Key findings District Nagaur October 23-27, 2013 National Rural Health Mission Consultant -plan.

Slides:



Advertisements
Similar presentations
Pregnancy, Child Tracking & Health Services Management System Challenges in rolling out J. P. Jat Demographer & Evaluation officer Directorate of Medical,
Advertisements

Health planning in India and National Rural Health Mission
Mongolia Sub-national situation of patient safety D. Doljin, Director, Regional Diagnostic and Treatment Center for Eastern provinces (Dornod, Sukhbaatar.
Reproductive and Child Health Programme (RCH). ▪ Programme launched on 15 th October 1997 ▪ ‘People have the ability to reproduce and regulate their fertility,
The Adamawa Primary Health Care System
UDAIPUR: AT A GLANCE S. No. Name of CHC visited Name of PHC visited Name of Sub centre visited Name of AWC visited 1BADGAON (L3)BEDLA (L2)BUHANA (L1)LOYRA.
Community Medic Initiative. Community Medic Fulfilling our mission statement: DGEMS provides for the health and well-being of our communities with a team.
ISSUES AND CHALLENGES IN REGULATION OF PRIVATE SECTOR Study of Private hospitals In Maharashtra Dr Ritu Khatri and Padma Deosthali CEHAT.
Key Recommendations Role of DaiMas in NRHM The Role of Traditional Birth Attendants in The National Rural Health Mission National Consultation May 2, Delhi.
Presentation to Select Committee On Social Services District Health System Jeanette R Hunter 30 July2013.
Jannani Suraksha Yojana and Maternity Benefit Scheme
FIRST REFERRAL UNIT.
MONITORING OPERATIONALIZATION OF HEALTH FACILITIES and MATERNAL HEALTH STRATEGIES DURING CRM VISIT.
Inpatient Survey 2007 Paul Reeves/Joy Wilk June 2008.
A Study on Experiences of Mothers and Service providers under JSY/ NRHM At Saikawt & Henglep TD Blocks In Churachandpur Dist. Manipur Research Team  T.
VISIT OF DISTRICT BHILWARA ( TO ) A RAPID FEEDBACK.
Dr. Rakesh Kumar, Dr. Kapil Yadav, Dr. Chandrakant S Pandav, Professor & Head, Centre for Community Medicine, All India Institute of Medical Sciences,
Anuja Agarwal Consultant-108, NRHM Department of Medical, Health and Family Welfare Government of Rajasthan Ambulance Service in the State of Rajasthan.
1 Averting Maternal Mortality Situation, Strategies and Future Dr. Dileep Mavalankar MD, Dr. P.H. Public Systems Group Indian Institute of Management Ahmedabad.
National Mental Health Programme. Govt of India integrated mental health with other health services at rural level. It is being implemented since 1982.
Skilled Birth Attendance: Successful Strategies and Lessons Learned from Deoghar district in Jharkhand, India Dr Manju Shukla, State Director, Jharkhand.
Community Monitoring In the National Rural Health Mission Government of India Dr Abhijit Das Director, Centre for Health and Social Justice Member, Advisory.
DISTRICT VISIT REPORT “ DAUSA” Visit by Sushma Dixit (PO-HRD) Rekha Sharma (ASHA Coor.) 23 rd to 26 th Oct 13 National Rural Health Mission.
28 – 29 September 2011 Vedic Village Spa Resort Kolkata, India. Mohammad Dauod Khuram MD, MPH National Manager, Health Program Aga Khan Foundation, Afghanistan.
April 19, 2010 Regional Workshop Asian Development Bank Headquarters April Manila Philippines Dr Amanullah Senior Director Health & Nutrition Strengthening.
Community Action for Health in Bihar Population Foundation of India National Consultation on Community Action for Health October 28, 2014.
TRIBAL HEALTH : KOTTIYUR EXPERIENCE. Tribal in Kannur district  Kannur district has a tribal population of around 38,000 distributed in 200 tribal hamlets.
SOCIAL AUDIT of Maternal Health Services in Uttaranchal AN EFFECTIVE MECHANISM FOR MONITORING HEALTH SERVICE PROVISION.
ORISSA HMIS Towards an equity based monitoring system Institute of Public Health Bangalore (with the support of DFID, Delhi) July 2007.
Why Budget is Important? Translates the commitments, declarations and polices into financial terms Reflects the priorities of the State and directions.
NRHM. ▪ Launched in 5 th April 2005 ▪ for 7 years ▪ Empowered Action Group(EAG)
Microplanning for Routine Immunization
Community Enquiry and Facility Surveys. Overview Provides inputs on the status of health services – as per NHM service guarantees Data is collected through.
Visit Report 23 rd -25 th October 2013 District – Jaipur - I.
Leadership in Reproductive Health (LRH – II) Presentation By: LRH-II Group Health Facility: BHU New Goth Sahita, Taluka Sobhodero, Distt: Khairpur.
Visitor Praveen Gupta DPM- NRHM 23 rd to 27 th Oct 13.
To improve the availability of and access to quality health care by people, especially for those residing in rural areas, the poor, women and children.
ASHA Sahyogini. Objectives of ASHA Sahyogini Intervention Improve awareness of health issues and health education Improve utilization of existing health.
Base Line Health Facility Audit Presentation to the Select Committee on Social Service Date 19 March 2013.
Barmer visit Tour Report (23-27 Oct, 2013) Kshitij Gaurang CO(CH) Medical, Health & F.W. Services.
INSTRUCTIONS RELATING TO USER CHARGES, JAN AUSHADHI AND ROGI KALYAN SAMITI.
Dungarpur Tour Visit (23-27 Oct, 2013) Manoj Kr. Swarankar State Coordinator- SNCU Room no. 212, DMHS Jaipur.
‘A Study of the implementation of the JSY Program in Himachal Pardesh.” By “ ankur” (HP) Researchers Manisha Sharma Deepak Kumar.
Improving Coverage of Newborn Vaccinations in India
Sikar District Tour (23-27,Oct 2013) Poonam Shrivastava Co. Yashoda /HBNC Room No. 212, DMHS Jaipur.
The First Hours of Life Experiences of mothers and newborns in Bangladesh health systems Ishtiaq Mannan, Save the Children Sanwarul Bari, Abdullah Nurus.
FEW THOUGHTS FOR EYE HOSPITAL PLANNING
Dementia Ward Charter Mark Dr Chris Dyer, Consultant Geriatrician Clinical Lead Older People’s Services RUH.
Introduction of outpatient care for DS-/MDR-TB patients in Tajikistan Cape Town, December 02-06, 2015.
INFRASTRUCTURE OF HEALTH SYSTEM IN INDIA By Dr. Snehal Kasare.
Preeti Sharma Recording & Findings of 5 Days Field Visit District - Churu “Taranagar, Rajgarh, Ratangarh and Sardarshar”
Planning and Monitoring Committees. State Planning & Monitoring Committee District Monitoring & Planning Committee Block Monitoring & Planning Committee.
ICIUM 2004-CHIANG MAI SURVEY REPORT ON RATIONAL USE OF DRUGS In 30 Primary Health Centres of Tamilnadu, India.
Rotary Global Grant Medical Supplies and Equipment for a Village Primary Health Care Center in South Sudan.
Patient Experience Paul Jebb Assistant Director of Nursing Patient Experience.
Dr. Abhay Shukla, Member, National Health Mission - AGCA 11 Community based monitoring and planning (CBMP) of Health services in Maharashtra: Bridging.
Rural Health Infrastructure in India (NHRM). Rural Health care system in India Sub Centre (SC) Primary Health Centre (PHC) Beds =4-6 Community Health.
Ramthar Veng, Aizawl, Mizoram –
National Health Mission, Assam Department of Health & Family Welfare
Regional Consultation on Community Action for Health
VILLUPURAM HEALTH UNIT DISTRICT
Strengthening CHC for First Referral Care – Meghalaya
15th November 2016 HSR 2016 Symposium
Decentralised Health Planning: “The Process of Conversion of key Community Health demands into Budget” Regional Consultation on Community Action for Health.
Utilizing research as an opportunity to strengthen
Review of Status of Rural Health Infrastructure in the Country and Underlying Issues Infrastructure Division Ministry of Health and Family Welfare.
Aim To evolve community based mechanisms in Navsari district in Gujarat State to improve women’s access to maternal health and promote its replicability.
CMCHIS AT SAYALKUDI BLOCK PHC
SRDP Savitri Rural Development Project
Community Participation in Health Care Nagaland
Presentation transcript:

Key findings District Nagaur October 23-27, 2013 National Rural Health Mission Consultant -plan

Health facilities Visited S.NOType of facility NO. of facility Name of facility 1CHC4Khinwsar, Maulasar, Basni, and Nimbijhodha 2PHC7Deh, Karod, Alay, Roll, Dangawas, Padukala, Lampoli 3Sub-center5SC-Ahmadpura, SC shinodh, SC-Ratong, SC-begsar, SC- badana 4School visit4Rajkiya uch madyamic vidhyalaya Bakrod, Butati, Roll, padukala

District observation District had functional labour rooms but the quality of care was found variables,privacy,absence of separate toilet in PHCs Deh, Bakrod and lampoli Awarness lacking about programs among community and befeneficiary. few pregnant /mothers interviewed had made own arrangement to the deliveries. Some PHCs don’t have separate JSY ward. Infection prevention practices appeared poor at labour and JSY ward. Community ownership found at CHC basni

48hrs stay after delivery not practiced at most PHCs Padukala, deh and bakrod. Grievance redressal box not established at facilities As regards WIFS scheme, low level of awareness are found among the ASHAs about roll out the program. In 2 Govt school giving IFA tablet out of 4 visited and no awareness about program. Utilization of funds low at PHC and sub-centre. District vigilance and monitoring committee established but not any meeting held. Most visited sub-centers listed in delivery point but don’t have any delivery in last three months.

Pharmacists were not available at most health facilities. Drug stores were being handled by male nurse Payment of JSSY and sublakhmi yojna in time but sublakhmi yojana payment along with JSY payment at time of discharge. Infection prevention practice appeared to be poor at labour room and JSY wards. Rational deployment of available staff for optimum utilization need to be worked out on case load basis. Only MMV deployed in the districts, all MMVs are functional and done 930 camps. Strickering was done Out of 24 only 15 Ambulance 108 are functional, stickering work was not done but in process ASHA Payment chart related to all programs was prepared by district

Branding at CHC khinsar Branding at Subcenter Ahmendpura

Cleanliness issue at CHC maulasar Garbage bin under patient’s bed Cleanliness issue at toilet

JSY at PHC ALAYI very clean but no bed in JSY ward Cleanliness condition at Labour Room PHC ALYAI

Findings at CHCs  Radiant warmer and weighing machine not available at labour room khinwasar, maulasar  hot food was being given as per schedule expect PHC Roll  Branding was done in all CHCs/PHCs/Subcenters  Infection prevention practices appeared to be poor at labour and JSY ward except Basni CHC  In Basni CHC, sitting seats provided by local community and cleanliness was good.

 No Functional OT found at facility  Grievance redressal box not established at facilities  Low utilization of funds at khinwasar, maulasar

 infection prevention practices appeared to be poor at labour and JSY ward. Alay, Lampoli and Roll PHC  48 hrs stay not practices in most PHCs, padukala, Alay and bakrod and lampoli  PHC has two room at lampoli only one doctor and one ANM placed  No Bank A/C at PHC lampoli, only ANM has account beneficiaries were refer to other PHC for JSSY payments. Average 10 deliveries per month in PHC Lampoli.  No management for Bio medical waste at lampoli.  MO are not aware about utilization of available funds  Labour table was soiled with blood in all visited PHCs  Low utilization of funds at facility National Rural Health Mission Findings at PHC

Findings at Sub-center No facility at the sub center although there is SBA trained ANM at ahmedpura, ratong and begsar Running water is a major problem in all sub- centers There is no toilet facility nor electricity at ahmedpura. Labor room is found unhygienic Only shinodh ANM stay in night There is no mattress on labor table, No delivery in last two months in ahmedpura, ratong. There is leakeage at roof of sub-centre budilding ahmedpura and brick wall Low utilization of funds National Rural Health Mission

Thanks