Format for the Minutes of Monthly Review Meeting - PPHI …pphisindh.org/pphiweb/wp-content/uploads/2016/04/Jan2012.pdf · MINUTES OF THE (36th) MONTHLY REVIEW MEETING OF DISTRICT_DADU

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MINUTES OF THE (36th) MONTHLY REVIEW MEETING OF DISTRICT_DADU

Monthly Review Meeting (MRM) of District, DADU for the Month of January, 2012 was held on 09/02/2012 at DC Darbar Hall Dadu. Written invitations to participate were sent to the DC, the EDO(H), the EDO(F&P) and District Incharge of EPI, LHW and all other National Programs as usual. The list of participants follows: List of Participants:

S # Names/Designation S # Names/Designation

1 Mr. Huzoor Bukhsh Laghari RPD Hyderabad

2 Mr. Moula Bux Solangi DSM PPHI Dadu

3 Dr. Rubeena A.D Memon Associate Proffessor PUMHS Nawab Shah

4 Dr. Nazeer Begum Associate Proffessor PUMHS Nawab Shah

5 Peer Ashfaque Ahmad Executive (M&E)

6 Abdul Sattar Soomro Executive (F&A)

7 Mr. Muzamil Memon Facilitator

8 Dr. Niaz Ahmad Jamali Dist: Co-Ordinator DHIS

9 Dr. Bhajan Lal Matlani MO I/c BHU Phakka

10 Dr. Muhammad Saleh Gadhi I/c MO BHU Phulji Station

11 Dr. Nizamudin Abro MO I/c BHU Mounder

12 Dr. Bashir Ahmad Channa MO I/c BHU Makhdoom Bilawal

13 Dr. Sayed Lal Shah I/c MO BHU Sita Village

14 Dr. Fayaz Ahmad Panhwar I/c MO BHU Ibrahim Panhwar

15 Dr. Abdul Hakeem Solangi I/c MO BHU Piaro Goth

16 Dr. Abdul Kareem Jamali MO I/c BHU Samtani

17 Dr. Shams Din Jokhio I/c MO BHU Betto

18 Dr. Sanaullah Soomro I/c BHU Aminani

19 Dr. Allah Dino Khoso I/c MO GD Nawab jo Patt

20 Dr. Deedar Hussain Abbasi I/c MO BHU Fareed Abad

21 Dr. Altaf Ahmad Qureshi GD Jatt Shahdad

22 Dr. Nizakat Ali Sahar MO I/c BHU Thareri Mohabat

23 Dr. Nazeer Ahmad Kandhro MO I/c BHU Kolachi

24 Dr. Mohammad Naeem Mahesar I/c BHU Aghamani

25 Dr. Ashok Kumar I/c MO BHU Butt Serai

26 Dr. Ammanullah Chandio MO I/c GD Gul Mohammad Jatoi

27 Dr. Hidayatullah Chandio MO I/c GD Qadir Bux Rind

28 Dr. Mohammad Azam Chandio I/c BHU Gozo

29 Dr. Imdad Hussain Kalhoro I/c MO BHU Burera

30 Dr. Rasheed Ahmad Chandio I/c MO BHU Thallo

31 Dr. Abdul Raheem Saryo MO I/c MCH Khanpur

32 Dr. Karam Yousif Outho I/c MO BHU Dhani Bux Bughio

33 Dr. Akram Ali Soomro I/c MO BHU Dougar

34 Dr. Shamas Din Kalhoro I/c MO GD Gul Mohammad Chandio

35 Dr. Irshad Ahmad Shah I/C MO BHU Boriri

36 Dr. Mumataz Ali Khand I/c MO BHU Chorr

37 Dr. Assadullah Lakhair MO I/c BHU Essa Kahn Thebo

38 Dr. Ayaz Ahmad Jokhio I/c MO BHU Baid

39 Dr. Khalid Hussain Laghari 40 Dr. Abdullah Sameejo

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I/c MO BHU Allahyarani I/C MO BHU Bahawalpur

41 Dr. Manzoor Ali Sario I/C BHU Qasbo

42 Dr. Altaf Ahmed Lund I/c BHU Kamal Khan Lund

43 Dr, Awais Ahmad Bughio I/c MO GD Mureed Babar

44 Dr. Mohammad Waseem Arain I/c MO BHU Haji Khan

45 Mr. Mohammad Khan Rustamani Dispenser GD Murad Khan Jamali

46 Dr. Qamarudin Abbasi MO I/c GD Peer Gaji Shah

47 Disp. Imam Bux Laghari GD. K.B.Chakkar Khan Shahani

48 Dr. Akbar Ali Panhwar I/c MO Sijawal Khan Alkhani

49 Ali Raza Jamali I/C Dispenser GD Moundar khan Jamali

50 Dr. Mehnaz Saeed Soomro Female Medical Officer

51 Dr. Fareeda Noonari FEMALE MEDICAL OFFICER

52 Dr. Farhana Shah Female Medical Officer

53 Dr. Naheed Akbar Janwari FEMALE MEDICAL OFFICER

54 Dr. Kalsoom Janwary Female Medical Officer

55 Dr. Shabnam Niaz Gorar FEMALE MEDICAL OFFICER

56 Dr. Fahmeeda Shaikh Female Medical Officer

57 Dr. Farzana Qureshi Female Medical Officer

58 Dr. Ameena Bughio FEMALE MEDICAL OFFICER

59 .Dr. Zakia Larik FEMALE MEDICAL OFFICER

60 Dr. Sabiha Khaskheli FEMALE MEDICAL OFFICER

61 Dr. Farzana Jokhio FEMALE MEDICAL OFFICER

62 Mansoor Ali Panhwar Social Mobilizer

63 Dr. Jameela Khoso FEMALE MEDICAL OFFICER

64 Syed Abdul Gaffar Shah Assistant Admin

65 Mr. Hakim Ali Jatoi Social Mobilizer

66 Mr. Abdul Hafeez Bhatti Social Mobilizer

67 Naveed Ali Junejo Social Mobilizer

68 Abid Ali Jatoi Assistant Accounts

The following could not attend the meeting for the reasons stated against each:-

S # Names/Designation Reasons S # Names/Designation Reasons

1 Dr. Altaf Hussain Shah I/c MO BHU Purano Dero

Engage in SNID 2 Dr, Naheed Solangi Female Medical Officer

She is on U/S Training

3 Dr. Ghullmullah Samoo I/C MO BHU Patt

Engage in SNID 4 Dr. Akhtar Hussain Shaikh I/c MO BHU Qazi Arif

Engage in SNID

5 Mr. Allahwarayo Khoso I/c GD Paryo Jamali

Engage in SNID 6 Dr. Afshan Memon FEMALE MEDICAL OFFICER

On Maternity Leave

7 Dr. Reeta Khushal Das Sonologist

C/L 8

Dr. Zubair Ahmad Panhwar I/c MO BHU Wahi Pandhi

Busy in SNID

A. HFs WITH PPHI

BHUs: 35 Dispensaries: 12 MCHCs: 02 Others:______ TOTAL: 49

B. Population of the Catchments Area: 699342

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C. STAFF STRENGTH

Sanctioned

Posts (Govt.) Working

Government Employees

PPHI Contract

Vacant (Sanc-Govt)

MOs 49 44 20 24 29

WMO

FMOs - 17 0 17 06

LHVs 8 37 8 29 20

MTs/MAs Male

- - - -

- Female - - -

Dispensers/HT 78 53 24 29 0

D. CLUSTERS OF HFs WITH ONE MO

WITH ONE FMO

NOTE: One Sonologist is working

E. CAPACITY BUILDING 1. First Session: During MRM

Dr. Rubina A.D.Memon (Associate Professor Gynae/Obst PUMHS Nawabshah) in his lecture focused on Postpartum Hemorrhage (PPH) on the following points:-

Introduction

Causes of Maternal Death Globally

Major Causes of Maternal Death in Pakistan

PPH:The Facts (Time between appearance of symptoms and death)

FACTS ABOUT PAKISTAN

Four Delays – Responsible for Maternal Death

Definition

Prevalence of PPH

Aetiology

Previous Month Total Month under Review Total

Clusters of 6 HFs Clusters of 6 HFs





Single HFs 44 Single HFs 44





Clusters of 2 HFs 12 Clusters of 2 HFs 11


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Can we Predict PPH?

MANAGEMENT OF P.P.H

Prevention of P.P.H

COMPLICATIONS

TREATMENT 2. Second Session: During MRM

3. Capacity Building of LHVs / Dispensers During Month under Review

Names of the Resource Persons with dates Date Venue Topic No. of

Participants

Dr. Abdul Kareem Jamali 13/01/2012 BHU

Samtani Vaccination 18

Dr. Ameena Bughio 23/01/2012 BHU Sita

Village Family Planning

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F. REVIEW OF THE PERFORMANCE

(I) PREVENTIVE HEALTHCARE During Month under Review

1. Vaccination / Immunization

No. of Doses of Immunization Administered to Children at Health Facilities. 1065

No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 903

No. of Immunization & Vaccination Administered by outreach EPI Teams -

Total vaccination / immunization for the month December 2011 1968

2. National Immunization Days (NIDs)

Dates of NIDs Target of coverage Actual coverage Percentage of

coverage

Data has not Shared with this Office

3. Other Preventive/Promotional Services .

S # Service Number

1 Passive Case Detection (PCD) Slides 12056

2 Active Case Detection (ACD) Slides -

3 Visits to Check Sanitation (individual house holds + streets) -

4 Notices issued against Poor Sanitation -

5 Challans sent to Court against Poor Sanitation -

6 Patients Nebulized -

(II) MOTHER, CHILD & REPRODUCTIVE HEALTH

During Month under Review 1. Female Health

S #

Names of FMOs Ante-Natal Cases Neo-Natal Cases Other OPD Total

1 Dr.Afshan Memon ON Maternity Leave ON

2 Dr.Ameena Bughio 84 11 960 1055

3 Dr Fahmeda Shaikh 121 15 1518 1654

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4 Dr.Fareeda Noonari 51 8 790 849

5 Dr.Farhana Shah 150 11 953 1114

6 Dr Farzana Jokhio 244 5 759 1008

7 Dr.Farzana Quershi 45 7 768 820

8 Dr Jamila Khoso 85 9 531 625

9 DR. Kalsoom Janwari 138 11 772 921

10 Dr.Mehnaz Soomro 53 8 713 774

11 Dr.Naheed Akbar 190 10 541 741

12 Dr Naheed Solangi 64 13 670 747

13 Dr.Sabiha Khaskheli 68 8 1058 1134

14 Dr Saima Hingoro 36 3 445 484

15 Dr.Shabnam Niaz 57 5 927 989

16 Dr.Zakia Larik 38 3 642 683

TOTAL 1424 127 12047 13598

2. Deliveries Assisted

S # Service Number

1 Deliveries Assisted at HFs 46

2 Deliveries Assisted at Homes 01

3. Lab/ Diagnostic Tests

4. Important Discussion on Mother and Child and Reproductive Health during MRM The MOs and FMOs demanded that supply of the Tables Ponstan, Paracetamol, Brufen and Amoxil Drops. Increase quantity of peads: medicine especially in suspension form and Tablet forms.

5. Provision of Family Planning Services during the Month

S # Name of the Items / Service Number

1 Consultation / Advice 220

2 Oral Pills 365-cycles

3 IUCDs 00

4 Injections Depo 00

5 Injection Noregest 00

6 Others (Condoms) (Tab. Nova) 220

Total 805

(III) COMMUNITY PARTICIPATION

During Month under Review

1. Number of Male SGs: ------47------------ Number of Female SGs: -------02------- 2. Performance of Social Organizers

S # Test Number

1 Pregnancy Tests 74

2 Blood Sugar Tests 13

3 Hemoglobin Tests 29

4 Ultra Sound Test 827

5 Other 101

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Names of Social Organizers

Meetings of Support Groups conducted by him

CHSs/SHSs arranged by him

Male Female Total No. of Participants

No. No. of

Participants

Mr.Abdul Hafeez Bhatti 132 6x22=132 8 8x27=216

Mr.Hakim Ali Jatoi 105 5x21=105 7 7x21=147

Mr.Naveed Ali Junejo 80 4x20=80 4 4x20=80

Mr.Mansoor Ali Panhwar 105 5x21=105 7 7x23=161

Total 422 422 26 604

2. School Health Sessions & Community Health Sessions

Names of MO / FMOs/Paramedics

Community Health Sessions School Health Sessions

Sessions Participants

Sessions Children Examined

Children Treated

Dr.Afshan Memon --- On maternity Leave ---

Dr.Ameena Bughio 2 50 2 11 10

Dr Fahmeda Shaikh 2 60 2 25 15

Dr.Fareeda Noonari 2 60 2 23 14

Dr.Farhana Shah 2 60 2 15 8

Dr Farzana Jokhio 2 73 2 27 17

Dr.Farzana Quershi 2 70 2 18 11

Dr Jamila Khoso 2 40 0 0 0

DR. Kalsoom Janwari 2 55 2 13 8

Dr.Mehnaz Soomro 2 53 2 12 7

Dr.Naheed Akbar 2 60 2 12 6

Dr Naheed Solangi 2 48 0 0 0

Dr.Sabiha Khaskheli 2 31 2 29 13

Dr Saima Hingoro 0 0 0 0 0

Dr.Shabnam Niaz 2 54 2 29 16

Dr.Zakia Larik 2 39 1 8 2

Totals 28 753 23 222 127

4. Important Points during Support Group Meetings. a) CSG demanded that the Ultrasound facility may be provided at uncovered areas. b) CSG members demanded that health facilities may be repaired. 5. Important Points during SHSs A) Prevention of Scabbies b) Prevention of Diarrhea c) Increase awareness regarding the prevention of Malaria. d) Precaution of Acute respiratory Infection. 6. Important Points during CHSs c Prevention of Diarrhea b) Prevention of Polymylitis c) Prevention of Family Planning d) Prevention of Maleria

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7. Topics for SHSs for the Month

Sr. No. Topics

1 Health Education

2 Hand Washing

3 ARI

4 Scabbies

5 Diarrhea

8. Topics for CHSs for the Month

S # Topics

1 Anti natal care

2 PID

3 Immunization

4 Anemia

9. Important Discussion on Community Participation during MRM

The DSM urged the MOs and FMOs to conduct regular monthly meetings with CSG/ CHS/ SHS and send a copy of minutes of the meeting to DSU for record purpose. He further directed keep record of the same and focus on the staff regularity and punctuality. 10. Health Camps: Number Held: 00. Number of Patients: 00 11. Measures for improvement / provision of Services by other Department / Agencies

Sr No Description Recommendation To whom sent

Present status

I Sanitation - - -

Ii Drainage / sewerage - - -

Iii ……… drinking water - - -

Iv Prevention of adulteration - - -

V Tree Plantation - - -

Vi Roads and infrastructure - - -

Vii Environmental Improvement - - -

Viii Others - - -

(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW

1. OPD*

New patients treated during the month

Old patients treated during the month

Total OPD during the month (New + Old)

65465 467 65932

2. Maximum OPD** Minimum OPD**

S # BHU OPD BHU OPD

1 BHU Wahi Pandhi 3054 BHU Chorr 671

2 BHU Thareri Mohabat 2446 GD Mondar Khan Jamali 710

3 BHU Allahyarani 2242

GD Gul Mohammad Jatoi

732

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3. Top Five Diseases Treated during School Health Sessions/Camps *All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases During OPD

S # Disease No. of Patients

1 ARI 14045

2 SKIN DISEASE 5864

3 DIARRHOEA / DYSENTERY 5030

4 SUSPECTED MALARIA 4731

5 EYE/ENT 1019

6. ARV / ASV used during the month

No. of Patients

Dog bite cases reported 402

ARV Administered 220

ARV Available Doses 416

Snake bite cases reported 0

ASV Vaccine Administered 0

ASV Vaccine Available Doses 5

S 6. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive

Health) 3. (Lab / Diagnostic Tests)

S # Tests Number



3 Haemoglobin 29

4 X-Rays (if available) -

5 Ultra Sound 827

6 Others (please specify) 101

7. B & C SCREENING TESTS

Screening No. of Tests

Performed

No. of cases found

positive

No. of cases referred for treatment

Total referred upto date

Follow up result

Hepatitis B 11 1 - - -

Hepatitis C 26 - - - -

S # Diseases No. of Patients

1 Respiratory Disease 28

2 MALARIA 19

3 SCABBIES 17

4 DIARRHOEA 13

5 EYE INFECTION 08

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8. TUBERCLOSIS

Patients Receiving Treatment

New Cases During the Month

Under Diagnosis

113 15 48

9. Referrals

S.No Totals Cases Referred To

1 TB DOT Deliveries Others RHCs THQs DHQs

2 - - - - - -

3 - - - - - -

4 - - - - - -

10. Inverse Referrals

S.No Totals Cases Referred from

1 ARV ASV Others RHCs THQs DHQs

2 - - - - - -

3 - - - - - -

4 - - - - - -

G. MONITORING DURING MONTH UNDER REVIEW

1. Monitoring Visits during the month

DSM Executive Monitoring Other Staff Total

42 45 143 230

2. Important Points/Issues arising from Visits

S # Name of HF Issue Action Remarks

1 BHU Fareed Abad MO demanded start of R&R work

Work will start soon

2 BHU Boriri MO demanded repair of motor

Motor has been repaired

3 BHU Gozo M.O demanded the repair of Water Tank & Sanitary Fitting

Work has been done

H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS

1. Medicines available for ……………… Weeks 2. Important Issues raised relating to Medicines, etc. during MRM Few Doctors pointed out that the quality of medicine may be improved and also increase the quantity of medicine. The DSM apprised the medical officers that 10 items of medicine were procured from multinational companies and rest of the items are also of good quality and efficacious.

I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS

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S # Name of HFs Description of Repair /

Maintenance incl. Electrification Status / Remarks

1 BHU Aminani Completed MB recorded Completed

2 BHU Ibrahim Panhwar Completed MB recorded Completed

3 BHU Khanpur Completed MB recorded Completed

4 BHU Makhdoom Bilawal Completed MB recorded Completed

5 BHU Pyaro Goth Completed MB recorded Completed

6 BHU Kolachi Completed MB recorded Completed

7 BHU Allahyarani Completed MB recorded Completed

8 BHU Bahawalpur Completed MB recorded Completed

9 BHU Gozo Completed MB recorded Completed

10 BHU Betto Completed MB recorded Completed

11 BHU Kamal Khan Lund Completed MB recorded Completed

12 BHU Phakka Completed MB recorded Completed

13 BHU Samtani Completed MB recorded Completed

14 BHU Qazi Arif Completed MB recorded Completed

15 BHU Boriri Completed MB recorded Completed

16 BHU Thallo Completed MB recorded Completed

17 BHU Haji Khan Completed MB recorded Completed

18 BHU Thareri Mohabat Completed MB recorded Completed

19 BHU Moundar Work Completed Completed

20 BHU Dhani Bux Bughio Work Completed Completed

21 BHU Phulji Station Work Completed Completed

22 GD G.Mohammad Chandio Work Completed Completed

23 BHU Sita Village Work Completed Completed

24 BHU Essa Khan Thebo Work Completed Completed

25 BHU Burera Work in progress 55%

26 BHU Wahi Pandhi Work in progress 50%

27 BHU Baid Work in progress 65%

28 BHU Patt Work in progress 20%

Inspections / Visits of PPHI HFs

Visitors* Health Facilities Visited Overall Comments

---- ---- ----

* To reflect only non-PPHI Visitors.

J- DISCUSSION DURING MRM On Staff Matters:

Involve of PPHI staff in NIDs .

Regularity and punctuality.

HF Record updated. On Preventive Health:

The DSM emphasizes the regular CSG Meetings and CHS Meeting.

Keeping the view the Polio Drops, the awareness of this disease was on top priority.

Establish the Wastage Pitch.

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Role on awareness rising about vaccination and it was shared with the forum that DSU-PPHI Dadu has appointed the 10 vaccinator for said purpose.

On Curative Health:

Properly usage of laboratory machine, Pregnancy strips, Nabulizer Machine and Glucometer strips.

The DSM emphasize on the properly Keeping Record and HF cleanliness. On Mother, Child & Reproductive Health:

Female Deliveries.

The DSM appreciate the increase in Vaccination.

Ensure the fully participation in NIDs Other Matters: The DSM stressed upon furnishing the record of inverse cases of HB / HC. Date /Time for Next MRM: Date /Time for Next MRM: On 10 March at 10:30 am. Comments on Targets vs Achievements (by DSM)

Repair of the HFs.

Provided ARVs / ASVs

Provided Water Connection at HFs

Maintaince of HFs Record

Regularity and Punctuality of Staff

Established link with Community Support Group and meeting there and tell them about PPHI and there Services at HFs.

MOULA BUX SOLANGI DISTRICT SUPPORT MANAGER

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MINUTES OF THE 35th MONTHLY REVIEW MEETING OF DISTRICT THATTA

Monthly Review Meeting (MRM) of District, Thatta for the Month of January, 2012 was held on 11th February, 2012 at DHDC Hall, DHO Complex Makli. Written invitations to participate were sent to the DC, the DHO Thatta, the DO (F&P) and District Incharge of EPI, LHW and all other National Programs as usual. The list of participants follows: List of Participants:


S #

Names/Designation Reasons S #

Names/Designation Reasons

1 Dr Shaheen Karnani/FMO Leave 2 Dr Hakima Palijo.,FMO Leave

3 Dr Asha kumari,FMO C/L 4 Dr Badarunissa FMO Mat.leave

5 Dr Girdhari Lal,MO BHU Goongani Polio duty 6 Dr Akhtar Ali shah /MO BHU Chatochand

Polio duty

7 Dr Altaf Hussain,MO BHU Muzaffar Leghari

Polio duty 8

Dr Akhtar Hussain katiyar ,MO BHU Kothi

Polio duty

9 Dr Attaullah Baloch /MO BHU Buhara

Polio duty 10

Dr Dost Muhammad MO BHU M.K Rind

Polio duty

11 Dr Muzaffar Shah/MO-BHU S.Q.D Shah

Polio duty 12

Dr Abdul Wahab MO BHU Ali Bahar.

Polio duty

13 Dr Zeeshan Shah/MO BHU Jhangri Polio duty

14 Dr Shafi Memon,I/C MO BHU N.M.Thaheem

Polio duty

15 Dr Narain Das,MO BHU G.M Shah Polio duty 16 Dr M Aslam I/C MO BHU Polio duty

S # Names/Designation S #

Names/Designation

1 Mr. Maqsood Ahmed Baloch/DSM-Thatta 2 Dr Agha Iftikhar DHO Thatta.

3 Dr Ghulam Qadir Sheikh, THO Thatta 4 Dr Ghulam Nabi khushk,FP WFP Thatta

5 Mr Hassan Ali Memon/Ex M&E Thatta. 6 Dr Waqar Ahmed DHCO UNICEF.

7 Dr Naseem Bano, FMO. 8 Dr Imtiaz Jogro MO BHU G.M Baran

9 Dr Devi Sadho/FMO 10 Dr Irshad Memon,MO BHU Laiqpur

11 Dr Zareen Kehar,FMO 12 Dr Abdul Jabbar Memon MO BHU Kot Alamo.

13 Dr Rubina Khokhar/FMO 14 Dr Imam Bux MO BHU Raj Sheikh Bachal

15 Dr Umaira Jabeen/FMO 16 Dr M.Umer Memon MO BHU Banno.

17 Dr Rukhsana Leghari,FMO 18 Dr Gulzar Uqaili,MO BHU Aachar Jakhro

19 Dr Zehra Abbasi,FMO 20 Dr Sadhu Ram I/C MO BHU Mureed khoso

21 Dr Marvi Shah/FMO 22 Dr M.Jaffar Almani MO BHU Ladiyoon

23 Dr Zuhra Kiran/FMO 24 Dr Jamshed /Dental Surgeon, BHU Dhabeji.

25 Dr Razia Raheem,FMO 26 Dr Jamal Memon/MO BHU Pir Jo Goth.

27 Dr Farhana Memon FMO 28 Dr Nisar Memon, MO (HQ).

29 Dr Farah Rafique, Sonologist. 30 Dr Murad Baloch MO BHU Jokhio village

31 Dr Saba Fatima/FMO 32 Dr Ghulam Murtaza MO BHU Ali M.Guggo

33 Dr Shaheen Brohi,FMO 34 Dr M.Ibrahim Memon,MO BHU Kandra

35 Dr Mehnaz Ghouri FMO 36 Dr Parkash Kumar,MO BHU Marho Bula Khan

37 Dr Ruqia Turk ,FMO 38 Mr Teerath Das,Ex.const Thatta

39 DR Noreen Sharif FMO 40 Mr Chetan Lal SM-5

41 Dr Shehla Sheikh FMO 42 Mr Hassan Dholo ADPW.

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Jungo Jalbani

17 Dr Asif Behrani MO BHU Jhimpir. Polio duty

18 Dr Abdul Hussain Shah/MO BHU Gail Mori

Polio duty

19 Dr Naimatullah/MO BHU Mureed Jarejo

Polio duty 20

Dr Soofi Azeem MO BHU Jhoke Sharif.

Polio duty

21 23

Dr Imtiaz kakepoto /MO BHU Khair Bux Leghari

Polio duty 22

Dr Karim khawaja MO BHU HM Sodho.

Polio duty

25 Dr Ashfaque Ahmed MO Boohar Polio duty

24 Dr Anwar Memon,MO BHU Bello

Polio duty

27 Dr Nisar Memon,MO BHU Nodo Baran

Polio duty 26

Dr Hussain Gul MO BHU Dhabeji

Polio duty

29 Dr Samiullah,MO BHU Sajanwari Polio duty

28 Dr Sajid Kehar MO BHU Ghulamullah

Polio duty

31 Dr Aijaz khawaja MO BHU Gariwah. Polio duty

30 Dr A.Rasheed Memon,MO BHU T.H Shah

Polio duty

33 Dr Anwar Khawaja/MO BHU Garho. Polio duty

32 Dr M.Ibrahim Soomro MO, BHU Gujjo.

Polio duty

35 Dr A.Ghani Soomro /MO BHU Ghorabari.

Polio duty 34

Dr Jai Kumar/MO BHU Rahoot.

Polio duty

B. HFs WITH PPHI

BHUs: 50 Dispensaries: 01 MCHCs: 0 Others: 0

TOTAL: 51 B. Population of the Catchments Area:

E. STAFF STRENGTH

Sanctioned



PPHI Contract

Vacant (Sanc-Govt)

MOs 51

46 11 35 5

WMO 0 0 0

FMOs 0 22 01 20 ….

LHVs 51 20 12 8 31

MTs/MAs Male

51 34 34 0

0 Female 0 0 0

Dispensers 51 36 16 20 3

F. CLUSTERS OF HFs WITH ONE MO








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WITH ONE FMO

E. CAPACITY BUILDING

1. First Session: During MRM

Dr. Waqar Ahmed, DHCSO UNICEF in his lecture on “ANALYSIS OF ROUTINE IMMUNIZATION AT THATTA” focused on the following points:-

UC wise coverage.

Antigen wise coverage.

Category wise coverage.

How to improve routine immunization.



Participants

F. REVIEW OF THE PERFORMANCE (I) PREVENTIVE HEALTHCARE

During Month under Review 1. Vaccination / Immunization



No. of Immunization & Vaccination Administered by outreach EPI Teams 4834

Total vaccination / immunization for the month Dec 2011 10353

2. National Immunization Days (NIDs) for Polio


coverage

30th Jan2012 to 1st Feb2012 251462 101%

3. Other Preventive/Promotional Services

S # Service Number

1 Passive Case Detection (PCD) Slides NA

2 Active Case Detection (ACD) Slides NA

3 Visits to Check Sanitation (individual households + streets) NA

4 Notices issued against Poor Sanitation NA

5 Challans sent to Court against Poor Sanitation NA

6 Patients Nebulized 164







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(II) MOTHER, CHILD & REPRODUCTIVE HEALTH During Month under Review

1. Female Health

S #

Names of FMOs Ante-Natal Cases Natal Cases Other OPD Total OPD

1 Dr Razia Palijo 217 0 112 1193

2 Dr Shaheen Brohi 173 0 114 1097

3 Dr Mehnaz Ghouri 61 0 105 1047

4 Dr Saba Fatima 63 0 146 1008

5 Dr Hakima Palijo 108 0 42 980

6 Dr Rukhsana Leghri 56 0 38 936

07 Dr Zareen Kehar 83 0 170 941

08 Dr Shaheen Karnani 91 0 65 855

09 Dr Zehra Qureshi 124 2 187 845

10 Dr Rubina Chander 67 0 31 829

11 Dr Devi Sadhu 52 0 15 728

12 Dr Naseem Bano 110 1 90 706

13 Dr Marvi Shah 15 0 21 692

14 Dr Farhana Memon 51 0 82 661

15 Dr Shehla Sheikh 41 1 142 615

16 Dr Umaira Bhutto 23 0 115 585

17 Dr Ruqia Turk 62 1 59 570

18 Dr Asha Kumari 35 2 73 532

19 Dr Noreen Sharif 30 0 110 502

TOTAL 1462 07 1717 15322


S # Service Number




S # Test Number

1 Pregnancy Tests 263 (42 +ve)




5 Other (RDT)Malaria 449 (16 +ve)

8. Important Discussion on Mother and Child and Reproductive Health during MRM 9. Provision of Family Planning Services during the Month



2 Oral Pills 237

3 IUCDs 0

4 Injections 287

5 Others 154

Total 1271

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1. Number of Male SGs: 51 Number of Female SGs: 06 2. Performance of Social Organizers





No. No. of

Participants

Mr. Lutif Ali Shah 06 1 75 17 268

Mr. Zubair Ahmed 08 0 88 15 219

Mr Munawar leghari 06 0 58 12 175

Mr Chetan Lal 02 0 23 12 175

Total 22 01 244 56 837

I. School Health Sessions & Community Health Sessions



Sessions Participants Sessions Children

Examined Children Treated

Dr Shaheen Brohi 2 47 2 35 0

Dr Razia Palijo 2 27 2 15 8

Dr Ruqia Turk 2 20 2 24 5

Dr Zehra Qureshi 2 23 2 5 0

Dr Saba Fatima 2 49 2 12 4

Dr Hakima Palijo 2 27 2 22 13

Dr Rukhsana Leghri 2 65 2 70 55

Dr Rubina Chander 2 19 1 22 8

Dr Devi Sadhu 2 126 0 0 0

Dr Farhana Memon 2 38 2 25 16

Dr Shaheen Karnani 2 27 2 60 5

Dr Marvi Shah 2 22 2 10 2

Dr Naseem Bano 2 17 2 18 3

Dr Asha Kumar i 2 33 2 2 0

Dr Umaira Bhutto 3 54 1 0 0

Dr Noreen Sharif 2 25 2 65 35

Dr Mehnaz Ghouri 4 155 0 0 0

Dr Zareen Kehar 2 18 2 0 0

Dr Shehla Sheikh 0 0 0 0 0

4. Important Points during Support Group Meetings.

Role of the community support group in vaccination and polio campaigns.

Role of the community support group for the arrangements of school health sessions.

Role of the community support group for the arrangements of Community health sessions for male and female participants.

Support of the community during the R&R work.

Support of the community groups for plantation.

17

Increasing the number of members in each community meeting while inviting the social people of the catchments area of the facility

II. Important Points during SHSs

Immunization

Personal Health and hygiene

Nutrition

Polio

Skin disease

10. Important Points during CHSs

Family Planning

Vaccination/Polio

Personal Hygiene.

Scabies.

Antenatal care.

TB

I. Topics for SHSs for the Month

Sr. No. Topics

1 Personal Hygiene

2 Importance of vaccination/Polio

3 Malaria

4 Diarrhea

5 Scabies

8 Topics for CHSs for the Month

S # Topics

1 Antenatal care

2 Polio

3 Malaria

4 Family Planning

5 Importance of breast feeding

6 Tuberculosis

7 Personal Hygiene

8 ARI


To Conduct regular CSG meetings

Active Participation of CSG members

Change / Replace inactive members of CSG

Develop Ownership of BHUs among community

Cooperation for arranging SHS & CHS.

Active Participation of CSG members in polio campaign 10. Health Camps: Number Held: 0 Number of Patients:

18

11. Measures for improvement / provision of Services by other Department / Agencies


Present status

i Sanitation

ii Drainage / sewerage

iii ……… drinking water

iv Prevention of adulteration

v Tree Plantation

vi Roads and infrastructure

vii Environmental Improvement

viii Others


I. OPD*




57556 1158 58724


S # BHU OPD BHU OPD

1 Chatochand 2619 Raj Malik 193

2 Gujjo 2258 Ali Mohd Guggo 296

3 Dhabeji 2220 Muzaffar Leghari 451

4 Aacher Jakhro 2059 Jungo Jalbani 457

5 Gariwah 1891 Jeand Zangejo 485

3. Top Five Diseases Treated during School Health Sessions/Camps 4. Top Five Diseases during OPD

S # Disease

1 ARI

2 Scabies

3 Malaria

4 Diarrhea

5 Cough more than 02 weeks


S # Diseases

1 RTI

2 Scabies

3 GIT

4 ENT

5 Malaria

19

No. of Patients


ARV Administered 91





9. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive


S # Tests Number



3 Hemoglobin 06

4 X-Rays (if available) 0

5 Ultra Sound 785

6 Others (Malaria) 449

10. B & C SCREENING TESTS: N/A

Screening No. of Tests Performed

No. of cases found

positive



Follow up result

Hepatitis B

Hepatitis C

11. TUBERCLOSIS



Under Diagnosis

08 0 05

9. Referrals


TB DOT Deliveries Others RHCs THQs DHQs

1 06 05 0 01 05 0 01



ARV ASV Others RHCs THQs DHQs

1 12 12 0 0 2 10 0

I. MONITORING DURING MONTH UNDER REVIEW


20


49 62 182 293



01 BHU Gail Mori Electricity & Cold chain Cold chain repaired and service wire provided.

Solved.

02 BHUs Nodo Baran,G.M Shah,Jangri,GM Baran

Electricity Connection Applied for new connection, demand draft paid, reminder written to HESCO officials.

Pending


1. Medicines available for 14 Weeks 2. Important Issues raised relating to Medicines, etc. during MRM


S # Name of HFs Description of Repair / Maintenance

incl. Electrification Status / Remarks

01 BHU Aachar Jakhro Completed MB recorded

02 BHU Gujjo Completed MB recorded

03 BHU NM Thaheem Completed MB recorded

04 BHU Jokhio Village Completed MB recorded

05 BHU Ali Bahar Completed MB Recorded

06 BHU Chato Chand Completed MB recorded

07 BHU Haji M. Sodho Completed MB recorded

08 BHU Dhabeji Completed MB Recorded

09 BHU Ghari Wah Completed MB recorded

10 BHU Garho Completed MB recorded

11 BHU Ghorabari Completed MB recorded

12 BHU Khair Bux Leghari Completed MB recorded

13 BHU Kandra Completed MB recorded

14 BHU S.Qadir dino Shah Completed MB recorded

15 BHU Mureed Khoso 80% In progress

16 BHU MK Rind 80% In progress

17 BHU Jhoke Sharif Completed In progress

18 BHU Gail Mori 80% In progress

19 BHU Muzaffar Leghari 90% In progress

20 BHU Shahnawaz Leghari 90% In progress

21 BHU Laiqpur 90%

22 BHU Banno 20%

23 BHU Sajanwari 10%

24 BHU T.H Shah 10%

25 BHU Goongani 10%

26 BHU Rahoot 10%

27 BHU G.M aran 10%

21





Regularity & punctuality of staff.

Maintenance of all records.

Submission of reports on time.

Doctors & paramedical staff should wear apron during working hours.

Maintenances of leave record of HF staff at BHUs/GD.

Maintenance of V-phone at health facilities. On Preventive Health:

Conduct health sessions on regular basis and include topics of seasonal disease.

Arranging of quality/genuine health sessions. On Curative Health:

MOs & FMOs with low OPD were directed to increase liaison with community and make regular CSG meetings.

MOs/FMOs were informed about conduct of diabetes camps with the consultation of CSGs.

MOs/FMOs were advised to use deworming tablets in children under 5 yrs of age. On Mother, Child & Reproductive Health:

During MRM it was emphasized that all female medical officers should concentrate more on mother and child health, besides their general OPD they should focus on ANC/PNC, normal delivery cases and also make counseling of patients. Make public family planning services to the clients.

Other Matters: Date /Time for Next MRM:

The tentative date for next MRM was fixed on March 09,2012 Comments on Targets vs Achievements (by DSM): DSM gave a detailed presentation on the progress for the reporting month. He directed all Medical Officers to lay special focus on routine immunization and polio eradication campaigns as Thatta was one of the poorest performing districts. He directed all FMOs to conduct meaningful Community health sessions and school health sessions. He also directed all FMOs to increase ANC and PNC as it was one of their primary responsibilities. In the end DSM thanked DHO and his team for attending MRM and extending full cooperation and he assured the same from PPHI management.

22

MINUTES OF THE (5th) MONTHLY REVIEW MEETING OF DISTRICT JAMSHORO

5th Monthly Review Meeting (MRM) of District Jamshoro for the Month of January, 2012 held on 9th February, 2012 at District Assembly Hall - Jamshoro. Written invitations were sent to the DC, the DHO, the EDO(F&P) and District Incharges of EPI, LHW, T.B Program, Malaria ,DHIS, family planning, District Surveillance Officer WHO and all other National Programs as usual. The list of participants is as follows: List of Participants:

1. Mr. Saifullah Abro District Support Manager DSU PPHI Jamshoro

2. Mr. Niaz Hussain Channa EO(M&E) DSU PPHI Jamshoro

3. Dr. Rubina FMO BHU Wahur

4. Dr. Tehseen Sonologist PPHI Jamshoro

5. Dr. Anjum Shaikh WMO GD Sindh University

6. Dr. Shahida Shoro FMO BHU Karo Khao/ Gd Budhapur

7. Dr. Khalida FMO HU KK Basti / Khanote

8. Dr. Fareha Javed FMO BHU Thano Ahmed Khan

9. Dr. Rozina FMO BHU Khado / GD Mehada Palari

10. Dr. Shazia Memon FMO BHU Lakha / GD Christian Colony

11. Dr. Iram Naz FMO BHU Sari / GD Khurshed Colony

12. Dr. Shah Bano FMO GD Bihar Colony

13. Dr. Naseem Junejo FMO BHU Amri/ GD Qubi

14. Dr. Zulekha Memon FMO BHU Garwari/ BHU Laki

15. Miss Rubina Dai BHU Sari

16. Dr. Muhammad Ramzan I/C MO BHU Bubak

17. Dr. Shahid Hussain Khoso I/C MO BHU Amri

18. Dr. Muhammad Taqi Soomro I/C MO GD LSB Jamshoro Colony

19. Dr. Irshad Nonari I/C MO SHC Thano Arab Khan

20. Dr. Jahanzaib Bhatti M.O (HQ) PPHI DSU Jamshoro

21. Dr. Hafeez Ahmed I/C MO BHU Khuda Ki Basti

22. Dr. Javed I/C MO BHU Thano Ahmed Khan

23. Dr. Sultan Ali Qureshi I/C MO GD Qubi

24. Dr. Prem Chand I/C MO Gd Mahenda palari/GD Ali Murad Bareja

25. Dr. Abdul Khalique I/C MO BHU Laki

26. Dr. Riaz Ahmed Shaikh I/C MO GD Christian Colony

27. Dr. Zunair Shoro I/C MO GD Budhapur

28. Dr. Nazir Feroz I/C MO GD Bihar Colony

29. Dr. Muzamil I/C MO SHC Dhamach

30. Dr. Feroz-u-Din Sehto I/C MO BHU Talti

31. Dr. Zakir I/C MO BHU Garwari

32. Dr. Nisar Ahmed I/C MO GD Band Manchar

23

33. Dr. Sohail Ahmed Soomro I/C MO GD Khurshed Colony

34. Dr. Asar Mal I/C SMO BHU Sari

35. Dr. Asan I/C MO BHU Mole

36. Dr. Aftab Ahmed Soomro I/C MO BHU Walidad Gabool

37. Dr. Faraz Memon I/C MO BHU Lakhal

38. Dr. Allah Jurio I/C MO GD Bajara

39. Dr. Khalid Yousaf Guest

40. Mr. Allah Bachayo H.T GD Gul Mohd Sehtani

41. Mr. Khadim Hussain Dispenser BHU Taung

42. Mr. Abdul Salam Dispenser BHU Sari

43. Mr. Mashooq Ali H.T BHU Tajuji

44. Mr. Shahzad Ali Soomro SO-/Assistant DSU PPHI Jamshoro

45. Mr. Mujeeb-u-Rehman SO-/Assistant DSU PPHI Jamshoro

46. Mr. Allah Dino SO-/Assistant DSU PPHI Jamshoro

47. Abdul Majeed CSG Member

48. Mr. Gulam Subhani Chokidar BHU Sari


1. Dr. Naheed Akhtar FMO SHC Dhamach C/L

2. Dr.Nighat FMO GD LSB Jamshoro

C. HFs WITH PPHI BHUs: 19 Dispensaries: 13 MCHCs: 01 Others: 01(RHC)

TOTAL: 34 B. Population of the Catchments Area: 640303

G. STAFF STRENGTH

Sanctioned



PPHI Contract

Vacant (Sanc-Govt)

MOs 37

32 16 16 19

WMO 02 02 00

FMOs - 12 - 12 -

LHVs/MW/F. Nurse 20 26 20 06 0

MTs/MAs Male

26 26 26 0

0 Female - - -


H. CLUSTERS OF HFs WITH ONE MO








24

WITH ONE FMO


1. First Session: During MRM DR NAZNEEN ALI KHASKHELI PG MS GENERAL SURGERY gave lecture on Bleeding per rectum (topic) focused on the following points:- a) Causes Of Bleeding. b) Hemorrhoid c) Formation Of Hemorrhoid d) Clinical Features e) Management f) TREATMENT g) COMPLICATIONS h) ANAL FISSURE i) DIAGNOSES

DR KHALID YOUSUF MEMON Lecturer in Pathology Department LUMHS gave lecture on Significance Of Routine Investigation In Diagnosis Of Disease focused on the following points:-

a) INTRODUCTION b) Limitations of reference ranges c) Interpret results in clinical context d) History and clinical examination e) Neutrophils – Low f) Neutrophils – High g) Lymphocytes h) Procedure of urine sample collection i) Indications


Names of the Resource Persons with dates

Date Venue Topic No. of

Participants









25




No. of Immunization & Vaccination Administered by outreach EPI Teams

Total vaccination / immunization for the month October 2011 2026


Dates of NIDs Target of coverage Actual coverage Percentage of coverage


S # Service Number

1 Passive Case Detection (PCD) Slides

2 Active Case Detection (ACD) Slides

3 Visits to Check Sanitation (individual house holds + streets)

4 Notices issued against Poor Sanitation

5 Challans sent to Court against Poor Sanitation





S # Service Number


2 Deliveries Assisted at Homes -

S # Names of FMOs Ante-Natal Cases Neo-Natal Cases Other OPD Total OPD

1 Dr. Khalida Buriro 74 0 704 778

2 Dr. Shazia Memon 83 0 1460 1543

3 Dr. Rubina Memon 34 0 1725 1759

4 Dr. Rozina Memon 24 0 517 541

5 Dr. Fareeha Javed 8 0 407 415

6 Dr. Shahida Shoro 15 0 351 366

7 Dr. Naheed Akhtar 13 0 241 254

8 Dr. Erum Naz 32 0 1082 1114

9 Dr. Shah Bano 166 0 2564 2730

10 Dr. Anjum shaikh 16 0 526 542

11 Dr. Nighat 23 3 733 759

12 Dr. Naseem Junejo 8 0 210 218

Total 496 03 10520 11019

26


S # Test Number



3 Hemoglobin Tests -

4 Ultra Sound Test -

5 Other -

4. Important Discussion on Mother and Child and Reproductive Health during MRM



Consultation / Advice 263

Oral Pills 66

IUCDs 01

Injections 63

Others(RC) 41

Total 434



1. Number of Male SGs: 20 Number of Female SGs: -------------- 2. Performance of Social Organizers





No. No. of

Participants

Shahzad Ali Soomro 6 - 92 23 676

Mujeeb-u-Rehman Shaikh 05 - 81 12 487

Allah Dino Otho 08 - 121 19 741

Total - - - 38 1215


Sr. No

Name of FMO/ MO CHS School Health Session

No. Part: NO. Examined Treated

1 Dr. Khalida Buriro 2 58 2 14 7

2 Dr. Shazia Memon 2 70 2 - -

3 Dr. Rubina Memon 2 45 2 55 55

4 Dr. Rozina Memon 2 47 2 14 9

5 Dr. Fareeha Javed 1 10 1 40 30

6 Dr. Shahida 1 35 2 3 3

7 Dr. Shah Bano 1 32 1 5 -

8 Dr. Erum Naz 2 70 2 - -

9 Dr. Naheed Akhtar 1 32 1 11 -

27

10 Dr. Anjum shaikh 1 12 - - -

11 Dr. Nighat - - 1 - -

12 Dr. Naseem Junejo 2 65 1 5 3

Total 17 476 17 147 107

4. Important Points during Support Group Meeting

Support in polio eradication campaign

Arrange CHS & SHS in catchment area

Arrange medical camps.

5. Important Points during SHSs

Discussed importance of immunization, personal health & hygiene, nutritional status and other diseases.


Importance of breast feeding and maternal health. 7. Topics for SHSs for the Month

Sr. No. Topics

1 Immunization

2 Personal Health and hygiene

3 Nutrition

4 Diarrhea (Prevention & Treatment)

5 Malaria


S # Topics

1 Immunization


3 Nutrition

4 Mother and child health

9. Important Discussion on Community Participation during MRM The schedule of the CSG meetings was shared and finalized with MOs consultation. DSM guided the MOs to arrange the community support groups on mentioned dates in the schedule. Invite and ensure the maximum participation of the members from the CAs of the health facility in the CSG meetings. 10. Health Camps: Number Held: 00. Number of Patients: 00. 11. Measures for improvement / provision of Services by other Department / Agencies

Sr No

Description Recommendation To whom sent

Present status

I Sanitation No No No

Ii Drainage / sewerage No No No

Iii ……… drinking water No No No

Iv Prevention of adulteration No No No

V Tree Plantation No No No

28

Vi Roads and infrastructure No No No

Vii Environmental Improvement No No No

viii Others No No No


1. OPD*




33778 2542 36320


S #

BHF name OPD S #

BHF name OPD

01 GD Bihar Colony 4062 19 BHU Talti 847

02 GD Khurshed Colony 3340 20 GD Ali Murad Barejo 803

03 GD Christian Colony 2221 21 GD Mehenda palari 783

04 BHU Khuda ki basti 2053 22 BHU Thano Ahmed Khan 781

05 GD LSB Jamshoro Colony 1777 23 BHU Amri 772

06 BHU Lakha 1548 27 BHU Laki 740

07 GD Bajara 1502 25 BHU Tajuji 736

08 BHU Wahur 1399 27 GD Budhapur 635

09 GD Sindh University 1297 28 BHU Khado Village 612

10 BHU Seri 1276 29 GD Gu Muhammadl Sehtani 594

11 BHU Khanot 1199 30 BHU Mole 548

12 BHU Karo Khao 974 26 SHC Dhamach 523

14 BHU Taung 961 26 GD Qubi 447

15 BHU Bubak 933 31 BHU Garwari 245

16 BHU Walidad Gabol 926 32 GD Karchat -

17 SHC Thano Arib Khan 905 33 RHC Unerpur -

18 GD Band Manchar 881 34 MCHC Sewhan N/A

3. Top Five Diseases Treated during School Health Sessions/Camps 4. Top Five Diseases During OPD


1 ARI

2 Fever(clinical Malaria)

3 Scabies

4 Diarrhea

5 Dysentery


1 ARI

2 Fever(clinical Malaria)

3 Scabies

4 Diarrhea

5 Dysentery

29


No. of Patients

Dog bite cases reported -

ARV Administered -

ARV Available Doses -

Snake bite cases reported -

ASV Vaccine Administered -

ASV Vaccine Available Doses -



S # Tests Number



3 Hemoglobin 0


5 Ultra Sound 0




Performed

No. of cases found

positive



Follow up result

Hepatitis B 0 0 0 0 0

Hepatitis C 0 0 0 0 0

14. TUBERCLOSIS



Under Diagnosis

0 0 0

9. Referrals



2 27 27 0 0 0 27 -

3

4




2 0 0 0 0 0 0 -

3

4

30




38 46 124 208




1. Medicines available for Weeks: 24 weeks

4. Important Issues raised relating to Medicines, etc. during MRM a. Shortage of medicine b. Number of items provided is less than 30 c. ARV & ASV is required




1 BHU Wahur R&R TS Approved

2 BHU Bubak R&R TS Approved

3 BHU Khurshed Colony R&R TS Approved

4 BHU KK Basti R&R TS Approved

5 BHU Laki R&R TS prepared

6 BHU Khando R&R TS prepared

7 GD Christian Colony R&R TS prepared

8 BHU Khanothe R&R TS prepared

9 BHu Thano Ahmed Khan R&R TS prepared

10 BHU Sari R&R TS prepared




J- DISCUSSION DURING MRM DSM presented the progress of PPHI and openly discussed the issues related to health facilities. Date / Time for Next MRM: 7th of March 2012 at 10:00am Comments on Targets v/s Achievements (by DSM) DSM Appreciated the efforts of the MOs and FMOs regarding their working at HFs. He said that the cases of TB must be referred to the TB Diagnostic centers and then must be followed.

31

MINUTES OF THE (38th) MONTHLY REVIEW MEETING OF DISTRICT MATIARI

Monthly Review Meeting (MRM) of District Matiari for the Month of January, 2012 was held on 9th February, 2012 at DSU PPHI Matiari Office. Written invitations to participate were sent to the Deputy Commissioner, the DHO(H), the EDO(F&P) and District Incharge of EPI, LHW, T.B Program, Malaria ,family planning and all other National Programs as usual. The list of participants as follows: List of Participants:

49. Inam-ur-Raheem Abro District Support Manager DSU PPHI Matiari

50. Muhabat Ali Shah EO(M&E) DSU PPHI Matiari

51. Mr.Imran Qureshi EO(F/A) DSU PPHI Matiari

52. Dr.Erum Parveen FMO Guest Speaker

53. Abdul Malik A.DPWO A.DPWO Office Matiari

54. Dr.M.Aslam Siddiqui MS RHC Bhit Shah

55. Dr.Abdul Fatan Abro I/C MO BHU Bau Khan Pathan

56. Dr.Salma Shah I/C Sr.WMO DCD Jumo Shahoke

57. Dr.Aijaz Ali Memon I/C MO GD Shahmeer Ji Wasi/DCD Pali Jani

58. Dr.Munir Jamali I/C MO BHU Bagho Khan Jamali/ BHU Nabi Bux Jamali

59. Dr.Shuja Muhammad Shah I/C MO BHU Udero Lal Village

60. Dr.Azra Shakoor Shaikh FMO BHU Laloo Magnwano/ GD Sher M. Thora

61. Dr.Naeem Ahmed Memon I/C MO BHU Fakir Nooh Hothiani

62. Dr.Shakeel Ahmed I/C MO GD Soomar Chand

63. Dr.Safdar Ali Rajpar I/C MO GD Sher M. Thora

64. Dr.Imtiaz Ali Memon I/C MO BHU Karam Khan Nizamani

65. Dr.Shazia Naz Memon FMO RHC Bhit Shah (evening)

66. Dr.Afshan Rafique FMO BHU Shahmeer Rahu/BHU Seerachoo Kaka

67. Dr.Shahid Memon I/C MO BHU Seerachoo Kaka

68. Dr.Amir Ali Sangrasi I/C MO BHU Khando

69. Dr.Sajida Raza FMO BHU K.K.Nizamani/ GD Old Saeedabad

70. Dr.Shahnaz Altaf FMO BHU Bagho Khan Jamali/BHU NBJ

71. Dr.Safina Ahmed Sonologist DSU PPHI Matiari

72. Dr.Amina Bano Sonologist DSU PPHI Matiari

73. Dr.Shabana Shah FMO MCH/BHU Sekhat

74. Dr Rukhsana Zahid FMO BHU Tahir Hingoro&DCD Dhaloo Khaskheli

75. Dr.Saran Shakeel FMO BHU Ilyas Abrejo/BHU Yousuf Hajano

76. Dr.Zainab Abro FMO GD Khanothe/ GD Rano Bughio

77. Dr.Faisal Shahzad I/C MO BHU Shahmeer Rahu

78. Dr.Shakeel Ahmed I/C MO GD Khanothe/BHU Mahar Shah

32

79. Dr.Nuzhat Zubair FMO MCH BHU Panj Moro

80. Dr.Jameela Memon FMO BHU Yousuf Hajano/ BHU Bhanothe

81. Dr.Sana Hussain FMO DCD Mari M. Khan/GD Punhal Khan Jamali

82. Dr.M.Soomar Memon I/C MO BHU Bhanothe

83. Dr.Allah Bux Arbab Sr.MO RHC Bhit Shah

84. Dr.Parveen Hafeez FMO BHU Udero lal Village

85. Dr.Khuda Dino Sahito I/C MO GD Old Saeedabad

86. Dr.Sameena Rasheed FMO BHU Bau Khan Pathan/ BHU Allah Dino Sand

87. Dr.Romi Aijaz Ali Memon FMO DCD Pali Jani/GD Shahmeer Ji Wasi

88. Dr.Ghulam Fatima FMO BHU Mahar Shah/DCD Awal Chachar

89. Dr.Parvez Ahmed I/C MO BHU Hala Old

90. Dr.Saba Faiz FMO MCH BHU Saeed Khan Laghari

91. Dr.Waseem Ahmed Laghari I/C MO DCD Jumo Shahoke

92. Dr.Toufeeque Ahmed Memon I/C SMO BHU Sekhat

93. Dr.Jamaluddin Ansari I/C MO BHU Yousuf Hajano

94. Dr.Shahzeb Ali Shah I/C MO BHU Panj Moro

95. Dr.Mushtaq Ahmed Memon I/C SMO DCD Awal Chachar

96. Dr.Fozia Zaheer FMO MCHC BHU Khando

97. Dr.Asif Zaffar Abro MO RHC Bhitshah (night shift)

98. Ghulam Rasool Dispenser RHC Bhit Shah

99. Meer Zulifiqar Ali Clerk RHC Bhit Shah

100.Dr.Khalid Saghir I/C SMO BHU Allah Dino Sand

101.Dr.Sache Dino I/C MO DCD Zair Pir

102.Dr.Sumera Naz FMO BHU Fakir Nooh Hothiani/GD Soomar Chand

103.Dr.Sahib Dino Memon I/C MO DCD Mari Muhammad Khan

104.Rabdino Abid Kazi SO-I/Assistant Taluka Hala

105.Hakim Ali Bhatti SO-III Taluka Matiari

106.Liaqat Jamali SO-II Taluka Saeedabad

107.Ayaz Soomro Assistant Admin DSU PPHI Matiari

108.Imran Memon Assistant DSU PPHI Matiari

109.Mr.Abdul Ghaffar Assistant DSU PPHI Matiari

110.Mr.Kirshan Mal Store Manager DSU PPHI Matiari


D. HFs WITH PPHI

BHUs: 13 Dispensaries: 16 MCHCs: 06 Others: 01(RHC)


I. STAFF STRENGTH

33

Sanctioned



PPHI Contract

Vacant (Sanc-Govt)

MOs 31

32 14 20 10

WMO 02 02 -

FMOs - 24 - 24 -

LHVs/MW/F. Nurse

41 45 23 22 18

MTs/MAs Male

22 16 16 0

06 Female - - -


J. CLUSTERS OF HFs WITH ONE MO

WITH ONE FMO


Mr./Dr Dr.Erum Parveen ,FMO (PPH).



Participants







Total vaccination / immunization for the month January 2012 16493














34



coverage


S # Service Number






6 Patients Nebulizer




S # Service Number




1 Dr.Azeema Raza 549 - 2519 3068

2 Dr.Naheed & Dr.Sadaf Naz 505 - 1608 2113

3 Dr.Fozia Zaheer 167 - 1337 1504

4 Dr.Shabana 157 - 1243 1400

5 Dr.Sameena 180 - 1181 1361

6 Dr.Nuzhat 152 - 1139 1291

7 Dr.Sajida Raza 170 - 1067 1237

8 Dr Salma Shah 116 - 1047 1163

9 Dr.Azra Shakoor 171 - 870 1041

10 Dr Roomi Aijaz 82 - 930 1012

11 Dr.Parveen Hafeez 73 - 920 993

12 Dr.Jamila 95 - 854 949

13 Dr.Saba Faiz 132 - 785 917

14 Dr.Saran Shakeel 69 - 838 907

15 Dr.Shahnaz Altaf 64 - 826 890

16 Dr.Zainab Abro 109 - 765 874

17 Dr.Gh.Fatima 40 - 755 795

18 Dr.Rukhsana Zahid 89 - 680 769

19 Dr.Sumera Naz 63 - 630 693

20 Dr.Afshan Rafiq 42 - 446 488

Total 3025 0 20440 23465

35


S # Test Number





5 Other --




2 Oral Pills 146

3 IUCDs 0

4 Injections 167

5 Others(RC) 113

Total 699



1. Number of Male SGs: 34 Number of Female SGs: -------------- 2. Performance of Social Organizers





No. No. of

Participants

Abid Kazi 5 - 42 19 215

Liaqat Jamali 7 - 51 36 244

Hakim Bhatti 7 - 60 39 220

Total 19 - 153 94 679


Sr. No



1 Dr.Shabana 2 45 1

2 Dr.Rozia Zaheer 1 42 1

3 Dr.Jameela 2 83 2

4 Dr.Saba Faiz 1 33 1

5 Dr.Ghulam Fatima 2 30 2 143 81

6 Dr.Azra Shakoor 2 46 2 20 20

7 Dr.Romi Aijaz 2 72 1

8 Dr.Sameena Rasheed 2 68 1

36

9 Dr.Salma Shah 1 14

10 Dr.Nuzhat Zubair 2 58

11 Dr.Sajida Raza 2 100 2 17 17

12 Dr.Zainab Abro 2 43 2 2 2

13 Dr.Rukhsana Zahid 2 57 2

14 Dr.Sumera Naz 2 43 2 32

15 Dr.Afshan Rafique 2

16 Dr.Saran Shakeel 2 45 2 1

17 Dr.Shahzeb Ali Shah 1 30 1 11 11

18 Dr.Toufique Ahmed 1 30 1

19 Dr.Khalid Saghir 1 21 1

20 Dr.Shakeel Ahmed 1 24 2

21 Dr.Mushtaq Ahmed 1 22 1

22 Dr.Anwar Ali Soomro 1 19 1 37 7

23 Dr.Ismail Laghari 1 44 1 12

24 Dr.Abdul Sattar 1 18 1 11 11

25 Dr.Safdar Rajpar 1 14 2 41

26 Dr.Amir Ali Sangrasi 1 14 1 1 1

27 Dr.Waseem Laghari 1 14

28 Dr.Naeem Ahmed 1 15 1

29 Dr.Sahib Dino Memon 1 12 1

30 Dr.M.Soomar Memon 1 31 1 36

31 Dr.Shuja M. Shah 2 42 1 91

32 Dr.Jamaluddin Ansari 2 69 1

33 Dr.Sach Dino Memon 1 27

34 Dr.Khuda Dino 2 24 1

35 Dr.Munir Ahmed 2 43 2

36 Dr.Faisal Shahzad 1

Total 50 1292 44 455 150


Dissemination the message of facilities available at HFs.

Role of the community support group in vaccination and polio campaigns.

Role of the community support group for the arrangements of school health sessions.

Role of the community support group for the arrangements of Community health sessions for male and female participants.

Support of the community during the R&R work.

Support of the community groups for plantation.

Increasing the number of members in each community meeting while inviting the social people of the catchments area of the facility.


Immunization

Personal Health and hygiene

Nutrition

Use of fruits and vegetables in daily life

6. Important Points during CHSs Participants were guided that during the polio campaign they should cooperate with the teams and support in vaccination and immunization process at their villages or Muhallas. They were guided regarding their personal

37

health and Hygiene. Doctors shared the facilities available at the nearest health facility to that community. The use of vegetables and fruits was also focused. 7. Topics for SHSs for the Month

Sr. No. Topics

1 Immunization


3 Nutrition



S # Topics

1 Immunization


3 Nutrition


9. Important Discussion on Community Participation during MRM The schedule of the CSG meetings was shared and finalized with MOs consultation. DSM guided the MOs to arrange the community support groups on mentioned dates in the schedule. Invite and ensure the maximum participation of the members in the CSG meetings. The DSM guided the MOs to increase the number of the participants while inviting the new members from the CAs of the health facility. 10. Health Camps: Number Held: 00 . Number of Patients: 00 11. Measures for improvement / provision of Services by other Department / Agencies

Sr No


Present status








Viii Others No No No


1. OPD*




66,943 2,103 69,046


S # BHU OPD BHU OPD

1 RHC Bhit Shah 7719 BHU Allah Dino Sand 1615

38

2 BHU Hala Old 5614 BHU Bagho Khan Jamali 1483

3 BHU Sekhat 3594 BHU Bau Khan Pathan 1703

4 BHU Khando 2416 BHU Fakir Nooh Hothiani 1363

5 BHU Udero lal Village 2264 BHU Ilyas Abrejo 1127

6 DC Dispensary Pali Jani 2255 BHU Laloo Mangwano 1222

7 DC Dispensary Awal Chachar 2240 BHU Mahar Shah 1393

8 GD Old Saeedabad 2213 BHU Seerachoo Kaka 1391

9 BHU Panj Moro 2210 BHU Tahir Hingoro 1286

10 GD Sher Muhammad Thora 2144 BHU Yousuf Hajano 1129

11 BHU Bhanothe 1995 DC Dispensary Mari Muhammad Khan 1333

12 BHU Saeed Khan Laghari 1970 dC Dispensary Zair Pir 1518

13 BHU Karam Khan Nizamani 1954 GD Khanothe 1442

14 BHU Shahmeer Rahu 1837 GD Punhal Khan Jamali 1341

15 DC Dispensary Jumo Shahoke 1824 GD Rano Bughio 1185

16 BHU Nabi Bux Jamali 1782 GD Shahmeer JI Wasi 1567

17 DC Dispensary Dhaloo Khaskheli 1721 GD Soomar Chand 1196

3. Top Five Diseases Treated during School Health Sessions/Camps *All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases during OPD


1 ARI 7372

2 Diarrhea 4406

3 Fever(clinical Malaria) 240

4 Scabies 2565

5 Dog Bite 55


No. of Patients


ARV Administered 55








1

2

3

4

39

S # Tests Number



3 Hemoglobin 110


5 Ultra Sound (Male) 430

6 Others (please specify) --



Performed

No. of cases found

positive



Follow up result

Hepatitis B 234 9 9 9

Hepatitis C 234 15 15 15

17. TUBERCLOSIS



Under Diagnosis

127 42 --

9. Referrals



2 52 52 52

3

4




2 10 06 0 04 10

3

4




31 52 250 333





40

2. Important Issues raised relating to Medicines, etc. during MRM




1 BHU Laloo Mangwano R&R Work Completed

2 BHU Tahir Hingoro - Completed

3 BHU Udero Lal Village - Completed

4 BHU Khando - Completed

5 BHU Bhanothe - Completed

6 BHU Saeed Khan Laghari - Completed

7 GD Old Saeedabad - Completed

8 GD Sher Muhammad Thora - Completed

9 GD Punhal Khan Jamali - Completed

10 GD Rano Bughio -- Completed

11 GD Soomar Chand -- Completed

12 GD Shahmeer Ji Wasi -- Completed

13 DC Dispensary Jumo Shahoke - Completed

14 DC Dispensary Dhaloo Khaskheli - Completed

15 DC Dispensary Mari Muhammad Khan - Completed

16 BHU Hala Old - Completed

17 BHU Ilyas Abrejo - Completed

18 BHU Mahar Shah - Completed

19 BHU Yousuf Hajano - Completed

20 DC Dispensary Zair Pir - Completed

21 BHU Seerachoo Kaka - Completed

22 BHU Nabi Bux Jamali - Completed

23 BHU Bau Khan Pathan - Completed

24 BHU Karam Khan Nizamani - Completed

25 BHU Panj Moro - Completed

26 BHU Shahmeer Rahu - Completed

27 BHU Bagho Khan Jamali - Completed




J- DISCUSSION DURING MRM DSM made presentation on Monthly Progress of health facilities and female Medical Officer, and also appreciated the incharge MOs regarding their efforts for the better health services provision at the HFs. He directed all Inchrges to check the record of their EPI centre on daily basis. Date /Time for Next MRM: 9th of March 2012 at 10:00am Comments on Targets vs Achievements (by DSM)

41

MINUTES OF THE (39th ) MONTHLY REVIEW MEETING OF DISTRICT TANDO MUHAMMAD KHAN

Monthly Review Meeting (M.R.M) of District, Tando Muhammad Khan for the Month of

January,2012 was held on 11-02-2012 at meeting Hall of District Government Complex. Written invitations to participate were sent to the Administrator/ DCO, the EDO(H), the EDO (Education), the EDO(Revenue), the EDO(F&P), Focal Persons, EPI, TB DOTS, National Program, Malaria Control, Hepatitis, HMIS & DEWS, District Population Welfare Officer, representatives Bridge Consultants, representatives WHO, all I/ce Medical Officers/ FMOs/LHVs etc. List of Participants:

S # Names Designation S # Names Designation

1 Mustafa Kamal Tagar DSM T.M.Khan 39 Dr. Sajida Memon FMO-PPHI

2 Dr. M. Ismail Soomro F/P (HMIS) 40 Dr. Shazia Qayoom FMO-PPHI

3 Dr. Gaajan Mastoi D.O HQ 41 Dr. Rubina Abbassi FMO-PPHI

4 Akbar Ali Qureshi DO(D.P.W) 42 Dr. Shazia Dal FMO-PPHI

5 Dr. Mir Hassan Turk MO-DG 43 Dr. Sadaf Faraz FMO-PPHI

6 Dr. M. Hussain Notkani MO- DG 44 Dr. Ali Anwar MO-PPHI

7 Dr. Narinder Kumar MO- DG 45 Dr. Sabir Kolachi MO-PPHI

8 Dr. Makhdom Ali Nawaz MO-DG 46 Dr. Abdul Malik Shaikh MO-PPHI

9 Dr. Shamshad Memon MO- DG 47 Dr. Kashif Jafferi MO-PPHI

10 Dr. Sadiq Khwaja MO- DG 48 Dr. Sadaf Sabir Sonologist

11 Dr. Talib Hussain MO- DG 49 Dr. Farzana Chachar Sonologist

12 Dr. A.Kareem Leghari MO- DG 50 Shela Gul LHV

13 Dr. Dhaloo Mal MO- DG 51 Farhat Parveen LHV

14 Dr. Mumtaz Bhatti MO- DG 52 Ghazala LHV

15 Dr. Abass Ali Mallah MO-PPHI 53 Farhat Parveen LHV

16 Dr. Sajan Sawai MO-PPHI 54 Najma Parveen LHV

17 Dr. M.Ali Talpur MO-PPHI 55 Dr. Lekho Mal LHV

18 Dr. Waheed Abass MO-PPHI 56 Ajmal Memon (D.P.W)

19 Dr M. Aslam Rustamani MO-HQ 57 Dr. Naheed Akhtar (D.P.W)

20 Dr. Shahbaz Mughal MO-PPHI 58 Dr. Hafeez Pasha D.O (H)

21 Dr. Aamir Khushk MO-PPHI 59 Sharjeel Siddique Ex (M&E)

22 Dr. Ayoub Memon MO-PPHI 60 Haji Noor Muhammad S.O

23 Dr. Intekhab Alam MO-PPHI 61 Muhammad Azeem S.O

24 Dr Chatro mal MO-PPHI 62 Salman Chang S.O

25 Dr Nizam Soomro MO-PPHI 63 Naveed Khaskheli S.O

26 Dr. Manoj Kumar MO-PPHI 64

27 Dr. Aslam Channa MO-PPHI 65

28 Dr. Raja M. Ishaque MO-PPHI 66

29 Dr. Asghar Talpur MO-PPHI 67

30 Dr. Farzana Jarwar FMO-PPHI 68

31 Dr. Nirmala Devi FMO-PPHI 69

32 Dr. Shazia Sattar FMO-PPHI 70

33 Dr. Irshad Fareed FMO-PPHI 71

34 Dr. Hifza Kainat FMO-PPHI 72

35 Dr. Sadaf Shaikh FMO-PPHI 73

36 Dr. Sofia Balouch FMO-PPHI 74

37 Dr. Sanober Ujjan FMO-PPHI 75

42

38 Dr. Zaid Jamali FMO-PPHI 76


S # Names Reasons for absence

1 Dr. Razia Khwaja On ultrasound training at Karachi

2 Dr. Farzana Malik On ultrasound training at Karachi

3 Dr. Liaquat Ali Siyal On Sick leave

4 Dr. Nizamuddin Soomro On leave

5 Dr. Ali Muhammad Qureshi On leave

6 Dr . Ghulam Sarwar Kumbo On leave

7 Dr. Mumtaz Talpur On Leave

8 Dr. Karim Bux Nizmani On Leave

9 Dr. Kashif Faraz Hingoro On leave

E. HFs WITH PPHI RHC: 01 BHUs: 13 Dispensaries: 20 Others: 01

TOTAL: 35

K. Population of the Catchments Area: 611,863

L. STAFF STRENGTH

Sanctioned



PPHI Contract

Vacant (Sanc-Govt)

MOs 42

34 12 22 07

WMO 01 01 0

FMOs include sonolgist 0 14 0 14 03

LHVs 4 19 7 12 0

MTs/MAs Male

32 41 07 34 25 Female

Dispensers

M. CLUSTERS OF HFs WITH ONE MO

WITH ONE FMO












43


1. 1st Session: Dr. Muhammad Ismail Soomro conducted session on ―DHIS System” and focused on the following points:-

Introduction

Objective of the DHIS System

Overview of DHIS System

DHIS Structure, Data collection and reporting mechanism

Calculating performance indicators

Checking Data Accuracy of Monthly Report.

2. 2nd Session: Dr. Nirmal Devi conducted session on “ APH ” and focused on the following points:-

a) Introduction b) Risk factors c) Placenta Previa d) Abruption placenta e) Placental Abruption f) Complications g) Initial management of APH




Participants



No. of Doses of Immunization Administered to Children at Health Facilities.

No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities.

No. of Immunization & Vaccination Administered by outreach EPI Teams

Total vaccination / immunization for the month Jan, 2011


Dates of NIDs Total Target of

coverage Actual coverage

Percentage of coverage



44

29th 30th 1st 2nd January / February 106,127

112,109

107%


S # Service Number

1 Passive Case Detection (APCD) Slides 590

2 Malaria Metro Survey (MMS) Slides 280

3 +ve Slides 19

4 Follow up 15



Sr # NAME OF FMO

OBSTETRICAL

Antenatal Natal Post Natal Total

1 Dr. Mahjabeen 0 0 0 0

2 Dr.Razia Khowaja 70 1 1 72

3 Dr. Laila Khowaja 132 5 5 142

4 Dr,Shazia Sattar 256 - 11 267

5 Dr.Farzana Jarwar 109 - 5 114

6 Dr.Irshad Fareed 221 3 15 239

7 Dr.Zaid 120 25 28 173

8 Dr. Hifza Kainat Shah 14 - 2 16

9 Dr. Sajida Memon 165 1 14 180

10 Dr. Sofia Baloch 6 242 15 263

11 Dr,Narmila 217 25 16 258

12 Dr.Farzana Malik -

13 Dr. Shazia Qayoom 55 1 10 66

14 Dr. Naima Memon 79 - - 79

Total 1,444 303 122 1,869


S # Service Number




S # Test Number





5 Other 915


45

a. No: of Deliveries has greatly increased at 24 hours MCHCs. Medicine indent has been circulated by PSU and medicines have been purchased. P.O for tablet cytotec has been supplied at Delivery centers.

b. Pre-diagnosis screening of patients for vaccine should be done religiously. c. Where vaccinator are provided under National Program, the duty roster should be signed by

I/c Medical Officer and absence report should immediately be sent to Focal Person. d. Pregnant females should be encouraged for delivery at BHU. e. F.P advice should be part of diagnosis and separate record be maintained. f. Sonologists shall furnish their presentation on the findings, referral and follow up. g. MNCH record and Growth monitoring record should be maintained by FMOs where LHV is

not provided. In all cases, record should be legible, complete and traceable. h. Baby Weighing Scales/ Adult Bath Scales, Hemoglobin Meters and Height Charts

have been provided. Ensure proper usage of the equipments and report of out of order weight machines should be immediately conveyed to I/c MO in writing.

i. Training on Hemoglobin meters have been provided to all Medical and Paramedical Staff for blood tests preferably for Pregnant women and same will be repeated for retention.

j. Focal Person (EPI) has declined to provide District Government vaccinators during FMO Days at the places where FMO cover is provided. The Vaccinator at all FMO covered facilities for that day used to bring vaccines in carrier and remarkable increase had been achieved in coverage for TT and BCG vaccines. But, now such matter will thoroughly be discussed with EDO (Health).




Oral Pills 225

IUCDs 35

Injections 34

Others 326

Total 1,155




Names of Social Organizers Meetings of Support Groups

conducted by him


No. No. of

Participants No.

No. of Participants

Haji Noor Muhammad 6 125 8 215

Naveed Khaskeli 5 112 9 201

Muhammad Azeem 6 132 8 192

Total 18 369 25 608


46

S. # NAME OF FMO CHS No. of Part: SHS No. of Chil:

Exam: No. of Chil:

Treated:

1 Dr. Irshad Fareed Siyal 2 76 0 0 0

2 Dr. Sofia Baloch 2 60 0 0 0

3 Dr. Shazia Sattar 2 51 1 31 0

4 Dr. Razia Khowaja 2 150 1 50 30

5 Dr. Laila Khowaja 2 40 2 28 26

6 Dr. Naima Memon 2 43 2 19 19

7 Dr. Farzana Jarwar 2 35 2 22 0

8 Dr. Hifza Kainat Shah 0 0 1 26 20

9 Dr. Zaid Jamali 2 48 0 0 0

10 Dr. Sajida Memon 1 42 2 1 13

11 Dr. Nirmala Devi 2 250 2 72 70

12 Shaziz Qayoom 0 0 0 0 0

13 Dr. Mahjabeen 0 0 0 0 0

14 Dr.Farzana Malik 0 0 0 0 0

TOTAL 13 608 12 218 178


The CSG members should help in monitoring and facilitation.

RHC Rajo Nizamani shall be inaugurated by Federal Minister for Water and Power in the month of November as R&R work is still left. However, purchase of O.T equipment is in process.

RHC Rajo Nizamani has been made functional for 24 hours with 03 shifts having medical and paramedical staff.

I/c Medical Officer has been trained for undertaking necessary day to day equipments/asset repairs on need basis after seeking administrative approval from DSM- should be regular feature.

Moral support to medical/paramedical staff working at HF.

Arranging of awareness sessions at their respective villages

Information sharing to the rest of the villages regarding facilities at HF

Reformation of CSGs and individual roles of the members

Effective local facilitation by CSG members to the hf staff

Developing greenery at HFs by the CSG members

Ownership of the HFs 5. Important Points during SHSs

To drink clean & safe water and Washing hands after toilet.

Awakening health consciousness in children regarding new aspects of diseases like Dengue Fever, Swine Flue, Congo Fever etc.

Nutritional awareness to be transferred to mothers through their kids.

Hair trimming, clean clothes, nails clipping, washing fruit/vegetables before eating. 6. Important Points during CHSs

Primary health care awareness.

Educate about immunization against infectious disease.

Personal Hygiene and worm infestation.

47

De-worming of children

Prevention from diabetes

Precautions from Malaria and Hepatitis

Importance of family Planning

Importance of Vaccination

Importance of ultrasound

Importance of antenatal and postnatal care 7. Topics for SHSs for the Month

Sr. No. Topics

1 Diarrhea

2 Malaria/Dengue


S # Topics

1 Diarrhea

2 Malaria/Dengue


Community Health Sessions are to be planned and held on Sonologist days.

Participation should be ensured through formal contact with LHWs.

Sessions are to be held preferably at Health Facility or at community home duly coordinated and facilitated by DSU/HF staff.

DSU field staff shall attend 50% of all the CSG meetings conducted during the month.

TORs of CSG must be shared with CSG members in every meeting of CSG.

Formal invitation to the CSG members in meeting

Presiding of the meeting by the CSG members

Participation of notable CSG member in MRM

Effective Mobilization of female CSGs and developing their ownership at H.Facility.

Involvement of notable in solving day to day problems of HFs.

CSG should be held at BHU.

Developing greenery at HFs.

10. Health Camps: Number Held: 00 Fixed and 00 Mobile camps Number of Patients: 11. Measures for improvement / provision of Services by other Department / Agencies


Present status

I Sanitation Not discussed in this meeting. Normally, a separate Quarterly Review meeting of Public Representatives and District Government officials/officers/NGOs is being held where such issues are discussed and decisions are taken.

Ii Drainage / sewerage

Iii ……… drinking water

Iv Prevention of adulteration

V Tree Plantation

Vi Roads and infrastructure

Vii Environmental Improvement

Viii Others

48


1. OPD*




49,768 626 50,394


S # BHU OPD BHU OPD

1 RHC Rajo Nizamani 4,793 BHU Nazar Pur 1,524

2 MCH Saeed Khan Lund 4,178 BHU Saeed Pur 1,404

3 BHU Jinhan Soomro 2,850 BHU Seehrani 1,355

4 MCH Shaikh Bhirkio 2,599 BHU Ghulam M Jat 1,348

5 BHU Dadoon 1,618 BHU Saeed Matto 1,066

3. Top Five Diseases Treated during School Health Sessions/Camps


1 ARI 29

2 Allergic Rhnites 25

3 Scabies 31

4 Malaria 24

5 Diarrhea 18

*All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases During OPD

S # Disease S # Disease

1 ARI 12,703 6 Suspected Viral Hepatitis

2 Scabies 4,083 7 Dog Bite

3 Diarrhea 3,899 8

4 Malaria 2,738 9

5 Cough more than 2 week 10


Particulars No. of Patients


ARV Administered ( @ 5 Dozes per patient) 00

ARV Available Doses ( @ 24 dozes/vial) 00


49



18. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Ch & Reproductive


S # Tests Number


2 Hemoglobin 116


4 Ultra Sound 975

5 Others (Lab Tests) 824



Performed

No. of cases found

positive



Follow up result

Hepatitis B

Hepatitis C

20. TUBERCLOSIS



Under Diagnosis

49

9. Referrals



2 49 49 49

3

4




2

3

4




20 80 108 208

50



01

02

03


1. Medicines available for: 30 Weeks 2. Important Issues raised relating to Medicines, etc. during MRM








All I/c M.Os/FMOs were asked to prepare the base data of that area and set the targets for A.N/P.N, immunization, Deliveries ets. Just reporting the figure does not solve the problems

Every Medical Officer has to commence a journey to become Health Officer sensitized for all 08 components of Primary Health.

All I/c M.Os/FMOs were given Leave formats to discourage sms leaves or hand written applications.

The DSM, PPHI TM Khan requested the in charges of health facilities for their timely submission of DHIS reports, Along with self created form for data required for MPR etc.

DSM advised all MO/FMO Submit advance leave application of planed leaves.

DSM advised all Incharge MO share all access medicine with other BHU with the help of monitoring team

All I/c M.Os should counter-sign on Bin Cards and Stock registers at every receiving and usage of stocks.

On Preventive Health:

All I/c M.Os should ensure checking of temperature chart as well as stock and expiry of vaccines.

Quality of HE sessions not yet improved. S.O should facilitate in arranging most of The CHS in communities

On Curative Health:

Quality of medicines has improved with clear impact on increased cost of medicines.

51

Rise in OPD and consequent rise in medicine consumption.

Patient coming from farther areas demand for more medicine dosages. On Mother, Child & Reproductive Health:

Baby Weighing Scales have been provided at all 35 facilities where FMO cover has been provided.

New DHIS MNCH registers and Growth monitoring registers will be maintained at each facility where FMO cover is provided. Training has already been provided to all FMOs in this regard. The DHO office will provide new DHIS register as per requirement.

The registers will be maintained by LHVs wherever provided. Otherwise, FMO will record and maintain.

For NVDs, FMOs should motivate to pregnant ladies for deliveries at BHUs.

All staff members of BHU Saeed Khan Lund and BHU Shaikh Bhirkyo were appreciated for conducting 55 deliveries during the month .

Other Matters:

One Pathological laboratory have been made functional at BHU Jinhan Soomro. Now, 04 Pathological Laboratories and 03 X-ray units have started functioning and periodically they have become self sustainable for purchasing diagnosis kits.

I/c Medical Officers requested not to wait for DSU for minor repairs and to undertake necessary repair in lines with procedures and policies already shared and claim reimbursements.

Date /Time for Next MRM: Tentative Date for next MRM is 09-03-2012 Comments on Targets vs Achievements (by DSM)

MEETING WAS SUCCESSFUL

(Mustafa Kamal Tagar),

District Support Manager, PPHI, Tando Muhammad Khan.

Copy for information to:

1) P.S to Syed Naveed Qamar Zaman Shah Sahib, Federal Minister for Water & Power, Govt of Pakistan.

2) Secretary to Government of Sindh for Health Department, Karachi. 3) Program Director, PSU, PPHI, Karachi. 4) Deputy Commissioner, District Tando Muhammad Khan. 5) Director General Health, Directorate of Health Hyderabad. 6) Regional Program Director, Region-I @ Hyderabad. 7) District Health Officer, District T.M Khan. 8) Dr. Samar Memon, S.O, WHO. 9) Incharge Medical Officer(s) all PPHI managed Health Facilities, T.M Khan.

(Mustafa Kamal Tagar), District Support Manager, PPHI,

52

MINUTES OF THE (45th ) MONTHLY REVIEW MEETING OF DISTRICT NAUSHEHRO FEROZE

45th Monthly Review Meeting (MRM) of District, Naushehro Feroze for the Month of January-2012 was held on 11th-February-2012 at DCO-Commette at NF. Written invitations to participants were sent to the DC, the DO (H), the DO (F&P) and District Incharge of EPI, notable of CSG members and Incharge of all other National Programs as usual. The list of participants is as follows: List of Participants: (Enclosed as annex.) The following could not attend the meeting for the reasons stated against each:-


1 Dr. M.Mithal Bhatti Leave Dr. Sajjad Hyer Shah Leave

3 Dr. Rafiqu Mangrio Polio duty Dr. Hafiz Akhter Leave

5 Dr. Nasir Khoso Leave Dr. Rahmatullah Channa Leave

7 Dr. Zulfiqar Solangi C/L Dr. Rafeeq Ahmed Jalbani Leave

8 Dr. Ghulam Zaineb Soomro U/S training

F. HFs WITH PPHI

BHUs: 46 Dispensaries: 3 MCHCs: Others: ______ TOTAL: 49

B. Population of the Catchments Area: 856,442

N. STAFF STRENGTH

Sanctioned



PPHI Contract

Vacant (Sanc-Govt)

MOs 51

49 31 22 20

WMO 1 01 00

FMOs 00 30 00 28 00

LHVs 3 00 00 27 3

MTs/MAs Male

71 4 4 00

64 Female 3 3 00

Dispensers/Vacci: 4 66 34 32 13

53

O. CLUSTERS OF HFs WITH ONE MO

WITH ONE FMO


1- No Session held duting MRM.



Participants

N/A



No. of Doses of Immunization Administered to Children at Health Facilities. 38,43



Total vaccination / immunization for the month 4,778



coverage

January30 to February 1-2012 257720 267446 104% 3. Other Preventive/Promotional Services

S # Service Number














54

1 Passive Case Detection (PCD) Slides -






(II) MOTHER, CHILD & REPRODUCTIVE HEALTH During Month under Review

1. Female Health

NAME OF FMO Neo-Natal Post Natal Others Total

Dr. Afsheen Sahar 55 0 55 799

Dr. Amber Khehro 92 13 105 864

Dr. Aneesa Sahito 38 10 48 972

Dr. AQeela Qureshi 81 4 85 701

Dr. Arfeen Korai 54 0 54 741

Dr. Fozia Abbassi 69 5 74 1153

Dr. Ghulam Qubra Buriro' 79 0 79 769

Dr. Ghulam Zaineb 74 0 74 1032

Dr. Khoula Naz 128 14 142 707

Dr. Marya Khaskheli 101 5 106 1579

Dr. Naima Batool 84 4 88 946

Dr. Naseem Khatoon Rajper 25 1 26 703

Dr. Nusrat Parween 21 2 23 706

Dr. Nuzhat Anwar 117 4 121 1138

Dr. Ruqaya Samo 36 5 41 632

Dr. Sadia Shah 48 3 51 905

Dr. Safia Memon 78 1 79 1000

Dr. Salma Amjad 47 5 52 725

Dr. Shamasunisa 11 2 13 651

Dr. Shehnaz Begum 97 12 109 1054

Dr. Rehana Sardar 92 60 152 835

Dr. Sughra Badar 166 38 204 1610

Dr. Tabbasum Buriro' 42 22 64 744

Dr. Usha 48 0 48 878

Dr. Shahzadi Sarwat 65 3 68 1031

Dr. Azra 79 22 101 1475

Dr. Zareena Noonari 128 24 152 1366


S # Service Number


55



S # Test Number




4 Ultra Sound Test 1,420

5 Other -




Oral Pills 236

IUCDs 19

Injections 341

Others -

Total 1,261








No. No. of

Participants

Zubair Ahmed Memon-SM1 8 - 152 6 211

Zia-ur-Rehman Mastoi-SM2 6 - 114 5 179

Waheed Bhatti- SM3 6 - 108 7 287

Munawar Kaleri- SM4 5 - 95 8 241

Total 25 - 469 28 918






All MOs and FMOs 67 2,109 72 4,193 1,430

Totals 67 2,109 72 4,193 1,430


56

Coverage of PPHI- EPI centers and working of the new appointed EPI vaccinators

Facility of the different Tests at MCHCs

Encouraging support group members to help during NIDs.

Floating the message of PPHI service to the respective catchment area.


Developing greenery at HFs 21. Important Points during SHSs

Prevention from cold

Importance of primary healthcare

Personal hygiene

Cleanliness

Prevention from Diarrhea 6. Important Points during CHSs

Preventive measures of scabies

Importance of familty planning

Prevention from Diarrhea

Prevention from Malaria 7. Topics for SHSs for the Month

Sr. No. Topics

1 Prevention from Malaria

2 Primary health

3 Cleanliness

4 Personal hygiene

5 Diarrhea


S # Topics

1 Scabies

2 Importance of TT vaccination

3 Diarrhea

4 Malaria


Involvemtent and solution of day to day problems at HF by CSG members

Presiding of the CSG meeting by all members on rotation basis.

Regular meeting with CSG members and proper updating of the minutes

Review of TORs of CSG must be shared with CSG members in every meeting of CSG.

Establishment of greenery at all HFs

Formal invitation to the CSG members for monthly meeting

Effective Mobilization of female CSGs and developing their ownership @ hf.

Involvement of notable in solving day to day problems of HFs.

57

10. Health Camps: Nil. 11. Measures for improvement / provision of Services by other Department / Agencies

Sr No Description Recommendation To whom sent Present status

i Sanitation




v Tree Plantation



viii Others


1. OPD*


Follow-up patients treated during the

month

Total OPD during the month (New+Old+Ultrasonologist)

76,758 1,209 77,967


S# Name of BHU OPD BHU OPD

1 BHU-Bhirya Road 3775 BHU-Saeedpur 960

2 BHU-Lakha Road 2882 BHU-Fatoo Balal 899

3 BHU-Kundha Khahi 2976 BHU-Mehmood Chandio 867

4 BHU-Deparja 2627 BHU-Fazul Sahito 817

5 BHU-Phull 2618 BHU-Ali Mohammad Phariro 551

5 BHU-Ghair Gaju 2618



1 ARI 15,267

2 Diarrhea 5,267

3 Scabies 3,486

4 Fever 3,198


1 ARI 460

2 Fever 531

3 Diarrhea 218

4 Scabies 221

5 Dysentery -

58

5 Dysentery -


Names No. of Patients


ARV vial used/ Administered 319

ARV Available Ampules 29






S # Tests Number



3 Hemoglobin 627


5 Ultra Sound 1,420

6 Others (please specify) -



Performed

No. of cases found

positive



Follow up result

Hepatitis B 0 0 0 - -

Hepatitis C 0 0 0 - -

23. TUBERCLOSIS



Under Diagnosis

00 22 -

9. Referrals

S.No

Totals Cases Referred To


1 22 22 0 0 15 5 2

2

3




2 264 264

3

59

4




39 55 121 215



01 Nil

H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS 1. Medicines available for 41 Weeks 2. Important Issues raised relating to Medicines, etc. during MRM




1

Repair and Renovation work of all assigned HFs have been completed satisfactorily.



Mr. Muzaffar Hussain Assistant Commissioner Bhirya

BHU/MCHC-Bhirya Road

Appreciated the service delivery at BHU along with X-Ray and U/sound facility.

Satisfactory note wirh regard of EPI work also.



Getting proper history of patients

Wearing of aprons by all staff members

Proper timing and facilitation of patients

Regularity and punctuality of the staff

Proper updating and reconciliation of the record especially stock and daily expense register

Daily visit of the MO and FMO of the medicine store

Medicine management On Preventive Health:

Holding awareness sessions in catchment area

Waste disposal pit must be properly used

Getting proper history of the patients

Arranging of quality CHS session

Agenda of the sessions must be with planning and in simple language.

Cleanliness of the HFs on regular basis. On Curative Health:

60

Lab: tests at HFs

Arranging of the Diabetes Camps in the catchment areas of the HFs

Medicine must be properly managed

Proper record also maintained and reconciled

Least use of injections

House keeping of the HFs is must.

X-Ray and Ultrasound facility On Mother, Child & Reproductive Health: Other Matters: Date /Time for Next MRM: Next 46th MRM shall be held on 8th March 2012 at 10:00 am. Comments on Targets vs Achievements (by DSM)

MINUTES OF THE (2nd) MONTHLY REVIEW MEETING OF DISTRICT HYDERABAD

3rd Monthly Review Meeting (MRM) of District Hyderabad for the Month of January, 2012 held on 11th February 2012 at Ex: District Nazim Hall - Hyderabad. Written invitations were sent to the the Commissioner Huderabad, Deputy Commissioner Hyderabad, DHO Hyderabad, District Population welfare officer, District Focal person EPI/ Hepatitis/ AIDS/ T.B/DOTS/Malaria/MNCH/Polio/DHIS, Surveillance Officer WHO, THO Qasimabad Hyderabad (Rural), MS RHCs, Incharge Medical Officer, MOs, WMOs (BHUs/MCHCs/ GDs/ DCDs all under administration control of PPHI Hyderabad), The Female medical Officers of PPHI/ Govt. WMOs MNCHs and other National Programs as usual. The list of participants is as follows: List of Participants:

100. Dr. Bux Ali Pittafi DHO Hyderabad District Hyderabad

101. Abdul Shakoor Shaikh District Support Manager DSU PPHI Hyderabad

102. Muhammad Asif Patoli EO(M&E) DSU PPHI Hyderabad

103. Dr. Khalid Sidiki MO (HQ) DSU PPHI Hyderabad

104. Dr. Sono Khan Bhurgri THO Hyderabad ® Taluka Hyderabad (R)

105. Dr. Beekha Ram Professor LUMHS Jamshoro

106. Dr. Abdul Majeed Abbasi I/C M.O BHU Sehrish Nagar

107. Dr. Wali Muhammad I/C M.O BHU Jhando Narejo

108. Dr. Attaullah Shahani I/C S.M.O DCD Taj Mohd Jonejo

109. Dr. Abdul Majeed Samo I/C S.M.O BHU Moosa Khatian

110. Dr. Raza Mohd Chandio I/C S.M.O DCD Taj Muhammad Jonejo

111. Dr. Amanullah Ogahi I/C SMO BHU Masoo Bhurgri

112. Dr. Abdul Hameed Mangi I/C S.M.O BHU AMI Qazi

113. Dr. Sohrab Khan Hisbani I/C SMO BHU Tando Fazal

114. Dr. Talib Ali Memon I/C MO BHU Mir Allah Bux Talpur

115. Dr. Azeem Shah I/C SMO BHU Dariya Baig Mughal

116. Dr. Mehboob Abdul Qadir I/C MO GD Mehrab Talpur

117. Dr. Hari Kirshan I/C MO DCD Moosa Shoro

118. Dr. Shoaib Hanif I/C MO GD Mehrab Solangi

119. Dr. Muhammad Asif I/C MO DCD Mori Mangar

120. Dr. Manzoor Memon I/ C MO BHU Bahawal Zaunr

61

121. Dr. Ali Ahmed Memon I/C SMO GD Wanki Wasi

122. Dr. Kadir Bux Leghari I/C SMO BHU Hatri

123. Dr. Saleem Bohri I/C SMO GD Ibrahim Seenharo

124. Dr. Muqadas Rizvi I/C MO MCHC Jhando Khoso

125. Dr. Abdullah Nizamani I/C MO RHC Tando Qaiser

126. Dr. Sadaf Shaikh FMO MCHC Jhando Khoso

127. Dr. Aruna Kumari FMO BHU Moosa Khatian/

128. Dr. Erij Kamal FMO RHC Hoosri

129. Dr. Rukhsana Dal FMO Cluster

130. Dr. Rubina Abro FMO BHU Khesana/ DCD Mori Mangar

131. Dr. Shazia Zeeshan FMO BHU Sono Khan Almani/ BHU Hatri

132. Dr. Rubina Shaikh FMO BHU Sehrish Nagar

133. Dr. Samira Tayebani FMO BHU Dariya Baig Mughal

134. Dr. Mumtaz Khatoon FMO BHU Masoo Bhurgri/ BHU Mir Allah Bux Talpur

135. Dr. jehan Ara Ansari FMO BHU Jhando Narejo/ GD Bheendo Sharif

136. Dr. Naila Shaikh WMO BHU AMI Qazi

137. Dr. Mumtaz Soomro SWMO RHC Tando Jam

138. Dr. Raheela Solangi WMO RHC Tando Qaiser

139. Dr. Shahida Deen Sonologist Cluster

140. Dr. Shabana Junejo WMO MCHC Seri

141. Dr. Farzana Chachar Sonologist Cluster

142. Dr. Sadia Peer WMO GD Wanki Wasi

143. Dr. Qaiser Zaman Khan DCO for EPI Hyderabad

144. Dr. Khadim Hussain Abro S.M.O BHU Sehrish Nagar

145. Dr. Rafique Ahmed S.M.O GD Arif Khatian

146. Dr. Saleem Akhtar Rajput Acting M.S RHC Tando jam

147. Dr. Pervaiz Talpur M.O BHU Mir Allah Bux Talpur

148. Dr. Muhammad Qasim SMO DCD Darhoon Panhwar

149. Dr. Muhammad Ali Gadhi MO RHC Tando Jam

150. Dr. Thanwar Das MO BHU Khesana Mori

151. Dr. Nazeer Ahmed SMO DCD Ibraheem Seenhro

152. Dr. Gul Hassan MO RHC Hoosri

153. Dr. Ramesh Kumar MO DCD Umed Ali Rind

154. Dr. D.M Khatwani SMO BHU Sono Khan Almani

155. Dr. Iftikhar Ahmed MO RHC Tando Qaiser

156. Dr. Wahid Bux jahejo SMO MCHC Jhando Khoso

157. Dr. M. Ilyas Memon M.O BHU Hatri

158. Dr. Riaz Ahmed Qureshi M.S RHC Hoosri

159. Dr. Nazia Soomro FMO RHC Tando Jam

160. Dr. Arshad DFP MNCH DHO office Hyd

161. Dr. Sammar Memon SO Dews WHO Hyderabad


1- Dr. Khalid Dawach DCD Noor Khan Chang Relative Death

62

2- Dr. Neelofer Dawach DCD Noor Khan Chang Relative Death

3- Dr. Aqsa Mushtaque BHU Tando Faza/ GD Hussain Khan Thorha Mothers Death

G. HFs WITH PPHI

H. HFs WITH PPHI

BHUs: 13 Dispensaries: 22 MCHCs: 02 RHCs: 3


P. STAFF STRENGTH

Sanctioned



PPHI Contract

Vacant (Sanc-Govt)

MOs 159

59 54 5 92

WMO 13 13 0

FMOs - 11 - 11 -

LHVs/MW/F. Nurse 33 28 28 0 05

MTs/MAs Male

26 26 26 0

0 Female - - -


Q. CLUSTERS OF HFs WITH ONE MO

WITH ONE FMO


Dr. Beekha Ram (topic) focused on the following points:- j) Hepatitis C k) Introduction of Hepatitis














63

l) Means of spread of Hepatitis m) Prevention and treatment of Hepatitis







Total vaccination / immunization for the month October 2011 1606


S # Service Number






6 Patients Nebulized



1. Female Health


S # Service Number




S # Test Number





1 Dr. Mumtaz Khatoon 105 24 129 1081

2 Dr. Rubina Abro 99 10 109 663

3 Dr. Sadaf Sheikh 158 11 169 1474

4 Dr. Aqsa Mushtaq

5 Dr. Niala Sheikh 10 1 11 386

6 Dr. Erij Kamal 54 0 54 1077

7 Dr. Aruna Kumari 87 6 93 800

8 Dr. Rubina Sheikh 8 30 38 1016

Total 521 82 603 6497

64

4 Ultra Sound Test 1,377

5 Other 635




Oral Pills 26

IUCDs 0

Injections 58

Others(RC) 14

Total 270



1. Number of Male SGs: Number of Female SGs: -------------- 2. Performance of Social Organizers





No. No. of

Participants

Maqsood Arisar 3 0 75 2 140

Irfan Soomro 1 0 25 9 210

Wasim Jokhio 3 0 85 1 115

Total


Sr. No



1 Dr. Mumtaz Khatoon 2 55 0 0 0

2 Dr. Rubina Abro 2 113 2 113 5

3 Dr. Sadaf Sheikh 2 204 0 0 0

4 Dr. Khursheed Soomro 1 35 0 0 0

5 Dr. Niala Sheikh 1 22 0 0 0

6 Dr. D M Khatwani 1 20 0 0 0

7 Dr. M Asif 1 38 0 0 0

8 Dr. Abdul Hameed 0 0 1 35 4

9 Dr. Shoaib Hanif 1 20 0 0 0

Total 11 487 3 148 9

25. Important Points during Support Group Meeting:

The CSG members should help in monitoring and facilitation.

CSG member will select 2 members for Project committee.

65

Moral support to medical/paramedical staff working at HF.


Information sharing to the rest of the villages regarding facilities at HF.

Effective local facilitation by CSG members to the hf staff

Developing greenery at HFs by the CSG members

Ownership of the HFs.


To drink clean & safe water and Washing hands after toilet.

Hand washing before and after taking meals.

Awakening health consciousness in children regarding new aspects of diseases like Dengue Fever, Swine Flue, Congo Fever etc.

Nutritional awareness to be transferred to mothers through their kids.

Hair trimming, clean clothes, nails clipping, washing fruit/vegetables before eating.

27. Important Points during CHSs:

Primary health care awareness.

Educate about immunization against infectious disease.

Personal Hygiene and worm infestation.

De-worming of children

Prevention from diabetes

Precautions from Malaria and Hepatitis

Importance of family Planning


Importance of ultrasound

Importance of antenatal and postnatal care


Sr. No. Topics

1 Immunization


3 Nutrition


5 Malaria


S # Topics

1 Immunization


3 Nutrition


9. Important Discussion on Community Participation during MRM The schedule of the CSG meetings was shared and finalized with MOs consultation. DSM guided the MOs to arrange the community support groups on mentioned dates in the schedule. Invite and ensure the maximum participation of the members from the CAs of the health facility in the CSG meetings.

66

10. Health Camps: Number Held: 00. Number of Patients: 00. 11. Measures for improvement / provision of Services by other Department / Agencies

Sr No


Present status








viii Others No No No


1. OPD*




40,610 4,198 44,808


S #

BHF name OPD S #

BHF name OPD

01 RHC Tando Jam 5,035 18 DCD Mori Mangar 1,172

02 RHC Hoosri 3,617 19 BHU Jhando Narejo 1,143

03 RHC Tando Qaiser 2,425 20 BHU Tando Fazal 1,121

04 BHU Sehrish Nagar 2,957 21 BHU Sono Khan Almani 1,075

05 MCH Jhando Khoso 2,782 22 BHU AMI Qazi 971

06 BHU Hatri 2,703 23 DCD Umaid Ali Rind 815

07 BHU Bhawal Zaur 1,719 24 DCD Umar Jamali 790

08 GD Habibullah Memon 1,791 25 GD Mehrab Talpur 798

09 BHU Kishana Mori 1,646 26 DCD Darhoon Panwar 715

10 BHU Moosa Khatyan 1,643 27 GD Hussain Khan Thora 642

11 GD Wanki Wasi 1,484 28 DCD Moosa Shoro 535

12 BHU Noorai Sharif 1,365 29 GD Mehrab Solangi 160

13 BHU Darya Baig Mughal 1,369

14 BHU Massu Bhurgri 1,349

15 BHU Mir Allah Bux Talpur 1,335

16 GD Arif Khatyan 1,281

17 DCD Noor Khan Chang 1,246



1 Malaria 2

2 Scabies 5

3 ARI 2

4 Diarrhea 0

5 Total 09

67

4. Top Five Diseases During OPD


1 ARI 11,068

2 Fever(clinical Malaria) 1959

3 Scabies 1737

4 Diarrhea 2,204


No. of Patients

Dog bite cases reported

ARV Administered

ARV Available Doses

Snake bite cases reported

ASV Vaccine Administered

ASV Vaccine Available Doses



S # Tests Number



3 Hemoglobin 0


5 Ultra Sound 1,377.




Performed

No. of cases found

positive



Follow up result



26. TUBERCLOSIS



Under Diagnosis

5 0 0

9. Referrals



68

2 65 5 0 60 0 65 -

3

4




2 0 0 0 0 0 0 -

3

4




30 121





9. Important Issues raised relating to Medicines, etc. during MRM a. Shortage of medicine b. Number of items provided is less than 30 c. ARV & ASV is required



Maintenance incl. Electrification

Status / Remarks

1

2

3

4

5

6

7

8




69

J- DISCUSSION DURING MRM

On Staff Matters:

Some Medical Officers are not following the proper Leave Process as their leave approving authority is DSM sb. First DSM approve their leave and then they will go on leave.

All HFs will submit their Weakly e Dews report and Monthly DHIs report on their nearest focal Health Facility which are decided in meeting.

All HF will submit their eDews report on every Saturday of the weak after closing their OPD. And as well as they submit their DHIS report during the date 1st and 5th of every month. And PPHI Monitoring team will collect these report from the focal centre.

Date / Time for Next MRM: Tentative Date for next MRM is 10-03-2012 Comments on Targets v/s Achievements (by DSM)

MEETING WAS SUCCESSFUL

(Abdul Shakoor Shaikh), District Support Manager,

PPHI, Hyderabad. Copy for information to:

10) Secretary to Government of Sindh for Health Department, Karachi. 11) Program Director, PSU, PPHI, Karachi. 12) Deputy Commissioner, District Hyderabad. 13) Director General Health, Directorate of Health Hyderabad. 14) Regional Program Director, Region-I @ Hyderabad. 15) District Health Officer, District Hyderabad. 16) Dr. Samar Memon, S.O, WHO. 17) Incharge Medical Officer(s) all PPHI managed Health Facilities, Hyderabad.

(Abdul Shakoor Shaikh), District Support Manager, PPHI,

70

MINUTES OF THE (47) MONTHLY REVIEW MEETING OF DISTRICT MIRPURKHAS

Monthly Review Meeting (47th MRM) of District, Mirpurkhas for the Month of JAN, 2012 was held on 11th feb, 2012 at Bisma Hotel , Hyderabad Road Mirpurkhas. Written invitations to participate were sent to the DCO, and District In charge of EPI, LHW and all other National Programs as usual but they could not attend the meeting due to their engagements. The list of participants follows: List of Participants:

S. Names Designation S. Names Designation

1 Mr Riaz Abbassi RPD,PPHI MPS 56 Dr Saeeda Mari FMO MCH

2 Engr M Juman Thebo DSM,PPHI MPS 57 Dr Hina Karim FMO MCH

3 Dr Shafqat Hussain EDOH MPS 58 Dr Shaista FMO MCH

4 Dr Javed Mari DOH ,TB Dot, EDOH MPS 59 Dr Sajida Tahir FMO- MCH

5 Dr Khalid Memon Surveillance Officer, EDOH MPS 60 Dr Bushra Farhin FMO MCH

6 Dr Shahbaz Ali MO, Novartis Vaccine 61 Dr Naina Kumari FMO

7 Syed Irfan Shah Exe M/E-MPS 62 Dr Tahira Masum WMO

8 Mr Adil Rasheed Exe(A&A) 63 Dr. Farhana Qureshi WMO Govt

9 Haji Imdad Ali Exe(M/E) 64 Dr Rasheed Mari MO-PPHI

10 Dr Safdar Ali SMO Govt 65 Dr Ghazanfer MO-PPHI-MPS

11 Dr Ranu Mal SMO Govt 66 Dr Wishan Das MO-PPHI-MPS

12 Dr. Khan Mohd SMO Govt 67 Dr Baldeve Kumar MO-PPHI-MPS

13 Dr Atta Hussain SMO Govt 68 Dr Anis Mari MO PPHI Mps

14 Dr Narain SMO Govt 69 Dr Mumtaz Ali MO PPHI Mps

15 Dr Narain Das MO I/C 70 Dr Afzal Laghari MO PPHI Mps

16 Dr Noor Hasan MO I/C 71 Dr Wishan MO PPHI Mps

17 Dr Yousif SMO I/C 72 Dr Parkash MO-PPHI

18 Dr Imtiaz Ali MO Govt 73 Dr Moazam MO PPHI Mps

19 Dr Ghulam Mustafa SMO Govt 74 Dr. Chander MO PPHI

20 Dr Ghulam Mustafa MO Govt 75 Dr Mehmmood MO-PPHI-MPS

21 Dr Arshad Nihal SMO Govt 76 Dr Zahid Hussain MO-PPHI-MPS

22 Dr Allah Ditto SMO Govt 77 Dr. Imran Laghari MO-PPHI

23 Dr Farouque MO Govt 78 Dr. Imran Jarwar MO-PPHI

24 Dr Arif Shamim MO I/C 79 Dr Mohd Urs MO PPHI Mps

25 Dr Saleh Memon MO Govt 80 Dr Rajesh Kumar MO-PPHI

26 Dr Naveen Kumar MO Govt 81 Dr Naraindar Kumar MO PPHI

27 Dr Ashoke Kumar MO Govt 82 Dr Naraindar Sufi MO PPHI Mps

28 Dr. Alya Shamim FMO U/S 83 Dr Pardeep Kumar MO PPHI

29 Dr Rajni Davi FMO U/S 84 Dr. Ramesh MO PPHI

30 Dr Salma Khan FMO U/S 85 Dr. Liaqat Hussain MO-PPHI

31 Dr. Ramila FMO U/S 86 Dr Zulfiquar Ali MO PPHI

32 Dr Faria FMO-PPHI 87 Dr Shankar lal MO PPHI

33 Dr Sahira Baloch FMO-PPHI 88 Dr Naeem MO PPHI

34 Dr Hamida Ali FMO-PPHI 89 Dr Khalid Hussain MO PPHI

35 Dr Aneela Zahoor FMO-PPHI 90 Dr Mukesh Kumar MO PPHI

36 Dr Gulshad FMO-PPHI 91 Dr. Neel Kanth MO PPHI

37 Dr Kamni Kumari FMO 92 Dr Kishore Kumar MO PPHI

38 Dr Asia Narejo FMO 93 Dr Ramesh Kumar MO PPHI

39 Dr Sana Ayoub FMO 94 Dr Atta Ullah MO PPHI

40 Dr Amna Idrees FMO 95 Dr Pir Nasir Jan MO-PPHI-MPS

71

41 Dr Mohni FMO-PPHI 96 Dr Haroon MO PPHI

42 Dr Adeela FMO -PPHI-MPS 97 Dr Arif Ali MO-PPHI

43 Dr Saba Ilyas FMO-PPHI 98 Dr A Kabir MO-PPHI-MPS

44 Dr Azra Parveen FMO-PPHI 99 Dr Munwer MO-PPHI

45 Dr Shehla Yasir FMO 100 Dr A Hameed MO-PPHI

46 Dr Samreen Shafee FMO-PPHI 101 Dr Shamsher MO-PPHI

47 Dr Kiran Kumari FMO 102 Dr A Hameed MO-PPHI

48 Dr Shazia FMO 103 Mr Nikhtu Ram HT, BHU Sindhri

49 Dr Saneela FMO 104 Mr Farhan Rasheed SO DSU

50 Dr. Fahmida Kolachi FMO 105 Mr Jethanand SO DSU-PPHI

51 Dr Nargis Naz FMO 106 Mr Bharji SO DSU-PPHI

52 Dr Irum FMO 107 Mr Farukh Asstt Accounts

53 Dr Nighat FMO 108 Mr Naresh Kumar Asstt Admin

54 Dr Quratulain FMO MCH 109 Mr Khair Mohammad SO DSU-PPHI

55 Dr Noor Nisa FMO MCH 110



1 Dr Sheerin Maternity Leave 2 Dr Maria Leave

3 Dr Mohidin SheiKh Leave

I. HFs WITH PPHI

BHUs: _______ 38 Dispensaries: _______48 MCHCs: _______10 others: ______2 TOTAL: _______98

B. Population of the Catchments Area: 1681107

R. STAFF STRENGTH

Sanctioned



PPHI Contract

Vacant (Sanc-Govt)

MOs 79 69 20 49 10

WMO 04 3 3 0 01

FMOs 56 39 0 39 17

LHVs 08 40 8 32 0

MTs/MAs Male

79 55 50 0

5 Female 24 24 0


S. CLUSTERS OF HFs WITH ONE MO








72

WITH ONE FMO


Dr. Shahbaz Ali, MO Novartis vaccines in his lecture on ‗Dog bite and its treatment, focused on the following points:-

29. History. 30. Introduction 31. Treatment of dog bite 32. Arv vaccine and its types 33. ARV and its dosage 34. Protection and use of RIG 35. Case study and WHO standard 36. Conclusion

Capacity Building of LHVs / Dispensers During Month under Review


Participants

Dr Narain 17-1-2012 BHU

Hameedpura EPI 12



No. of Doses of Immunization Administered to Children at Health Facilities. 20,936



Total vaccination / immunization for the month ______JAN-2012 26,603



coverage

30-31st Jan-1st Feb-2nd , 2012 97% 97%


S # Service Number


2 Active Case Detection (ACD) Slides 0

3 Visits to Check Sanitation (individual house holds + streets) 0

4 Notices issued against Poor Sanitation 0








73

5 Challans sent to Court against Poor Sanitation 0





S # Service Number



S# NAME OF FMO Ante-Natal Cases Neo-Natal Cases Total Other OPD

Total OPD

1 Dr. Faria Atif 45 6 51 1959 2010

2 Dr.Shella Yasir 109 52 161 1054 1215

3 Dr. Kamni 184 18 202 1006 1208

4 Dr.Sahira Baloch 37 7 44 787 831

5 Dr. Aasia Karim Narejo 126 4 130 1162 1292

6 Dr Gulshad Leghari 149 8 157 750 907

7 Dr Sana Ayoub 12 2 14 687 701

8 Dr Mohni 76 33 109 1200 1309

9 Dr Aneela Zahoor 30 13 43 685 728

10 Dr Kiran Kumari 33 7 40 324 364

11 Dr Azra Parveen 39 6 45 749 794

12 Dr Nighat Ashraf 88 12 100 614 714

13 Dr Adeela Sohail 74 13 87 698 785

14 Dr Hamida Ali 97 4 101 1328 1429

15 Dr Samreen Shafee 140 50 190 1094 1284

16 Dr Shazia Zulfqar 65 25 90 540 630

17 Dr Amna Idrees 90 5 95 338 433

18 Dr Saba Ilyas 38 5 43 829 872

19 Dr Saneela Mughal 73 0 73 891 964

20 Dr Fahmeeda Kolache 99 11 110 1198 1308

21 Dr Nargis 32 1 33 377 410

22 Dr Maria 51 10 61 1235 1296

23 Dr Shaista Parveen 82 2 84 505 589

24 Dr Naina 124 22 146 1230 1376

25 Dr Sajida Tahir 150 10 160 422 582

26 Dr Asma Rasool 228 26 254 1238 1492

27 Dr Saeeda Mari 117 8 125 1791 1916

28 Dr Hina Karim 175 36 211 1086 1297

29 Dr Quratulain 136 19 155 2905 3060

30 Dr Bushra Farhin 0 8 8 906 914

31 Dr Shazia memon 45 6 51 1959 2010

32 Dr Noorunnisa 113 23 136 545 681

33 Dr. Erum Naz 63 6 69 1150 1219

74


S # Test Number





5 Other 12

Total 3583

Important Discussion on Mother and Child and Reproductive Health during MRM

Antenatal and postnatal performance shared with the participants. Provision of Family Planning Services during the Month



2 Oral Pills 44

3 IUCDs 15

4 Injections 147

5 Others 355

Total 1356



1. Number of Male SGs: --------------90 Number of Female SGs: --------------04 2. Performance of Social Organizers





No. No. of

Participants

Jetanand 7 0 112 10 421

Farhan Rasheed 6 01 107 8 318

Mohsin 6 0 78 5 258

Bhareji 6 0 82 6 280

Khair Mohammad 4 0 54 4 128

Total 29 1 433 33 1405






Dr Ramesh 1 40 0 0 0

Dr Safdar Ali 1 12 0 0 0

Dr Afzal 1 10 0 0 0

Dr Khalid 1 9 1 12 2

Dr Narain 1 23 0 0 0

Dr Zahid Hussain 1 20 1 4 4

75

Dr A Kabir 1 26 0 0 0

Dr Abdul Rasheed 1 12 1 14 16

Dr Narain 1 26 1 7 6

Dr Urs 1 60 0 0 0

Dr A Latif 1 18 0 0 0

Dr Sidique Ali 1 12 0 0 0

Dr Liaquat 1 22 1 5 2

Dr Ghazanfer 1 10 0 0 0

Dr Rano Mal 1 30 0 0 0

Dr Muneer 1 40 0 0 0

Dr Wishan 2 93 1 0 0

Dr Neel Kanth 1 14 1 5 5

DrPardeep 1 20 1 10 7

Dr Parkash 1 10 1 2 2

Dr A Rauf 1 22 0 0 0

Dr Shamsher Mari 1 28 1 0 0

Dr Saleem 1 15 1 10 7

Dr Naveen 1 10 0 0 0

Dr Kishore 1 15 0 0 0

Dr Ghualm Mustafa 1 15 0 0 0

Dr Baldeve 1 27 1 10 8

Dr Nadeem 1 18 1 4 4

Dr Zulfiquar Ali 2 18 1 40 20

Dr Ashoke-Kumar 1 11 1 3 3

Dr Arshad Nihal 1 54 0 0 0

Dr Mumtaz 1 17 1 3 3

Dr Arif 1 10 0 0 0

Dr Haroon 1 12 0 0 0

Dr Imran Jarwar 1 21 0 0 0

Dr Mehmoodulhasan 1 18 0 0 0

Dr Rajesh 1 10 1 10 5

Dr Ramesh 1 21 0 0 0

Dr Mozzam 1 15 1 0 0

Dr Imran Laghari 1 51 1 9 9

Dr Wishan 1 30 1 10 6

Dr Shankar 1 12 0 0 0

Dr Narainder Sufi 1 15 1 33 12

Dr Shahid Rizwan 1 20 1 10 7

Dr Dileep 1 23 1 15 10

Dr Anis Mari 1 12 1 5 5

Dr Naraindar 1 24 1 13 13

Dr Attaullah 1 15 0 0 0

Dr Chandar Parkash 1 19 1 2 2

Dr Saleh Memon 1 9 1 20 20

Dr Naeem Sheikh 1 11 0 0 0

Dr Farouque 1 12 1 7 5

Dr Saqib baloch 1 13 1 0 0

Dr Shaista Parveen 1 15 0 0 0

Dr Farhana Qureshi 1 18 0 0 0

Dr Sajida Tahir 1 12 0 0 0

Dr Asma Rasool 1 16 0 0 0

Dr Saeeda 1 40 0 0 0

76

Dr Hina Karim 1 65 0 0 0

Dr Quratulain 1 35 1 8 6

Dr Bushra 1 25 1 10 10

Dr. Faria 1 20 1 13 10

Dr.Shella Yasir 1 15 0 0 0

Dr. Kamni 1 18 1 0 0

Dr.Sahira Baloch 1 10 0 0 0

Dr. Aasia Narejo 1 36 1 16 10

Dr Gulshad Baloch 1 10 1 2 2

Dr Sana Ayoub 1 13 1 0 0

Dr Mohni 1 32 1 10 12

Dr Aneela Zahoor 1 30 1 15 10

Dr Kiran Kumari 1 14 1 5 5

Dr Azra Parveen 1 15 1 20 20

Dr Nighat Ashraf 1 15 1 12 10

Dr Adeela 1 15 1 2 2

Dr Hamida Ali 1 13 1 0 0

Dr Samreen Shafee 1 12 1 5 5

Dr Shazia 1 88 1 6 5

Dr Amna Idrees 1 12 1 5 5

Dr Sabah 1 15 1 0 0

Dr Fahmeeda 1 50 1 10 10

Dr Nargis 1 11 1 8 6

Dr Maria 1 14 0 0 0

Dr Irum 1 20 1 46 46

85 1834 50 456 357


Help in waste pit establishing

Over all cleanliness of HFs

LHVs needed

Ultrasound cluster facility needed. 5. Important Points during SHSs

Pneumonia and its treatment

Usage of toilets

Hand wash

Health and Hygiene

Rabies and first aid Important Points during CHSs

Watery diarrhea

EPI and NID

ARI and prevention Topics for SHSs for the Month

Sr. No. Topics

1 Cancer and its impacts

2 Acute Diarrhea

3 Scabies

4 ARI

5 Pneumonia

77


S # Topics

1 Health and Hygiene

2 skin disease

3 Family planning

4 Fever and treatment

5 EPI

9. Important Discussion on Community Participation during MRM NO ANY 10. Health Camps: Number Held: -----------------0. Number of Patients: -----------. 11. Measures for improvement / provision of Services by other Department / Agencies


i Sanitation




v Tree Plantation



viii Others


1. OPD*




113,851 1,225 115,076


S # BHU OPD BHU OPD

1 Hameedpura 5841 Usman Junejo 712

2 Nawab Colony 2581 Doulat Laghari 762

3 Kot Mirs 2344 Kangoro 779

4 Satelite Town 2365 A Qayum Khair 835

5 Patoyoon 2251 Khan 951



1 ARI 182

2 Diarrhea 113

3 Malaria Fever 65

4 Scabies 62

5 Others 35

78

*All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases during OPD


1 ARI 33597

2 Diarrhea 17328

3 Scabies 17237

4 Fever (Clinical Malaria) 12851

5 Dysentery 3611


No. of Patients







27. Lab / Diagnostic Tests: Includes Tests Reported at No. 28. (II) (Mother, Child &Reproductive Health)

3. (Lab / Diagnostic Tests)

S # Tests Number



3 Hemoglobin 121


5 Ultra Sound 2386


29. B & C SCREENING TESTS NO ANY SCREENING TEST OF HB & C AVAILABLE AT PPHI HFs.


No. of cases found positive



Follow up result

Hepatitis B

Hepatitis C

30. TUBERCLOSIS



Under Diagnosis

5 15 10

79

9. Referrals


1 TB DOT Viral HB Others RHCs THQs DHQs

2 39 15 24 0 22 7 10




1 52 52 10 15 27



DSM Exe M/E Executive Monitoring Other Staff Total

72 79 72 428 651



No any No any No any No any


1. Medicines available for ………………………42 weeks





1 BHU Abdul Qayoom Khair Completed 100%

2 BHU Usman Junejo Color continued 70%

3 GD Jhrubi Color continued 70%

4 BHU Nawab Colony Color stopped due to shortage of amount 60%

5





80

RPD, RSU-II PPHI Mirpurkhas, discussed in brief with PPHI MOs and FMOs about their problems at Health facilities and directed to the DSM for the solution of these problems, He emphasized that DSM collect the data from HFs through his staff and MOs where is the shortage of any thing as equipments, furniture or other, than consolidated all the data and sent to RPD for further action. Where is this is very easy for all MOs/FMOs that if they need any kind work approval first they write an application to the DSM with co signatory of Two CSG members than get approval and in last complete all work , DSU will be reimburse their amount. RPD sb also clear to all MOs/FMOs about the Health session activities that all MOs will be conduct 03 Health sessions in each month and all FMOs will be conduct 04 Health Sessions in each month. He also said that increase the MCHC services at HFs and asked from MOs about R and R work and the progress of both two HFs. All MOs/FMOs visits early morning to whole Health Facility to check EPI work, medicines store and MCHc portion of HFs. Please send the accurate data of DHIS and personally all MOs/FMOs fill these profarmas himself and will submit at DSU within time. On Staff Matters: On Preventive Health:

30 Medical officers performed as a UC medical officer in NID. On Curative Health: On Mother, Child & Reproductive Health: Other Matters: Date /Time for Next MRM: 8th March 2012 Comments on Targets vs Achievements (by DSM)

81

MINUTES OF THE 52nd MONTHLY REVIEW MEETING OF DISTRICT THARPARKAR @ MITHI

Monthly Review Meeting (MRM) of District, Tharparkar for the Month of January, 2012 was held on February 22-2012 at Karoonjhar Hall Mithi. Written invitations to participate were sent to Deputy Commissioner Tharparkar, The DHO (H), District Population welfare Officer and District Incharge of EPI, Secondary Care Doctors, M/S of THQs, Surveillance Officer, WHO Team and all other National Programs as usual. The list of participants given below: List of Participants:

S # Names Designation

1 Raiz Ahmed Jakhrani District Support Manager Tharparkar

2 Nasimuddin Mirani DSM

3 Mohammad Arif Executive Officer (M&E)

4 Dr.Lekhraj DDO Health

5 Dr. Serwan Kumar MO H.Q

6 Altaf Ahmed Executive Officer (F&A)

7 Dr. Saleem Rahimoo Medical Officer

8 Dr. Bhamer Lal Gen Surgeon

9 Dr.Pirkash DHQ.Mithi

10 Dr.Pirwaiz Sajjad Medical Officer

11 Dr.Shahid Medical Officer

12 Dr. Ishtiaq Shah Medical Officer

13 Dr. Lajpat Rai Medical Officer

14 Dr. Mir Imran Talpur Medical Officer

15 Dr .Dileep Kumar (GD Goongio) Medical Officer

16 Dr. Sandeep Medical Officer

17 Dr. Adu Mal Medical Officer

18 Dr. Nand Lal Medical Officer

19 Dr. Muhammad Misri Medical Officer

20 Dr. Madan Lal Medical Officer

21 Dr. Mahesh Kumar Medical Officer

22 Dr. Dechand Medical Officer

23 Dr. Lachman Medical Officer

24 Dr. Parkash Medical Officer

25 Dr. Ashok Medical Officer

26 Dr. Santosh Kumar Medical Officer

27 Dr. Bheru Lal Medical Officer

28 Dr. Dileep Kumar BHU PABOHAR Medical Officer

29 Dr. Moolchand Medical Officer

30 Dr. Mukesh Kumar Medical Officer

31 Dr., Serwan Kumar Medical Officer

32 Dr. Gotam Medical Officer

33 Dr. Suneel Medical Officer

34 Dr. Amanullah Medical Officer

35 Dr. Vijay Kumar Medical Officer

36 Dr. Shagufta Shah Female Medical Officer

37 Dr. Lata kumari Female Medical Officer

38 Dr. Meena Kumar Female Medical Officer

39 Dr. Asma Karam Baloch Female Medical Officer

82

40 Dr.Janta kumari Female Medical Officer

41 Mr. Dewan OT DHQ Mithi

42 Mr. Chandan Kumar HT

43 Mr. Rajesh HT

44 Mr. Mohammad Hashim HT

45 Mr. Mohammad Mohisin HT

46 Mr. Saindad HT

47 Mr. Arjun MT

48 Mr. Abdul Aziz HT

49 Mr. Dheno mal HT

50 Mr. Abdul Sattar HT

51 Mr. Aijaz Ali HT

52 Mr. Moroo Mal Disp

53 Mr. Amir Bux HT

54 Mr. Jhaman das HT

55 Mr. Pirbhu Lal M.T

56 Mr. Lachman Singh HT

57 Mr. Gomoo Mal HT

58 Mr. Sardar Singh HT

59 Mr. Shahab Din HT

60 Mr. Javed Ahmed Social Organizer

61 Mr. Abdul Qadir Social Organizer

62 Mr. Muqeem Social Organizer

63 Mr. Allah Rakhyo Admin Asstt:

64 Mr. Qeemat Rai Att:

65 Mr. Imdad Ali Att: DSU

66 Tosi dina Att:

67 Mohin Electration

68 Baboo Att: Karoonjhar Hall

69 Khair Muhammad Driver

70 Pandhi Driver

The following could not attend the meeting for the reasons stated against each:

S # Names Designation Place of Posting Reason

1 Dr. Bheem Raj Dental THQ Chachro Un Known

2 Dr. Nehchal Das Medical Officer BHU Kaloi Alternate Duty

3 Miss Neelam LHV BHU Jadam Janjhi Un Known

4 Dr.Pirbhu Lal Medical Officer BHU Mubarakh Rind Un Known

5 Dr. Salma Janjhi Gynecologist THQ Nangarparkar Un Known

6 Mr. Paru Mal OT THQ Nangar Un Known

7 Dr. Rizwana Sajjad Female Medical Officer Cluster Leave

8 Mr. Soortoji HT GD Narhoro Un-Known

9 Mr. Bhopal Singh HT GD Jhirmirio Un-Known

11 Dr.Chander Kumar Gen Surgeon THQ Nangarparkar Un Known

12 Mrs.Naseera LHV BHU Kaloi Un Known

13 Muhammad Rahim HT BHU Kharo fazal Un Known

A. HFs WITH PPHI

83

BHUs: 31 Dispensaries: 18 MCHCs: Others: 0 TOTAL: 51

B. Population of the Catchments Area: 901,019/= C. Staff Strength

Staff Sanct: Posts

(Govt) Working Govt:

Employees PPHI

Contract Vacant Sanctioned (Govt)

Remarks

MOs 52 30 07 23 22

FMOs 0 06 0 6 0

WMOs 0 0 0 0 0

MTs/MAs Male 0 0 0 0 -

Female 0 0 0 0 0

LHVs 47 6 2 4 41

Dispensers: 0 16 7 9 0

HTs: 49 42 21 21 07

CLUSTERS OF HFs

WITH ONE MO

WITH ONE FMO

E. CAPACITY BUILDING: 1. First Session: During MRM:

Dr. Dileep Kumar I/C MO BHU Pabuhar conducted Session on MYOCARDIAL INFRECTION

2. Second Session: Capacity Building of LHVs / Dispensers during month under Review:


Date Venue Topic

No. of Participants














84

F. REVIEW OF THE PERFORMANCE: DSM NASIMUDDIN MIRANI Presented DSU Progress

(I) PREVENTIVE HEALTHCARE During Month under Review 1. Vaccination / Immunization

2. National Immunization Days (NIDs) for Polio:


coverage

January ,30, to February 01, 2012 196739 196473 99.86%

Note: According to 3rd Party Evaluation percentage of coverage 98%. 3. Other Preventive/Promotional Services:

S # Service Number

1 Passive Case Detection (PCD) Slides (NEGATIVE) 1680

2 Active Case Detection (ACD) Slides (FALCIPARIUM) 89

3 Active Case Detection (ACD) Slides (VIVAX) 29

4 Active Case Detection (ACD) Slides (MIXED) 06





MOTHER, CHILD & REPRODUCTIVE HEALTH:

(During the month under Review) I. Female Health:


No. of Doses of Immunization Administered in Children at Health Facilities. 1,919


No. of Immunization & Vaccination Administered by outreach EPI Teams NO NIND

Total vaccination / immunization for the month of January, 2012

2,424

S.# Name of FMO ANC cases Natal Post Natal Other OPD Total OPD

1 Dr. Meena 107 0 29 1227 1,363

2 Dr.Asma 119 02 75 583 779

3 Dr.Shagufta 61 0 32 1124 1,217

4 Dr.Lata 39 0 6 805 850

5 Dr.Janta 94 0 8 929 1031

6 Dr.Rizwana 0 0 0 0 0

Grand Total 420 02 150 4668 5,240

S # Service Number


2 Deliveries Assisted at homes 37

Total Deliveries 43

85

3. Lab/ Diagnostic Tests (by MO & FMOs)


The FMO were directed to keep record of Mother and Child Health in the facilities, improve the family planning Programme by giving medicine and aware about family planning methods.

5. Provision of Family Planning Services during the Month:



2 Oral Pills 130

3 IUCDs 1

4 Injections 31

5 Others 0

Total 815

(III) COMMUNITY PARTICIPATION:


1. Number of Male SGs: - 49- Number of female SGs: 3 2. Performance of Social Organizers


Meetings of Support Groups conducted

CHSs /SHSs arranged

No. No. of

Participants No.

No. of Participants

Javed Ahmed 8 110 2 105

Muqeem Ahmed 6 91 3 55

Abdul Qadir 7 96 4 91

Total 21 297 09 251

Important Points during Support Group Meetings:

1. Need of Hand pump . 2. Repair of Roof b/c water leakage the Roof. 3. Availability of Female doctors. 4. Provision of Albendazole in syrup form


SHSs / CHSs CONDUCTED BY MOs/FMOs/HTs Jan:2012

S.# Name

Community Support Group Meetings

Community Health Sessions School Health Session

Session Participant Session Participant Session Children


1 Dr. Meena 0 0 3 67 1 20 10

S # Test Number





5 Other(Malaria) 1,804

Grand Total 2826

86

2 Dr.Janta 0 0 3 40 2 12 2

3 Dr.Shagufta Shah 0 0 1 30 1 5 0

4 Dr.Asma Karam 0 0 2 60 1 15 4

5 Dr.Lata Kumari 0 0 3 44 0 0 0

6 Dr.Saleem 1 12 2 68 1 12 6

7 Dr.Shahid 1 5 2 22 0 0 0

8 Dr.Dechand 1 6 3 67 1 19 11

9 Dr. Ashok Kumar 1 9 1 18 1 15 3

10 Dr.Dileep Sonaro 1 12 1 28 2 10 5

11 Dr.Dileep Kumar 1 13 2 34 1 11 1

12 Dr . Parkash Kumar 1 15 0 0 1 53 8

13 Dr.Gotam 2 9 2 10 2 30 9

14 Dr.Amanullah 1 12 1 20 1 20 20

15 Dr.Adu Mal 1 16 2 42 1 24 4

16 Dr.Mahesh Kumar 1 5 0 0 0 0 0

17 Dr.Bheroo Lal 1 17 2 41 1 32 10

18 Dr. Madan Lal 1 8 2 52 1 16 2

19 Dr.Perwaiz Sajjad 1 12 2 45 0 0 0

20 Dr.Lachman 1 4 3 40 1 40 20

21 Dr. Lajpat Rai 1 20 2 52 1 15 5

22 Dr.Vijay Kumar 1 7 0 0 1 19 3

23 Dr.Nand lal 1 8 1 21 0 0 0

24 Dr.Santosh Kumar 2 27 2 32 2 14 6

25 Dr.Sarwan Kumar Chelhar 1 13 3 45 0 0 0

26 Dr.Sundeep Kumar /Nechal 1 8 1 16 2 22 7

27 Dr.Molchand 1 8 0 0 1 0 0

28 Dr.Ishtiaque Shah 1 2 0 0 0 0 0

29 Dr.Pirbhu Lal 1 8 2 185 1 38 14

30 Dr.Misri 1 13 0 0 1 2 2

31 Dr.Mukesh Kumar 1 7 0 0 1 5 2

32 Dr.Suneel Kumar GD 1 10 2 31 0 0 0

33 HT Chander Lal 0 0 1 20 0 0 0

34 HT Abdul Aziz 1 20 2 45 2 19 9

35 HT Hashim 1 20 0 0 0 0 0

36 HT Mohsin 1 18 1 30 1 5 3

37 HT Muhammad Raheem 1 14 0 0 0 0 0

38 HT Sardar Singh 1 17 2 65 1 25 10

39 HT Pirbhu Lal 0 0 1 12 1 14 6

40 HT Amir Bux 1 4 1 21 1 2 0

41 HT Arjun 1 20 0 0 1 25 20

42 HT Dhino 1 10 1 10 1 16 8

43 HT Mooro Mal 1 16 1 25 1 15 12

44 HT Abdul Sattar 1 9 1 9 1 10 5

45 HT Shahbdin 1 13 0 0 0 0 0

46 HT Aijaz 1 8 1 12 1 20 3

87

47 HT Saindad Samejo 1 15 2 32 1 8 3

Grand Total 42 470 64 1391 41 608 233

4. Important Points during CHSs: 1. Malaria 2. Gastro 3. Vaccination 4. Heat Stroke and Prevention 5. Hypertension 6. Antenatal Care 7. Hazards of smoking 8. Snake Bite 9. Routine Vaccination 10. Acid Peptic Disease 11. Tuberculosis 5. Topics for CHS for the Month

S # Topics

1 ARI DISEASE

2 GASTRO

3 DENGUE

4 PEPTIC ULCER, ASTHMA

6. Important Discussion on Community Participation during MRM: All MOs were directed to regularly conduct the CSG meetings and get support of CSG in different RHF level activities & be alert for the out break of Malaria etc. 10. Health Camps (TENT FIX CAMP): Number Held: 0 Number of Patients: - 0 11. Measures for Improvement / provision of Services by other Department / Agencies

(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW:

1. OPD*



Total OPD during the month (New + Old

47301 411 47,712


S. No Description Recommendation To whom sent Present status

I Sanitation - - -

II Drainage / sewerage - - -

III Drinking water - - -

IV Prevention of adulteration


VI Roads and infrastructure - - -

VII Environmental Improvement

- - -

VIII Others - - -

88

S # BHU OPD BHU OPD

1 BHU DANU DANDHAL 2062 GD Mithrio Suthar 222

2 BHU KALOI 1,916 BHU CHACHI MOORA 450

3 BHU CHELHAR 1,793 GD PEELU 500

4 BHU Vira wah 1,437 GD Gorwari 585

5 BHU Jadam Janjhi 1,419 BHU Arokhi 586

3. Top Five Diseases Treated during School Health Sessions/Camps: *All HFs — BHUs and others.

**Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases during OPD:


1 ARI 21172

2 Diarrhea

4285 3 Dysentery

4 Fever 3633

5 Scabies 2351

5. ARV / ASV used during the month:

Detail No. of Patients


ARV Administered 40

ARV Available Doses (DSU) 81



ASV Vaccine Available Doses(DSU) 103

Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother Child & Reproductive

Health. 3. (Lab / Diagnostic Tests)

S # Tests Number


2 Hemoglobin 199


4 Ultra Sound 331

5 Others 1804

Total 2677


1 ARI 125

2 Fever 38

3 Ear/Eye Problems 22

4 Cough 22

5 Scabies 26

Total 233

89

B & C SCREENING TESTS:




Total referred up-to date

Follow up result



8. TUBERCLOSIS

Patients Receiving Treatment New Cases During the Month

Under Diagnosis

6 2 5

9. Referrals

S.No

Totals

Cases Referred To

TB DOT Deliveries Others RHCs THQs DHQ

1 29 0 0 03 06 13 07


S.No

Totals

Cases Referred from


1 0 0 0 0 0 0 0



DSM Executive officer (M&E) Other Staff Total

10 46 105 161



1 BHU Mithrio Bhatti Solar Fridge non functional Discussed with focal person of EPI

2 BHU Khetlari Water Rooter out of use Given to Mechanic for repair

3 BHU M.Gechu Electricity, approach road, main gate, and boundary wall destroy due to heavy rain

Contact to Line Deptt: by Admin & resolve electricity problem, Assign to Engineer for estimate of the damages

4 BHUKhario Fazal R&R Work Executive Engineer must be focus & Complete the on going work.

05 BHU Kot Arbab Mir Mohd

R&R Work Executive Engineer must be focus & Complete the on going work.

H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS 1. Medicines available for: 45 Weeks

90

2. Important Issues raised relating to Medicines, etc. during MRM: No any issue was discussed in the MRM.


S # Name of

HFs

Description of Repair / Maintenance incl. Electrification

Status / Remarks

1 BHU Virawah Work Completed MB Sent to PSU

2 BHU Dano Dhandhal Work Completed MB Sent to PSU

3 BHU Malanhore vena Work Completed MB Sent to PSU

4 BHU Chelhar Work Completed MB Sent to PSU

5 BHU Kantio Work Completed MB Sent to PSU

6 BHU Wahori Work Completed MB Sent to PSU

7 BHU Mubarak Rind Work Completed MB Sent to PSU

8 BHU Verijhap Work Completed MB Sent to PSU

9 BHU Pabhuar Work Completed MB Sent to PSU

10 BHU KG Shah Work Completed MB Sent to PSU

11 BHU Warkio Work Completed MB Sent to PSU

12 BHU Chanida Work Completed MB Sent to PSU

13 BHU Kolhi Ji Veri Work Completed MB Sent to PSU

14 BHU Kaloi Work Completed MB Sent to PSU

15 BHU Hirar Deda Work Completed MB Sent to PSU

16 BHU Jadam Jhanjhi Work Completed MB Sent to PSU

17 GD Kehri Work Completed MB Sent to PSU

18 GD Jado Joyo Work Completed MB Sent to PSU

19 GD Jogi Mari Work Completed MB is complete

20 GD Bhagisal Work Completed MB is completed

21 GD Peelu Work Completed MB is completed

22 GD Dalan Jo Tar Work Completed MB is completed

23 BHU Amrio Work Completed MB is completed

24 BHU Bhakuo Work Completed 100% work is done

25 BHU Doonjh Work Completed 100% work is done

26 BHU M.Bhatti Work Completed 100% work is done

27 BHU Arokhi Work Completed MB is completed

28 BHU Kankio Work Completed 100 % work done

29 BHU Khetlari Work Completed 100% work done

30 BHU Choopni Work Completed 100% work done

31 BHU Kot Arbab Work in progress 20% work is done

32 BHU Khario Fazal Work in progress 10% work is done



MS KAREN WHO OFFICER

BHU MITHRIO BHATTI

DSM gave her presentation about PPHI Services at RHF, of Tharparkar, She chat with FMO Dr. Lata and Incharge MO Dr. Lachman Das, she visited medicine store, EPI Room and wards. She also looked at our health messages, boards, charts. She likes PPHI Support health department in improving EPI services for proper coverage of People and likes us to work

91

hard.

To reflect only non-PPHI Visitor:

J- DISCUSSION DURING MRM: On Staff Matters: 1. The Government Employees were directed to inform the DSM before performing any assignment by EDO Health Office. 2. All In charges of Health Facilities must be inform to the DSU PPHI before giving joining to any newly Appointed staff, also directed to not relieve any employee with-out permission of DSM PPHI. 3. All In charges should be submitted their Monthly Progress Reports before third of the month. 4. All staff under the administration of PPHI district Mithi should be professional, be punctual and bring ownership themselves. 5. Appreciated the PPHI Team (Medic and Paramedic) whom performing their duty for Rain Affecteese. On Preventive Health:

1. All Doctors has been directed that to conduct regular Health awareness Sessions in the community and Schools as we can prevent the souls of Thar from different diseases.

2. Directed to all must be capture the emergency cases, Health Sessions, Deliveries etc. 3. During any visit by any PPHI official including DSM or any other organization, They must remain

there work, no need of protocol. 4. Directed to all must be sent DEWS Report every Saturday 3.00 PM Sharp.

On Curative Health: The Medical and Paramedical Staff has advised to give three days medicine to the patients. In any center there is shortage of medicine the information should be reached to DSU PPHI at least three days in advance. On Mother, Child & Reproductive Health: Directed to the FMOs for regular Health Sessions, motivation and counseling to Community for the importance of deliveries at BHUs and also appreciated their progress which is satisfactory from previous. Other Matters: Directed to all participants be punctual, bring discipline and all reports must be reach before 5TH of the every month. Date /Time for Next MRM: 10-03-2012 10: 00 AM Session on capacity building:

1. Leadership by Riaz Ahmed Jakhrani 2. Road Accidents by Dr. Bhamer Lal 3. Malaria-Causes and Preventive measures by Dr. Sandeep Comments on Targets vs. Achievements (DSM): DSM DSU Tharparkar told that we all are working for the betterment of people, so we should perform our duty honestly with regularly and with the punctuality .He has emphasized over the progress of FMOs and said that FMO should work hard to provide better care of mother and child of respective area. The meeting ended with the vote of thanks to all participants.

92

MINUTES OF THE (37th) MONTHLY REVIEW MEETING OF DISTRICT UMERKOT

Monthly Review Meeting (MRM) of District, Umerkot for the Month of January, 2012 was held on 9th February, 2012 at Darbar Hall, DC Office, Umerkot. Written invitations to participate were sent to the DC, the DHO, the DO (F&P), D.O Population Welfare Department, District In charge, National Program, EPI, HANDS, TRDP, Sami Foundation, Medical officers & Female Medical Officers as usual. The list of participants is as follows: List of Participants:

S #

Names Designation S # Names Designation

1 Ashique Hussain Chandio DSM PPHI U.K 25 Dr. Naresh Kumar MO PPHI

2 Dr Mahboob Ali Samejo ADSM, PPHI,UK 26 Dr Jai Parkash MO PPHI

3 Mohammad Yousif Ex F & A 27 Dr Vasdev MO PPHI

4 Veer Vikram Ex. Const 28 Dr Ashok Kumar MO PPHI

5 Dr Fareed Ahmed HD 29 Dr. Gobind Ram MO PPHI

6 Dr Hemji HD 30 Dr. Mohan Bhoopani MO PPHI

7 Dr Ali Raza Kadri Save the Children 31 Dr Devi das MO PPHI

8 Amjad Khan SDI 32 Dr Malook Oad MO PPHI

9 Duarko TRDP 33 Dr Mansoor Ali Shah MO PPHI

10 Dr Metha Ram MO Govt 34 Dr Nasrullah MO PPHI

11 Dr Talib Mangrio MO Govt 35 Dr Mohan Lal MO PPHI

12 Dr Ghansham MO Govt 36 Dr Nadir Ali MO PPHI

13 Dr Khushal Das MO Govt 37 Dr Dalpat Rai MO PPHI

14 Dr Jeevraj MO Govt 38 Dr M Naeem MO PPHI

15 Dr Sarwan Kumar MO Govt 39 Dr Madhan Rathi MO PPHI

16 Dr Qazi Samejo MO Govt 40 Dr Ghandi Lal MO PPHI

17 Dr Nand Lal MO Govt 41 Dr Chetan Kolhi MO PPHI

18 Dr Bahadur Singh MO PPHI 42 Dr Shazia Asif FMO PPHI

19 Dr Teekam Das MO PPHI 43 Dr Naheed Akhtar FMO PPHI

20 Dr Santosh Kumar MO PPHI 44 Dr Devi Jagdesh FMO PPHI

21 Dr Gomoon Mal MO PPHI 45 Dr Anila Rawal FMO PPHI

22 Dr Vijay Kumar MO PPHI 46 Dr. Husna Bhatti FMO PPHI

23 Dr Mohammad Yousif MO PPHI 47 Dileep Kumar S.O

24 Dr. Mukesh Kumar MO PPHI 48 Hosh Muhammad Assistant



1 Dr Chettan Kumar NID 3 Dr Eassar Das C/L

2 Dr Shankar NID 4 Dr Parshotam NID

J. HFs WITH PPHI

BHUs: 30 Dispensaries: 11 MCHCs: 01 Others: 0 TOTAL: 42

93


T. STAFF STRENGTH

Sanctioned



PPHI Contract

Vacant (Sanc-Govt)

Mos 43

37 11 26 32

WMO 0 0 0

FMOs 18 05 0 05 13

LHVs 31 32 08 28 23

MTs/MAs Male

64 31 31 0

33 Female 0 0 0


U. CLUSTERS OF HFs WITH ONE MO

WITH ONE FMO

E. CAPACITY BUILDING 3. Sessions: During MRM

1st Session: Dr Hemji conducted session on “DHIS” and focused on the following points:-

Report compilation

Target setting

HF code

Format distributed



Participants
















94

1. Vaccination / Immunization *



No. of Immunization & Vaccination Administered by outreach EPI Teams ----

Total vaccination / immunization for the month January 2012 708

*28 BHUs report Vaccination & Immunization data on DHIS format 2. National Immunization Days (`s) for Polio



S # Service Number



3 Visits to Check Sanitation (individual house holds + streets) --

4 Notices issued against Poor Sanitation --

5 Challans sent to Court against Poor Sanitation --

6 Patients Nebulized --




S # Service Number




S # Test Number





5 Other (Sputum) 18


1 Dr. Husna Bhatti 132 04 2021 2157

2 Dr Naheed Akhtar 72 0 830 902

3 Dr Devi Jagdesh 364 0 1423 1787

4 Dr Shazia 107 0 588 695

5 Dr Anila Rawal 195 0 380 575

Total 870 4 5242 6116

95


It was unanimously agree up that PHC services revolve around the mother & child healthcare. It was reiterated that all possible efforts would be taken to improve delivery in this area. Provision of Family Planning Services during the Month



2 Oral Pills 75

3 IUCDs 05

4 Injections 70

5 Others 15

Total 165





conducted by him



No. No. of

Participants

Dileep Kumar 05 63 08 115

Total 05 63 08 115



Community Health Session School Health Session

Session Participants Session Children Examined Treated

Dr Bahadur Singh 2 53 1 7 5

Dr Mukesh Kumar 1 20 1 0 0

Dr Easar Das 2 60 1 0 0

Dr Shanker Kumar 2 36 1 36 6

Dr Chetan Kolhi 2 50 1 0 0

Dr Gomoon 0 0 0 0 0

Dr Ashok Kumar 0 0 0 0 0

Dr Khushahal Das 2 50 1 25 18

Dr Talib Mangrio 1 30 1 0 0

Dr Chetan Kumar 1 15 0 0 0

Dr Parshotam Das 2 40 1 7 7

Dr Vijay Kumar 1 9 1 22 22

Dr Nandlal 1 30 1 0 0

Dr Qazi Samejo 2 48 1 0 0

Dr Gobind Ram, 2 26 1 2 2

Dr Ghansham 1 19 1 0 0

Dr Vasdev 1 27 1 13 7

Dr Metharam 2 44 1 45 4

96

Dr Dalpat Rai 1 18 0 0 0

Dr Nasrullah 2 30 1 0 0

Dr Jeev raj 2 55 1 0 0

Dr Madhan Rathi 2 32 1 0 0

Dr Naresh Kumar 2 32 1 0 0

Dr Sarwan Kumar 0 0 1 0 0

Dr Teekam Das 0 0 0 0 0

Dr Gandhi 2 38 1 21 0

Dr Jai Parkash 2 17 1 10 0

Dr Naeem 2 16 1 0 0

Dr Samiullah 1 12 1 30 30

Dr Mohan Bhoopani 2 18 1 9 9

Dr Santosh Kumar 0 0 0 0 0

Dr Ashok Kumar 2 40 1 23 10

Dr Devidas 2 22 1 0 0

Dr Nadir Ali 0 0 0 0 0

Dr Malook Oad 2 40 1 9 4

Dr M Yousif 1 18 1 0 0

Dr Mohan Rathore 2 21 1 0 0

Dr Mansoor Shah 2 37 1 29 29

Hussna 1 12 0 0 0

Dr Shazia Asif 2 32 0 0 0

Dr Naheed Akhtar 4 66 1 21 0

Dr Anila Rawal 0 0 0 0 0 0

Dr Devi Jagdesh 1 16 1 12 12

62 1129 33 321 165


FMO, LHV & Dai needed

Vaccinator & Pathology Laboratory required

Ultra Sound facility be provided

Progress of Health Facility 5. Important Points during CHSs

Skin Disease

Malaria Prevention

Diarrhea Prevention

Water Diseases

Breast feeding is important for newly born baby.

Importance of EPI


Sr. No. Topics

1


S # Topics

1 Scabies

97

2 ARI

3 Measles

4 Polio

9. Important Discussion on Community Participation during MRM 10. Health Camps: Number Held: 0 Number of Patients: 0 11. Measures for improvement / provision of Services by other Department / Agencies


Present status

I Sanitation ----- ----- -----

Ii Drainage / sewerage ----- ----- -----

Iii ……… drinking water ----- ----- -----

Iv Prevention of adulteration ----- ----- -----

V Tree Plantation ----- ----- -----

Vi Roads and infrastructure ----- ----- -----

Vii Environmental Improvement ----- ----- -----

Viii Others ----- ----- -----


1. OPD*




53235 1513 54748


S # BHU OPD BHU OPD

1 BHU Shadi Palli 4312 BHU Nawaz Ali Shah 354

2 BHU Ghulam Nabi Shah 3360 BHU Dilawar Hussein 463

3 BHU Pir Sarhandi 3128 BHU Siddique Abro 608

4 BHU Mahendre Jo Par 2247 GD Ahmedabad 627

5 GD Shewani 2014 GD Amin Rajar 742



1 ARI 16713

2 Fever 6968


1

98

3 Diarrhea 3870

4 Scabies 1791

5 Dysentery 144


No. of Patients


ARV Administered 82

ARV Available Doses 71(Patients)






S # Tests Number



3 Hemoglobin 229

4 X-Rays (if available) N/A

5 Ultra Sound 365

6 Others (Sputum) 18



Performed

No. of cases found

positive



Follow up result

Hepatitis B N/A N/A N/A N/A N/A

Hepatitis C N/A N/A N/A N/A N/A

33. TUBERCLOSIS



Under Diagnosis

45 03 00

9. Referrals

Sr. Totals Cases Referred To


2 102 75 00 27 15 51 36


Sr. Totals Cases Referred from


2 00 00 0 0 00 00 00

99



DSM ADSM/ Executive Monitoring Other Staff Total

44 60 46 150



1


1. Medicines available for 40 Weeks 2. Important Issues raised relating to Medicines, etc. during MRM

Monthly medicine supplied at all the health Facilities

Health facility wise, monthly medicine consumption and per patients cost were shared with doctors.


S # Name of HFs Description of Repair / Maintenance incl.

Electrification Status / Remarks

1 BHU Rana Jagir Tiles Work, Colour, Repair, Carpenter, Plumbering & Electrification

Complete

2 BHU Aahori Farm Tiles Work, Co lour, Repair, Carpenter, Pulmbering & Electrification

Complete

3 BHU Kharoro Syed Tiles Work, Co lour, Repair, Carpenter & Pulmbering

Complete

4 BHU Moula Bux Rajar

Tiles Work, Co lour, Repair, Carpenter, Pulmbering & Electrification

Complete

5 MCH Umerkot Tiles Work, Co lour, Repair, Carpenter, Pulmbering & Electrification

Complete

6 BHU Digu Co lour, Repair, Carpenter & Pulmbering Complete

7 BHU Samaro Road Co lour, Repair, Carpenter & Pulmbering Complete

8 BHU Kunri Memon Tile work, Co lour, Repair, Carpenter, Pulmbering & Electrification

Complete

9 BHU Sanwan Rajar Tile work, Co lour, Repair, Carpenter & Pulmbering

Complete

10 BHU Pir Sarhandi Tile work, Co lour, Repair, Carpenter, Pulmbering & Electrification

Complete

11 BHU Faqir Ali Bux Halepoto

Tile work, Co lour, Repair, Carpenter & Pulmbering

Complete

12 GD Muzafer Hussain Shah

Tile work, Co lour, Repair, Carpenter & Pulmbering

Complete

13 GD Amin Rajar Tile work, Co lour, Repair, Carpenter & Pulmbering

Complete

14 BHU Nabisar Thar Tile work, Co lour, Repair, Carpenter & Pulmbering

Complete

100

15 BHU Fateh M.Rajar Tile work, Co lour, Repair, Carpenter & Pulmbering

Complete

16 BHU Toban Veri Tile work, Co lour, Repair, Carpenter &n Pulmbering

Complete

17 BHU Haji Pir Shah Tile work, Co lour, Repair, Carpenter & Pulmbering

Complete

18 BHU Siddique Abro New Roof, Co lour, Repair, Carpenter & Pulmbering

Complete

19 BHU Saleh Bhanbhro Co lour, Repair, Carpenter & Pulmbering Complete

20 BHU Mehinry Jo Par Work started Tile work, Co lour, Repair, Carpenter & Pulmbering

Complete

21 BHU Abdul Hakim Aresar

Repair, Tile work, Plumbering & Colour Complete

22 BHU Nawaz Ali Shah Repair, Tile work, Plumbering & Colour Complete

23 BHU Mohd. Hussain Gujrati

Repair, Plumbering & Colour Complete

24 GD Sajan Khan Chandio


25 G.D Moosa Jan Sarhandi


26 BHU Araro Bhurgri Repair, Tile work, Plumbering & Colour Complete

27 BHU Dilawar Hussain Shah

Co lour, Repair, Carpenter, Pulmbering & Electrification

Complete

28 GD Noor Mohammad Mangrio

Colour, Repair, Tile, Carpenter & Pulmbering. Complete

29 GD Ismail Nohri Colour, Repair, Tile, Carpenter & Pulmbering & Electrification

Complete

30 BHU Darelo Colour, Repair, Tile, Carpenter & Pulmbering & Electrification

Complete

31 BHU Padheri Farm Colour, Repair, Tile, Carpenter & Pulmbering & Electrification

Complete

32 GD Maghan Khan Chandio

Tiles Work, Colour, Repair, Carpenter & Plumbering

complete

33 BHU Talhi Tiles Work, Colour, Repair, Carpenter & Plumbering

complete

34 BHU Ghulam Nabi Shah

Tiles Work, Colour, Repair, Carpenter & Plumbering

Revised

35 BHU Shadi Pali New Roof, Co lour, Repair, Carpenter & Pulmbering

Revised

Work In Progress

36 GD Ahmedabad In Progress Incomplete

37 BHU Okraro Chanio In Progress Incomplete

38 BHU Mir Din Mohammad

In Progress Incomplete



------- -------

-------


101


Health Facilities Timings should be followed strictly. On Preventive Health:

School Health Sessions, Community Health Sessions & CSG meetings will continuously be monitored by Monitoring staff.

On Curative Health:

The chair emphasized the importance the presence of the doctor at the health facility which will ensure the provision of curative service in the true sense of the word.

Mother, Child & Reproductive Health:

It was shared with the participants that inclusion of quite a few female technical staff has further strengthened the human resource present at the health facility for provision of healthcare services to the female segment of the population .moreover, conversion of three health facilities into the 24 hour running MCHCs has also started picking the pace towards alleviating the sufferings of female folk.

Other Matters: Date /Time for Next MRM: March 10, 2012 at 10:00 am Comments on Targets vs Achievements (by DSM)

R & R work of 3 health facilities has been completed, while R & R work of three more health facilities will be completed soon.

102

MINUTES OF THE (43rd) MONTHLY REVIEW MEETING OF DISTRICT BADIN

Monthly Review Meeting (MRM) of District, Badin for the Month of January, 2012 was held on 11-02-2012 at Darbar Hall DCO Office Badin. Written invitations were sent to the EDO (H), and the Civil surgeon, District Population Welfare Officer, District Incharge of EPI, District Coordinator NP, District Focal Person Malaria, and District Focal Person TB. and District Officer MNCH Badin. The list of participants is enclosed. List of Participants:

# Names/Designation S # Names/Designation

1 Mr Birjlal Dossani DSM Badin 46 Dr Ghulam Rasool Mallah MO

2 Mr Sayed Shahid Ali DSM Badin 47 Dr Gulshan Korejo MO

3 Dr Mohammad Ramzan Khoso Malaria FP 48 Dr Uqail Abbass Pediatritian

4 Dr Noor Mohammad TB Focal Person 49 Dr Zahid Hussain Khawaja MO

5 Mr. Shahbaz Ali Memon Exe M&E 50 Dr Ahmed Khatti MO

6 Mr. Naveed Abbass Baloch Ex M&E 51 Dr Bheemoon MO

7 Mr Aatif Hussain Ex F&A 52 Dr Saleem Nizamani MO

8 Dr Amir Ali Khawaja MO HQ 53 Dr Abudul Ali Shah MO

9 Mr Abdul Razzaque Sheikh S.M 54 Dr Abdul Jabbar Khaskheli MO

10 Mr Aqeel Ahmed Finance Assistant 55 Dr Abdul Rehman Bhurgari MO

11 Mr Mshooque Ali Khawaja Assistant 56 Dr Afaque Ahmed MO

12 Mr Abdullah Tunio Sub Engineer 57 Dr Aijazudin MO

13 Mr Ali Ahmed SO 58 Dr Altaf Basheer MO

14 Mr Imran Ali Talpur S.O 59 Dr Amir Ali MO

15 Mr. Abdul Razzaque Soomro S.O 60 Dr Amir Hassan Memon MO

16 Lemoon Mal Astt: Admin 61 Dr Ashok Kumar K.Q MO

17 Dr Saima Naz FMO 62 Dr Soomar Mal MO

18 Dr Shazia Rauf /FMO 63 Dr Suleman Palijo MO

19 Dr Nida Jaffer / FMO 64 Dr Hafeezullah Memon MO

20 Dr Khadija Qambrani FMO 65 Dr Haji Khan Nizamani MO

21 Dr Tasleem Khawaja FMO 66 Dr Haresh Kumar MO

22 Dr Rehana Fayaz / FMO 67 Dr Mohd Ibrahim Pinjaro MO

23 Dr Yasmeen Abbassi FMO 68 Dr Imtiaz Ahmed MO

24 Dr Fahmida Soomro FMO 69 Dr Javed Iqbal Qambrani / MO

25 Dr Aisha Jamil FMO 70 Dr Sahib Khoso MO

26 Dr Anita Khawaja FMO 71 Dr Santosh Kumar MO

27 Dr Neelofar Shah FMO 72 Dr Mohd Ramzan Soomro MO

28 Dr Rukhsana Memon FMO 73 Dr Mohan Lal MO

29 Dr Abdul Wahid Khatti MO 74 Dr Mohd Sharif Chandio MO

30 Dr Raffique Bhurgari / MO 75 Dr Nadeem Bhurgari MO

31 Dr Rafique Ahmed Memon MO 76 Dr Nisar Ahmed Jaffery MO

32 Dr Irfan Ashraf MO 77 Dr Raza Ali / MO

33 Dr Ilyas Laghari MO 78 Dr Safiullah Abbassi MO

34 Dr Maqbool Ahmed Maroo MO 79 Dr Saleem Notkani / MO

103

35 Dr Mohammad Siddique Pahore SMO 80 Dr Mohd Suleman Palijo MO

36 Dr Iqbal Ahmed Memon MO 81 Dr Shafique Ahmed Laghari MO

37 Dr Murad Ali Nizamani MO 82 Dr Shahzad Ahmed Virk MO

38 Dr Munawar Arain MO 83 Dr Sunil Kumar MO

39 Dr Gulab Hassan Kahmiri MO 84 Dr Abdul Rehman Khatti MO

40 Dr Harichand MO 85 Dr Tufail Ahmed Bhan MO

41 Dr Jamil Ahmed Memon MO 86 Abdul Wahid Pathan N/Q

42 Dr Asif Ali Rind MO 87 Sikiladho / Bishti

43 Dr Chait Raam MO 88 Allah Dino Attendent

44 DR Ghulam Mohammad Memon MO 89 Shahzad Ahmed Chand Driver

45 Dr Ghulam Murtaza Memon MO 90 Mumtaz Ali Chandio Driver


S #

Names/Designation Reasons S # Names/Designation Reasons

1 Dr Kavita Ashok FMO cl 8 Dr Ashok Kumar Qazi Fateh MO cl

2 Dr Naveen Samoon FMO CL 9 Dr Mohd Hanif cl

3 Dr Saeeda Bano CL 10 Dr Junaid Shah cl

4 Dr Shahnaz Muneer FMO cl 11 Dr Mehmood Memon MO CL

5 Dr Uzma Korejo FMO cl 12 Dr Mohd Ayoub cl

6 Dr Muzafar Ali MO cl 13 Dr M. Saleem Memon Absconder

7 Hakeem Ghulam Nabi CL 14 Dr Sarfraz Amir Kidneped

K. HFs WITH PPHI BHUs: 36 Dispensaries: 66 MCHC: 01 Others: 01


V. STAFF STRENGTH

Sanctioned



PPHI Contract

Vacant (Sanc-Govt)

MOs 49

17 17 49 32

WMO 0 0 0

FMOs 00 0 0 17 18

LHVs 42 8 8 43 34

MTs/MAs Male

0 0 0 0

0 Female 0 0 0


W. CLUSTERS OF HFs WITH ONE MO








104

WITH ONE FMO


1. First Session: During MRM Dr Mohammad Sharif Chandio MO BHU Ghulam Shah Mori has delivered lecture on ―Integrated Neonatal & Childhood Management Illness‖. 41. Dr Mohammad Ramzan Khoso Focal Person Malaria has delivered lecture on prevention of

Malaria and its reporting mechanism in district Badin. 42. Dr Noor Mohammad Khoso Focal Person Tuberculosis TB has delivered lecture on prevention

of TB and has demonstrated Diagnostic Centers in district Badin.




Participants

0 0 0 0



No. of Doses of Immunization Administered to Children at Health Facilities outreach EPI Teams.

7520

No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities outreach EPI Teams.

1213

Total vaccination / immunization for the month Dec-2011 8733



coverage

0 0 0 Nil


S # Service Number





5 Challans sent to Court against Poor Sanitation 0 6 Patients Nebulized 644







105



S # Names of FMOs Ante-Natal

Cases Post-Natal

Cases Other OPD Total OPD

1 Dr Saima Naz 83 6 1452 1541

2 Dr Nida Jaffer 84 50 679 813

3 Dr Tasleem Khawaja 113 32 1314 1459

4 Dr Kavita Ashok 93 13 454 560

5 Dr Rehana Fayaz 141 25 678 844

6 Dr Neelofar Shah 62 17 498 577

7 Dr Uzma Korejo 145 36 969 1150

8 Dr Aisha Jamil 87 44 552 683

9 Dr Beenish Bukhari 199 12 839 1050

10 Dr Dr Rukhsana 317 46 1813 2176

11 Dr Shazia Rauf 36 3 651 690

12 Dr. Khatija Qambrani 184 32 664 880

13 Dr Fahmida Soomro 25 10 940 975

14 Dr Shahnaz Muneer 45 6 624 675

Total 1614 332 12127 14073


S # Service Number




S # Test Number





5 Other 241


a. No: of Deliveries has substantially increased at 24 hours MCHCs. Medicine indent should be standardized.

b. Pre-diagnosis screening of patients for vaccine should be done relugularly. c. Where vaccinators are provided under National Program, the duty roster should be signed by

I/c Medical Officer and absence report should immediately be sent to Focal Person. d. Pregnant females should be encouraged for delivery at BHU. e. F.P advice should be part of diagnosis and separate record be maintained. f. Sinologists shall furnish their presentation on the findings, referral and follow up. g. MNCH record and Growth monitoring record should be maintained by FMOs where LHV is

not provided. In all cases, record should be legible, complete and traceable. h. Baby Weighing Scales/ Adult Bath Scales, Hemoglobin Meters and Height Charts have been

provided. Ensure proper usage of the equipments and report of out of order weight machines should be immediately conveyed to I/c MO in writing.

106

i. Training on Hemoglobin meters have been provided to all Medical and Paramedical Staff for blood tests preferably for pregnant women and same will be repeated for retention.




Oral Pills 89

IUCDs 2

Injections 84

Others 163

Total 733








No. No. of

Participants

Ali Ahmed 13 0 189 10 176

Imran Ali Talpur 10 0 129 12 231

Abdul Razzaque Soomro 8 0 91 8 123

Total 31 0 409 30 530

3. School Health Sessions & Community Health Sessions Has not performed due to rain emergency





Dr Nida Jaffer 2 36 2 44 11

Dr Tasleem Khawaja 2 51 2 42 10

Dr Kavita Ashok 1 24 2 31 9

Dr Rehana Fayaz 1 19 2 29 11

Dr Neelofar Shah 2 34 2 27 9

Dr Uzma Korejo 2 21 2 32 10

Dr Aisha Jamil 1 19 2 27 12

Dr Beenish Bukhari 2 31 2 22 7

Dr Shazia Rauf 2 54 2 19 11

Dr. Khatija Qambrani 1 27 2 34 7

Dr Saima Naz 2 36 2 28 7

Dr Shahnaz Muneer 2 28 2 41 15

Dr Rafique Memon 1 14 1 19 14

Dr Junaid 1 19 1 12 7

Dr Hafeezullah 1 14 1 13 6

Dr Gulshan Korejo 1 14 1 10 5

107

Dr Soomar Mal 1 17 1 14 4

Dr Raza Ali 1 19 1 12 5

Dr Javed Iqbal 1 14 1 9 7

Dr Abud Ali 1 12 1 12 5

Dr Wahid Khatti 1 8 1 10 4

Dr Abdul Rehman Khatti 1 12 1 14 9

Dr Irfan 1 16 1 12 8

Dr Ashok Kumar KQ 1 15 2 32 21

Dr Ramzan Soomro 1 14 2 28 5

Dr Chait Raam 1 10 2 41 16

Dr Jamil Memon 1 12 1 20 7

Dr Jabbar Khaskheli 1 19 1 34 11

Dr Raffique Bhurgari 1 14 1 33 13

Dr Santosh Kumar 1 15 1 12 5

Dr Ghulam Murtza Memon 1 17 1 17 7

Dr Ghulam Rasool Mallah 1 14 1 10 5

Dr Ahmed Khatti 1 16 1 17 11

Dr Ghulab Kashmiri 2 36 2 42 22

Dr Maqbool Ahmed Maroo 2 52 2 61 16

Dr Muzafar Ali 1 14 1 10 6

Dr Sunil Kumar 1 12 1 23 9

Dr Zahid Hussain 1 17 2 68 14

Dr Mehmood Memon 2 116 2 132 29

Dr Tufail Ahmed Bhan 1 16 1 44 20

Dr Nadeem 1 12 1 19 5

Dr Bheemoon 1 14 1 22 4

Dr Ashok Kumar Ch Fateh 1 21 1 19 5

Dr Mohan Lal 1 17 1 21 6

Dr Mohd Siddique Pahore 1 17 1 22 5

Dr Ibrahim Pinjaro 1 14 1 20 4

Dr Suleman 1 15 1 22 5

Dr Afaque Bhurgari 1 31 1 24 7

Dr Harish Kumar 1 14 1 21 6

Dr Saleem Nizamani 1 15 1 21 7

Dr Murad Nizamani 1 22 1 17 4

Dr Ayoube Pahore 1 29 2 12 6

Dr Sarfraz Amir 1 15 1 14 4

Dr Imtiaz Ahmed 1 19 1 19 5

Dr Shafique Laghari 1 17 1 18 5

Dr Ghulam Mohd 1 14 1 12 8

Dr Sahib Khoso 1 21 2 34 7

Dr Iqbal Memon 1 12 1 10 5

Dr Abdul Rehman 1 14 1 12 4

Dr Nisar Ahmed Jaffery 2 33 2 39 8

Dr Altaf Basheer 1 25 1 20 5

Dr Safiullah 2 51 2 39 19

Dr Aijazudin 2 36 2 56 14

Dr Shahzad Ahmed Virk 2 21 2 61 19

Dr Munwar Arain 1 22 1 19 11

Dr Uqail Abbass 1 19 0 0 0

Mr Chetan Lal Disp 1 17 1 26 14

TOTAL 82 1505 91 1756 602

108


Introduction of PPHI

Ownership of HFs

Health Awareness Sessions for prevention at Community Level

Health Awareness Program at School Level

Water and sanitation, Electricity, Cleanliness etc Issues of HFs

Major and Minor Repair & Renovation of HFs

Suggestions for the improvement of HFs



7. Topics for SHS for the Month

Sr. No. Topics

1 Personal Hygiene

2 Scabies

3 Diarrhea

4 Fever

5 RTI

8 Topics for CHS for the Month

S # Topics

1 Tuberculosis

2 Hepatitis

3 RTI

4 HIV Aids

5 Brest Feeding

6 ARV


Community Health Sessions are to be planned and held on FMO days.

Participation should be ensured through formal contact with LHWs.

Sessions are to be held preferably at Health Facility or at community home duly coordinated and facilitated by DSU/HF staff.

10. Health Camps: Number Held: 0 11. Measures for improvement / provision of Services by other Department / Agencies


Present status

i Sanitation 00 00 00

ii Drainage / sewerage 00 00 00

iii ……… drinking water 00 00 00

iv Prevention of adulteration 00 00 00

v Tree Plantation 00 00 00

109

vi Roads and infrastructure 00 00 00

vii Environmental Improvement 00 00 00

viii Others 00 00 00


1. OPD*




101507 1678 103175


S # BHU OPD BHU OPD

1 BHU NABI BUX PANJABI 2587 BHU Yousif Shah 521

2 BHU GULAM SHAH MORI 2401 BHU ALI MURAD CHANDIO 607

3 BHU SAEEDPUR 2213 BHU AHMED RAJO 732

4 BHU PUNJAB CHAK II 2198 BHU AHMED RAJO 801

5 BHU RAHUKI 1934 BHU Haji Mohammad Boohar 816


6. Top Five Diseases during OPD


1 Acute Respirity Infection 21814

2 Fever 9019

3 Scabies 6271

4 Diarrhea 5472

5 Dysentery 476


No. of Patients








1 RTI 256

2 Fever 166

3 Scabies 116

4 Diarrhea 41

5 Dysentery 7

110

34. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) 3. (Lab / Diagnostic Tests)

S # Tests Number



3 Hemoglobin 164


5 Ultra Sound 311

6 Others (please specify) Malaria 241



No. of cases found

positive



Follow up result

0 0

0 0 0 0

36. TUBERCLOSIS



Under Diagnosis

0 0 0

9. Referrals

S. No Totals Cases Referred To


2 72 9 22 41 11 28 33


S. No Totals Cases Referred from


2 36 36 0 0 7 3 26



DSM ADSM Executive Monitoring Other Staff Total

76 0 124 166 371


1. Medicines available for: 10.17 weeks

13. Important Issues raised relating to Medicines, etc. during MRM/ Submission date of Medicine Requisition Form from 21st to 20th of every month

111


The status of running R & R schemes was reviewed thoroughly during the MRM and doctors were advised to fill the gaps. Moreover, the new 12 schemes of BHUs and GDs were thoroughly discussed. MOs were motivated to get to work in full throttle and complete the work well before the commencement of TPE.

S # Name of

HFs

Description of Repair / Maintenance incl. Electrification

Status / Remarks

1 GD Seerani Tiles, CC Toping, Plaster, Plinth protection, Colour, Electricity

30%

2 BHU Haji Mohammad Boohar

Tiles, Girder T.R, Plaster, Roof Topping, Plinth protection, Colour, Electricity

80% Estimate Sent for Revise

3 BHU Abdullah Shah Tiles, Girder T.R, Plaster, Roof Topping, Plinth protection, Color, Electricity

70 %

4 BHU Dadah Tiles, Girder T.R, Plaster, CC Toping, Roof Topping, Plinth protection, Colour, Electricity, Girder TR. Plinth Protection

80 %

5 BHU Ahmed Rajo Tiles, CC Toping, Plaster, Roof Topping Color, Plinth Protection

75 %

6 BHU Mataro Mandhro

Tiles, CC Toping, Plaster, Roof Topping, Color, Electricity , Plinth Protection

70 %

7 GD Beero Lanjwani Tiles, CC Toping, Plaster, Color, Roof Topping, Electricity , Plinth Protection

10 %

8 BHU Artilary Chak Tiles, CC Toping, Plaster, Roof Topping, Electricity , Plinth Protection, Tiles, Colour, Electricity

70 % Estimate Sent for Revise

9 BHU Khalifo Qasim Tiles, Girder T.iron, Plaster, CC Toping, Color, Electricity, Plinth Protection Tiles, CC Toping,

85 %

10 BHU Ali Mohammad Maheri

Tiles, CC Toping, Plaster, Color, Roof Topping, Plinth Protection

95 %

11 BHU Rahooki Tiles, CC Toping, Plaster, Color, Roof Topping, Plinth Protection

90 %

12 BHU Saeed Pur Tiles, CC Toping, Plaster, Color, Roof Topping, Electricity , Plinth Protection, CC Roof

Complete





Basic issues of HFs & Doctors

112

Follow-up of TB referral cases

OPD ratio and per patient cast

Discussed on FMO Progress in which Vaccination, Antenatal, Natal, Post Natal Pregnancy and family Planning

HIMS Monthly Report

Self analyses of HFs by MOs & FMOs

Ownership

Regularity On Preventive Health: Regarding school health session and community health session mostly topic for preventive were briefly discuss. Scabies, Malaria, Diarrhea and Hygiene etc On Curative Health: On Mother, Child & Reproductive Health: MCH Centre should increase Number of deliveries. More MCHC center will be opened soon. Other Matters: Date /Time for Next MRM: 10-03-2012, Time 10: 00 am Comments on Targets vs Achievements (by DSM) Targets vs Achievements: MOs Monitoring Mechanism HMIS Reports Health Sessions Punctuality Doctors have become punctual and are attending their HFs in time, despite the fact that they facing numerous hardships in the difficult-to-access HFs of District Badin. R & R Targets vs Achievements: FMOs Ante-natal care During the month target achieved 1701 cases of antenatal and natal and advised to increase the cases. Family Planning Service FMO‘s have improved on the count of Family Planning clientele. Deliveries 71 Deliveries are at HFs and MCH Center. FMOs are advised to increase the deliveries. Health Sessions All FMOs and MOs were advised to perform as per their job description and conduct as many health education/awareness sessions as possible. A total of 0 Health Session‘s were conducted majority of FMO‘s have done well. Punctuality FMOs have become punctual and are attending their HFs in time, despite the fact that they facing numerous hardships in the difficult-to-access HFs of District Badin. Capacity Building of LHVs Things are improving consistently in Badin. Hopefully, we will be achieving the targets set by PSU in near future Inshallah. District Support Manager PPHI, DSU Badin

113

MINUTES OF THE 32st MONTHLY REVIEW MEETING OF DISTRICT_SANGHAR

Monthly Review Meeting (MRM) of District, Sanghar for the Month of January 2012 held on February 09th , 2012 at District Support Unit Office, Sanghar. Written invitations to participates were sent to the District Coordination Officer, the EDO(H), EDO (F&P), In charge WHO, District Sanghar and District Incharge of EPI, LHW and all other National Programs as usual. The list of participants is enclosed.

S. No.

Name / Designation S.

No. Name / Designation

1. Mr.Abdul Rasool Golo DSM DSU,Sgr 31 Dr. Dilshad Ali Khan I/C PPHI, M.O

2. Dr.Mohammad Ali Sheikh

EDO(H) Sanghar 32 Dr. Shafique Ur Rehman I/C PPHI, M.O

3. Mr.Dhoukat Ali Wassan DOH Health 33 Dr. Syed Turab Ali Shah I/C PPHI, M.O

4. Mr. Gul Muhammad Executive (F&A), DSU-Sgr 34 Dr. Muhammad Haroon I/C PPHI, M.O

5. Mr. Ghulam Murtaza Executive (M&E), DSU-Sgr 35 Dr.Mohammad Rafique I/C M.O

6. Mr.Mohammad Tahir Executive (M&E), DSU-Sgr 36 Dr. Aftab Ahmed I/C S.M.O

7. Mr.Imtiaz Ali Store Manager 37 Dr. Anwer Adil Ansari I/C PPHI, M.O

8. Mr.Ghulam Sarwar MO HQ 36 Dr. Bhagwan Das I/C PPHI, M.O

9. Dr. Sher Muhammad Bhurgri

I/C S.M.O 37 Dr. Mehdi Hassan I/C PPHI, M.O

10. Dr. Gul Hassan Dahiri I/C M.O, PPHI 38 Dr. Qamar-ul-Hassan I/C PPHI, M.O

11. Dr. Abdul Waheed I/C PPHI, M.O 39 Dr. RafiqueAhmed I/C PPHI, M.O

12. Dr. Ashfaque Ahmed I/C S.M.O 40 Dr. Faiz Muhammad I/C M.O

13. Dr. Bashir Ahmed I/C PPHI, M.O 41 Dr. Akmal Baig I/C M.O

14. Dr. Pitamber Das I/C PPHI, M.O 42 Dr. Muhammad Aslam I/C PPHI, M.O

15. Dr. Shaman Das I/C PPHI, M.O 43 Dr. Jawaher Lal I/C PPHI, M.O

16. Dr. Allah Jurio Wassan I/C M.O 44 Dr. Aijaz Baig I/C PPHI, M.O

17. Dr. Manzoor Ahmed I/C PPHI, M.O 45 Dr. Nand Lal I/C PPHI, M.O

18. Dr. Jairam Das I/C PPHI, M.O 46 Dr. Kirpal Das I/C PPHI, M.O

19. Dr. Haque Nawaz I/C PPHI, M.O 47 Dr.Abdul Jabbar I/C M.O, PPHI

20. Dr. Muhammad Sharif I/C PPHI, M.O 48 Dr. M.Yaqoob I/C M.O, PPHI

21. Dr. Muhammad Rafique I/C M.O 49 Dr. Parsram I/C M.O, PPHI

22. Dr. Ghulam Hyder I/C PPHI, M.O 50 Dr. Arjun I/C PPHI, M.O

23. Dr. Gobind Ram I/C PPHI, M.O 51 Dr. Rasool Bux I/C M.O

24. Dr. Taj Muhammad I/C PPHI, M.O 52 Dr. Muhammad Zakir I/C PPHI, M.O

25. Dr. Ali Bahar Rind I/C S.M.O 53 Dr. Bashir Ahmed I/C M.O

26. Dr. Aftab Ahmed I/C PPHI, M.O 54 Dr. Mahesh Kumar I/C PPHI, M.O

27. Dr. Asif Khan I/C M.O 55 Dr. Mouhammd Yousif I/C PPHI, M.O

28. Dr. Moula Bux I/C M.O 56 Dr. Gul Afshan Sonologist

29. Dr. Muhammad Mujtaba I/C PPHI, M.O 57 Dr. Shazia Zeeshan F.M.O

30. Dr. S. Atta ul Mustafa I/C PPHI, M.O 58 Dr. Asma Malik F.M.O

31. Dr. Jetha Nand I/C M.O, PPHI 59 Dr. Mahreen F.M.O

32. Dr. Rizwana Channar F.M.O 61 Mr. Ali Asghar Med. Handler

60 Dr. Shamim Begum F.M.O

62 Dr. Jai Shree F.M.O

63 Dr. Ruqayya Chandio F.M.O

114

64 Dr. Samina Bhatti F.M.O

65 Dr. Amna Hayat F.M.O

66 Dr. Asma Jabeen F.M.O

67 Dr. Farzana Parveen F.M.O

68 Dr. Fozia Parveen F.M.O

69 Dr. Irfana Irum F.M.O

70 Dr. Misbah F.M.O

71 Dr. Nusrat Jameel F.M.O

72 Dr. Rizwana Khokhar F.M.O

73 Dr. Tasleem Akhtar F.M.O

74 Dr. Zulekha Pari F.M.O

75 Dr. Shazia Sharif Zardari F.M.O

76 Dr. Shumaila Khan F.M.O

77 Dr. Shumaila Naz F.M.O

78 Dr. Sonia Rani F.M.O

79 Dr.Sadaf F.M.O

80 Dr. Satti Jeewat F.M.O

81 Mr. S. Imdad Ali Asst. A/Cs

82 Mr. Imtiaz Ali Store Manager

83 Mr. Sultan Ali Social Organizer

84 Mr. Abdul Ghaffar Social Organizer

85 Mr. Muhammad Faisal Social Organizer

86 Mr. Nadeem Ali Social Organizer

87 Mr. Shabeer Ahmed Asst. Admin

88 Mr. Asif Ali Arain ASM

89 Mr. Muhammad Essa Med. Handler

90 Mr. Muhammad Asif Attendant

91 Mr. Qaim Ali Attendant

92 Mr. Abdul Rasheed Med. Handler


S # Names/Designation Reasons

1 Dr. Israr Ahmed

No reason for absence was informed by absconders in MRM.

3 Dr.Irfan Ali

5 Dr.Amil Khan

7 Dr.Ihsan Gohar

9 Dr.Mohammad Ramzan

10 Dr.Qurban Ali

11 Dr.Mohammad Rafique

12 Dr.Shafique Ahmed

13 Dr.M.Mujtaba

14 Ahsan Gohar

15 Dr Narain Das

16 Dr. Mir Mohamamd Dahri

A. HFs WITH PPHI

BHUs: 58 Dispensaries: 36 MCHCs: 0 1 Others: 01 TOTAL: 96 B. Population of the Catchments Area:

115

C. STAFF STRENGTH

Sanctioned

Posts Working


PPHI Contract

Vacant (Sanc-Govt)

MOs 77 77 30 52 47

W/FMOs 0 28 2 28 -

LHVs 77 62 17 45 60

MTs/MAs

Male 104 32 32 0 72

Female 0 07 07 0 -07

Dispensers 03 71 32 39 -29

D. CLUSTERS OF HFs

WITH ONE MO

WITH ONE FMO


Following persons addressed in MRM.

Sr. No. Name of Resource Person Designation Speech Detail

1 Mr.Abdul Rasool Golo DSM.DSU-PPHI-Sanghar

Address and sharing of instructions / suggestion to improve healthcare services at HFs and time punctuation.

2 Mr. Mohammad Tahir Executive M&E Progress of PPHI HFs and FMOs Progress

Previous Month Month under Review Total at Present

Clusters of 6 HFs - Clusters of 6 HFs -












116

3 Dr.Mohammad Ali Sheikh EDO(Health) Dr.M.Ali sheikh emphasize all M.O I/C for immunization at their HF,s



Date

Venue

Topic No. of Participants



No. of Doses of Immunization Administered in Children at Health Facilities. 9146


1568


Total vaccination / immunization for the month January 2012.

21073



30th Jan to 2nd Feb 2012 267,597 324924 121%


S # Service Number






6 Patients Nebulized -




1. Dr. Satti jeevat 32 0 10 887

2. Dr. Shumiala Naz 50 0 153 746

3. Dr. Shumiala Khan 52 0 96 564

4. Dr. Aisha 84 0 300 793

5. Dr. Amna Hayat 36 0 103 612

6. Dr. Sadaf Choudry 35 0 36 351

7. Dr. Mehreen 0 224

8. Dr. Amna Fatima 42 0 84 647

9. Dr. Shamim Begam 70 0 101 743

117

10. Dr. Rizwana Chanar 72 3 80 699

12. Dr. Zulekha Pari 51 0 107 941

13. Dr. Jai Shree 57 0 168 1089

14. Dr. Tasleem Aziz 82 15 115 1084

15. Dr. Hameeda 17 0 135 1253

16. Dr. Qamurnisa Shumaila 3 0 192 510

17. Dr. Asma Jabeen 22 0 441 1106

18. Dr. Nusrat Jameel 60 0 112 686

19. Dr. Farzana Parven 23 0 35 325

20. Dr. Wajiha Anwar 16 0 23 329

21. Dr. Rukia Chandio 47 1 46 621

22. Dr. Fozia Soomro 31 362

23. Dr. Rizwana Khokhar 114 6 20 831

24 Dr. Samena Bhatti 50 0 83 541

25 Dr. Asma 59 1 91 476

26 Dr. Rizwana Shaheen 35 111

27 Dr. Shazia Sharif 51 0 97 860

28 Dr. Rukhsana 44 0 31 330


S # Service Number


2 Deliveries Assisted at homes 155


S # Test Number





5 Other 391


No discussion regarding Mother and child and reproductive health during MRM 8. Provision of Family Planning Services during the Month



2 Oral Pills 132

3 IUCDs 8

4 Injections 168

5 Condom 12

Total 320

1. Number of Male SGs: --------------87 Number of Female SGs: -------------01 2. Performance of Social Organizers

118


conducted by him CHSs / SHSs arranged by

him

No. No. of

Participants No.

No. of Participants

Mr. Sultan Ali 1 8 1 44

Mr. Abdul Ghaffar 1 7 1 28

Mr. Faisal 2 18 1 38

Mr.Nadeem 0 0 0 0

Mr.Shahid 0 0 0 0

Total 4 33 3 110


S # Name of Medical Officer School Health Session

No.Of Participants

Community Health

Sessions

No.Of Participants

Male Female

1 Dr.Mohammad Yousif 1 65 1 24 0

2 Dr.Taj Muhammad 1 250 1 15 25

3 Dr.Ramzan Wassan 1 39 1 17 0

4 Dr.Rukhsana Babar 1 60 1 0 13

5 Dr.Shamim 1 30 1 66 0

6 Dr.Tasleem Aziz 1 123 1 0 20

7 Dr.Manzoor Ahmed 1 28 1 12 4

8 Dr.Fiaz Muhammad 0 0 1 5 10

9 Dr.Moula Bux 0 0 1 32 0

10 Dr.Asma 0 0 1 0 30

11 Dr.Amna Hayat 1 20 0 0 0

12 Dr.Muhammad Sharif 1 70 1 35 0

13 Dr.Ali Bahar 1 45 0 0 0

14 Dr.Samina Bhatti 0 0 1 0 10

15 Dr.Muhammad Aslam 1 37 1 11 13

16 Dr.Abdul Hameed 1 95 1 12 13

17 Dr.Aysha Dastgeer 1 52 1 0 15

18 Dr.Shazia Shareef 0 0 1 0 25

19 Dr.Nariandas 1 53 0 0 0

20 Dr.Asma Jabeen 2 62 2 0 60

21 Dr.Aftab Ahmed 1 36 1 20 0

22 Dr.Dilshad 1 20 1 10 0

23 Dr.Shumaila Naz 1 64 0 0 0

24 Dr.Sadaf Choudry 0 0 2 0 50

25 Dr.Zulekha Pari 1 15 1 0 15

26 Dr.Anwar Adil 1 28 1 15 8

27 Dr.Turab Ali Shah 1 15 1 20 0

28 Dr.Amna Hayat 1 40 0 0 0

29 Dr.Rafique Ahmed 2 350 1 50 0

30 Dr.Abdul Waheed 1 38 1 12 0

31 Dr.Satti Jeevat 0 0 1 0 15

32 Dr.Huq Nawaz Jatoi 1 30 1 15 20

33 Dr.Gobindram 1 250 1 5 22

34 Dr.Muhammad Zakir 1 39 1 0 43

35 Dr.Mahesh Kumar 1 400 1 0 30

36 Dr.Ghulam Hyder 1 38 0 0 0

119

37 Dr.Mahesh Kumar 1 14 1 21 0

38 Dr.Arjun 1 120 1 30 45

39 Dr.Pitambar 1 116 1 16 23

40 Dr.Shamandas 1 15 1 20 5

41 Dr.Kirpal 1 22 0 0 0

42 Dr.Nanad Lal 1 50 1 50 20

43 Dr.Rizwana Khokhar 1 44 0 0 0

44 Dr.Mujtaba Jamali 1 55 0 0 0

45 Dr.Santosh Kumar 1 35 1 8 0

46 Dr.Wajiha Anwar 1 40 1 0 20

47 Dr.Bashir Ahmed 1 60 0 0 0

48 Dr.Amna Fatima 0 0 1 0 30

49 Dr.Shahid Hussian 1 63 1 22 0

50 Dr.Muhammad Haroon 1 100 1 31 0

51 Dr.Shumaila Naz 0 0 1 0 22

52 Dr.Nusrat Jameel 1 20 1 0 15

53 Dr.Jay Shiri 1 28 2 0 59

54 Dr.Rizwana Channar 1 51 1 0 15

55 Dr.Sayed Tariq 1 12 1 20 0

56 Dr.Ata‘ul Mustafa 1 190 1 43 0

57 Dr.Sayed Qamarull Hassan 1 100 1 25 25

58 Dr.Aijaz Beg 1 100 1 15 0

59 Dr.JayRam 1 200 1 10 0

60 Dr.Abdul Jabar 1 40 1 20 0

61 Dr.Babar 1 28 1 8 5

62 Dr.Shazia Shareef 1 30 0 0 0

63 Dr.Agha Asif 1 20 1 0 20

64 Dr.Hameeda 1 176 1 0 67

65 Dr.Aftab (BHU 30-Jamrao 1 40 0 0 0

Total 58 4161 56 715 812

4. Important Points during Support Group Meetings. 5. Important Points during SHSs

1. Preventive measure from Dengue Fever and Malaria. 2. Hand Washing 3. Using Safe and boiled drinking water. 4. Diarrhea diseases in children.


1. Counseling on Family Planning among families. 2. Advantages of neat and clean. 3. Preventive aspects of Hepatitis B&C. 4. Preventive Measures from Swain Flue.


Sr. No. Topics

1 Safe drinking water

2 Hand Washing

3 Personal Hygiene

4 Importance of Child health

120

5 Self Medication Practice

6 Importance of exercises


9. Important Discussion on Community Participation during MRM The DSM emphasized these health facilities are made to benefit public and public is the owner of that health facility. 10. Health Camps: 11. Measures for improvement / provision of Services by other Department / Agencies


i Sanitation - - -

ii Drainage / sewerage - - -

iii ……… drinking water - - -

iv Prevention of adulteration - - -

v Tree Plantation - - -

vi Roads and infrastructure - - -

vii Environmental Improvement - - -

viii Others - - -


1. OPD*




114790 958 115748


S # BHU OPD BHU OPD

1 BHU Hathungo 2811 BHU Abdullah Sangrasi

429

S # Topics

1 Prevention from hepatitis B and C

2 Injection safety

3 Identification of T.B Patents

4 Facility of Anti Natal care at heath centers

5 Importance of Child health

6 Importance of Breast Feeding

7 Management / prevention of skin diseases

8 Management of / prevention of Malaria

9 Importance of immunization

10 Management of / prevention of worm infestation

11 Family Planning

12 Safe Blood transfusion

13 Management / prevention of Jaundice

121



1 ARI 20483

2 Maleria 11185

3 Diarrhea 6355

4 Scabies 6473

5 Dysentery 465


No. of Patients



ARV Available Doses 522(522/4)=






S # Tests Number


2 Haemoglobin 75


4 Ultra Sound 363

5 Others (please specify)



Performed

No. of cases found

positive



Follow up result

Hepatitis B -

Hepatitis C -


1 Allergy

2 Scabies

3 Dandruff

4 Abdominal pain

5 Head ache

122

8. TUBERCLOSIS

Patients Receiving Treatment New Cases During the Month Under Diagnosis

9. Referrals



2

3


S. No Totals Cases Referred from


2

3

4




36 48 112 196



01

02


1. Medicines available for: 30 Weeks 2. Important Issues raised relating to Medicines, etc. during MRM




123



* To reflect only non-PPHI Visitors. I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS

S #

Name of HFs Description of Repair / Maintenance


1 GD Rawtiani Repair and maintenance of main

building including water supply, drainage, electricity, coloring etc. Completed

2 GD Rawtiani ---do--- Work in Progress

3 BHU Rukan Burera ---do--- Completed

4 BHU Chotyarion ---do--- Completed

5 BHU Pritam abad ---do--- Completed

6 BHU Malook Junejo ---do--- Completed

7 BHU Landhi ---do--- Work in Progress

8 BHU Golo Pir ---do--- Completed

9 BHU Moheb Ali Junejo ---do--- Completed

10 DCD Loon Khan ---do--- Work in Progress

11 DCD Bobi Town ---do--- Completed

12 BHU Jia Abad ---do--- Completed

13 BHU Perumal ---do--- Work in Progress

14 BHU Khairo Kaloi ---do--- Completed

15 DCD Ali Muhammad Thaheem

---do--- Work in Progress

16 BHU Bago Wadadani ---do--- Work in Progress

17 BHU Karim Dino Wassan ---do--- Completed

18 BHU M.K Rind ---do--- Completed

19 BHU Yameen Hingoro ---do--- Completed

20 BHU Bilawal Hingoro ---do--- Completed

21 BHU Khai ---do--- Completed

22 BHU Gider Aahpan ---do--- Completed

23 BHU Soomar Wassan ---do--- Completed

24 G D Ghundan ---do--- Completed

25 BHU Bassi ---do--- Completed

26 BHU Malook Maher ---do--- Work in Progress

124

27 BHU Rahimabad ---do--- Work in Progress

28 G.D USAMN NIZAMANI


29 G.D Juma Village ---do--- Work in Progress

30 G.D Soomar Faqeer Maher


31 G.D Bakir Nizamani ---do--- Work in Progress

32 G.D NASSER KHAN JALALANI


33 BHU MAROOF DAHRI ---do--- Work in Progress

34 BHU MEER HASSAN MARI


35 G.D DIN MOHD KAKEPOTO


36 G.D DALOOR MORI ---do--- Work in Progress

37 BHU QAZI JUMAN DAHRI


38 G.D SACHY DINO WARYAH


39 BHU ALI MARDAN JAMALI


40 BHU PERO FAQEER SHORO


41 BHU MULLAN HURMAT


42 BHU JEANDO RIND ---do--- Work in Progress

43 BHU MAHER ALI TALPUR


44 BHU LUNDO ---do--- Work in Progress

45 DCD MULLAN MAKHAN


46 BHU AWADH ---do--- Work in Progress

47 BHU KHAN SANGHRASI


48 BHU HAMZO HAMZO DARS


49 BHU BHIT BHAITI ---do--- Work in Progress

50 BHU DHANI PARTO RAJPAR


51 BHU KALO RAJJAR ---do--- Work in Progress

52 BHU ABDULLAH SANGHRASI

Work in Progress

53 BHU CHAMANDAS Work in Progress

54 BHU KUNMB DARHOON

Work in Progress


On Staff Matters:

1. The DSM Sanghar briefed all the participants the monthly progress of PPHI.

125

2. It was informed to keep a record of referral / inverse referral record. 3. The DSM emphasized to all participants to ensure the availability of staff at their health facilities. 4. The District Support Manager ensured all the participants that; PPHI will provide full support and

cooperation in all matters of Incharge of Health facilities. 5. The DSM, PPHI Sanghar once again in this MRM reminded all the in charges of health facilities for

their timely submission of HMIS reports, Monthly Medicines Requisition. On Preventive Health:

1. The District Support Manager ensured all the participants that PPHI will extend its full support and cooperation in all vertical Programs related from health.

2. On Curative Health: 1. On Mother, Child & Reproductive Health:

Efforts relating to establishment of more MCH centers will be taken. Other Matters:

Date /Time for Next MRM: The Monthly Review Meeting for all the In Charges of Health Facilities shall be held on 10th of every month.

Comments on Targets vs. Achievements (by DSM) TARGETS ACHIEVEMENTS NEGATIVE:

DISTRICT SUPPORT MANAGER CC to:

Programme Director, PSU-PPHI-Sindh, Karachi.

Regional Programme Director, RSU-II, PPHI, Mirpurkhas.

All Participants.

Master File. DISTRICT SUPPORT MANAGER

126

MINUTES OF THE (43rd ) MONTHLY REVIEW MEETING OF DISTRICT TANDO ALLAHYAR

Monthly Review Meeting (MRM) of District, Tando Allahyar for the Month of January , 2012 was held on 11-02-2012 . The following participated: List of Participants:

Sr # Name Designation Place of Posting

1. Mr. Imran Aziz Siddiqui New DSM DSU-Tando Allahyar

2. Mr. Mudassar Ahmed Nizamani Executive F/A DSU-Tando Allahyar

3. Mr. Athar Ali Memon Executive M&E DSU-Tando Allahya

4. Dr. Amir Bux Mughal Sr. Medical officer

5. Dr. Danish Hussain Medical officer Gd Bahar Mirjet

6. Dr. Rehan Ali Yusfani Medical officer Bhu Ditto Kalro

7. Dr. Imam Bux Medical officer Gd Hakra Mori

8. Dr. Abdul Razzaque Medical officer BHU Dinghano Bozdar

9. Dr. Saqib Siddique Medical officer BHU Kauro Daidano

10. Dr. Irfan Shah Medical officer BHU Shadyoon

11. Dr. Rana M. Akhtar Medical officer GD Mehro khan Lashari

12. Dr. Ghulam Rasool Medical officer GD Mevo Kurkli/Rawat Leghari

13. Dr. Ghulam Nabi Brohi Medical officer BHU Jhando Mari

14. Dr. Ahmed Ali Medical officer BHU Shahnawaz Muhajir

15. Dr. Ariful Hassan Medical officer BHU Allah Rakhio Pathan

16. Dr. Faisal Memon Medical officer BHU Tando Soomro

17. Dr. Zahid Hussain Medical officer GD Lal Faqeer Behrni

18. Dr. Waseem Ahmed Medical officer GD Ghani Kaim Khani

19. Dr. Amir Nahyoon Medical officer GD Ghulam Khan Sanjrani

20. Dr. Hafiz Zohaib Medical officer GD Bail Sharif/Bachal Pitafi

21. Dr. Hamid Ghousi Medical officer GD Ghulam hussain Khokhar

22. Dr. Ashok Kumar Medical officer GD Sachedino Panhwar

23. Dr. Hakim Mal Medical officer BHU Sultanabad Village

24. Dr. Amir Bux Mughal Medical officer GD New Mirabad

25. Dr. Abdul Manan Medical officer GD Usman Shah Hurri

26. Dr. Atif Miandad Medical officer GD Missan Nandhi

27. Dr. Gulzaib Ahmed Medical officer GD Pak Singhar

28. Dr. Ghulam Farooque Medical officer GD Ghulam Hussain Lund

29. Dr. Zulfiqar Ali Jamali Medical officer GD Saleh Arisar

30. Dr. Shakeel Ahmed Medical officer GD Mohammad Hassan Dal

31. Dr. Allah Warayo Medical officer GD Mashaikh Hoti

32. Dr. Muqadas Ali Rizvi Medical officer BHU Bukera Sharif

33. Dr. Naveed Memon Medical officer GD Golo Halepoto

34. Dr. Aftab Hyder Medical officer GD Mitho khaskheli

35. Dr. Dharamver Medical officer GD Sobho Rind/Dodo Rind

36. Dr. Muhammad Amir Qazi Medical officer GD Dasoori

37. Dr. Mazhar Hussain Medical officer BHU Sanjar Chang

38. Dr. Dildar Hussain Mughal Medical officer BHU Naseer Khan Leghari

39. Dr. Ali Khan Medical officer GD Mail Mjori

127

40. Dr. Noor Ahmed Pahore Medical officer GD Bachal and Bail Sharif

41. Dr. Sumaira Qaimkhani Female Medical officers GD Darya khan hingoro/BHU

Jhando Mari

42. Dr. Tooba Abro Female Medical officers BHU Dinghano Bozdar

43. Dr. Shazia Parveen Female Medical officers BHU Shadyoon/Missan Nandhi

44. Dr. Asma Ahmed Female Medical officers GD Mail Mori

45. Dr. Samreen Female Medical officers BHU Shahnawaz Muhajir

46. Dr. Quratul Ain Female Medical officers BHU Allah Rakhio Pathan /GD

Sanjrani

47. Dr. Nazia Jabeen Female Medical officers BHU Sultanabad Stand

48. Dr. Benish Imran Female Medical officers GD Golo Halepoto/Ghulam

Hussain Khokhar

49. Dr. Noor Jahan Female Medical officers BHU Sultanabad Village/ GD

Sadique Memon

50. Dr. Samina Naz Female Medical officers

51. Dr. Sunita Kumari Female Medical officers BHU Tando Soomro/ Dasoori

52. Dr. Fakhra Qureshi Female Medical officers BHU Sanjar Chang

53. Dr. Shumaila Muqadas Sonologist Cluster

54. Dr. Amna Sami Shaikh Female Medical officers GD Saeed khan Leghari/BHU

Naseer khan leghari

55. Dr. Ambar Abbas Sonologist Cluster

56.

57.

58.

59.

60.



1 Mr. Rafique Ahmed Buriro, DC Meeting at

Karachi 2 Mr.Jalil Bachani DO(Health)

3 4

L. HFs WITH PPHI BHUs: 13 Dispensaries: 32 MCHCs: _______ Others:______


X. STAFF STRENGTH

Sanctioned



PPHI Contract

Vacant (Sanc-Govt)

MO s 15 38 4 34

WMO - - - -

FMOs - 17 - 17

LHVs 12 13 7 5

MTs/MAs Male

26 24 9 12

Female 3 -

Dispensers 21 29 4 24

128

Y. CLUSTERS OF HFs WITH ONE MO

WITH ONE FMO

E. CAPACITY BUILDING 1. First Session: During MRM :

Resource person: Dr.Tooba Abro

Topic: PPH Managements

Topic: SCABIES

2. Second Session: Dr.Faisal Memon




Participants

Dr. Irfan Shah 27-01-2012 BHU

Shadyoon Scabies 30

Dr. Dildar Hussain 02-01-2012 BHU Naseer Khan Leghari

Haplites 24

Dr. Ahmed Ali Panhwar 02-01-2012 BHU

Shahnawaz Muhajir

Polio 15

Dr. Ariful Hassan Dahri 02-01-2012 BHU Allah

Rakhio Pathan

Scabies 8

Dr. Lajpat Rai 03-01-2012 BHU

Sultanabad Stand

Hand Wash 10

Dr. Faisal Memon 27-01-2012 BHU Tando

Soomro Vaccination 30






Clusters of 2 HFs Clusters of 2 HFs 7

Single HFs Single HFs 31


Clusters of 5 HFs 2 (U/S) Clusters of 5 HFs 2 (U/S)





129

Dr. Abdul Razaq Abro 02-01-2012 BHU

Dhingano Bozdar

Pneumonia 26

Dr. Rehan Yusfani 02-01-2012 BHU Ditto

Kalro T.T Vaccination 13

Dr. Naveed Ahmed Memon 31-01-2012 GD Golo halepoto

Diarrhea 6

Dr. Imam Bux Unnar

4-1-2012, 11-1-2012, 23-1-2012, 27-1-2012,

GD Hakra Mori

Communicable Disease, How to

manage RTI Patient, Primary Health, Self

Medication

20

Dr. Ghulam Nabi Brohi 25-1-2012 BHU Jhando

Mari Polio 25

Dr. Noor Ahmed Pahore 20-01-2012 GD Bachal

Pitafi Measles 3

Dr. Hakeem Mal 2-01-2012 BHU

Sultanabad Village

Vaccination 18

Dr. Muqadas Ali 25-01-20121 BHU Bukera

Sharif Polio 14

Dr. Noor Jehan 03-01-2012 BHU

Sultanabad Village

Immunization and Polio drops

12

Dr. Sumair 27-01-2012 BHU Allah

Rakhio Pathan

Family Planning 9

Dr. Noor Jehan 03-01-2012 BHU

sultanabad Village

Immunization and Polio drops

12

Dr. Nazia Jabeen 25-01-2012 BHU Tando

Soomro Family Planning &

reproductive Health 18

Dr. Shazia Ahmed 23-01-2012 BHU

Shadyoon Scabies 7

Dr. Indra 27-01-2012 BHU Ditto

Kalro ARI 6

Dr. Samreen 02-01-2012 BHU Shahnawaz Muhajir


14

Dr. Beenish Imran 10-01-2012 GD Golo Halepoto

Polio 6

Dr. Fakhra 19-01-2012 BHU Sanjar Chang

Polio 10

Dr. Shbana Qureshi 27-01-2012 BHU Sultanabad Stand

Breast Feeding 8

Dr. Tooba Abro 24-01-2012 BHU Dinghano Bozdar

Contraceptive 18

Dr. Amna Sami 13-01-2012 BHU Naseer Khan Leghari

Hand Wash 16

130






3093

2. National Immunization Days (NIDs) for Measles


coverage

30th Jan to 1st Feb 2012


S # Service Number

1 Passive Case Detection (PCD) Slides -


3 Visits to Check Sanitation (individual households + streets) -








1 Dr. Noor Jahan 173 8 683 864

2 Dr. Tooba Abro 215 21 874 1110

3 Dr. Indra 23 24 472 519

4 Dr. Benish Imran 148 10 844 1002

5 Dr. Quratul Ain 70 5 1520 1595

6 Dr. Sumera Qaimkhani 101 5 514 620

7 Dr. Samreen 449 20 814 1283

8 Dr. Shazia Parveen 38 720 758

9 Dr. Nazia Jabeen 89 7 842 938

10 Dr. Asma Ahmed 58 6 381 445

11 Dr. Samina Naz 20 4 735 759

12 Dr. Sunita Kumari 260 15 599 874

13 Dr. Fakhra Qureshi 48 8 1612 1668

14 Dr. Amna Sami 10 535 545

15 Dr. Shabana Qureshi 20 637 657

TOTAL 1722 133 11782 13637

131

S # Service Number




S # Test Number




4 Ultra Sound Test

5 Other

46. Important Discussion on Mother and Child and Reproductive Health during MRM DSM directed the FMOs to ensure immunization of children, pregnant women and child bearing age women and also ensure that they should bring immunization and Ante-Natal card each time they visit HFs. Provision of Family Planning Services during the Month



2 Oral Pills 175

3 IUCDs 3

4 Injections 121

5 Others 218

Total 897



1. Number of Male Support Groups: 43 Number of Female SGs: 17 (Total 60) 2. Performance of Social Organizers




Male Female No. of Participants

No. No. of

Participants

Dr. Muhammad Azam 15 12 290 20 309

Mr. Riaz Hussain 12 4 201 16 193

Mr. Ahmed Ali 8 5 155 14 197

Total 35 21 646 50 699


Sr Names of MO / FMOs/Paramedics Community Health Sessions School Health Sessions

Sessions

Participants Sessions

Children Examined

Children Treated

132

1 Dr. Noor Jahan 2 53 2 154 149

2 Dr. Tooba Abro 3 56 2 82 4

3 Dr. Indra 2 40 2 13 6

4 Dr. Benish Imran 2 47 2 72 65

5 Dr. Quratul Ain 2 28 2 11 5

6 Dr. Sumera Qaimkhani 2 40 2 17 17

7 Dr. Samreen 3 40 1 14 4

8 Dr. Shazia Parveen 2 14 1 25 17

9 Dr. Nazia Jabeen 2 32 2 55 35

10 Dr. Asma Ahmed 2 16 2 25 28

11 Dr. Samina Naz 2 25 2 45 45

12 Dr. Sunita Kumari 1 13 2 0 0

13 Dr. Fakhra Qureshi 2 33 2 176 38

14 Dr. Amna Sami 1 12 1 12 12

15 Dr. Shabana Qureshi 1 18 2 25 8

Total 29 467 27 726 433

1 Dr. Waseem Ahmed 2 27 2 19 4

2 Dr. Zahid Hussain 1 9 1 5 0

3 Dr. Gulzaib Ahmed 2 24 2 35 30

4 Dr. Hakim Mal 1 15 1 5 2

5 Dr. Amir Nahyoon 1 12 1 2 1

6 Dr. Danish Hussain 1 12 1 10 6

7 Dr. Imam Bux 1 10 1 3 1

8 Dr. Rehan Yusfani 1 10 1 3 1

9 Dr. Abdul Razzak 1 16 1 7 2

10 Dr. Ghulam Rasool 2 27 2 15 15

11 Dr. Faisal Iqbal 1 18 1 19 9

12 Dr. Abdul Manan 2 26 2 15 5

13 Dr. Abdul Hussain 2 36 2 15 5

14 Dr. Irfan Shah 2 32 1 2 2

15 Dr. Ariful Hassan 2 18 2 6 3

16 Dr. Saqib Siddique 1 10 0 0 0

17 Dr. Ghulam Farooq Bozdar 1 15 0 0 0

18 Dr. Hafiz Zohaib Hassan Memon 1 10 1 15 0

19 Dr. Allah Warayo 1 20 2 21 8

20 Dr. Hamid Ghousi 1 8 1 3 1

21 Dr. Ashok Kumar 2 20 2 9 4

22 Dr. Shakeel Ahmed 1 16 1 10 6

23 Dr. Rana Muhammad Akhtar 1 18 1 8 3

24 Dr. Zulfiquar Ali Jamali 1 10 1 22 15

25 Dr. Atif Miandad 2 25 2 15 7

26 Dr. Muqaddas Ali Rizvi 1 8 1 12 4

27 Dr. Naveed Memon 1 16 1 0 0

28 Dr. Aftab Hyder 1 15 1 5 2

29 Dr. Dharamver 1 13 0 0 0

30 Dr. Muhammad Amir Qazi 1 10 1 0 0

31 Dr. Mazhar Hussain 2 36 2 40 30

32 Dr. Dildar Hussain Mughal 1 10 1 8 0

33 Dr. Ali Khan 1 16 2 37 7

133

34 Dr. Noor Ahmed Pahore 2 22 1 36 2

35 Dr. Ahmed Ali 3 85 1 1 1

36 Dr. Amir Bux 1 10 1 20 2

37 Dr. Ghulam Nabi 1 15 1 15 13

38 Dr. Laj Pat 1 14 1 8 3

Total 51 714 46 446 194


Polio campaign and refusals cover

Provision of building (where not available)

R & R of newly taken over GDs

Establishment of Min Labs

Provision of Ambulances

Camps for Hepatitis B and C screening

Extension of OPD hours

Ultrasound facility (where not available)

Shortage of medicine 5. Important Points during SHSs Personal Hygiene 6. Important Points during CHSs Sanitation 7. Topics for SHSs for the Month

Sr. No. Topics

1 Education about health and Hygiene , tooth brushing, scabies, Polio, Immunization, Oral hygiene , Nutrition, Malaria and its prevention, Hepatitis,

2 ARI, Hazards of chewing tobacco, importance of Iodine Salt in food, eye infection , worm infestation in children, dog bite


S # Topics

1 Epilepsy Diabetic Mellitus Ante Natal care, Post natal care, Immunization, Iodine deficiency , Polio, Scabies, weaning, family planning Neo Natal care, Malaria and its prevention

2 common cold, dog bite, Hazards of chewing tobacco, Nutrition, RTI, Gastro, Preparation of ORS at home. Hepatitis , water borne disease, pulmonary tuberculosis , water purification, hypertension

9. Important Discussion on Community Participation during MRM RPD-II, DSM, DHO and officials raised their concern about polio refusals cases in the District and emphasized the need of community sensitization through CHS, SHS, & CSG meetings. It was also decided that all PPHI HFs will serve as a Fix point during upcoming polio campaign and they will submit their daily reports to nearby BHU in the same UC or DSU Tando Allahyar on the same day. 10. Health Camps: Number Held: Number of Patients: -----------

134

11. Measures for improvement / provision of Services by other Department / Agencies


I Sanitation




V Tree Plantation



viii Others


1. OPD*




59870 3686 63556


S # BHU OPD BHU OPD

1 Shahnawaz Rajput 2972 Ditto Kalro 1191



1 Respiratory 14937

2 Gastro Intestinal Disease 4762

3 Dermatol-ogical Problems 4368

4 Fever 3433

5 Susp: Malaria 2854


No. of Patients


ARV Administered 195 (Vials)


1 RTI

2 Gastro Intestinal Disease

3 Dermatol-ogical Problems

4 S- Malaria

5 ENT

135

ARV Available Doses

Snake bite cases reported -

ASV Vaccine Administered -




S # Tests Number



3 Hemoglobin 148

4 X-Rays (if available) -

5 Ultra Sound 1046

6 Others (please specify)

40. Hepatitis B & C SCREENING TESTS


Performed

No. of cases found

positive



Follow up result

- -

41. TUBERCLOSIS



Under Diagnosis

30 0 -

9. Referrals

S.No Total Cases Referred To


1 556 65




1 290 - 2 0 39




45 40 139 224

136



1 GD Usaman Shah Hurri BUILDING

INCOMPLETE MEETING WITH

BUILDINGS DEPTT

DO BUILDINGS

VISITED

2 GD MAIL MORI ELECTRIC CITY

NOT AVAILABLE MEETING WITH

BUILDINGS DEPTT

DO BUILDINGS

VISITED

3 BHU SANJAR CHANG NEED OF R&R REQUEST RE FOR

ESTIMATE RE VISITED


1. Medicines available for(25) Weeks 2. Important Issues raised relating to Medicines, etc. during MRM

Issues regarding Newly taken over GDs:-

Sr# Name HF ISSUES

1 GD Mehro Khan Lashari Electricity , Fans, meter, grill, drainage system, Motor

2 GD Hakra Mori meter, drainage system

3 GD Pak Singhar Electricity , Fans, meter, grill, drainage system, motor

4 GD Mithoo Khaskheli Electricity , Fans, meter, grill, drainage system, motor

5 GD Ghani Khan Kaim Khani Three phase meter connection required, grill, motor

6 GD Dodo Rind Masonry & plumbing work, motor

7 GD Sobho Rind Electricity , plumbing work, motor

8 GD Ghulam Hussain Lund Electricity , meter, grill, carpenter work, drainage system,

motor

9 GD Saleh Arisar Electricity , drainage system, plumbing work, motor

10 GD Sachedino Panhwar Electricity , motor

11 GD Muhammad Hassan Dal drainage system

12 GD Saeed Khan Leghari Electricity , meter, drainage system, motor

13 GD Mashaikh Hoti Carpenter work, meter, grill, drainage system

14 GD Mail Mori Electricity , meter, drainage system, plumbing work




137

1 BHU-Allah Rakhio Pathan 100% Completed M.B recorded & Sent to

P.S.U.

2 BHU Ditto Kalroo 100% Completed M.B recorded & Sent to

P.S.U.

3 GD M Sadiq Memon 100% Completed M.B recorded & Sent to

P.S.U.

4 BHU-Jhando Mari 100% Completed M.B recorded & Sent to

P.S.U.

5 BHU-Shadyoon 100% Completed M.B recorded & Sent to

P.S.U.

6 BHU-Sultanabad stand 100% Completed M.B recorded & Sent to

P.S.U.

7 BHU-Sultanabad Village 100% Completed M.B recorded & Sent to

P.S.U.

8 GD-Dassori 100% Completed M.B recorded & Sent to

P.S.U.

9 B.H.U Bukera Sharif 100% Completed M.B recorded & Sent to

P.S.U.

10 B.H.U Kauro Daidaanoo 100% Completed M.B recorded & Sent to

P.S.U.

11 B.H.U Tando Soomro 100% Completed M.B recorded & Sent to

P.S.U.

12 B.H.U Shahnwaz Muhajir 100% Completed M.B recorded & Sent to

P.S.U.

13 BHU-Naseer Khan Leghari 100% Completed M.B recorded & Sent to

P.S.U.

14 BHU-Sanjar chang 100% Completed M.B recorded & Sent to

P.S.U.

15 GD-Ghulam Khan Sanjrani 100% Completed M.B recorded & Sent to

P.S.U.

16 BHU-Dhingano Bozdar 100% Completed M.B recorded & Sent to

P.S.U.

17 GD-Ghulam Hussain Khokhar 100% Completed M.B recorded & Sent to

P.S.U.

18 Quarter of BHU Shahnawaz Muhajir

100% completed MB needs to be

recorded

19 Quarter of BHU Jhando Mari 100% completed MB needs to be

recorded

20 Quarter of BHU Bukera 100% completed MB needs to be

recorded

21 GD Lal Faqir Behrani 55% completed Work in progress

22 GD Golo Halepoto 100% completed MB needs to be

recorded



138


DISCUSSION DURING MRM Date /Time for Next MRM: To be decided later

Comments on Targets Achievements (by DSM)

Every MO shall conduct at least 4 Health sessions.

MO‘s & FMO‘s have to be actively involved in NID‘s, SNIDs and during NIDs they are bound to ask every mother and her children for Immunization and prepare a list of children not vaccinated on daily basis and report to DSM /DHO office.

Target population and actual coverage in NIDs,SNIDs must be submitted with monthly HMIS report.

Every MO must conduct five minutes meeting with vaccinators at the start of the day and ask him about performance, progress and targets for the day.

During NID days all UC focal person / I/C MOs will monitor the field teams and fix points and report to DSM/DHO/DC on daily basis.

139

MINUTES OF THE (41th) MONTHLY REVIEW MEETING OF DISTRICT KAMBER-SHAHDADKOT

Monthly Review Meeting (MRM) of District, Kamber-Shahdadkot for the Month of January, 2012 was held on 11 February, 2012 at DSU Kamber Shahdadkot. Written invitations to participate were sent to the DCO, the EDO(H), the EDO(F&P) and District Incharge of EPI, Surveillance Officer WHO, T.B Dot Programme, EDO (Education), and all other National Programs as usual. The list of participants follows:

S.No. Name of Officer’s

1 Mr Habibul Rehman Jamot (DSM Kamber Shahdadkot)

2 Mr Abdul Latif Malik (Executive M&E)

3 Dr Ghulam Abbas Keheri (I/C M.O BHU Ghathar)

4 Dr Mumtaz Ali Sheikh ( EDO Health Representative)

5 Dr Zahida Keheri (FMO BHU Khairpur Jooso & BHU Ghogaro)

6 Dr Sanaullah Wagan (I/C M.O BHU Datu Teewna)

7 Dr Surya Lashari (BHU Ghazi Khan Khuhawar & BHU Thoof Chosool)

8 Dr Abdul Karim Memon(BHU Ziaudin Isran)

9 Dr Fozia Soomro (FMO BHU Arzi Bhutto)

10 Dr Safia Jamali (FMO BHU Deera & Wadho Kalhoro)

11 Dr Farzana Soomro (FMO MCH Shahdadkot)

12 Dr Reehana Chandio (FMO MCH Nasirabad)

13 Dr Abdul Waheed Sheikh (GD.Abdul Wahab Khoso))

14 Dr Tahira Memon (BHU Gathar & GD Chajjra)

15 Dr Najamuddin Shaikh (I/C M.O MCHC Shahdadkot)

16 Dr Samina Shah (FMO BHU Lalu Raunk & BHU Thori Bijar

17 Dr Noor Mohammad Memon

18 Dr Shamshad (FMO BHU Datu Tiwna & BHU K.B Wahocho)

19 Dr Ameer Rahojo (I/C BHU Khuda Bux Wahoocho)

20 Dr Ambreen Bhutto ( BHU Bambho Khan Chandio / BHU Ghulam Ali Magsi)

21 Mr Riaz Ahmed Tunio (S.O)

22 Mr Imran Ahmed Laghari (S.O)

23 Dr Fareeda Sheikh ( WMO Mch Shahdadkot)

24 Dhani Bux Makool (Dawa Saz Unani Shafa Khana)

25 Dr Nisar Ahmed Mugheri

26 Dr Barkat Makool (BHU Kot Ghulam Shah)

27 Dr Shumaila ( BHU Aitbar Khan Chandio&BHU Chakiyani)

28 Dr Ghaulam Farid Khuhawar( BHU Khandu)

29 Dr Suneel Kumar ( BHU Aitbar Khan Chandio)

30 Dr Parkash Lal Advani ( BHU Chakiyani)

31 Dr Shumaila Sattar( BHU Aitbar Khan Chandio/ BHU Chakiyani)

32 Dr Noor Khatoon (BHU Deera/BHU Wadho Kalhoro)

33 Dr Mansoor Depar ( BHU Gaji Khuhawar)

34 Dr Allah Bux Soomro(BHU ARZI BHU Arzi Bhutto)

35 Dr Khalid Hussain Burirro( BHU Gazi Khan Khuhawar)

36 Dr Abdul Ghaffar Chandio( BHU Bambho Khan Chandio)

37 Dr Subhan Ali Lakho ( BHU Hamal)

38 Dr Nadeem Akhtar Sheikh( GD Chhajjra)

39 Dr Shahid Nabi Shah (BHU Thoof Chusool)


S # Names/Designation Reasons Concerned Health Facility

140

01 Dr Heeranand Absent BHU Ghulam Ali Magsi

02 Dr Abdul Manan Sheikh On Leave BHU Wadho Kalhoro

03 Dr Munwar Ali Chandio On Leave BHU Googharo

M. HFs WITH PPHI

TOTAL: 27 BHUs: 22 Dispensaries: 02 MCHCs: 02 Others: 01 B. Population of the Catchments Area: 1375398

Z. STAFF STRENGTH

Sanctioned



PPHI Contract

Vacant (Sanc-Govt)

MO 24 24 9 16 2

W/FMOs 01 13 2 12 2

LHVs 26 18 11 04 11

MTs/MAs Male

- - - -

- Female - - -

Dispensers 03 24 05 20 -

AA. CLUSTERS OF HFs WITH ONE MO

WITH ONE FMO

E.

CAPACITY BUILDING 1. First Session: During MRM . Review Performance Of all health facilities F. REVIEW OF THE PERFORMANCE (I) PREVENTIVE HEALTHCARE















141



No. of Immunization & Vaccination Administered by outreach EPI Teams _

Total vaccination / immunization for the month ---------------- 6433



coverage

31/1/2012 TO 2/2/2012 233852 287139 99 %


S # Service Number

1 Passive Case Detection (PCD) Slides Nil

2 Active Case Detection (ACD) Slides Nil







1. Female Health


S # Service Number





01 Dr Samina Shah 73 1 990 1064

02 Dr Tahira Memon 70 3 1386 1459

03 Dr Umbrin Bhutto 292 9 1708 2009

04 Dr Surya Lashari 42 1 1845 1888

05 Dr Fozia Soomro 35 0 695 730

06 Dr Noor Khatoon 42 3 656 700

07 Dr Rehana Chandio 716 5 2925 3646

08 Dr Safia Jamali 68 0 1690 1758

09 Dr Farzana Soomro 83 0 183 266

10 Dr Zahida Khaeri 39 0 1463 1502

11 Dr Shamshad Begum 0 20 1024 1044

12 Dr Farida Shaikh 341 20 430 791

13 Dr Hakimzadi 175 20 228 423

14 Dr Reehana Tunio 24 0 1775 1799

15 LHV Hidayat Khatoon 7 0 389 396

TOTAL 2007 82 17387 19475

142

S # Test Number




4 Ultra Sound Test _

5 Other 3428

48. Important Discussion on Mother and Child and Reproductive Health during MRM DSM stressed on all MOs, especially FMOs to provide better services to the people for mother and reproductive health.




Oral Pills 111

IUCDs 0

Injections 140

Others 230

Total 690







Male Female Total No. of Participants No. No. of Participants

Mr Imran Ahmed Leghari 8 0 135 24 289

Mr Riaz Ahmed Tunio 8 1 151 16 194

Total 16 1 286 40 483






Dr Samina Shah 2 41 2 21 13

Dr Tahira Memon 3 54 1 19 14

Dr Umbrin Bhutto 2 37 2 24 11

Dr Surya Lashari 2 39 2 23 16

Dr Fozia Soomro 2 43 2 28 17

Dr Noor Khatoon 2 31 2 25 10

Dr Safia Jamali 2 35 2 30 14

Dr Zahida Kaheri 3 46 1 31 18

Dr Shamshad Begum 4 64 0 0 0

Dr Farzana Soomro 2 33 2 33 18

143

Dr Rehana Tunio 2 31 1 21 11

Dr Rehana Chandio 4 79 0 0 0

Dr Abdul Waheed Shaikh 1 13 1 19 11

Dr Abdul Karim 1 18 1 20 12

Dr Nadim Akhtar 1 21 1 19 10

Dr Subhan Lakho 1 16 1 15 11

Dr Heeranand 1 14 0 0 0

Dr Abdul Ghaffar 1 18 1 0 0

Dr Khalid Buriro 1 15 1 16 11

Dr Sanaullah Wagan 1 19 1 13 6

Dr Suneel Kumar 1 19 0 0 0

Dr Nisar Ahmed Mugheri 1 17 1 15 8

Dr Allah Bux Soomro 1 19 0 0 0

Dr Parkash 0 0 1 17 7

Dr Shabir Ahmed Wagan 1 21 1 0 0

Dr Ghulam Abbas Kaheri 1 14 0 0 0

Dr Abdul Manan Sheikh 1 16 1 24 9

Totals 44 773 28 413 227


1. Electricity problem 2. Supply of ARV 3. Supply of medicines


1. 2. 3.

6. Important Points during CHSs 1. Awareness in community about prevalent diseases. 2. Counseling to pregnant women. 3. Awareness in community how to protect from heat & sun stroke.


Sr. No. Topics

1 Malaria

2 Cough

3 Hygiene

4 Fever


S # Topics

1 Dengu Fever

2 Meningitis

3 Viginal discharge

4 Tuber Closes


Community to help at centers for tree plantation etc.

144

10. Health Camps: Nil 11. Measures for improvement / provision of Services by other Department / Agencies


Present status

i Sanitation Nil Nil

ii Drainage / sewerage Nil Nil

iii Drinking water Nil Nil

iv Prevention of adulteration Nil Nil

v Tree Plantation Nil Nil

vi Roads and infrastructure Nil Nil

vii Environmental Improvement Nil Nil

viii Others Nil Nil


1. OPD*




51943 - 51943


S # BHU OPD BHU OPD

1 Lalu Rounk 4622 Hamal 890

2 Bambho khan chandio 3625 Chakiyani 899

3 Googharo 2475 Deera 1203

4 Gazi Khan Khuhawar 2446 Arzi Bhutto 1273

5 Behram 2352 Ziaudin Isran 1319



1 A.R.I 7372

2 Fever Clinical Malaria 6743

3 Diarrhea 3548

4 Scabies 3294


1 Fever (Clinical Malaria 881

2 A.R.I 642

3 Scabies 601

4 Diaherrea 413

145


No. of Patients




Snake bite cases reported Nil

ASV Vaccine Administered Nil




S # Tests Number



3 Haemoglobin 3

4 X-Rays (if available) _

5 Ultra Sound _







Follow up result

Hepatitis B Nil - Nil Nil -

Hepatitis C Nil - Nil Nil -

44. TUBERCLOSIS

Patients Receiving Treatment New Cases During the Month Under Diagnosis

31 _ -

9. Referrals



2 21 - - - - 21

3

4


S.No

Totals Cases Referred from


1 Nil Nil Nil Nil Nil Nil Nil

2

3


146



50 42 137 229



01 N/A N/A N/A N/A

02 N/A N/A N/A N/A

03 N/A N/A N/A N/A

04 N/A N/A N/A N/A


1. Medicines available for 88 Weeks 2. Important Issues raised relating to Medicines, etc. during MRM As such no issue was discussed.




01 BHU Khairpur Jooso Work completed MB recorded

02 BHU Datu Teewna -do- -do-

03 BHU Ghazi Khan Khuhawar -do- -do-

04 BHU Aitbar Khan Chandio -do- -do-

05 BHU Gathar -do- -do-

06 BHU Bhambo Khan Chandio -do- -do-

07 BHU Mohammad Ali Gurmani -do- -do-

08 BHU Thori Bijar -do- -do-

09 BHU Chakyani -do- -do-

10 BHU Kot Ghulam Shah -do- -do-

11 BHU Behram d-o- -do-

12 BHU Lalu Raunk -do- -do-

13 BHU Ghogharo -do- -do-

14 BHU Ghulam Ali Magsi -do- -do-

15 BHU Arzi Bhutto -do- -do-

16 BHU Thoof Chosool -do- -do-

17 BHU Deera -do- MB recorded

18 BHU Wadho Kalhoro -do- MB recorded

19 BHU Khuda Bux Wahocho -do- MB recorded

20 BHU Gaji Khuhawar -do- MB recorded

21 BHU Khandu -do- MB recorded

22 Unani Shifakhana Gul Buriro work completed MB recorded


147


-

- -


J- DISCUSSION DURING MRM On Staff Matters: I On the puctualty of staff at health facility.. On Preventive Health: It was decided to conduct more and more CHSs and utilize the services of vaccinators and outreach staff in order to prevent diseases, and to establish rapport in all the national programs. On Curative Health: 1. To run OPDs properly at all HFs. 2. To properly provide the services to the people. 3. To ensure availability of essential medicines at HFs On Mother, Child & Reproductive Health: FMOs as well MOs were asked by the DSM to properly attend all the ante-natal & neo-natal cases. Other Matters: Date /Time for Next MRM: 10-03-2012 @ 09.30 am Comments on Targets vs Achievements (by DSM) 1. R&R Target of all the HFs / schemes completed.

MINUTES OF THE (42) MONTHLY REVIEW MEETING OF DISTRICT SUKKUR

Monthly Review Meeting (MRM) of District, Sukkur for the Month of January, 2012 was held on 11th February, 2012 at DSU PPHI Office Sukkur. Written invitations to participate were sent to the DCO, the EDO(H), the EDO(F&P) and District Incharge of EPI, LHW, and all other National Programs as usual. The list of participants follows: List of Participants:


1 Javed Ahmed Abro DSM Sukkur 36 Dr.Shazia Mangi

2 Syed Haider Ali Shah EO (M&E) 37 Dr.Rizwana Parveen

3 Asadullah Indhar EO (F&A) 38 Dr. Zakia Mahar

4 Zubair Ahmed SO 39 Dr. Fazan Shah

5 Dr. Abida Simair 40 Dr.Shaista Mahar

148

6 Dr. Mumtaz Bullo 41 Dr. Saira Kalwar

7 Asif Nazeer Kalwar SO 42 Dr. Musarat Qureshi

8 Dr. Ghulam Murtaza 43 Dr. Najma Shah

9 Dr. Abdul Aziz Sheikh 44 Dr. Ghulam Zuhra

10 Dr. Abdul Wahab 45 Dr. Shahid Shahani

11 Dr. Muhammad Javed 46 Dr.Aneela Haseeja

12 Dr. Nizam Shah 47 Dr. Suneel Kumar

13 Dr. Bisharat 48 Dr.Kaneez Fatima

14 Dr. Ahsanullah 49 Dr. Rasool Bux Shah

15 Dr. Abdul Sami Sheikh 50 Dr. Illahi Bux

16 Dr. Abdul Gaffar Khoso 51 Faisal Sheikh Assistant Admin

17 Dr. Farzana Talpur 52 Dr. Arshad Qazi

18 Dr. Bashir Ahmed 53 Dr. Jalees Fatima

19 Dr. Sanam Qazi 54 Dr. Mir Parveez

20 Dr. Khurram Hayat 55 Dr. Abida Gilani

21 Dr. Ghulam Rasool 56

22 Dr. Noor Ahmed Soomro 57

23 Dr. Girdhari Mal 58

24 Dr. Tahir Hussain Abbassi 59

25 Dr. Munawar Kalwar 60

26 Dr. Ghulam Qadir 61

27 Dr. Zahid Mahar 62

28 Dr. Salahuddin Shah 63

29 Dr. Nusrat Dharejo 64

30 Dr. Nadeem Ahmed 65

31 Dr. Ghulam Muhammad 66

32 Dr. Abdul Hakeem Faisal 67

33 Dr. Roomana Shah 68

34 Dr.Shazia Memon

35 Dr. Amanullah



1 Dr. Mushtaque Mahar Leave 3 Dr. Farzana Shaikh Leave

2 Dr. Ghullam Nabi Leave 4 Dr. Abdul Waheed Simair Leave

5 Dr. Javed Leave 6 Dr. Khadim Soomro Leave

7 Dr. Saifullah Qureshi Leave

N. HFs WITH PPHI

BHUs: ___26____ Dispensaries: ___7____ MCHCs: ___1____ Others:__1____

TOTAL: ___35____ B. Population of the Catchments Area:

BB. STAFF STRENGTH

Sanctioned



PPHI Contract

Vacant (Sanc-Govt)

MOs 59

35 13 22 23

WMO 1 1 0

149

FMOs 22 18 0 18 4

LHVs 45 42 27 14 4

MTs/MAs Male

2 2 2 0

0 Female 0 0 0

Dispensers/HT 52 52 35 17 0

CC. CLUSTERS OF HFs WITH ONE MO

WITH ONE FMO

E.

CAPACITY BUILDING 51. Capacity Building of LHVs / Dispensers During Month under Review


Participants

Inter Person Communication & DHIS Presented By: Dr. Abdul Aziz Shaikh DEFINITION.

Exchange of ideas, information, thoughts, feelings, images between two or more individuals or groups.

COMPONENTS.

Sender Message Channel Receiver Feed back SENDER.

Also referred to as Source. The sender is the person , or group of people,

Who want to communicate or send a message to another person. The sender could be anyone – health provider, teacher, client, etc

MESSAGE.

The information, direction or feeling that the sender wants to convey to the receiver is called message. Message can be verbal or nonverbal.

CHANNEL.

The channel is the medium through which the message is communicated. Channel could be face to face interaction, telephone, letter, email, TV, radio etc.

RECEIVER














150

The receiver is actual target of sender. In two way conversation, the individuals or groups involved can become senders and receivers.

FEEDBACK.

The communication process is not complete without the feedback from the receiver to understand that the message is received and understand properly.

BARRIERS.

. Language .Stress

. Fear . Attitudes

. Gender difference . Culture

. Unclear messages . Lack of time

. Noise BARRIERS. Grid

1. Say 2. Hear 3. Understand 4. Believe 5. practice

TOOLS.

Reflective listening

Stroking

Types of questions

Active listening TYPES.

Verbal

Non verbal VERBAL.

Words

Tones NON VERBAL.

Eye contact

Facial expression

Posture

WORDS 7%

TONE 35%

BODY LANGUAGE 58% F. REVIEW OF THE PERFORMANCE (I) PREVENTIVE HEALTHCARE


Descriptions Number

Doses of Immunization Administered to Children at HFs. 2784

TT vaccines administered to pregnant women at HFs. 1003

Immunization & Vaccination Administered by outreach EPI Teams 7575

Total Vaccination / Immunization for the Month January 2012 11362



coverage

151

0 0 0 0


S # Service Number










1 Dr. Nusrat Dharejo 394 15 745 1154

2 Dr. Shazia Mangi 152 7 890 1049

3 Dr. Kaneez Fatima 287 9 1318 1614

4 Dr. Najma Shah 261 6 1866 2133

5 Dr. Musarat 192 5 891 1088

6 Dr. Zaibunisa 130 6 698 834

7 Dr. Anila Hasija 171 3 1291 1465

8 Dr. Jalees Fatima 166 3 1062 1231

9 Dr. Shazia Aamir 171 3 2033 2207

10 Dr. Abida Simair 212 9 1604 1825

11 Dr. Roomana 118 1 907 1026

12 Dr. Sanam Qazi 83 1 868 952

13 Dr. Shaista Mahar 216 1 1531 1748

14 Dr. Rizwana 125 1 1129 1255

15 Dr. Farzana 100 0 563 663

16 Dr. Zakia Mahar 76 0 570 646

17 Dr.Sahira Kalwar 70 0 823 893

Total 2924 70 18789 21783

2: Deliveries Assisted

S # Service Number




S # Test Number





152

5 Other 0

52. Important Discussion on Mother and Child and Reproductive Health during MRM No new thing was discussed on this issue.




Oral Pills 203 IUCDs 11 Injections 397

Others 78 Total 983



1. Number of Male SGs: -----34------------- Number of Female SGs: ----02------ 2. Performance of Social Organizers


conducted by him



No. No. of

Participants

Syed Haider Ali Shah EO M&E

5 0 75 7/0 100/0

Zubair Ahmed 0 0 0 2/0 40/0

Asif Nazeer 0 0 0 5/4 95/200

Total 5 0 75 14/4 235/200






Dr. Nusrat Dharejo 3 113 1 15 6

Dr. Shazia Mangi 2 40 1 30 10

Dr. Kaneez Fatima 2 52 0 0 0

Dr. Najma Shah 1 35 1 5 3

Dr. Musarat 2 56 1 15 15

Dr. Zaibunisa 2 45 0 0 0

Dr. Anila Hasija 2 46 1 15 10

Dr. Jalees Fatima 1 10 1 50 10

Dr. Shazia Aamir 3 65 1 50 18

Dr. Abida Simair 1 45 1 11 7

Dr. Roomana 3 400 2 60 30

Dr. Sanam Qazi 4 71 2 33 20

Dr. Zakia Mahar 1 28 0 0 0

Dr. Rizwana 3 100 1 25 5

Dr. Shaista Mahar 4 50 1 53 29

Dr.Sahira Kalwar 1 15 1 25 5

Dr. Farzana 1 0 2 9 4

153

Dr. Amanullah Memon 1 55 1 55 25

Dr. Salahuddin Shah 1 17 1 21 8

Dr. Ghulam Rasool 1 15 1 60 10

Dr. Nizam Shah 1 10 1 35 9

Dr. Arshad Qazi 1 15 1 20 20

Dr Khuram 1 12 1 28 9

Dr. Saifullah 1 26 1 147 54

Dr. Ghulam Qadir 1 25 0 0 0

Dr. Tahir Abbasi 1 19 2 44 23

Dr. Noor Ahmed 1 12 0 0 0

Dr. Girdhari 1 20 1 50 15

Dr. Zahid Mahar 1 20 1 40 3

Dr. Abdul Ghaffar 1 35 2 62 20

Dr. Abdul Wahab 1 72 1 74 14

Dr. Abdul Waheed 1 12 2 65 15

Dr. Aziz Shaikh 2 65 2 60 25

Dr. Abdul Sami Shaikh 1 9 1 42 15

Dr. Ahsanullah Dayo 1 10 1 107 10

Dr. Mumtaz Bullo 1 50 1 25 10

Dr.. Ghulam Muhammad 1 20 1 30 10

Dr. Munawar 2 28 1 80 10

Dr. Ghulam Murtaza 1 17 1 30 5

Dr, Mir Parveez 1 32 1 34 0

Dr. Nadeem Mangi 1 20 1 60 23

Dr. Bashir Chacher 1 35 1 25 9

Dr. Mushtaq Mahar 1 30 1 30 5

Dr. Javed Balouch 1 10 2 25 13

Dr. Faisal Qazi 1 20 0 0 0

Dr. Sunil Kumar 1 20 1 35 5

Total 67 1902 48 1680 537

4. Important Points during Support Group Meetings. Community Support group members are suggested to conduct jointly health session with IMO & FMO at there respective areas. It was planned that next month all MO and FMO will conduct session in the catchments area of their HFs. 5. Important Points during SHSs The focused topic for the month of February 2012. So all participant are educate about the Importance of extra curriculum activities in school 6. Important Points during CHSs The preventions were discussed with the participants, The Doctors shared the causes of ARI and Malaria and also insisted to the participants that you have to follow the preventions to avoid the diseases. 7. Topics for SHSs for the Month

Sr. No. Topics

1 • ARI Infections & its prevention.

2 • Skin infection & its prevention (Scabies).

3 • Poliomyelitis its complication & preventions.

4 • Vaccination & its importance.


154

S # Topics

1 • Antenatal Visits & its importance

2 • Behavior change & its role in motivation.

3 • ARI Infections & its prevention.

4 • Skin infection & its prevention (Scabies).

5 • Poliomyelitis its complication & preventions.

6 • Vaccination & its importance.

7 • Malaria & its prevention.

8 • Extra curriculum activities & its role in development.

9. Important Discussion on Community Participation during MRM Not discussed. 10. Health Camps: Number Held: -----------------. Number of Patients: -----------. 11. Measures for improvement / provision of Services by other Department / Agencies


Present status

I Sanitation N/A N/A N/A

Ii Drainage / sewerage N/A N/A N/A

Iii ……… drinking water N/A N/A N/A

Iv Prevention of adulteration N/A N/A N/A

V Tree Plantation N/A N/A N/A

Vi Roads and infrastructure N/A N/A N/A

Vii Environmental Improvement N/A N/A N/A

Viii Others N/A N/A N/A

(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIE 1. OPD*




3110 73593 76703


S # BHU OPD BHU OPD

1 BHU Newpind 5448 BHU Dubar 828

2 BHU Dadloi 5010 GD Riazabad 843

3 BHU Qasimpur 4114 GD Village Sehta 846

4 BHU Nouraja 3664 GD FM Jatoi 1051

5 BHU Tando Thatti 3351 BHU L. A. Jagirani 1161



1 ARI 0

2 Suspected Malaria 0

155

*All HFs — BHUs and others. **Reflects OPD at BHUs only — not at other HFs. 4. Top Five Diseases during OPD


1 ARI 19923

2 Skin Diseases 7354

3 Diarrhea 7040 4 Suspected Malaria 6854


No. of Patients



ARV Available Doses at HF 724






S # Tests Number



3 Hemoglobin 346


5 Ultra Sound 1291




Performed

No. of cases found

positive



Follow up result



47. TUBERCLOSIS



Under Diagnosis

3 Diarrhea 0

4 Scabies 0

156

96 13 62

9. Referrals


1 TB DOT Deliveries Others RHCs/HF THQs DHQs

2 44 13 0 30 15 39

3

4


1 ARV ASV Others RHCs/HF THQs DHQs

2 39 39 0 0 9 11 16

3

4



DSM EX: M&E Other Staff Total

15 75 70 160



Nil Nil Nil Nil


1. Medicines available for …………72.40……………. Weeks 2. Important Issues raised relating to Medicines, etc. during MRM




1 BHU Patni 100% Completed

2 BHU New pind 100% Completed

3 BHU Salehpat 100% Completed

4 BHU Qasimpur 100% Completed

5 BHU Arore 100% Completed

6 BHU Nouraja 100% Completed

7 BHU Dadloi 100% Completed

157

8 BHU Dubar 100% Completed

9 BHU Hingoro 100% Completed

10 BHU Tando Thatti 100% Completed

11 BHU Gagro 100% Completed

12 BHU Darawhan 100% Completed

13 BHU Kandowahan 100% Completed

14 BHU Sultan pur 100% Completed

15 GD Mubarkpur 100% Completed

16 BHU Cheechro 100% Completed

17 BHU Haji Khan Chachar 100% Completed

18 BHU Thikratho 100% Completed

19 GD Naseerabad 100% Completed

20 BHU Nirch 100% Completed

21 BHU Abad 100% Completed

22 BHU Faqeerabad 100% Completed

23 BHU Thariri 100% Completed

24 BHU Lutaf Ali Jagrani 100% Completed

25 BHU Hussain Kalwar 100% Completed

26 BHU Samo Chachar 100% Completed

27 BHU Dodanko 100% Completed

28 BHU Kandri 100% Completed

29 GD Ali Wahan 100% Completed

30 GD Riazabad 100% Completed





• Most Male Medical Officers are not conducting Community and School Health Sessions

• Referral Register not maintained properly.

• Most of the columns of PPHI profarma empty.

• Suspected cases of TB were not mentioned in DHIS report.

• The Lowest Ratio of TB Suspected Cases

• Most MO are not maintaining there OPD register & HT are maintaining their OPD Registers

• Most of MO & FMO came late at HF.

• Expiry Medicine are kept at Medical Store of HF which is very serious issue

• Leave procedure may strictly be follow.

• Requisition for medical equipments, furniture & other must be submitted every month.

• The Ratio of Immunization & Family Planning Services are reduced during last month

• The F.M.O Report & DHIS Report is not match with each other. On Preventive Health:

• Punctuality and performance of all vaccinators may be monitored strictly as special direction received from wordy Program Director.

158

• Report of Immunization (EPI) was submitted on weekly bases by I/C MO at DSU Sukkur for further submission to PSU.

On Curative Health:

The ARI was the top diagnostic diseases for the month of January and it may further increase in next month so more medicine of ARI will be provided to the HFs.

On Mother, Child & Reproductive Health:

Total 60 NVDs were conducted by PPHI staff during the month of January 2012 which is not a good sign. The contraceptive material is Available, while antenatal and postnatal cases are increased.

Other Matters: Date /Time for Next MRM: 13/03/2012 Comments on Targets vs Achievements (by DSM)

MINUTES OF THE 21th MONTHLY REVIEW MEETING OF DISTRICT GHOTKI @ MIRPUR MATHELO

Monthly Review Meeting of District, Ghotki@MirpurMathelo for the Month of January, 2012 was held on11th Febuary, 2011 at DC Committee Hall Mirpur Mathelo. Written invitations to participate were sent to the DC, the DHO, the EDO (F&P) and District Incharge of EPI, LHW and all other National Programs as usual. The list of participants follows: List of Participants:

S # Names/Designation Designation S # Names/Designation Designation

1 Mr. Danish Afzal DSM 39 Dr. Yasmeen Chachar FMO

2 Mr. Muhammad Ilyas Executive (M&E) 40 Dr. Amna Khokhar FMO

3 Mr. Ahsan Masood Executive (F&A) 41 Dr. Afsana Zulfiqar FMO

4 Dr. Imtiaz Hussain Shaikh General Surgen 42 Dr. Rahat Shakeel FMO

5 Dr. Qadir Bux General Surgen 43 Dr. Atiya Zafar FMO

6 Dr.Qadeer Anesthetist 44 Dr. Asma FMO

7 Dr. Ali Muhammad Anesthetis 45 Dr. Rashida Shaikh FMO

8 Dr. Tulsi Das Makhija Cardiologist 46 Dr. Salma Qureshi FMO

9 Dr. Zakir Hussain Cardiologist 47 Dr. Sania FMO

10 Dr. Mukesh Kumar ENT Specialist

11 Dr Shazia Shakeel Dental Surgeon

12 Dr. Asma Samreen Dental Surgeon

159

13 Dr. Parshotam Dental Surgeon

14 Dr. Altaf Hussain Dental Surgeon

15 Dr. Mumtaz Ahmed Pediatrician

16 Dr. Suresh Kumar Ultrasound Specialist

17 Dr.Irfan Baloch Orthopedic Surgeon

18 Dr. Abdul Latif M.O

19 Dr. Imtiaz Ahmed Mirani M.O

20 Dr. Nazir Ahmed M.O

21 Dr. Ghulam Rasool M.O

22 Dr. Nisar Ahmed Soomro M.O

23 Dr. Mohammad Yaqoob Mahar M.O

24 Dr. Umesh Kumar M.O

25 Dr. Fassiuddin M.O

26 Dr. Sanaullah Kolachi M.O

27 Dr. Rafique Ahmed Shaikh M.O

28 Dr. Moizuddin Jatoi M.O

29 Dr. Zulfiqar Ali Shah M.O

30 Dr. Parshotam Lal M.O

31 Dr. Imran Hussain M.O

32 Dr. Bashir Ahmed Bhutto M.O

33 Dr. Amanullah Mahar M.O

34 Dr. Gh. Sarwar Mahar M.O

35 Dr. Asif Hakeem M.O

36 Dr. Manoj Kumar M.O

37 Dr. Taqeer Ahmed M.O

38 Mr.Muhammad Hanif DLS

All the MOs / WMOs / FMOs attended the meeting, except the following, for reasons mentioned against each:

S # Names/Designation Reasons for Absence

1 Dr. Qurat-ul-Ain Shahani( Gynecologist)

2 Dr. Roopa(FMO)

3 Dr. Sadia Nisar Memon(FMO)

4 Dr.Rabia Rahim(FMO)

5 Dr. Amar Lal (MO)

6 Dr. Shah Pasand Mahar (MO)

7 Dr. Majid Rahim( MO)

A. HFs WITH PPHI

BHUs: 31 Dispensaries: 10 RHC: 03 DCDs: 7

TOTAL: 51 B. Population of the Catchment Area: 6,66,535

DD. STAFF STRENGTH

Sanctioned Posts Working Government Employees

PPHI Contract

Vacant

MOs 45 22 1 22 22

W/FMOs 45 12 0 12 33

LHVs 10 7 3 4 3

160

MTs/HTs 70 62 50 12 8


EE. CLUSTERS OF HFs WITH ONE MO

WITH ONE FMO


1. First Session: During MRM

Dr: Bashir Ahmed Awan, Focal Person for TB, DOTS, Distt: Ghotki took the session and told the participants regarding current situation of TB, DOTS, and emphasized that referrals must be increased and he discussed with the participants the process and importance of TB referrals. 2. Second Session: During MRM Nil




Participants

Nil Nil Nil Nil Nil






Total vaccination / immunization for the month December -2011 8255









Clusters of 5 HFs ( Ultrasound)

- Clusters of 6 HFs -





161



coverage

- - - -


S # Service Number










1 Dr. Rabia Raheem 193 71 1136 1400

2 Dr. Roopa 10 0 624 634

3 Dr. Rashida Shaikh 105 0 855 960

4 Dr. Afsana Zulfikar 152 38 949 1139

5 Dr. Sannia Akram 57 15 444 516

6 Dr. Atia Zafar 68 21 648 737

7 Dr. Sadia Nisar Memon 53 20 851 924

8 Dr. Samina Asif 0 0 0 0

9 Dr. Salma Qureshi 18 11 428 457

10 Dr. Yasmeen 2 2 246 250

11 Dr.Amna Khokhar 10 0 430 440

12 Dr. Rahat Shakeel 12 2 688 702

Total 680 180 7299 8159


S # Service Number




S # Test Number





5 Malarial Parasites Test 2

162


Nil 57. Provision of Family Planning Services during the Month



2 Oral Pills 28

3 IUCDs 08

4 Injections 100

5 Others 64

Total 604



1. Number of Male SGs: _____ Number of Female SGs: ______ 2. Performance of Social Organizers




Male Female Total No.

of Participants

No. No. of

Participants

Mr. Tarique Hakeem 0

Mr. Abdul Rasheed

Mr. Muhammad Usman

Total

3. School Health Sessions & Community Health Sessions:

S #

Districts CHS SHS

No. of Meetings

Participants No. of session

Participants Examined Treated

1 Dr. Rabia Raheem 1 25 1 22 22 7

2 Dr. Roopa 2 33 0 0 0 0

3 Dr. Rashida Shiakh 2 40 2 70 12 8

4 Dr. Afsana Zulfikar 2 45 1 19 10 7

5 Dr. Sannia Akram 1 24 1 30 5 3

6 Dr. Atia Zafar 1 48 1 80 45 15

7 Dr. Sadia Nisar Memon 2 32 2 99 68 51

8 Dr. Samina Asif 0 0 0 0 0 0

9 Dr.Rahat Shakeel 1 20 1 30 10 5

9 Dr.Amna Khokhar 2 35 2 80 59 23

9 Dr. Salma Qureshi 2 80 2 67 58 33

163

10 Dr. Umesh Kumar 1 80 1 70 30 30

11 Dr. Nisar Ahmed Soomro 1 20 1 40 30 20

12 Dr. Nazir Ahmed Malik 0 0 1 15 10 5

13 Dr. Sanaullah 3 99 1 165 0 0

14 Dr. Bashir Ahmed Bhutto 5 113 1 37 5 3

15 Dr. Zulfikar Ali Shah 2 46 2 34 16 10

16 Dr. Asif Hakeem 2 35 0 0

17 Dr. Imtiaz Ahmed 1 29 1 35 20 10

18 Dr. Gh: Rasool 1 7 1 27 20 8

19 Dr. Rafique Ahmed Shakh 1 20 1 25 7 4

20 Dr. Imran Hussain 1 14 0 0 0 0

21 Dr. Gh: Sarwar Mahar 0 0 0 0 0 0

22 Dr. Abdul Latif Naich 2 74 2 186 91 42

23 Dr. Majid Rahim 1 35 1 30 30 8

24 Dr. Shah Pasand Khan 0 0 0 0 0 0

25 Dr. Moizuddin Jatoi 1 8 1 31 10 4

26 Dr.Moh yaqodb mahar 0 0 1 45 25 5

27 Muhammad Sharif (HT) 2 41 0 0 0 0

Total 40 1003 28 1237 583 301

4. Important Points during Support Group Meetings. Non availability of PT strips, Glucometer strips and Malaria test kit 5. Important Points during SHSs Nil 6. Important Points during CHSs Issue for Ultrasonologist should be at BHU level, Viability of vaccination at their door step demanded, vaccination according to EPI schedule in villages 7. Topics for SHSs for the Month

Sr. No. Topics

1 Hand wash, Diarrhea prevention, Prevention from cold

2 Personal Hygiene, Acute Respiratory Infection

3 Scabies, Skin Infection


S # Topics

1 Antenatal and post natal care, Personal Hygiene,

2 Hepatitis, Family planning,

3 Scabies, Diarrhea,

164

9. Important Discussion on Community Participation during MRM Nil 10. Health Camps: Number Held: _____ . Number of Patients: _____. 11. Measures for improvement / provision of Services by other Department / Agencies


Present status

i Sanitation Nil Nil Nil

ii Drainage / sewerage Nil Nil Nil

iii ……… drinking water Nil Nil Nil

iv Prevention of adulteration Nil Nil Nil

v Tree Plantation Nil Nil Nil

vi Roads and infrastructure Nil Nil Nil

vii Environmental Improvement Nil Nil Nil

viii Others Nil Nil Nil

(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW 1. OPD*




46323 1649 47972


S # BHU OPD BHU OPD

1 BHU Umer Daho 2235 GD Muhammad Pur 247

2 BHU Dad Leghari 2016 GD Mohd Yaqoob Mahar 258

4 BHU Rounti 1905 BHU Bago Daho 473

BHU Hasu Daho 1815 BHU Lohi 478

5 RHC Adilpur 1809 GD Changlani 496



1 Acute Respiratory Infections 9486


1 Cough 100

2 Diarrhea 150

3 Malaria 32

4 Scabies 70

5 Worms Infestation 42

Total 394

165

2 Fever other cause 3435

3 Pneumonia 2038

4 Scabies 1947



No. of Patients


ARV Administered 6






Health)

S # Tests Number



3 Haemoglobin 40


5 Ultra Sound 2

6 Others (Nebulised) 267



Performed

No. of cases found

positive



Follow up result

Hepatitis B Nil Nil Nil Nil Nil

Hepatitis C Nil Nil Nil Nil Nil

50. TUBERCLOSIS



Under Diagnosis

16 4 36

9. Referrals


1 197 TB DOT Deliveries Others RHCs THQs DHQs HFs

13 5 179 5 82 110 -



1 30 ARV ASV Others RHCs THQs DHQs HFs

30 - 0 0 12 18 0

166




28 57 130 215



1 Nil Nil Nil Nil


1. Medicines available for 15 Weeks

17. Important Issues raised relating to Medicines, etc. during MRM DSM discussed with all MOs regarding medicine consumption and control on misuse of medicine.




1 BHU Bago Bhutto R&R 100%

2 BHU Dad Laghari R&R 100%

3 BHU Ahmed Ali Pitafi R&R 100%

4 BHU Ali Mahar R&R 100%

5 BHU Ayoub Lakhan R&R 100%

6 BHU Darwaish Naich R&R 100%

7 BHU Hasso Daho R&R 100%

8 BHU Hussain Beli R&R 100%

9 BHU Jahanpur Sharief R&R 100%

10 BHU Kamo Shaheed R&R 100%

11 BHU Lohi R&R 100%

12 BHU Noor Abad R&R 100%

13 BHU Qadirpur R&R 100%

14 BHU Saleh Mahar R&R 100%

15 BHU Soi Sharief R&R 100%

16 BHU Syed Pur R&R 100%

17 BHU Taj Muhammad Ruk R&R 100%

18 BHU Umer Deho R&R 100%

19 GD Khadwari R&R 100%

20 GD Muhammadpur R&R 100%

21 BHU Sangri R&R 100%

22 GD Qazi Badal R&R 100%

23 GD Hayat Pitafi R&R 100%

24 BHU Ghulam Hyder Leghari R&R 100%

167

25 GD Chunglani R&R 80%

26 BHU Rounti R&R 75%

27 BHU Abdul Sattar R&R 40%

28 GD Sajawal Dhandhu R&R 20%

29 GD Pir Goth R&R Work to start next week

30 GD Chakshahbaz Pur R&R Work to start next week



- - -


Monitor the performance of Vaccinators by checking their registers and field visit reports in case any irregularity informed to EDOH.

Visit to villages and meeting with community regarding sanitation.

Conduct School and Health Sessions on regular basis, if any fake report found serious action will be taken.

Conduct meetings Community Support Group Members and submit minutes of meeting to DSU.

FMOs Ane-Natal performance was poor. Increase / conduct Health Sessions.

FMOs Meeting with LHWs and conduct capacity building sessions.

Expedite in R&R work.

Timely submission of reports specially DEWS on weekly report.

Hard Area Allowances Cheque distributed. Expected Date for Next MRM: 10th March -2012 Comments on Targets vs Achievements (by DSM)

Nil

168

MINUTES OF MONTHLY REVIEW MEETING (28 th) OF DISTRICT SHIKARPUR

Monthly Review Meeting (MRM) of District, Shikarpur for the Month of January, 2012 was held on 10 th February, 2012 at Deputy Commissioner Office, Meeting Hall. Written invitations for participation were sent to the DCO, EDO(H), EDO (R), EDO(F&P) and District Incharge of EPI, District Coordinator National Program District Officer Population Welfare and representative of WHO. The participants list is given below.


1 Mr. Javed Ahmed Abro DSM 25 Mr. Mohammad Ramzan Ex: M&E

2 Dr. Athar Hussain Shah MO 26 Dr. Kishore Kumar DDO (H)

3 Mr. Tariq Hussain Mahar SO 27 Mr. Zia Ahmed Jalbani Ex (F&A)

4 Dr. Zaib Dhar Health officer 28 Sean O heery OPM

5 Eleonora Qenouese UNICEF 29 Aly Visram OPM

6 Mr. Waqar Ahmed Mangi S/Manager 30 Dr. Abdul Hafeez Jakhro MO

7 Dr. Aijaz Hussain Soomro SMO 31 Dr. Waseem Lohar MO

8 Dr. Nadir Ali Panhwar MO 32 Dr.Tanveer Memon Sonologist

9 Dr. Fayyaz Lohar MO 33 Dr. Zulfiqar Mahar MO

10 Dr.Imdad Ali Mahar MO 34 Dr. Shahjahan Malik MO

11 Dr. Saiqa Soomro FMO 35 Dr. Maida Siddiqi FMO

12 Dr. Tahmina Memon FMO 36 Dr. Saima Hajano FMO

13 Dr.Hafeezullah Shah MO 37 Mr. Khalil Ahmed Sohu SO

14 Dr.Anmanullah Soomro MO 38 Dr. Allah Bux Sanjrani MO

15 Dr. Fida Hussain Soomro MO 39 Mr. Salahuddin Soomro A/A

16 Dr. Abid Hussain Shah MO 40 Dr. Antonia Maria FMO

17 Dr. Faiza Kanwal FMO 41 Dr. Israr Daudpota MO

18 Dr.Majid Soomro MO 42 Dr. Akhtar Memon MO(HQ)

19 Dr. Sahib Khan Brohi MO 43 Dr. Faiza Bano FMO

20 Dr. Imran Ali Shaikh MO 44 Dr. Falak Naz Ujjan FMO

21 Dr. Naeem Ahmed Pathan MO 45 Dr. Nisar Ahmed Brohi MO

22 Dr. Saifullah Mahar SMO 46 Mr. Farhan Shaikh A/A

23 Dr. Deepa Dileep FMO 47 Dr. Naseema Mangi FMO

24 Dr. Wajahat Ara FMO 48

O. HFs WITH PPHI

BHUs: 19 Dispensaries: 07 MCHCs: ___Nil___ others: ___Nil___ TOTAL: ___26____

B. Population of the Catchments Area:

169

FF. STAFF STRENGTH

Sanctioned



PPHI Contract

Vacant (Sanc-Govt)

MOs 29

17 11 6 12

WMO 0 0 0

FMOs 15 12 0 12 3

LHVs 16 3 1 2 13

MTs/MAs Male

- - - -

- Female - - -

Dispensers - 5 2 3 -

GG. CLUSTERS OF HFs WITH ONE MO

WITH ONE FMO

E.

CAPACITY BUILDING 1. First Session: Filling Punctuality of Time /Best Services to patients

Mr.Javed Ahmed Abro, DSM PPHI DSU Shikarpur while speaking briefly informed MOs &FMOs to ensure punctuality of time at the HFs and maintain record of medicine updated at HFs for smooth working at the HFs. He also apprised the efforts of PPHI doctors for conducting CHS and SHS in their respective areas for health education to public as well as students of the areas however DSM asked to MOs to ensure at least Two SHS, two CHS and one CSG meeting in every month. He also directed to ensure completion of repair and renovation work with their personal interest to achieve development targets. He also discussed SOPs at HFs being uniformly need to be implemented. He encouraged In charge MOs to act as good manager and role model at the HFs.

2. Second Session: During MRM

Dr. Aijaz Soomro (MO) in his lecture based on (EPI) informed the MOs and other staff of PPHI to support them in achieving target of Vaccination in the non functional EPI centres and check the movement of vaccinators and prepare work plans for vaccination in the catchment areas to achieve the record vaccination at every HF. He also briefed the participants about routine vaccination and encouraged to motivate their staff particularly vaccinators to achieve vaccination targets and







Single HFs Single HFs 26






Single HFs 6 6

170

complete working of vaccination of defaulters during polio campaign to eliminate polio disease from Shikarpur district.

3. Third Session: During MRM

Dr. Athar Hussain Shah (MO) while speaking on the occasion on the role model and smooth operation of HF.He advised MOs and FMOs to make daily checking of stock registers ,daily expense register ,EPI registers and observe cleanliness at HFs .He also suggested the MOs to monitor the attitude of their staff at HFs with patients and cooperate with patients friendly .




Participants

Dr. Nadar Panhwar 2/1/2012 BHU Hamayoon Family planning

& EPI 09

Dr. Rahim Bux Bhutto 2/1/2012 BHU Abdoo Family planning

& EPI 12

Dr. Israr Daudpoto 2/1/2012 BHU Jahan

Khan Family planning & EPI

11

Dr. Fayaz Lohar

3/1/2012 BHU Wazirabad Family planning & EPI

10

Dr. Aijaz Soomro 3/1/2012 BHU Soomar

Goth Family planning & EPI

13

Dr. Naeem Pathan 3/1/2012 GD Chodhio

Sadhayo Family planning & EPI

10

Dr. Saifullah Mahar 3/1/2012 BHU Rustam Family planning

& EPI 12







Total vaccination / immunization for the month _________ 5164



coverage

N/A N/A N/A N/A

N/A N/A N/A N/A

N/A N/A N/A N/A

N/A N/A N/A N/A


171

S # Service Number

1 Passive Case Detection (PCD) Slides N/A

2 Active Case Detection (ACD) Slides N/A


4 Notices issued against Poor Sanitation N/A

5 Challans sent to Court against Poor Sanitation N/A

6 Patients Nebolizer N/A




S # Service Number




S # Test Number





5 Other 0


FMOs were directed to improve their working in mother and child health care and reproductive health by DSM. He observed that while it is matter of pride that BHUs and GDs under administrative control of PPHI are providing services continuously at such far flung areas of the district but a lot of work remains to be done. FMOs can extend antenatal and postnatal cover by educating visiting women of its importance.

S # Names of FMOs Ante-Natal Cases Neo-Natal Cases Other OPD

Total OPD

1 Dr. Saima Hajano 139 5 2920 3064

2 Dr. Faiza Kanwal 82 2 1473 1557

3 Dr. Saiqa Soomro 41 2 736 779

4 Dr. Tahmina Memon 49 4 1389 1442

5 Dr. Maida Siddiqi 65 0 1059 1124

6 Dr. Reshman 70 1 1214 1285

7 Dr. Rafat Khalil 55 2 1158 1215

8 Dr. Antonia Maria 45 0 1089 1134

9 Dr. Fozia Bano 36 1 1103 1140

10 Dr. Naseema Mangi 48 1 1376 1425

11 Dr. Deepa Dileep 121 0 2077 2198

12 Wajahat Ara 36 1 1255 1292

Total 811 19 16849 17655

172




2 Oral Pills 52

3 IUCDs 2

4 Injections 35

5 Others 0

Total 453



1. Number of Male SGs: ------14------------ Number of Female SGs: -----Nil--------- 2. Performance of Social Organizers


conducted by him



No. No. of

Participants

Mr. Tariq Hussain Mahar 09 N/A 162 27 631

Mr. Khalil Ahmed Sohu 10 N/A 174 26 625

Total 19 336 53 1256






Dr. Saiqa Soomro 1 11 1 19 4

Dr. Saima Hajano 2 35 1 17 3

Dr. Faiza Kanwal 1 12 1 12 3

Dr. Tahmina 1 10 1 14 2

Dr. Rashman 1 14 1 12 2

Dr. Fozia Bano 1 24 0 0 0

Dr. Naseema 2 35 0 0 0

Dr. Wajahat Ara 2 42 0 0 0

Dr. Deepa Dileep 2 55 1 22 3

Dr. Antonia Maria 2 45 1 45 2

Dr. Rafat Khalil 1 18 0 0 0

Dr. Maida Siddiqi 1 15 1 11 3

Dr. Athar Hussain Shah 1 18 1 22 3

Dr. Aijaz Soomro 2 28 1 18 2

Dr. Shahjan Malik 0 0 1 17 3

Dr. Akber Ali 0 0 1 22 3

Dr. Allah Bux Sanjrani 2 41 1 19 2

Dr. Saifullah Mahar 0 0 0 0 0

Dr. Waseem Lohar 1 19 1 15 3

Dr. Fayyaz Lohar 1 18 1 13 2

Dr. Zulifqar Mahar 1 15 1 18 3

Dr. Abid Hussain 1 19 1 11 2

173

Dr. Rahim Bux Bhutto 1 13 1 16 3

Dr. Nadar Ali Pahnwar 1 17 1 21 4

Dr. Majid Soomro 1 21 1 13 4

Dr. Murtaza Seelro 0 0 0 0 0

Dr. Fida Hussain 2 46 1 35 2

Sahib Khan Brohi 0 0 0 0 0

Total 31 571 21 392 58



6. Important Points during CHSs Community members demanded the Sugar free Syrups, Multi Vitamin Injections.


Sr. No. Topics

1 Chest infection

2 Skin Infection

3 Malaria

4 Mal Nutrition


S # Topics

1 Nutrition

2 Skin Infection

3 Malaria

4 Hand Wash

9. Important Discussion on Community Participation during MRM 10. Health Camps: Number Held: ----------0-----. Number of Patients: --0--. 11. Measures for improvement / provision of Services by other Department / Agencies


Present status

i Sanitation 0 0 0

ii Drainage / sewerage 0 0 0

iii ……… drinking water 0 0 0

iv Prevention of adulteration 0 0 0

v Tree Plantation 0 0 0

vi Roads and infrastructure 0 0 0

vii Environmental Improvement 0 0 0

viii Others 0 0 0


1. OPD*

174




50667 3976

54643


S # BHU OPD BHU OPD

1 BHU Wazirabad 5252 BHU Nim Shareef 1285

2 BHU Jahan Khan 3094 BHU Jahangir Thaheem 1212

3 BHU Ali Khan 2955 GD Zangi Khan Brohi 1203



1 Scabies 8520

2 ARI 9749

3 Diarrhea 1308

4 Susp: Malaria 985

5 Dysentery 233


No. of Patients


ARV Administered 12







S # Tests Number




1 Scabies 13

2 Malaria 6

3 ARI 19

4 Diarrhea 1

5 Dysentery 0

175

3 Hemoglobin 157


5 Ultra Sound 394




Performed

No. of cases found

positive



Follow up result



53. TUBERCLOSIS



Under Diagnosis

62 03 7

9. Referrals



2 7 7 0 0 0 5 2

3 0 0 0 0 0 0 0

4 0 0 0 0 0 0 0




2 0 0 0 0 0 0 0

3 0 0 0 0 0 0 0

4 0 0 0 0 0 0 0




42 54 102 198



1 Chodhio Sadhayo Work in progress

2

H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS 1. Medicines available for 14 Weeks 2. Important Issues raised relating to Medicines, etc. during MRM

176




1 GD Borirri 100% complete

2 GD Chodhio Sadhayo 65%

3 BHU Jamra 100% complete



RPD – III

On 11th January 2012 Hon: Ghulam Abbas Detho visited Bhu Ruk ,BHU Jhali Kalwari , BHU Nimoro & BHU Jamra .

Satisfied from the DSU Shikarpur team who managed HFs very

supportive with staff and patients of the areas in providing all medicine,

equipments and R&R work.

Auditor RSU-III Auditor -111 visited BHU Jamra , BHU Ruk & BHU Jhali Kalwari .

Checked R&R work running at the HFs and showed his

satisfaction.


J- DISCUSSION DURING MRM Punctuality: DSM asked MOs & FMOs to ensure punctuality of the time during the month of Ramzan Mubarak in the interest of the patients. On Preventive Health: Malaria preventive measures discussed. On Curative Health: Scabies, Hand Wash On Mother, Child & Reproductive Health: Other Matters: It was also decided to organize Hepatitis B /C Screening Camps at all the HFs managed by PPHI after polio round. Date /Time for Next MRM: 08 March 2012 Comments on Targets vs Achievements (by DSM) R&R work completion within given deadline DSM directed the Executive Construction, MO & SO concerned to ensure early completion of the R&R work of the work at BHU Ruk, BHU Jhali Kalwari, and BHU Nimoro &GD Chodhio Sadhayo.

MINUTES OF THE (40th) MONTHLY REVIEW MEETING OF DISTRICT LARKANA

Monthly Review Meeting (MRM) of PPHI, District Larkana for the month of January, 2012 was held on 03rd February, 2012 at DSU Office. Written invitations to participate were sent to the DCO, EDO (H), EDO (F&P), Distt. Population Welfare Officer, WHO representative, Dy.Dir. Malaria and District In charges of EPI, LHW and all other National Programs. The list of participants is as follows:

177

List of Participants:


1 Mr. Abdul Aleem Lashari, Deputy Commissioner, Larkana

2 Mr. Ghualm Abbass Detho (RPD-III, Larkana)

3 Dr. Moula Bux Kalhoro , Correspondent Daily Dawn

4 Mr. Javed Ali Hulio Exe. (M&E)

5 Mr. Habibullah Shaik, Exe. (A/A) 6 Dr. Mohammad Yousif Shaikh MO (HQ)

7 Mr. Khalid Hussain, SO. II 8 Mr. Gada Hussain Chachar, SO I.

9 Mr. Imtiaz Hussain, Asstt: Store 10 Mr.Sarfraz Ahmed Asstt: F&A

11 Dr. Nisar Ahmed Kandhro, MO 12 Mr. Farhan Ahmed, Asstt: Admin

13 Dr. Zaferullah Morio, MO 14 Dr. Imdad Lashari, MO

15 Dr. Altaf Abro, MO 16 Dr. Bashir Ahmed Wagan,MO

17 Dr. Zakir Hussain Khoso,MO 18 Mr. Hakim Moin Din

19 Dr. Baka Mohammad MO 20 Dr. Altaf Kokahr,MO

21 Dr. Aijaz Shaikh , MO 22 Dr. Jamil Ahmed Brohi, MO

23 Dr, Badar u Din Chano MO 24 Dr. Attaullah Jagirani, MO

25 Dr. Mukhtiar Ahmed , MO 26 Dr. Abdul Matab Jatoi, MO

27 Dr. M. Aslam Soomro, MO 28 Dr. Tariq Altaf Jatoi , MO

29 Dr. Ghanesh Lal, MO 30 Dr. Ahsanullah Bugti, MO

31 Dr. Mahesh Kumar, MO 32 Dr. Zafar Tunio, MO

33 Dr. Abdullah Arijo, MO 34 Dr. Abdul Aziz Siyal, MO

35 Dr. Rahim Bux Soomro, MO 36 Dr. Farman Ali Abro,MO

37 Dr. M. Hanif Dhamrah, MO 38 Dr. A. Rahman Shaikh, MO

39 Dr. Abdul Razaque Rahujo, MO 40 Dr. Asdullah Gopang, MO

41 Dr. Jai Kumar, MO 42 Dr. Shams u Din, MO

43 Dr. M. Afzal Odho, MO 44 Dr. Khuda Bux Soomro, MO

45 Dr. Ashok Kumar, MO 46 Dr. Nabi Dino Buledi, MO

47 Dr. Abdul Rab Sangi, MO 48 Dr. Amanullah Abro, MO

49 Dr. Mumtaz Bhutto, MO 50 Dr. Haseena Shaikh, FMO

51 Dr. Baleg-u-Din Shah, MO 52 Dr. Anita Raj, FMO

53 Dr. Sabheen Naz, FMO 54 Dr. Khadija Makkiah, FMO

55 Dr. Afroz Memon 56 Dr. Musraft Nazeer, FMO

57 Dr. Sanam Asia, FMO 58 Dr. Noor Jahan Abassi, FMO

59 Dr. Aziz Akhter, FMO 60 Dr. Nusrat Wagan,FMO

61 Dr. Salama Soomro, FMO 62 Dr. Shazia Rehman, FMO

63 Dr. Dur-e-Najaf, FMO 64 Dr. Qurtalin Soomro, FMO

65 Dr. Zaib Nisa Bhutto, FMO 66 Dr. Farzana Shaikh

67 Dr. Bilqees Kokhar,FMO 68 Dr. Farzana Tunio

69 Dr. Kashifa Ayaz, FMO 70 Dr. Amber Altaf, FMO

71 Dr. Noor Jahan, FMO 72 Dr. Lubna Adnan, FMO

73 Mst: Rani, LHV 74 Mst. Sumeera Kanwal

75 Mst. Afroz Begum, LHV 76 Mst. Yasmeen Shaikh, LHV

77 Mst. Feroza,LHV 78 Mst. Humera, LHV

79 Mst. Noor Shaheen, LHV 80 Mr. Asghar Ali Junejo

81 Mst: Naveeda 82 Mst: Nuzhat Jahan

83 Mst: Nafees Fatima, LHV 84 Mst: Rukhsana Mirani, LHV

85 Mst: Mehtab Mangi , LHV 86 Mst: Saima Mrum

87 Mst: Hameeda Memon. LHV 89 Mst: Sajida Bhutto, LHV

90 Mst: Rohi Bano, LHV 91 Mst: Saima Shaha, LHV

178

92 Mst. Shahida Parveen, LHV 93 Mst: Shazia Khuhro, LHV

94 Mst: Saira Bano, LHV 95 Mst. Zubida Mugheri, LHV

96 Mst. Sumeera a Kanwal, LHV 97 Mst: Habiba Bughio, LHV

98 Mst: Rozina 99 Mst. Rehana Brohi, LHV

100 Ms. Samina Kanwal, LHV 101 Mst: Rashida Solongi, LHV

102 Mr. Khan Mohammad, Dispenser 103 Mr. Asghar Juneejo, Dispenser



1 Dr. Mohammad Hanif Mashori

Absent 2 Dr. M Ali Shaikh, MO C/L

P. HFs WITH PPHI

BHUs: 27 Dispensaries: 19 MCHCs: 00 Others: 01 TOTAL: 47

B. Population of the Catchments Area:

S # Name of Health Facility Population

1 BHU SAJAN SANGI 32,034

2 BHU AKIL 21,300

3 BHU SHAH ABAD 33,280

4 BHU BEERO CHANDIO 26,500

5 BHU MASOODERO 15,200

6 BHU KHAN WAH 20,000

7 BHU IZAT JI WANDH 7,836

8 BHU LASHARI 24,000

9 BHU WARIS DINO MACHI 9,484

10 BHU JUMO AGHAM 15,000

11 BHU PATHAN 29,000

12 BHU NEW GUD 45,000

13 BHU BAKHAR KARIRA 12,710

14 BHU SONO JATOI 55,000

15 BHU KOTHI 30,000

16 BHU PIR BUX BHUTTO 24,800

17 BHU SAIDUDERO 12,250

18 BHU WASAYO BHUTTO 9,135

19 BHU VEEHAR 30,000

20 BHU KARANI 31,000

21 BHU MAD BAHOO 26,355

22 BHU DHAMRAH 38,341

23 BHU HAJI DHADHRO 5,000

24 BHU FATEHPUR 15,000

25 BHU MOEN JO DARO 34,713

26 BHU SEEHAR 23,316

27 BHU USMAN KALHORO 23,119

179

28 GD RASHID WAGAN 23,418

29 GD BAQAPUR 14,000

30 GD KANGA 17,409

31 GD AGHANI 12,240

32 GD DODO SANHERI 5,000

33 GD AREEJA 10,000

34 GD PANJODERO 25,200

35 GD ABAD BHUTTO 4,666

36 GD KOT BHUTTO 10,500

37 GD KETI MUMTAZ 2,000

38 GD SHAHANI 3,080

39 GD KHAIRODERO 10,000

40 GD MEHAR BURIRO 4,300

41 GD GUJHAR 4,078

42 GD LAL BUX SHAIKH 34,731

43 GD TATRI 41,500

44 GD MANGRIA 18,000

45 GD HESSAB CHANDIO 30,000

46 GD BAHMAN 1,550

47 GD MAHOTA 18,155

Total: 9,39,200

HH. STAFF STRENGTH

Sanctioned



PPHI Contract

Vacant (Sanc-Govt)

MOs 52

46 16 30 07

WMO 0 0 0

FMOs 28 24 0 24 4

LHVs 42 32 6 26 10

MTs/MAs Male

33 9 9 0

24 Female 0 0 0


II. CLUSTERS OF HFs WITH ONE MO

WITH ONE FMO








180

E.

CAPACITY BUILDING 1. Second Session: During MRM

Dr Khuda Bux Soomro, Medical Officer BHU Moen Jo Daro, PPHI, Larkana, delivered lecture on ―TYPHOID FEVER, Enteric Fever”: focused on the following points:

History

Epidemiology

Definition

Mode of Transmission

Pathophysiology

Risk factor

Clinical Features

Signs

Complications

Investigations

Blood Culture

Management

Presentations After the session he invited the participants for open discussion, which was very productive.




Participants

Same sessions were also productive for LHVs/ Dispensers





No. of Immunization & Vaccination Administered by the outreach EPI Teams 0

Total vaccination / immunization for the month November 578



coverage

Nil Nil Nil Nil








181

S # Service Number

1 Passive Case Detection (PCD) Slides --

2 Active Case Detection (ACD) Slides --

3 Visits to Check Sanitation (individual house holds + streets) --

4 Notices issued against Poor Sanitation --

5 Challans sent to Court against Poor Sanitation --

6 Patients Nebulized --



S.No Name of FMOs Antenatal Post Natal Other OPD Total OPD

1 Dr. Kashifa Ayaz 52 9 676 737

2 Dr. Salma Soomro 0 0 1000 1000

3 Dr. Afroz Memon 53 15 956 1024

4 Dr. Farzana Tunio 39 26 805 870

5 Dr. Shazia Abbasi 260 44 910 1214

6 Dr. Qurtlain Soomro 84 42 959 1085

7 Dr. Zaib Nisa Bhutto 18 10 520 548

8 Dr. Nusrat Wagan 56 11 858 925

9 Dr. Sanam Asia 50 25 544 619

10 Dr. Khadeja Makkiah 0 0

11 Dr. Aneeta Raj 40 10 560 610

12 Dr. Sabeen Naz 12 3 791 806

13 Dr. Shazia Rehman 45 8 294 347

14 Dr. Farzana Balouch 118 8 256 382

15 Dr. Bilqees 50 10 981 1041

16 Dr. Ambar Altaf Soomro 90 35 641 766

17 Dr. Jawahar Sheeraz 0 0 500 500

18 Dr. Lubna Adnan 26 7 523 556

19 Dr. Aziz Akhtar 102 20 460 582

20 Dr. Dur-e- Najaf 69 6 1192 1267

21 Dr. Farzana Shaikh 68 7 750 825

22 Dr. Ruksana Bughio 50 10 981 1041

23 Dr. Musrat Nazir 105 13 555 673

24 Dr. Asma Abbasi 54 21 744 819

Total: 1441 340 16456 18237


S # Service Number




S # Test Number

182





5 Other (Malaria) 00


Discussions were carried out by the participants with the guest speakers. 64. Provision of Family Planning Services during the Month



2 Oral Pills 800

3 IUCDs 300

4 Injections 200

5 Others (Condoms) 4000

Total





conducted by him



No. No. of

Participants

Mr. Gada Hussain Chachar 2 0 78 3 100

Mr. Khalid Hussain Abro 2 0 80 5 150

Mohammad Ali 2 0 66 5 134

Total 4 0 224 13 384


1 NAME OF FMOs/MO s

Community Health Session School Health Session

No Session

Total Participants

Total OPD/

Treatment

No Session

Total Participants

Total OPD/

Treatment

1 Dr. Afroz Memon 2 75 25 2 90 20

2 Dr. Sanam Asia 2 120 100 2 50 30

3 Dr. Zaib Nisa Bhutto 2 90 90 2 165 116

4 Dr. Kashifa Ayaz 2 36 18 2 52 11

5 Dr. Ambar Altaf soomro 2 19 6 2 34 5

6 Dr. Farzana Tunio 2 32 32 2 17 12

7 Dr. Nusrat Wagan 2 27 8 2 52 11

8 Dr. Qurtlain Soomro 1 15 8 1 34 24

183

9 Dr. Shazia Abbasi 1 28 5 2 42 17

10 Dr. Sabeen Naz 1 20 0 1 20 3

11 Dr. Lubna Adnan 2 48 48 2 130 11

12 Dr. Bilqees Khokhar 1 10 5 2 140 48

13 Dr. Farzana Balouch 1 50 30 1 56 14

14 Dr. Farzana Shaikh 2 80 10 2 80 12

15 Dr. Aneeta Raj 2 30 5 2 180 65

16 Dr. Dur-e- Najaf 2 100 50 2 120 80

17 Dr. Asma Abbasi 1 42 0 2 45 25

18 Dr. Aziz Akhtar 2 98 70 2 106 50

19 Dr. Shamsdin Sohu 0 0 0 2 100 50

20 Dr. Khuda Bux Soomro 0 0 0 2 80 0

21 Dr.Jamil Ahmed Brohi 0 0 0 1 20 3

TOTAL 30 920 510 38 1613 607


Polio Campaign discussed

Diagnostic Laboratory

Medicine quality and quantity.

EPI Coverage were discussed

Ultra sound facility days

FMO days at HFs also discussed

Security and ownership of community.


Scabies

Cough

Diarrhea

Influenza Virus

Nutrition

Respiratory trait Infection and Asthma

Personal Hygien

Pneumonia

Malaria 66. Important Points during CHSs

Dysfunctional Uterine Bleeding DUB

Scabies

Rabies virus Tuberculosis

Antenatal Care

Pelvic Inflammatory Diseases

Importance of Vaccinations

Conjunctivitis (Red Eye)

Low Birth weight Newborn

Family Planning

Diet in Pregnancy

U/S Examination During Pregnancy

184

Lactating Mother

Postpartum Haemorrage

Urine Tract Infection

Vomiting

Anemia

Intestinal Tuberculosis

Constipation

Vomiting

Cough

Acute Diarrhea

Influenza Virus

Nutrition

Respiratory trait Infection and Asthma

Personal Hygien

Pneumonia

Malaria 7. Topics for SHSs for the Month

Sr. No. Topics

1 Scabies

2 Malaria

3 Importance of Vaccinations

4 Acute Diarrhea

5 Nutrition

6 Personal Hygien

7 Cough


S.No Topics

1 Dysfunctional Uterine Bleeding DUB

2 Scabies

3 Rabies virus Tuberculosis

4 Antenatal Care

5 Pelvic Inflammatory Diseases

6 Importance of Vaccinations

7 Conjunctivitis (Red Eye)

8 Low Birth weight Newborn

9 Family Planning

10 Diet in Pregnancy

11 U/S Examination During Pregnancy

12 Lactating Mother

13 Postpartum Haemorrage

14 Urine Tract Infection

15 Vomiting

16 Anemia

185

17 Intestinal Tuberculosis

18 Constipation

19 Vomiting

20 Cough

21 Acute Diarrhea

22 Influenza Virus

23 Nutrition

24 Respiratory trait Infection and Asthma

25 Personal Hygien

26 Pneumonia

27 Malaria


Most of the Participants recognized PPHI role to provide basic health facilities in rural areas for poor community at free of cost.

Community participation through community support groups also the role model of PPHI.

Repair and Renovation of Health facilities and other facilities provided at Health facilities by PPHI also appreciated by participants.

10. Health Camps: Number Held: 00. Number of Patients: 00. 11. Measures for improvement / provision of Services by other Department / Agencies


Present status

I Sanitation N/A N/A N/A

Ii Drainage / sewerage N/A N/A N/A

Iii ……… drinking water N/A N/A N/A

Iv Prevention of adulteration N/A N/A N/A

V Tree Plantation N/A N/A N/A

Vi Roads and infrastructure N/A N/A N/A

Vii Environmental Improvement N/A N/A N/A

Viii Others N/A N/A N/A


1. OPD*




81075 0 81075


S # BHU OPD BHU OPD

1 BHU Mad Bahoo 3547 BHU Sajan Sangi 494

2 BHU Peer Bux Bhutto 2888 GD Areeja 570

3 BHU Akil 2723 GD Rasheed Wagan 615

4 BHU Dhamrah 2626 GD Kety Mumtaz 775

5 BHU Veehar 2375 BHU Bakhar Karira 834

186




2 Acute Respiratory Infections 11703

3 Scabies 10252

4 Diarrhea 284

5 Dysentery 8


No. of Patients







54. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) 3. (Lab / Diagnostic Tests)

S # Tests Number



3 Haemoglobin 353


5 Ultra Sound 1035

6 Others (Malaria) 00






Follow up result

Hepatitis B No No No No No

Hepatitis C No No No No No


1 Scabies 245

2 Malaria 208

3 ARI 98

4 Diarrhea 37

5 Cough 28

187

8. TUBERCLOSIS



Under Diagnosis

6 0 6

9. REFERRALS



2 No No No No No No No












15 56 156 227



N/A N/A N/A N/A

N/A N/A N/A N/A

N/A N/A N/A N/A

N/A N/A N/A N/A


1. Medicines available for 32 Weeks 2. Important Issues raised relating to Medicines, etc. during MRM I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS



1 N/A N/A N/A

2 N/A N/A N/A

3 N/A N/A N/A

4 N/A N/A N/A

188

5 N/A N/A N/A

6 N/A N/A N/A



N/A N/A N/A

N/A N/A N/A



All the staff members of BRHF‘ were once again reminded to observe timings in their health facilities.

Always wear aprons/ uniforms which have been already provided.

Observe/ ensure cleanliness in their health facilities.

Maintenance of proper record keeping

Ensure availability of all essential medicines.

Ensure availability of instruments in working condition. On Preventive Health:

All the Medical Officers/ Female Medical Officers were informed that Family Planning material / medicine are available in abundant quantity and they should promote its usage.

It was also requested that ensure availability of T. B DOTS medicine and wherever there is shortage, inform DSU immediately.

On Curative Health: All the Medical Officers were informed that there is sufficient stock of medicines available in DSU store and they should report immediately for any kind of shortage On Mother, Child & Reproductive Health: N/A Other Matters: Matters regarding supply of medicines, repair of buildings, provision of uniforms, and other items were also discussed during the monthly meeting. Date /Time for Next MRM:

Next MRM will be held on first week of March, 2012 Comments on Targets vs Achievements (by DSM) All the targets/goals and assignments from time to time are being achieved for successful continuation of this program and for the satisfaction of the community.

189

MINUTES OF THE (37th) MONTHLY REVIEW MEETING OF DISTRICT KASHMORE

Monthly Review Meeting (MRM) of District, Kashmore for the Month of January-2012 was held on 03th Feb-, 2012 at District Government Complex Kandhkot. Written invitations to participate in the MRM were sent to the Deputy Commissioner Kashmore, Additional Deputy Commissioner-1 Kashmore, the EDO (Health) and District In charge of EPI, LHW and all other National Programs. List of Participants:

S # Names/Designation Designation S # Names/Designation Designation

1 Mr. Zeeshan Javed DSM 21 Dr. Zulfiqar Soomro MO

2 Abdul Razaque Junejo Executive

Officer(M&E) 22 Dr. Mumtaz Malik FMO

3 Abdul Waheed Soomro Executive (F&A)

4 Qutubdin Hyder M.T

5 Jan Muhammad Dispenser 23 Dr. Hazoor Bux MO

6 Dr. Javed Ahmed MO 24 Dr. Irshad Ahmed MO

7 Dr. Yougesh MO 25 Dr. Muhammad Saleem MO

26 Dr. Vijay Kumar MO

8 Dr. Zain MO 27 Dr. Aneel Kumar MO

9 Dr. Mansoor

MO 28 Allah Dino Samtio Co-ordinator Population

Dptt:

10 Dr. Gulabdin MO 29 Dr. HAfeezullah MO

190

11 Israr Ahmed M.T 30 Dr. M.Muqeem MO

12 Muhammad Rafiq SO 31 Dr. Abdul Ghafoor MO

13 Abdul Khaliq M.T 32 Dr. Aftab Ahmed MO

14 Nabi Bux M.T 33 Munawer Ali Mithani DC Kashmore

15 Safar Din M.T 34 Dr. Susheel Kumar Unicef

16 Shamas Din M.T 35 Ahmed Khoso PA DC to DC

17 Abdul Ghani SO 36 Dr. Nirmal Das DHIS Trainer

18 Israr Ahmed SO

19 Muhammad Paryal

M.T

20 Abdul Bais Dispenser



1 Dr. Asadullah Absent

2 Dr. Sajida Gul Absent

3 Dr. Shagufta Absent

4 Dr. Rukhsana Absent

5 Dr. Maqbool Absent

6 Dr. Ameer Ali Absent

7 Dr. Muhammad Waris Absent

Q. HFs WITH PPHI BHUs: 21 Dispensaries: 16 MCHCs: 1 Others: 1

TOTAL: 39 B. Population of the Catchments Area: Approximately One Million

JJ. STAFF STRENGTH

Sanctioned

Posts (Govt.)

Working Government Employees

PPHI Contract

Vacant (Sanc-Govt)

MOs 24

20 1 19 4

WMO 0 3 0

FMOs 17 4 0 4 13

LHVs 8 4 0 4 4

MTs/MAs/Dispenser Male

48 46 23 23

2 Female

KK. CLUSTERS OF HFs WITH ONE MO







191

WITH ONE FMO

E.

CAPACITY BUILDING

1. First Session: During MRM EPI rep shared his experiences about the last polio campaign and appreciate the performance, commitment of PPHI team who actively steered the whole campaign. PHI monitoring team and Doctors also expressed their experience, reservations especially about the lethargic attitude of government staff and health department and discuss various gaps left unfilled by the EDO health side.

2. Second Session: During MRM Dr Abdul Ghafor presented a well prepared presentation on the symptoms, prevention and treatment of dengue fever. After this PowerPoint presentation a detailed question /answer session was held, in which doctors and participants took keen interest.




Participants

- - - - -

- - - - -







Total vaccination / immunization for the month AUGUST 966












1 Dr. Mumtaz Malik 39 3 690 729

2 Dr. Shagufta 180 3 476 659

3 Dr. Sajida Gul 45 1 281 327

4 Dr. Rukhsana 41 0 172 213

Total 176 7 1619 1928

192

S # Service Number




S # Test Number

1 Pregnancy Tests 0




5 Other 0




2 Oral Pills 0

3 IUCDs 0

4 Injections 2

5 Others 0

Total 38

(III) COMMUNITY PARTICIPATION During Month under Review

1. Number of Male SGs: --------39-------- Number of Female SGs: --------00---- 2. Performance of Social Organizers





No. No. of

Participants

Abdul Razaque Junejo 6 0 131 4/3 148/89

Abdul Ghani Panhyar 5 0 112 6/4 158/120

Muhammad Rafique Khoso 8 0 175 8/4 161/126

Israr Malik 6 0 125 5/4 151/98

Total 25 0 543 23/15 618/433

CGS meetings conducted by SOs lacked effectiveness and coherence; they were warned to conduct session more interactively and with specific time line 3. School Health Sessions & Community Health Sessions

Names of MO /

FMOs/Paramedics


S.No Sessions Participants Sessions

Children Examined

Children Treated

1 M.T Israr Khoso 1 25 1 10 1

2 DR ZAIN MALIK 1 25 1 15 4

3 DR GULAB U DIN 3 125 2 167 11

4 Dr. Irshad Ahmed Langah 1 28 1 14 6

5 DR SALEEM KHOSO 1 36 1 12 3

6 DR ANEEL 1 12 1 5 1

193

7 DR ZULFIQAR 2 64 2 18 2

8 Dr. Hazoor Bux 1 25 1 20 10

9 Dr. Javed Ahmed 1 14 1 35 0

10 Dr. Mansoor Malik 2 30 1 7 2

11 Dr. Asadullah Noonari 2 74 1 18 15

12 Mt Bias KHOSO 1 8 1 10 2

13 DR AFTAB SOOMRO 1 26 1 11 3

14 DR ABDUL GHAFOOR 1 31 2 17 5

15 Dr. Mumtaz 2 36 1 4 0

16 Dr. Rukhsana 1 32 1 12 1

17 Dr. Shagufta 1 14 1 9 1

18 DR VIJAY 1 21 1 22 0

19 MT SHAMAS KHOSO 1 14 1 0 0

20 Dr. Yougesh Kumar 2 26 1 7 2

21 Dr. Shishpal 1 13 1 4 0

22 Dr. Sajida Gul 2 38 0 0 0

23 Dr Maqbool Ahmed 0 0 0 0 0

24 Dr. Waris Ahmed 0 0 0 0 0

25 Mr. Qutub Din (M.T) 0 0 0 0 0

26 Dr HAFEEZULLAH 0 0 0 0 0

27 MT SAFAR U DIN 0 0 0 0 0

28 DR AMEER ALI 0 0 0 0 0

29 M.T Abdul Khalique 0 0 0 0 0

Total 30 717 24 417 69

4. Important Points during Support Group Meetings. The following issues were discussed during the support Group Meetings:

EPI centre facility

Furniture shortage at health facilities

Water Supply & Electricity Problem

Repair and Renovation work Progress.

Staff shortage at health facilities

Female Staff appointed at health facilities 5. Important Points during SHS’s

Safe Drinking Water

Nail Cutting

Personnel Hygiene

Gastro

Scabies 6. Important Points during CHS’s

Dengue Fever (Prevention)

Antenatal Checkup

RTI

Boil Water

Prevention of Scabies

Personal Hygiene

194


Sr. No. Topics

1 Malaria

2 Scabies

3 ARI

4 Diahorea

5 Hepatitis

6 Importance of EPI Vaccination

7 Personal Hygiene

8 Scabies


S # Topics

1 Family Planning

2 Skin Infection

3 Diarrhea

4 Water born diseases

5 Safe Drinking Water

6 Pneumonia

7 Malaria, its causes, effects , and remedies

8 T.B


Realizing community of the responsibility to feel ownership of their health facility.

Effective communication with the PPHI staff, cooperating with the monitoring staff and with the staff of health facility and responding to the various initiatives introduced by the PPHI for the betterment of the health facility and its functioning.

To impart feelings of ownership to the community, it was decided to make useful interaction and communication through social organizers and MOs.

It was also discussed to invite some CSG members to MRM to make them abreast of PPHI role in primary health care and also to have an interaction on larger scale to address general issues.

Various methods were discussed to make community more interested in the maintenance of their HF through frequent visits and close interaction with the Doctors.

It was also decided to apprise community through CSG meetings about the recent trends in primary health care and various tools/methods to promote healthy habits which ultimately would lead to healthy society.

Apprising community of the various interventions being made by the PPHI and the difference made in the functioning of the HFs after the PPHI takeover.

10. Health Camps: Number Held: ----------0-------. Number of Patients: ----00------. 11. Measures for improvement / provision of Services by other Department / Agencies


Present status

I Sanitation - - -

Ii Drainage / sewerage - - -

Iii ……… drinking water - - -

195

Iv Prevention of adulteration - - -


Vi Roads and infrastructure - - -

Vii Environmental Improvement - - -

Viii Others - - -


1. OPD*




21202 552 21754


S # BHU OPD BHU OPD

1 Bhu Dari 1413 Gd Mushtaque bijrani 305

2 Gd Kashmore colony 1206 Bhu Diyani 300

3 Bhu PEER JAN 1000 Bhu Sher mohammad 266

4 Bhu KUMB 828 Bhu rasaldar 254

5 Gd Sardaroo khoso 765 Gd Hafeezullah 225



1 ARI 5534


3 Scabies/Skin 2577 4 Diahhrea 1489

5 Dysentry 98


No. of Patients



ARV Available Doses 37 Vials



1 ARI 0

2 Fever (clinical Malaria) 0

3 Diarrhea 0

4 Scabies 0

5 Dysentery 0

196





S # Tests Number

1 Pregnancy Tests 0


3 Hemoglobin 9


5 Ultra Sound 0




No. of cases found

positive


Total referred upto

date

Follow up result

Hepatitis B -

- - - -

Hepatitis C -

- - - -

58. TUBERCLOSIS



Under Diagnosis

0 0 0

9. Referrals


1 TB DOT Deliveries Others RHCs/HF THQs DHQs

2 0 0 0 0 0 0 0

3 - - - - - - -

4 - - - - - - -



1 ARV ASV Others RHCs/HF THQs DHQs

2 130 130 0 0 121 9 0

3 - - - - - - -

4 - - - - - - -



197


35 73 176 284



1 GD Kashmore Colony Sanitation

2 GD 27 mile Need Repair of Hand pump Hand pump was repair in two days by M&E

3 GD Azim Golo Wash room Work in progress

3 BHU Sardarabad Hand pump Work complete

4 GD Mehrab Mazari Boundary Wall

5 BHU Malguzar Suhryani Boundary Wall

6 GD Hafeezullah Repair and Renovation

7 GD Elahi Bux Khoso Repair and Renovation

8 BHU Dari Electricity, Furniture Work in progress

9 BHU Zorgarh Need of Vaccinator Appointed as soon as

Action:- Sanitation work would be completed before the next MRM at 9 HFs. Approval has been sought from the program director to do sanitation work. Similarly R & R work would be given priority as soon as

PC-1 stage of those HFs reached.

H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS 1. Medicines available for ……………55…………. Weeks 2. Important Issues raised relating to Medicines, etc. during MRM

Non clearance of DTL of some items

Extra Supply of Capsule Amoxicillin and Syrup Calpol

Shortage of essential items

Shortage of Equipments (B.P Apparatus, Thermometer, Stethoscope, baby weight scale, Nebulizer, etc.

Proper maintenance of store at Health facility

Shortage of FMO and paramedics




1 MCHC Kashmore Tiles Work, Co lour, Repair, Carpenter,

Plumbering, Electrification. Completed

2 BHU Sher Muhammad Bijarani

Tiles Work, Co lour, Repair, Carpenter, Plumbering, Electrification.

Completed

3 BHU Pir Jan Bajkani Tiles Work, Co lour, Repair, Carpenter,


4 GD Ghous Bux Bangwar


Completed

5 GD Kashmore Colony-I


Completed

6 GD Nasrullah Bijarani Tiles Work, Co lour, Repair, Carpenter, Completed

198

Plumbering, Electrification.

7 BHU Gullanpur Tiles Work, Co lour, Repair, Carpenter,


8 GD Mehrab Mazari Tiles Work, Co lour, Repair, Carpenter,


9 BHU Khewali Tiles Work, Co lour, Repair, Carpenter,


10 BHU Dari Tiles Work, Co lour, Repair, Carpenter,


11 GD Sardaroo Khoso Tiles Work, Co lour, Repair, Carpenter,


12 BHU Sardarbabad Tiles Work, Co lour, Repair, Carpenter,


13 BHU M.K Mazari Tiles Work, Co lour, Repair, Carpenter,


14 BHU Diyani Tiles Work, Co lour, Repair, Carpenter,


15 BHU Badani Tiles Work, Co lour, Repair, Carpenter,


16 BHU Din Muhammad Kosh


Completed



-

- -

-

- -


On Staff Matters: YES On Preventive Health: YES On Curative Health: YES On Mother, Child & Reproductive Health: YES

199

Other Matters: YES Date /Time for Next MRM: 13 Jan: - 2011, 10.am Comments on Targets v/s Achievements (by DSM)

OPD challan fee and its timely deposit.

Doctor‘s responsibility to prepare medicine indent by themselves.

Stock register and proper store maintenance of store data.

Hard area allowance

Proper store keeping

Attendance/absenteeism

Importance of MRM in the overall working of PPHI

Realizing staff of the importance of their attachment with an institution like PPHI, a motivated and functional organization in the health sector unlike the dormant public sector.

Emphasis on community session and school sessions Though the shortage of FMOs is chronically an old issue but its importance cannot be overemphasized. After making all efforts to recruit and attract new lady doctors for the HFs of DSU Kashmore and experiencing little success in this endeavor, now we are shifting our emphasis to the recruitment of Staff nurses, LHVs/Midwives, so we could provide primary services to the poor women of the area as MCH issue is of very important nature and cannot be ignored anymore owing to the want of FMOs. We are having acute shortage of funds as we are intervening warmly in the provision of primary health care to all the people of community, but our share of total health budget is mere 16 %, while we are managing 85 % of total district health facilities. Paucity of funds always is a great hurdle in the execution of ours progressive approach to upgrade community health. I hope sanity will prevail and people who are at the helm of affairs, especially at the ministry of finance, will realize the services being provided by the PPHI in the remote and backward areas of the district where public health sector never imagined and intended to reach out.

(Zeeshan Javaid) District Support Manager

DSU PPHI Kashmore.

200

MINUTES OF THE (40th) MONTHLY REVIEW MEETING OF DISTRICT JACOBABAD

Monthly Review Meeting (MRM) of District, Jacobabad for the Month of January 2012 was held on 11th February 2012, at Zila Nazim council Hall Jacobabad. Written invitations to participate were sent to the DCO, EDO (H), EDO (F&P), DPWO, DSO (WHO), SO (DEWS)-WHO, SO UNICEF), and District In charge of EPI, LHW, Distt Coordinator, TB DOTS, HMIS and all other National Programs as usual. The list of participants follows: List of Participants:

1. Mr. Ghulam Ali Soomro District Support Manager Jacobabad

2. Mr. Zafarullah Goya DSM PPHI, Dera Bugti, Balochistan.

3. Dr. Leela Ram Consultant General Surgeon Jacobabad, Guest Speaker.

4. Mr. Aizaz Ahmed Nutrition Officer, Save the Children, Jacobabad

5. Mr. Manzoor Ahmed Assistant, Save the Children, Jacobabad.

6. Mr. Muhammad Aalam Marfani DHC SO Jacobabad.

7. Mr. Abdul Hameed Buriro Income Tax Office, Jacobabad.

8. Mr. Mushtaq Ali Leghari Ex.O(M&E).

9. Mr. Marghoob Ahmed Bhatti Ex.O(F/A) Jcd.

10. Mr.Muhammad Iqrar Veesar S.M DSU Jcd.

11. Mr.Haq Nawaz Lashari S.M DSU Jcd.

12. Dr.Abdul Jabar Thahim M.O H/Q DSU Jcd.

13. Dr.Sajjad Ahmed Burriro I/C M.O G.M Jakhrani

14. Dr.Habiburrehman Khoso I/C M.O Abdullah Lashari

15. Dr.Shoukat Ali Soomro I/C M.O Jumo Dasti

16. Dr.Ghulam Mohammad Talani I/C M.O Madadpur

17. Dr.Kishor Kumar M.O MCHC Jafferabad,Jcd

18. Muhammad Ishaque Malik I/C M.O Mouladad

19. Dr.Mohammad Aslam Abbasi M.O Noor Mohammad Pathan

20. Dr.Ghulam Mohammad Dasti I/C M.O Karim Bux Khoso

21. Dr.Nusrat Soomro FMO Welfare Dispensary Ahmed Mian Soomro

22. Dr.Fozia Khoso FMO MCHC Jaffarabad

23. Dr.Farzana Khoso FMO MCHC Jaffarabad

24. Dr.Naila Soomro FMO GD Abad / BHU Mubarakpur

25. Dr. Farida Qureshi FMO GD Police Head Quarter

26. Dr. Rukkaya Abro FMO BHU N.M Pathan / BHU S.K Rind

27. Dr. Aqeela Ghafar Memon FMO Welfare Disp Ahmed Mian Soomro

201

28. Dr. Resham Naseer Soomro FMO GD Jumo Dasti

29. Dr. Shazia Jamali FMO Welfare Disp Ahmed Mian Soomro

30. Dr. Sheerin Soomro FMO GD Adam Khan

31. Dr. Veer Singh I/C M.O GD Shabirabad

32. Dr. Fazalullah Brohi I/C M.O Muhammad Pur Odho

33. Dr.Aziz Ahmed Soomro I/C M.O BHU Udi

34. Dr.Muzafar Khaskheli I/C M.O BHU Hashmatabad

35. Dr.Naeem Ahmed Sarki I/C M.O GD Naseer Khan Bhangar

36. Dr. Zulfiqar Ali Golo M.O BHU Bachro

37. Dr.Abdul Fatah Khoso ` I/C M.O BHU Bachro

38. Dr.Abdul Ghafar Babar I/C M.O Dodapur

39. Dr. Baqa Muhammad Panhwar I/C M.O Banlow Syedan

40. Dr.Kashif Ali I/C M.O BHU Joungal

41. Dr. Abdul Basit M.O BHU Joungal

42. Dr. Nabi Bux Soomro GD Imam Bux Kehar

43. Dr.Azizullah Talani I/C M.O GD Police H/Q

44. Dr.Inayatullah Dayo I/C M.O BHU Sheranpur

45. Dr. Safiullah Bhutto I/C M.O BHU Mubarakpur

46. Dr. Ihtasham ul Haq I/C M.O BHU A.R Suhendero

47. Dr. Zafar Ali Pathan I/C M.O GD Abad

48. Dr. Ashok Kumar Sangitiani I/C M.O BHU Karim Bux Khoso

49. Dr. Amar Lal M.O BHU Karim Bux

50. Mr. Khalil Ahmed Dispenser BHU Bangul

51. Mr. Nadeem Ahmed Dispenser BHU Bahoo Khoso

52. Mr. Ghulam Hyder Brohi Dispenser BHU Piyaro Khoso

53. Mr Ahmed Ali Katto Dispenser Abdul Rasool Khoso

54. Mr.Ghulam Hussain Assistant Accounts

55. Mr. Mehmood Ali Roongho Sub-Engineer PPHI

56. Mr.Shehryar Abro Assistant/Computer Operator

57. Mr.Shuhab Ali Sehto Store Manager

58. Mr.Asif Ali Assistant Store Manager

59. Mr.Abdul Wahid Bhayo Assistant Admin



1 Dr.Saeeda Solangi Casual Leave 2 Dr. Jai Chand Casual leave

3 Dr. Asya Solangi Casual Leave 4 Dr. Irfan Khoso Casual Leave

5 Dr. Rano Mal Sick Leave

R. HFs WITH PPHI

BHUs: __24____ Dispensaries: ___06____ MCHCs: ___01____ Others:__ 05 TOTAL: __36__


LL. STAFF STRENGTH

202

Sanctioned



PPHI Contract

Vacant (Sanc-Govt)

Mos 42 37 7 30 5

WMO 0 0 0 0

FMOs 20 13 1 12 7

LHVs 20 1 1 0 19

MTs/MAs Male 09 07 07 0

02 Female 0 0 0 0


MM. CLUSTERS OF HFs WITH ONE MO

WITH ONE FMO

E.

CAPACITY BUILDING

1. First Session: During MRM Dr Lila Ram Mandhan (FRCS), Consultant General Surgeion, Civil Hospital, Jacobabd gave presentation on “ General Physical Examination “. In his capacity building session.

2. Second Session: During MRM




Participants

0

0

0

















203


2150


Total vaccination / immunization for the month January ,2012 9464



coverage

30,31 Jan & 01 Feb 2012 161942 182827 112%


S # Service Number










1 DR. FARIDA QURESHI 100 17 1591 1708

2 DR. RUQAYA ABRO 163 2 1304 1469

3 DR. ASYA SOLANGI 42 9 1155 1206

4 DR. FARZANA KHOSO 64 10 1042 1116

5 DR. SAEEDA SOLANGI 38 9 969 1016

6 DR. SHEERIN SOOMRO 73 6 849 928

7 DR. SHAZIA JAMALI 46 4 785 835

8 DR. NUSRAT SOOMRO 43 4 787 834

9 DR. NAILA MAJID SOOMRO 275 7 543 825

10 DR. RESHAM NASEER 0 0 417 417

11 DR. GHAZAL SHEIKH 27 0 385 412

12 DR. AQEELA GHAFFAR 0 6 0 6

13 Dr. Fouzia Khoso Working as Sonologist

TOTAL 871 74 9827 10772


S # Service Number



204


S # Test Number





5 Other 131


Following points were discussed:

Deliveries & D&Cs (during the month) conducted by FMOs / LHVs / CMWs-name wise evaluation.

Contraceptive clients-FMO wise.

School Health Sessions / Community Health Sessions.

Ultrasounds examinations by FMOs.




Oral Pills (clients) 0

IUCDs 2

Injections 39

Others 42

Total 474



1. Number of Male SGs: ------36--------- Number of Female SGs: ------------- 2. Performance of Social Organizers


conducted by him



No. No. of

Participants

M.Iqrar Veesar 05 0 105 34 722

Haq Nawaz Lashari 04 0 84 32 642

Total 09 0 189 66 1364


S.No Name of M.O / F.M.O

CHS SHS



1 Dr. Muhammad Aslam Abbasi 4 120 1 24 35

205

2 Dr. Ishaque Malik 2 44 0 0 0

3 Dr. Naeem Sarki 2 30 0 0 0

4 Dr. Rano Mal 1 16 1 10 7

5 Dr. Abdul Ghaffar Babbar 2 30 0 0 0

6 Dr. Fazalullah Brohi 0 0 2 70 35

7 Dr. Ashok Kumar Sangitiani 2 54 0 0 0

8 Dr. Abdul Basit 0 0 2 32 36

9 Dr. Nabi Bux Soomro 1 35 1 16 16

10 Dr. Shoakat Soomro 1 20 1 21 21

11 Dr. Baqa Muhammad 1 30 1 22 30

12 Dr. Irfan Khoso 1 50 1 20 30

13 Dr. Rukkaya 2 35 0 0 0

14 Dr. Saeeda 2 44 0 0 0

15 Dr. Farzana 2 38 0 0 0

16 Dr. Asya 2 40 0 0 0

17 Dr. Sheerin Soomro 1 26 0 15 10

18 Dr. Nusrat Soomro 2 49 0 0 0

19 Dr. G.M Dasti 2 21 0 0 0

20 Dr. Kashif Pahore 2 46 0 0 0

21 Dr. Safiullah 2 52 0 0 0

22 Dr. Wahid Bux Laghari 2 42 0 0 0

23 Dr. Sajjad Buriro 2 32 0 0 0

24 Dr. Jai Chand 0 0 1 17 6

25 Dr. Sajjad Soomro 2 28 0 0 0

26 Dr. Muzaffar Khaskheli 2 26 0 0 0

27 Dr. Zafar pathan 0 0 1 18 15

28 Dr. Aziz Ahmed 2 32 0 0 0

29 Dr. Ihtasham ul Haq 0 0 1 23 18

30 Dr. Zulfiqar Golo 0 0 1 32 12

31 Dr. Abdul Fattah Khoso 2 28 0 0 0

32 Dr. Ghazal Sheikh 0 0 1 32 16

33 Dr. Naila Soomro 2 25 0 0 0

34 Dr. Inayatullah Dayo 2 0 0 0 0

35 Dr. Shazia Jamali 1 19 0 0 0

Total 51 1012 15 352 226


Importance of community Health Sessions in catchment areas of the H.F.

Participation of CSG members during special Polio campaign.

Importance of immunization of children. 5. Important Points during SHSs

Scabbies

ARI

Importance of Polio Immunization 6. Important Points during CHSs

Scabbies

ARI

206

Importance of Polio Immunization 7. Topics for SHSs for the Month

Sr. No. Topics

1 Scabbies

2 ARI

3 Importance of Polio Immunization

4

5


S # Topics

1 Scabbies

2 ARI

3 Importance of Polio Immunization

4

5


DSM discussed the CSG meetings held by various MOs during the month. However, he said, there is need in more community interaction. He discussed the meetings which were scheduled for the month of January, 2012 and the meetings actually held during the month. He gave targets for the CSG meetings to be held in the month of February, 2012.

At most of CSG meetings community requested that PPHI may carry out malaria control sprays. 10. Health Camps: Number Held: --------0--------. Number of Patients: ------0-----. 11. Measures for improvement / provision of Services by other Department / Agencies


Present status

I Sanitation


Iii ……… drinking water


V Tree Plantation

Vi Roads and infrastructure

Vii Environmental Improvement

Viii Others


1. OPD*




59,902 1,090 60992


207

S # BHU OPD BHU OPD

1 W.D Ahmed Mian Soomro 6612 BHU GM Jakhrani 167

2 MCH Center Jaffarabad Jcd 6276 BHU Bahoo Khoso 474

3 GD Police Dispensary 4006 GD Shabirabad 519

4 BHU Noor Muhammad Pathan 3786 BHU Uddi 541



1 Acute Respiratory Infection 6878

2 Scabbies 5480


4 Diarrhea 1826

5 Cough 567


No. of Patients









S # Tests Number



3 Hemoglobin 54


5 Ultra Sound 1056

6 Others (please specify) Malaria-Rapid Diagnostic Tests

585



1. ARI 323

2. Scabbies 290

3. Malaria 15

4. Unexplained fever 10

5. Fever (Clinical Malaria) 18

208


Performed

No. of cases found

positive



Follow up result


Hepatitis C 103 36 36 146 0

61. TUBERCLOSIS



Under Diagnosis

39 37 20

9. Referrals


1 TB DOT Deliveries Others BHU/RHCs THQs DHQs

2 155 115 0 40 71 8 76

3

4




2 95 95 0 0 11 5 79

3

4




54 90 72 216



1 BHU Bahoo Khoso Medicines were lying on floor due to non-availability of racks or shelves

Provided medicine rack.

2 BHU Sohno Khan Rind Plants were wilting due to out of order status of electric motor.

Got repaired motor through I.C M.O thus restored water supply.

3 DCD Miranpur Buriro Medicines were lying on floor due to non-availability of racks or shelves

Provided medicine rack.


209

1. Medicines available for …30…. Weeks


DSM showed slide of medicines which were received during the month of January, 2012 but DTL was pending. He told that as soon as the DTL is received the medicines will be distributed. Most of MOs pointed out that shortage of most running items has occurred. DSM pointed out that shortage of items had occurred due to huge increase in OPD in current year as compared to previous year. DSM informed that as compared to last years OPD from Jan-December; this year there was increase of around 317,757 patients




1 GD Adam Khan Repair of two Chairs. Got repaired and delivered at H.F

2 GD Imam Bux Kehar Repair of Wooden Table Got repaired and delivered at H.F

3 BHU Muhammad Pur Odho Repair of three chairs Got repaired and delivered at H.F



Deputy Commissioner, Jcd BHU Karim Bux

Appreciated performance of PPHI Doctors during Polio Campaign.

Assistant Commissioner Jcd GD Abad & BHU Banglow Syedan


Surveillance Officer EPI Welfare Dispensary & Police Dispensary




OPD BHU wise. Comparison of OPDs of January in corresponding years ie 2006, 2007, 2008, 2009, 2010 & 2011.

ARV cases during the month.

Various tests during the month under review i.e Blood sugar, malaria, pregnancy tes, hemoglobin test HBs HCV etc.

Ultrasounds cases / X-Ray cases.

EPI-performance BHU wise. Issues relating to cold chain maintenance. Shortage of BCG at EPI centers throughout the month.

TB referrals during the month.

Monthly progress of FMOs, deliveries, D&Cs, FP cases, ANC registrations etc.

School Health Sessions / Community Health Sessions.

Community Support Group meetings.

210

Repair & renovation of BHUs.

Contraceptive material.

Increase in NVDs On Mother, Child & Reproductive Health:

Date /Time for Next MRM: 6th March, 2012 will be the tentative dates. Comments on Targets vs Achievements (by DSM)

Documents

Format for the Minutes of Monthly Review Meeting - PPHI …pphisindh.org/pphiweb/wp-content/uploads/2016/04/Jan2012.pdf · MINUTES OF THE (36th) MONTHLY REVIEW MEETING OF DISTRICT_DADU