dausa - National Rural Health Mission

Report
DISTRICT VISIT REPORT “ DAUSA”
Visit by
Sushma Dixit (PO-HRD)
Rekha Sharma (ASHA Coor.)
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23rd to 26th Oct 13
National Rural Health Mission
Objective of Visit
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To see overall progress of the project
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To see proper utilization of fund
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To identify weakness and gaps if any
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Staff status
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To see status of building construction (ANM Quarter at
Sub-Center)
National Rural Health Mission
Places Visited
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CHC - Bandikui, Lalsoth, Mandawar, Mahua, Sikrai, Ramgarh
Pachwara.
PHC - Santha, Didwana, Khedla bujurg, Bhairavanda, Manpur
Sub-center - Gandrawa, Dhakariya, Indawa, Ramgarh Rasidpur
MMU/MMV -Lalsot
Ambulance 108 -Lalsot
Upper primary / Secondary School - Prahladpura, Ram Nagar
Khedi, Pichupada Khurd (Bandikui), Govt. Girls School Didwana
National Rural Health Mission
Basic Information
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Population
Male
Female
No. of CHCs
No. of PHCs
No of Sub-Centers
No. of MMU/MMV
No of Ambulance 108
: 1634409
: 857787
: 776622
: 15
: 40
: 318
: 1 (MMU), 2 (MMV)
: 7
National Rural Health Mission
National Rural Health Mission
Financial Status
CHC/PHC/Sub-Center
Untied Fund
(Utilization)
AMG (Utilization)
Corpus Grant
(Utilization)
CHC Bandikui
59685
65456
64665
CHC Lalsoth
28279
10000
10000
CHC Sikrai
19975
97412
51236
CHC Mahua
65608
35000
98174
CHC Mandawar
6732
18500
31795
PHC Santha
25000
NIL
40000
PHC Didwana
2660
26562
NIL
PHC Khedla bujurg
15697
27543
16790
National Rural Health Mission
Financial Status
CHC/PHC/Sub-Center
Untied Fund (Utilization)
AMG (Utilization)
Corpus Grant (Utilization)
PHC Bhairavanda
PHC Manpur (Block Sikrai)
Not Received because this is a new PHC, as per norms PHC will get fund by CMHO
only when it is 2yrs to 2.5yrs old. All PHC Expenditure are made by MRS Fund (Told
by PHC incharge)
1893
2200
7165
S-C Ramgad Pachwara
2016
1410
86270
S-C Gandrawa,
4785
Nil
Nil
S-C Indawa,
NIL
NIL
NIL
S-C Dhakariya
2275
Nil
Nil
S-C Ramgarh (Rasidpur)
18000
Nil
Nil
National Rural Health Mission
Major Finding’s
CHC Bandikui
 Permanent leakage in labor room, floor is full
with water anytime and the room is too much
unhygienic,
 NBCU which is just beside labor room is also
effected and is full of moisture in the walls,
 There is no mattress on the labor table,
 There is no facility of conducting operations as
told by Dr.HK Meena Gynecologist (MS),
National Rural Health Mission
Major Finding’s
CHC Lalsot
 There is no trained staff at MTC center,
CHC Mahua
 Due to non availability of license the blood
bank is not functional,
 Due to non availability of surgeon and
Anesthetists there is no ‘C’- cases in this CHC,
 Due to non availability of trained staff the
NBSU is non functional,
National Rural Health Mission
Major Finding’s
CHC Mandawar
 Due to non availability of license the blood
bank is not functional,
 Due to non availability of trained staff the
NBSU is not functional,
CHC Sikrai
 Unhygienic condition,
 Permanent water leakage,
 Lack of trained staff
National Rural Health Mission
Major Finding’s
PHC Bhairawanda, Block Sikrai
 There is no water pipe line facility nor electricity for
conducting deliveries,(They are using light in a ill-legal
way)
 There is no fund allotted, they are using MRS fund for
day to day expenses and are in a very critical
condition,
 There is no 4th class, (The 4th class is deputed to some
other PHC ),
 There is not facility of staff quarters,
National Rural Health Mission
Major Finding’s
PHC Didwana
 Due to bad condition of
building the deliveries at this
PHC is stopped from 1 Sep
13,
 Infact after writing many letter
there is no action on the
problems,
 Average deliveries at this PHC
was 12 before 1 Sep 13,
National Rural Health Mission
Major Finding’s
PHC Bhairavanda
 Payment of VHSC is not been made from 2
yrs,
Indawa Sub Center
 No facility at the sub center although there is
SBA trained ANM,
 There is no toilet facility nor electricity,
National Rural Health Mission
Major Finding’s
Ramgarh Rashidpur Sub Center
 Labor room is found unhygienic,
 There is no water facility nor electricity for
conducting deliveries,
 There is no mattress on labor table,
 Labor table is also not in a proper condition, it
is supported by bricks,
National Rural Health Mission
Major Finding’s
Gandrawa Sub Center(PHC Bhairavanda)
 There is no government vehicle for referral
cases,
 JSY cheque are not distributed on time,
Molai, Mahanwali, Pharaspura Sub Center
 In these sub center the immunization /
vaccination is done on the interval of 4 to 5
months,
 There is no ANM posted,
National Rural Health Mission
Status of building construction
(ANM Quarter at Sub-Center)
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PHC Pavta, work till DPC completed,
PHC Ramgarh, no land available till date,
PHC Khedla, no land available till date,
PHC Bansrakhurd, no land available till date,
PHC Degariya, no land available till date,
PHC Hudla, no land available till date,
CHC Sikrai, no land available till date,
National Rural Health Mission
Status of WIFS program
In all school monitors (Pichupada Khurd
(Bandikui), Govt. Girls School Didwana) the WIFS
program is functional except of Prahladpura, Ram
Nagar Khedi. In these two schools Prahladpura,
Ram Nagar Khedi only pills of D worming is
provided.
National Rural Health Mission
Photo’s of Bandikui CHC
National Rural Health Mission
Photo’s of Didwana CHC
National Rural Health Mission
Challenges
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Lack of proper knowledge of all program,
No orientation / training of the monitors sent in
the districts,
Non availability of orders issued of the
program,
No proper visit plan in advance (visit of district
was told in the evening, and next day monitors
rushed for visiting district,
National Rural Health Mission
Solution
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Proper visit plan should be shared with the
monitors in advance, so that they can make
their arrangements
Persons related to the program should be send
for monitoring as they have hold on the
program and its orders,
Proper training / orientation session should be
done for the monitors other than that program
cell,
National Rural Health Mission
THANK YOU
National Rural Health Mission

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