6 Dr.Tasleem Aziz 1 123 1 0 20
7 Dr.Manzoor Ahmed 1 28 1 12 4
8 Dr.Fiaz Muhammad 0 0 1 5 10
9 Dr.Moula Bux 0 0 1 32 0
10 Dr.Asma 0 0 1 0 30
11 Dr.Amna Hayat 1 20 0 0 0
12 Dr.Muhammad Sharif 1 70 1 35 0
13 Dr.Ali Bahar 1 45 0 0 0
14 Dr.Samina Bhatti 0 0 1 0 10
15 Dr.Muhammad Aslam 1 37 1 11 13
16 Dr.Abdul Hameed 1 95 1 12 13
17 Dr.Aysha Dastgeer 1 52 1 0 15
18 Dr.Shazia Shareef 0 0 1 0 25
19 Dr.Nariandas 1 53 0 0 0
20 Dr.Asma Jabeen 2 62 2 0 60
21 Dr.Aftab Ahmed 1 36 1 20 0
22 Dr.Dilshad 1 20 1 10 0
23 Dr.Shumaila Naz 1 64 0 0 0
24 Dr.Sadaf Choudry 0 0 2 0 50
25 Dr.Zulekha Pari 1 15 1 0 15
26 Dr.Anwar Adil 1 28 1 15 8
27 Dr.Turab Ali Shah 1 15 1 20 0
28 Dr.Amna Hayat 1 40 0 0 0
29 Dr.Rafique Ahmed 2 350 1 50 0
30 Dr.Abdul Waheed 1 38 1 12 0
31 Dr.Satti Jeevat 0 0 1 0 15
32 Dr.Huq Nawaz Jatoi 1 30 1 15 20
33 Dr.Gobindram 1 250 1 5 22
34 Dr.Muhammad Zakir 1 39 1 0 43
35 Dr.Mahesh Kumar 1 400 1 0 30
36 Dr.Ghulam Hyder 1 38 0 0 0
119
37 Dr.Mahesh Kumar 1 14 1 21 0
38 Dr.Arjun 1 120 1 30 45
39 Dr.Pitambar 1 116 1 16 23
40 Dr.Shamandas 1 15 1 20 5
41 Dr.Kirpal 1 22 0 0 0
42 Dr.Nanad Lal 1 50 1 50 20
43 Dr.Rizwana Khokhar 1 44 0 0 0
44 Dr.Mujtaba Jamali 1 55 0 0 0
45 Dr.Santosh Kumar 1 35 1 8 0
46 Dr.Wajiha Anwar 1 40 1 0 20
47 Dr.Bashir Ahmed 1 60 0 0 0
48 Dr.Amna Fatima 0 0 1 0 30
49 Dr.Shahid Hussian 1 63 1 22 0
50 Dr.Muhammad Haroon 1 100 1 31 0
51 Dr.Shumaila Naz 0 0 1 0 22
52 Dr.Nusrat Jameel 1 20 1 0 15
53 Dr.Jay Shiri 1 28 2 0 59
54 Dr.Rizwana Channar 1 51 1 0 15
55 Dr.Sayed Tariq 1 12 1 20 0
56 Dr.Ata‘ul Mustafa 1 190 1 43 0
57 Dr.Sayed Qamarull Hassan 1 100 1 25 25
58 Dr.Aijaz Beg 1 100 1 15 0
59 Dr.JayRam 1 200 1 10 0
60 Dr.Abdul Jabar 1 40 1 20 0
61 Dr.Babar 1 28 1 8 5
62 Dr.Shazia Shareef 1 30 0 0 0
63 Dr.Agha Asif 1 20 1 0 20
64 Dr.Hameeda 1 176 1 0 67
65 Dr.Aftab (BHU 30-Jamrao 1 40 0 0 0
Total 58 4161 56 715 812
4. Important Points during Support Group Meetings. 5. Important Points during SHSs
1. Preventive measure from Dengue Fever and Malaria. 2. Hand Washing 3. Using Safe and boiled drinking water. 4. Diarrhea diseases in children.
6. Important Points during CHSs
1. Counseling on Family Planning among families. 2. Advantages of neat and clean. 3. Preventive aspects of Hepatitis B&C. 4. Preventive Measures from Swain Flue.
7. Topics for SHSs for the Month
Sr. No. Topics
1 Safe drinking water
2 Hand Washing
3 Personal Hygiene
4 Importance of Child health
120
5 Self Medication Practice
6 Importance of exercises
8 Topics for CHSs for the Month
9. Important Discussion on Community Participation during MRM The DSM emphasized these health facilities are made to benefit public and public is the owner of that health facility. 10. Health Camps: 11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
i Sanitation - - -
ii Drainage / sewerage - - -
iii ……… drinking water - - -
iv Prevention of adulteration - - -
v Tree Plantation - - -
vi Roads and infrastructure - - -
vii Environmental Improvement - - -
viii Others - - -
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
114790 958 115748
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 BHU Hathungo 2811 BHU Abdullah Sangrasi
429
S # Topics
1 Prevention from hepatitis B and C
2 Injection safety
3 Identification of T.B Patents
4 Facility of Anti Natal care at heath centers
5 Importance of Child health
6 Importance of Breast Feeding
7 Management / prevention of skin diseases
8 Management of / prevention of Malaria
9 Importance of immunization
10 Management of / prevention of worm infestation
11 Family Planning
12 Safe Blood transfusion
13 Management / prevention of Jaundice
121
3. Top Five Diseases Treated during School Health Sessions/Camps *All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases During OPD
S # Disease No. of Patients
1 ARI 20483
2 Maleria 11185
3 Diarrhea 6355
4 Scabies 6473
5 Dysentery 465
5. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 151
ARV Administered 604
ARV Available Doses 522(522/4)=
Snake bite cases reported 0
ASV Vaccine Administered 0
ASV Vaccine Available Doses 53
37. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive
Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Blood Sugar Tests 281
2 Haemoglobin 75
3 X-Rays (if available) 138
4 Ultra Sound 363
5 Others (please specify)
38. B & C SCREENING TESTS
Screening No. of Tests
Performed
No. of cases found
positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B -
Hepatitis C -
S # Diseases No. of Patients
1 Allergy
2 Scabies
3 Dandruff
4 Abdominal pain
5 Head ache
122
8. TUBERCLOSIS
Patients Receiving Treatment New Cases During the Month Under Diagnosis
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
2
3
10. Inverse Referrals
S. No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2
3
4
G. MONITORING DURING MONTH UNDER REVIEW
1. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
36 48 112 196
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
01
02
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for: 30 Weeks 2. Important Issues raised relating to Medicines, etc. during MRM
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance
incl. Electrification Status / Remarks
123
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
* To reflect only non-PPHI Visitors. I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S #
Name of HFs Description of Repair / Maintenance
incl. Electrification Status / Remarks
1 GD Rawtiani Repair and maintenance of main
building including water supply, drainage, electricity, coloring etc. Completed
2 GD Rawtiani ---do--- Work in Progress
3 BHU Rukan Burera ---do--- Completed
4 BHU Chotyarion ---do--- Completed
5 BHU Pritam abad ---do--- Completed
6 BHU Malook Junejo ---do--- Completed
7 BHU Landhi ---do--- Work in Progress
8 BHU Golo Pir ---do--- Completed
9 BHU Moheb Ali Junejo ---do--- Completed
10 DCD Loon Khan ---do--- Work in Progress
11 DCD Bobi Town ---do--- Completed
12 BHU Jia Abad ---do--- Completed
13 BHU Perumal ---do--- Work in Progress
14 BHU Khairo Kaloi ---do--- Completed
15 DCD Ali Muhammad Thaheem
---do--- Work in Progress
16 BHU Bago Wadadani ---do--- Work in Progress
17 BHU Karim Dino Wassan ---do--- Completed
18 BHU M.K Rind ---do--- Completed
19 BHU Yameen Hingoro ---do--- Completed
20 BHU Bilawal Hingoro ---do--- Completed
21 BHU Khai ---do--- Completed
22 BHU Gider Aahpan ---do--- Completed
23 BHU Soomar Wassan ---do--- Completed
24 G D Ghundan ---do--- Completed
25 BHU Bassi ---do--- Completed
26 BHU Malook Maher ---do--- Work in Progress
124
27 BHU Rahimabad ---do--- Work in Progress
28 G.D USAMN NIZAMANI
---do--- Work in Progress
29 G.D Juma Village ---do--- Work in Progress
30 G.D Soomar Faqeer Maher
---do--- Work in Progress
31 G.D Bakir Nizamani ---do--- Work in Progress
32 G.D NASSER KHAN JALALANI
---do--- Work in Progress
33 BHU MAROOF DAHRI ---do--- Work in Progress
34 BHU MEER HASSAN MARI
---do--- Work in Progress
35 G.D DIN MOHD KAKEPOTO
---do--- Work in Progress
36 G.D DALOOR MORI ---do--- Work in Progress
37 BHU QAZI JUMAN DAHRI
---do--- Work in Progress
38 G.D SACHY DINO WARYAH
---do--- Work in Progress
39 BHU ALI MARDAN JAMALI
---do--- Work in Progress
40 BHU PERO FAQEER SHORO
---do--- Work in Progress
41 BHU MULLAN HURMAT
---do--- Work in Progress
42 BHU JEANDO RIND ---do--- Work in Progress
43 BHU MAHER ALI TALPUR
---do--- Work in Progress
44 BHU LUNDO ---do--- Work in Progress
45 DCD MULLAN MAKHAN
---do--- Work in Progress
46 BHU AWADH ---do--- Work in Progress
47 BHU KHAN SANGHRASI
---do--- Work in Progress
48 BHU HAMZO HAMZO DARS
---do--- Work in Progress
49 BHU BHIT BHAITI ---do--- Work in Progress
50 BHU DHANI PARTO RAJPAR
---do--- Work in Progress
51 BHU KALO RAJJAR ---do--- Work in Progress
52 BHU ABDULLAH SANGHRASI
Work in Progress
53 BHU CHAMANDAS Work in Progress
54 BHU KUNMB DARHOON
Work in Progress
J- DISCUSSION DURING MRM
On Staff Matters:
1. The DSM Sanghar briefed all the participants the monthly progress of PPHI.
125
2. It was informed to keep a record of referral / inverse referral record. 3. The DSM emphasized to all participants to ensure the availability of staff at their health facilities. 4. The District Support Manager ensured all the participants that; PPHI will provide full support and
cooperation in all matters of Incharge of Health facilities. 5. The DSM, PPHI Sanghar once again in this MRM reminded all the in charges of health facilities for
their timely submission of HMIS reports, Monthly Medicines Requisition. On Preventive Health:
1. The District Support Manager ensured all the participants that PPHI will extend its full support and cooperation in all vertical Programs related from health.
2. On Curative Health: 1. On Mother, Child & Reproductive Health:
Efforts relating to establishment of more MCH centers will be taken. Other Matters:
Date /Time for Next MRM: The Monthly Review Meeting for all the In Charges of Health Facilities shall be held on 10th of every month.
Comments on Targets vs. Achievements (by DSM) TARGETS ACHIEVEMENTS NEGATIVE:
DISTRICT SUPPORT MANAGER CC to:
Programme Director, PSU-PPHI-Sindh, Karachi.
Regional Programme Director, RSU-II, PPHI, Mirpurkhas.
All Participants.
Master File. DISTRICT SUPPORT MANAGER
126
MINUTES OF THE (43rd ) MONTHLY REVIEW MEETING OF DISTRICT TANDO ALLAHYAR
Monthly Review Meeting (MRM) of District, Tando Allahyar for the Month of January , 2012 was held on 11-02-2012 . The following participated: List of Participants:
Sr # Name Designation Place of Posting
1. Mr. Imran Aziz Siddiqui New DSM DSU-Tando Allahyar
2. Mr. Mudassar Ahmed Nizamani Executive F/A DSU-Tando Allahyar
3. Mr. Athar Ali Memon Executive M&E DSU-Tando Allahya
4. Dr. Amir Bux Mughal Sr. Medical officer
5. Dr. Danish Hussain Medical officer Gd Bahar Mirjet
6. Dr. Rehan Ali Yusfani Medical officer Bhu Ditto Kalro
7. Dr. Imam Bux Medical officer Gd Hakra Mori
8. Dr. Abdul Razzaque Medical officer BHU Dinghano Bozdar
9. Dr. Saqib Siddique Medical officer BHU Kauro Daidano
10. Dr. Irfan Shah Medical officer BHU Shadyoon
11. Dr. Rana M. Akhtar Medical officer GD Mehro khan Lashari
12. Dr. Ghulam Rasool Medical officer GD Mevo Kurkli/Rawat Leghari
13. Dr. Ghulam Nabi Brohi Medical officer BHU Jhando Mari
14. Dr. Ahmed Ali Medical officer BHU Shahnawaz Muhajir
15. Dr. Ariful Hassan Medical officer BHU Allah Rakhio Pathan
16. Dr. Faisal Memon Medical officer BHU Tando Soomro
17. Dr. Zahid Hussain Medical officer GD Lal Faqeer Behrni
18. Dr. Waseem Ahmed Medical officer GD Ghani Kaim Khani
19. Dr. Amir Nahyoon Medical officer GD Ghulam Khan Sanjrani
20. Dr. Hafiz Zohaib Medical officer GD Bail Sharif/Bachal Pitafi
21. Dr. Hamid Ghousi Medical officer GD Ghulam hussain Khokhar
22. Dr. Ashok Kumar Medical officer GD Sachedino Panhwar
23. Dr. Hakim Mal Medical officer BHU Sultanabad Village
24. Dr. Amir Bux Mughal Medical officer GD New Mirabad
25. Dr. Abdul Manan Medical officer GD Usman Shah Hurri
26. Dr. Atif Miandad Medical officer GD Missan Nandhi
27. Dr. Gulzaib Ahmed Medical officer GD Pak Singhar
28. Dr. Ghulam Farooque Medical officer GD Ghulam Hussain Lund
29. Dr. Zulfiqar Ali Jamali Medical officer GD Saleh Arisar
30. Dr. Shakeel Ahmed Medical officer GD Mohammad Hassan Dal
31. Dr. Allah Warayo Medical officer GD Mashaikh Hoti
32. Dr. Muqadas Ali Rizvi Medical officer BHU Bukera Sharif
33. Dr. Naveed Memon Medical officer GD Golo Halepoto
34. Dr. Aftab Hyder Medical officer GD Mitho khaskheli
35. Dr. Dharamver Medical officer GD Sobho Rind/Dodo Rind
36. Dr. Muhammad Amir Qazi Medical officer GD Dasoori
37. Dr. Mazhar Hussain Medical officer BHU Sanjar Chang
38. Dr. Dildar Hussain Mughal Medical officer BHU Naseer Khan Leghari
39. Dr. Ali Khan Medical officer GD Mail Mjori
127
40. Dr. Noor Ahmed Pahore Medical officer GD Bachal and Bail Sharif
41. Dr. Sumaira Qaimkhani Female Medical officers GD Darya khan hingoro/BHU
Jhando Mari
42. Dr. Tooba Abro Female Medical officers BHU Dinghano Bozdar
43. Dr. Shazia Parveen Female Medical officers BHU Shadyoon/Missan Nandhi
44. Dr. Asma Ahmed Female Medical officers GD Mail Mori
45. Dr. Samreen Female Medical officers BHU Shahnawaz Muhajir
46. Dr. Quratul Ain Female Medical officers BHU Allah Rakhio Pathan /GD
Sanjrani
47. Dr. Nazia Jabeen Female Medical officers BHU Sultanabad Stand
48. Dr. Benish Imran Female Medical officers GD Golo Halepoto/Ghulam
Hussain Khokhar
49. Dr. Noor Jahan Female Medical officers BHU Sultanabad Village/ GD
Sadique Memon
50. Dr. Samina Naz Female Medical officers
51. Dr. Sunita Kumari Female Medical officers BHU Tando Soomro/ Dasoori
52. Dr. Fakhra Qureshi Female Medical officers BHU Sanjar Chang
53. Dr. Shumaila Muqadas Sonologist Cluster
54. Dr. Amna Sami Shaikh Female Medical officers GD Saeed khan Leghari/BHU
Naseer khan leghari
55. Dr. Ambar Abbas Sonologist Cluster
56.
57.
58.
59.
60.
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons S # Names/Designation Reasons
1 Mr. Rafique Ahmed Buriro, DC Meeting at
Karachi 2 Mr.Jalil Bachani DO(Health)
3 4
L. HFs WITH PPHI BHUs: 13 Dispensaries: 32 MCHCs: _______ Others:______
TOTAL: 45 B. Population of the Catchments Area: 563018
X. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant (Sanc-Govt)
MO s 15 38 4 34
WMO - - - -
FMOs - 17 - 17
LHVs 12 13 7 5
MTs/MAs Male
26 24 9 12
Female 3 -
Dispensers 21 29 4 24
128
Y. CLUSTERS OF HFs WITH ONE MO
WITH ONE FMO
E. CAPACITY BUILDING 1. First Session: During MRM :
Resource person: Dr.Tooba Abro
Topic: PPH Managements
Topic: SCABIES
2. Second Session: Dr.Faisal Memon
Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates
Date Venue Topic No. of
Participants
Dr. Irfan Shah 27-01-2012 BHU
Shadyoon Scabies 30
Dr. Dildar Hussain 02-01-2012 BHU Naseer Khan Leghari
Haplites 24
Dr. Ahmed Ali Panhwar 02-01-2012 BHU
Shahnawaz Muhajir
Polio 15
Dr. Ariful Hassan Dahri 02-01-2012 BHU Allah
Rakhio Pathan
Scabies 8
Dr. Lajpat Rai 03-01-2012 BHU
Sultanabad Stand
Hand Wash 10
Dr. Faisal Memon 27-01-2012 BHU Tando
Soomro Vaccination 30
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs Clusters of 2 HFs 7
Single HFs Single HFs 31
Previous Month Total Month under Review Total
Clusters of 5 HFs 2 (U/S) Clusters of 5 HFs 2 (U/S)
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 10 Clusters of 2 HFs 10
Single HFs 5 Single HFs 5
129
Dr. Abdul Razaq Abro 02-01-2012 BHU
Dhingano Bozdar
Pneumonia 26
Dr. Rehan Yusfani 02-01-2012 BHU Ditto
Kalro T.T Vaccination 13
Dr. Naveed Ahmed Memon 31-01-2012 GD Golo halepoto
Diarrhea 6
Dr. Imam Bux Unnar
4-1-2012, 11-1-2012, 23-1-2012, 27-1-2012,
GD Hakra Mori
Communicable Disease, How to
manage RTI Patient, Primary Health, Self
Medication
20
Dr. Ghulam Nabi Brohi 25-1-2012 BHU Jhando
Mari Polio 25
Dr. Noor Ahmed Pahore 20-01-2012 GD Bachal
Pitafi Measles 3
Dr. Hakeem Mal 2-01-2012 BHU
Sultanabad Village
Vaccination 18
Dr. Muqadas Ali 25-01-20121 BHU Bukera
Sharif Polio 14
Dr. Noor Jehan 03-01-2012 BHU
Sultanabad Village
Immunization and Polio drops
12
Dr. Sumair 27-01-2012 BHU Allah
Rakhio Pathan
Family Planning 9
Dr. Noor Jehan 03-01-2012 BHU
sultanabad Village
Immunization and Polio drops
12
Dr. Nazia Jabeen 25-01-2012 BHU Tando
Soomro Family Planning &
reproductive Health 18
Dr. Shazia Ahmed 23-01-2012 BHU
Shadyoon Scabies 7
Dr. Indra 27-01-2012 BHU Ditto
Kalro ARI 6
Dr. Samreen 02-01-2012 BHU Shahnawaz Muhajir
Importance of Vaccination
14
Dr. Beenish Imran 10-01-2012 GD Golo Halepoto
Polio 6
Dr. Fakhra 19-01-2012 BHU Sanjar Chang
Polio 10
Dr. Shbana Qureshi 27-01-2012 BHU Sultanabad Stand
Breast Feeding 8
Dr. Tooba Abro 24-01-2012 BHU Dinghano Bozdar
Contraceptive 18
Dr. Amna Sami 13-01-2012 BHU Naseer Khan Leghari
Hand Wash 16
130
F. REVIEW OF THE PERFORMANCE (I) PREVENTIVE HEALTHCARE
During Month under Review 1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 2622
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 471
No. of Immunization & Vaccination Administered by out- reach EPI Teams -
3093
2. National Immunization Days (NIDs) for Measles
Dates of NIDs Target of coverage Actual coverage Percentage of
coverage
30th Jan to 1st Feb 2012
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides -
2 Active Case Detection (ACD) Slides -
3 Visits to Check Sanitation (individual households + streets) -
4 Notices issued against Poor Sanitation -
5 Challans sent to Court against Poor Sanitation -
6 Patients Nebulized
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review 1. Female Health
2. Deliveries Assisted
S # Names of FMOs Ante-Natal Cases Neo-Natal Cases Other OPD Total OPD
1 Dr. Noor Jahan 173 8 683 864
2 Dr. Tooba Abro 215 21 874 1110
3 Dr. Indra 23 24 472 519
4 Dr. Benish Imran 148 10 844 1002
5 Dr. Quratul Ain 70 5 1520 1595
6 Dr. Sumera Qaimkhani 101 5 514 620
7 Dr. Samreen 449 20 814 1283
8 Dr. Shazia Parveen 38 720 758
9 Dr. Nazia Jabeen 89 7 842 938
10 Dr. Asma Ahmed 58 6 381 445
11 Dr. Samina Naz 20 4 735 759
12 Dr. Sunita Kumari 260 15 599 874
13 Dr. Fakhra Qureshi 48 8 1612 1668
14 Dr. Amna Sami 10 535 545
15 Dr. Shabana Qureshi 20 637 657
TOTAL 1722 133 11782 13637
131
S # Service Number
1 Deliveries Assisted at HFs 39
2 Deliveries Assisted at Homes -
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 293
2 Blood Sugar Tests 386
3 Hemoglobin Tests 148
4 Ultra Sound Test
5 Other
46. Important Discussion on Mother and Child and Reproductive Health during MRM DSM directed the FMOs to ensure immunization of children, pregnant women and child bearing age women and also ensure that they should bring immunization and Ante-Natal card each time they visit HFs. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
1 Consultation / Advice 380
2 Oral Pills 175
3 IUCDs 3
4 Injections 121
5 Others 218
Total 897
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male Support Groups: 43 Number of Female SGs: 17 (Total 60) 2. Performance of Social Organizers
Names of Social Organizers
Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
Male Female No. of Participants
No. No. of
Participants
Dr. Muhammad Azam 15 12 290 20 309
Mr. Riaz Hussain 12 4 201 16 193
Mr. Ahmed Ali 8 5 155 14 197
Total 35 21 646 50 699
3. School Health Sessions & Community Health Sessions
Sr Names of MO / FMOs/Paramedics Community Health Sessions School Health Sessions
Sessions
Participants Sessions
Children Examined
Children Treated
132
1 Dr. Noor Jahan 2 53 2 154 149
2 Dr. Tooba Abro 3 56 2 82 4
3 Dr. Indra 2 40 2 13 6
4 Dr. Benish Imran 2 47 2 72 65
5 Dr. Quratul Ain 2 28 2 11 5
6 Dr. Sumera Qaimkhani 2 40 2 17 17
7 Dr. Samreen 3 40 1 14 4
8 Dr. Shazia Parveen 2 14 1 25 17
9 Dr. Nazia Jabeen 2 32 2 55 35
10 Dr. Asma Ahmed 2 16 2 25 28
11 Dr. Samina Naz 2 25 2 45 45
12 Dr. Sunita Kumari 1 13 2 0 0
13 Dr. Fakhra Qureshi 2 33 2 176 38
14 Dr. Amna Sami 1 12 1 12 12
15 Dr. Shabana Qureshi 1 18 2 25 8
Total 29 467 27 726 433
1 Dr. Waseem Ahmed 2 27 2 19 4
2 Dr. Zahid Hussain 1 9 1 5 0
3 Dr. Gulzaib Ahmed 2 24 2 35 30
4 Dr. Hakim Mal 1 15 1 5 2
5 Dr. Amir Nahyoon 1 12 1 2 1
6 Dr. Danish Hussain 1 12 1 10 6
7 Dr. Imam Bux 1 10 1 3 1
8 Dr. Rehan Yusfani 1 10 1 3 1
9 Dr. Abdul Razzak 1 16 1 7 2
10 Dr. Ghulam Rasool 2 27 2 15 15
11 Dr. Faisal Iqbal 1 18 1 19 9
12 Dr. Abdul Manan 2 26 2 15 5
13 Dr. Abdul Hussain 2 36 2 15 5
14 Dr. Irfan Shah 2 32 1 2 2
15 Dr. Ariful Hassan 2 18 2 6 3
16 Dr. Saqib Siddique 1 10 0 0 0
17 Dr. Ghulam Farooq Bozdar 1 15 0 0 0
18 Dr. Hafiz Zohaib Hassan Memon 1 10 1 15 0
19 Dr. Allah Warayo 1 20 2 21 8
20 Dr. Hamid Ghousi 1 8 1 3 1
21 Dr. Ashok Kumar 2 20 2 9 4
22 Dr. Shakeel Ahmed 1 16 1 10 6
23 Dr. Rana Muhammad Akhtar 1 18 1 8 3
24 Dr. Zulfiquar Ali Jamali 1 10 1 22 15
25 Dr. Atif Miandad 2 25 2 15 7
26 Dr. Muqaddas Ali Rizvi 1 8 1 12 4
27 Dr. Naveed Memon 1 16 1 0 0
28 Dr. Aftab Hyder 1 15 1 5 2
29 Dr. Dharamver 1 13 0 0 0
30 Dr. Muhammad Amir Qazi 1 10 1 0 0
31 Dr. Mazhar Hussain 2 36 2 40 30
32 Dr. Dildar Hussain Mughal 1 10 1 8 0
33 Dr. Ali Khan 1 16 2 37 7
133
34 Dr. Noor Ahmed Pahore 2 22 1 36 2
35 Dr. Ahmed Ali 3 85 1 1 1
36 Dr. Amir Bux 1 10 1 20 2
37 Dr. Ghulam Nabi 1 15 1 15 13
38 Dr. Laj Pat 1 14 1 8 3
Total 51 714 46 446 194
4. Important Points during Support Group Meetings.
Polio campaign and refusals cover
Provision of building (where not available)
R & R of newly taken over GDs
Establishment of Min Labs
Provision of Ambulances
Camps for Hepatitis B and C screening
Extension of OPD hours
Ultrasound facility (where not available)
Shortage of medicine 5. Important Points during SHSs Personal Hygiene 6. Important Points during CHSs Sanitation 7. Topics for SHSs for the Month
Sr. No. Topics
1 Education about health and Hygiene , tooth brushing, scabies, Polio, Immunization, Oral hygiene , Nutrition, Malaria and its prevention, Hepatitis,
2 ARI, Hazards of chewing tobacco, importance of Iodine Salt in food, eye infection , worm infestation in children, dog bite
8 Topics for CHSs for the Month
S # Topics
1 Epilepsy Diabetic Mellitus Ante Natal care, Post natal care, Immunization, Iodine deficiency , Polio, Scabies, weaning, family planning Neo Natal care, Malaria and its prevention
2 common cold, dog bite, Hazards of chewing tobacco, Nutrition, RTI, Gastro, Preparation of ORS at home. Hepatitis , water borne disease, pulmonary tuberculosis , water purification, hypertension
9. Important Discussion on Community Participation during MRM RPD-II, DSM, DHO and officials raised their concern about polio refusals cases in the District and emphasized the need of community sensitization through CHS, SHS, & CSG meetings. It was also decided that all PPHI HFs will serve as a Fix point during upcoming polio campaign and they will submit their daily reports to nearby BHU in the same UC or DSU Tando Allahyar on the same day. 10. Health Camps: Number Held: Number of Patients: -----------
134
11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
I Sanitation
Ii Drainage / sewerage
iii ……… drinking water
Iv Prevention of adulteration
V Tree Plantation
vi Roads and infrastructure
vii Environmental Improvement
viii Others
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
59870 3686 63556
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 Shahnawaz Rajput 2972 Ditto Kalro 1191
3. Top Five Diseases Treated during School Health Sessions/Camps *All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases During OPD
S # Disease No. of Patients
1 Respiratory 14937
2 Gastro Intestinal Disease 4762
3 Dermatol-ogical Problems 4368
4 Fever 3433
5 Susp: Malaria 2854
47. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 290
ARV Administered 195 (Vials)
S # Diseases No. of Patients
1 RTI
2 Gastro Intestinal Disease
3 Dermatol-ogical Problems
4 S- Malaria
5 ENT
135
ARV Available Doses
Snake bite cases reported -
ASV Vaccine Administered -
ASV Vaccine Available Doses 3
39. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive
Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 293
2 Blood Sugar Tests 386
3 Hemoglobin 148
4 X-Rays (if available) -
5 Ultra Sound 1046
6 Others (please specify)
40. Hepatitis B & C SCREENING TESTS
Screening No. of Tests
Performed
No. of cases found
positive
No. of cases referred for treatment
Total referred upto date
Follow up result
- -
41. TUBERCLOSIS
Patients Receiving Treatment
New Cases During the Month
Under Diagnosis
30 0 -
9. Referrals
S.No Total Cases Referred To
TB DOT Deliveries Others RHCs THQs DHQs
1 556 65
10. Inverse Referrals
S.No Totals Cases Referred from
ARV ASV Others RHCs THQs DHQs
1 290 - 2 0 39
G. MONITORING DURING MONTH UNDER REVIEW
14. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
45 40 139 224
136
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
1 GD Usaman Shah Hurri BUILDING
INCOMPLETE MEETING WITH
BUILDINGS DEPTT
DO BUILDINGS
VISITED
2 GD MAIL MORI ELECTRIC CITY
NOT AVAILABLE MEETING WITH
BUILDINGS DEPTT
DO BUILDINGS
VISITED
3 BHU SANJAR CHANG NEED OF R&R REQUEST RE FOR
ESTIMATE RE VISITED
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for(25) Weeks 2. Important Issues raised relating to Medicines, etc. during MRM
Issues regarding Newly taken over GDs:-
Sr# Name HF ISSUES
1 GD Mehro Khan Lashari Electricity , Fans, meter, grill, drainage system, Motor
2 GD Hakra Mori meter, drainage system
3 GD Pak Singhar Electricity , Fans, meter, grill, drainage system, motor
4 GD Mithoo Khaskheli Electricity , Fans, meter, grill, drainage system, motor
5 GD Ghani Khan Kaim Khani Three phase meter connection required, grill, motor
6 GD Dodo Rind Masonry & plumbing work, motor
7 GD Sobho Rind Electricity , plumbing work, motor
8 GD Ghulam Hussain Lund Electricity , meter, grill, carpenter work, drainage system,
motor
9 GD Saleh Arisar Electricity , drainage system, plumbing work, motor
10 GD Sachedino Panhwar Electricity , motor
11 GD Muhammad Hassan Dal drainage system
12 GD Saeed Khan Leghari Electricity , meter, drainage system, motor
13 GD Mashaikh Hoti Carpenter work, meter, grill, drainage system
14 GD Mail Mori Electricity , meter, drainage system, plumbing work
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair /
Maintenance incl. Electrification Status / Remarks
137
1 BHU-Allah Rakhio Pathan 100% Completed M.B recorded & Sent to
P.S.U.
2 BHU Ditto Kalroo 100% Completed M.B recorded & Sent to
P.S.U.
3 GD M Sadiq Memon 100% Completed M.B recorded & Sent to
P.S.U.
4 BHU-Jhando Mari 100% Completed M.B recorded & Sent to
P.S.U.
5 BHU-Shadyoon 100% Completed M.B recorded & Sent to
P.S.U.
6 BHU-Sultanabad stand 100% Completed M.B recorded & Sent to
P.S.U.
7 BHU-Sultanabad Village 100% Completed M.B recorded & Sent to
P.S.U.
8 GD-Dassori 100% Completed M.B recorded & Sent to
P.S.U.
9 B.H.U Bukera Sharif 100% Completed M.B recorded & Sent to
P.S.U.
10 B.H.U Kauro Daidaanoo 100% Completed M.B recorded & Sent to
P.S.U.
11 B.H.U Tando Soomro 100% Completed M.B recorded & Sent to
P.S.U.
12 B.H.U Shahnwaz Muhajir 100% Completed M.B recorded & Sent to
P.S.U.
13 BHU-Naseer Khan Leghari 100% Completed M.B recorded & Sent to
P.S.U.
14 BHU-Sanjar chang 100% Completed M.B recorded & Sent to
P.S.U.
15 GD-Ghulam Khan Sanjrani 100% Completed M.B recorded & Sent to
P.S.U.
16 BHU-Dhingano Bozdar 100% Completed M.B recorded & Sent to
P.S.U.
17 GD-Ghulam Hussain Khokhar 100% Completed M.B recorded & Sent to
P.S.U.
18 Quarter of BHU Shahnawaz Muhajir
100% completed MB needs to be
recorded
19 Quarter of BHU Jhando Mari 100% completed MB needs to be
recorded
20 Quarter of BHU Bukera 100% completed MB needs to be
recorded
21 GD Lal Faqir Behrani 55% completed Work in progress
22 GD Golo Halepoto 100% completed MB needs to be
recorded
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
138
* To reflect only non-PPHI Visitors.
DISCUSSION DURING MRM Date /Time for Next MRM: To be decided later
Comments on Targets Achievements (by DSM)
Every MO shall conduct at least 4 Health sessions.
MO‘s & FMO‘s have to be actively involved in NID‘s, SNIDs and during NIDs they are bound to ask every mother and her children for Immunization and prepare a list of children not vaccinated on daily basis and report to DSM /DHO office.
Target population and actual coverage in NIDs,SNIDs must be submitted with monthly HMIS report.
Every MO must conduct five minutes meeting with vaccinators at the start of the day and ask him about performance, progress and targets for the day.
During NID days all UC focal person / I/C MOs will monitor the field teams and fix points and report to DSM/DHO/DC on daily basis.
139
MINUTES OF THE (41th) MONTHLY REVIEW MEETING OF DISTRICT KAMBER-SHAHDADKOT
Monthly Review Meeting (MRM) of District, Kamber-Shahdadkot for the Month of January, 2012 was held on 11 February, 2012 at DSU Kamber Shahdadkot. Written invitations to participate were sent to the DCO, the EDO(H), the EDO(F&P) and District Incharge of EPI, Surveillance Officer WHO, T.B Dot Programme, EDO (Education), and all other National Programs as usual. The list of participants follows:
S.No. Name of Officer’s
1 Mr Habibul Rehman Jamot (DSM Kamber Shahdadkot)
2 Mr Abdul Latif Malik (Executive M&E)
3 Dr Ghulam Abbas Keheri (I/C M.O BHU Ghathar)
4 Dr Mumtaz Ali Sheikh ( EDO Health Representative)
5 Dr Zahida Keheri (FMO BHU Khairpur Jooso & BHU Ghogaro)
6 Dr Sanaullah Wagan (I/C M.O BHU Datu Teewna)
7 Dr Surya Lashari (BHU Ghazi Khan Khuhawar & BHU Thoof Chosool)
8 Dr Abdul Karim Memon(BHU Ziaudin Isran)
9 Dr Fozia Soomro (FMO BHU Arzi Bhutto)
10 Dr Safia Jamali (FMO BHU Deera & Wadho Kalhoro)
11 Dr Farzana Soomro (FMO MCH Shahdadkot)
12 Dr Reehana Chandio (FMO MCH Nasirabad)
13 Dr Abdul Waheed Sheikh (GD.Abdul Wahab Khoso))
14 Dr Tahira Memon (BHU Gathar & GD Chajjra)
15 Dr Najamuddin Shaikh (I/C M.O MCHC Shahdadkot)
16 Dr Samina Shah (FMO BHU Lalu Raunk & BHU Thori Bijar
17 Dr Noor Mohammad Memon
18 Dr Shamshad (FMO BHU Datu Tiwna & BHU K.B Wahocho)
19 Dr Ameer Rahojo (I/C BHU Khuda Bux Wahoocho)
20 Dr Ambreen Bhutto ( BHU Bambho Khan Chandio / BHU Ghulam Ali Magsi)
21 Mr Riaz Ahmed Tunio (S.O)
22 Mr Imran Ahmed Laghari (S.O)
23 Dr Fareeda Sheikh ( WMO Mch Shahdadkot)
24 Dhani Bux Makool (Dawa Saz Unani Shafa Khana)
25 Dr Nisar Ahmed Mugheri
26 Dr Barkat Makool (BHU Kot Ghulam Shah)
27 Dr Shumaila ( BHU Aitbar Khan Chandio&BHU Chakiyani)
28 Dr Ghaulam Farid Khuhawar( BHU Khandu)
29 Dr Suneel Kumar ( BHU Aitbar Khan Chandio)
30 Dr Parkash Lal Advani ( BHU Chakiyani)
31 Dr Shumaila Sattar( BHU Aitbar Khan Chandio/ BHU Chakiyani)
32 Dr Noor Khatoon (BHU Deera/BHU Wadho Kalhoro)
33 Dr Mansoor Depar ( BHU Gaji Khuhawar)
34 Dr Allah Bux Soomro(BHU ARZI BHU Arzi Bhutto)
35 Dr Khalid Hussain Burirro( BHU Gazi Khan Khuhawar)
36 Dr Abdul Ghaffar Chandio( BHU Bambho Khan Chandio)
37 Dr Subhan Ali Lakho ( BHU Hamal)
38 Dr Nadeem Akhtar Sheikh( GD Chhajjra)
39 Dr Shahid Nabi Shah (BHU Thoof Chusool)
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons Concerned Health Facility
140
01 Dr Heeranand Absent BHU Ghulam Ali Magsi
02 Dr Abdul Manan Sheikh On Leave BHU Wadho Kalhoro
03 Dr Munwar Ali Chandio On Leave BHU Googharo
M. HFs WITH PPHI
TOTAL: 27 BHUs: 22 Dispensaries: 02 MCHCs: 02 Others: 01 B. Population of the Catchments Area: 1375398
Z. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant (Sanc-Govt)
MO 24 24 9 16 2
W/FMOs 01 13 2 12 2
LHVs 26 18 11 04 11
MTs/MAs Male
- - - -
- Female - - -
Dispensers 03 24 05 20 -
AA. CLUSTERS OF HFs WITH ONE MO
WITH ONE FMO
E.
CAPACITY BUILDING 1. First Session: During MRM . Review Performance Of all health facilities F. REVIEW OF THE PERFORMANCE (I) PREVENTIVE HEALTHCARE
During Month under Review 1. Vaccination / Immunization
Previous Month Total Month under Review Total
Clusters of 6 HFs - Clusters of 6 HFs -
Clusters of 5 HFs - Clusters of 5 HFs -
Clusters of 4 HFs - Clusters of 4 HFs -
Clusters of 3 HFs - Clusters of 3 HFs -
Clusters of 2 HFs - Clusters of 2 HFs -
Single HFs 23 Single HFs 23
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 10 Clusters of 2 HFs 10
Single HFs 04 Single HFs 04
141
No. of Doses of Immunization Administered to Children at Health Facilities. 5735
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 698
No. of Immunization & Vaccination Administered by out- reach EPI Teams _
Total vaccination / immunization for the month ---------------- 6433
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of
coverage
31/1/2012 TO 2/2/2012 233852 287139 99 %
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides Nil
2 Active Case Detection (ACD) Slides Nil
3 Visits to Check Sanitation (individual house holds + streets) -
4 Notices issued against Poor Sanitation -
5 Challans sent to Court against Poor Sanitation -
6 Patients Nebulized 263
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
1. Female Health
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 109
2 Deliveries Assisted at Homes -
3. Lab/ Diagnostic Tests
S # Names of FMOs Ante-Natal Cases Neo-Natal Cases Other OPD Total OPD
01 Dr Samina Shah 73 1 990 1064
02 Dr Tahira Memon 70 3 1386 1459
03 Dr Umbrin Bhutto 292 9 1708 2009
04 Dr Surya Lashari 42 1 1845 1888
05 Dr Fozia Soomro 35 0 695 730
06 Dr Noor Khatoon 42 3 656 700
07 Dr Rehana Chandio 716 5 2925 3646
08 Dr Safia Jamali 68 0 1690 1758
09 Dr Farzana Soomro 83 0 183 266
10 Dr Zahida Khaeri 39 0 1463 1502
11 Dr Shamshad Begum 0 20 1024 1044
12 Dr Farida Shaikh 341 20 430 791
13 Dr Hakimzadi 175 20 228 423
14 Dr Reehana Tunio 24 0 1775 1799
15 LHV Hidayat Khatoon 7 0 389 396
TOTAL 2007 82 17387 19475
142
S # Test Number
1 Pregnancy Tests 462
2 Blood Sugar Tests 207
3 Hemoglobin Tests 3
4 Ultra Sound Test _
5 Other 3428
48. Important Discussion on Mother and Child and Reproductive Health during MRM DSM stressed on all MOs, especially FMOs to provide better services to the people for mother and reproductive health.
49. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
Consultation / Advice 209
Oral Pills 111
IUCDs 0
Injections 140
Others 230
Total 690
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: 27 Number of Female SGs: 01 2. Performance of Social Organizers
Names of Social Organizers
Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants No. No. of Participants
Mr Imran Ahmed Leghari 8 0 135 24 289
Mr Riaz Ahmed Tunio 8 1 151 16 194
Total 16 1 286 40 483
3. School Health Sessions & Community Health Sessions
Names of MO / FMOs/Paramedics
Community Health Sessions School Health Sessions
Sessions Participants Sessions Children
Examined Children Treated
Dr Samina Shah 2 41 2 21 13
Dr Tahira Memon 3 54 1 19 14
Dr Umbrin Bhutto 2 37 2 24 11
Dr Surya Lashari 2 39 2 23 16
Dr Fozia Soomro 2 43 2 28 17
Dr Noor Khatoon 2 31 2 25 10
Dr Safia Jamali 2 35 2 30 14
Dr Zahida Kaheri 3 46 1 31 18
Dr Shamshad Begum 4 64 0 0 0
Dr Farzana Soomro 2 33 2 33 18
143
Dr Rehana Tunio 2 31 1 21 11
Dr Rehana Chandio 4 79 0 0 0
Dr Abdul Waheed Shaikh 1 13 1 19 11
Dr Abdul Karim 1 18 1 20 12
Dr Nadim Akhtar 1 21 1 19 10
Dr Subhan Lakho 1 16 1 15 11
Dr Heeranand 1 14 0 0 0
Dr Abdul Ghaffar 1 18 1 0 0
Dr Khalid Buriro 1 15 1 16 11
Dr Sanaullah Wagan 1 19 1 13 6
Dr Suneel Kumar 1 19 0 0 0
Dr Nisar Ahmed Mugheri 1 17 1 15 8
Dr Allah Bux Soomro 1 19 0 0 0
Dr Parkash 0 0 1 17 7
Dr Shabir Ahmed Wagan 1 21 1 0 0
Dr Ghulam Abbas Kaheri 1 14 0 0 0
Dr Abdul Manan Sheikh 1 16 1 24 9
Totals 44 773 28 413 227
4. Important Points during Support Group Meetings.
1. Electricity problem 2. Supply of ARV 3. Supply of medicines
5. Important Points during SHSs
1. 2. 3.
6. Important Points during CHSs 1. Awareness in community about prevalent diseases. 2. Counseling to pregnant women. 3. Awareness in community how to protect from heat & sun stroke.
7. Topics for SHSs for the Month
Sr. No. Topics
1 Malaria
2 Cough
3 Hygiene
4 Fever
8 Topics for CHSs for the Month
S # Topics
1 Dengu Fever
2 Meningitis
3 Viginal discharge
4 Tuber Closes
9. Important Discussion on Community Participation during MRM
Community to help at centers for tree plantation etc.
144
10. Health Camps: Nil 11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent
Present status
i Sanitation Nil Nil
ii Drainage / sewerage Nil Nil
iii Drinking water Nil Nil
iv Prevention of adulteration Nil Nil
v Tree Plantation Nil Nil
vi Roads and infrastructure Nil Nil
vii Environmental Improvement Nil Nil
viii Others Nil Nil
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
51943 - 51943
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 Lalu Rounk 4622 Hamal 890
2 Bambho khan chandio 3625 Chakiyani 899
3 Googharo 2475 Deera 1203
4 Gazi Khan Khuhawar 2446 Arzi Bhutto 1273
5 Behram 2352 Ziaudin Isran 1319
3. Top Five Diseases Treated during School Health Sessions/Camps *All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases During OPD
S # Disease No. of Patients
1 A.R.I 7372
2 Fever Clinical Malaria 6743
3 Diarrhea 3548
4 Scabies 3294
S # Diseases No. of Patients
1 Fever (Clinical Malaria 881
2 A.R.I 642
3 Scabies 601
4 Diaherrea 413
145
50. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 541
ARV Administered 541
ARV Available Doses 0
Snake bite cases reported Nil
ASV Vaccine Administered Nil
ASV Vaccine Available Doses 08
42. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive
Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 462
2 Blood Sugar Tests 207
3 Haemoglobin 3
4 X-Rays (if available) _
5 Ultra Sound _
6 Others (please specify) 342
43. B & C SCREENING TESTS
Screening No. of Tests Performed
No. of cases found positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B Nil - Nil Nil -
Hepatitis C Nil - Nil Nil -
44. TUBERCLOSIS
Patients Receiving Treatment New Cases During the Month Under Diagnosis
31 _ -
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
2 21 - - - - 21
3
4
10. Inverse Referrals
S.No
Totals Cases Referred from
ARV ASV Others RHCs THQs DHQs
1 Nil Nil Nil Nil Nil Nil Nil
2
3
G. MONITORING DURING MONTH UNDER REVIEW
146
15. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
50 42 137 229
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
01 N/A N/A N/A N/A
02 N/A N/A N/A N/A
03 N/A N/A N/A N/A
04 N/A N/A N/A N/A
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for 88 Weeks 2. Important Issues raised relating to Medicines, etc. during MRM As such no issue was discussed.
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair /
Maintenance incl. Electrification Status / Remarks
01 BHU Khairpur Jooso Work completed MB recorded
02 BHU Datu Teewna -do- -do-
03 BHU Ghazi Khan Khuhawar -do- -do-
04 BHU Aitbar Khan Chandio -do- -do-
05 BHU Gathar -do- -do-
06 BHU Bhambo Khan Chandio -do- -do-
07 BHU Mohammad Ali Gurmani -do- -do-
08 BHU Thori Bijar -do- -do-
09 BHU Chakyani -do- -do-
10 BHU Kot Ghulam Shah -do- -do-
11 BHU Behram d-o- -do-
12 BHU Lalu Raunk -do- -do-
13 BHU Ghogharo -do- -do-
14 BHU Ghulam Ali Magsi -do- -do-
15 BHU Arzi Bhutto -do- -do-
16 BHU Thoof Chosool -do- -do-
17 BHU Deera -do- MB recorded
18 BHU Wadho Kalhoro -do- MB recorded
19 BHU Khuda Bux Wahocho -do- MB recorded
20 BHU Gaji Khuhawar -do- MB recorded
21 BHU Khandu -do- MB recorded
22 Unani Shifakhana Gul Buriro work completed MB recorded
Inspections / Visits of PPHI HFs
147
Visitors* Health Facilities Visited Overall Comments
-
- -
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM On Staff Matters: I On the puctualty of staff at health facility.. On Preventive Health: It was decided to conduct more and more CHSs and utilize the services of vaccinators and outreach staff in order to prevent diseases, and to establish rapport in all the national programs. On Curative Health: 1. To run OPDs properly at all HFs. 2. To properly provide the services to the people. 3. To ensure availability of essential medicines at HFs On Mother, Child & Reproductive Health: FMOs as well MOs were asked by the DSM to properly attend all the ante-natal & neo-natal cases. Other Matters: Date /Time for Next MRM: 10-03-2012 @ 09.30 am Comments on Targets vs Achievements (by DSM) 1. R&R Target of all the HFs / schemes completed.
MINUTES OF THE (42) MONTHLY REVIEW MEETING OF DISTRICT SUKKUR
Monthly Review Meeting (MRM) of District, Sukkur for the Month of January, 2012 was held on 11th February, 2012 at DSU PPHI Office Sukkur. Written invitations to participate were sent to the DCO, the EDO(H), the EDO(F&P) and District Incharge of EPI, LHW, and all other National Programs as usual. The list of participants follows: List of Participants:
S # Names/Designation S # Names/Designation
1 Javed Ahmed Abro DSM Sukkur 36 Dr.Shazia Mangi
2 Syed Haider Ali Shah EO (M&E) 37 Dr.Rizwana Parveen
3 Asadullah Indhar EO (F&A) 38 Dr. Zakia Mahar
4 Zubair Ahmed SO 39 Dr. Fazan Shah
5 Dr. Abida Simair 40 Dr.Shaista Mahar
148
6 Dr. Mumtaz Bullo 41 Dr. Saira Kalwar
7 Asif Nazeer Kalwar SO 42 Dr. Musarat Qureshi
8 Dr. Ghulam Murtaza 43 Dr. Najma Shah
9 Dr. Abdul Aziz Sheikh 44 Dr. Ghulam Zuhra
10 Dr. Abdul Wahab 45 Dr. Shahid Shahani
11 Dr. Muhammad Javed 46 Dr.Aneela Haseeja
12 Dr. Nizam Shah 47 Dr. Suneel Kumar
13 Dr. Bisharat 48 Dr.Kaneez Fatima
14 Dr. Ahsanullah 49 Dr. Rasool Bux Shah
15 Dr. Abdul Sami Sheikh 50 Dr. Illahi Bux
16 Dr. Abdul Gaffar Khoso 51 Faisal Sheikh Assistant Admin
17 Dr. Farzana Talpur 52 Dr. Arshad Qazi
18 Dr. Bashir Ahmed 53 Dr. Jalees Fatima
19 Dr. Sanam Qazi 54 Dr. Mir Parveez
20 Dr. Khurram Hayat 55 Dr. Abida Gilani
21 Dr. Ghulam Rasool 56
22 Dr. Noor Ahmed Soomro 57
23 Dr. Girdhari Mal 58
24 Dr. Tahir Hussain Abbassi 59
25 Dr. Munawar Kalwar 60
26 Dr. Ghulam Qadir 61
27 Dr. Zahid Mahar 62
28 Dr. Salahuddin Shah 63
29 Dr. Nusrat Dharejo 64
30 Dr. Nadeem Ahmed 65
31 Dr. Ghulam Muhammad 66
32 Dr. Abdul Hakeem Faisal 67
33 Dr. Roomana Shah 68
34 Dr.Shazia Memon
35 Dr. Amanullah
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons S # Names/Designation Reasons
1 Dr. Mushtaque Mahar Leave 3 Dr. Farzana Shaikh Leave
2 Dr. Ghullam Nabi Leave 4 Dr. Abdul Waheed Simair Leave
5 Dr. Javed Leave 6 Dr. Khadim Soomro Leave
7 Dr. Saifullah Qureshi Leave
N. HFs WITH PPHI
BHUs: ___26____ Dispensaries: ___7____ MCHCs: ___1____ Others:__1____
TOTAL: ___35____ B. Population of the Catchments Area:
BB. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant (Sanc-Govt)
MOs 59
35 13 22 23
WMO 1 1 0
149
FMOs 22 18 0 18 4
LHVs 45 42 27 14 4
MTs/MAs Male
2 2 2 0
0 Female 0 0 0
Dispensers/HT 52 52 35 17 0
CC. CLUSTERS OF HFs WITH ONE MO
WITH ONE FMO
E.
CAPACITY BUILDING 51. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates Date Venue Topic No. of
Participants
Inter Person Communication & DHIS Presented By: Dr. Abdul Aziz Shaikh DEFINITION.
Exchange of ideas, information, thoughts, feelings, images between two or more individuals or groups.
COMPONENTS.
Sender Message Channel Receiver Feed back SENDER.
Also referred to as Source. The sender is the person , or group of people,
Who want to communicate or send a message to another person. The sender could be anyone – health provider, teacher, client, etc
MESSAGE.
The information, direction or feeling that the sender wants to convey to the receiver is called message. Message can be verbal or nonverbal.
CHANNEL.
The channel is the medium through which the message is communicated. Channel could be face to face interaction, telephone, letter, email, TV, radio etc.
RECEIVER
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs Clusters of 2 HFs
Single HFs 34 Single HFs 34
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 12 Clusters of 2 HFs 12
Single HFs 5 Single HFs 5
150
The receiver is actual target of sender. In two way conversation, the individuals or groups involved can become senders and receivers.
FEEDBACK.
The communication process is not complete without the feedback from the receiver to understand that the message is received and understand properly.
BARRIERS.
. Language .Stress
. Fear . Attitudes
. Gender difference . Culture
. Unclear messages . Lack of time
. Noise BARRIERS. Grid
1. Say 2. Hear 3. Understand 4. Believe 5. practice
TOOLS.
Reflective listening
Stroking
Types of questions
Active listening TYPES.
Verbal
Non verbal VERBAL.
Words
Tones NON VERBAL.
Eye contact
Facial expression
Posture
WORDS 7%
TONE 35%
BODY LANGUAGE 58% F. REVIEW OF THE PERFORMANCE (I) PREVENTIVE HEALTHCARE
During Month under Review 1. Vaccination / Immunization
Descriptions Number
Doses of Immunization Administered to Children at HFs. 2784
TT vaccines administered to pregnant women at HFs. 1003
Immunization & Vaccination Administered by out- reach EPI Teams 7575
Total Vaccination / Immunization for the Month January 2012 11362
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of
coverage
151
0 0 0 0
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides 0
2 Active Case Detection (ACD) Slides 0
3 Visits to Check Sanitation (individual house holds + streets) 0
4 Notices issued against Poor Sanitation 0
5 Challans sent to Court against Poor Sanitation 0
6 Patients Nebulized 867
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review 1. Female Health
S # Names of FMOs Ante-Natal Cases Neo-Natal Cases Other OPD Total OPD
1 Dr. Nusrat Dharejo 394 15 745 1154
2 Dr. Shazia Mangi 152 7 890 1049
3 Dr. Kaneez Fatima 287 9 1318 1614
4 Dr. Najma Shah 261 6 1866 2133
5 Dr. Musarat 192 5 891 1088
6 Dr. Zaibunisa 130 6 698 834
7 Dr. Anila Hasija 171 3 1291 1465
8 Dr. Jalees Fatima 166 3 1062 1231
9 Dr. Shazia Aamir 171 3 2033 2207
10 Dr. Abida Simair 212 9 1604 1825
11 Dr. Roomana 118 1 907 1026
12 Dr. Sanam Qazi 83 1 868 952
13 Dr. Shaista Mahar 216 1 1531 1748
14 Dr. Rizwana 125 1 1129 1255
15 Dr. Farzana 100 0 563 663
16 Dr. Zakia Mahar 76 0 570 646
17 Dr.Sahira Kalwar 70 0 823 893
Total 2924 70 18789 21783
2: Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 60
2 Deliveries Assisted at Homes 68
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 946
2 Blood Sugar Tests 672
3 Hemoglobin Tests 346
4 Ultra Sound Test 1291
152
5 Other 0
52. Important Discussion on Mother and Child and Reproductive Health during MRM No new thing was discussed on this issue.
53. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
Consultation / Advice 294
Oral Pills 203 IUCDs 11 Injections 397
Others 78 Total 983
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: -----34------------- Number of Female SGs: ----02------ 2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups
conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of
Participants
Syed Haider Ali Shah EO M&E
5 0 75 7/0 100/0
Zubair Ahmed 0 0 0 2/0 40/0
Asif Nazeer 0 0 0 5/4 95/200
Total 5 0 75 14/4 235/200
3. School Health Sessions & Community Health Sessions
Names of MO / FMOs/Paramedics
Community Health Sessions School Health Sessions
Sessions Participants Sessions Children
Examined Children Treated
Dr. Nusrat Dharejo 3 113 1 15 6
Dr. Shazia Mangi 2 40 1 30 10
Dr. Kaneez Fatima 2 52 0 0 0
Dr. Najma Shah 1 35 1 5 3
Dr. Musarat 2 56 1 15 15
Dr. Zaibunisa 2 45 0 0 0
Dr. Anila Hasija 2 46 1 15 10
Dr. Jalees Fatima 1 10 1 50 10
Dr. Shazia Aamir 3 65 1 50 18
Dr. Abida Simair 1 45 1 11 7
Dr. Roomana 3 400 2 60 30
Dr. Sanam Qazi 4 71 2 33 20
Dr. Zakia Mahar 1 28 0 0 0
Dr. Rizwana 3 100 1 25 5
Dr. Shaista Mahar 4 50 1 53 29
Dr.Sahira Kalwar 1 15 1 25 5
Dr. Farzana 1 0 2 9 4
153
Dr. Amanullah Memon 1 55 1 55 25
Dr. Salahuddin Shah 1 17 1 21 8
Dr. Ghulam Rasool 1 15 1 60 10
Dr. Nizam Shah 1 10 1 35 9
Dr. Arshad Qazi 1 15 1 20 20
Dr Khuram 1 12 1 28 9
Dr. Saifullah 1 26 1 147 54
Dr. Ghulam Qadir 1 25 0 0 0
Dr. Tahir Abbasi 1 19 2 44 23
Dr. Noor Ahmed 1 12 0 0 0
Dr. Girdhari 1 20 1 50 15
Dr. Zahid Mahar 1 20 1 40 3
Dr. Abdul Ghaffar 1 35 2 62 20
Dr. Abdul Wahab 1 72 1 74 14
Dr. Abdul Waheed 1 12 2 65 15
Dr. Aziz Shaikh 2 65 2 60 25
Dr. Abdul Sami Shaikh 1 9 1 42 15
Dr. Ahsanullah Dayo 1 10 1 107 10
Dr. Mumtaz Bullo 1 50 1 25 10
Dr.. Ghulam Muhammad 1 20 1 30 10
Dr. Munawar 2 28 1 80 10
Dr. Ghulam Murtaza 1 17 1 30 5
Dr, Mir Parveez 1 32 1 34 0
Dr. Nadeem Mangi 1 20 1 60 23
Dr. Bashir Chacher 1 35 1 25 9
Dr. Mushtaq Mahar 1 30 1 30 5
Dr. Javed Balouch 1 10 2 25 13
Dr. Faisal Qazi 1 20 0 0 0
Dr. Sunil Kumar 1 20 1 35 5
Total 67 1902 48 1680 537
4. Important Points during Support Group Meetings. Community Support group members are suggested to conduct jointly health session with IMO & FMO at there respective areas. It was planned that next month all MO and FMO will conduct session in the catchments area of their HFs. 5. Important Points during SHSs The focused topic for the month of February 2012. So all participant are educate about the Importance of extra curriculum activities in school 6. Important Points during CHSs The preventions were discussed with the participants, The Doctors shared the causes of ARI and Malaria and also insisted to the participants that you have to follow the preventions to avoid the diseases. 7. Topics for SHSs for the Month
Sr. No. Topics
1 • ARI Infections & its prevention.
2 • Skin infection & its prevention (Scabies).
3 • Poliomyelitis its complication & preventions.
4 • Vaccination & its importance.
8. Topics for CHSs for the Month
154
S # Topics
1 • Antenatal Visits & its importance
2 • Behavior change & its role in motivation.
3 • ARI Infections & its prevention.
4 • Skin infection & its prevention (Scabies).
5 • Poliomyelitis its complication & preventions.
6 • Vaccination & its importance.
7 • Malaria & its prevention.
8 • Extra curriculum activities & its role in development.
9. Important Discussion on Community Participation during MRM Not discussed. 10. Health Camps: Number Held: -----------------. Number of Patients: -----------. 11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent
Present status
I Sanitation N/A N/A N/A
Ii Drainage / sewerage N/A N/A N/A
Iii ……… drinking water N/A N/A N/A
Iv Prevention of adulteration N/A N/A N/A
V Tree Plantation N/A N/A N/A
Vi Roads and infrastructure N/A N/A N/A
Vii Environmental Improvement N/A N/A N/A
Viii Others N/A N/A N/A
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIE 1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
3110 73593 76703
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 BHU Newpind 5448 BHU Dubar 828
2 BHU Dadloi 5010 GD Riazabad 843
3 BHU Qasimpur 4114 GD Village Sehta 846
4 BHU Nouraja 3664 GD FM Jatoi 1051
5 BHU Tando Thatti 3351 BHU L. A. Jagirani 1161
3. Top Five Diseases Treated during School Health Sessions/Camps
S # Diseases No. of Patients
1 ARI 0
2 Suspected Malaria 0
155
*All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases during OPD
S # Disease No. of Patients
1 ARI 19923
2 Skin Diseases 7354
3 Diarrhea 7040 4 Suspected Malaria 6854
54. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 200
ARV Administered 200
ARV Available Doses at HF 724
Snake bite cases reported 0
ASV Vaccine Administered 0
ASV Vaccine Available Doses 0
45. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive
Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 946
2 Blood Sugar Tests 672
3 Hemoglobin 346
4 X-Rays (if available) 19
5 Ultra Sound 1291
6 Others (please specify) 0
46. B & C SCREENING TESTS
Screening No. of Tests
Performed
No. of cases found
positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B 0 0 0 0 0
Hepatitis C 0 0 0 0 0
47. TUBERCLOSIS
Patients Receiving Treatment
New Cases During the Month
Under Diagnosis
3 Diarrhea 0
4 Scabies 0
156
96 13 62
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs/HF THQs DHQs
2 44 13 0 30 15 39
3
4
S.No Totals Cases Referred from
1 ARV ASV Others RHCs/HF THQs DHQs
2 39 39 0 0 9 11 16
3
4
G. MONITORING DURING MONTH UNDER REVIEW
16. Monitoring Visits during the month
DSM EX: M&E Other Staff Total
15 75 70 160
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
Nil Nil Nil Nil
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for …………72.40……………. Weeks 2. Important Issues raised relating to Medicines, etc. during MRM
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair /
Maintenance incl. Electrification Status / Remarks
1 BHU Patni 100% Completed
2 BHU New pind 100% Completed
3 BHU Salehpat 100% Completed
4 BHU Qasimpur 100% Completed
5 BHU Arore 100% Completed
6 BHU Nouraja 100% Completed
7 BHU Dadloi 100% Completed
157
8 BHU Dubar 100% Completed
9 BHU Hingoro 100% Completed
10 BHU Tando Thatti 100% Completed
11 BHU Gagro 100% Completed
12 BHU Darawhan 100% Completed
13 BHU Kandowahan 100% Completed
14 BHU Sultan pur 100% Completed
15 GD Mubarkpur 100% Completed
16 BHU Cheechro 100% Completed
17 BHU Haji Khan Chachar 100% Completed
18 BHU Thikratho 100% Completed
19 GD Naseerabad 100% Completed
20 BHU Nirch 100% Completed
21 BHU Abad 100% Completed
22 BHU Faqeerabad 100% Completed
23 BHU Thariri 100% Completed
24 BHU Lutaf Ali Jagrani 100% Completed
25 BHU Hussain Kalwar 100% Completed
26 BHU Samo Chachar 100% Completed
27 BHU Dodanko 100% Completed
28 BHU Kandri 100% Completed
29 GD Ali Wahan 100% Completed
30 GD Riazabad 100% Completed
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM On Staff Matters:
• Most Male Medical Officers are not conducting Community and School Health Sessions
• Referral Register not maintained properly.
• Most of the columns of PPHI profarma empty.
• Suspected cases of TB were not mentioned in DHIS report.
• The Lowest Ratio of TB Suspected Cases
• Most MO are not maintaining there OPD register & HT are maintaining their OPD Registers
• Most of MO & FMO came late at HF.
• Expiry Medicine are kept at Medical Store of HF which is very serious issue
• Leave procedure may strictly be follow.
• Requisition for medical equipments, furniture & other must be submitted every month.
• The Ratio of Immunization & Family Planning Services are reduced during last month
• The F.M.O Report & DHIS Report is not match with each other. On Preventive Health:
• Punctuality and performance of all vaccinators may be monitored strictly as special direction received from wordy Program Director.
158
• Report of Immunization (EPI) was submitted on weekly bases by I/C MO at DSU Sukkur for further submission to PSU.
On Curative Health:
The ARI was the top diagnostic diseases for the month of January and it may further increase in next month so more medicine of ARI will be provided to the HFs.
On Mother, Child & Reproductive Health:
Total 60 NVDs were conducted by PPHI staff during the month of January 2012 which is not a good sign. The contraceptive material is Available, while antenatal and postnatal cases are increased.
Other Matters: Date /Time for Next MRM: 13/03/2012 Comments on Targets vs Achievements (by DSM)
MINUTES OF THE 21th MONTHLY REVIEW MEETING OF DISTRICT GHOTKI @ MIRPUR MATHELO
Monthly Review Meeting of District, Ghotki@MirpurMathelo for the Month of January, 2012 was held on11th Febuary, 2011 at DC Committee Hall Mirpur Mathelo. Written invitations to participate were sent to the DC, the DHO, the EDO (F&P) and District Incharge of EPI, LHW and all other National Programs as usual. The list of participants follows: List of Participants:
S # Names/Designation Designation S # Names/Designation Designation
1 Mr. Danish Afzal DSM 39 Dr. Yasmeen Chachar FMO
2 Mr. Muhammad Ilyas Executive (M&E) 40 Dr. Amna Khokhar FMO
3 Mr. Ahsan Masood Executive (F&A) 41 Dr. Afsana Zulfiqar FMO
4 Dr. Imtiaz Hussain Shaikh General Surgen 42 Dr. Rahat Shakeel FMO
5 Dr. Qadir Bux General Surgen 43 Dr. Atiya Zafar FMO
6 Dr.Qadeer Anesthetist 44 Dr. Asma FMO
7 Dr. Ali Muhammad Anesthetis 45 Dr. Rashida Shaikh FMO
8 Dr. Tulsi Das Makhija Cardiologist 46 Dr. Salma Qureshi FMO
9 Dr. Zakir Hussain Cardiologist 47 Dr. Sania FMO
10 Dr. Mukesh Kumar ENT Specialist
11 Dr Shazia Shakeel Dental Surgeon
12 Dr. Asma Samreen Dental Surgeon
159
13 Dr. Parshotam Dental Surgeon
14 Dr. Altaf Hussain Dental Surgeon
15 Dr. Mumtaz Ahmed Pediatrician
16 Dr. Suresh Kumar Ultrasound Specialist
17 Dr.Irfan Baloch Orthopedic Surgeon
18 Dr. Abdul Latif M.O
19 Dr. Imtiaz Ahmed Mirani M.O
20 Dr. Nazir Ahmed M.O
21 Dr. Ghulam Rasool M.O
22 Dr. Nisar Ahmed Soomro M.O
23 Dr. Mohammad Yaqoob Mahar M.O
24 Dr. Umesh Kumar M.O
25 Dr. Fassiuddin M.O
26 Dr. Sanaullah Kolachi M.O
27 Dr. Rafique Ahmed Shaikh M.O
28 Dr. Moizuddin Jatoi M.O
29 Dr. Zulfiqar Ali Shah M.O
30 Dr. Parshotam Lal M.O
31 Dr. Imran Hussain M.O
32 Dr. Bashir Ahmed Bhutto M.O
33 Dr. Amanullah Mahar M.O
34 Dr. Gh. Sarwar Mahar M.O
35 Dr. Asif Hakeem M.O
36 Dr. Manoj Kumar M.O
37 Dr. Taqeer Ahmed M.O
38 Mr.Muhammad Hanif DLS
All the MOs / WMOs / FMOs attended the meeting, except the following, for reasons mentioned against each:
S # Names/Designation Reasons for Absence
1 Dr. Qurat-ul-Ain Shahani( Gynecologist)
2 Dr. Roopa(FMO)
3 Dr. Sadia Nisar Memon(FMO)
4 Dr.Rabia Rahim(FMO)
5 Dr. Amar Lal (MO)
6 Dr. Shah Pasand Mahar (MO)
7 Dr. Majid Rahim( MO)
A. HFs WITH PPHI
BHUs: 31 Dispensaries: 10 RHC: 03 DCDs: 7
TOTAL: 51 B. Population of the Catchment Area: 6,66,535
DD. STAFF STRENGTH
Sanctioned Posts Working Government Employees
PPHI Contract
Vacant
MOs 45 22 1 22 22
W/FMOs 45 12 0 12 33
LHVs 10 7 3 4 3
160
MTs/HTs 70 62 50 12 8
Dispensers 24 5 5 0 19
EE. CLUSTERS OF HFs WITH ONE MO
WITH ONE FMO
E. CAPACITY BUILDING
1. First Session: During MRM
Dr: Bashir Ahmed Awan, Focal Person for TB, DOTS, Distt: Ghotki took the session and told the participants regarding current situation of TB, DOTS, and emphasized that referrals must be increased and he discussed with the participants the process and importance of TB referrals. 2. Second Session: During MRM Nil
55. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates
Date Venue Topic No. of
Participants
Nil Nil Nil Nil Nil
F. REVIEW OF THE PERFORMANCE (I) PREVENTIVE HEALTHCARE
During Month under Review 1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 2088
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 913
No. of Immunization & Vaccination Administered by out- reach EPI Teams 5189
Total vaccination / immunization for the month December -2011 8255
Previous Month Month under Review Total at Present
Clusters of 6 HFs - Clusters of 6 HFs -
Clusters of 5 HFs - Clusters of 5 HFs -
Clusters of 4 HFs - Clusters of 4 HFs -
Clusters of 3 HFs - Clusters of 3 HFs -
Clusters of 2 HFs 8 Clusters of 2 HFs 8
Single HFs 16 Single HFs 16
Previous Month Month under Review Total at Present
Clusters of 5 HFs ( Ultrasound)
- Clusters of 6 HFs -
Clusters of 4 HFs - Clusters of 4 HFs -
Clusters of 3 HFs - Clusters of 3 HFs -
Clusters of 2 HFs 8 Clusters of 2 HFs 8
Single HFs 3 Single HFs 3
161
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of
coverage
- - - -
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides 291
2 Active Case Detection (ACD) Slides 9
3 Visits to Check Sanitation (individual house holds + streets) 2
4 Notices issued against Poor Sanitation -
5 Challans sent to Court against Poor Sanitation -
6 Patients Nebulized 267
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review 1. Female Health
S # Names of FMOs Ante-Natal Cases Neo-Natal Cases Other OPD Total OPD
1 Dr. Rabia Raheem 193 71 1136 1400
2 Dr. Roopa 10 0 624 634
3 Dr. Rashida Shaikh 105 0 855 960
4 Dr. Afsana Zulfikar 152 38 949 1139
5 Dr. Sannia Akram 57 15 444 516
6 Dr. Atia Zafar 68 21 648 737
7 Dr. Sadia Nisar Memon 53 20 851 924
8 Dr. Samina Asif 0 0 0 0
9 Dr. Salma Qureshi 18 11 428 457
10 Dr. Yasmeen 2 2 246 250
11 Dr.Amna Khokhar 10 0 430 440
12 Dr. Rahat Shakeel 12 2 688 702
Total 680 180 7299 8159
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 6
2 Deliveries Assisted at Homes 101
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 24
2 Blood Sugar Tests 286
3 Hemoglobin Tests 40
4 Ultra Sound Test 2
5 Malarial Parasites Test 2
162
56. Important Discussion on Mother and Child and Reproductive Health during MRM
Nil 57. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
1 Consultation / Advice 549
2 Oral Pills 28
3 IUCDs 08
4 Injections 100
5 Others 64
Total 604
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: _____ Number of Female SGs: ______ 2. Performance of Social Organizers
Names of Social Organizers
Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
Male Female Total No.
of Participants
No. No. of
Participants
Mr. Tarique Hakeem 0
Mr. Abdul Rasheed
Mr. Muhammad Usman
Total
3. School Health Sessions & Community Health Sessions:
S #
Districts CHS SHS
No. of Meetings
Participants No. of session
Participants Examined Treated
1 Dr. Rabia Raheem 1 25 1 22 22 7
2 Dr. Roopa 2 33 0 0 0 0
3 Dr. Rashida Shiakh 2 40 2 70 12 8
4 Dr. Afsana Zulfikar 2 45 1 19 10 7
5 Dr. Sannia Akram 1 24 1 30 5 3
6 Dr. Atia Zafar 1 48 1 80 45 15
7 Dr. Sadia Nisar Memon 2 32 2 99 68 51
8 Dr. Samina Asif 0 0 0 0 0 0
9 Dr.Rahat Shakeel 1 20 1 30 10 5
9 Dr.Amna Khokhar 2 35 2 80 59 23
9 Dr. Salma Qureshi 2 80 2 67 58 33
163
10 Dr. Umesh Kumar 1 80 1 70 30 30
11 Dr. Nisar Ahmed Soomro 1 20 1 40 30 20
12 Dr. Nazir Ahmed Malik 0 0 1 15 10 5
13 Dr. Sanaullah 3 99 1 165 0 0
14 Dr. Bashir Ahmed Bhutto 5 113 1 37 5 3
15 Dr. Zulfikar Ali Shah 2 46 2 34 16 10
16 Dr. Asif Hakeem 2 35 0 0
17 Dr. Imtiaz Ahmed 1 29 1 35 20 10
18 Dr. Gh: Rasool 1 7 1 27 20 8
19 Dr. Rafique Ahmed Shakh 1 20 1 25 7 4
20 Dr. Imran Hussain 1 14 0 0 0 0
21 Dr. Gh: Sarwar Mahar 0 0 0 0 0 0
22 Dr. Abdul Latif Naich 2 74 2 186 91 42
23 Dr. Majid Rahim 1 35 1 30 30 8
24 Dr. Shah Pasand Khan 0 0 0 0 0 0
25 Dr. Moizuddin Jatoi 1 8 1 31 10 4
26 Dr.Moh yaqodb mahar 0 0 1 45 25 5
27 Muhammad Sharif (HT) 2 41 0 0 0 0
Total 40 1003 28 1237 583 301
4. Important Points during Support Group Meetings. Non availability of PT strips, Glucometer strips and Malaria test kit 5. Important Points during SHSs Nil 6. Important Points during CHSs Issue for Ultrasonologist should be at BHU level, Viability of vaccination at their door step demanded, vaccination according to EPI schedule in villages 7. Topics for SHSs for the Month
Sr. No. Topics
1 Hand wash, Diarrhea prevention, Prevention from cold
2 Personal Hygiene, Acute Respiratory Infection
3 Scabies, Skin Infection
8 Topics for CHSs for the Month
S # Topics
1 Antenatal and post natal care, Personal Hygiene,
2 Hepatitis, Family planning,
3 Scabies, Diarrhea,
164
9. Important Discussion on Community Participation during MRM Nil 10. Health Camps: Number Held: _____ . Number of Patients: _____. 11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent
Present status
i Sanitation Nil Nil Nil
ii Drainage / sewerage Nil Nil Nil
iii ……… drinking water Nil Nil Nil
iv Prevention of adulteration Nil Nil Nil
v Tree Plantation Nil Nil Nil
vi Roads and infrastructure Nil Nil Nil
vii Environmental Improvement Nil Nil Nil
viii Others Nil Nil Nil
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW 1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
46323 1649 47972
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 BHU Umer Daho 2235 GD Muhammad Pur 247
2 BHU Dad Leghari 2016 GD Mohd Yaqoob Mahar 258
4 BHU Rounti 1905 BHU Bago Daho 473
BHU Hasu Daho 1815 BHU Lohi 478
5 RHC Adilpur 1809 GD Changlani 496
3. Top Five Diseases Treated during School Health Sessions/Camps *All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases During OPD
S # Disease No. of Patients
1 Acute Respiratory Infections 9486
S # Diseases No. of Patients
1 Cough 100
2 Diarrhea 150
3 Malaria 32
4 Scabies 70
5 Worms Infestation 42
Total 394
165
2 Fever other cause 3435
3 Pneumonia 2038
4 Scabies 1947
5 Suspected Malaria 1546
58. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 69
ARV Administered 6
ARV Available Doses 6
Snake bite cases reported 0
ASV Vaccine Administered 0
ASV Vaccine Available Doses 0
48. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive
Health)
S # Tests Number
1 Pregnancy Tests 24
2 Blood Sugar Tests 286
3 Haemoglobin 40
4 X-Rays (if available) 2
5 Ultra Sound 2
6 Others (Nebulised) 267
49. B & C SCREENING TESTS
Screening No. of Tests
Performed
No. of cases found
positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B Nil Nil Nil Nil Nil
Hepatitis C Nil Nil Nil Nil Nil
50. TUBERCLOSIS
Patients Receiving Treatment
New Cases During the Month
Under Diagnosis
16 4 36
9. Referrals
S.No Totals Cases Referred To
1 197 TB DOT Deliveries Others RHCs THQs DHQs HFs
13 5 179 5 82 110 -
10. Inverse Referrals
S.No Totals Cases Referred from
1 30 ARV ASV Others RHCs THQs DHQs HFs
30 - 0 0 12 18 0
166
G. MONITORING DURING MONTH UNDER REVIEW
1. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
28 57 130 215
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
1 Nil Nil Nil Nil
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for 15 Weeks
17. Important Issues raised relating to Medicines, etc. during MRM DSM discussed with all MOs regarding medicine consumption and control on misuse of medicine.
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair /
Maintenance incl. Electrification Status / Remarks
1 BHU Bago Bhutto R&R 100%
2 BHU Dad Laghari R&R 100%
3 BHU Ahmed Ali Pitafi R&R 100%
4 BHU Ali Mahar R&R 100%
5 BHU Ayoub Lakhan R&R 100%
6 BHU Darwaish Naich R&R 100%
7 BHU Hasso Daho R&R 100%
8 BHU Hussain Beli R&R 100%
9 BHU Jahanpur Sharief R&R 100%
10 BHU Kamo Shaheed R&R 100%
11 BHU Lohi R&R 100%
12 BHU Noor Abad R&R 100%
13 BHU Qadirpur R&R 100%
14 BHU Saleh Mahar R&R 100%
15 BHU Soi Sharief R&R 100%
16 BHU Syed Pur R&R 100%
17 BHU Taj Muhammad Ruk R&R 100%
18 BHU Umer Deho R&R 100%
19 GD Khadwari R&R 100%
20 GD Muhammadpur R&R 100%
21 BHU Sangri R&R 100%
22 GD Qazi Badal R&R 100%
23 GD Hayat Pitafi R&R 100%
24 BHU Ghulam Hyder Leghari R&R 100%
167
25 GD Chunglani R&R 80%
26 BHU Rounti R&R 75%
27 BHU Abdul Sattar R&R 40%
28 GD Sajawal Dhandhu R&R 20%
29 GD Pir Goth R&R Work to start next week
30 GD Chakshahbaz Pur R&R Work to start next week
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
- - -
J- DISCUSSION DURING MRM
Monitor the performance of Vaccinators by checking their registers and field visit reports in case any irregularity informed to EDOH.
Visit to villages and meeting with community regarding sanitation.
Conduct School and Health Sessions on regular basis, if any fake report found serious action will be taken.
Conduct meetings Community Support Group Members and submit minutes of meeting to DSU.
FMOs Ane-Natal performance was poor. Increase / conduct Health Sessions.
FMOs Meeting with LHWs and conduct capacity building sessions.
Expedite in R&R work.
Timely submission of reports specially DEWS on weekly report.
Hard Area Allowances Cheque distributed. Expected Date for Next MRM: 10th March -2012 Comments on Targets vs Achievements (by DSM)
Nil
168
MINUTES OF MONTHLY REVIEW MEETING (28 th) OF DISTRICT SHIKARPUR
Monthly Review Meeting (MRM) of District, Shikarpur for the Month of January, 2012 was held on 10 th February, 2012 at Deputy Commissioner Office, Meeting Hall. Written invitations for participation were sent to the DCO, EDO(H), EDO (R), EDO(F&P) and District Incharge of EPI, District Coordinator National Program District Officer Population Welfare and representative of WHO. The participants list is given below.
S # Names/Designation S # Names/Designation
1 Mr. Javed Ahmed Abro DSM 25 Mr. Mohammad Ramzan Ex: M&E
2 Dr. Athar Hussain Shah MO 26 Dr. Kishore Kumar DDO (H)
3 Mr. Tariq Hussain Mahar SO 27 Mr. Zia Ahmed Jalbani Ex (F&A)
4 Dr. Zaib Dhar Health officer 28 Sean O heery OPM
5 Eleonora Qenouese UNICEF 29 Aly Visram OPM
6 Mr. Waqar Ahmed Mangi S/Manager 30 Dr. Abdul Hafeez Jakhro MO
7 Dr. Aijaz Hussain Soomro SMO 31 Dr. Waseem Lohar MO
8 Dr. Nadir Ali Panhwar MO 32 Dr.Tanveer Memon Sonologist
9 Dr. Fayyaz Lohar MO 33 Dr. Zulfiqar Mahar MO
10 Dr.Imdad Ali Mahar MO 34 Dr. Shahjahan Malik MO
11 Dr. Saiqa Soomro FMO 35 Dr. Maida Siddiqi FMO
12 Dr. Tahmina Memon FMO 36 Dr. Saima Hajano FMO
13 Dr.Hafeezullah Shah MO 37 Mr. Khalil Ahmed Sohu SO
14 Dr.Anmanullah Soomro MO 38 Dr. Allah Bux Sanjrani MO
15 Dr. Fida Hussain Soomro MO 39 Mr. Salahuddin Soomro A/A
16 Dr. Abid Hussain Shah MO 40 Dr. Antonia Maria FMO
17 Dr. Faiza Kanwal FMO 41 Dr. Israr Daudpota MO
18 Dr.Majid Soomro MO 42 Dr. Akhtar Memon MO(HQ)
19 Dr. Sahib Khan Brohi MO 43 Dr. Faiza Bano FMO
20 Dr. Imran Ali Shaikh MO 44 Dr. Falak Naz Ujjan FMO
21 Dr. Naeem Ahmed Pathan MO 45 Dr. Nisar Ahmed Brohi MO
22 Dr. Saifullah Mahar SMO 46 Mr. Farhan Shaikh A/A
23 Dr. Deepa Dileep FMO 47 Dr. Naseema Mangi FMO
24 Dr. Wajahat Ara FMO 48
O. HFs WITH PPHI
BHUs: 19 Dispensaries: 07 MCHCs: ___Nil___ others: ___Nil___ TOTAL: ___26____
B. Population of the Catchments Area:
169
FF. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant (Sanc-Govt)
MOs 29
17 11 6 12
WMO 0 0 0
FMOs 15 12 0 12 3
LHVs 16 3 1 2 13
MTs/MAs Male
- - - -
- Female - - -
Dispensers - 5 2 3 -
GG. CLUSTERS OF HFs WITH ONE MO
WITH ONE FMO
E.
CAPACITY BUILDING 1. First Session: Filling Punctuality of Time /Best Services to patients
Mr.Javed Ahmed Abro, DSM PPHI DSU Shikarpur while speaking briefly informed MOs &FMOs to ensure punctuality of time at the HFs and maintain record of medicine updated at HFs for smooth working at the HFs. He also apprised the efforts of PPHI doctors for conducting CHS and SHS in their respective areas for health education to public as well as students of the areas however DSM asked to MOs to ensure at least Two SHS, two CHS and one CSG meeting in every month. He also directed to ensure completion of repair and renovation work with their personal interest to achieve development targets. He also discussed SOPs at HFs being uniformly need to be implemented. He encouraged In charge MOs to act as good manager and role model at the HFs.
2. Second Session: During MRM
Dr. Aijaz Soomro (MO) in his lecture based on (EPI) informed the MOs and other staff of PPHI to support them in achieving target of Vaccination in the non functional EPI centres and check the movement of vaccinators and prepare work plans for vaccination in the catchment areas to achieve the record vaccination at every HF. He also briefed the participants about routine vaccination and encouraged to motivate their staff particularly vaccinators to achieve vaccination targets and
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs Clusters of 2 HFs
Single HFs Single HFs 26
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 6 Clusters of 2 HFs 6
Single HFs 6 6
170
complete working of vaccination of defaulters during polio campaign to eliminate polio disease from Shikarpur district.
3. Third Session: During MRM
Dr. Athar Hussain Shah (MO) while speaking on the occasion on the role model and smooth operation of HF.He advised MOs and FMOs to make daily checking of stock registers ,daily expense register ,EPI registers and observe cleanliness at HFs .He also suggested the MOs to monitor the attitude of their staff at HFs with patients and cooperate with patients friendly .
59. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates
Date Venue Topic No. of
Participants
Dr. Nadar Panhwar 2/1/2012 BHU Hamayoon Family planning
& EPI 09
Dr. Rahim Bux Bhutto 2/1/2012 BHU Abdoo Family planning
& EPI 12
Dr. Israr Daudpoto 2/1/2012 BHU Jahan
Khan Family planning & EPI
11
Dr. Fayaz Lohar
3/1/2012 BHU Wazirabad Family planning & EPI
10
Dr. Aijaz Soomro 3/1/2012 BHU Soomar
Goth Family planning & EPI
13
Dr. Naeem Pathan 3/1/2012 GD Chodhio
Sadhayo Family planning & EPI
10
Dr. Saifullah Mahar 3/1/2012 BHU Rustam Family planning
& EPI 12
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 4582
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 582
No. of Immunization & Vaccination Administered by out- reach EPI Teams 0
Total vaccination / immunization for the month _________ 5164
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of
coverage
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A
3. Other Preventive/Promotional Services
171
S # Service Number
1 Passive Case Detection (PCD) Slides N/A
2 Active Case Detection (ACD) Slides N/A
3 Visits to Check Sanitation (individual house holds + streets) 14
4 Notices issued against Poor Sanitation N/A
5 Challans sent to Court against Poor Sanitation N/A
6 Patients Nebolizer N/A
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review 1. Female Health
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 19
2 Deliveries Assisted at Homes 00
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 276
2 Blood Sugar Tests 567
3 Hemoglobin Tests 157
4 Ultra Sound Test 394
5 Other 0
60. Important Discussion on Mother and Child and Reproductive Health during MRM
FMOs were directed to improve their working in mother and child health care and reproductive health by DSM. He observed that while it is matter of pride that BHUs and GDs under administrative control of PPHI are providing services continuously at such far flung areas of the district but a lot of work remains to be done. FMOs can extend antenatal and postnatal cover by educating visiting women of its importance.
S # Names of FMOs Ante-Natal Cases Neo-Natal Cases Other OPD
Total OPD
1 Dr. Saima Hajano 139 5 2920 3064
2 Dr. Faiza Kanwal 82 2 1473 1557
3 Dr. Saiqa Soomro 41 2 736 779
4 Dr. Tahmina Memon 49 4 1389 1442
5 Dr. Maida Siddiqi 65 0 1059 1124
6 Dr. Reshman 70 1 1214 1285
7 Dr. Rafat Khalil 55 2 1158 1215
8 Dr. Antonia Maria 45 0 1089 1134
9 Dr. Fozia Bano 36 1 1103 1140
10 Dr. Naseema Mangi 48 1 1376 1425
11 Dr. Deepa Dileep 121 0 2077 2198
12 Wajahat Ara 36 1 1255 1292
Total 811 19 16849 17655
172
61. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
1 Consultation / Advice 364
2 Oral Pills 52
3 IUCDs 2
4 Injections 35
5 Others 0
Total 453
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: ------14------------ Number of Female SGs: -----Nil--------- 2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups
conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of
Participants
Mr. Tariq Hussain Mahar 09 N/A 162 27 631
Mr. Khalil Ahmed Sohu 10 N/A 174 26 625
Total 19 336 53 1256
3. School Health Sessions & Community Health Sessions
Names of MO / FMOs/Paramedics
Community Health Sessions School Health Sessions
Sessions Participants Sessions Children
Examined Children Treated
Dr. Saiqa Soomro 1 11 1 19 4
Dr. Saima Hajano 2 35 1 17 3
Dr. Faiza Kanwal 1 12 1 12 3
Dr. Tahmina 1 10 1 14 2
Dr. Rashman 1 14 1 12 2
Dr. Fozia Bano 1 24 0 0 0
Dr. Naseema 2 35 0 0 0
Dr. Wajahat Ara 2 42 0 0 0
Dr. Deepa Dileep 2 55 1 22 3
Dr. Antonia Maria 2 45 1 45 2
Dr. Rafat Khalil 1 18 0 0 0
Dr. Maida Siddiqi 1 15 1 11 3
Dr. Athar Hussain Shah 1 18 1 22 3
Dr. Aijaz Soomro 2 28 1 18 2
Dr. Shahjan Malik 0 0 1 17 3
Dr. Akber Ali 0 0 1 22 3
Dr. Allah Bux Sanjrani 2 41 1 19 2
Dr. Saifullah Mahar 0 0 0 0 0
Dr. Waseem Lohar 1 19 1 15 3
Dr. Fayyaz Lohar 1 18 1 13 2
Dr. Zulifqar Mahar 1 15 1 18 3
Dr. Abid Hussain 1 19 1 11 2
173
Dr. Rahim Bux Bhutto 1 13 1 16 3
Dr. Nadar Ali Pahnwar 1 17 1 21 4
Dr. Majid Soomro 1 21 1 13 4
Dr. Murtaza Seelro 0 0 0 0 0
Dr. Fida Hussain 2 46 1 35 2
Sahib Khan Brohi 0 0 0 0 0
Total 31 571 21 392 58
4. Important Points during Support Group Meetings.
5. Important Points during SHSs
6. Important Points during CHSs Community members demanded the Sugar free Syrups, Multi Vitamin Injections.
7. Topics for SHSs for the Month
Sr. No. Topics
1 Chest infection
2 Skin Infection
3 Malaria
4 Mal Nutrition
8 Topics for CHSs for the Month
S # Topics
1 Nutrition
2 Skin Infection
3 Malaria
4 Hand Wash
9. Important Discussion on Community Participation during MRM 10. Health Camps: Number Held: ----------0-----. Number of Patients: --0--. 11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent
Present status
i Sanitation 0 0 0
ii Drainage / sewerage 0 0 0
iii ……… drinking water 0 0 0
iv Prevention of adulteration 0 0 0
v Tree Plantation 0 0 0
vi Roads and infrastructure 0 0 0
vii Environmental Improvement 0 0 0
viii Others 0 0 0
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
174
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
50667 3976
54643
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 BHU Wazirabad 5252 BHU Nim Shareef 1285
2 BHU Jahan Khan 3094 BHU Jahangir Thaheem 1212
3 BHU Ali Khan 2955 GD Zangi Khan Brohi 1203
3. Top Five Diseases Treated during School Health Sessions/Camps *All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases during OPD
S # Disease No. of Patients
1 Scabies 8520
2 ARI 9749
3 Diarrhea 1308
4 Susp: Malaria 985
5 Dysentery 233
7. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 41
ARV Administered 12
ARV Available Doses 240
Snake bite cases reported 0
ASV Vaccine Administered 0
ASV Vaccine Available Doses 0
51. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive
Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 276
2 Blood Sugar Tests 567
S # Diseases No. of Patients
1 Scabies 13
2 Malaria 6
3 ARI 19
4 Diarrhea 1
5 Dysentery 0
175
3 Hemoglobin 157
4 X-Rays (if available) 0
5 Ultra Sound 394
6 Others (please specify) 0
52. B & C SCREENING TESTS
Screening No. of Tests
Performed
No. of cases found
positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B 0 0 0 0 0
Hepatitis C 0 0 0 0 0
53. TUBERCLOSIS
Patients Receiving Treatment
New Cases During the Month
Under Diagnosis
62 03 7
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
2 7 7 0 0 0 5 2
3 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0
10. Inverse Referrals
S.No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0
G. MONITORING DURING MONTH UNDER REVIEW
18. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
42 54 102 198
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
1 Chodhio Sadhayo Work in progress
2
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS 1. Medicines available for 14 Weeks 2. Important Issues raised relating to Medicines, etc. during MRM
176
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair /
Maintenance incl. Electrification Status / Remarks
1 GD Borirri 100% complete
2 GD Chodhio Sadhayo 65%
3 BHU Jamra 100% complete
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
RPD – III
On 11th January 2012 Hon: Ghulam Abbas Detho visited Bhu Ruk ,BHU Jhali Kalwari , BHU Nimoro & BHU Jamra .
Satisfied from the DSU Shikarpur team who managed HFs very
supportive with staff and patients of the areas in providing all medicine,
equipments and R&R work.
Auditor RSU-III Auditor -111 visited BHU Jamra , BHU Ruk & BHU Jhali Kalwari .
Checked R&R work running at the HFs and showed his
satisfaction.
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM Punctuality: DSM asked MOs & FMOs to ensure punctuality of the time during the month of Ramzan Mubarak in the interest of the patients. On Preventive Health: Malaria preventive measures discussed. On Curative Health: Scabies, Hand Wash On Mother, Child & Reproductive Health: Other Matters: It was also decided to organize Hepatitis B /C Screening Camps at all the HFs managed by PPHI after polio round. Date /Time for Next MRM: 08 March 2012 Comments on Targets vs Achievements (by DSM) R&R work completion within given deadline DSM directed the Executive Construction, MO & SO concerned to ensure early completion of the R&R work of the work at BHU Ruk, BHU Jhali Kalwari, and BHU Nimoro &GD Chodhio Sadhayo.
MINUTES OF THE (40th) MONTHLY REVIEW MEETING OF DISTRICT LARKANA
Monthly Review Meeting (MRM) of PPHI, District Larkana for the month of January, 2012 was held on 03rd February, 2012 at DSU Office. Written invitations to participate were sent to the DCO, EDO (H), EDO (F&P), Distt. Population Welfare Officer, WHO representative, Dy.Dir. Malaria and District In charges of EPI, LHW and all other National Programs. The list of participants is as follows:
177
List of Participants:
S # Names/Designation S # Names/Designation
1 Mr. Abdul Aleem Lashari, Deputy Commissioner, Larkana
2 Mr. Ghualm Abbass Detho (RPD-III, Larkana)
3 Dr. Moula Bux Kalhoro , Correspondent Daily Dawn
4 Mr. Javed Ali Hulio Exe. (M&E)
5 Mr. Habibullah Shaik, Exe. (A/A) 6 Dr. Mohammad Yousif Shaikh MO (HQ)
7 Mr. Khalid Hussain, SO. II 8 Mr. Gada Hussain Chachar, SO I.
9 Mr. Imtiaz Hussain, Asstt: Store 10 Mr.Sarfraz Ahmed Asstt: F&A
11 Dr. Nisar Ahmed Kandhro, MO 12 Mr. Farhan Ahmed, Asstt: Admin
13 Dr. Zaferullah Morio, MO 14 Dr. Imdad Lashari, MO
15 Dr. Altaf Abro, MO 16 Dr. Bashir Ahmed Wagan,MO
17 Dr. Zakir Hussain Khoso,MO 18 Mr. Hakim Moin Din
19 Dr. Baka Mohammad MO 20 Dr. Altaf Kokahr,MO
21 Dr. Aijaz Shaikh , MO 22 Dr. Jamil Ahmed Brohi, MO
23 Dr, Badar u Din Chano MO 24 Dr. Attaullah Jagirani, MO
25 Dr. Mukhtiar Ahmed , MO 26 Dr. Abdul Matab Jatoi, MO
27 Dr. M. Aslam Soomro, MO 28 Dr. Tariq Altaf Jatoi , MO
29 Dr. Ghanesh Lal, MO 30 Dr. Ahsanullah Bugti, MO
31 Dr. Mahesh Kumar, MO 32 Dr. Zafar Tunio, MO
33 Dr. Abdullah Arijo, MO 34 Dr. Abdul Aziz Siyal, MO
35 Dr. Rahim Bux Soomro, MO 36 Dr. Farman Ali Abro,MO
37 Dr. M. Hanif Dhamrah, MO 38 Dr. A. Rahman Shaikh, MO
39 Dr. Abdul Razaque Rahujo, MO 40 Dr. Asdullah Gopang, MO
41 Dr. Jai Kumar, MO 42 Dr. Shams u Din, MO
43 Dr. M. Afzal Odho, MO 44 Dr. Khuda Bux Soomro, MO
45 Dr. Ashok Kumar, MO 46 Dr. Nabi Dino Buledi, MO
47 Dr. Abdul Rab Sangi, MO 48 Dr. Amanullah Abro, MO
49 Dr. Mumtaz Bhutto, MO 50 Dr. Haseena Shaikh, FMO
51 Dr. Baleg-u-Din Shah, MO 52 Dr. Anita Raj, FMO
53 Dr. Sabheen Naz, FMO 54 Dr. Khadija Makkiah, FMO
55 Dr. Afroz Memon 56 Dr. Musraft Nazeer, FMO
57 Dr. Sanam Asia, FMO 58 Dr. Noor Jahan Abassi, FMO
59 Dr. Aziz Akhter, FMO 60 Dr. Nusrat Wagan,FMO
61 Dr. Salama Soomro, FMO 62 Dr. Shazia Rehman, FMO
63 Dr. Dur-e-Najaf, FMO 64 Dr. Qurtalin Soomro, FMO
65 Dr. Zaib Nisa Bhutto, FMO 66 Dr. Farzana Shaikh
67 Dr. Bilqees Kokhar,FMO 68 Dr. Farzana Tunio
69 Dr. Kashifa Ayaz, FMO 70 Dr. Amber Altaf, FMO
71 Dr. Noor Jahan, FMO 72 Dr. Lubna Adnan, FMO
73 Mst: Rani, LHV 74 Mst. Sumeera Kanwal
75 Mst. Afroz Begum, LHV 76 Mst. Yasmeen Shaikh, LHV
77 Mst. Feroza,LHV 78 Mst. Humera, LHV
79 Mst. Noor Shaheen, LHV 80 Mr. Asghar Ali Junejo
81 Mst: Naveeda 82 Mst: Nuzhat Jahan
83 Mst: Nafees Fatima, LHV 84 Mst: Rukhsana Mirani, LHV
85 Mst: Mehtab Mangi , LHV 86 Mst: Saima Mrum
87 Mst: Hameeda Memon. LHV 89 Mst: Sajida Bhutto, LHV
90 Mst: Rohi Bano, LHV 91 Mst: Saima Shaha, LHV
178
92 Mst. Shahida Parveen, LHV 93 Mst: Shazia Khuhro, LHV
94 Mst: Saira Bano, LHV 95 Mst. Zubida Mugheri, LHV
96 Mst. Sumeera a Kanwal, LHV 97 Mst: Habiba Bughio, LHV
98 Mst: Rozina 99 Mst. Rehana Brohi, LHV
100 Ms. Samina Kanwal, LHV 101 Mst: Rashida Solongi, LHV
102 Mr. Khan Mohammad, Dispenser 103 Mr. Asghar Juneejo, Dispenser
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons S # Names/Designation Reasons
1 Dr. Mohammad Hanif Mashori
Absent 2 Dr. M Ali Shaikh, MO C/L
P. HFs WITH PPHI
BHUs: 27 Dispensaries: 19 MCHCs: 00 Others: 01 TOTAL: 47
B. Population of the Catchments Area:
S # Name of Health Facility Population
1 BHU SAJAN SANGI 32,034
2 BHU AKIL 21,300
3 BHU SHAH ABAD 33,280
4 BHU BEERO CHANDIO 26,500
5 BHU MASOODERO 15,200
6 BHU KHAN WAH 20,000
7 BHU IZAT JI WANDH 7,836
8 BHU LASHARI 24,000
9 BHU WARIS DINO MACHI 9,484
10 BHU JUMO AGHAM 15,000
11 BHU PATHAN 29,000
12 BHU NEW GUD 45,000
13 BHU BAKHAR KARIRA 12,710
14 BHU SONO JATOI 55,000
15 BHU KOTHI 30,000
16 BHU PIR BUX BHUTTO 24,800
17 BHU SAIDUDERO 12,250
18 BHU WASAYO BHUTTO 9,135
19 BHU VEEHAR 30,000
20 BHU KARANI 31,000
21 BHU MAD BAHOO 26,355
22 BHU DHAMRAH 38,341
23 BHU HAJI DHADHRO 5,000
24 BHU FATEHPUR 15,000
25 BHU MOEN JO DARO 34,713
26 BHU SEEHAR 23,316
27 BHU USMAN KALHORO 23,119
179
28 GD RASHID WAGAN 23,418
29 GD BAQAPUR 14,000
30 GD KANGA 17,409
31 GD AGHANI 12,240
32 GD DODO SANHERI 5,000
33 GD AREEJA 10,000
34 GD PANJODERO 25,200
35 GD ABAD BHUTTO 4,666
36 GD KOT BHUTTO 10,500
37 GD KETI MUMTAZ 2,000
38 GD SHAHANI 3,080
39 GD KHAIRODERO 10,000
40 GD MEHAR BURIRO 4,300
41 GD GUJHAR 4,078
42 GD LAL BUX SHAIKH 34,731
43 GD TATRI 41,500
44 GD MANGRIA 18,000
45 GD HESSAB CHANDIO 30,000
46 GD BAHMAN 1,550
47 GD MAHOTA 18,155
Total: 9,39,200
HH. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant (Sanc-Govt)
MOs 52
46 16 30 07
WMO 0 0 0
FMOs 28 24 0 24 4
LHVs 42 32 6 26 10
MTs/MAs Male
33 9 9 0
24 Female 0 0 0
Dispensers 52 42 19 23 10
II. CLUSTERS OF HFs WITH ONE MO
WITH ONE FMO
Previous Month Total Month under Review Total
Clusters of 6 HFs 0 Clusters of 6 HFs 0
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 0 Clusters of 4 HFs 0
Clusters of 3 HFs 0 Clusters of 3 HFs 0
Clusters of 2 HFs 0 Clusters of 2 HFs 0
Single HFs 46 Single HFs 46
180
E.
CAPACITY BUILDING 1. Second Session: During MRM
Dr Khuda Bux Soomro, Medical Officer BHU Moen Jo Daro, PPHI, Larkana, delivered lecture on ―TYPHOID FEVER, Enteric Fever”: focused on the following points:
History
Epidemiology
Definition
Mode of Transmission
Pathophysiology
Risk factor
Clinical Features
Signs
Complications
Investigations
Blood Culture
Management
Presentations After the session he invited the participants for open discussion, which was very productive.
62. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates
Date Venue Topic No. of
Participants
Same sessions were also productive for LHVs/ Dispensers
F. REVIEW OF THE PERFORMANCE (I) PREVENTIVE HEALTHCARE
During Month under Review 1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 353
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 225
No. of Immunization & Vaccination Administered by the out- reach EPI Teams 0
Total vaccination / immunization for the month November 578
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of
coverage
Nil Nil Nil Nil
3. Other Preventive/Promotional Services
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 18 Clusters of 2 HFs 18
Single HFs 06 Single HFs 06
181
S # Service Number
1 Passive Case Detection (PCD) Slides --
2 Active Case Detection (ACD) Slides --
3 Visits to Check Sanitation (individual house holds + streets) --
4 Notices issued against Poor Sanitation --
5 Challans sent to Court against Poor Sanitation --
6 Patients Nebulized --
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review 1. Female Health
S.No Name of FMOs Antenatal Post Natal Other OPD Total OPD
1 Dr. Kashifa Ayaz 52 9 676 737
2 Dr. Salma Soomro 0 0 1000 1000
3 Dr. Afroz Memon 53 15 956 1024
4 Dr. Farzana Tunio 39 26 805 870
5 Dr. Shazia Abbasi 260 44 910 1214
6 Dr. Qurtlain Soomro 84 42 959 1085
7 Dr. Zaib Nisa Bhutto 18 10 520 548
8 Dr. Nusrat Wagan 56 11 858 925
9 Dr. Sanam Asia 50 25 544 619
10 Dr. Khadeja Makkiah 0 0
11 Dr. Aneeta Raj 40 10 560 610
12 Dr. Sabeen Naz 12 3 791 806
13 Dr. Shazia Rehman 45 8 294 347
14 Dr. Farzana Balouch 118 8 256 382
15 Dr. Bilqees 50 10 981 1041
16 Dr. Ambar Altaf Soomro 90 35 641 766
17 Dr. Jawahar Sheeraz 0 0 500 500
18 Dr. Lubna Adnan 26 7 523 556
19 Dr. Aziz Akhtar 102 20 460 582
20 Dr. Dur-e- Najaf 69 6 1192 1267
21 Dr. Farzana Shaikh 68 7 750 825
22 Dr. Ruksana Bughio 50 10 981 1041
23 Dr. Musrat Nazir 105 13 555 673
24 Dr. Asma Abbasi 54 21 744 819
Total: 1441 340 16456 18237
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 101
2 Deliveries Assisted at Homes 00
3. Lab/ Diagnostic Tests
S # Test Number
182
1 Pregnancy Tests 588
2 Blood Sugar Tests 978
3 Hemoglobin Tests 353
4 Ultra Sound Test 1035
5 Other (Malaria) 00
63. Important Discussion on Mother and Child and Reproductive Health during MRM
Discussions were carried out by the participants with the guest speakers. 64. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
1 Consultation / Advice 570
2 Oral Pills 800
3 IUCDs 300
4 Injections 200
5 Others (Condoms) 4000
Total
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: 47 Number of Female SGs: 00 2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups
conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of
Participants
Mr. Gada Hussain Chachar 2 0 78 3 100
Mr. Khalid Hussain Abro 2 0 80 5 150
Mohammad Ali 2 0 66 5 134
Total 4 0 224 13 384
2. School Health Sessions & Community Health Sessions
1 NAME OF FMOs/MO s
Community Health Session School Health Session
No Session
Total Participants
Total OPD/
Treatment
No Session
Total Participants
Total OPD/
Treatment
1 Dr. Afroz Memon 2 75 25 2 90 20
2 Dr. Sanam Asia 2 120 100 2 50 30
3 Dr. Zaib Nisa Bhutto 2 90 90 2 165 116
4 Dr. Kashifa Ayaz 2 36 18 2 52 11
5 Dr. Ambar Altaf soomro 2 19 6 2 34 5
6 Dr. Farzana Tunio 2 32 32 2 17 12
7 Dr. Nusrat Wagan 2 27 8 2 52 11
8 Dr. Qurtlain Soomro 1 15 8 1 34 24
183
9 Dr. Shazia Abbasi 1 28 5 2 42 17
10 Dr. Sabeen Naz 1 20 0 1 20 3
11 Dr. Lubna Adnan 2 48 48 2 130 11
12 Dr. Bilqees Khokhar 1 10 5 2 140 48
13 Dr. Farzana Balouch 1 50 30 1 56 14
14 Dr. Farzana Shaikh 2 80 10 2 80 12
15 Dr. Aneeta Raj 2 30 5 2 180 65
16 Dr. Dur-e- Najaf 2 100 50 2 120 80
17 Dr. Asma Abbasi 1 42 0 2 45 25
18 Dr. Aziz Akhtar 2 98 70 2 106 50
19 Dr. Shamsdin Sohu 0 0 0 2 100 50
20 Dr. Khuda Bux Soomro 0 0 0 2 80 0
21 Dr.Jamil Ahmed Brohi 0 0 0 1 20 3
TOTAL 30 920 510 38 1613 607
4. Important Points during Support Group Meetings.
Polio Campaign discussed
Diagnostic Laboratory
Medicine quality and quantity.
EPI Coverage were discussed
Ultra sound facility days
FMO days at HFs also discussed
Security and ownership of community.
65. Important Points during SHSs
Scabies
Cough
Diarrhea
Influenza Virus
Nutrition
Respiratory trait Infection and Asthma
Personal Hygien
Pneumonia
Malaria 66. Important Points during CHSs
Dysfunctional Uterine Bleeding DUB
Scabies
Rabies virus Tuberculosis
Antenatal Care
Pelvic Inflammatory Diseases
Importance of Vaccinations
Conjunctivitis (Red Eye)
Low Birth weight Newborn
Family Planning
Diet in Pregnancy
U/S Examination During Pregnancy
184
Lactating Mother
Postpartum Haemorrage
Urine Tract Infection
Vomiting
Anemia
Intestinal Tuberculosis
Constipation
Vomiting
Cough
Acute Diarrhea
Influenza Virus
Nutrition
Respiratory trait Infection and Asthma
Personal Hygien
Pneumonia
Malaria 7. Topics for SHSs for the Month
Sr. No. Topics
1 Scabies
2 Malaria
3 Importance of Vaccinations
4 Acute Diarrhea
5 Nutrition
6 Personal Hygien
7 Cough
8. Topics for CHSs for the Month
S.No Topics
1 Dysfunctional Uterine Bleeding DUB
2 Scabies
3 Rabies virus Tuberculosis
4 Antenatal Care
5 Pelvic Inflammatory Diseases
6 Importance of Vaccinations
7 Conjunctivitis (Red Eye)
8 Low Birth weight Newborn
9 Family Planning
10 Diet in Pregnancy
11 U/S Examination During Pregnancy
12 Lactating Mother
13 Postpartum Haemorrage
14 Urine Tract Infection
15 Vomiting
16 Anemia
185
17 Intestinal Tuberculosis
18 Constipation
19 Vomiting
20 Cough
21 Acute Diarrhea
22 Influenza Virus
23 Nutrition
24 Respiratory trait Infection and Asthma
25 Personal Hygien
26 Pneumonia
27 Malaria
9. Important Discussion on Community Participation during MRM
Most of the Participants recognized PPHI role to provide basic health facilities in rural areas for poor community at free of cost.
Community participation through community support groups also the role model of PPHI.
Repair and Renovation of Health facilities and other facilities provided at Health facilities by PPHI also appreciated by participants.
10. Health Camps: Number Held: 00. Number of Patients: 00. 11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent
Present status
I Sanitation N/A N/A N/A
Ii Drainage / sewerage N/A N/A N/A
Iii ……… drinking water N/A N/A N/A
Iv Prevention of adulteration N/A N/A N/A
V Tree Plantation N/A N/A N/A
Vi Roads and infrastructure N/A N/A N/A
Vii Environmental Improvement N/A N/A N/A
Viii Others N/A N/A N/A
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
81075 0 81075
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 BHU Mad Bahoo 3547 BHU Sajan Sangi 494
2 BHU Peer Bux Bhutto 2888 GD Areeja 570
3 BHU Akil 2723 GD Rasheed Wagan 615
4 BHU Dhamrah 2626 GD Kety Mumtaz 775
5 BHU Veehar 2375 BHU Bakhar Karira 834
186
3. Top Five Diseases Treated during School Health Sessions/Camps *All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases during OPD
S # Disease No. of Patients
1 Fever (Clinical Malaria) 15725
2 Acute Respiratory Infections 11703
3 Scabies 10252
4 Diarrhea 284
5 Dysentery 8
3. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 453
ARV Administered 453
ARV Available Doses 700
Snake bite cases reported 0
ASV Vaccine Administered 0
ASV Vaccine Available Doses 50
54. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 588
2 Blood Sugar Tests 978
3 Haemoglobin 353
4 X-Rays (if available) 00
5 Ultra Sound 1035
6 Others (Malaria) 00
55. B & C SCREENING TESTS
Screening No. of Tests Performed
No. of cases found positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B No No No No No
Hepatitis C No No No No No
S # Diseases No. of Patients
1 Scabies 245
2 Malaria 208
3 ARI 98
4 Diarrhea 37
5 Cough 28
187
8. TUBERCLOSIS
Patients Receiving Treatment
New Cases During the Month
Under Diagnosis
6 0 6
9. REFERRALS
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
2 No No No No No No No
3 No No No No No No No
4 No No No No No No No
10. Inverse Referrals
S.No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 No No No No No No No
3 No No No No No No No
4 No No No No No No No
G. MONITORING DURING MONTH UNDER REVIEW
1. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
15 56 156 227
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for 32 Weeks 2. Important Issues raised relating to Medicines, etc. during MRM I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair /
Maintenance incl. Electrification Status / Remarks
1 N/A N/A N/A
2 N/A N/A N/A
3 N/A N/A N/A
4 N/A N/A N/A
188
5 N/A N/A N/A
6 N/A N/A N/A
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
N/A N/A N/A
N/A N/A N/A
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM On Staff Matters:
All the staff members of BRHF‘ were once again reminded to observe timings in their health facilities.
Always wear aprons/ uniforms which have been already provided.
Observe/ ensure cleanliness in their health facilities.
Maintenance of proper record keeping
Ensure availability of all essential medicines.
Ensure availability of instruments in working condition. On Preventive Health:
All the Medical Officers/ Female Medical Officers were informed that Family Planning material / medicine are available in abundant quantity and they should promote its usage.
It was also requested that ensure availability of T. B DOTS medicine and wherever there is shortage, inform DSU immediately.
On Curative Health: All the Medical Officers were informed that there is sufficient stock of medicines available in DSU store and they should report immediately for any kind of shortage On Mother, Child & Reproductive Health: N/A Other Matters: Matters regarding supply of medicines, repair of buildings, provision of uniforms, and other items were also discussed during the monthly meeting. Date /Time for Next MRM:
Next MRM will be held on first week of March, 2012 Comments on Targets vs Achievements (by DSM) All the targets/goals and assignments from time to time are being achieved for successful continuation of this program and for the satisfaction of the community.
189
MINUTES OF THE (37th) MONTHLY REVIEW MEETING OF DISTRICT KASHMORE
Monthly Review Meeting (MRM) of District, Kashmore for the Month of January-2012 was held on 03th Feb-, 2012 at District Government Complex Kandhkot. Written invitations to participate in the MRM were sent to the Deputy Commissioner Kashmore, Additional Deputy Commissioner-1 Kashmore, the EDO (Health) and District In charge of EPI, LHW and all other National Programs. List of Participants:
S # Names/Designation Designation S # Names/Designation Designation
1 Mr. Zeeshan Javed DSM 21 Dr. Zulfiqar Soomro MO
2 Abdul Razaque Junejo Executive
Officer(M&E) 22 Dr. Mumtaz Malik FMO
3 Abdul Waheed Soomro Executive (F&A)
4 Qutubdin Hyder M.T
5 Jan Muhammad Dispenser 23 Dr. Hazoor Bux MO
6 Dr. Javed Ahmed MO 24 Dr. Irshad Ahmed MO
7 Dr. Yougesh MO 25 Dr. Muhammad Saleem MO
26 Dr. Vijay Kumar MO
8 Dr. Zain MO 27 Dr. Aneel Kumar MO
9 Dr. Mansoor
MO 28 Allah Dino Samtio Co-ordinator Population
Dptt:
10 Dr. Gulabdin MO 29 Dr. HAfeezullah MO
190
11 Israr Ahmed M.T 30 Dr. M.Muqeem MO
12 Muhammad Rafiq SO 31 Dr. Abdul Ghafoor MO
13 Abdul Khaliq M.T 32 Dr. Aftab Ahmed MO
14 Nabi Bux M.T 33 Munawer Ali Mithani DC Kashmore
15 Safar Din M.T 34 Dr. Susheel Kumar Unicef
16 Shamas Din M.T 35 Ahmed Khoso PA DC to DC
17 Abdul Ghani SO 36 Dr. Nirmal Das DHIS Trainer
18 Israr Ahmed SO
19 Muhammad Paryal
M.T
20 Abdul Bais Dispenser
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons S # Names/Designation Reasons
1 Dr. Asadullah Absent
2 Dr. Sajida Gul Absent
3 Dr. Shagufta Absent
4 Dr. Rukhsana Absent
5 Dr. Maqbool Absent
6 Dr. Ameer Ali Absent
7 Dr. Muhammad Waris Absent
Q. HFs WITH PPHI BHUs: 21 Dispensaries: 16 MCHCs: 1 Others: 1
TOTAL: 39 B. Population of the Catchments Area: Approximately One Million
JJ. STAFF STRENGTH
Sanctioned
Posts (Govt.)
Working Government Employees
PPHI Contract
Vacant (Sanc-Govt)
MOs 24
20 1 19 4
WMO 0 3 0
FMOs 17 4 0 4 13
LHVs 8 4 0 4 4
MTs/MAs/Dispenser Male
48 46 23 23
2 Female
KK. CLUSTERS OF HFs WITH ONE MO
Previous Month Total Month under Review Total
Clusters of 6 HFs 0 Clusters of 6 HFs 0
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 0 Clusters of 4 HFs 0
Clusters of 3 HFs 0 Clusters of 3 HFs 2
Clusters of 2 HFs 11 Clusters of 2 HFs 12
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WITH ONE FMO
E.
CAPACITY BUILDING
1. First Session: During MRM EPI rep shared his experiences about the last polio campaign and appreciate the performance, commitment of PPHI team who actively steered the whole campaign. PHI monitoring team and Doctors also expressed their experience, reservations especially about the lethargic attitude of government staff and health department and discuss various gaps left unfilled by the EDO health side.
2. Second Session: During MRM Dr Abdul Ghafor presented a well prepared presentation on the symptoms, prevention and treatment of dengue fever. After this PowerPoint presentation a detailed question /answer session was held, in which doctors and participants took keen interest.
67. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates
Date Venue Topic No. of
Participants
- - - - -
- - - - -
F. REVIEW OF THE PERFORMANCE (I) PREVENTIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 576
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 144
No. of Immunization & Vaccination Administered by out- reach EPI Teams 246
Total vaccination / immunization for the month AUGUST 966
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review 1. Female Health
2. Deliveries Assisted
Single HFs 10 Single HFs 8
Previous Month Total Month under Review Total
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 0 Clusters of 4 HFs 0
Clusters of 3 HFs 0 Clusters of 3 HFs 0
Clusters of 2 HFs 3 Clusters of 2 HFs 3
Single HFs 2 Single HFs 1
S # Names of FMOs Ante-Natal Cases Neo-Natal Cases Other OPD Total OPD
1 Dr. Mumtaz Malik 39 3 690 729
2 Dr. Shagufta 180 3 476 659
3 Dr. Sajida Gul 45 1 281 327
4 Dr. Rukhsana 41 0 172 213
Total 176 7 1619 1928
192
S # Service Number
1 Deliveries Assisted at HFs 11
2 Deliveries Assisted at Homes 0
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 0
2 Blood Sugar Tests 52
3 Hemoglobin Tests 9
4 Ultra Sound Test 0
5 Other 0
68. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
1 Consultation / Advice 36
2 Oral Pills 0
3 IUCDs 0
4 Injections 2
5 Others 0
Total 38
(III) COMMUNITY PARTICIPATION During Month under Review
1. Number of Male SGs: --------39-------- Number of Female SGs: --------00---- 2. Performance of Social Organizers
Names of Social Organizers
Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of
Participants
Abdul Razaque Junejo 6 0 131 4/3 148/89
Abdul Ghani Panhyar 5 0 112 6/4 158/120
Muhammad Rafique Khoso 8 0 175 8/4 161/126
Israr Malik 6 0 125 5/4 151/98
Total 25 0 543 23/15 618/433
CGS meetings conducted by SOs lacked effectiveness and coherence; they were warned to conduct session more interactively and with specific time line 3. School Health Sessions & Community Health Sessions
Names of MO /
FMOs/Paramedics
Community Health Sessions School Health Sessions
S.No Sessions Participants Sessions
Children Examined
Children Treated
1 M.T Israr Khoso 1 25 1 10 1
2 DR ZAIN MALIK 1 25 1 15 4
3 DR GULAB U DIN 3 125 2 167 11
4 Dr. Irshad Ahmed Langah 1 28 1 14 6
5 DR SALEEM KHOSO 1 36 1 12 3
6 DR ANEEL 1 12 1 5 1
193
7 DR ZULFIQAR 2 64 2 18 2
8 Dr. Hazoor Bux 1 25 1 20 10
9 Dr. Javed Ahmed 1 14 1 35 0
10 Dr. Mansoor Malik 2 30 1 7 2
11 Dr. Asadullah Noonari 2 74 1 18 15
12 Mt Bias KHOSO 1 8 1 10 2
13 DR AFTAB SOOMRO 1 26 1 11 3
14 DR ABDUL GHAFOOR 1 31 2 17 5
15 Dr. Mumtaz 2 36 1 4 0
16 Dr. Rukhsana 1 32 1 12 1
17 Dr. Shagufta 1 14 1 9 1
18 DR VIJAY 1 21 1 22 0
19 MT SHAMAS KHOSO 1 14 1 0 0
20 Dr. Yougesh Kumar 2 26 1 7 2
21 Dr. Shishpal 1 13 1 4 0
22 Dr. Sajida Gul 2 38 0 0 0
23 Dr Maqbool Ahmed 0 0 0 0 0
24 Dr. Waris Ahmed 0 0 0 0 0
25 Mr. Qutub Din (M.T) 0 0 0 0 0
26 Dr HAFEEZULLAH 0 0 0 0 0
27 MT SAFAR U DIN 0 0 0 0 0
28 DR AMEER ALI 0 0 0 0 0
29 M.T Abdul Khalique 0 0 0 0 0
Total 30 717 24 417 69
4. Important Points during Support Group Meetings. The following issues were discussed during the support Group Meetings:
EPI centre facility
Furniture shortage at health facilities
Water Supply & Electricity Problem
Repair and Renovation work Progress.
Staff shortage at health facilities
Female Staff appointed at health facilities 5. Important Points during SHS’s
Safe Drinking Water
Nail Cutting
Personnel Hygiene
Gastro
Scabies 6. Important Points during CHS’s
Dengue Fever (Prevention)
Antenatal Checkup
RTI
Boil Water
Prevention of Scabies
Personal Hygiene
194
7. Topics for SHSs for the Month
Sr. No. Topics
1 Malaria
2 Scabies
3 ARI
4 Diahorea
5 Hepatitis
6 Importance of EPI Vaccination
7 Personal Hygiene
8 Scabies
8 Topics for CHSs for the Month
S # Topics
1 Family Planning
2 Skin Infection
3 Diarrhea
4 Water born diseases
5 Safe Drinking Water
6 Pneumonia
7 Malaria, its causes, effects , and remedies
8 T.B
9. Important Discussion on Community Participation during MRM
Realizing community of the responsibility to feel ownership of their health facility.
Effective communication with the PPHI staff, cooperating with the monitoring staff and with the staff of health facility and responding to the various initiatives introduced by the PPHI for the betterment of the health facility and its functioning.
To impart feelings of ownership to the community, it was decided to make useful interaction and communication through social organizers and MOs.
It was also discussed to invite some CSG members to MRM to make them abreast of PPHI role in primary health care and also to have an interaction on larger scale to address general issues.
Various methods were discussed to make community more interested in the maintenance of their HF through frequent visits and close interaction with the Doctors.
It was also decided to apprise community through CSG meetings about the recent trends in primary health care and various tools/methods to promote healthy habits which ultimately would lead to healthy society.
Apprising community of the various interventions being made by the PPHI and the difference made in the functioning of the HFs after the PPHI takeover.
10. Health Camps: Number Held: ----------0-------. Number of Patients: ----00------. 11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent
Present status
I Sanitation - - -
Ii Drainage / sewerage - - -
Iii ……… drinking water - - -
195
Iv Prevention of adulteration - - -
V Tree Plantation - - -
Vi Roads and infrastructure - - -
Vii Environmental Improvement - - -
Viii Others - - -
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
21202 552 21754
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 Bhu Dari 1413 Gd Mushtaque bijrani 305
2 Gd Kashmore colony 1206 Bhu Diyani 300
3 Bhu PEER JAN 1000 Bhu Sher mohammad 266
4 Bhu KUMB 828 Bhu rasaldar 254
5 Gd Sardaroo khoso 765 Gd Hafeezullah 225
3. Top Five Diseases Treated during School Health Sessions/Camps *All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases During OPD
S # Disease No. of Patients
1 ARI 5534
2 Suspected Malaria 4642
3 Scabies/Skin 2577 4 Diahhrea 1489
5 Dysentry 98
69. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 130
ARV Administered 130
ARV Available Doses 37 Vials
Snake bite cases reported 0
S # Diseases No. of Patients
1 ARI 0
2 Fever (clinical Malaria) 0
3 Diarrhea 0
4 Scabies 0
5 Dysentery 0
196
ASV Vaccine Administered 0
ASV Vaccine Available Doses 7
56. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive
Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 0
2 Blood Sugar Tests 52
3 Hemoglobin 9
4 X-Rays (if available) 0
5 Ultra Sound 0
6 Others (please specify) 0
57. B & C SCREENING TESTS
Screening No. of Tests Performed
No. of cases found
positive
No. of cases referred for treatment
Total referred upto
date
Follow up result
Hepatitis B -
- - - -
Hepatitis C -
- - - -
58. TUBERCLOSIS
Patients Receiving Treatment
New Cases During the Month
Under Diagnosis
0 0 0
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs/HF THQs DHQs
2 0 0 0 0 0 0 0
3 - - - - - - -
4 - - - - - - -
10. Inverse Referrals
S.No Totals Cases Referred from
1 ARV ASV Others RHCs/HF THQs DHQs
2 130 130 0 0 121 9 0
3 - - - - - - -
4 - - - - - - -
G. MONITORING DURING MONTH UNDER REVIEW
19. Monitoring Visits during the month
197
DSM Executive Monitoring Other Staff Total
35 73 176 284
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
1 GD Kashmore Colony Sanitation
2 GD 27 mile Need Repair of Hand pump Hand pump was repair in two days by M&E
3 GD Azim Golo Wash room Work in progress
3 BHU Sardarabad Hand pump Work complete
4 GD Mehrab Mazari Boundary Wall
5 BHU Malguzar Suhryani Boundary Wall
6 GD Hafeezullah Repair and Renovation
7 GD Elahi Bux Khoso Repair and Renovation
8 BHU Dari Electricity, Furniture Work in progress
9 BHU Zorgarh Need of Vaccinator Appointed as soon as
Action:- Sanitation work would be completed before the next MRM at 9 HFs. Approval has been sought from the program director to do sanitation work. Similarly R & R work would be given priority as soon as
PC-1 stage of those HFs reached.
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS 1. Medicines available for ……………55…………. Weeks 2. Important Issues raised relating to Medicines, etc. during MRM
Non clearance of DTL of some items
Extra Supply of Capsule Amoxicillin and Syrup Calpol
Shortage of essential items
Shortage of Equipments (B.P Apparatus, Thermometer, Stethoscope, baby weight scale, Nebulizer, etc.
Proper maintenance of store at Health facility
Shortage of FMO and paramedics
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance
incl. Electrification Status / Remarks
1 MCHC Kashmore Tiles Work, Co lour, Repair, Carpenter,
Plumbering, Electrification. Completed
2 BHU Sher Muhammad Bijarani
Tiles Work, Co lour, Repair, Carpenter, Plumbering, Electrification.
Completed
3 BHU Pir Jan Bajkani Tiles Work, Co lour, Repair, Carpenter,
Plumbering, Electrification. Completed
4 GD Ghous Bux Bangwar
Tiles Work, Co lour, Repair, Carpenter, Plumbering, Electrification.
Completed
5 GD Kashmore Colony-I
Tiles Work, Co lour, Repair, Carpenter, Plumbering, Electrification.
Completed
6 GD Nasrullah Bijarani Tiles Work, Co lour, Repair, Carpenter, Completed
198
Plumbering, Electrification.
7 BHU Gullanpur Tiles Work, Co lour, Repair, Carpenter,
Plumbering, Electrification. Completed
8 GD Mehrab Mazari Tiles Work, Co lour, Repair, Carpenter,
Plumbering, Electrification. Completed
9 BHU Khewali Tiles Work, Co lour, Repair, Carpenter,
Plumbering, Electrification. Completed
10 BHU Dari Tiles Work, Co lour, Repair, Carpenter,
Plumbering, Electrification. Completed
11 GD Sardaroo Khoso Tiles Work, Co lour, Repair, Carpenter,
Plumbering, Electrification. Completed
12 BHU Sardarbabad Tiles Work, Co lour, Repair, Carpenter,
Plumbering, Electrification. Completed
13 BHU M.K Mazari Tiles Work, Co lour, Repair, Carpenter,
Plumbering, Electrification. Completed
14 BHU Diyani Tiles Work, Co lour, Repair, Carpenter,
Plumbering, Electrification. Completed
15 BHU Badani Tiles Work, Co lour, Repair, Carpenter,
Plumbering, Electrification. Completed
16 BHU Din Muhammad Kosh
Tiles Work, Co lour, Repair, Carpenter, Plumbering, Electrification.
Completed
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
-
- -
-
- -
J- DISCUSSION DURING MRM
On Staff Matters: YES On Preventive Health: YES On Curative Health: YES On Mother, Child & Reproductive Health: YES
199
Other Matters: YES Date /Time for Next MRM: 13 Jan: - 2011, 10.am Comments on Targets v/s Achievements (by DSM)
OPD challan fee and its timely deposit.
Doctor‘s responsibility to prepare medicine indent by themselves.
Stock register and proper store maintenance of store data.
Hard area allowance
Proper store keeping
Attendance/absenteeism
Importance of MRM in the overall working of PPHI
Realizing staff of the importance of their attachment with an institution like PPHI, a motivated and functional organization in the health sector unlike the dormant public sector.
Emphasis on community session and school sessions Though the shortage of FMOs is chronically an old issue but its importance cannot be overemphasized. After making all efforts to recruit and attract new lady doctors for the HFs of DSU Kashmore and experiencing little success in this endeavor, now we are shifting our emphasis to the recruitment of Staff nurses, LHVs/Midwives, so we could provide primary services to the poor women of the area as MCH issue is of very important nature and cannot be ignored anymore owing to the want of FMOs. We are having acute shortage of funds as we are intervening warmly in the provision of primary health care to all the people of community, but our share of total health budget is mere 16 %, while we are managing 85 % of total district health facilities. Paucity of funds always is a great hurdle in the execution of ours progressive approach to upgrade community health. I hope sanity will prevail and people who are at the helm of affairs, especially at the ministry of finance, will realize the services being provided by the PPHI in the remote and backward areas of the district where public health sector never imagined and intended to reach out.
(Zeeshan Javaid) District Support Manager
DSU PPHI Kashmore.
200
MINUTES OF THE (40th) MONTHLY REVIEW MEETING OF DISTRICT JACOBABAD
Monthly Review Meeting (MRM) of District, Jacobabad for the Month of January 2012 was held on 11th February 2012, at Zila Nazim council Hall Jacobabad. Written invitations to participate were sent to the DCO, EDO (H), EDO (F&P), DPWO, DSO (WHO), SO (DEWS)-WHO, SO UNICEF), and District In charge of EPI, LHW, Distt Coordinator, TB DOTS, HMIS and all other National Programs as usual. The list of participants follows: List of Participants:
1. Mr. Ghulam Ali Soomro District Support Manager Jacobabad
2. Mr. Zafarullah Goya DSM PPHI, Dera Bugti, Balochistan.
3. Dr. Leela Ram Consultant General Surgeon Jacobabad, Guest Speaker.
4. Mr. Aizaz Ahmed Nutrition Officer, Save the Children, Jacobabad
5. Mr. Manzoor Ahmed Assistant, Save the Children, Jacobabad.
6. Mr. Muhammad Aalam Marfani DHC SO Jacobabad.
7. Mr. Abdul Hameed Buriro Income Tax Office, Jacobabad.
8. Mr. Mushtaq Ali Leghari Ex.O(M&E).
9. Mr. Marghoob Ahmed Bhatti Ex.O(F/A) Jcd.
10. Mr.Muhammad Iqrar Veesar S.M DSU Jcd.
11. Mr.Haq Nawaz Lashari S.M DSU Jcd.
12. Dr.Abdul Jabar Thahim M.O H/Q DSU Jcd.
13. Dr.Sajjad Ahmed Burriro I/C M.O G.M Jakhrani
14. Dr.Habiburrehman Khoso I/C M.O Abdullah Lashari
15. Dr.Shoukat Ali Soomro I/C M.O Jumo Dasti
16. Dr.Ghulam Mohammad Talani I/C M.O Madadpur
17. Dr.Kishor Kumar M.O MCHC Jafferabad,Jcd
18. Muhammad Ishaque Malik I/C M.O Mouladad
19. Dr.Mohammad Aslam Abbasi M.O Noor Mohammad Pathan
20. Dr.Ghulam Mohammad Dasti I/C M.O Karim Bux Khoso
21. Dr.Nusrat Soomro FMO Welfare Dispensary Ahmed Mian Soomro
22. Dr.Fozia Khoso FMO MCHC Jaffarabad
23. Dr.Farzana Khoso FMO MCHC Jaffarabad
24. Dr.Naila Soomro FMO GD Abad / BHU Mubarakpur
25. Dr. Farida Qureshi FMO GD Police Head Quarter
26. Dr. Rukkaya Abro FMO BHU N.M Pathan / BHU S.K Rind
27. Dr. Aqeela Ghafar Memon FMO Welfare Disp Ahmed Mian Soomro
201
28. Dr. Resham Naseer Soomro FMO GD Jumo Dasti
29. Dr. Shazia Jamali FMO Welfare Disp Ahmed Mian Soomro
30. Dr. Sheerin Soomro FMO GD Adam Khan
31. Dr. Veer Singh I/C M.O GD Shabirabad
32. Dr. Fazalullah Brohi I/C M.O Muhammad Pur Odho
33. Dr.Aziz Ahmed Soomro I/C M.O BHU Udi
34. Dr.Muzafar Khaskheli I/C M.O BHU Hashmatabad
35. Dr.Naeem Ahmed Sarki I/C M.O GD Naseer Khan Bhangar
36. Dr. Zulfiqar Ali Golo M.O BHU Bachro
37. Dr.Abdul Fatah Khoso ` I/C M.O BHU Bachro
38. Dr.Abdul Ghafar Babar I/C M.O Dodapur
39. Dr. Baqa Muhammad Panhwar I/C M.O Banlow Syedan
40. Dr.Kashif Ali I/C M.O BHU Joungal
41. Dr. Abdul Basit M.O BHU Joungal
42. Dr. Nabi Bux Soomro GD Imam Bux Kehar
43. Dr.Azizullah Talani I/C M.O GD Police H/Q
44. Dr.Inayatullah Dayo I/C M.O BHU Sheranpur
45. Dr. Safiullah Bhutto I/C M.O BHU Mubarakpur
46. Dr. Ihtasham ul Haq I/C M.O BHU A.R Suhendero
47. Dr. Zafar Ali Pathan I/C M.O GD Abad
48. Dr. Ashok Kumar Sangitiani I/C M.O BHU Karim Bux Khoso
49. Dr. Amar Lal M.O BHU Karim Bux
50. Mr. Khalil Ahmed Dispenser BHU Bangul
51. Mr. Nadeem Ahmed Dispenser BHU Bahoo Khoso
52. Mr. Ghulam Hyder Brohi Dispenser BHU Piyaro Khoso
53. Mr Ahmed Ali Katto Dispenser Abdul Rasool Khoso
54. Mr.Ghulam Hussain Assistant Accounts
55. Mr. Mehmood Ali Roongho Sub-Engineer PPHI
56. Mr.Shehryar Abro Assistant/Computer Operator
57. Mr.Shuhab Ali Sehto Store Manager
58. Mr.Asif Ali Assistant Store Manager
59. Mr.Abdul Wahid Bhayo Assistant Admin
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons S # Names/Designation Reasons
1 Dr.Saeeda Solangi Casual Leave 2 Dr. Jai Chand Casual leave
3 Dr. Asya Solangi Casual Leave 4 Dr. Irfan Khoso Casual Leave
5 Dr. Rano Mal Sick Leave
R. HFs WITH PPHI
BHUs: __24____ Dispensaries: ___06____ MCHCs: ___01____ Others:__ 05 TOTAL: __36__
B. Population of the Catchments Area: 729,553
LL. STAFF STRENGTH
202
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant (Sanc-Govt)
Mos 42 37 7 30 5
WMO 0 0 0 0
FMOs 20 13 1 12 7
LHVs 20 1 1 0 19
MTs/MAs Male 09 07 07 0
02 Female 0 0 0 0
Dispensers 65 53 28 25 12
MM. CLUSTERS OF HFs WITH ONE MO
WITH ONE FMO
E.
CAPACITY BUILDING
1. First Session: During MRM Dr Lila Ram Mandhan (FRCS), Consultant General Surgeion, Civil Hospital, Jacobabd gave presentation on “ General Physical Examination “. In his capacity building session.
2. Second Session: During MRM
70. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates
Date Venue Topic No. of
Participants
0
0
0
F. REVIEW OF THE PERFORMANCE (I) PREVENTIVE HEALTHCARE
During Month under Review 1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 5444
Previous Month Total Month under Review Total
Clusters of 6 HFs 0 Clusters of 6 HFs 0
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 0 Clusters of 4 HFs 0
Clusters of 3 HFs 0 Clusters of 3 HFs 0
Clusters of 2 HFs 1 Clusters of 2 HFs 1
Single HFs 35 Single HFs 36
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 04 Clusters of 2 HFs 05
Single HFs 08 Single HFs 08
203
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities.
2150
No. of Immunization & Vaccination Administered by out- reach EPI Teams 1870
Total vaccination / immunization for the month January ,2012 9464
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of
coverage
30,31 Jan & 01 Feb 2012 161942 182827 112%
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides 0
2 Active Case Detection (ACD) Slides 0
3 Visits to Check Sanitation (individual house holds + streets) 0
4 Notices issued against Poor Sanitation 0
5 Challans sent to Court against Poor Sanitation 0
6 Patients Nebulized
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review 1. Female Health
S # Names of FMOs Ante-Natal Cases Neo-Natal Cases Other OPD Total OPD
1 DR. FARIDA QURESHI 100 17 1591 1708
2 DR. RUQAYA ABRO 163 2 1304 1469
3 DR. ASYA SOLANGI 42 9 1155 1206
4 DR. FARZANA KHOSO 64 10 1042 1116
5 DR. SAEEDA SOLANGI 38 9 969 1016
6 DR. SHEERIN SOOMRO 73 6 849 928
7 DR. SHAZIA JAMALI 46 4 785 835
8 DR. NUSRAT SOOMRO 43 4 787 834
9 DR. NAILA MAJID SOOMRO 275 7 543 825
10 DR. RESHAM NASEER 0 0 417 417
11 DR. GHAZAL SHEIKH 27 0 385 412
12 DR. AQEELA GHAFFAR 0 6 0 6
13 Dr. Fouzia Khoso Working as Sonologist
TOTAL 871 74 9827 10772
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 144
2 Deliveries Assisted at Homes 20
204
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 471
2 Blood Sugar Tests 9
3 Hemoglobin Tests 27
4 Ultra Sound Test 1056
5 Other 131
71. Important Discussion on Mother and Child and Reproductive Health during MRM
Following points were discussed:
Deliveries & D&Cs (during the month) conducted by FMOs / LHVs / CMWs-name wise evaluation.
Contraceptive clients-FMO wise.
School Health Sessions / Community Health Sessions.
Ultrasounds examinations by FMOs.
72. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
Consultation / Advice 391
Oral Pills (clients) 0
IUCDs 2
Injections 39
Others 42
Total 474
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: ------36--------- Number of Female SGs: ------------- 2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups
conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of
Participants
M.Iqrar Veesar 05 0 105 34 722
Haq Nawaz Lashari 04 0 84 32 642
Total 09 0 189 66 1364
3. School Health Sessions & Community Health Sessions
S.No Name of M.O / F.M.O
CHS SHS
Sessions Participants Sessions Children
Examined Children Treated
1 Dr. Muhammad Aslam Abbasi 4 120 1 24 35
205
2 Dr. Ishaque Malik 2 44 0 0 0
3 Dr. Naeem Sarki 2 30 0 0 0
4 Dr. Rano Mal 1 16 1 10 7
5 Dr. Abdul Ghaffar Babbar 2 30 0 0 0
6 Dr. Fazalullah Brohi 0 0 2 70 35
7 Dr. Ashok Kumar Sangitiani 2 54 0 0 0
8 Dr. Abdul Basit 0 0 2 32 36
9 Dr. Nabi Bux Soomro 1 35 1 16 16
10 Dr. Shoakat Soomro 1 20 1 21 21
11 Dr. Baqa Muhammad 1 30 1 22 30
12 Dr. Irfan Khoso 1 50 1 20 30
13 Dr. Rukkaya 2 35 0 0 0
14 Dr. Saeeda 2 44 0 0 0
15 Dr. Farzana 2 38 0 0 0
16 Dr. Asya 2 40 0 0 0
17 Dr. Sheerin Soomro 1 26 0 15 10
18 Dr. Nusrat Soomro 2 49 0 0 0
19 Dr. G.M Dasti 2 21 0 0 0
20 Dr. Kashif Pahore 2 46 0 0 0
21 Dr. Safiullah 2 52 0 0 0
22 Dr. Wahid Bux Laghari 2 42 0 0 0
23 Dr. Sajjad Buriro 2 32 0 0 0
24 Dr. Jai Chand 0 0 1 17 6
25 Dr. Sajjad Soomro 2 28 0 0 0
26 Dr. Muzaffar Khaskheli 2 26 0 0 0
27 Dr. Zafar pathan 0 0 1 18 15
28 Dr. Aziz Ahmed 2 32 0 0 0
29 Dr. Ihtasham ul Haq 0 0 1 23 18
30 Dr. Zulfiqar Golo 0 0 1 32 12
31 Dr. Abdul Fattah Khoso 2 28 0 0 0
32 Dr. Ghazal Sheikh 0 0 1 32 16
33 Dr. Naila Soomro 2 25 0 0 0
34 Dr. Inayatullah Dayo 2 0 0 0 0
35 Dr. Shazia Jamali 1 19 0 0 0
Total 51 1012 15 352 226
4. Important Points during Support Group Meetings.
Importance of community Health Sessions in catchment areas of the H.F.
Participation of CSG members during special Polio campaign.
Importance of immunization of children. 5. Important Points during SHSs
Scabbies
ARI
Importance of Polio Immunization 6. Important Points during CHSs
Scabbies
ARI
206
Importance of Polio Immunization 7. Topics for SHSs for the Month
Sr. No. Topics
1 Scabbies
2 ARI
3 Importance of Polio Immunization
4
5
8 Topics for CHSs for the Month
S # Topics
1 Scabbies
2 ARI
3 Importance of Polio Immunization
4
5
9. Important Discussion on Community Participation during MRM
DSM discussed the CSG meetings held by various MOs during the month. However, he said, there is need in more community interaction. He discussed the meetings which were scheduled for the month of January, 2012 and the meetings actually held during the month. He gave targets for the CSG meetings to be held in the month of February, 2012.
At most of CSG meetings community requested that PPHI may carry out malaria control sprays. 10. Health Camps: Number Held: --------0--------. Number of Patients: ------0-----. 11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent
Present status
I Sanitation
Ii Drainage / sewerage
Iii ……… drinking water
Iv Prevention of adulteration
V Tree Plantation
Vi Roads and infrastructure
Vii Environmental Improvement
Viii Others
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
59,902 1,090 60992
2. Maximum OPD** Minimum OPD**
207
S # BHU OPD BHU OPD
1 W.D Ahmed Mian Soomro 6612 BHU GM Jakhrani 167
2 MCH Center Jaffarabad Jcd 6276 BHU Bahoo Khoso 474
3 GD Police Dispensary 4006 GD Shabirabad 519
4 BHU Noor Muhammad Pathan 3786 BHU Uddi 541
3. Top Five Diseases Treated during School Health Sessions/Camps *All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases During OPD
S # Disease No. of Patients
1 Acute Respiratory Infection 6878
2 Scabbies 5480
3 Fever (Clinical Malaria) 5477
4 Diarrhea 1826
5 Cough 567
73. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 256
ARV Administered 304
ARV Available Doses 865
Snake bite cases reported 0
ASV Vaccine Administered 0
ASV Vaccine Available Doses 19
59. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive
Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 1001
2 Blood Sugar Tests 60
3 Hemoglobin 54
4 X-Rays (if available) 07
5 Ultra Sound 1056
6 Others (please specify) Malaria-Rapid Diagnostic Tests
585
60. B & C SCREENING TESTS
S # Diseases No. of Patients
1. ARI 323
2. Scabbies 290
3. Malaria 15
4. Unexplained fever 10
5. Fever (Clinical Malaria) 18
208
Screening No. of Tests
Performed
No. of cases found
positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B 96 04 04 22 0
Hepatitis C 103 36 36 146 0
61. TUBERCLOSIS
Patients Receiving Treatment
New Cases During the Month
Under Diagnosis
39 37 20
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others BHU/RHCs THQs DHQs
2 155 115 0 40 71 8 76
3
4
10. Inverse Referrals
S.No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 95 95 0 0 11 5 79
3
4
G. MONITORING DURING MONTH UNDER REVIEW
20. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
54 90 72 216
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
1 BHU Bahoo Khoso Medicines were lying on floor due to non-availability of racks or shelves
Provided medicine rack.
2 BHU Sohno Khan Rind Plants were wilting due to out of order status of electric motor.
Got repaired motor through I.C M.O thus restored water supply.
3 DCD Miranpur Buriro Medicines were lying on floor due to non-availability of racks or shelves
Provided medicine rack.
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
209
1. Medicines available for …30…. Weeks
21. Important Issues raised relating to Medicines, etc. during MRM
DSM showed slide of medicines which were received during the month of January, 2012 but DTL was pending. He told that as soon as the DTL is received the medicines will be distributed. Most of MOs pointed out that shortage of most running items has occurred. DSM pointed out that shortage of items had occurred due to huge increase in OPD in current year as compared to previous year. DSM informed that as compared to last years OPD from Jan-December; this year there was increase of around 317,757 patients
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair /
Maintenance incl. Electrification Status / Remarks
1 GD Adam Khan Repair of two Chairs. Got repaired and delivered at H.F
2 GD Imam Bux Kehar Repair of Wooden Table Got repaired and delivered at H.F
3 BHU Muhammad Pur Odho Repair of three chairs Got repaired and delivered at H.F
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
Deputy Commissioner, Jcd BHU Karim Bux
Appreciated performance of PPHI Doctors during Polio Campaign.
Assistant Commissioner Jcd GD Abad & BHU Banglow Syedan
Appreciated performance of PPHI Doctors during Polio Campaign.
Surveillance Officer EPI Welfare Dispensary & Police Dispensary
Appreciated performance of PPHI Doctors during Polio Campaign.
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM
OPD BHU wise. Comparison of OPDs of January in corresponding years ie 2006, 2007, 2008, 2009, 2010 & 2011.
ARV cases during the month.
Various tests during the month under review i.e Blood sugar, malaria, pregnancy tes, hemoglobin test HBs HCV etc.
Ultrasounds cases / X-Ray cases.
EPI-performance BHU wise. Issues relating to cold chain maintenance. Shortage of BCG at EPI centers throughout the month.
TB referrals during the month.
Monthly progress of FMOs, deliveries, D&Cs, FP cases, ANC registrations etc.
School Health Sessions / Community Health Sessions.
Community Support Group meetings.
210
Repair & renovation of BHUs.
Contraceptive material.
Increase in NVDs On Mother, Child & Reproductive Health:
Date /Time for Next MRM: 6th March, 2012 will be the tentative dates. Comments on Targets vs Achievements (by DSM)