Tour Report

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Tour Report District Baran (23-27 Oct, 2013) Lalit Kumar Tripathi Consultant-Training

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Tour Report. District Baran (23-27 Oct, 2013) Lalit Kumar Tripathi Consultant-Trai ning. Places/Blocks Visited. Major Findings. - PowerPoint PPT Presentation

Transcript of Tour Report

Page 1: Tour  Report

Tour Report

District Baran(23-27 Oct, 2013)

Lalit Kumar Tripathi

Consultant-Training

Page 2: Tour  Report

Places/Blocks Visited

S. No Facility Type Block Remarks1 Atru CHC Atru

All are

Delivery Point

2 Kelwada CHC Shahbad3 Kishanganj CHC Kishanganj4 Anta CHC Anta5 Koyala PHC Baran6 Palayata PHC Anta7 Bhanwargarh PHC Kishanganj

8 Bamla PHC Baran9 Miyada SC Baran

10 Bada SC Baran Delivery Point11 Mandola SC Baran12 Eklera SC Baran13 Nareda SC Baran May be developed

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Major Findings

Branding Tender: Institutional branding (L1, L2 and L3) tender is still pending. Although CMHO and DAM committed in meeting organized under the chairpersonship of PD-NRHM in 07 Oct, 2013 to complete it before 25th Oct 2013

Training Tender: Same with training tenders (Residence and Food)

Branding on 108/JE/MMV: Branding not done till the date although it is part of PIP conditionality

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MMU & MMVs

Branding is still pending on MMVs

MMU-2 (Chabada and Kishanganj)

MMV-3 (Shahbaad, Chhipabarod and Atru).

Non-functional Equipments- X-ray machine, Portable ECG (CHC Kelwada) , AC, Glucometre Generator

Recommendations- State may revisit /check each MMU/

MMV camp plan. State may try to club camp day with MCHN session or fix day approach may also adopt.

MMU/MMVs may also used as contraceptive depot.

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104- Janani Express

Branding still pending on JE

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Contd…..

Cleaning Tenders:

District office transferred the amount to Block office but tender is still pending. Matter was discussed with DPM/MOI/c but not a single facility accountant was available although posted and not on leave.

Recommendation-

Finance section should guide for all types of tenders.

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PHC - Bhanwargarh

Rusted labor table used in Labour Room

CHC-Atru

Issues of Labour Room

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Mekthantosh were not available or in very bad conditions.

Dirty bad sheet No proper cleaning

Issues of Labour Room

PHC Bhanwargarh

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Institutional deliveries

Deliveries Target Achievement % Remarks

Institutional Deliveries

23621 12758 39.11Seems under reporting

Home Delivery - 106 - -

Private - 236 - -

JSYPayments

12864 12186 94.72Only 678 are pending

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Contd…..

Under Reporting in PCT software-

Entries in PCTS are under reported. Discussed with DPM and DNO they ensured but the matter is pending since long time.

Recommendation:

Accountants and Asha Supervisors must be posted at delivery points and this should be done in defined time.

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Delivery Points must be equipped with SBA trained staffs – Many SBA trained staffs are posted at non-delivery points . State office has sent two letters to district – vide no-3379 dated 31/07/2013 and 5799 dated 04/10/2013 for deploying SBA staff only to delivery points.

Recommendation: SBA trained staffs should be posted at only delivery points, and this may be a regular part of DHS agenda

DPM requested to replace some delivery points, as already identified delivery points are underutilized.

Contd…..

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MCHN day-Immunization is ongoing, ANM was giving Immunization to pregnant women, child.

Due list-Due list was available with Asha-Sahoyogini

ILR-Temperature log-book was maintaining in almost all facilities.

Kalewa Scheme- Food is given by ICDS.

Payments –JSY payments and Shubh laxmi payments are given on time.

Contd…..

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Complaint Box

Complaint Box found but not operational

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Contd…..

Doctors/Contractual Staffs: Staff posts are vacant.

FRUs: Many FRUs are not functional due to un-availability of Trained MOs (EmOC and LSAS). Only Kelwada functioning as FRU.

Recommendation: Staffs should de deployed as per sanctioned post. DPM is sending nomination for EmOC and LSAS training as per requirement.

Post Sanction Posted

BPM 7 3

Accountants 36 21

Asha Supervisiors 36 26

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Contd…..

Establishment of 104 call centre: Call centre established at DH with two

desktops and one staffs. Landline phone is not working since 3-4

months 4 JE is off road out of 8 JE in the district. No GPRS on JERecommendation-Call centre staff may be used in some other

programme like PCTS entry in DH as she is having less work.

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JE Performance

No of JE Period No of Trips Avg trip per

JE/dayRemarks

(Per trip cost)

8 1-15 Sep 354 2.95

8 16-30 Sep 258 2.15

8 1-15 Oct 163 1.358

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Bio Medical Waste

CTF connectivity in CHCs but only one CHCs having log-book or register. (Copy)

Pollution board certification is under process

Dustbin Buckets are not available or not with the colored plastic bag.

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Bio medical Waste

Dump Bio medical Waste in open at PHC-koyala

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CHC Atru

Bio medical Waste

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WIFS Programme

Schools:-Visited three Govt Secondary Schools (Koyala, Mandola (found red strips tablets) and Nareda (not received). Koyala Secondary School sending monthly report to BEO (Copy).De-worming was done in all schools.

AWCs- WIFS tablets were available in AWC (Miyada).

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Contd…..

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Child Health

NBSU: Established in Kelwada but not function- due to non availability of Pediatrician and nursing staff

In Anta- will established in a one month – work is in progress

5 Radiant warmers found packed in store at Kishanganj CHC.

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Malnutrition Treatment Corner (MTC)

MTCs functional in Atru, Kelwada and Kishanganj

Asha-Sahayogini motivational amount is not paid to Asha-Sahayogini.

Records editing /duplication in Atru MTC

Contd…..

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Radiant warmer dumped in store at Kishanganj CHC

Contd…..

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Family Welfare

Family welfare camp plan made, but till date not started even at a single facility.

OCP and Emergency Pills were not available at almost all facilities.

Activity TargetAchievemen

tPercentag

e

Vasectomy 788 7 0.89

Tubectomy 7088 149 0.51

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Good practices

C- section and CAC (MTP) was performing by CHCs-Kelwada (C-Section-43 and CAC-14)

Dr. Ravi Goyel (MO) of Kelwada providing one dress to each female child.

Since Nerada-SC have very good building, premises and two SBA trained staff posted who used to conduct 15-20 per month 3-4 months back, so this SC may be developed as delivery point.

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Cleaning work after OPD timing at Kelwada-CHC

Contd…..

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Thank You….Thank You….