LokLF ; , oa ifjokj dY;k.k foHkkx ] NRrhlx

LokLF; ,oa ifjokj dY;k.k foHkkx] NRrhlx<+

jk"Vªh; xzkeh.k LokLF; fe'ku] jk"Vªh; xzkeh.k LokLF; fe'ku] NRrhlx<+NRrhlx<+

Indicators

Sub Health Centre Primary Health Centre Community Health centreAccording to

norms

Existing New sanction

According to

norms


According to norms


Bastar 459 316 89 69 56 4 17 10 0

Dantewada 162 150 5 24 24 1 6 6 0

Kanker 249 202 51 37 28 3 9 8 0

Bijapur 113 90 0 17 14 0 4 4 0

Narayanpur 42 56 0 7 7 0 2 2 0

Health Institutions

S.No District name Total No. of SHC

Govt. Building

Under Construction

Gaps New Sanction

1 State 4776 2019 1270 1487420

(NRHM 250 +Budget 100 +EUSPP 70)

2 Bastar 316 248 60(25 Not started)

8 8(2 SB+6 NRHM)

3 Dantewada 150 88 48(21 Not started)

14 14(2 SB+12 NRHM)

4 Kanker 202 9881

(24 Not started) 23 23(23 NRHM)

5Bijapur

90 34 24(13 Not started)

32 32(32 NRHM)

6 Narayanpur 56 12 04 4040

(4 SB+36 NRHM)

Building Position (Sub Health Centre )

Building Position (Primary Health Centre )

S.No District name Total No. of PHC

Govt. Building

Under Construction

Gaps New Sanction

1 State 715 354 255 106 57

2 Bastar 56 36 13 3 3

3 Dantewada 24 16 7 1 1

4 Kanker 28 12 15 1 0

5 Bijapur 12 93

(2 Not started)0 0

6 Narayanpur 7 2 1 4 1

Building Position (Community Health Centre)

S.No. District name Total No. of CHC

Govt. Building Under Construction

1 State 144 109 5

2 Bastar 11 10 1

3 Dantewada 6 6 0

4 Kanker 8 8 0

5 Bijapur 4 3 1

6 Narayanpur 2 1 0

Specialist

Specialist

Bastar Dantewada KankerSanction Working Vacant Sanction Working Vacant Sanction Working Vacant

DH 18 14 4 22 8 14 22 10 12

CHCs (MO) 22 25(+16PHC)

-3 12 8(+5PHC)

4 16 15+(15PHC)

1

CHCs (RMA) 10 9 1 7 7 0 8 7 1

PHC ( Regular) 112 16 96 48 5 43 56 15 41

PHC (Contractual) 2 0 0 32

PHC-MBBS 18 5 43 15

PHC-BAMS 0 38 0 32

PHC-RMA 56 44 12 24 14 10 28 21

PHC-Total 168 52 106 72 57 15 84 100 48

Lady doctors (Specialist+PGMO+MO+Contractual+RMA)

1 Specialist+2 PGMO + 3 MO +22 RMA 0+0+11+0+0 = 11 2+0+8+0+9=19

Health Institute without MO/RMA 13 0 1

Medical Officer

Narayanpur BijapurSanction Working Vacant Sanction Working Vacant

DH 12 2 10 13 3 CONTRACTUAL

10

CHCs (MO) 4 4 0 34 3 31

CHCs (RMA) 2 2 0 3

PHC ( Regular) 14 1 13

PHC (Contractual) - 14 -

PHC-MBBS 14 1 13 26 0 26

PHC-BAMS 0 0 0 - 23 -

PHC-RMA 7 4 3 13 8 5

PHC-Total 7 7 0 13 - -

Lady doctors (Specialist+PGMO+MO+Contractual+RMA)

0+0+1+0+0=1 Contractual 1 BAMS+3 RMA = 4

Health Institute without MO/RMA ? 5 Without RMA

Medical Officer

Bastar Dantewada Kanker

SetupSanction Working Vacant Sanction Working Vacant Sanction Working Vacant

DH (Regular) 25 23 2 22 10 8 22 17 5DH (Contractual) 0 0 0 0 4 0 0 1 0

CHC (Regular) 30 13 17 18 8 10 25 16 9CHC ( Contractual) 0 5 0 0 6 0 0 0 0

Total 55 41 19 40 28 18 47 34 1424X7 PHC ( Contractual) 31 11 20 16 0 16 12 16

SNCU ( Contractual) 0 0 0 0 0 0 0 0 0

Grand Total 55 52 19 40 28 18 75 57 19

• Staff Nurse dh HkrhZ ij izfrca/k ugha gS A• SNCU esa Regular ulZ dks inLFk fd;k tk, A le; lhek & 15@08@2010

Staff Nurse

Narayanpur Bijapur

SetupSanction Working Vacant Sanction Working Vacant

DH (Regular) 12 1 11 15 0 15

DH (Contractual) 0 0 0 0 6 0

CHC (Regular) 6 4 2 12 3 6

CHC ( Contractual) 0 0 0 0 3 0

Total 18 5 13 27 12 11

24X7 PHC ( Contractual) 1 0 1 9 0 9

SNCU ( Contractual) 0 0 0 0 0 0

Grand Total 18 5 13 27 12 11

• Staff Nurse dh HkrhZ ij izfrca/k ugha gS A• SNCU esa Regular ulZ dks inLFk fd;k tk, A le; lhek & 15@08@2010

Staff Nurse

Indicators


Sanction In Position

Sanction

In Position

Sanction

In Position

MPW Male

Regular 326 176 156 80 214 137

Contractual ( NVBDCP) 125 93 75 36 60 58

Total 451 269 231 116 274 195

ANM Regular 382 347 180 161 240 242

2nd ANM– Contractual (HBNC) 16 0 15 0 27 0

Total 424 347 180 161 240 242

izf'k{k.kjr MPW 0 0 60 42

izf'k{k.kjr ANM

Kondagoan & Jagdalpur 40+90 74+111 0 0 40 40

• fu;qfDr ftyk Lrj ij• rduhdh in gS lafonk fu;qfDRk@ fu;fer fu;qfDr dh tk ldrh gS A le; lhek &15@08@2010

Health Human resources

Indicators Bijapur Narayanpur

Sanction In Position Sanction In Position

MPW Male

Regular 90 41 58 32

Contractual ( NVBDCP) 40 39 0 0

Total 130 80 58 32

ANM Regular 107 67 65 59

2nd ANM– Contractual (HBNC) 10 0 12 0

Total 107 67 65 59

izf'k{k.kjr MPW 3 0 3

izf'k{k.kjr ANM 25 25 15

• fu;qfDr ftyk Lrj ij• rduhdh in gS lafonk fu;qfDRk@ fu;fer fu;qfDr dh tk ldrh gS A le; lhek & 15@08@2010



S.No District name Sub CenterWithout

ANM

Sub Center Without MPW(M)

Sub Center Without

MPW(M) + MPW (F)

1 Bastar 23 149 12

2 Dantewada 19 74 13

3 Kanker 0 16 0

4Bijapur 3 3 3

5 Narayanpur 6 28 2

RSBYEpidemic

S.N

District No. of Cases 2009-10

No. of Cases2010-11

Out-break Villages

Gastro Malaria Other Out-break Villages

Gastro Malaria Other

2 Bastar 0 0 0 0 1 0 0 95 FP

3 Dantewada 0 0 0 0 0 0 0 0

4 Kanker 0 0 6324 0 0 0 1304

5Bijapur 0 0 0 0 8 105 0 0

6 Narayanpur 4 0 0 289 FP 0 0 0 0

Epidemic

RSBYRSBY

RSBY-Status of Smart card Enrollment

SN District Total BPL Families

Smart Card Enrolled

Conv. %

Enroll Status

1 Bastar 1060522 42062 39 Closed

2 Narayanpur 12391 808

7Closed

3 Dantewada 651414649

7Ongoing

4 Bijapur21863 272

1ongoing

5 Kanker59741 26251

44closed

Bastar Div. 265658 74042 28

State 2202941 1057579 48

RSBY-Status of Network Hospitals

SN District Govt. Private Total

1 Bastar 16 2 18

2 Narayanpur 2 0 2

3 Dantewada 6 1 7

4 Bijapur 4 0 4

5 Kanker 10 3 13

Bastar Div. 38 6 44

6 State 169 112 304

RSBY-Status of Claims

SN

District

BPL

families

Insurance Claims

Cumulative claims in Rs.In Lakhs

Average claim

amt. per case

Total Govt instt.

Public Private Total

1 Bastar 40,165 157 147 5.08 0.34 5.42 3454

2 Kanker 25,516 52 6 0.35 2.55 2.92 5606

3 Dantewada 4,921 8 7 0.39 0 0.45 5625

State 10,58,574 7,909 1,854 85.48 261.99 351.02

RSBY-Claims contd..

SN

District

Premium Effective Premium

District Premium

Administration Charges

ST @12.3 %

Net premium

State Share 25

%

Centre Share 75

Claim Ratio

1 Bastar 255,75,064 20755263.75 3145733 176,09,531 4402383 13207148.18 3

2 Kanker 147,75,550 11968790.12 1817393 101,51,397 2537849 7613548.091 3

3 Dantewada 28,49,603 2308293.47 350501 19,57,792 489448 1468344.182 2

State 64,39,38,381 522129441 79204421 44,29,25,020 11,07,31,255 332193765 8

RSBY- Claims contd..

SN

District

Target (to Reach State

Premium )

Utilisation and distribution of Claim funds in Public Institutions

Govt Instt.

Ach public instt.

%JDS 35 %

Staff Incentive

25 %

CM HD Fund 40 %

1 Bastar 2000 147 12 1,77,713 1,26,938 2,03,100

2 Kanker 1000 6 1 12,530 8,950 14,320

3 Dantewada 500 7 8 13,913 9,938 15,900

State 25,540 2,080 8 29,91,756 21,36,969 34,19,150

• Bijapur and Narayanpur has not generated any claim from RSBY

RSBYEUSPP

EUSPP

Activity Bastar Narayanpur

Kanker Dantewada

Bijapur Total ( lakhs)

Sub Health Centre Construction ( first Tranche)

No Sanc. 7 (5) - 6 5 - 18Amount

sanctioned42.00 - 36.00 30.00 - 106.00

Primary Health Centre Construction

No Sanc. 1 - 1 1 - 3Amount

sanctioned 25.00 - 25.00 25.00 - 75.00

District Health Plan Amount sanctioned 1.00 - 1.00 1.00 - 3.00

Strenthening of Jeewan deep Samiti

Amount sanctioned 6 - 5 1 - 12.00

District Advisory Committee for Planing meeting

Amount sanctioned 0.50 - 0.50 0.5 - 1.50

Social Assistance cells for Women for Grievance Redressal

Amount sanctioned 1.00 - 1.00 1.00 - 3.00

EUSPP…..

Activity Bastar Narayanpur Kanker Dantewada Bijapur Total

Establishment of Physiotherapy, electrotherapy, exercise therapy

and rehabilitation centres at district hospital

Amount sanctioned

2.40 - 2.40 2.40 - 7.20

Civil construction for Office building of District Training

centre cum Dist Health Society/DPMU/CMHO office

(includes establishment, refurbishment, equipments etc.

Amount sanctioned

50.00 repairs

90.00 90.00 90.00 90.00 320.0

Civil construction of drug storage stores at 2 FRU Blocks

Amount sanctioned

14.00 - 14.00 14.00 - 42.0

Civil construction of New ANM training center

Amount Sanctioned

- 300.0 - - 300.0

Civil construction of District Hospital Drug Stores ( CS

stores)

Amount Sanctioned

- 10.00 - 10.00

Civil construction of BSC Nursing college

Amount sanctioned

300 - - - - 300.0

• Incentives to TBAs for promoting Institutional Delivery.

• Mobility support for Block Medical officers .• Mobility support for Rapid Action Teams for

epidemic control. (IDSP)• Additional Mobility Support for eye camps to

reduce the gap of GOI• Strengthening Programme management unit

at Block level ( computerisation)

New Initiatives under EUSPP

RSBYMaternal

Health

Causes of Maternal Death

Issues , strategy and action points – Programs – RCH- Maternal Health – Target – reduce MMRProxy Indicator

Status \desired

Causes Intervention

registration of pregnancy

Early reg of pregnancy

75% - 80% \ 100%

30-40%\ 100%

1. Non functional SHCs2. Lack of urban extension

services3. ANM overburdened

4. Lack of monitoring

5. Low motivation (ANM)

1. Appoint ANMs2. Urban Health posts

3. ANM for RCH\FP4. MPW for national

programmes5. Reduce unnecessary

book keeping - Integration of RCH registers.

6. HMIS – entry of SHC report at block level.

7. HMIS – comp of line listing register.

8. Performance based incentives

Proxy Indicator

Status \desired

Causes Intervention

Complete ANC ( 3 checkups & TT vaccination)

Quality of ANC (Hb, BP etc)

55-65%\ 100%

5%\ 100%

1. VHND not held as planned.

2. Link replacements for ANM not planned.

3. Basic facilities for ANC at village level. Room, table (??).

4. Apparatus not working.

5. Reagents not replenished

6. Lack of training

1. Review VHND roaster – new AWCs, SHCs.

2. Visits by MO, BMO, CMHO, Rev offs on VHND.

3. Not call ANM in any meet \ trg unless replacement is arranged.

4. VHSC funds for basic facilities.

5. 2nd ANC at PHC – helps in training, replenishments, repairs.

6. ANC on same day as fixed for RTI\STI

7. Atleast 1 ANC by MO or RMA – maybe in VHND

Issues , strategy and action points – Programs – RCH- Maternal Health – Target – reduce MMR

Proxy Indicator

Status \desired

Causes Intervention

Anemia in women

56 % 1. Malnutrition

2. Sickle cell3. Lack of awareness4. Medical reasons

1. Supplementary nutrition through ICDS

2. Screening of SCA at 2nd ANC (PHC)

3. Parenteral iron therapy at 2nd ANC for severe anemic women

4. Distribution of IFA

TT vaccination 70-80%\ 100%

1. No clear system in Urban areas.

2. Irregular VHNDs

1. AWCs as session sites in urban areas

2. Accreditation of pvt clinics

High risk pregnancy cases

??? 1. Early marriage and pregnancy.

2. Focus lost due to theory

3. Lack of supply side facilities

1. ARSH 2. Incentives to ANM – delivery

in FRU3. 2nd ANC at PHC4. Labor rooms at all PHCs


Proxy Indicator

Status \desired

Causes Intervention

Institutional deliveries

C-section deliveries

20% Janjigr - >60% Dhamtari \ 70%.

State better only than Jharkhand

Not even in district hospitals \ all DHs and FRUs

1. Lack of infrastructure.

2. No nurse at PHC3. Few deliveries at

night4. Lack of FRUs5. Weak transport

linkages6. Lack of training7. Docs and ANMs not

confident.8. Where all of above is

ok – cuts, corruption, delay in JSY payments.

9. Incentives to mitanin not paid

1. Labor rooms at each PHC2. Contract apptt NRHM. No

attachment. alloc of govt acco – night dels

3. FRU- Blood storage units, specialists, Emoc, LSAS, OT.

4. 102 ambulance, EMRS5. SBA training to ANM6. Bmoc to MO & RMAs7. JSY – payment at the

facility, pending payment is indicative of sensitivity of admn.

8. Mitanin incentive should be prompt.

9. Mitanin help desk10.JSY help line


ANC RegistrationS.N.

Name of District

Target 2009-10

Achievement ANC

Registration on 2009-10

% of ANC Registration

% of Early Registration

(1st Trimester )

% of 3 ANC Checkup

1 State 708746 650728 91.81% 39.80% 83.21%2 Bastar 40292 39582 98.20% 54.54% 92.53%3 Dantewada 14189 13244 93.30% 68.49% 90.41% 4 Kanker 20785 16075 77.30% 29.12% 84.77% 5 Bijapur 7068 6105 86.30% 75.40% 90.63%6 Narayanpur 3550 3559 100% 30% 80%

S.N.

Name of District ANC Registration % of Early Registration

(1st Trimester ) % of 3 ANC Checkup

1 State 60% 90%2 Bastar 2753 40% 100%3 Dantewada 916 100% 90%4 Kanker 1453 50% 85%5 Bijapur 7068 85% 90%6 Narayanpur 3550 50% 90%

Target for 2010-11

Institutional Delivery

S.N.

Name of District

Total Delivery

No. of Institution

al Deliveries

% of Inst.

Deliveries

% of Inst. Delivery in

March 2010

No. of Safe Delivery

( By Dr.+SN+LHV+ANM)

% of Safe Delivery

Un-trained

Delivery

% of Un-

trained Delivery

1 State 554906 216869 39% 28% 131324 63% 206713 37%

2 Bastar 34247 16881 49% 54% 9302 76% 8064 24%

3Dantewada 12739 3834 30% 32% 2994 54% 5911 46%

4 Kanker 14404 7222 50% 62% 3272 73% 3910 27%

5 Bijapur 5704 1416 25% 14% 1955 59% 2333 41%

6Narayanpur 3118 847 27% ? 1808 58% 457 15%

Institutional Delivery -2(Janani Surksha Yojna)

S.N.

Name of District

Total No. of

Institutional

Deliveries

Home Deliverie

sBPL

Beneficiaries (1st & 2nd

Child)

Total case & Amount for

JSY Payment(Rs. in Lakhs)

Total Beneficiaries Payment

Cases & Amount(Rs. in Lakhs)

Pending Cases(Rs. in Lakhs)

Total Case

Case Amount

Total No.

Total Amount

No. of Cases Amount

1 State 235468 56468 270847 3570.56 249488 3315.46 21359 255.102 Bastar 16881 3305 17580 268.51 17504 267.58 76 0.936

3Dantewada 3558 1782 5340 67.40 5037 57.74 303 3.90

4 Kanker 6147 772 6919 117.23 6757 114.87 162 2.355 Bijapur 183 113 65 0.91 108 112.50 292 2.21

6Narayanpur 1372 16.17 1372 16.17 0 0Number of Accredited Pvt. Hospitals

Bastar Dantewada Kanker Bijapur Nayrayanpur

8 2 3 0 1

Institutional Delivery -3 Janani Surksha Yojna – Financial

S. No.

Name of District

Opening

Balance 01-04-2009

Amount Received to

District

Total Available

Fund as on 31st March

2010

Expenditure up to

31st March 2010

% of Expendit

ure

Balance as on 01-04-

2010

1 State 926.75 4751.28 5678.03 3358.01 59.14% 2320.02

2 Bastar 91.28 308.88 400.16 266.87 66.69% 133.29

3 Dantewada 31.04 47.80 78.84 67.40 85.49% 11.44

4 Kanker 27.19 199.31 226.5 120.54 53.21% 105.96

5 Bijapur 0.33 0 0.33 0 0 0.33

6 Narayanpur 0 5.40 5.4 5.40 100% 0

S. No.

Name of District

Opening Balance

01-04-2010

Amount Received to

District

Total Available Fund as on

30st May 2010

Expenditure up to

31st June 2010

Balance as on 31-05-2010

1 State 2320.02 0 2320.02 254.95 2065.072 Bastar 133.29 0 133.29 53.14 80.153 Dantewada 11.44 0 11.44 1.30 10.144 Kanker 105.96 0 105.96 7.97 97.995 Bijapur 0.33 0 0.33 0.33 06 Narayanpur 0 0 0 0 0

Financial Year 2010-11 As per Book of account

Death Audit

S.N.

Name of District

Total Maternal Death

No. of death audited

No. of Child Death

No. of death audited

1 State 551 55 11599 85

2 Bastar 76 10 1968 20

3 Dantewada 2 2 65 65

4 Kanker 23 0 401 0

5 Bijapur 0 0 0 0

6 Narayanpur 6 6 160 160

Maternal Health –1FRUs

Name of

District FRUs Y/s

Gynecologist Y/N

Pediatrician Y/N

Anesthesia Y/N

Surgen Y/N

BSUY/N

No. of Staff Nurse

C-SectionY/N

Bastar

DH Y Y Y Y Y 23 Y Kondagoan Y Y Y Y Y 6 Y Pharasgoan N N Y N N 2 N Keshkal N N N N N 2 N

Dantewada DH N N N N N 8 N

Kanker

DH Y Y Y Y N 17 Y BHANUPRATAPPUR N Y N N N 4 N CHARAMA N Y N N N 3 N

Bijapur DH N N N N N 6 NBhairamgarh N N N N N 3 N

Narayanpur DH Y N N N N 5 N

Maternal Health - MTP

S.N.

Name of District

Target No. of institute Services Provided

DH + CHCs MTP Services being Provided

1 State 161 87

2 Bastar 10 4

3 Dantewada 7 0

4 Kanker 9 8

5 Bijapur 3 3

6 Narayanpur 2 1

Time limit for remaining Training : 31-10-2010

Maternal Health New Initiatives

Activities :

1. Fixed day RTI/STI services to start from 1st August 2010

2. Iron-Sucrose supplement for severely anemic women at

PHC/VHND.

3. At least 1 ANC by Doctor/RMA at PHC/VHND.

4. Doctor/RMA to be present at VHND once in 06 months.

5. Identification of High Risk Pregnancy cases and delivery in FRUs

incentive to ANM.

6. Mahtari Express for transport – Money Given

7. Secondary referral transport – Started/Not Sanctioned

RSBYChild Health

& Immunization

Source: World Health Statistics, 2007

Under-5 deaths in India

IMR and Under 5 deaths

Source: WHR 2005

Estimated Distribution of causes of neonatal and under 5 death

CAUSES INTERVENTIONS

Severe infections (36% deaths) IMNCI / F-IMNCI, Basic new born care, Early initiation of breast feeding

Preterm birth (25% deaths) Basic new born care

Birth asphyxia (23% deaths) Basic Newborn care and resuscitation

Neonatal tetanus (4% deaths) TT (mother)

NEONATAL DEATHS

Child Health-1Birth Weight Recorded

S.No.

Name of District

Total Delivery

Total Live Birth

% of still Birth

% of Birth Weight

Recorded

% of low Birth Weight

1 State 554906 546249 1.56% 97.95% 27.91%

2 Bastar 34247 33794 1.30% 90.46% 30.06%

3 Dantewada 12739 12734 0.03% 81.06% 32.20%

4 Kanker 14404 14161 1.68% 97.73% 40.59%

5 Bijapur 5704 5730 0.004% 50.68% 18.28%

6 Narayanpur 3118 3048 0.022% 89% 3%

Child Health-2ARI/Diarrhea

S.N.

Name of District

NO. of Child upto 5 Yrs

(According to pulse polio data)

ARI Cases Diarrhea Cases

Detected Treated Death Detected Treated Death

1 State 35.8 Lakh 308173 306641 116 285008 285008 20

2 Bastar 211906 66 66 14 574 574 8

3 Dantewada 73581 603 603 0 1237 1237 0

4 Kanker 92135 4583 4583 0 6069 6068 0

5 Bijapur 46435 24 24 0 85 85 0

6 Narayanpur 20643 1032 1032 0 1969 1969 4

Child Health-3Immunization

S.No.

Name of District

Immunization

Target BCG DPT OPV Measles Complete Immunized Vit. A

1 State 644306 595922 580843 582858 573154 590387(91.6%) 567651

2 Bastar 36610 31524 33007 33007 32845 32269(83%) 32970

3 Dantewada 13336 11914 11600 11600 11526 11526(91%) 11338

4 Kanker 18895 14971 14778 14778 14336 14336(76%) 14336

5 Bijapur 6361 5756 5405 5405 5591 5621(88%) 5500

6 Narayanpur 3208 3048 2924 2924 2817 2817(88%) 2817

Sishu Sanrakshan Mah-I

S. N.

District Target BCG % OPV-3 % DPT-3 % Measles %

1 State 644306 62155 9.65% 57125 8.87% 55709 8.65% 74242 11.5%

2Bastar 36610 3803 10.4% 3486 9.5% 3515 9.6% 4631 12.6%

3 Dantewada 13336 1572 11.8% 4251 31.9% 4251 31.9% 1729 13.0%

4Kanker 18895 1459 7.7% 2255 11.9% 2255 11.9% 1984 10.5%

5Bijapur 6361 909 14.3% 475 7.5% 734 11.5% 797 12.5%

6 Narayanpur 3208 376 11.7% 406 12.7% 406 12.7% 407 12.7%

Shishu Sanrakshan Mah-II

S. N. District Vitamin-A DT-5 TT-10 TT-16

1 State 84911 141785 111555 102919

2 Bastar 4635 9578 6913 5947

3 Dantewada 47836 2256 1641 1385

4 Kanker 57094 5380 1311 1276

5 Bijapur 797 1207 772 575

6 Narayanpur 11717 940 282 247

Shishu Sanrakshan Mah-III

S. N.

District Albendazol (Tablets/Syrup)

IFA (Small Tablets/Syrup)

Mosquito Net Distribution

No. of Bed Nets Medicated

No. of Salt Testing

1 State 1712264 1623760 454516 21760(48%) 151489

2 Bastar 117868 118999 28470 6008(21%) 2846

3 Dantewada 32137 32536 5000 0 -

4 Kanker 53302 1326575 340789974(68%) -

5 Bijapur 19199 17337 0 0 2834

6 Narayanpur 10717 5548 4084713(81%) 1000

Strategic interventions to reduce IMR-1

S.N. District Year of Approval

Approved Amount(Rs. In Lakh)

Received Amount(Rs. In Lakh)

Expenditure Amount(Rs. In Lakh)

Physical Progress

Date of Completion

1 Bastar 2008-09 28.75 28.75 0 Building completed 31-7-10

2 DantewadaNot Sanctioned

3 KankerNot Sanctioned

4 BijapurNot Sanctioned

5 NarayanpurNot Sanctioned

Status of SNCU


S.N. District

Target Health Card

Distributed

Total No. of Health Card Distributed

No. of Primary &

Middle Schools

Expected date of starting

No. of Students

2 Bastar 80000 50000 4335 1-7-10 245184

3 Dantewada 60000 3500 1542 1-7-10 84348

4 Kanker 110000 55000 2304 1-8-10 172094

5 Bijapur 20000 20000 448 1-8-10 24730

6 Narayanpur 40000 20000 543 15-8-10 16564

• Health checkup should be done up to 31.12.2010 according to

Time limit prepared action plan.

• Training of teacher should be completed coordination with SSA up

to end of the year

Status of School Health


S.N. District

Identification of Ward

and developmen

t Y/N

Staff Training Y/N

Appointment of Cook

and dietitian

Y/N

Expected date of starting

Identified of malnourished

Children (From ICDS)

1 Bastar Y Y In process 1-07-2010 y

2 Dantewada Y N N 30-6-2010 N

3 Kanker Y Y Y 20-6-2010 Y

4 Bijapur Y Y N ? N

5 Narayanpur Y Y N 1-07-2010 Y

Status of NRC

Other Important to reduce IMR Steps to be taken

2. HBNC

S. N. District No. of Block No. of Sub Health Center

2 Bastar 1 16

3 Dantewada 1 15

4 Kanker 1 27

5 Bijapur 1 10

6 Narayanpur 1 12

1. Revision of VHND Roaster.

Target for HBNC

1. MT Training by 30.06.2010

2. Mitanin Training by 30.08.2010

3. ANM Training by 30.08.2010

4. 2nd ANM Training approved by 05.08.2010 started on 02.10.2010.

Family Planning – I (Permanent)

S.No.

Name of districts

Target

Sterilization in First Six Month

Sterilization in Next Six

Month

Sterilization in 2009-10 %

1 State 194696 11% 65% 148073 76%

2 Bastar 11262 22% 52% 8281 74%

3 Dantewada 4628 16% 36% 2404 52%

4 Kanker 6700 17% 48% 4344 65%

5 Bijapur 604 3% 0% 16 3%

6 Narayanpur 781 29% 40% 535 69%

Year- 2009-10

Family Planning – I (Permanent)

S.No.

Name of districts

Target

Male SterilizationFemale

SterilizationTotal

Sterilization

Percentage

NSVT VT CTT LTT

1State 198000 106 52 888 343 1389 0.7%

2Bastar 14000 13 17 11 42 83 0.7%

3Dantewada 3733 0 0 04 0 4 0.1%

4Kanker 6700 19 1 7 0 27 0.40%

5Bijapur 2500 6 0 0 10 16 0.6%

6Narayanpur 1040 0 0 0 0 0 0%

Year-2010-11

Family Planning – II (Temporary)

S.N.Name of

District Year

IUD OP CCTarget No.

of user%

Achieved

Target % Achieved Target % Achieved

1 State2009-10 121573 91 258578 85 376310 77

2010-11 140000 6.7 258578 17.7 376310 13.7

2 Bastar2009-10 9250 83.2 22030 98.6 377700 96.2

2010-11 9905 7.9 22030 83.8 377700 79.8

3Dantewada 2009-10 4068 78.27 4474 136.4 6743 110%

2010-11 4723 0 4474 0 6743 0

4Kanker 2009-10 3112 123.8 4705 100% 7539 118.6

2010-11 5353 0.86% 4705 20.8 7539 23.6

5 Bijapur 2009-10 2829 58 4756 113 9248 67

2010-11 2877 8.4 4756 18 9248 12

6 Narayanpur 2009-10 605 96 1935 100 2443 97%

2010-11 1084 4 1935 83 2443 83%

Family Planning New Measures

S.No.

Name of districts

Number of Operation

Centers

Number of

Surgeons

Distt. Operation Capacity

Distt Target for 2010-11

Gap of Operation Centers

Gap of Surgeons

1 Bastar 14 1 2000 14000 0 6

2 Dantewada 4 1 2000 3733 0 1

3 Kanker 8 11 8320 6599 0 0

4 Bijapur 4 0 0 2500 0 2

5 Narayanpur 1 0 1040 1040 0 1

District Operation Capacity

-1040 x Number of Operation Centers OR

-2000 x Number of Surgeons Which ever is less

Year-2010-11

Strategies

1. PHC wise - Fixed day programme with guarantee.

2. Incentive to staff /beneficiary for operation in 1st half Rs. 50/-

staff (ANM/MPW), Surgeon -100/- only if number of live

children ≤ 3.

3. Incentive to surgeon also in private sector :

Rs. 10000 for bench mark 1200

Rs. 100 per surgery for additional surgeries

4. Accreditation of Pvt. Facilities.

5. Pvt. Surgeons can be hired for surgeries/camps @ Rs. 300 per

surgeries subject to minimum 20 surgeries transport

expenditure with apart from that.

Maternal HealthTraining -1

S.N Training

Bastar Dantewada Kanker REMARKS

Target Probable date of

completion


completion


completion

1 SBA 60 31 /9/11 If started from July 2010.

20 31 /9/11If started from July 2010.

40 31 /5/11 if started from 2010.

04 Participants per batch

2 EmOC 32(state target)

Will be decided by State Academy Counselling Committee3 LSAS 15

4 BEmOC 10 Nov.10 if started Oct10

10 Nov.10 if started Oct10

10 Nov.10 if started Oct10

Mos posted at 354 PHC’s@ 5 trainees per batch

5 RTI/STI 150 65 65 (For 270 Mos posted at CHC’S/PHC’S) (For 1080 SNS &ANMS)

6 MTP 12(4+8) Feb.11 if started from sep.10

7(0+7) Nov.10 if started from sep.10

7(0+7) Dec.10 if started from sep.10

(For 39 Gynec.)&(For 120 MBBS Mos)

7 IMEP 100 31/12/10 75 31/12/10 100 31/12/10 (For 1500 @1 MO +01& RMA+1SN & all ANMs of FRU)

Maternal Health….Training -1

S.N Training

Bijapur Narayanpur Remarks


completion


completion

1 SBA 8 31 /8/10 If started from July 2010

03 31 /7/10 If started in July 2010

2 EmOC State target 32 Will be decided by State Academy Counselling

Committee3 LSAS State target 15

4 BEmOC 09 Nov.10 if started Oct10

01 (can be trained @ bijapur)

5 RTI/STI 30 40 (For 270 MOS posted @CHC/PHC)(For 1080 SNs 2 ANMS)

6 MTP 4 Nov.10 if started from sep.10

6 Dec.10 if started from sep.10

(For 39 Gynec.)&(For 120 MBBS MOS)

7 IMEP 30 31/12/10 30 31/12/10 (For 1500 @1 MO +01& RMA+1SN & all ANMs of FRU)

Child HealthTraining -2

S.N

Training


REMARKS


completion

Target

Probable date of

completion

Target

Probable date of

completion

1 IMNCI 96 72 72

2 Immunisation

290 31st Feb.2011

140 31st Jan.2011

210 31st Jan.2011

3 Cold chain

National TOT to be held in Aug. 2010

4 NSSK 303 Sep.2010 137 Aug.2010 176 Aug.2010

Child Health….Training -2

S.N Training

Bijapur Narayanpur

REMARKSTarget Probable date of completion

Target Probable date of completion

1 IMNCI48

48

2 Immunisation

58 Dec.10 40 Oct.10 Two day training of health workers

3 Cold chain

National TOT to be held in Aug. 2010

4 NSSK 77 July2010 33 July 2010

RSBYState

Special Initiative

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Emergency Medical Response Services

(EMRS)

• Selection of strategic point where ambulances will be stationed•Setting up trauma centre at district hospitals and FRUs.•Emergency service facilities at all CHCs.

Sense Reach Care Follow upafter 48 hrs

What districts will do ………..

National ProgramsNational Programs

RNTCPRNTCPNVBDCNVBDCPPNIEPNIEPNBCPNBCPRSBYRSBY

RNTCP

District

Suspects Cases per lakh

population per quarter as per

Norms

Suspects examined per

lakh population per quarter

Annual Case Detection Rate Total (All Type) per lakh

population

Annual Case Detection

Rate NSP per lakh

population

3 month Sputum

Conversion Rate of NSP

patients

Cure rate of NSP

patients

Success rate of NSP

patients

1 State 143642 105338 /110 115 45 (56%) 89% 82% 87%

2 Bastar 8304 5702 /103 96 38 73 55 68

3 Dantewada 3321 2723 / 123 131 49 73 74 81

4 Kanker 4524 4252 / 141 127 64 91 84 87

5 Bijapur 1668 1067 / 96 46

6 Narayanpur 749 574 /115 52

S.No Target / Per lakh

1 Suspects examination 150 (Per lakh per quarter )

2 Annual Case Detection Rate Total 151 (per lakh per year )

3 Annual Case Detection Rate NSP 56 (per lakh per year )

4 3 month Sputum Conversion Rate 90 %

5 Cure rate of NSP patients 85 %

6 Success rate of NSP patients 86 %

Year-2009-10

RNTCP

Activities : -

1.Accreditation of Private institutes in urban areas.2.Gaps in DOT provider and target.3.All suspected TB cases blood sample to be collected for TB- HIV referencing.4.DOTs site in CIMS Bilaspur and Medical College Raipur.

NVBDCP (Malaria )

S.No.

Name of

District

Total Slides Target

2009-10

Slides Examined

Total +Ve

PF + PV

Prevalence Rate

Death

By RD Kits By Microscope

No. Examin

ed

Total +ve (PF)

No. Examin

ed

Total +ve

(PV+PF)

2 Bastar 180000 1843 330 256237 20791 21081 8.21% 2

3Dantewada 102410 4117 580 249772 42807 43387 17% 0

4 Kanker 98025 5343 248 57209 2074 2322 3.54% 0

5 Bijapur

6Narayanpur 13690 1050 114 29500 3272 3386 11% 0

Year-2009-10

District Name

Target for Residual Spray

Achievement Residual Spray

Total Team

working

Spray pumps in

use

Amount Required

(a)

Amount Available

(b)

Balance Amount Required

(a+b)Village House Village House

2 Bastar 881 194724 159 34042 40 80 510630 795000 135630

3Dantewada

154010 30

4Kanker

943 12914045+3(para) Upto jun

108092 34 68 1937100 1937100 0

5Bijapur

6Narayanpur

NVBDCP (Malaria )

1. House spray program to be published.2. Payment by VHSC –Rs 15/- per house to team leader.

Rs in lakh

Year-2010-11

District NameMO MPW ANM Mitanin

Load Trained Load Trained Load Trained Load Trained

1Bastar 192 ? 196 ? 351 ? 5167 ongoing

2Dantewada 86 ? 152 ? 208 ? 3414 ongoing

3Kanker 96 86 193 170 240 226 2776

1057

4Bijapur 0 3 0 80 0 67 0 1227

5Narayanpur 22 ? 32 ? 59 ? 150 ?

NVBDCP (Malaria )

RD Kits & ACT Training Status

Year-2009-10

NLEP

Name of District

Leprosy Cases(Old + New)

Number of RFT Cases

Number of cases for RCS

Number of RCS done

Number of MCR given MB PB Total

1 State 8096 13354 21450 7843 114 113 954

2Bastar 181 121 302 281 22 0 0

3Dantewada 27 62 89 49 0 0 0

4Kanker 28 27 50 53 06 02 39

5Bijapur 7 2 9 5 2 0 0

6Narayanpur 3 0 3 2 4 3 0

Year-2009-10

National Blindness Control Programme(NBCP)

DISTT TARGET

Achievement in first six month

Achievement in Next six month

Achievement in year 2009-

10

Target for year

2010-11

Number % Number %

1State 100000 21954 21.95 68498 68.50 90452 100000

2Bastar 6000 1254 20.9 2135 35.6 3389 5000*

3Dantewada 2800 185 6.6% 1376 49.1% 1561 2000*

4Kanker 3500 703 20.1% 2015 57.6% 2718 3000*

5Bijapur 1050 0 0 0 0 600*

6 Narayanpur 400 37 9.25 129 32.25 166 400

CATARACT OPERATION

* - target reduced in 2010-11

Year-2009-10

National Blindness Control Programme(NBCP)

S.N DISTT TARGET School

Target Student

Student Examined % REF.

ERROR % Target Spe. Distribution

Spectacles Provided %

1State

11800 6 lakh 8.8 lakh 148 12482 34.67 10800 9172 84.9

2Bastar 968 26000 44515 171 927 57.9 480 927 193.1

3Dantewada 217 9200 4264 46.3 220 36.6 180 181 100.5

4Kanker 491 22394 22078 98.5 295 84.2 360 289 97.9

5Bijapur 74 5000 4406 88.1 15 7.3 100 0 0

6Narayanpur 53 6350 2213 34 120 5 100 70 70

SCHOOL EYE SCRINING PROGRAMME

Year-2009-10

DetailsOpening Balance

Grant Receipt

Total Exp Closing% of

Utilization

Bastar

Part - A 217.20 475.75 692.95 403.38 289.57 58.21

Part - B 551.21 529.48 1080.69 277.74 802.95 25.70

Part - C 40.79 32.35 73.14 32.99 40.15 45.11

NVBDCP 7.41 5.52 12.93 3.94 8.99 30.47RNTCP 0.91 42.62 43.53 30.96 12.57 71.12NPCB 0.15 44.95 45.1 15.07 30.03 33.41IDSP 25.02 75.07 100.09 5.95 94.14 5.94NLEP 0.02 3.5 3.52 3.52 0 100.00

Total 842.71 1209.24 2051.95 773.55 1278.40 37.70

Dantewada

Part - A 227.68 143.61 371.28 144.31 226.97 38.87

Part - B 738.78 278.69 1017.48 109.71 907.76 10.78

Part - C 33.00 21.25 54.25 5.11 49.14 9.41

NVBDCP 14.89 25.64 40.53 17.48 23.05 43.13RNTCP 0.35 27.11 27.46 21.49 5.97 78.26NPCB 3.54 7.35 10.89 2.49 8.4 22.87IDSP 4.76 4.39 9.15 6.36 2.79 69.51NLEP 1.03 3 4.03 1.48 2.55 36.72

Total 1024.03 511.04 1535.07 308.43 1226.64 20.09


Grant Receipt


Utilisation

Kanker

Part - A 204.14 302.46 506.59 266.40 240.19 52.59Part - B 208.07 324.46 532.53 168.95 363.57 31.73Part - C 9.70 18.40 28.10 17.93 10.17 63.81NVBDCP 9.87 1.6 11.47 2.15 9.32 18.74RNTCP 2.69 17.79 20.48 18.21 2.27 88.92NPCB 0.24 15.51 15.75 15.29 0.46 97.08IDSP 3.54 3.16 6.7 2.12 4.58 31.64NLEP 0.79 4 4.79 3.7 1.09 77.24Total 439.03 687.38 1126.41 494.76 631.66 43.92

Narayanpur

Part - A 0.00 10.00 10.00 6.02 3.98 60.17Part - B 0.00 60.70 60.70 3.12 57.58 5.14Part - C 0.00 0.00 0.00 0.00 0.00 0.00

Part - D 0.00 0.00 0.00 0.00 0.00 0.00

Total 0.00 70.70 70.70 9.14 61.56 12.93

BiJapur

Part - A 0.00 10.63 10.63 0.00 10.63 0.00

Part - B 0.00 41.35 41.35 0.00 41.35 0.00Part - C 0.00 0.00 0.00 0.00 0.00 0.00Part -D 0.00 0.00 0.00 0.00 0.00 0.00

Total 0.00 51.98 51.98 0.00 51.98 0.00


Grant Receipt Total Exp Closing% of

Utilisation

BASTER

Part - A

Janani Surksha Yojna 9128161.00 30888436.00 40016597.00 26687061.00 13329536.00 66.69

Family Palning 1323165.00 12360000.00 13683165.00 7086710.00 6596455.00 51.79

Shishu Sanrashan Mah 104000.00 180000.00 284000.00 133000.00 151000.00 46.83

FRU Blood Storage 2073586.00 0.00 2073586.00 1750000.00 323586.00 84.39Part - B

Untied Fund Sub Centre 11146915.00 3720000.00 14866915.00 4796528.00 10070387.00 32.26

Untied Fund PHC 4050000.00 1575000.00 5625000.00 0.00 5625000.00 0.00

Untied Fund CHC 0.00 600000.00 600000.00 0.00 600000.00 0.00

Annual Mait. Grant 0.00 5540000.00 5540000.00 0.00 5540000.00 0.00

Jeevan Deep Samity 13500000.00 7700000.00 21200000.00 5974826.00 15225174.00 28.18

VHSC 15630000.00 11560000.00 27190000.00 0.00 27190000.00 0.00

DANTEWADA

Part - AJanani Surksha Yojna 3403914.00 4780410.00 8184324.00 5713250.00 2471074.00 69.81

Family Palning 7341192.00 6402500.00 13743692.00 3795957.00 9947735.00 27.62

Shishu Sanrashan Mah 196000.00 130000.00 326000.00 156972.00 169028.00 48.15

FRU Blood Storage 1750000.00 0.00 1750000.00 3213124.00 -1463124.00 183.61Part – B

Untied Fund Sub Centre 2420000.00 2400000.00 4820000.00 0.00 4820000.00 0.00

Untied Fund PHC 10000.00 900000.00 910000.00 175000.00 735000.00 19.23

Untied Fund CHC 0.00 500000.00 500000.00 0.00 500000.00 0.00

Annual Mait. Grant 750000.00 2770000.00 3520000.00 575000.00 2945000.00 16.34


VHSC 13110000.00 2120000.00 15230000.00 0.00 15230000.00 0.00


Grant Receipt


Utilisation

KANKER

Part - A

Janani Surksha Yojna 2719231.00 19924313.00 22643544.00 14000752.00 8642792.00 61.83

Family Palning 4683989.00 6510000.00 11193989.00 4974515.00 6219474.00 44.44Shishu Sanrashan Mah 61800.00 130000.00 191800.00 107500.00 84300.00 56.05

FRU Blood Storage 2073602.00 0.00 2073602.00 3498804.00 -1425202.00 168.73Part - B

Untied Fund Sub Centre 2202800.00 2050000.00 4252800.00 534257.00 3718543.00 12.56Untied Fund PHC 0.00 700000.00 700000.00 0.00 700000.00 0.00Untied Fund CHC 0.00 400000.00 400000.00 0.00 400000.00 0.00Annual Mait. Grant 0.00 2620000.00 2620000.00 0.00 2620000.00 0.00


VHSC 10600000.00 10000000.00 20600000.00 4133164.00 16466836.00 20.06

NARAYNPUR

Part - AJanani Surksha Yojna 0.00 0.00 0.00 274200.00 -274200.00 0.00

Family Palning 0.00 0.00 0.00 130500.00 -130500.00 0.00Shishu Sanrashan Mah 0.00 80000.00 80000.00 0.00 80000.00 0.00



Jeevan Deep Samity 0.00 500000.00 500000.00 0.00 500000.00 0.00VHSC 0.00 3790000.00 3790000.00 0.00 3790000.00 0.00

BIJAPUR

Part - AJanani Surksha Yojna 0.00 0.00 0.00 0.00 0.00 0.00

Family Palning 0.00 0.00 0.00 0.00 0.00 0.00Shishu Sanrashan Mah 0.00 100000.00 100000.00 0.00 100000.00 0.00



Jeevan Deep Samity 0.00 500000.00 500000.00 0.00 500000.00 0.00VHSC 0.00 1190000.00 1190000.00 0.00 1190000.00 0.00

Documents

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