To,

The Mission Director

National Health Mission J&K

SUBJECT- Tour Report of National Urban Health mission (NUHM) J&K w.e.f s" July 2015 to so"July2015 of all NUHM Districts(Jammu,Srinagar, kathua, Udh~pur, Anantnag & Baramulla__._including Sopore) in J&K.

Sir,

Vide your order no - 24 of 2015 dated 1/07/2015 (copy enclosed), u/s conducted a detailedtour of NUHM Districts namely Srinagar, Udhampur, Kathua, Jammu, Baramulla including Soporeand Anantnag w.e.f s" July 2015 to so" July 2015, along with the team of officials deputed by yourgood self.

The team visited in detail all Urban Primary Health Centers (UPHC's), Urban HealthPosts(UHP's)and the areas where slums are located to identify the kiosks to be established andnegotiated with people for rented buildings at the actual site. All detailed suggestions andinstructions were passed on the spot to the present officials and also conveyed to the respectiveBiockMedical Officers & / or Chief Medical Officer.

Kindly find enclosed the detailed report District wise, Institution and day wise along withsummary of whole state in relation to NUHM J&K.

Thanking you

Yours Sincerely

~~yDrArun SharmaProgramme Manager NUHM Dated - 4/08/2015

ANNEXURES-A. NUHM Tour OrderB. Summary of NUHM J&Kalong with Budget SheetAnnexureC. Report of NUHM SrinagarDistrictD. Report of NUHM Jammu DistrictE. Report of Udhampur, Kathua, Baramulla including Sopore & Anantnag Districts

MISSION DffiECTOR NATIONAL HEALTH MISSION,J&KJammu Office: Regional Institute of Health & Family Welfare, Nagrota,Jammu.

Telefax: 0191-2~74114;2674244Pin: 181221Kashmir Office: J&K Housing Board Complex Chanpora, Srinagar, 190015

Telefax: 0194-2430359,2431167;email: mdnrhmjk@gmail.comHelp Line: Jammu Division 18001800104,Kashmir Division 18001800102

ORDER NO: ~ Y 0.( ?-O I ~>

Dated: D I ' 0'+ '!:lo 1~Dr. Arun Sharma Programme Manager NUHM, MCTS & HMIS Sate HealthSociety J&K is deputed along with other officers/officials for monitoringvisit as per following details:

S.No. District Officers / Officials Designation DatesDr Arun Sharma Program Mgr

0610712015Mr Athar Ali APMl. Srinagar toI Mr Sheik Abid~Srinagar

11107/2015II

Mr Idris DAM SrinagarDr Arun Sharma I Programme Manger

2. Udhampur Ms Rachna DM&EO14/07/2015Mr Surinder I Udhampuri

i CAM UdhampurDr Arun Sharma I Programme Manger I

3. Kathua Mr Deep Sharma I DM&EO Kathua 16107/2015Ms Poonam CAM Kathua 1Dr Arun Sharma Programme Mangr

20107/2015 IMr Sudhanshu CPMJammu4. Jammu toMani CAM Jammu25/07/2015Mr Varun Sharma

I Dr Arun Sharma Program Manager. Mr Athar ali APM

5.Baramulla Ms Shabina DM&EO Baramulla 2ih & zs"& sopore Mr Mehraj Dar DAM Baramulla July 2015

Mr Shajjad ahmed BM&EO SheeriMr Bilal khuroo . BM&EO SoporeDr Arun Sharma Program Mgr 29tn & so"

6. Anantnag Mr Athar Ali APM July 2015[ Dr Raja Waseem RMNCH-A Consult.

I DAM AnantnagMr Shabir Ahmed

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

The team deputed from State Health Society shall put up their reportimmediately after visiting the districts.

No:SHSINHMJJ&KINUHMI3010- 77Dated:- 01 . D~ . 2-01 S"

6Q\_~irector, J&K

Copy to the:

1-2 Director Health Services Jammu/Kashmir3. FNCAO,NHM, J & K

: for information: for information

4. Chief Medical Officers, Srinagar, Udhampur,Kathua, Jammu, Baramulla, Sopore andAnantnag 1u~1..~i _Divisional Nodal Officer Jammi NHM,J&K

Programme Manager NUHM,MCTS, NHM,J&KAll concerned Officers / Officials,SHS,NHM,J&KOffice Copy

: for information

5. : for provision ofmobility support

: for information6.

7.: for compliance

8.

~Q~~irector

----- _.

TOUR SUMMARY

1

SUMMARY OF NUHM J&K (TOUR W.E.F 6H1JULY TO 30TH JULY 2015 :

A) Principal GMC Srinagar1) 4 UPHC's in Government buildings, in good condition (All in Hazaratbal Block); only 1

UPHC Hazaratbal 24X7. Roaster 24x7 made by pooling staff from whole block, fromother institutions on rotational basis

2) RKS registered and Accounts ofUPHC's opened.3) Laboratory made functional, drugs and consumables available4) Most of the Human Resources in place but training pending.5) Funds available for Renovation and up gradation of infrastructure of UPHC's. All

institutions require reorganization, renovation, up gradation; Making Proper labour roomfunctional and strengthening of diagnostics and some other areas.

6) Funds for M&E available for each UPHC's under monitoring & evaluation. 1 computereach can be procured

7) Outreach camps not organized.8) Mobility Support for ANM available.9) Untied grant available for UPHC's10) IECI BCC Strengthening required especially citizen charter, helpline numbers, complaint

redressal system and other information related to NHM.11) Computerization of Registration and display of all information related to public.12) Account numbers of mothers not recorded in MCTS Registers.13) For antenatal patients the patients have to .buy copies from market. General patients are

given Rs 5/- OPD Slips.14) OPD services for General as well as antenatal and ISM available in same room especially

in UPHC Hazaratbal and UPHC Harwan, & UPHC Tailbal.15) Other facilities can also be converted into 24x 7 by utilizing all available resources -

utilization of available funds (infrastructure up gradation, equipping of labour room,drugs and consumables, equipments etc), and also besides support from NUHM, GMCSrinagar can also send doctors I Residents (or specialists on rotational basis)

B) Principal GMC Jammu1) 1 UPHC Trikuta nagar in Government building in good condition, functioning in routine

hours only (8 to 2 in summer and 10 to 4 in winters).2) Good Complex with more than Sufficient space but not utilized. No labour room,

laboratory available. Only routine OPD by Medical Officer. No OPD Slips. All patientsseen free on small slips. No admission being done.

3) Running water and power back up not available.4) Funds available for Renovation and up gradation of infrastructure of UPHC but not

utilized.5) Selection and training of Human Resources pending.6) Opening of bank account ofUPHC and Registration ofRKS Pending.7) Laboratory not functional, drugs and consumables not available, Computer etc not

available under monitoring & evaluation.

2

8) Negligible drugs, consumables, equipment available.9) Outreach camps / UHND not organized. Funds for camps can be organized to increase

the outreach of UPHC10) Mobility Support for ANM available.11) Untied grant available for UPHC, but not utilized.12) IEC / BCC Lacking. No Citizen charter or information displayed.13) Account numbers of mothers not recorded in MCTS Registers.14) The facility can be converted into 24x 7 by utilizing all available resources - selection

and training of human resources, utilization of available funds (infrastructure upgradation,availability of labour table & delivery sets etc, drugs and consumables, equipments etc),and also besides support fromNUHM, GMC Jammu can also send doctors/ Residents (orspecialists on rotational basis)

C) Director health services Kashmir1) Training & capacity building ofULB's, Medical Officers pending2) Renovation and up gradation of infrastructure of UPHC's pending3) Establishment of health Kiosks (capital & recurring cost) and rent and recurring cost for

kiosks (to be released by SHS) pending.4) Drug and consumables - Directorate of Kashmir has distributed to Districts, out of

which Anantnag, Baramulla & Sopore have purchased, Srinagar is pending.5) ASHA Incentives, ASHA Drug Kits & HBNC Kits pending6) Planning and Mapping done but budget allotted pending

D) Director Health Services Jammu1) Training & capacity building of ULB' s, Medical Officers pending2) Renovation and up gradation of infrastructure ofUPHC's pending3) Establishment of health Kiosks (capital & recurring cost) and rent and recurring cost for

kiosks (to be released by SHS) pending.4) Drug and consumables pending5) ASHA Incentives, ASHA Drug Kits & HBNC Kits pending6) Planning and Mapping done but budget allotted pending

E) DISTRICT HEALTH SOCIETIES

1) DISTRICT HEALTH SOCIETY SRINAGAR• CPM & CAM vacant in District PMU Srinagar (under process)• Human resource selection done except for few posts of StaffNurses lying vacant• Small Generator back up, Laboratory equipment, refrigerators, geysers, gas warmers

etc bought under NUHM for all UPHC's.• Laboratory services well developed in all UPHC's with all basic tests done.• Training & capacity building of Para medical staff pending• Untied grants for UPHC are available.

3

----------- - - - . ---

• Other services( outreach camps, mobility support for ANM, office expenditure forUPHC's) pending

• Bank account Opened for most ofUPHC's and Registration ofRKS under process.• Community processes (ASHA urban & MAS) pending. Orientation of MAS and

Training of ASHA Pending.• Monitoring & evaluation - computers bought for each UPHC but to be made

functional for the said purpose.• Procurement (drugs & consurnables) pending• 1 UPHC Shoori Mohalla (under Block Khanyar needs to be shifted. Un safe, In

sufficient space, only OPD, Immunization and laboratory services available.Institution not 24x7

• 7 UPHC's under Block SR Gunj. Block HQ at UPHC in unsafe building (Heritagebuilding and need to be shifted or Repair Irenovation to be done urgently. Most of theUPHC's building in the block need repairs / renovation for which funds are lyingunder NUHM. Drugs are consumables negligible. None of the UPHC is 24x7 in theblock.- Antenatal card though given free but printed with Rs 15/- in all institutions of the

block.- UPHC Palpora, adjoining building is under construction and maximum building

constructed, but work stopped since more than 1 year, present set up in sufficient.- UPHC Waganpora, in a. very congested shop, Government building available

hardly 500 meters away, needs only finishing and renovation(funds available)- UPHC Karfali Mohalla need to be shifted to UHP Chinkral Mohalla (Both

Government buildings) and vice versa• 3 UPHC's under block Zadibal

- UPHC Lal Bazar (Rented at present), to be shifted to new Building underconstruction within few months (Good complex), can be made 24x7

- UPHC Sangeen Darwaza in Govt building can be extended further and has scopefor further improvement.

• 8 UPHC's under block Batmaloo (only UPHC Konrnoh 24x7)- Rs 5/- OPD slip given to Antenatal Patients in all institutions though payment not

taken. Adequate suggestions given.- UPHC Batmalloo (Block HQ), huge building but only ground floor functional rest

3 floors occupied by people during floods. This can be made 24x7.- UPHC Konmoh 24x 7 - Sufficient space available for reorganisation and expansion.

Discussed with IIC MO and necessary suggestions given. The institution made24x7 by roaster on rotational basis by pooling staff from the block.

- UPHC Pantha Chowk - reorganization and strengthening required. Strengtheningof infrastructure required along with other requirements.

- UPHC Qamarwari need to be shifted to better place, present set up not suitable.• 3 Health Kiosks functional & 18 more places in various slum areas identified for

establishment of Health Kiosks under NUHM Srinagar District. The slums were

4

visited and detailed discussion held along with negotiation with local for rented rooms.On spot suggestions given to District officials with information to Chief MedicalOfficer for initiating the process.

2) DISTRICT HEALTH SOCIETY JAMMU• Human resource selection Pending• Training & capacity building of ANM & Para medical staff pending• Renovation and up gradation required for most UPHC's (Funds available), buildings

in bad shape, equipments not available, Drugs and consumables negligible.• Untied grants for existing UPHC's pending• Other services( outreach camps/UHND, mobility support for ANM's, office

expenditure for UPHC's) pending; mobility support for ANM's pending• Bank account Not Opened for UPHC's except for few and Registration of RKS Not

done (Under Process)• OPD Being seen on make shin slips, no prescription pads except in few, no user

charges except in few, no IPD except in few institutions, No labour room etc.• Community processes (ASHA's urban & MAS) pending. Selection & orientation of

MAS and selection & training of ASHA pending. Accounts for MAS to be opened.• Monitoring & evaluation pending. Computers and internet connections can be set in

all UPHC's.• IEC/BCC negligible in all UPHC's. No citizens charter• Non availability of Weighing machines in most UPHC's and UHP.• Account numbers of mothers not recorded in MCTS Registers.• UPHC's like Roop Nagar, Sidhra need urgent shifting• UPHC Mubarik Mandi need renovation & up gradation and need to be negotiated with

dhsrmath trust, for allotment of more space for making a full UPHC Functional.• UHP like Bhau fort can be upgraded to UPHC or need strengthening with drugs.

equipments etc as doctors are posted there and cater to lot of area / slums.• 8 Urban Health Posts functional & 12 places in slums identified for establishment of

Health Kiosks under NUHM Jammu District. UHP Rajive nagar not existing. Most ofthe slums require Kiosks to be established urgently, due to non availability of medical/ immunization services. Most of the slums are large especially qasim nagar, rajivenagar, Maratha nagar, sanjay nagar, preet nagar, dhonthli, peer kho, lower shiv nagar,pandoka colony, shant nagar etc and require medical services urgently.- Few UHP need to be reorganized (2 UHP at sidhra are closed and open once in a

week for immunization only and the FMPHW are working at UPHC Sidhra)

3) DISTRICT HEALTH SOCIETY UDHAMPUR• 2 UPHC's in rented building, in good condition (Both working from 2 PM to 8 PM).• Sufficient accommodation but vacant. No drugs, consumables, equipment.

immunization etc• Drugs and consumables not purchased

5

• Monitoring & evaluation - computers purchased not being installed and used.• Community processes - ASHA urban & MAS selected.• Training of ASHA Done. Orientation of MAS Pending.• All Human Resources in plac~ except for staff nurses (No Applicant).• Training of ANM's conducted, Training & capacity building of other Para medical

staff pending.• Outreach camps started and 3 camps held in slumd per UPHC per month• Mobility support for ANM's, office expenditure for UPHC's pending• Free OPD. No prescription pad available.• Bank account of UPHC not opened; accounts of MAS to be opened and RKS to be

registered.• IEC I BCC Lacking. No Citizen charter or information for the public.

4) DISTRICT HEALTH SOCIETY KATHUA• 3 UPHC's in rented building, in good condition (Both working from 2 PM to 8 PM).• Sufficient accommodation but all vacant. No drugs, consumables, equipment,

immunization etc• Drugs and consumables not purchased• Monitoring & evaluation - computers purchased andd used at lakhanpur for yatra

counters.• Community processes - ASHA urban & MAS selected.• Accounts of MAS Opened.• Training of ASHA & Orientation of MAS Pending.• All Human Resources in place except for staff nurses (No Applicant).• Training of ANM's conducted, Training & capacity building of other Para medical

staff pending.• Other services( outreach camps/UHND, mobility support for ANM's, office

expenditure for UPHC's) pending; mobility support for ANM's pending• Free OPD. No prescription pad available.• Bank account of UPHC not opened and RKS to be registered.• IEC I BCC Lacking. No Citizen charter or information for the public.

5) DISTRICT HEALTH SOCIETY BARAMULLA (INCLUDING SOPORE)• 2 UPHC's in Government building, in good condition (Both working from lOAM to 4

PM).

• UPHC Baramulla 1 Ambulance, Laboratory equipment, X-Ray plant, dental chair,Nebulizers and other equipment donated by Army.

• UPHC Sopore working along with MCH Hospital (SOH Sopore) & BlockImmunization centre.

• Drugs and consumables purchased and available in both UPHC's• Monitoring & evaluation - computers purchased not being installed and used.

6

• Community processes - ASHA urban &MAS selected.• Orientation of MAS& Training of ASHAPending.• All 16 ANM and Medical Officers in place. Rest Screening tests conducted and

interviews remaining.Assured by CMO to be completed inAugust.• Training of ANM's conducted, Training & capacity building of other Para medical

staff pending.• UPHC Baramulla Laboratory setup available courtesy Army & Laboratory test being

done. No lab facility at UPHC Sopore.• Rs 5/- printed on OPD Slip given to Antenatal Patients also, though charges not taken.• Other services(outreach camps, mobility support for ANM's, office expenditure for

UPHC's) pending• Bank account still in name of NTPHC Baramulla and MCH Sopore respectively,

UPHC Accounts to be opened separately; accounts of MAS to be opened and RKS tobe registered.

6) DISTRICT HEALTH SOCIETY ANANTNAG• 1CAM to be recruited (process initiated by SHS)• 2 UPHC's in rented building, 1 UPHC IN Auqaf land, where new building for UPHC

would also be constructed byAuqaf(None ofUPHC 24X7).• UPHC Nathpora, Block Khanabal and Sub centre Nathpora situated in same complex

post floods. CMO has ensured that would be shifted soon and the space vacated wouldbe used by UPHC.

• UPHC Donipawa not suitably located. The owner is constructing a complex road sideespecially for the UPHC which would be finished in 1-2months.

• Only Medical officers and Pharmacist under NUHM in place. Rest Human resourceselection, Process completed - court stay ( would be in place inAugust as per CMO)

• Drugs and consumables purchased and available in all UPHC's• Monitoring& evaluation - computers purchased not being installed and used.• Training & capacity building of Para medical staff Pending.• Facility for weekly immunization not available except for UPHC Nathpora which is

situated along with Sub centre.• No Laboratory setup available and No Laboratory test being done.• Other services(outreach camps, mobility support for ANM's, office expenditure for

UPHC's) pending• Community processes (ASHAurban &MAS) Pending. Orientation of MAS, Selection

and training of ASHAPending.• UPHCAccounts to be opened accounts of MAS to be opened and RKS not registered.

7

ANNEXURES:

1) NUHM J&K Balance - Expenditure statement ending June 2015 (1 Page)2) Budget sheets in respect of allocation of funds for NUHM approved for the financial year

2013-14 (4 Pages)3) Budget Sheets in respect of allocation of funds for NUHM approved for the financial year

2014-15 (2 Pages)4) Budget Sheets in respect of allocation of funds for NUHM approved for the financial year

2015-16 (2 Pages)

8

Opening Releases -Inter-Unit Transfers

Expenditure - Expenditure -ClosingS.No. Particulars

Balance 2014-15 Total2014-15 2015-16 (end.

BalanceIn Out June, 2015)

A SHS 138.61 96.35 - - 234.96 0.74 0.50 234.22B Implementing Agencies

B.l GMCsI Jammu 15.81 2.62 - - 18.43 - - 18.432 Srinagar 59.48 9.12 - - 68.60 - - 68.60

Sub-Total - GMCs 75.29 11.74 - - 87.03 - - 87.03B.2 DirectoratesI Jammu 147.85 117.76 - 15.00 250.61 - - 250.612 Kashmir 333.75 204.00 - 333.75 204.00 - - 204.00Sub-Total - Directorates 481.60 321.76 - 348.75 454.61 - - 454.61

Total - Implementing Agencies 556.89 333.50 - 348.75 541.64 - - 541.64C Districts/ CitiesI Jammu 91.06 142.03 5.00 - 238.09 74.35 39.02 124.722 Kathua 28.42 18.06 5.00 - 51.48 9.88 - 41.603 Udhampur 17.36 12.53 5.00 - 34.89 6.73 7.55 20.614 Srinagar 155.16 208.91 301.13 - 665.20 238.75 - 426.455 Anantnag 26.80 17.94 15.38 - 60.12 20.31 0.30 39.516 Baramulla 1U7 6.99 11.25 - 29.41 4.94 - 24.477 Sopore 9.53 5.63 - - 15.16 4.24 10.92

Sub-Total- Baramulla 20.70 12.62 11.25 - 44.57 9.18 - 35.39Total - Districts/ Cities 339.50 412.09 342.75 - 1,094.34 359.20 46.87 688.27

Grand Total 1,035.00 841.94 342.75 348.75 1,870.94 359.94 47.37 1,464.13

Page i I vf 14

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