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Lucknow City
Program Implementation Plan
National Urban Health Mission
NATIONAL URBAN
HEALTH MISSION
Programme Implementation Plan
of
Lucknow 2013-14
Page | 2
Prepared by District Health Officials with support from Urban Health Initiative
Page | 3
TABLE OF CONTENT
Preamble 3
Acknowledgement 4
Acronyms 5
City Profile 6-47
Health Scenario 48-57
Key Issues 57-58
Strategies, Activities & Work plan under NUHM 58-64
Programme Management Arrangements 64-65
City level targets & indicators 66
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PREAMBLE
National Urban Health Mission aims to improve the health status of urban population in general and the
poor and other disadvantaged sections in particular. This would be made possible by facilitating
equitable access to quality health care through a revamped primary public health care system, targeted
outreach services and involvement of the community and urban local bodies. Under the scheme, the
government proposes to strengthen and enhance the health care service delivery in urban areas with
targeted focus on urban poor and the disadvantaged.
Lucknow with a population of 28,15,601 (Census: 2011), is one of the fourteen districts in Uttar Pradesh
(UP). An estimated 11,32,000 of the said population is poor. The current sex ratio for the urban areas is
915 females per thousand males which is an area of grave concern. The AHS-2010-11 reports that
institutional deliveries are around 81.2 % in the city and the IMR is 33 % (AHS 2011-12) with MMR at
330 (AHS 2011-12) which again is a matter of concern. Complete immunization status of the district is
around 57.4 % (AHS 2010-11) and if we see the 3+ANC, it is as low as 76.2% (AHS-10-11) at the district
level. Unmet need for family planning services at the district level is 27.4 (AHS-10-11) and if we further
examine the data, 18.4 % is for limiting and 9 % for spacing methods.
The health indicators for Lucknow show are way behind in so many aspects and the launch of National
Urban Health Mission, the efforts for improving the health parameters will complement towards
betterment of urban population and in particular to the urban poor & slum dwellers.
The NUHM planning for this financial year based on the data, surveys and available information at city
level and hoping that we will initiate the process very systematically so that we can make the difference
in improvement of quality life of urban people specially by reaching the unreached areas.
HUP – PFI deserves a very special mention for providing generous technical support in preparation of
City PIP.
Dr. S.N.S.Yadav Anurag Yadav (IAS)
Chief Medical Officer District Magistrate
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Lucknow Lucknow
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ACKNOWLEDGEMENT
Considerable efforts have been made by the team in preparing this Project Implementation Plan for
Lucknow under the newly announced National Urban Health Mission. This has been possible through
dedication, perseverance and hard work. This exercise of planning would not have been complete
without the help and support of the team.
We do not have hesitation in saying that this work would not have come up without the valuable support
and continuous encouragement of Shri Anurag Yadav (IAS), District Magistrate, Lucknow. His great
confidence in team and spurred us into action.
My special gratitude goes to Dr. S. N. S. Yadav, Chief Medical Officer, Lucknow, a dynamic and enthusiastic
professional. He has always been a source of great encouragement for us. The initiation and completion
of this work has been possible due to his sincere and able guidance, expertise, precious opinion, keen
attention, constructive suggestions and constant help. His critical reading of all the parts of the work has
helped shape the NUHM planning in its present form.
I express my gratefulness to Shri. Amit Kumar Ghosh, IAS, Mission Director, National Health Mission &
Mr. Shashank Vikram, IFS, Additional Mission Director, NUHM for overarching support and building the
thoughts in our mind.
I owe my sincere gratitude to Dr. M. R. Gautam (General Manager), Dr. Usha Gangwar, (Deputy General
Manager-NUHM) and HUP-PFI who have helped us immensely by providing relevant information and
valuable suggestions. This planning work got accomplished with their valuable support and eagerness to
help.
I am privileged to have such good city level team especially Shri Rajaram Yadav (Div.PMU), Shri. Arshad
Ansari (DPM NRHM), who have supported and helped in contributing their great efforts towards
planning of this city level plan under the NUHM.
I would also like to appreciate the precious help and motivation which I received from government line
department - DUDA, ICDS, Nagar Municipal Corporation, Education department, CMS & DTO.
Last but not the least; I would like to thanks all those people who were involved in the planning process
directly or indirectly.
Dr. D. K. Chaudhary
Add. Chief Medical Officer &
Nodal Officer- NUHM, Lucknow
August 2013
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Acronyms
ANM Auxiliary Nurse Midwife
ASHA Accredited Social Health Activist
AWC Aanganwari Center
AWW Aanganwari Worker
BSGY Bal Swasthya Guarantee Yojna
BSUP Basic services for urban poor
BSA Basic Shiksha Adhikari
CDPO Child Development Project Officer
DH District Hospital
DHS District Health Society
DUDA District Urban Development Authority
ICDS Integrated Child Development Scheme
IDSMT
Integrated Development of Small &
Medium Towns
IDSP Integrated Diseases Surveillance Program
IHL Individual House level
IMR Infant Mortality Rate
KFA Key Focus Area
LHV Lady Health Visitor
LT Lab Technician
MAS Mahila Arogya Samiti
MMR Maternal Mortality Ratio
NHM National Health Mission
NPP Nagar Palika Parishad
NPSP National Polio Surveillance Program
NRHM National Rural Health Mission
NUHM National Urban Health Mission
OD Open Drainage
RSAP Remote Sensing Application Center
UA Urban Agglomeration
UCHC Urban Community Health Center
UFWC Urban Family Welfare Center
UHI Urban Health Initiative
UHP Urban Health Post
UPHC Urban Primary Health Center
SAM Severely acute Malnourishment
Page | 8
National Urban Health Mission- Programme Implementation Plan
Lucknow 2013-14
1. Lucknow Profile
Lucknow is the capital city of Uttar Pradesh. It has always been a multicultural city. Lucknow district has
the second highest urban population (over 66%) in the State. Also Lucknow city is one of the six million
plus cities of the State. This metro city is the administrative headquarters of Lucknow
District and Lucknow Division. The high rate of urbanization is attributed to its administrative, trading,
tourism based economic activities. Lucknow is a fascinating amalgam of scenic beauty, old historic city
and modern urban planning. Courtly manners, poetry, music, and fine cuisine patronized by the Persian-
loving Shia Nawabs of the city are well known amongst Indians and students of South Asian culture and
history. Lucknow is popularly known as the City of Nawabs. It is also known as the Golden City of the
East, Shiraz-i-Hind and The Constantinople of India.
Lucknow today presents a multi-faceted profile; the old city with its marketplaces and fine old mosques
and palaces still bears the aristocratic imprint of its former rulers. Equally impressive is the new city
with its verdant, exquisitely laid out parks and gardens, broad avenues and streamlined modern edifices.
It is one of the clean cities in the country.
The city of Lucknow has witnessed many changes since it was found. The city has been through many
phases, gentle as well as turbulent, prosperous as well as disastrous. Lucknow has been a city in which
one finds traces of cultures as different as those of Hindus and Moguals, both have been blended to
perfection, providing Lucknow a distinct identity.
1.1 Lucknow District
As per census 2011, the urban population of Lucknow district is 3,037,718 which is over 6.8 percent of
the total state’s urban population. About 66 % population of Lucknow is urban. The urban sex ratio is 910
females per 1000 males. The average literacy rate in Lucknow urban is 84.1 percent, 87.3% for males and
80.5% for females.
Table.1: Lucknow District and Lucknow Urban in Census 20111
Description Lucknow District 2011
Lucknow Urban 2011
Actual Population 4,588,455 3,037,718
Male 2,407,897 1,590,547
Female 2,180,558 1,447,171
1 2011 census (P)
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Description Lucknow District 2011
Lucknow Urban 2011
Population Decadal Growth Rate 25.8 30.9
Density/km2 1815
Sex Ratio (Per 1000) 906 910
Child Sex Ratio (0-6 Age) 913 902
Average Literacy (%) 79.33 84.08
Male Literacy (%) 84.27 87.34
Female Literacy (%) 73.88 80.50
1.2. Lucknow City
Lucknow City is one of the six million plus cities in Uttar Pradesh. Lucknow Urban Agglomeration (UA)
has the second highest population. As per provisional reports of Census India2, population of Lucknow
City is 2,815,601. The sex ratio of Lucknow City is 915 per 1000 males, whereas Child sex ratio is 901 per
1000 boys.
The effective literacy rate in respect of seven plus population of the city in 2011 is 84.72%. The male
effective literacy rate is 87.81 and the female effective literacy rate is 81.36 percent.
Table 2: Demographic profile of Lucknow City
Total Population of city (in lakhs) 28,17,105 Source: Census 2011
Slum Population (in lakhs) 10,97,110 Source: RSAC
Slum Population as percentage of urban population 40.20%
Number of Notified Slums 610 Source: DUDA
Number of slums not notified 104 Source: RSAC
No. of Slum Households 2,26,400 Source: RSAC
No. of slums covered under slum improvement
programme (BSUP, IDSMT,etc.) NA
Number of slums where households have
individual water connections* NA
Number of slums connected to sewerage network* NA
Number of slums having a Primary school 610 Source: BSA Deptt.
2 www.census2011.co.in/city.php
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No. of slums having AWC 386 Source: ICDS Lucknow & BSUP
No. of slums having primary health care facility NA
Table 3: Population, Literacy Rate & Sex Ratio – Lucknow City3
Description Total Male Female
Population 2,815,601 1,470,133 1,345,468
Literates 2,147,564 1,161,250 986,314
Children (0-6) 280,817 147,690 133,127
Effective Literacy Rate
(7+Population) %
84.72 87.81 81.36
Sex ratio 915
Child Sex ratio 901
Table 4: Decadal Growth
1.3 Work Participation & Occupation Structure4
3 Census of India, 2011
4 http://en.wikipedia.org/wiki/lucknow
-
5,00,000
10,00,000
15,00,000
20,00,000
25,00,000
30,00,000
Decadal Growth in Population
Page | 11
The work participation rates for urban Lucknow district (Proxy to Lucknow city) is 27.6% (45.7% for
males and 7.2% for females) as per 2001 census.
Lucknow is the political and administrative capital of Uttar Pradesh.
Lucknow has seven universities and the same have been listed below:
Lucknow University, Babasaheb Bhimrao Ambedkar University, Integral University, G.B
Technical university, imamia university, Amity University, Shakuntala Mishra Muk Baghir
Vishwidyalaya and Dr. Ram Manohar Lohia National Law University
Lucknow has eleven research institutes and the same have been listed below:
Central Drug Research Institute, National Botanical Research Institute, Indian Institute of Toxicology
Research, Indian Institute of Sugarcane Research, National Bureau of Fish Genetic Resources, Central
Institute for Sub-Tropical Horticulture, Central Institute of Medicinal and Aromatic Plants, Birbal Sahni
Institute of Paleobotany, Institute of Judicial Training and Research, Research Designs and Standards
Organization (RDSO, Indian Railways) and Nadwa Research and Publication Centre , Nadwa Lucknow
The economy of Lucknow city was earlier based on the tertiary sector with about majority of the
workforce being employed as government servants. Large-scale industrial establishments are low
compared to other north Indian state capitals like New Delhi and Chandigarh. Currently the economy is
growing with the contributions from more professionals in the fields of IT, Manufacturing and processing
and Medical/Bio-Technology. Business-promoting institutions have a presence in city. Lucknow has good
potential for job-creation. Lucknow has a great potential in handicraft sector and it accounts for about
60% of the total exports from the state. The major export items are marble products, textiles, handicrafts,
art pieces, gems and jewellery, textiles, electronics, software, computer, hardware & software,
apparel, brass work, silk, leather and leather goods, glass items, art metal, chemicals.
1.4 Urban Poor & Slums5
The UP Slum Areas (Improvement and Clearance) Act, 1962, considers an area a slum if the majority of
buildings in the area are dilapidated, are over-crowded, have faulty arrangement of buildings or streets,
narrow streets, lack ventilation, light or sanitation facilities, and are detrimental to safety, health or
morals of the inhabitants in that area, or otherwise in any respect unfit for human habitation. It mentions
factors such as repairs, stability, extent of dampness, availability of natural light and air, water supply;
arrangement of drainage and sanitation facilities as considerations. Based on the definition, estimates of
slum population vary, so much so that the Census 2001 originally did not report any slums and then later
revised its findings. DUDA follows the definition as stated in the UP Slum Areas (Improvement &
Clearance) Act 1962; SUDA/UNCHS do not follow this definition but define poverty in terms of
vulnerability as does Oxfam.
5 State of Urban Health in Uttar Pradesh, 2006
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DUDA’s estimation of slum population is a conservative increase over the Census estimation. However, a
survey report released by Oxfam Trust (India) in 2005 indicates that there are 787 poor settlements in
the city that can be categorized as slums - authorized and unauthorized (map overleaf). This classification
is on the basis of tenure. An authorized slum is one where there is security of tenure with the cluster
being either an outcome of a government resettlement programme or being located on private/own land.
Unauthorized settlements are those that have emerged on available vacant plots, mainly railway land or
on encroached areas. Slum clusters on the riverbanks or on drains are classified as unauthorized. In 2009,
NRHM did the GIS mapping through RSAC for the planning of NUHM. The most recent information on
slums available in Lucknow is from the RSAC GIS mapping of 2009 and this plan has mainly used this
information, partly on the advice of SUDA. Other sources of information have been cited mainly to point
out the range in the available data that will impact the earmarking of resources for this group.
Approximately 11 lakh 32 thousand people are living in slums with few basic civic amenities.
6 DUDA Survey 2005
Table 5: Selected indicators of slum conditions in Lucknow6
Characteristic Percentage of people/families
Water Supply Facilities
Individual tap 48.68%
Community tap 38.84%
Others 6.06%
Sanitation
Individual toilet facility 50.12%
Community toilet facility 20.98%
Others 28.30%
Employment
Employed 9.78%
Unemployed 7.97%
Self employed 81.91%
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GIS Map and Listing of Slums in Lucknow as Per RSAC
S. No. Name of Slums Population
1 Fataha Purva 900
2 Takrohi 4200
3 DK Colony 600
4 Jarahara 1500
5 Pandit Purva 900
6 Ramdin Purva 350
7 Badshah Khera 650
8 Amrohi Gaon 5000
9 Matyari 5000
10 Hardasi Khera 2500
11 Risaha Purva 750
12 Husaria 1600
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S. No. Name of Slums Population
13 Jhalia Purva 800
14 Behanan Purva 1500
15 Nawab Purva 1000
16 Gulam Hussain Purva 1500
17 Belha 250
18 Budhan Pur Railway Colony 500
19 Chinhat 750
20 Chinhat Bazar 7800
21 Pakka Talab 650
22 Kumharan Mandir 300
23 Lovedales 800
24 Chinhat Patri 150
25 Kanchan Pur 7500
26 Maan Khera 60
27 Bara Barwara 1200
28 Thakwa 1500
29 Kathouta 1500
30 Kathouta ka Purva 150
31 Kathouta Purva Sahjadpur 150
32 Vijaye Pur 1000
33 Rawat Purva 400
34 Naya Gaon 250
35 Ujarion 270
36 Gawari Tola 2500
37 Choti Jugouli 5000
38 Badi Jugouli 1000
39 Lodh Purva 2000
40 Gadarian Purva (V-4) 250
41 Gadarian Purva (V-3) 200
42 Badi Jugouli Nai Basti 2000
43 Digdiga 1150
44 Gazipur 2000
45 Chamroukha 1500
46 Kharak Pur 1200
47 Near Kharak Pur 1 560
48 Near Kharak Pur 2 480
49 Shivaji Pur 1300
50 Kamta 2100
51 Ismile Ganj 4000
52 Pani Gaon 450
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S. No. Name of Slums Population
53 Shekh Pur (Kasela) 1000
54 Kailash Kunj 700
55 Gandhi Gram 100
56 Pratap Nagar 600
57 Shakti Nagar 1250
58 Lav Kush Nagar 1500
59 Bastoli 3000
60 Munshi Purva 1000
61 Tika Purva 1200
62 Chandan Gaon 0
63 Dindayal Puram (Mayawati Colony) 0
64 Jhuggies Near Manas Vihar Colony 0
65 Assamia Basti Near Chandan Gaon 0
66 Faridi Nagar 0
67 Mallhour Gaon 0
68 Ibrahimpur 1000
69 Bhagwant Nagar 1500
70 Barauli 3500
71 Chiraiyabagh 1800
72 Rewatapur 1500
73 Durgapuri 1500
74 Hawatmau Mayaiya 5000
75 Iswari Khera 800
76 Nai Basti 1500
77 Uteratia 3500
78 Neelmatha 2500
79 Shital Khera 800
80 Pancham Khera 700
81 Kataharai Bagh 300
82 Neelmatha Bazar 2500
83 Nut Khera 1000
84 Subhani Khera 4000
85 Kumhar Mandi 6000
86 Pasiyana 5000
87 Mohri Bagh 1500
88 Gosiyana 3000
89 Munnasai Ki Kutiya 1100
90 Chamrahi 250
91 Nepalganj 2000
92 Gopal Nagar 4000
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S. No. Name of Slums Population
93 Bangali Tola 400
94 Brahman Tola 1500
95 Khan Colony 150
96 Nai Tola 150
97 Bheem Tola (Chamrai) 600
98 Longa Khera 1800
99 Telibagh Bazar 150
100 Munsi Khera 1500
101 Behasa 2500
102 Naya Godara 350
103 Kila Mohammdi 3000
104 Tonde Khera 300
105 Biryani Khera 450
106 Orangabad Khalsa 250
107 Orangabad Jageer 250
108 Khwajapur 350
109 Baldi Khera 2500
110 Badali Khera 7500
111 Ali Nagar Sunahra 2500
112 Basant Khera 500
113 Ganga Deen Khera 200
114 Lodan Khera 350
115 Topovan Nagar 750
116 Gauri 2500
117 Gahru 1500
118 Jairaj Puri 750
119 Rahimabad 1000
120 Navin Gaouri 2500
121 Behatwa 400
122 Hanuman Puri 2500
123 Gouri Vihar 125
124 Vishnu Nagar 250
125 Hindu Khera 3000
126 Amausi 7500
127 Ajad Nagar 1500
128 Fatehali Talab 1000
129 Anand Nagar 5000
130 Firangi Khera 1500
131 Piprouli 2000
132 Devi Khera 1500
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S. No. Name of Slums Population
133 Saleh Nagar 5000
134 Badrookh 1400
135 Sarpot Ganj 500
136 Avadh Nagar 200
137 Subhash Nagar 100
138 Dwarika Puri 100
139 Telibagh 2500
140 Kuber Bagiya 700
141 Usari 800
142 Ambedkar Nagar 250
143 Koghar 400
144 Barigawa 100
145 Pakri Khera 900
146 Bargwan 400
147 Madari Khera 300
148 Choti Pakari 1250
149 Chillawa 2250
150 Chillawa Chamrahi 250
151 Sambal Khera 1000
152 Jaiprakash Nagar 4800
153 Sardari Khera 5000
154 Nut Khera 105
155 Sundar Nagar 200
156 Suzanpura 750
157 Kariyana 1500
158 Chota Barha 2500
159 Mavaiya Jhoparpatti 175
160 Bara Barha 2500
161 Ramprasad Khera 3500
162 Mangal Khera 2500
163 Puran Nagar 2000
164 Jodha Khera 1250
165 Amrudhi Bagh 1000
166 Doanda Khera 1250
167 Gopal Puri 1800
168 Bhillawa 1800
169 Azad Nagar 7000
170 Hasanpur 800
171 Ambedkar Nagar 1000
172 Pakri Gaon 250
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S. No. Name of Slums Population
173 Krishna Palli 1500
174 Om Nagar 4000
175 Chandan Nagar 700
176 Guru Nanak Nagar 750
177 Prem Nagar 1250
178 Sneh Nagar 2000
179 Damodar Nagar 400
180 Vishwesher Nagar Malin Basti 250
181 Vishwesher Nagar Purni Murdhi 180
182 Kanosi 1000
183 Kesari Khera 600
184 Ganga Khera 400
185 Devpur 5000
186 Pandit Khera 250
187 Baldev Khera 250
188 Dondha Khera 500
189 Chamrai 250
190 Shahi Masjid 350
191 Choto Majid K Peche 150
192 Daldhara Khera 200
193 Thari 2500
194 Kanhai Khera 400
195 Sadrouna 2000
196 Harijan Basti 1000
197 Peer Bakka 0
198 Kala Pahar 1000
199 Deepti Khera 700
200 Para 3500
201 Pitambar Khera 1500
202 Jalalpur 7000
203 Mardan Khera 1600
204 Narpat Khera 900
205 Munna Khera 900
206 Haider Cannal 2500
207 Dr. Khera 550
208 Badshah Khera 1800
209 Chunnu Khera 600
210 Devpur Railway Crossing 1400
211 Sri Nagar 2500
212 Shyam Nagar 1000
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S. No. Name of Slums Population
213 Vikram Nagar 1000
214 Bahadur Khara 5000
215 Bhola Khera 2500
216 Rajni Khand Sec-8 4000
217 Chandrodaya Nagar 1500
218 Bibi Ganj 1800
219 Aaga Sahab Ki Bagiya 250
220 Lakarmandi 1000
221 Shahdat Ganj 200
222 Harshpuram 600
223 Shekhpur 1000
224 Noorbegh Hata 3000
225 Khanna Ki Takiya 300
226 Samenan Bagicha 1800
227 Baraura Hussain Bari 1700
228 Sardar Nagar 5000
229 Madavpur 900
230 Faridi Nagar 2000
231 Bargaria Khera 1000
232 Ahiran Khera 175
233 Near Bagaria Village 150
234 Near Balaganj Chauraha 800
235 Barawankala Khurd 2000
236 Barwankala 5000
237 Chandoia Khera 2000
238 Chamroi 300
239 Top Khana 2500
240 Hadia Bazar 4000
241 Goshala Road 3000
242 Chandoia 2000
243 Sarfaraz Ganj 2000
244 Jal Nigam Road 350
245 Balaganj 2000
246 Peer Nagar 500
247 Hayat Nagar 3000
248 Mushahid Ganj 1500
249 Gaughat 1300
250 Mishri Bagh-1 1200
251 Mishri Bagh-2 1000
252 Barf Khana 2000
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S. No. Name of Slums Population
253 Mallahi Tola 1800
254 Nanda Khera 1500
255 Karehata 1500
256 Saripura 625
257 Kagaji Tola 800
258 Haidar Ganj 800
259 Mohd. Ganj Bawali 1250
260 Bailwari 250
261 Patthar Kata 200
262 Murav Tola 1250
263 Ashiyamau 1000
264 Mini Stadium Ke Pechhe (Rajajipuram) 1000
265 Ramganj Khanti 1500
266 Mubarak Ka Hata 700
267 Jakar Bagh 1000
268 Pajwa Ahmad Ganj 1800
269 Daulat Ganj 1100
270 Ikbal Nagar Khanti 2500
271 D.P.Bora Ka Plot 2000
272 Rajbh Ganj 2000
273 Vaidan Tola 2000
274 Krishna Puri 900
275 Garhi Peer Khan 7000
276 Karim Ganj 1200
277 Wazir Bagh 6500
278 Mojjam Nagar 900
279 Jharia Talab 1400
280 Ekta Nagar 6000
281 Yasin Ganj 4000
282 Ramganj (Ram Nagar) 1800
283 Nibati Tola 2000
284 Daulat Khera 250
285 Naubasta (Shahdat Ganj) 300
286 Khala Bazar (Dhobi Sarai) 250
287 Mahendi Ganj 5000
288 Bhawani Ganj 5000
289 Bramahi Tola (Jhawaru Mohalla) 6000
290 Jalalpur 5000
291 Purani Chungi 6000
292 Rajajipuram-A 385
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S. No. Name of Slums Population
293 Rajajipuram-B 250
294 Rajajipuram-C 400
295 Rajajipuram-D 350
296 Gayatri Nagar 5000
297 Naubasta 900
298 Fahjullah Ganj 500
299 Fahjullah Ganj Purwa 3000
300 Sherwani Nagar 500
301 Goudhi 500
302 Gourmeet (Mahndi Bagh) 600
303 Rahim Nagar Dudouli 800
304 Bharat Nagar 3200
305 Kakouli 1100
306 Daud Nagar Purana 700
307 Daud Nagar Naya 1000
308 Gazipur 800
309 Mohibullapur 1000
310 Asamia Basti 1200
311 Loni Katra 1500
312 Shankarpur 700
313 Khadari 1500
314 Sikandarpur 1000
315 Rani Khera 500
316 Gudiyan Purwa 650
317 Sultanpur 275
318 Khalilabad 270
319 Rampurwa 400
320 Choudhari Purwa 250
321 Radheshyam Purwa 650
322 Madiyaon 6000
323 Near Vishal Hospital 200
324 Near Harsh Hospital 100
325 Ahivaranpur 650
326 Indra Nagri 1100
327 Ahivaranpur Jhopar Patti 900
328 Shiv Bank Colony Ke Piche 700
329 Purania-A 1500
330 Purania-B 600
331 Kabaria Tola 600
332 Purania Crossing Jhopari 600
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S. No. Name of Slums Population
333 Near Vidhyanchal Mandir Sec-K 100
334 Nizamuddin 1000
335 Samauddi Purwa 1000
336 Akbarpur Purana 4500
337 Akbarpur Naya 500
338 Maurya Tola 700
339 Lodhi Purwa 2000
340 Nai Basti Back of Badshah Nagar 600
341 Rahim Nagar 4000
342 New Rahim Nagar 1000
343 Gosiyana Rahim Nagar 650
344 Amhi Purwa 400
345 Kabari Basti Near Kukrail 500
346 Bani Ganj 450
347 Atrouli 900
348 Ganne Ka Purwa 900
349 Mohd. Pur Khattri 750
350 Khurram Nagar 2000
351 Kanhaiyalal Purwa 900
352 Choiya Purwa 650
353 Bahadurpur 500
354 Kalyanpur 500
355 Jahira Purwa 200
356 Chetan Purwa 300
357 Adil Nagar 1100
358 Near Janaki Plaza 800
359 Akilapur 4000
360 Sabouli 6000
361 Nandpur 400
362 Lohia Nagar 5000
363 Vikas Nagar Sec-B 1000
364 Galla Bazar 2000
365 Charakwali Gali 300
366 Rahis Nagar 1500
367 Peer Bukhara 5000
368 Juta Bazar 250
369 Langar Khana 1000
370 Hussainabad Road Near Gomti 900
371 Shivpuri 3000
372 Hata Sitara Begum 2000
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S. No. Name of Slums Population
373 Loniyan Tola 1300
374 Mohani Purwa Kuan-4 800
375 Near Mohani Purwa 1700
376 Near Kuria Ghat 135
377 Mohani Purwa Kuan-3 2200
378 Yogi Nagar 3000
379 Ekta Puram 800
380 Shivlok 4000
381 Alok Nagar 1500
382 Madayganj New 1100
383 Mahendi Tola 3500
384 Lakarmandi 5000
385 Lohar Ganj 2000
386 Takiya Munshi Ganj 800
387 Guditan Purwa 1500
388 Choudhari Ka Tola 2000
389 Mirzapur 250
390 Nikat Loha Bhandar 180
391 Chapartala 1900
392 Bara Chand Ganj 2600
393 Pandey Tola 7000
394 Paltan 3000
395 Batha 1500
396 Beligard 1500
397 Katra 1280
398 Ramleela Maidan 3000
399 Dindayal Nagar 1000
400 Khadra 5500
401 Makka Ganj 5000
402 Shukla Garia 2000
403 Purana Takia 2300
404 Madey Ganj-A 5000
405 Madey Ganj-B 1450
406 Baba Ka Purwa 2200
407 Shiv Nagar-A 2000
408 Zannati Masjid 900
409 Masalchi Tola 2000
410 Shiv Nagar-B 2100
411 Ali Nagar 1500
412 Madey Ganj New 6500
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S. No. Name of Slums Population
413 Chandganj Garden 2400
414 Fatehpur Sec-E 6500
415 Aliganj-E 700
416 Mirzabagh 200
417 Shankar Nagar 3850
418 Lal Colony 1400
419 Umarau Ka Hata 800
420 Purana Mahanagar 1400
421 Ghosiyana 1500
422 Gopal Purwa 900
423 Asfaq Nagar 300
424 Purani Bansh Mandi 750
425 Bagh Shahji 650
426 Jhavjhali Mohalla 2000
427 Misti Tola 1600
428 Daliganj Rly Stn 600
429 Tikaitganj/Kandaha 750
430 Harijan Basti 520
431 Ram Nagar (Sudarsanpur) 400
432 Tilak Nagar 400
433 Bakal Mir 1100
434 Kajuha 1250
435 Guljaar Nagar 300
436 Sanjay Nagar 3500
437 Arti Nagar 7000
438 Garhi Kanoura 6000
439 Bharat Puri-A 1000
440 Haddi Khera 250
441 Prem Vati Nagar 1000
442 Bharat Puri-B 1750
443 Shram Vihar Nagar Kanjar Basti 1500
444 Shram Vihar (Safeda) 500
445 Vijayi Khera 500
446 Aishbagh Pani Ki Tanki 250
447 Shramik Basti 5000
448 Aishbagh East 6000
449 Kheel Khana 250
450 Bagh Sheer Jang 1000
451 Tazi Khana 1000
452 Astabal Charbagh 1000
Page | 25
S. No. Name of Slums Population
453 Kumhran Pull 800
454 Kasri Khera 500
455 Nayi Basti 500
456 Maqbul Ganj 2500
457 Bhusa Mandi 1250
458 Kasai Bara 2000
459 Nut Khera 425
460 Kurmi Tola 2800
461 Chachi Kuon 350
462 Puri Tola 500
463 Nal Bandi Tola 250
464 Thathori Tola 1300
465 Bawarchi Tola 750
466 Aaga Mir Dhayodhi 1250
467 Chaudari Ghadiya 1400
468 57-Jagat Narain Road 500
469 Bhadevan 500
470 Bheri Mandi 1500
471 Gyuin Ganj 3000
472 Sulaiman Kadara Ka Hata 2000
473 Bhussa Mandi 1000
474 Hari Nagar 2000
475 Rath Khana 1500
476 Ghoss Nagar Nala 750
477 Chamar Tolia 400
478 Ghoss Nagar 750
479 Janta Nagri 1000
480 Dyupti Ka Imambara 250
481 Nayi Basti 2250
482 Mallahi Tola 2000
483 Goss Ganj 1250
484 Wazir Ganj 3000
485 Pull Kumharan 1500
486 Daliganj Pul 250
487 Near Christian College 200
488 Dhobi Ka Hatta 100
489 Bashirat Ganj 2500
490 Durgvijay Ganj 2500
491 Bheri Mandi 500
492 Rani Ganj 3000
Page | 26
S. No. Name of Slums Population
493 Angurri Bagh 750
494 Katra Bijan Beg 170
495 Thathar Wali Colony 1000
496 Ramasrey Maidan 200
497 Bagh Wali Masjid 100
498 Naya Nazaf Road 5000
499 Jhawai Tola 2500
500 Takia Hazi Nusrat 3500
501 Kashmiri Mohalla 7500
502 Kayam Khera 500
503 Dhobi Ghat 500
504 Patra Colony 150
505 Niwaz Khera 1750
506 Arya Nagar 1250
507 Nehru Nagar 1250
508 Burf Khana 350
509 Mata Din Ka Hatta 2500
510 Sarju Prasad Ka Hatta 6000
511 Iswari Dayal Ka Hatta 200
512 Bheem Nagar 2500
513 Shaukat Ali Ka Hatta 500
514 Gali Shah Chara 1250
515 Thawai Tola 850
516 Bagh Makka 1500
517 Bagh Makka (Takia) 480
518 Katra Abuturab Khan 3000
519 Gazi Mandi 350
520 Kodhaywali Gali 1000
521 Chamar Tola 800
522 Tat Patti 500
523 Asharfabad 2500
524 Asharfabad Balda 500
525 AP Sain Road 100
526 Pan Dariba 2500
527 Lokman Ganj 500
528 Chobeyji Ka Hatta 200
529 Jagdish Prasad Ka Hatta 250
530 New Malin Basti 3000
531 Pandey Ka Talab 5000
532 Moti Jheel 250
Page | 27
S. No. Name of Slums Population
533 Chitta Khera 2500
534 Shital Khera 750
535 Polo Khera 200
536 Daru Godam 3000
537 Charenda Purwa 750
538 Habib Nagar-A 200
539 Durga Puri 7500
540 Kasai Bara 5000
541 Kanpur Taxi Stand 150
542 Blant Chauraha, Haidar Canal 500
543 Hathi Khana 275
544 Rassi Batan 600
545 Victoria Street 1300
546 Dariya Tola 1250
547 Chirimaar Tola 800
548 Nawab Ganj 600
549 Nadan Mahel 1250
550 Kundari Raqabganj 1000
551 Nawab Ganj 750
552 Raqabganj Kadeem 1500
553 Ekti Mohalla 500
554 Billoujpura 2500
555 Sarai Aaga Meer 625
556 Cheekdas Purwa 750
557 Chamran Tola 400
558 Rly Kinare Ki Basti 1000
559 Chamrahi (Chamran Tola) 400
560 Angara Shah Takia 750
561 Rouza Bagh 1000
562 Shamsudin Ka Hata 100
563 Fazil Nagar 1750
564 Shahganj 1500
565 Balda 1100
566 Asharafabad 1000
567 Hata Sangi Begh 800
568 Tappe Wali Gali 1500
569 Nur Baddi 2500
570 Chote Sahab Alam Road 1500
571 Sahanshah Jafar Colony 500
572 Dari Wala 750
Page | 28
S. No. Name of Slums Population
573 Ghanta Beg Gadaiya 750
574 Mansoor Nagar 4000
575 Takiya Peer Gaib 4000
576 Katra Vaffa Beg 1000
577 Hasan Puriya 2500
578 Pull Gulam Hussain 5000
579 Kajmain 150
580 Hardvad 150
581 L H Khan Maidan 1000
582 Niwaj Ganj 3000
583 Kanghi Tola 900
584 Gullu Ka Takiya 550
585 Katra Mohd Ali Khan 3300
586 Begum Wadi 800
587 Chappra Bandhan 125
588 Gadhiyali Mohalla 2500
589 Tahseen Ganj 1000
590 Dargi Ke Bagiya 800
591 Naai Bara 1000
592 Baba Ka Purwa 1050
593 Bhikhampur 2400
594 Chakkar Purwa 1000
595 Balmiki Nagar 150
596 Naya Baba Ka Purwa 700
597 Bandaria Bagh 250
598 Haidar Canal 1750
599 Martin Purwa 4500
600 Pipraghat 2000
601 Jiyamau 2500
602 Nayi Basti 1250
603 Barf Khana Purana 2500
604 Murad Ali Lane 2500
605 Havlok Road 500
606 Hata Rasool Khan 5000
607 Kundan Lal Ka Hata 250
608 Nahar Kinara U.M. 750
609 Nahar Kinara (Chitwapur) 4000
610 Nangu Thekedar Ka Hata 250
611 Raghubardas Ka Hata 500
612 Dalibagh 500
Page | 29
S. No. Name of Slums Population
613 Raja Oil Kothi 500
614 Bapu Nagar 425
615 Ravidas Nagar 2500
616 Sanjay Gandhi Nagar 1000
617 Jai Prakash Nagar 1000
618 Mallahpur 1250
619 Uchchwan 350
620 Balu Adda Basti 1000
621 Machchu Mia Hata 110
622 Sikandar Nagar-1 3750
623 Sikandar Nagar-3 350
624 Ramaiyaji Puram 2700
625 Bairal 100
626 Eklavya Nagar 800
627 Sikandar Nagar-2 300
628 Ambedhkar Palli -4 Mall Avenue 2500
629 Shivpuram-7 Mall Avenue 1500
630 Ramleela Maidan 3000
631 Raja Nagar 1000
632 Shahid Nagar 600
633 Lodh Purwa 500
634 Lalbagh Ayodhaya 250
635 Bhediwali Khothi 150
636 Laplas 250
637 Baildari Lane Lalbagh 2500
638 Maqbara Lalbagh 200
639 Taigore Marg 6000
640 Baroulia 4000
641 Chamrai 1000
642 Mukarim Nagar 1000
643 Joshi Tola 800
644 Ambedhkar Nagar 650
645 Qutub Nagar 5000
646 Nehru Nagar 850
647 Kabarian Tola 1500
648 Mankamaneshwar Mandir Jhopar Patti 1000
649 Ramtirath Marg 1400
650 Narahi 290
651 Takia 490
652 Radha Krishna Mandir 625
Page | 30
S. No. Name of Slums Population
653 Peerpur Square (Bhuian Devi Mandir) 350
654 Babu Banarasi Das 3000
655 Mahavir Puri 2000
656 Sudama Puri 1000
657 Suggha Devi Marg 5000
658 Rampur 1500
659 KKC Pani Ki Tanki 750
660 Pratap Nagar 1000
661 River Bank Nala 300
662 Jholal Pull (Hata Fhakeer) 750
663 Takia Falass 625
664 Merhahi Ka Purwa 1500
665 Chota Chandganj 5000
666 Hasanganj Charahi 2000
667 Baba Ki Bagiya 1300
668 Babuganj 2500
669 Sarai Hasanganj 7000
670 Halwasia Ka Hata 200
671 Hanuman Setu Ke Peche 1100
672 New Hyderabad 4800
673 Old Hyderabad 6000
674 Kalan Ke Lath 3000
675 Haider Mirza Road 1250
676 Laissu 250
677 Maqbara Aliya 400
678 Machli Wala Fatak 150
679 Safdal Bagh 3500
680 Juliyan Tola 1000
681 Shutur Khana 5000
682 Hata Khwaja Gohar 1000
683 Adgadda 750
684 Passi Tola 350
685 Tilpurwa 1400
686 Bagh Ana Bibi 2500
687 Gani Khanka Hata 750
688 Bhuian Kabir Bagh 200
689 Kamta Prasad Ka Hata 1300
690 Talab Gangani Shukl 2500
691 Machchli Mohal 750
692 Jambor Khana 2500
Page | 31
S. No. Name of Slums Population
693 Phull Bagh 3750
694 Purana Takia 1200
695 Shivaji Nagar 500
696 Near Gomti Pull 450
697 Azad Nagar 250
698 Laiya Wali Gali 3000
699 Laxman Das Ka Hata 700
700 Khayaliganj 6000
701 Kakori Hata/Kothi 750
702 Mairis Hata/Kothi 750
703 Peer Jalil (Kesarbagh) 3500
704 Agaa Sahab Ka Hata 150
705 Ghasiyari Mandi 1250
706 Machli Mandi 625
707 Fatima Manzil 400
708 Bagh Mannu 1000
709 Khaleel Mia Ka Hata 330
710 Peerpur Square 2000
711 Purani City 350
712 Fire Station Ke Piche 300
713 Collector Compound 100
The rapidly growing urban population poses great challenge to the efforts of the state government
towards improving the health of the urban poor.
1.5 Urban Governance7
There are multiple agencies responsible for urban governance and provision and management of
infrastructure and services. While, the Lucknow Nagar Nigam (LNN), Lucknow Jal Sansthan (LJS),
Lucknow Development Authority (LDA) and UP Jal Nigam (UPJN) are the key urban service providers,
other agencies include the Housing Board, Central and State Public Works Departments (CPWD and
PWD), Transport Department, Industries Department and the Department of Environment. There is
significant overlap of roles and responsibilities and fragmentation in service provision and management
of infrastructure, which makes it difficult to hold institutions accountable and to coordinate.
7 Lucknow City Development Plan 2006
Page | 32
Table 6: Urban Governance and Service delivery institutions
City Level
Lucknow Nagar Nigam (LNN) Local level governance; Primary Collection of Solid Waste; Maintenance of Storm
Water Drains; Maintenance of municipal roads; Allotment of Trade Licenses under
the Prevention of Food Adulteration Act; O&M of internal sewers and community
toilets; Street lighting; O&M of water supply and sewerage assets; Collection of
water tariff
Lucknow Development
Authority (LDA)
Preparation of Master Plans for land use; Development of new areas as well as
provision of housing and necessary infrastructure
District Urban Development
Authority (DUDA)
Implementing agency for plans prepared by SUDA.
Responsible for the field work relating to community development – focusing on
the development of slum communities, construction of community toilets,
assistance in construction of individual household latrines, awareness generation
etc.
State Level
UP Jal Nigam (UPJN)
Water supply and sewerage including design of water supply and sewerage
networks. In the last two decades ‘pollution control of rivers’ has become one of
their primary focus areas
State Urban Development
Authority (SUDA)
Apex policy-making and monitoring agency for the urban areas of the state.
Responsible for providing overall guidance to the District Urban Development
Authority (DUDA) for implementation of community development programmes
UP Awas Vikas Parishad
(UPAVP)
Nodal agency for housing in the state. Involved in planning, designing,
construction and development of almost all types of urban development projects
in the state. Autonomous body generating its own resources through loans from
financial institutions
UP State Transport
Corporation (UPSTC)
Provides intra-city and state wide public transport; maintenance of buses, bus
stands
Public Works Department
(PWD)
Construction of main roads and transport infrastructure including construction
and maintenance of Government houses and Institutions
State Tourism Department
(STC)
Promotion of tourism
Archaeological Survey of India
(ASI)
Maintenance of heritage areas and monuments
UP Pollution Control Board
(UPPCB)
Pollution control and monitoring especially river water quality and regulating
industries
Page | 33
Town and Country Planning
Department (TCPD)
Preparation of Town Plans including infrastructure for the state (rural and urban)
Office of Commissioner
Lucknow Division
Coordination of activities of various institutions
1.6 Access to Public Facilities8
Infrastructure development has not been commensurate with the growth of the city and there are
problems confronting the city in terms of access and coverage in key infrastructure sectors – water
supply, sewerage, housing, drainage, and transport. Overall service levels are inadequate and the
situation is worse for the urban poor.
1.7 Housing
Lucknow has witnessed a radial growth – greater along the Faizabad Road and the Trans Gomti area and
in recent years, the city is witnessing a real estate boom with a large number of private developers
entering the market. The latter has not been factored into the Master Plan – the formal basis for
Government panning. Estimates of infrastructure requirements and population projections are therefore
likely to be conservative.
The position of the City as the only large urban centre amidst a number of small towns in the surrounding
districts makes it an attractive destination for job seekers and people in need of education and health
facilities. One of the features of the city’s growth has been an increase in the number of slums but
disagreements about the definition of slums and about data hamper efforts to address service delivery
challenges in these areas.
Table 7: Housing Characteristics9
INDICATOR %
Households living in a Pucca House (%) 91.2
Households living in a Owned House (%) 69.9
Households treating water to make it safer for drinking (%) 26.6
Households having access to toilet facility (%) 92.9
Households sharing toilet facility (%) 17.8
Households having access to electricity (%) 96.6
Households using Electricity (%) 95.7
Households using Firewood/Crop Residues/Cow Dung Cake (%) 14.6
Households using LPG/PNG (%) 81.4
Availability of Kitchen
Households having a separate Kitchen (%) 77.3
8 Lucknow City Development Plan 2006
9 AHS 2010-11
Page | 34
INDICATOR %
Households having Computer/laptop with or without Internet Connectivity (%)
25.0
Households having Telephone/Mobile (%) 89.7
1.8 Water Resources
Aside from water resource issues such as pollution of the River Gomti and the declining quality of
groundwater, Lucknow carries a burden of old infrastructure and the absence of metering makes it
difficult to estimate costs and leakages. Information about assets in physical and functional terms is also
inadequate. Overlapping institutional roles make it difficult to hold the institutions clearly accountable.
Table 8: Water Supply Indicators10
Water Supply Indicators
Coverage of water supply connections (100%)
Per capita supply of water (1351pcd)
Extent of metering of water connection (100%)
Continuity of water supply (24 Hours)
63 158 0 5
1.9 Sewerage and Sanitation Facilities
Lucknow has seen no major investment in sewage infrastructure after the proposals in the 1948
Sewage Master Plan. Taking into consideration the service latrines, latrines discharging into nallas,
existing public toilets and open defecation about 40% of the population do not have access to adequate
sanitation. Informal sewers connecting a few households and discharging into nearby open drains are
also seen. The existing main network therefore is for the most part not able to handle additional load
leading to the sullage being discharged directly into the River Gomti. In many places the sewers have
been choked by the disposal of solid waste in them as well as encroachment in sections. This does not
allow complete cleaning of the network and aggravates the problem of discharge.
The lack of current data and information on assets severely impacts planning. While in the newly
developed and developing areas, networks are being provided by developers, coordination with the state
planning process is tenous.
Table 9: Sewage Management (Sewerage and Sanitation)11
Sewage Management (Sewerage and Sanitation)
Coverage of toilets (100%) Coverage of sewage network service (100%)
Adequacy of sewage treatment capacity (100%)
68 57 100
10
SUDA 11
SUDA
Page | 35
Drainage
While in general, the City is good drained, there are local pockets of water logging especially in areas
where the carrying capacity of the drains has been reduced either due to encroachment or blockage. Such
flooding has been observed in Hazratganj crossing and at Mawaiya Bridge crossing almost each year
during rains. In the newly developed areas, while the developer is responsible for the provision of
internal surface water drainage, the linking of these drains to the larger local drains and nallahs is
neglected, causing waterlogging problems at some places. Maintenance of drains is ‘reactive’ with the
common practice to desilt the drains and dump the sludge near the edge of the drains to dry out before
lifting. In practice, sludge either gets blown away or ends up in open drains.
Table 10: Storm Water Drainage Indicators12
Storm Water Drainage Indicators
Coverage of storm water drainage network (100%) Incidence of water logging/flooding (0%)
74 583
Solid Waste Management
The present solid waste management system is not synchronized. There are some pockets where door-
to-door collection has been introduced largely on the initiative of the local residents; there is no system of
collection, transportation and disposal nullifies efforts at the household level. The numbers of existing
waste depots are inadequate for the quantum of waste generated and are also located far from the city,
which encourages indiscriminate dumping. Behavioural patterns pose health risks and therefore pose
health risks for those working in this sector as well as residents living around waste depots. The
indiscriminate dumping results in garbage finding its way back into sewers and contributing to their
choking.
Table 11: Solid Waste Management Indicators13
Solid Waste Management Indicators
Household level coverage of solid waste management services (100%)
Extent of segregation of municipal solid waste (100%)
Extent of municipal solid waste recovered (80%)
41 53 4
1.10 Health Infrastructure
Unlike in the rural areas, where the health department has a wide network of primary health care
facilities providing reproductive and child health services, the urban slums lack basic health
infrastructure and outreach services. Thus, they are often bypassed even by national programmes
providing immunization, safe motherhood and family planning services. The sparse health coverage
12
SUDA 13
SUDA
Page | 36
provided by health facilities like urban family welfare centers, health posts, and maternity homes in cities
is used more for emergencies and curative services. Often these facilities are far from their service area,
poorly staffed, with inadequate space and supply of medicines and equipment. Urban local bodies like
municipal corporations and nagar panchayats are also expected to provide health care, but resource
scarcity restricts them to only providing sanitation services. NGOs and private trusts are also few and far
between.
First and Second Tier Health Services
The Government of Uttar Pradesh has committed itself to make provisions for health care services to its
population. Though the efforts have been rural centric some efforts have also been made to improve the
delivery of primary health care services to the population living in urban areas. It has established D Type
health centers and dispensaries for providing family welfare services and OPD facilities. The Urban Local
bodies and Department of Health and Family Welfare are the two main stakeholders for managing these
services. In urban areas of UP, first tier health services are available through D-type health centers, the
family welfare centre, health post and PP centers14. Second tier health services are provided in urban
areas through District Male and Female or Combined Hospitals.
Table12: Health Structure in Lucknow
Sl. No.
Name & Type of Facility (DH,
Maternity
Home, CHC, other ref.
hospital UFWC, UHP,
PHC,Dispensary etc.)
Managing Authority (Municipal
Council, State Health Department,
facilities functioning
on PPP basis)
Location of Health Facility
Population Covered
by the
Facility
Services Provided
Human Resources available
(List Type and Number
of HR available i.e. ANM, LT, SN,
MOs, Specialists
etc.
No. and Type of
Equipment
Available (X-ray
machine, USG,
autoclave etc.)
1 Sanjay Gandhi Post Graduate
Institute
State Health Department
Raebareilly Road,
Mohanlalganj, Lucknow.
N/A Super Specialist and Tertiary Care
Not Available Not Available
2 King George's Medical College
State Health Department
Chowk, Lucknow
N/A Super Specialist and Tertiary Care
Not Available Not Available
3 Queen Mary's Hospital
(Under KGMU)
State Health Department
Chowk, Lucknow
N/A Specialist & Maternity
Care
Not Available Not Available
4 Veerangana Awantibai (Female) Hospital
State Health Department
Golganj, Lucknow
N/A Specialist & Maternity
Care
Not Available Not Available
14 Ministry of Health and Family Welf are. 2005 Annual Report 2003-04. New Delhi : MoHFW.
Page | 37
5 Veerangana Jhalkariibai
(Female) Hospital
State Health Department
Hazratganj, Lucknow
N/A Specialist & Maternity
Care
Not Available Not Available
6 Balrampur Hospital
State Health Department
Golganj, Lucknow
N/A Specialist & Tertiary Care
Not Available Not Available
7 Dr. Shyama Prasad
Mukherji Hospital
State Health Department
Hazratganj, Lucknow
N/A Specialist & Tertiary Care
Not Available Not Available
8 Dr. Ram Manohar
Lohiya Hospital
State Health Department
Vibhuti Khand, Gomti Nagar,
Lucknow
N/A Specialist & Tertiary Care
Not Available Not Available
9 Rani Laxmibai Combined
Hospital
State Health Department
Rajajipuram, Lucknow
N/A Specialist & MCH Services
Not Available Not Available
10 Lok Bandhu Raj Narain Hospital
State Health Department
L. D. A. Colony, Kanpur Rd.,
Lucknow
N/A Specialist & MCH Services
Not Available Not Available
11 Bhau Rao Devras Hospital
State Health Department
Mahanagar, Lucknow
N/A Specialist & MCH Services
Not Available Not Available
12 District T. B. Hospital
State Health Department
Thakurganj, Lucknow
N/A Specialist Services
Not Available Not Available
13 BMC & PG, Aliganj
State Health Department
Behind Nehru Vatika, Aliganj,
Lucknow
125000-150000
MCH & F. P., Immunization,
Pathology Services inc.
C-Section Delivery
Suptdt.-1, M.O. (MBBS)-1, M.O. (FW)-
1, Sister Incharge-1,
Staff Nurse-4, Pharmacist-1, L.T.-1, UDC-1, LDC-1, Class IVth-6, Ward
Aya-3, Sweeper-3,
Driver-1, HEO-1, H. S. (M)-1, H. S. (F)-1, H. W.
(F)-1
Not Available
Page | 38
14 BMC & PG, Indira Nagar
State Health Department
C-Block, Opp. Eram Deg. Coll.,
Indira Nagar, Lko.
125000-150000
MCH & F. P., Immunization,
Pathology Services inc.
C-Section Delivery
Suptdt.-1, M.O. (MBBS)-1, M.O. (FW)-
1, Sister Incharge-1,
Staff Nurse-4, Pharmacist-1, L.T.-1, UDC-1, LDC-1, Class IVth-6, Ward
Aya-3, Sweeper-3,
Driver-1, HEO-1, H. S. (M)-1, H. S. (F)-1, H. W.
(F)-1
Not Available
15 BMC & PG,
Silver Jubille
State Health
Department
Near D. G. (FW)
Office, Lucknow
125000-
150000
MCH & F. P.,
Immunization, Pathology
Services inc. C-Section Delivery
Suptdt.-1,
M.O. (MBBS)-1, M.O. (FW)-
1, Sister Incharge-1,
Staff Nurse-4, Pharmacist-1, L.T.-1, UDC-1, LDC-1, Class IVth-6, Ward
Aya-3, Sweeper-3,
Driver-1, HEO-1, H. S. (M)-1, H. S. (F)-1, H. W.
(F)-1
Not
Available
16 BMC & PG, Chander
Nagar
State Health Department
Chander Nagar Gate, Alambagh,
Lucknow
125000-150000
MCH & F. P., Immunization,
Pathology Services inc.
C-Section Delivery
Suptdt.-1, M.O. (MBBS)-1, M.O. (FW)-
1, Sister Incharge-1,
Staff Nurse-4, Pharmacist-1, L.T.-1, UDC-1, LDC-1, Class IVth-6, Ward
Aya-3, Sweeper-3,
Driver-1, HEO-1, H. S. (M)-1, H. S. (F)-1, H. W.
(F)-1
Not Available
Page | 39
17 BMC & PG, Aishbagh
State Health Department
Near Pili Colony,
Aishbagh, Lucknow
125000-150000
MCH & F. P., Immunization,
Pathology Services inc.
C-Section Delivery
Suptdt.-1, M.O. (MBBS)-1, M.O. (FW)-
1, Sister Incharge-1,
Staff Nurse-4, Pharmacist-1, L.T.-1, UDC-1, LDC-1, Class IVth-6, Ward
Aya-3, Sweeper-3,
Driver-1, HEO-1, H. S. (M)-1, H. S. (F)-1, H. W.
(F)-1
Not Available
18 BMC & PG, Tudiyaganj
State Health Department
Near Khala Bazar P.S.,
Tudyaganj, Lucknow.
125000-150000
MCH & F. P., Immunization,
Pathology Services inc.
C-Section Delivery
Suptdt.-1, M.O. (MBBS)-1, M.O. (FW)-
1, Sister Incharge-1,
Staff Nurse-4, Pharmacist-1, L.T.-1, UDC-1, LDC-1, Class IVth-6, Ward
Aya-3, Sweeper-3,
Driver-1,
HEO-1, H. S. (M)-1, H. S. (F)-1, H. W.
(F)-1
Not Available
19 BMC & PG, N. K. Road
State Health Department
Near Leela Cinema,
Hazratganj, Lucknow
125000-150000
MCH & F. P., Immunization,
Pathology Services inc.
C-Section Delivery
Suptdt.-1, M.O. (MBBS)-1, M.O. (FW)-
1, Sister Incharge-1,
Staff Nurse-4, Pharmacist-1, L.T.-1, UDC-1, LDC-1, Class IVth-6, Ward
Aya-3, Sweeper-3,
Driver-1,
HEO-1, H. S. (M)-1, H. S. (F)-1, H. W.
(F)-1
Not Available
Page | 40
20 BMC & PG, Red Cross
State Health Department
Opp. Bus Stand, Kaiserbagh,
Lucknow.
125000-150000
MCH & F. P., Immunization,
Pathology Services inc.
C-Section Delivery
Suptdt.-1, M.O. (MBBS)-1, M.O. (FW)-
1, Sister Incharge-1,
Staff Nurse-4, Pharmacist-1, L.T.-1, UDC-1, LDC-1, Class IVth-6, Ward
Aya-3, Sweeper-3,
Driver-1, HEO-1, H. S. (M)-1, H. S. (F)-1, H. W.
(F)-1
Not Available
21 Urban Family Welfare Centre,
Mahanagar
State Health Department
BRD Hospital Campus,
Mahanagar, Lko.
50000 FP, Counselling,
OPD, Immunization
MO (MBBS)-1, H.S. (M)-1,
H.S. (F)-1, H.W. (M)-1, UDC-1, LDC-
1, Partti. Sweeper-1
Not Available
22 Urban Family Welfare Centre,
Lalbagh
State Health Department
Dr. S. P. M. Hospital
Campus, Lko.
50000 FP, Counselling,
OPD, Immunization
MO (MBBS)-1, H.S. (M)-1,
H.S. (F)-1, H.W. (M)-1, UDC-1, LDC-
1, Partti. Sweeper-1
Not Available
23 Urban Family Welfare Centre,
Sewa Sadan
State Health Department
Tehseenganj, Thakurganj,
Lucknow
50000 FP, Counselling,
OPD, Immunization
MO (MBBS)-1, H.S. (M)-1,
H.S. (F)-1, H.W. (M)-1, UDC-1, LDC-
1, Partti. Sweeper-1
Not Available
24 Urban Family Welfare Centre,
Saadatganj
State Health Department
Purana Chabutra,
Saadatganj, Lko.
50000 FP, Counselling,
OPD, Immunization
MO (MBBS)-1, H.S. (M)-1,
H.S. (F)-1, H.W. (M)-1, UDC-1, LDC-
1, Partti. Sweeper-1
Not Available
25 Urban Family
Welfare Centre, Chhitwapur
State Health
Department
Behind City
Mont. School, Chhitwapur,
Lko.
50000 FP,
Counselling, OPD,
Immunization
MO (MBBS)-
1, H.S. (M)-1, H.S. (F)-1,
H.W. (M)-1, UDC-1, LDC-
1, Partti. Sweeper-1
Not
Available
Page | 41
26 Urban Family Welfare Centre,
Rajendra Nagar
State Health Department
Near Railway Line, TB Clinic
K Pas
50000 FP, Counselling,
OPD, Immunization
MO (MBBS)-1, H.S. (M)-1,
H.S. (F)-1, H.W. (M)-1, UDC-1, LDC-
1, Partti. Sweeper-1
Not Available
27 Urban Family Welfare Centre,
Naka
State Health Department
Harbhaj Ram Kripa Devi
Trust, Naka, Lko.
50000 FP, Counselling,
OPD, Immunization
MO (MBBS)-1, H.S. (M)-1,
H.S. (F)-1, H.W. (M)-1, UDC-1, LDC-
1, Partti. Sweeper-1
Not Available
28 Urban Family Welfare Centre,
Rajajipuram
State Health Department
R. L. B. Hospital Campus,
Rajajipuram, Lko.
50000 FP, Counselling,
OPD, Immunization
MO (MBBS)-1, H.S. (M)-1,
H.S. (F)-1, H.W. (M)-1, UDC-1, LDC-
1, Partti. Sweeper-1
Not Available
29 Health Post, Saadatganj
State Health Department
Purana Chabutra,
Saadatganj, Lko.
50000 FP, Counselling,
OPD, Immunization
MO (MBBS)-1, PHN-1,
ARO-1,
Not Available
H.S. (F)-3, Ward Aya-1
30 Health Post, Chhitwapur
State Health Department
Behind City Mont. School, Chhitwapur,
Lko.
50000 FP, Counselling,
OPD,
Immunization
MO (MBBS)-1, PHN-1,
ARO-1,
Not Available
H.S. (F)-3, Ward Aya-1
31 Health Post, Raja Bazar
State Health Department
Ghode Wali Building, Raja
Bazar, Lko.
50000 FP, Counselling,
OPD, Immunization
MO (MBBS)-1, PHN-1,
ARO-1,
Not Available
H.S. (F)-3, Ward Aya-1
32 Urban Health Post, Azad
Nagar
State Health Department
H. No. : 550/287-288 A, Geetapalli, Azad
Nagar, Alambagh, Lucknow.
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
Page | 42
33 Urban Health Post, Barawan
Kalan
State Health Department
H. No.: 268, Barawan Kala,
Thakurganj, Lucknow
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
34 Urban Health Post,
Doulatganj
State Health Department
Near Anandi Mata Ka Mandir,
Doulatganj, Lko.
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
35 Urban Health Post, Dudauli
State Health Department
Plot no. 1, Gayatri Nagar,
Dudauli (Madiaon),
Lucknow
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
36 Urban Health Post,
Faizullaganj
State Health Department
Keshavpuram Colony,
Faizullaganj, Lko.
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
37 Urban Health Post, Garhi
Kanaura
State Health Department
H. No. : 283/63, Harichandpur,
Gari Kanora, Lucknow
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
Page | 43
38 Urban Health Post, New
Haiderganj
State Health Department
Bajrang Bihar, Mohan Road,
Buddheshwar Chauraha, Lucknow
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
39 Urban Health Post,
Hussainabad
State Health Department
H. No. : 467/178,
Sheesh Mahal, Husainabad,
Lucknow
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
40 Urban Health Post, Jugauli
State Health Department
H. No. : 539 B, Badi Jugauli, Gomti Nagar,
Lucknow
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
41 Urban Health Post,
Kasaibada
State Health Department
H. No. : 138/41, Fatehganj, Lucknow
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
42 Urban Health Post, Kashmiri
Mohalla
State Health Department
H. No. : 395/19, Near Sharga
Park, Kashimiri Mohalla, Lko.
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
Page | 44
43 Urban Health Post, Khadra
State Health Department
H. No. : 538 KA/34/9, Khadra, Lucknow
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
44 Urban Health Post,
Maleshemau
State Health Department
Sub-centre, Maleshemau, Chinht, Lko.
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
45 Urban Health Post,
Martinpurwa
State Health Department
H. No. : 2/21, Martin Ka
Purwa, Lucknow
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
46 Urban Health Post, Molviganj
State Health Department
H. No. : 155/129, Hata Sulema Qadar,
Molviganj, Lucknow
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
47 Urban Health Post, Mukarim
Nagar
State Health Department
Near Mankameshwar
Mandir, Daliganj, Lko.
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
Page | 45
48 Urban Health Post, Para
State Health Department
Near Para Colony,
Rajajipuram, Lko.
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
49 Urban Health Post, Pata Nala
State Health Department
H. No. : 220/79, Dariyaai Tola,
Pata Nala, Lucknow
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
50 Urban Health Post, Pipraghat
State Health Department
H. No. : 32, Dilkusha,
Pipraghat, Cantt., Lucknow
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant),
Stetho., Sterilizer,
Dress. Drum, Elec.
Syri. Needle
Dest.
51 Urban Health Post, Qila
Mohammadi
State Health Department
H. No. : 537 Ka, Sector-K, Near Sunny Palace,
Ashiyana, Lucknow
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
52 Urban Health Post, Raheem
Nagar
State Health Department
Behind R. L. B. School,
Khurram Nagar, Lko.
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
Page | 46
53 Urban Health Post, Ram
Nagar
State Health Department
H. No. : 433/56/01, Ram Nagar, Azad Nagar Chauraha, Balaganj, Lucknow
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
54 Urban Health Post,
Suggamau
State Health Department
Chandan Gram, Picnic Spot
Road, Suggamau, Lko.
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
55 Urban Health Post, Ujjariaon
State Health Department
Ujjarioan Gaon, Gomti Nagar,
Lko.
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
56 Urban Health Post,
Nadarganj
State Health Department
Near Amausi Airport Outlet, Nadarganj, Lko.
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
57 Urban Health Post, Tagore
Marg
State Health Department
Near Nadwa College, Tagore
Marg, Lko.
30000-50000
ANC, PNC, OPD, Immu.,
FP Services & Referral
MO (MBBS)-1, Staff
Nurse-1, ANM-1,
Swee/Chauk.-1
BP Inst., Wei. Mach (Adult & Infant), Stetho.,
Sterilizer, Dress.
Drum, Elec. Syri.
Needle Dest.
Page | 47
58 State Homeopathic Dispensary,
Aliganj
State Health Department (Direcorate
of Homeopath)
Aliganj Not Available
OPD Services MO (Homeo)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
59 State Homeopathic Dispensary,
Rajajipuram
State Health Department (Direcorate
of Homeopath)
Rajajipuram, Lucknow
Not Available
OPD Services MO (Homeo)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
60 State Homeopathic Dispensary, Kaiserbagh
State Health Department (Direcorate
of Homeopath)
Kaiserbagh Not Available
OPD Services MO (Homeo)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
61 State Homeopathic Dispensary, Alambagh
State Health Department (Direcorate
of Homeopath)
Alambagh Not Available
OPD Services MO (Homeo)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
62 State Homeopathic Dispensary,
Indira Nagar
State Health Department (Direcorate
of Homeopath)
Indira Nagar Not Available
OPD Services MO (Homeo)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
63 State Homeopathic Dispensary, Thakurganj
State Health Department (Direcorate
of Homeopath)
Thakurganj, Lucknow
Not Available
OPD Services MO (Homeo)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
64 State Homeopathic Dispensary,
Sadar
State Health Department (Direcorate
of Homeopath)
Sadar, Lucknow Not Available
OPD Services MO (Homeo)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
65 State Homeopathic
Disp., Balrampur
Hosp.
State Health Department (Direcorate
of Homeopath)
Golaganj, Lucknow
Not Available
OPD Services MO (Homeo)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
65 Govt. Ayurvedic Hosp., Para
State Health Department (Direcorate of Ayur. &
Unani)
Para, Lucknow Not Available
OPD Services MO (Ayurv.)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
Page | 48
66 Govt. Ayurvedic Hosp., Arya
Nagar
State Health Department (Direcorate of Ayur. &
Unani)
Arya Nagar, Lucknow
Not Available
OPD Services MO (Ayurv.)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
67 Govt. Ayurvedic Hosp., Faridi
Nagar
State Health Department (Direcorate of Ayur. &
Unani)
Faridi Nagar, Lucknow
Not Available
OPD Services MO (Ayurv.)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
68 Govt. Ayurvedic Hosp., Bungla
Bazar
State Health Department (Direcorate of Ayur. &
Unani)
Bungla Bazar, Lucknow
Not Available
OPD Services MO (Ayurv.)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
69 Govt. Ayurvedic Hosp.,
Rajajipuram
State Health Department (Direcorate of Ayur. &
Unani)
Rajajipuram, Lucknow
Not Available
OPD Services MO (Ayurv.)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
70 Govt. Ayurvedic Hosp., Garhi
Kanaura
State Health Department (Direcorate of Ayur. &
Unani)
Garhi Kanaura, Lucknow
Not Available
OPD Services MO (Ayurv.)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
71 Govt. Ayurvedic Hosp., Gomti
Nagar
State Health Department (Direcorate of Ayur. &
Unani)
Gomti Nagar, Lucknow
Not Available
OPD Services MO (Ayurv.)-1,
Pharmacist-1, Ward Boy-1,
Sweeper-1
Not Available
72 Govt. Ayurvedic Hosp., Aliganj
State Health Department (Direcorate of Ayur. &
Unani)
Aliganj, Lucknow
Not Available
OPD Services MO (Ayurv.)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
73 Govt. Ayurvedic Hosp.,
Bhaptamau
State Health Department (Direcorate of Ayur. &
Unani)
Bhaptamau, Lucknow
Not Available
OPD Services MO (Ayurv.)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
74 Govt. Ayurvedic Hosp.,
Ismailganj
State Health Department (Direcorate of Ayur. &
Unani)
Ismailganj, Lucknow
Not Available
OPD Services MO (Ayurv.)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
75 Govt. Ayurvedic
Hosp., Madiaon
State Health
Department (Direcorate of Ayur. &
Unani)
Madiaon,
Lucknow
Not
Available
OPD Services MO (Ayurv.)-
1, Pharmacist-1, Ward Boy-1, Sweeper-1
Not
Available
Page | 49
76 Govt. Ayurvedic Hosp., Bastauli
State Health Department (Direcorate of Ayur. &
Unani)
Bastauli, Indira Nagar,
Lucknow
Not Available
OPD Services MO (Ayurv.)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
77 Govt. Ayurvedic Hosp., Vikas
Nagar (15 Beds)
State Health Department (Direcorate of Ayur. &
Unani)
Vikas Nagar Chauraha, Lucknow
Not Available
OPD/Indoor Services
MO (Ayurv.)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
78 Govt. Unani Hosp.,
Dubagga
State Health Department (Direcorate of Ayur. &
Unani)
Dubagga, Lucknow
Not Available
OPD Services MO (Unani)-1,
Pharmacist-1, Ward Boy-1, Sweeper-1
Not Available
79 Allopathic Dispensary,
Naval Kishore Road
Municiple Corporation
Nava Kishor Road, Lucknow
Not Available
OPD Services MO (MBBS)-1,
Pharmacist-1, Aya-1,
Sweeper-1
Not Available
80 Allopathic Dispensary, Ganeshganj
Municiple Corporation
Ganeshganj, Lucknow
Not Available
OPD Services MO (MBBS)-1,
Pharmacist-1, Chaukidar-2,
Sweeper-1
Not Available
81 Allopathic Dispensary, Arya Nagar
Municiple Corporation
Arya Nagar, Lucknow
Not Available
OPD Services MO (MBBS)-1, MO (Ayur.-
Cont.)-1, Midwife-1,
Aya-1, Sweeper-1
Not Available
82 Allopathic Dispensary,
Daliganj
Municiple Corporation
Daliganj, Lucknow
Not Available
OPD Services MO (Ayur.-Cont.)-1,
Chaukidar-1, Dresser-1, Sweeper-1
Not Available
83 Ayurvedic Chikitsalaya, Thakurganj
Municiple Corporation
Thakurganj, Lucknow
Not Available
OPD Services MO (Ayur.-Cont.)-1,
Pharmacist-1, Anuchar-1,
Chaukidar-1, Sweeper-1
Not Available
84 Unani Chikitsalaya,
Naka Hindola
Municiple Corporation
Naka Hindola, Lucknow
Not Available
OPD Services MO (Unani-Cont.)-1,
Chaukidar-1
Not Available
The data given in the table above reveals inadequacy of primary health care services. The first tier health
facilities were planned for a population of 50000 but as a result of rapid population growth they are
currently serving a population of more than 75000. The situation gets compounded due to lack of
adequate infrastructure, equipments and medicines. The staff mainly Doctors and ANM is also
inadequate. The high population- staff ratio results in poor service coverage with some areas being
Page | 50
entirely unserved. From the above assessment it becomes evident to consider the poor health indicators
for deciding the norms of staff population ratio. Uttar Pradesh has eight medical colleges and one post-
graduate institute which offer tertiary and superspecialty health services.
Private Health Care providers15
A large network of private providers exists along with a large number of public sector providers. The
total number of private sector doctors is estimated at 1,57,259 (Registered and unregistered all
inclusive). The Dai’s (TBAs) are estimated at 1, 12,259 (Trained and untrained) Commercial outlets
including medical shops, pharmacies etc. number about 6,98,000. Unlike the distribution of public sector
providers, the highest concentration of the private providers is in the western region. The distribution of
health providers understandably has strong bearing on the health care in U.P. Regions with lower
concentration of medical providers (in proportion to population) have lower maternal and child health
care coefficient and higher unmet need for family planning services. .
Lucknow is one of the major health hubs in North India that caters to the health care needs of its people.
Lucknow witnesses a huge inflow of patients from the neighboring cities of the state as well as from
Nepal and the neighborhood state like Bihar, Rajasthan, Madhya Pradesh and Haryana for health care and
treatment. Lucknow is the epicenter of a number of private and government hospitals which are
providing patients with satisfactory diagnostic services and proper medical care at in cost effective
manner.
The standard of health care in Lucknow at present can be compared to the standards in any other
metropolis of the country. Private hospitals in Lucknow try their best to keep pace with emerging trends
of modern treatment. These are diet management, daily check up programmes for ailing patients and
small level insurance, day care and so on. Thus patient gets its money worth by such specialty treatment.
Medical care in Lucknow is readily available through the Government Medical College, Medical Health
Centers that are either undertaken by the State Government or Private medical Care.
2. Health Scenario
Based on the results of AHS the health scenario of Lucknow city (proxy by the urban part of the district)
is presented as below. The detailed tables are given in the annexure.
Indicator %
Marrige below legal age (%)
Among females (below 18 Years) 2.3
Among males (below 21 Years) 4.6
CMW age ( 20-24 Years) married before age 18 years 27.4
CMM age ( 20-24 Years) married before age 21 years 21.1
15
Planning Department. 2004. Annual Plan 2004-05, Lucknow : Planning Department, Gov ernment of Uttar Pradesh
Page | 51
Indicator %
Mean Age at Marriage
Male 26.8
Female 23.3
Morbidity and Health issues
Number of disable persons (1000,000 populaiton)
Person 901
Male 955
Female 841
Number of Injured Persons by type of Treatment received (Per 100,000 Population)
Severe
Person 175
Male 235
Female 109
Major
Person 173
Male 228
Female 113
Minor
Person 513
Male 659
Female 351
Persons Suffering from any kind of Acute Illness (Per 100,000 Population)
Diarrhoea/Dysentery
Person 420
Male 401
Female 441
Acute Respiratory Infection (ARI)
Person 181
Male 194
Female 166
Fever (All Types)
Person 2540
Male 2385
Female 2712
Any type of Acute Illness
Person 3593
Male 3418
Female 3787
Taking treatment from Any Source (%)
Page | 52
Indicator %
Person 98.5
Male 98.0
Female 98.9
Taking treatment from Government Source (%)
Person 14.7
Male 14.7
Female 14.6
Having Any kind of Symptoms of Chronic Illness (Per 100,000 Population)
Person 4008
Male 3561
Female 4503
sought Medical Care (%)
Person 94.2
Male 94.7
Female 93.7
Diagnosed for (Per 100,000 Population)
Any kind of Chronic Illness
Person 4833
Male 4489
Female 5216
Diabetes
Person 969
Male 1121
Female 800
Hypertension
Person 1564
Male 1332
Female 1822
Tuberculosis (TB)
Person 138
Male 156
Female 117
Asthma/Chronic Respiratory Disease
Person 232
Male 251
Female 211
Arthritis
Person 470
Male 241
Female 724
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Indicator %
Getting Regular Treatment (%)
Person 70.5
Male 70.7
Female 70.4
Getting Regular Treatment from Government Source (%)
Person 27.1
Male 27.0
Female 27.3
FERTILITY
Total Fertility Rate (TFR) -
Women aged 20-24 reporting birth of order 2 & above (%) 33.9
birth of order 3 & above (%) 26.6
Women with two children wanting no more children (%) 64.5
Median age at first live birth of Women aged 15-49 years 52.9
Median age at first live birth of Women aged 25-49 years 24.5
Women age 15-19 who were already mothers or pregnant at the time of the survey (%)
23.7
Mean number of children ever born to aged 15-49 58.7
Mean number of children surviving to Women aged 15-49 2.4
Mean number of children ever born to Women aged 45-49 2.3
Live Births taking place after an interval of 36 months (%) 3.4
ABORTION to EMW 15-49 Years (%)
Pregnancy resulting in abortion 6.0
Women who received any ANC before abortion 74.8
Married Women who went for Ultrasound before abortion 51.5
Average Month of pregnancy at the time of abortion 2.7
Abortion performed by skilled health personnel (%) 85.9
Abortion taking place in Institution (%) 85.9
Currently Married Pregnant Women aged 15-49 registered for ANC (%)
Current Usage
Any method (%) 53.3
Any modern method (%) 43.9
Female sterilization (%) 16.7
Male sterilization (%) 0.3
Copper-T/IUD (%) 2.6
Pills (%) 3.9
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Indicator %
Condom/Nirodh (%) 19.9
Emergency Contraceptive Pills (%) 0.2
Any traditional method (%) 9.4
Periodic abstinence (%) 6.3
Withdrawal (%) 2.5
LAM (%) 0.3
UNMET NEED FOR FAMILY PLANNING
Unmet need for Spacing (%) 14.6
Unmet need for Limiting (%) 16.6
Total Unmet need (%) 31.2
Maternal Health Care
ANTE NATAL CARE
Mothers who received any antenatal check-up (%) 92.5
Mothers who had antenatal check-up in first trimester (%) 73.6
Mothers who received 3 or more antenatal care (%) 76.2
Mothers who received at least one tetanus toxoid (TT) injection (%) 92.0
Mothers who consumed IFA for 100 days or more (%) 21.3
Mothers who had Full Antenatal Check-up (%) 18.7
Mothers who received ANC from Govt. Source (%) 49.7
Mothers whose Blood Pressure (BP) taken (%) 85.5
Mothers whose Blood taken for Hb (%) 84.1
Mothers who underwent Ultrasound (%) 78.1
DELIVERY CARE
Institutional Delivery (%) 81.2
Delivery at Government Institution (%) 38.0
Delivery at Private Institution (%) 42.9
Delivery at Home(%) 18.3
Delivery at home conducted by skilled health personnel (%) 48.0
Safe delivery *(%) 90.0
Caesarean out of total delivery taken place in Government Institutions (%) 22.2
Caesarean out of total delivery taken place in Private Institutions (%) 38.8
Less than 24 hrs. stay in institution after delivery (%) 23.9
Mothers who received Post-natal Check-up within 48 hrs. of delivery (%) 72.6
Mothers who received Post-natal Check-up within 1 week of delivery (%) 77.4
Mothers who did not receive any post-natal Check-up (%) 21.8
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Indicator %
New borns who were checked up within 24 hrs. of birth (%) 73.9
JANANI SURAKSHA YOJANA (JSY)
Mothers who availed financial assistance for delivery under JSY (%) 28.8
Mothers who availed financial assistance for institutional delivery under JSY (%) 35.3
Mothers who availed financial assistance for government institutional delivery under JSY(%)
72.3
IMMUNIZATION (%)
No of Children age 12-23 months 87.8
Children aged 12-23 months who have received BCG 91.5
Children aged 12-23 months who have received 3 doses of Polio vaccine 67.3
Children aged 12-23 months who have received 3 doses of DPT vaccine 71.8
Children aged 12-23 months who have received Measles vaccine 81.0
Children aged 12-23 months Fully Immunized 57.4
Children who have received Polio dose at birth 87.7
Children who did not receive any vaccination 6.9
Children Vitamin A dose during last six months 55.5
Children (aged 6 months) who received IFA tablets/syrup during last 3 months (%) 27.2
Children whose birth weight was taken (%) 78.5
Children with birth weight less than 2.5 Kg. (%) 21.9
CHILDHOOD DISEASES
Children suffering from Diarrhoea (%) 7.8
Children suffering from Diarrhoea who received HAF/ORS/ORT (%)
90.8
Children suffering from Acute Respiratory Infection (%) 3.4
Children suffering from Acute Respiratory Infection who sought treatment (%) 95.3
Children suffering from Fever (%) 12.3
Children suffering from Fever who sought treatment (%) 93.5
Child Feeding practices and nutritional staus of children (%)
Children under 3 years breastfed within one hour of birth 45.2
Children (aged 6-35 months) exclusively breastfed for at least six months (%) 25.2
Water 63.0
Animal/Formula Milk 72.1
Semi-Solid mashed food 7.0
Solid (Adult) Food 4.1
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Indicator %
Vegetables/Fruits 3.5
Average month of receiving foods other than other than breast milk for children under 3 years
Water 3.0
Animal/Formula Milk 3.3
Semi-Solid mashed food 8.3
Solid (Adult) Food 10.4
Vegetables/Fruits 10.6
BIRTH REGISTRATION
Birth registered (%) 74.2
Children whose birth was registered and received birth certificate (%) 67.9
AWARENESS ON HIV/AIDS
Women who are aware of HIV/AIDS (%) 91.8
Women who are aware of RTI/STI (%) 53.1
Women who are aware of HAF/ORS/ORT (%) 98.2
Women who are aware of danger signs of ARI/Pneumonia (%) 87.6
2.1 Amenities and Living Conditions
About 70% households were living in their own houses. About 9% were still living in Kutcha or Semi
Pucca houses. Though almost all households had access to improved sources of drinking water, but 27%
were treating water to make it safer.
Whereas 18% were sharing toilets, still about 7% were defecating in open. About 97% had access to
electricity. Though 81% were using LPG for cooking, 15% were still using fire wood/dung cakes/ crop
residues for cooking. As high as 90% had telephones/ mobiles and 25% even had computers.
2.2 Maternal Health
Fertility
The Total Fertility Rate for Lucknow city was estimated at 2.4 which is broadly equals mean number of
children ever born to women age 15-49 years. The births of order 3 and above were reported by 26.6%
only and women with 2 children and wanting no more child was as high as 64.5%. Further as high as
59% of births had interval of 36 months or more. The girls marrying below the legal age of 18 years were
only 2.3%.
53% reported using any family planning method. The most common methods of family planning were
female sterilization - 17% and condoms as 20%. The use of IUD was just 2.6% and pills 4%. The
traditional method was reported as being used by 9%. The total unmet need for family planning was
31%, 14.6% for spacing and 16.6% for limiting.
Ante Natal Care
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Though mothers receiving any ante natal check up were 93%, only 19% had full ANC. Around 50% of
pregnant women received ANC from Government sources. Of various components of ANC, at least one TT
received by 92%, BP taken 86%, blood examination for Hb 84%, underwent ultrasound 78%. Though
76% pregnant women received 3 or more ANCs, those who consumed IFA for 100 days or more was only
21%.
Delivery Care
About 81% of deliveries in Lucknow were conducted in institutions, of which 38% were in Government
institutions and 43% in private institutions. The home deliveries were only 18% of which 48% were
conducted by skilled health personnel. Caesarian cases were as high as 61%, about two-third being
conducted in private institutions.
It is important to note that because of high demand on beds for institutional deliveries, in about 24% of
the cases the stay in the hospital after delivery was less than 24 hours. About 74% mothers received post
natal care and new born were also checked.
Importantly, 29% of mothers availed financial assistance for deliveries under JSY and 72% of mothers
availed financial assistance for government institutional delivery.
2.13.1 1.14 Child Health
Child Immunization
About 57% of children were fully immunized. Those who received Vitamin A dose were 56%.
Birth Weight
In 79% cases birth weight of the child was taken and based on that 22% of children were low birth
weight (<2.5Kg). About 74% of births were registered and 68% had birth certificates.
Childhood Diseases
Children with diarrhea, Acute Respiratory Infection and fever were reported as 8%, 3% and 12%
respectively. Those suffering from fever who sought treatment were 94%.
Brest Feeding
Only 25% of children were exclusively breast feed.
Infant & Child Mortality
The IMR was 33 per 1000 live births. The Neo Natal Mortality Rate was high at 19 and Post Neo Natal at
13. Under 5 Child Mortality Rate was 38.
2.13.2 1.15 General Health & Health Seeking Behaviour
Morbidity
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As per the AHS 2010-11, the morbidity rate for acute illness in Lucknow was estimated at 3.6% it being
higher for females (3.7%) as compared to males (3.4%) as to the specific acute illnesses the prevalence of
fever was estimated at 2.5% (higher for females 2.7% compared to males 2.4%). The prevalence of
Diarrhea/ dysentery was estimated at 0.4% for Acute Respiratory Infection as 0.2%. It is observed that
for acute illnesses 99% in Lucknow took treatment of which 15% from government sources.
The symptoms related to chronic illnesses were reported by 4% in Lucknow, it being significantly higher
for females (4.5%) as compared to males (3.6%). Of these about 94% were reported as diagnosed. As to
specific chronic illnesses Hypertension was reported by 1.6% and Diabetes by 1%. The prevalence for
Hypertension lifestyle disease was higher among females as compared to males. The problem of Arthritis
and Asthma was reported by 0.5% and 0.2% respectively. The problem of arthritis was much higher
among females as compared to males. Tuberculosis was reported more by males as compared to females,
the prevalence being 0.16% in males. For chronic illnesses 71% reported taking regular treatment of
which 27% was from Government Sources.
Injuries
Little less than 0.9% of the population had injuries due to accidents of which 20% were severe where
individual had to be kept in ICU and another 20% major requiring hospitalization.
Table 12: Disease/Cause of Morbidity Data : Lucknow
Sl. Name of Disease/ Cause of Morbidity (e.g. COPD, Trauma, Cardiovascular Disease etc.)
Number of cases admitted in 2012
Source of Data
1 Injuries and Trauma 1096 IDSP
2 Self inflicted injuries/suicide Not Available
3 Cardiovascular Disease 733 IDSP
4 Cancer (Breast cancer) Not Available
5 Cancer (cervical cancer) Not Available
6 Cancer (other types) Not Available
7 Mental health and depression 369 IDSP
8 Chronic Obstructive Pulmonary Disease (COPD) Not Available
9 Malaria 92 IDSP
10 Dengue 21 IDSP
11 Infectious fever (like H1N1, avian influenza, etc.) 129 IDSP
12 TB 25917 T.B.Hospital, Thakurganj
13 MDR TB Not Available
14 Diarrhea and gastroenteritis 14024 IDSP
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15 Jaundice/Hepatitis 175 IDSP
16 Skin diseases Not Available
17 Severely Acute Malnourishment (SAM) Not Available
18 Iron deficiency disorder Not Available
19 Others Not Available
(Source: IDSP, TB & District Hospital)
The above table reflects the health/ morbidity profile of the Lucknow city. As there are three sources of
data, the city planning team has approached all three sources for getting most authenticated as well as
updated data. So, data from IDSP, TB clinic and District hospital were taken and mentioned in the above
table.
3. Key Issues
The Eleventh Plan had suggested Governance reforms in public health system, such as Performance
linked incentives and Devolution of powers and functions to local health care institutions and making
them responsible for the health of the people living in a defined geographical area. NRHM’s strategy of
decentralization, PRI involvement, integration of vertical programmes, inter-sectoral convergence and
Health Systems Strengthening has been partially achieved. Despite efforts, lack of capacity and
inadequate flexibility in programmes forestall effective local level Planning and execution based on local
disease priorities.
In order to ensure that plans and pronouncements do not remain on paper, NUHM UP would strive for
system of accountability that shall be built at all levels, reporting on service delivery and system, district
health societies reporting to state, facility managers reporting on health outcomes of those seeking care,
and territorial health managers reporting on health outcomes in their area. Accountability shall be
matched with authority and delegation; the NUHM shall frame model accountability guidelines, which
will suggest a framework for accountability to the local community, requirement for documentation of
unit cost of care, transparency in operations and sharing of information with all stakeholders. The state
will incorporate the core principles of The National Health Mission of Universal Coverage, Achieving
Quality Standards, Continuum of Care and Decentralized Planning.
Following would be the issues for the cities to address: City Health Planning, Public Private
Partnership, Convergence, Capacity Building, Migration, Communitization, Strengthen Data, Monitoring
and Supervision, Health Insurance, Information Dissemination and Focus on NCDs/ Life-Style Diseases.
After considering the available data, city scenario and analysis, the City planning team has identified
issues at both service delivery & demand generation level. Following are the details of issues which
would be addressed through NUHM at the city level:
1) Need of community volunteers (ASHAs) for taking up the community mobilization activities
2) Need of Mahila Arogya Samiti (MAS- a group of 10-12 women) for wider spread of information/
rights and entitlements
3) Strengthening of ANC, PNC & identification of high risk pregnancies at community level
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4) Home based care of neonates at community level
5) Promotion of institutional deliveries
6) Health education for all, especially for adolescent group
7) Complete immunization of pregnant women & children
8) Needs to strengthen the existing health care facilities by recruiting human resources
9) Need assessment of community in health scenario
10) Need a better convergence with other programs and wider determinants
11) Need of training & capacity building of human resources
12) Need of Strengthened program management structure at district level
13) Need of intensive baseline survey to start the community processes and identifying local needs
14) Involvement of local bodies in decision making and managing the program locally
15) Gap analysis of HR & recruitment
16) Promotion of family planning methods through basket of choice approach & counselling because
unmet need for family planning is high in Lucknow
17) Management of communicable & non- communicable diseases
18) Strengthening AYUSH
19) Constitution of BSGY team for urban areas.
20) Identification & management of SAM children
4. Strategies, Activities and Work plan
The key overarching strategies under NUHM for 2013-14 include data based planning, strengthening of
management and monitoring systems at the state and district level, improving the primary health care
delivery system and community outreach through ASHAs, MAS and Urban Health and Nutrition
Days(UHNDs).
The key activities at the district level will include convergence with key urban stakeholders, sensitization
of ULBs on their role in urban health, strengthening UPHCs for provision of primary health care to urban
poor, community outreach through selection, training and support to ASHAs and MAS, conducting UHNDs
and outreach camps to get services closer to the community and reach complete coverage of slum and
vulnerable populations.
With the aim to improve the health parameters of urban population in the city, structures and strategies
as recommended for the NUHM in its framework will be adopted and operationalized rapidly over the
years.
Listing and Mapping of Households in slums and Key Focus Areas
Listing and mapping of households will provide accurate numbers for population their family size and
composition residing in slums. Currently, estimates of population residing in slums are available from
District Urban Development Agency (DUDA) and National Polio Surveillance Project as the immunization
micro plans (under NPSP) provide updated estimates of slum and vulnerable populations and are
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expected to be fairly complete. The current plan for covering slums is based on the currently available
data of urban population of each city.
Once the ASHA are deployed they will list all households and fill the Slum Health Index Registers (SHIR)
including the number and details of family members in each household. This data will be compiled for
city and will provide the population composition of slums and key focus areas. This will also help the
urban ASHA know her community better and build a rapport with the families that will go a long way in
helping her advocate for better health behaviours and link communities to health facilities under the
NUHM. It is expected that once the household mapping is completed in cities, the number of ASHAs will
be reviewed and adjusted upwards or downwards and the geographical boundaries of the coverage area
for each ASHA would be realigned. This is due to the reason that the actual population may be higher or
lower than the original estimate used for planning.
Facility Survey for gaps in infrastructure, HR, equipment, drugs and consumables
Facility survey will be carried out in the public facilities to assess the gaps in infrastructure, human
resource, equipment, drugs and consumables availability as against expected patient load. Further
planning, particularly for UCHCs, will be based on these gaps. This work will be outsourced to a research
agency. Development Partners like Health of the Urban Poor project will technically support this effort.
Baseline Survey
The state envisions monitoring progress in health indicators in urban areas and among urban poor over
the period of implementation of NUHM. This proposed Baseline survey will generate data on the health
and related indicators which will be reviewed during the course of implementation of the program to
assess the impact of implementation and necessary course corrections can accordingly be made and use
of resources can be optimised.
Training and Capacity Building
ULB, Medical and Paramedical staff, Urban ASHAs and MAS will be trained. The trainings will have to be
followed by periodic refresher trainings to keep these frontline health workers motivated. NUHM will
engage with development organisations to develop the training modules and facilitate the trainings.
Monitoring & Evaluation
The M&E systems would also capture qualitative data to understand the complexities in health
interventions, undertake periodic process documentation and self evaluation cross learning among the
Planning Units to be made more systematic.
The Monitoring and Evaluation framework would be based on triangulation of information. The three
components would be Community Based Monitoring, HMIS for reporting and feedback and external
evaluations.
Strengthening of health facilities
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Urban Community Health Centre (U-CHC)-
UCHC would be established/ set up for every 4-5 U-PHCs and shall be initiated with upgrading of the
existing 8 BMCs which are functioning efficiently in the city. Since these facilities fall short of the services
envisaged to be provided by the CHCs, they are being proposed to be strengthened in terms of induction
and deployment HR and provision of necessary medical equipment. Further strengthening of the
facilities will be undertaken in the subsequent years.
Urban - Primary Health Centre (U-PHC) –
During the first year of implementation of the program, the existing urban health posts (26 NRHM funded
+ 11 state funded) will be attempted to be strengthened. Towards this, the UHPs existing in rented
accommodations will be shifted to adequately larger premises which would help in rendering the
mandated services. A provision of Rs. 10,000/- per month per UPHC is being proposed for immediate
service provision capacity enhancement, but over the period of time the said rented accommodations will
be shifted to owned premises for sustained services. Accommodations belonging to other stakeholder
government line departments will be explored and then adopted after entering into necessary
agreements/ arrangements with the said department.
Targeted intervention for urban poor –
The process of listing of households in the KFAs, mapping of KFAs and health facilities and baseline
survey of the KFA households will help determine the scope and extent of services required for targeting
of the urban poor. A deliberate effort will be made to identify the vulnerable poor on the basis of their
residence status, occupational status and social status, besides other micro-level indicators, which will
further help focusing the health care services to the most deserving.
Mahila Arogya Samiti (MAS)-
MAS will act as community based peer education group in slums, involved in community mobilization,
monitoring and referral with focus on preventive and promotive care, facilitating access to identified
facilities and management of grants received. Existing community based institutions could be utilized for
this purpose. City planning team is proposing formation of only one MAS under each ASHA in the first
year and the identification of the remaining planned MAS will be undertaken in the subsequent years.
ASHA-
For reaching out to the households ASHAs (frontline community worker) would serve as an effective and
demand–generating link between the health facility and the urban slum population. Each link
worker/ASHA would have a well-defined service area of about 1000-2,500 beneficiaries/ between 200-
500 households based on spatial consideration.
Outreach services –
Outreach services will be provided to the slum areas and KFAs through ANMs who would be responsible
for providing preventive and promotive healthcare services at the household level through regular visits
and outreach sessions. Each ANM will organize a minimum of one routine outreach session in her area
every month.
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Special outreach sessions (for slum and vulnerable population) will be organized once in a week in
partnership with other health professionals (doctors/ pharmacist/ technicians/ nurses – government or
private). It will include screening and follow-up, basic lab investigations (using portable /disposable
kits), drug dispensing, and counselling. The outreach sessions (both routine and special outreach) could
be organized at designated locations mentioned in the aforesaid paras in coordination with ASHA and
MAS members
Innovations –
An urban specific IEC strategy covering urban contexts would be developed, field tested and then
applied to cover RCH. The IEC plans should especially focus on interpersonal or group communication
which would include a description of expected behaviour change in different community segments. For
effective tracking of its implementation, benchmarks and milestones would be developed.
School Health Services
School health program under NUHM has been an important component to provide not only the
preventive and curative services to children but also to ensure their contribution in overall health
development of the urban communities. It is envisaged that the active involvement of children in the
program will enable them to be a change agent for themselves as well as communities by taking home
good knowledge and practices in terms of preventive health care activities. It is planned that children will
be engaged through innovative and creative actions to make the learning entertaining and educational.
Objective: To evolve innovative ways to involve children in preventive health care activities to make
them a change agent for them and their families.
Innovation: An activity called SEEKH (Systematic Effort to Ensure Knowledge on Health) will be
implemented in each urban government school for active involvement of children based on two way
education and learning package.
Process: To ensure the participation of each and every children in proposed activity, the following
process and flow is planned and will be implemented:
A small booklet on primary health information will be developed (or leveraged from SALONI
program) for school going children.
The school health team will distribute the booklet to students during their visit to schools and
children will have to read the booklet in 45 minutes (we can call it SWASTHYA CLASS).
The reading will be followed by filling up a small questionnaire in 15 minutes
All the students participating in the activity will receive a batch with tagline “Member-Baal
Swasthya Sena”.
The three top scorer children will be rewarded as “Nayak-Baal Swasthya Sena” and will be
known as class monitor till the next round
These three will be responsible to ensure that all students are aware about mentioned good
health practices
They will also follow up with students that they are talking these points at their households and
practicing good practices (such as Hand wash, Personal hygiene etc)
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PPP & CSR –
For Lucknow city a few innovative interventions have been planned. Interventions performed under
Public Private Partnership (PPP) arrangements and Corporate Social Responsibiltoy (CSR) will be
undertaken with the intent to evolve successful models for health care delivery to the urban poor.
Convergence –
Intra-sectoral convergence is envisaged to be established through integrated planning for
implementation of various health programmes like RCH, RNTCP, NVBDCP, NPCB, National Mental Health
Programme, National Programme for Health Care of the Elderly, etc. at the city level. Inter-sectoral
convergence with Departments of Urban Development, Housing and Urban Poverty Alleviation, Women &
Child Development, School Education, Minority Affairs, Labour will be established through city level
Urban Health Committees headed by the Municipal Commissioner/ Deputy Commissioner/ District
Collector.
Activity Plan under NUHM for the state and cities
Act. No.
Activity
Responsibility Months : October'13 - March'14 Remarks
State level
City level O
ct.
No
v.
Dec
Jan
Feb
Mar
1
Establishment of Platform for Convergence at state level
Circular to be isued from state level to all their district level nodal officers
2 Preparation & Finalization of Guidelines for City Coord. Committee/ City Program Management Committee
These will be one time activities and will apply across the state
3 Preparation & Finalization of Guidelines for Urban ASHAs
4 Preparation & Finalization of Guidelines for Mahila Arogya Samiti
5 Preparation & Finalization of Guidelines for UHND
6 Preparation & Finalization of Guidelines for Outreach sessions/ School Health Programs
7 Preparation & Finalization of Job Descriptions for all district level NUHM positions
8 Preparation & Finalization of Guidelines for PPP
9 Induction of state level staff for Urban Health Cell
10 Induction of city level staff for Urban Health program
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11 Meeting of DHS for establishment of City Program Management Committee (UH)
12 Sensitization of new probable members on NUHM
13 Identification of NGOs for their role under NUHM
14 Establishment & orientation of City Program Management Committee (UH)
15
Identification of groups, collectives formed under various govt. programs (like NHG under SJSRY, self help groups etc.) for MAS
16 Organize meetings with women in slums where no groups could be identified
17 Formation and restructuring of groups as per MAS guidelines
18 Orientation of MAS members
18 Selection of ASHAs
18a - Selection of local NGOs for ASHA selection facilitation
18b - Listing of local community members as facilitators by NGOs
18c - Listing of probable ASHA candidates and finalize selection
19 Convergence meeting with govt. Stakeholders
20 Mapping & listing exercise (for health facilities and slums)
20a
- Mapping of all urban health facilities (public & pvt.) for services
To continue
in 2014-15
20b
- Mapping of slums (listed and unlisted)
To continue in 2014-
15
20c
- Houselisting of slums/ poor settlements
To continue in 2014-15
21 Planning for strengthening of health facilites/ services
- Health Facility Assessment (of public facilities including listing of public facility wise infra & HR requirement)
To continue in 2014-15
22 Baseline survey of urban poor/ slums (KFAs)
(to determine vulnerability, morbidity
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pattern & health status)
23 Meetings of RKS for all the public health facilites under NUHM
24
Identification of alternate/ suitable locations for UPHCs under various urban devp. Programs
To continue in 2014-15
25 Strengthening of public health facilities
- Selection, training and deployment of HR in pub. health facilities
To continue in 2014-15
26 IEC activities
27 Outreach camps & UHNDs (from existing UHPs)
28
Empanelment of Private Health Facilities for health care provisioning
To continue in 2014-15
29 Involvement of CSR activities
5. Programme Management Arrangements
Districts Heath Society will be the implementing authority for NUHM under the leadership of the District
Magistrate. District Program Management Units have been further strengthened to provide appropriate
managerial and operational support for the implementation of the NUHM program at the district level.
After extensive deliberations the state plans to designate the District Health Society under the
chairmanship of the District Magistrate as the implementing authority for NUHM
Fund flow mechanisms have been set up and separate accounts will be opened at in the district for
receiving the NUHM funds.
Urban Health will be included as a key agenda item for review by the District Health Society with
participation of city level urban stakeholders.
An Additional / Deputy CMO has been designated as the nodal officer for NUHM at the district level.
The District Program Management Unit will co-opt implementation of NUHM program in the district
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and the District Program Manager will be overall responsible for the implementation of NUHM. To
support this the following additional staff and funds are proposed for strengthening the District
Program Management Units for implementing NUHM. The staff of Urban RCH Programme at District
Headqaurter (URCH), who has been working since 2001 under Urban RCH (which was previously
funded by SIP and then merged into NRHM after November, 2005) will be sustained/adjusted first by
the District Health Society under NUHM and then recruiting process for the staff will be done under
NUHM.
a. Urban Health Coordinator, Accountant and Data Entry Operators according to the following norms:
District total Urban population
Additional Staff Proposed (Designation)
Additional Staff Proposed
Less than 1 lakh Data Entry Operator 01
1lakh to 10lakhs
Urban Health Coordinator Accountant
Data Entry Operator
01 01 01
10lakh to 20lakhs
Urban Health Coordinator Accountant
Data Entry Operator
02 02 02
20lakh to 30lakhs
Urban Health Coordinator Accountant
Data Entry Operator
03 03 03
b. District Programme Manager will be nodal for all NUHM activities so extra incentive and budget for 1 laptop to each DPM has been proposed for DPM for undertaking NUHM activities.
c. A onetime expense for computers, printer and furniture for the above staff has been budgeted
along with the recurring operations expenses.
d. Onetime expenses have been budgeted for up-gradation of the office of Additional/ Deputy
CMO and District Programme management Unit.
The City Program Management Committee will function as an Apex Body for management of the City
Health Plan, which will lead to delivery of Maternal, Newborn, Child Health and Nutrition (MNCHN) and
water, sanitation and hygiene (WASH) services to the urban poor and will work towards the following
objectives:
1. Establish a forum for convergence of city level stakeholders for the delivery of MNCHN and WASH
services to the urban poor.
2. Serve as the nodal body for the planning and monitoring of MNCHN and WASH service delivery to
the urban poor.
3. Provide a forum for exploring, reviewing and approving PPP initiatives and innovations to address
the gaps in MNCHN and WASH service delivery to the urban poor.
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The structure proposed for the City Coordination Committee :
Chairperson - DM/ Municipal Commissioner
Convener - CMO
Members – Health - ACMO-Urban
Member – ICDS - DPO
Member – Nagar Nigam - Sum Improvement Officer
Member – Water & Sanitation- Sup. En. / Ex.En. JalKal Vibhag, Nagar Nigam
Member DUDA & UD - Project Officer
Member – ESIC - ESIC Hosp. Supdt.
Member – SPM - SPM Deptt, KGMU, Lucknow
Members – School Education - BSA & DIOS
Members – Dev. Partners - Partners working in urban health sector ( HUP)
Coordinator - Lead Dev. Partner
Review Meetings at UPHC and City Level
Nature of Meeting Periodicity Meeting
Venue
Participants
Mahila Aarogya Samiti
Meeting
Once a month for
each MAS
Slum ANM, HV, Community Organizer,
Social Mobilization officer
Review meeting with Link
workers and MAS
representatives
Once a month UPHC All ANMs, PHN, LMO, Community
Organizer, Social Mobilization
officer
Meeting of UPHC
Coordination Committee
Once a month UPHC LMO, PHN/Community Organizer,
Social Mobilization officer,
representative from 2nd tier
facility, and reps. From other
departments
Meeting with CMO & UH
Program Coordinator
Once a month CMO
Office
CMO, Program Coord., Asst.
Program Coordinator, LMO/
PHN/ Community Organizer,
Social Mobilization officer
City Task Force Meeting Once in two
months
DM’s
office
CMO, Program Coord. UH, Various
departments’ reps. , private
partners, NGOs
Page | 69
6. City Level Indicators & Targets
Processes & Inputs
Indicators Baseline (as applicable)
Number Proposed (2013-14)
Number Achieved
(2013-14)
Community Processes
1. Number of Mahila Arogya Samiti (MAS) formed * 0 1132
2. Number of MAS members trained * 0 11320
3. Number of Accredited Social Health Activists (ASHAs) selected and trained *
0 566
Health Systems
4. Number of ANMs recruited * 0 280
5. No. of Special Outreach health camps organized in the slum/HFAs * 0 282
6. No. of UHNDs organized in the slums and vulnerable areas * 0 1098
7. Number of UPHCs made operational * 0 56
8. Number of UCHCs made operational * 0 0
9. No. of RKS created at UPHC and UCHC * 0 56
10. OPD attendance in the UPHCs 0 48000
11. No. of deliveries conducted in public health facilities 0 1000
RCH Services
12. ANC early registration in first trimester
13. Number of women who had ANC check-up in their first trimester of pregnancy
14. TT (2nd dose) coverage among pregnant women
15. No. of children fully immunised (through public health facilities)
16. No. of Severely Acute Malnourished (SAM) children identified and referred for treatment
Communicable Diseases
17. No. of malaria cases detected through blood examination
18. No. of TB cases identified through chest symptomatic 6480
19. No. of suspected TB cases referred for sputum examination 6480
20. No. of MDR-TB cases put under DOTS-plus
Non Communicable Diseases
21. No. of Diabetes cases screened in the city 2340
22. No. of Cancer cases screened in the city N/A
23. No. of Hypertension cases screened in the city N/A
Recommended