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Mathura City Program Implementation Plan
National Urban Health Mission
Prepared by District Health Officials with support from Urban Health Initiative
NATIONAL URBAN HEALTH MISSION
PROJECT IMPLEMENTATION PLAN (PIP)
2013-14
DISTRICT - MATHURA
–: Submitted by :–
District Health Society, Mathura August, 2013
PREFACE
The Government of India has launched the National Urban Health Mission (NUHM) as a sub-mission under the National
Health Mission (NHM), the National Rural Health Mission (NRHM) being the other sub-mission. National Urban Health
Mission (NUHM) seeks to improve the health status of the urban population particularly slum dwell ers and other
vulnerable sections by facil itating their access to quality health care. National Urban Health Mission (NUHM) would cover
all state capitals, district headquarters and other cities/towns with a population of 50,000 and above (as per census
2011) in a phased manner. Cities and towns with population below 50,000 will be covered under NRHM. Under the
scheme, government proposes to set up one Urban Primary Health Centre for every 50,000 -60,000 population, one
Urban Community Health Centre for five to six urban PHCs in big cities, an Auxiliary Nursing Midwives (ANM) for 10,000
populations and an Accredited Social Health Activist (ASHA) (community l ink worker) for 200 to 500 households.
Mathura, with a population of 2.5 mill ion (Census: 2011), is one of the seventy four districts in Uttar Pradesh. Out of the
total Mathura population for 2011 census, 29.68 percent l ives in urban regions of district. In total 755,993 people l ives in
urban areas of which males are 405,097 and females are 350,896. Sex Ratio in urban region of Mathura district is 866 as
per 2011 census data. Similarly child sex ratio in Mathura district was 861 in 2011 census. Child population (0 -6) in urban
region was 103,145 of which males and females were 55,429 and 47,716. This child population figure of Mathura district
is 13.68 % of total urban population. Average literacy rate in Mathura district as per census 2011 is 74.45 % of which
males and females are 81.47 % and 66.37 % literates respectively. In actual number 486,077 people a re l iterate in urban
region of which males and females are 284,861 and 201,216 respectivel y. As per provisional reports of Census India,
population of Mathura city in 2011 is 349,336; of which male and female are 186,586 and 162,750 respectively.
Mathura city has population of 349,336; Slum population of Mathura city is 259,434 as per DUDA and UHI l isting and
mapping, it contributes 74% population living in slum areas. Total number of notified slums in Mathura are 100 (DUDA)
and 13 un-notified (UHI l isting and mapping). According to AHS, 2010-11, Infant Mortality Rate of Mathura is 46,
Neonatal Mortality Rate is 35, Under five mortality is 61, Maternal mortality Rate as per SRS is 281. Crude Birth Rate
(AHS, 2010-11) 22.7, Crude Death Rate (2010-11)(AHS, 2011) is 7.8 and Total Fertil ity Rate as per NFHS-3 is 3.7.
National Urban Health Mission will complement in the betterment of urban people particularly with the urban poor &
slum dwellers. The NUHM planning is based on the data, surveys and available info rmation at city level, information
provided by Urban health initiative and hoping that systematically we will make the difference in improving the quality of
services of urban people.
Dr. B. S. Yadav Vishal Chauhan (IAS)
Chief Medical Officer District Magistrate
Mathura Mathura
August 2013
ACKNOWLEDGEMENT
National Urban Health Mission Project implementation plan document become possible of hard work,
dedication and perseverance of Health department, DPMU-NRHM team and UHI Mathura. This work of planning
would not have been completed without the help and support of a number of people.
I would like to say that this become possible with valuable support and continuous encourageme nt of District
Magistrate Shri Vishal Chauhan (IAS). His great confidence in team and spurred us into action.
My special regard goes to Dr. B. S. Yadav, Chief Medical Officer, Mathura; a dynamic and enthusiastic
personality. He has always been a source of great encouragement for us. The initiation and completion of this
work would be substantiated only in his sincere and able guidance, expertise and precious opinion, keen
attention, constructive suggestions and constant help. His critical reading of all the parts of the work has helped
shape the NUHM planning in its present form.
I owe my sincere gratitude to Dr. Usha Gangwar, DGM (NUHM) and Dr. Gautam (GM) who have helped us
immensely by providing relevant information, expert suggestions. This planning work got accomplished with
their valuable support and eagerness to help.
I express my gratefulness to Mission Director Shri. Amit Kumar Ghosh, IAS & Additional Mission Director , Dr.
Shashank Vikram (IFS) for guidance and support.
I am privileged to have such great team DPMU-NRHM team Ms. Bharti Verma (DMP, NRHM), Ms. Parul Sharma
(DCPM-NRHM), Mr. Sunil Datt Sharma (DAM-NRHM), Mr. Pushpendra Singh (DDAA-NRHM) and Mr. Som
Sharma, City Manager, Urban Health Initiative (UHI) who have supported, helped, put their great efforts into
planning of NUHM at city level.
I am also pleased to appreciate the precious help of Mr. Subhash Veer Rajput, PO-DUDA, Ms. Pooja Agnihotri,
DPO, Mr. K. P. Singh, EO, Nagar Palika, Officer In-charge, Jal Nigam, Dr. B. D. Bhaskar, Chief Medical
Superintendent of District women hospital, Mathura, Dr. S. C. Gupta, Chief Medical Superintendent District
hospital, Mathura& Dr. Bharat Singh Yadav, Chief Medical Superintendent District combined hospital, Vrindavan
for providing data and support in PIP document.
Last but not the least, all those people who were involved in the planning process directly or indirectly.
Dr. A. K. Shrivastav Dr. Dilip Kumar Jatav
Nodal Officer (NUHM) ACMO (RCH)
Mathura Mathura
August 2013 August,2013
Abbreviations
AIDS Acquired Immuno Deficiency Syndrome FHW Female Health Worker
ANC Ante Natal Care FW Family Welfare
ANM Auxi l iary Nurse Midwife GNM General Nursing and Midwifery Diploma course
ASHA Accredited Social Health Activist GIS Geographical Information System
AWW Anganwadi Worker HIV Human Immunodeficiency Virus
BCC Behavior Change Communication HR Human Resource
BPL Below Poverty Line HUPA Hous ing & Urban Poverty Al leviation
BMP Block Program Manager ICDS Integrated Child Development Services
CBO Community Based Organization ICU Intensive Care Unit
CHC Community Health Centre IEC Information Education Communication
CHP City Health Plan IFA Iron Folic Acid
CHW Community Health Worker IMNCI Integrated Management of Newborn & Chi ld Illness
CPIP City Program Implementation Plan IMR Infant Mortality Rate
CSO Civi l Society Organization IPC Inter Personal Communication
DAM District Account Manager IPHS Indian Public Health Standards
DCPM District Community Process Manager IT Information Technology
DDAA District Data Accountant Assistant IUD Intra Uterine Device
DH District Hospital JNNURM Jawaharlal Nehru National Urban Renewal Mission
DLHS District Level Household Survey KFA Key Focus Areas
DOTS Directly Observed Therapy, Short Course LHV Lady Health Visitor
DPM District Program Manager MAS Mahi laArogyaSamiti
DPMU District Program Management Unit M & E Monitoring and Evaluation
DPT Diphtheria, Pertussis and Tetanus MBBS Bachelor of Medicine and Bachelor of Surgery
MD Mission Director PPP Publ ic Private Partnership
AMD Additional Mission Director QA Qual ity Assurance
MDG Mil lennium Development Goals RAY Rajiv AwasYojana
MMR Maternal Mortality Ratio RE Revised Estimate
MMU Mobi le Medical Unit RI Routine Immunization
MO Medical Officer RKS RogiKalyanSamiti
MoHFW Ministry of Health and Family Welfare RSBY RashtriyaSwasthyaBimaYojana
MoU Memorandum of Understanding SPMU State Program Management Unit
NFHS National Family Health Survey TB Tuberculosis
NGO Non-Governmental Organization ToR Term of Reference
No. Number TSC Tota l Sanitation Campaign
NPSP National Polio Surveillance Project TT Tetanus-toxoid
NRHM National Rural Health Mission U5MR Under-5 Mortality Rate
NSSO National Sample Survey Organization UCHC Urban Community Health Centre
NUHM National Urban Health Mission UFWC Urban Family Welfare Centre
OBS/GYN Obstetrics/Gynecology UHC Urban Health Centre
OPD Out Patient Department UHND Urban Health & Nutri tion Day
PFS Pre Fi l led Syringe UHP Urban Health post
PHC Primary Health Centre UIP Universal Immunization Program
PHN Publ ic Health Nurse ULB Urban Local Body
PIP Project Implementation Plan UPHC Urban Primary Health Centre
PMU Project Management Unit UNICEF United Nations Children’s Fund
PPP Publ ic Private Partnership WHO World Health Organization
SUMMARY OF THE CITY NUHM PLAN : About Mathura:
The city of Mathura in Uttar Pradesh, the nucleus of Brajbhoomi, is the land of Lord Krishna, where he was born
and spent his colorful youth. Mathura is his torically significant as well, attaining the peak of its glory under the Kushan
Empire. The birth place of Lord Krishna, "the best known, best loved and most complex of Lord Vishnu's manifestations" :
Mathura is today an important place of pilgrimage Before the advent of Buddha the territory that Mathura is located in was
called Surasena. In Buddhist l iterature Mathura is called Madhura. It was also known as Mathera. Mathura was a
prosperous city and the capital of a large territory. A Buddhist center was established in Mathura during the reign of the
Mauryas dynasty. This center existed for a few centuries. Emperor Ashoka made many Buddha stupas in Mathura on the
bank of the Yamuna. Emperor Kaniska in the first century BC and his successors constructed many Buddhist stupas and
chaityas.
Mathura borders Rajasthan in the West, Haryana in the North, and the districts of Aligarh, Hathras and Agra in the
East and South respectively. Mathura is a major religious centre, with the Krishna JanmaBhoomi being highly r evered
among the Hindus. Thousands of pilgrims visit this holy place throughout the year. Other important places of interest
include the Dwarkadheesh temple, Vishram Ghat, Jama Masjid and the museum. Mathura is full of stories of Krishna, his
birth and the part of his l ife he spent there with Radha Rani. The land of Braj starts from Kotban near Hodel about 95 km
from Delhi and
ends at Runakuta which is known specially for its association with the poet Surdas, an ardent Krishna devotee long line of
picturesque ghats - with their steps leading to the water's edge, arched gateways and temple spires extending along the
right bank of the River Yamuna, emphasise the sacred character of the town of Mathura.
Location & Geographical Area:
Mathura geography has a major influence on its climate and topography. Mathura lies between the coordinates
27°41'North latitude and 77° 41 ' East longitudes. This city in Uttar Pradesh is located on the beautiful banks of the river
Yamuna. Mathura, popularly known as Brajbhoomi is 145 km south of the capital city of New Delhi. The holy city is just 50
km from Agra, where the beautiful Taj Mahal is located. Mathura and Brij Bhumi is the alternative name of Birth place of
loard Shri Krishna and Radha Rani. Mathura without Lord Krishna is l ike Bethlehem without Christ. Mathura is located on
the western bank of river Yamuna at latitude 27 degree 41 Minute N and 77 Degree and 41 Minuet E. Mathura city is
located at a distance of 145 km south-east of Delhi and 58 km north-west of Agra in the state of Uttar Pradesh.
Topography:
Mathura is a city in the North Indian state of Uttar Pradesh. It is located approximately 50 km north ofAgra, and
145 km south-east of Delhi; about 11 kilometers from the town of Vrindavan and 22 kilometers from Govardhan. It is the
administrative centre of Mathura District of Uttar Pradesh. During the ancient period, Mathura was an economic hub,
located at the junction of important caravan routes. Today, it is a fast expanding city with over 2.5 mill ion residents.
Strategic importance:
Mathura is the home for Indian I Corps (Strike Formation) within the Indian Army's Central Command, hosting
Strike . C orps headquarters in a large classified area in the outskirts of the city known as Mathura Cantonment (Central
Command itself has its headquarters at Lucknow). It hosts Strike Infantry units, Air Defence units, Armoured Divisions,
Engineer brigades, Ariti l lery Units and classified units of Strategic Nuclear Command. Corps I is primarily responsible for
western borders of India. In 2007 during Exercise Ashwamedha, all the armoured, artil lery and infantry divisions performed
a simulation of an overall NBC (nuclear-chemical-biological) environment. The aim was to show operational ability in high
intensity, short duration and 'sudden' battles.
Demographic indicator:-
Mathura city with a population of 6.95 Lakh (Census, 2001) is one of the seventy four districts of Uttar Pradesh
(UP) with huge slums population i.e. 67% of total city
population. Mathura city is having a total number of
100 listed and 12 unlisted slums. The total population
of slums as per DUDA and UHI mapping listing is 4.77
lacs with a decadal growth of 22.53% (Census 2011).
Health scenario of city –
Existing Health infrastructure has its l imitation to cater
the rapidly growing urban population and their health
needs. Presently health services for urban population is
being provided by four Urban health posts created
under Urban RCH in 2013 and two urban family welfare centers running through state budget. The condition of Urban
Family Welfare Centers is not good to provide service. Most of the services from UFWCs are being provided through
outreach as one of them has no building and other one is running from a poor condition bui lding. Other than these primary
health facil ities; one District hospital, one District women hospital, one District combined hospital and one Post-partum
Centre is (FRU). Routine immunization services for pregnant women and children are being provided at Anganwadi centers
by deputing ANMs from rural areas. Mathura city is having 350 ICDS centers.
According to AHS, 2010-11,Infant Mortality Rate of Mathura is 46, Neonatal Mortality Rate is 35, Under five
mortality is 61, Maternal mortality Rate as per SRS is 281. Crude Birth Rate (AHS, 2010-11) 22.7, Crude Death Rate (2010-
11)(AHS, 2011) is 7.8 and Total Fertil ity Rate as per NFHS-3 is 3.7.The overall CPR of Mathura is 29.4% (any modern
method) which mostly includes female steril ization,
condom and pills. The DLHS-3 estimates the unmet
Family Planning need in Mathura is 38.9%, comprising
9.8% unmet need for spacing methods and 29.1% unmet
need for l imiting methods.
1. CITY PROFILE
Name of the City: Mathura
Status of the city: District headquarter
The Urban Health Plan of the Mathura ci ty has been made to improve the health condition of the urban poor communities
by provision of quality health care services through government, NGOs and civil society organizations. The program
implementation plan is prepared based on experiences of urban health initiative program of different cities and emerging
need of the Mathura city.
Situation of the Urban Poor
The environmental condition of some of the slums in Mathura was appalling, because of the open drains which are often
used for urination and defecation. The slum women perceive pregnancy as a natural process associated with risks, which
every woman undergoes in her l ife. Untrained dais, family members and relatives conduct most of the deliveries at home.
Women are taken to hospital, when it becomes unmanageable by the birth attendant to safely carry out the delivery at
home.
Majority of the surveyed slum population were daily wage earners, with a few engaged in business related activities, i .e.,
manufacturing of sports goods (cricket bats, wickets, etc.). Most women who work outside the home were domestic maids
in the surrounding areas. Living conditions vary from il legal settlements with kutchahouses, to low rent dwellings, or owned
concrete houses. The slum areas are characterized by high popul ation density and extremely poor sanitation and hygiene
conditions.
Table 1: Demographic Profile
1.1. (Mathura)
Total Population of city (in lakhs) 349,909
Slum Population (in lakhs) 259,434
Slum Population as percentage of urban population 74%
Number of Notified Slums 100
Number of slums not notified 12
No. of Slum Households 51,887
No. of slums covered under slum improvement program (BSUP,IDSMT,etc.) 43
Number of slums where households have individual water connections* 112
Number of slums connected to sewerage network* 0
Number of slums having a Primary school 18
No. of slums having AWC 112
No. of slums having primary health care facil ity 6
DUDA survey
PCA - Census 2011
1.2. Vrindavan
Total Population of city (in lakhs) 0.63
Slum Population (in lakhs) 0.63
Slum Population as percentage of urban population 100
Number of Notified Slums 100
Number of slums not notified -
No. of Slum Households 12,600
No. of slums covered under slum improvement program (BSUP,IDSMT,etc.) -
Number of slums where households have individual water connections* -
Number of slums connected to sewerage network* -
Number of slums having a Primary school -
No. of slums having AWC -
No. of slums having primary health care facil ity -
1.3. Kosi Kalan
Total Population of city (in lakhs) 0.60074
Slum Population (in lakhs) 0.10625
Slum Population as percentage of urban population -
Number of Notified Slums -
Number of slums not notified -
No. of Slum Households 2125
No. of slums covered under slum improvement program (BSUP,IDSMT,etc.) -
Number of slums where households have individual water connections* -
Number of slums connected to sewerage network* -
Number of slums having a Primary school -
No. of slums having AWC -
No. of slums having primary health care facil ity -
Health Infrastructure in the City
Population of Mathura city is being served by health services of Department of health and family welfare, some of
the charitable hospitals and numerous private hospitals and nursing homes.
Table 2: Health/Morbidity Profile of the City:
Sl. No.
Name of Disease/ cause of morbidity (e.g. COPD, trauma, cardiovascular disease etc.)
Number of cases admitted in 2012 - 13
Remark
1 Injuries and Trauma 1833 Information as per District Male & Combined Hospital, Mathura
2 Self infl icted injuries/suicide 45 As per District Combined Hospital
3 Cardiovascular Disease 1096 As per District Male Hospital
4 Cancer (Breast cancer) NA Not Applicable
5 Cancer (cervical cancer) NA Not Applicable
6 Cancer (other types) NA Not Applicable
7 Mental health and depression 5 As per District Combined Hospital
8 Chronic Obstructive Pulmonary Disease (COPD)
1610 Information as per District Male & Combined Hospital, Mathura
9 Malaria 154 Information as per District Male & Combined Hospital, Mathura
10 Dengue NA Not Applicable
11 Infectious fever (l ike H1N1, avian influenza, etc.)
NA Not Applicable
12 TB 113 As per District Combined Hospital
13 MDR TB 26 As per District Combined Hospital
14 Diarrhea and gastroenteritis 2286 Information as per District Male & Combined
Hospital, Mathura
15 Jaundice/Hepatitis 339 As per District Combined Hospital
16 Skin diseases 115 As per District Combined Hospital
17 Severely Acute Malnourishment (SAM) NA Not Applicable
18 Iron deficiency disorder 151 Information as per District Male & Combined
Hospital, Mathura
19 Others 398 As per District Combined Hospital
20 Others – IMAX 863 As per District Women Hospital
21 Blood Transfusion 258
Type of Facilities
Government Health Facilities
Type of Facilities Number
First Tier (Primary Health Care Facilities)
Urban Family Welfare Centre 2
Urban Health Post 4
ESI Dispensary 1
Railway Hospital 1
Police Hospital 1
Second Tier Facilities
District Hospital 1
District Women Hospital 1
District combined Hospital 1
Post Partum Centre 1
Military Hsopital 1
Private Health Facilities
Private Maternity /Nursing Homes 30
NGO/ not for profit/ Charitable 3
Key issues:
High number of slum population
Unregistered slums.
Migratory population
Lack of existing health facil ities
Current Health programs:
Janani SurakshaYojana
Family planning
Routine immunization and Pulse polio
DOTS
National Leprosy Eradication Program
Blindness control program
BalswasthyaPoshanMah
Table 3: Listing of Slums
Listing and Mapping of slums:
Sl.n
o.
Wa
rd no.
Name of the
slum
Popula
tion
Quality
of housing
Quali
ty of sanitation
Status
of water supply
Location and
distance of nearest AWC * ( All AWC distance is
Location
and distance of nearest Primary
Location and
distance of nearest Primary
(kutcha
/pucca/mixed)
(IHL,c
ommunity toilet
s, OD)
(Piped,
Hand pumps, open
wells, none)
approximate as 500
Mtr)
School *(All
School distance is approximate
as 500 Mtr)
Health
Centre/UHP/UFWC *(All Facil ity
distance is approximate as 500 Mtr)
1 1 Bharatpur gate 9882 1482 1647 1591 AWC - Shruti Jha
MaharshivalmikiPri.
Sch.,Bharat pur gate
2 1 Takhailagali 8946 1421 1426 1440
3 1 Machlimandi 2670 400 385 397 AWC - WalaSaini
4 2 Dareci road 16200 2500 2575 2640 AWC - SarlaChoudhary
5 2 Haiza hospital 14400 2200 2280 2292 Haiza Hospital
6 3 Manoharpura 25728 4031 4097 3913
AWC - Mala Saini, Geeta, Madhu,
Munni Devi (H), Prembati (H), Tehzib Fatima, Manju Rani, KuntiGauram,
Kamlesh (H)
Manoharpur
a
7 4
ShivpuriRamnag
ar 6000 900 950 900
AWC - Babli, Jyotsana, Preeti Chaudhary, Pushpa
Devi 8 4 ChiranjikaNagla 420 60 31 60 AWC - Kirti
9 4 Pratap nagar 9000 1400 1450 1400
AWC - Kamlesh,
SarveshKumari
10 4 Brujpenth 1800 250 250 250
11 5 Yammunapaarbrujpenth area 5400 810 630 810
12 5 Laxminagar Pratap nagar 9000 1400 775 1480
Laxmi Nagar, Yamuna Paar
13 5 Sonaitappa 3600 540 520 540
14 5 PuranaBhatta 3900 600 650 624
15 5 Mira vihar 540 80 18 80
16 5 Kalindrivihar 900 135 135 135
17 5 Abdul Navipur 30000 4500 500 4500
18 5 Ayodhyanagar 1980 300 314 300 AWC - RekhaAgrawal, Geeta Devi
19 6 Rani mandi 6000 950 965 912 AWC - SarojKumari Rani Mandi
20 7 Bankhandi 1638 251 258 251
AWC - SobhaSaraswat,
Bhumika, Rekha
21 7 KathothiKuan 1536 234 242 234 ChahKatauti
22 7 BhainsBhaura 696 105 116 105 AWC - vandanaSaini, Nirmala Devi, Sunita
Sl.n
o.
Wa
rd no.
Name of the
slum
Popula
tion
Quality
of housing
Quali
ty of sanitation
Status
of water supply
(Piped, Hand pumps, open
wells, none)
Location and
distance of nearest AWC * ( All AWC distance is
approximate as 500 Mtr)
Location
and distance of nearest Primary
School *(All School distance is approximate
as 500 Mtr)
Location and
distance of nearest Primary
Health Centre/UHP/UFWC *(All Facil ity
distance is approximate as 500 Mtr)
(kutcha/pucca
/mixed)
(IHL,comm
unity toilets,
OD)
23 7 KishanTeela 1176 177 196 177 AWC - GouriSaini, Mamta Sharma
24 7
BhairogaliBharat
pur gate 480 70 0 51
BhairoGalibh
aratpur gate
25 7 Subhash Nagar 1560 250 50 260 AWC - Pramila, Meena, Hemlata
26 7 Santoshpura 960 150 140 160
27 7 Laxmanghad 180 25 0 5
28 8 Dandra 2795 560 479 355 AWC - Situ, Farzana
29 9 Sanjay nagar 2640 400 440 390 AWC -Vineeta Rajput, Seema
30 9 Ram nagar 3000 450 490 492
AWC - Preeti Chaudhary, Pushpa Devi
31 9 Shastrinagar 2640 400 435 398
AWC -Madhu
Sharma, Garima Sharma
32 11 NayaNagla 2970 446 480 483 NayaNagla
33 11 Jhingurpura 840 124 131 132 AWC - Umesh Dwivedi, Usha Devi Jhingurpura
UHP -Jhingurpura
34 11 Bahadurpura 2135 302 329 348 AWC - Snehlata, Geeta Pal
35 11 Chokichandmari 762 105 9 127
36 12 Ambedkarnagar 1320 200 150 220
AWC - Kamlesh,
Pushpa, Rajni
UFWC - Krishna
Nagar
37 12 Ram Bharosi colony 396 60 58 52
AWC - Rashmi Chaudhary, Reeta
38 12 Rajiv Gandhi nagar 480 70 48 17
39 14 Chaganpura 1650 250 0 250 AWC - Sweta Rani, Manju Rani Chaganpura
40 15 Arjunpura 900 1450 600 1500
AWC - Rani Thakur,
Rinki Devi, Mamta, Vandana Gola
41 16 Kampughat, HarijanBasti 4380 657 730 704
AWC - GeetaBraraj, Maduwala Kampughat
42 17 OmnagarPooja Enclave 5280 800 880 792
AWC - Ganga Devi, Kusum, Ambika
Sharma, Anita, UrvasiGautam, Vavita
Sl.n
o.
Wa
rd no.
Name of the
slum
Popula
tion
Quality
of housing
Quali
ty of sanitation
Status
of water supply
(Piped, Hand pumps, open
wells, none)
Location and
distance of nearest AWC * ( All AWC distance is
approximate as 500 Mtr)
Location
and distance of nearest Primary
School *(All School distance is approximate
as 500 Mtr)
Location and
distance of nearest Primary
Health Centre/UHP/UFWC *(All Facil ity
distance is approximate as 500 Mtr)
(kutcha/pucca
/mixed)
(IHL,comm
unity toilets,
OD)
43 18 Antapada 2240 334 309 362 AWC - Koshalya Sharma Antapada
44 18 Ganralganj 15000 2250 2475 2485
AWC - SudhaJadaun,
SateyaUpadhyay
45 20 Bodh nagar 2892 458 482 482 AWC - UshaSagar
46 20 Sukhdevnagar 7524 1194 1254 1194 AWC - Rajeshwari Sharma, Madhu
UHP -
Sukhdevnagar
47 20 Ajadnagar 3576 537 596 537 AWC - Rakhi Mahaur, Reeta
48 20 Kaila nagar 660 100 110 110
49 20 BaghKazian 712 108 104 96
50 20 Navneetnagar 2170 417 434 419 AWC - Geeta Sharma
51 20 Anandlok colony 673 128 102 121
52 23 Goal Kuan 4800 700 800 700 AWC -Asha, SarveshKumari
53 23 Jaisinghpura 36000 5400 5150 5400 AWC - Mukesh Kumari Jaisinghpura
54 24 Ganeshdham 3324 499 534 499
55 24 Mohan nagar 3462 550 562 550 AWC -Babli
56 24 Ashanagar 4620 700 700 674 AWC - Sunita Singh
57 24 Bangaloni colony 2400 380 340 400
58 24 Chamunda colony 3960 600 610 570
AWC - Reetu, Rajkumari
59 24
Radheshyam
colony Pushpavihar 3300 500 500 260
AWC - Vidhya Devi, Preeti
UHP-
RadheShyam Colony
60 24 Avaghad Farm 6000 910 985 504 AWC - Niraj, Reena Ray
61 24 Kankaur 2550 402 325 402
62 25
New Radheshyam
Colony 660 100 90 55
63 25 Vikasnagar 12000 1800 1000 1800
64 25
Shankar
Shivajinagar 4620 700 270 34
AWC - ManjuKhagar,
Vinita Parihar, Kavita
65 25 Saraswatikund 6476 897 963 897 AWC - Vijay Laxmi
66 25 Govindpur 2640 400 20 102 AWC - Radha Govindpur UHP - Haiza Hospital
67 25 Ajampur 2970 450 396 495
Sl.n
o.
Wa
rd no.
Name of the
slum
Popula
tion
Quality
of housing
Quali
ty of sanitation
Status
of water supply
(Piped, Hand pumps, open
wells, none)
Location and
distance of nearest AWC * ( All AWC distance is
approximate as 500 Mtr)
Location
and distance of nearest Primary
School *(All School distance is approximate
as 500 Mtr)
Location and
distance of nearest Primary
Health Centre/UHP/UFWC *(All Facil ity
distance is approximate as 500 Mtr)
(kutcha/pucca
/mixed)
(IHL,comm
unity toilets,
OD)
68 26 Laxminagar Birla mandir 7200 1100 720 705
AWC -Sheela, Nilam Sharma, Vijay Laxmi
Laxmi Nagar Birla Mandir
69 26 Kishorinagar 1200 180 198 150
70 26 AhilyaGanj 2310 351 365 351 AWC - Saroj
71 27 Narayanpuri 2400 350 360 400 Narayanpuri
72 27 Dhaulipiyauharijanbasti 900 50 5 150
AWC- JyotiBaghel, Snehlata DhauliPyau
73 28 Malpura 6000 900 800 895 AWC - Poojashukla
74 28 Govind Ashram 6000 900 950 960
75 31 MayaTeela 900 125 150 113
AWC- Mamta
Agrawal, Sarita Ruhela
76 31 Halanganj 1500 225 250 215 AWC - Nilam Sharma
77 32 Gopalnagar 2115 385 423 388 AWC - Premlata, Sumanlata
78 32 Naglachandrabhan 1950 300 81 78
79 32 Shankarpuri, Naglashivji 6200 1100 480 1065
80 32 Natwarnagar 12200 2000 2200 1880
AWC-
KalpanaPachauri, PoonamBhiromani, KalpanaGautam
81 35 Badpura 2232 372 312 326
AWC- Beena, Pushpa Sharma, Mala Yadav,
Archanasaxena
82 35 Ambakhar 6762 1015 1100 285
83 35 Roti godam 2430 365 371 389 AWC-Anupama
84 35 Mainagadh 924 133 154 154
AWC-Mohini,
Omwati
85 36 Janakpuri 2650 424 412 339
AWC-VimlaGautam, Manju Rani, saroj Yadav, Poonam
Sharma 86 36 Ashapuri 361 76 78 76 AWC-Sunita Singh
87 36 Chandanagar 595 79 85 79
88 36 Dharmlok colony 1188 178 198 178
89 36 Sudhamapuri 270 42 45 40 AWC-Sunita Verma
90 36 Avadhpuri 552 83 92 83
91 36 Bhagwati nagar 630 99 42 99
Sl.n
o.
Wa
rd no.
Name of the
slum
Popula
tion
Quality
of housing
Quali
ty of sanitation
Status
of water supply
(Piped, Hand pumps, open
wells, none)
Location and
distance of nearest AWC * ( All AWC distance is
approximate as 500 Mtr)
Location
and distance of nearest Primary
School *(All School distance is approximate
as 500 Mtr)
Location and
distance of nearest Primary
Health Centre/UHP/UFWC *(All Facil ity
distance is approximate as 500 Mtr)
(kutcha/pucca
/mixed)
(IHL,comm
unity toilets,
OD)
92 37 Matiya gate 9000 1354 1369 1492
AWC- Bhedlata, Radha Vashney,
Priyanka, Urmila
93 39 Pannapokhar 822 125 0 12
94 39 Devnagar 1176 196 179 196 AWC-Vinodwala 95 40 Theknarnol 2640 400 440 415 AWC-Yashoda Gupta Theknarnol
96 8 Mukerian 562 67 71 41
97 8 Dhobi Mohalla 540 95 92 81
AWC-Parwatidevi,
Kamini
98 8 JaharkhanaMohalla 2448 375 347 342
99 8 JamunaBagh colony 575 103 98 58
AWC-Jyoti, Shele Rani,
100 8 Mali Mohalla 465 90 87 91 AWC-RekhaTiwari, Meenakshi
101 Ajay Nagar 2019
102 Anandpuri 2228 NA AWC-Radha Sharma
103 Deeg Gate 1819 NA
104
Delhi wali boundary
(Hansraj Colony) 4554 NA
105
Delhi wali boundary (Shanti Kunj (Amar Colony)) 2035 NA
106
Delhi wali
boundary (Tulsi Nagar) 210 NA
107
Delhi wali boundary(Mahendra Nagar) 2420 NA
108
Dwarkesh
Colony 2488 NA
109 Indra Puri 1717 NA 110 Jyoti Nagar 2470 NA
111
Kashi Ram
Nagar 5633 NA
AWC-Usha Devi,
ReetaKulshrestha
112 Shankarpuram 415 NA
447714 65646 57524 63041 18
*Slums information as per DUDA survey 2013 (1-100) and As per UHI mapping /listing (101-112)
*Slum wise information of Vrindavan and Kosi Kala information is not available
Table 4: Overview of existing public health facilities
Sl. No.
Name & type of facility (DH, Maternity Home, CHC, other ref. hospital UFWC, UHP PHC,Dispensary etc.)
Managing Authority (Municipal Council,
State Health Department, facilities
functioning on PPP basis)
Location of Health facility
Population covered by
the facility
Services provided
Human Resources available – list type and
number of HR available i.e. ANM, LT, SN, MOs,
Specialists etc.
No. and type of equipment
available: X-ray machine, USG,
autoclave etc.
Remarks
1 District Hospital Male State
Health Mathura
7 MOs, 12 SN,
12 LT, etc
X-RAY &
Almost
2 Name of BMC Hospital NA NA Not
Applicable
Not
Applicable
3 District Women Hospital State
Health Mathura
6 Specialist,
10 SN, etc
USG, Radiant
warmer, Phototherapy etc
4 District Combined Hospital,
Vrindawan, Mathura
State
Health
Vrindawan,
Mathura
10 SN, LMO
1, MO-5, LT-1
Radiant warmer,
Phototherapy etc
Urban Health centres (Total 4 New UHP Started in 2012-13)
5
Urban Health Post - Radheshyam Colony
NRHM Radheshyam
Colony, Mathura 33445
1 MO, 1 Staff
Nurse, 1 ANM,
1Sweeper
Cum Chowkidar
IUCD Kit,
as per required RI
Sesssons, ANCs etc.
6
Urban Health Post - Sukhdev Nagar NRHM
Sukhdev Nagar, Mathura 49901
1 MO, 1 Staff Nurse, 1
ANM,
1Sweeper Cum
Chowkidar
IUCD Kit, as per required
RI Sesssons, ANCs etc.
7
Urban Health Post - Jhingurpura NRHM
Jhingurpura, Mathura 27134
1 MO, 1 Staff Nurse, 1
ANM, 1Sweeper
Cum Chowkidar
IUCD Kit, as per
required RI Sesssons, ANCs etc.
Sl.
No.
Name & type of facility
(DH, Maternity Home, CHC, other ref. hospital UFWC, UHP PHC,Dispensary etc.)
Managing
Authority (Municipal Council,
State Health Department, facilities
functioning on PPP basis)
Location of
Health facility
Popula
tion covered by
the facility
Servi
ces provided
Human
Resources available – list type and
number of HR available i.e. ANM, LT, SN, MOs,
Specialists etc.
No. and
type of equipment
available: X-ray machine, USG,
autoclave etc.
Rem
arks
8
Urban Health Post - Haiza Hospital NRHM
Govind Nagar, Mathura 30865
1 MO, 1 Staff Nurse, 1
ANM, 1Sweeper
Cum Chowkidar
IUCD Kit, as per
required RI Sesssons, ANCs etc.
9
Urban Family Welfare Centre, Krishna Nagar
State Health
Krishna Nagar, Mathura
1 MO, 2 ANM, LHV - 1
IUCD Kit,
as per required RI
Sesssons, ANCs etc.
Renovation
proposed
10
Urban Family Welfare Centre, Gandhi Park
State Health
Gandhi Park, Mathura
1 MO, 2 ANM, LHV - 1
IUCD Kit, as per required
RI Sesssons, ANCs etc.
Renovatio
n proposed
11 Nagar Palika Hospital, Mathura
Municipal Corporation
Lal School
Jamunabagh, Sadar * Only Hospital placed
1 MO (Contractual,
1 SN, 9 Other staff) * All staff attached
various department like bank, Tax
etc but nobody give services for health. Nothing
Trust /Charitable Hospital
12 BrajChikitsaSansthan Trust Dareshi Road
17 Mos, 25 SNs, 4 LT & 82
Aaya/Sweeper etc Almost
13 RamkrishnaMisssion Charitable Hospital Trust Vrindawan
6 Mos, 60 SN, 10 OT Assistant, 74
Sweeper/Dais etc. Almost
Sl.
No.
Name & type of facility
(DH, Maternity Home, CHC, other ref. hospital UFWC, UHP PHC,Dispensary etc.)
Managing
Authority (Municipal Council,
State Health Department, facilities
functioning on PPP basis)
Location of
Health facility
Popula
tion covered by
the facility
Servi
ces provided
Human
Resources available – list type and
number of HR available i.e. ANM, LT, SN, MOs,
Specialists etc.
No. and
type of equipment
available: X-ray machine, USG,
autoclave etc.
Rem
arks
14 Milatry Hospital MilatryHosspital
Near Tank Chauraha
Gyne, Paediatritian,
Surgeon, SNs, etc Almost
3. STRATEGIES, ACTIVITIES AND WORKPLAN UNDER NUHM
Urban Health Service Delivery Model
Mathura Urban Health Plan envisages for concerted effort to rationalize and strengthen the existing public health care
system in urban areas of the city and promote effective engagement with the non-governmental sector (profit/not for
profit) for expanding reach to urban poor, along with strengthening the participation of the community in planning and
management of the health care service delivery.
the above table.
1. Key Issues
The Eleventh Plan had suggested Governance reforms in public health system, such as Performance linked incentives and Devolution of powers and functions to local health care institutions and making them responsible for the health of the people l iving in a defined geographical area. NRHM’s strategy of decentralization, PRI involvement, integration of vertical
programs, inter-sectorial convergence and Health Systems Strengthening has been partially achieved. Despite efforts, lack of capacity and inadequate flexibil ity in programs forestall effective local level Planning and execution based on local disease priorities.
In order to ensure that plans and pronouncements do not remain on paper, NUHM UP would strive for system of accountability that shall be built at all levels, reporting on service delivery and system, district health societies reporti ng to state, facil ity managers reporting on health outcomes of those seeking care, and territorial health managers reporting on health outcomes in their area. Accountability shall be matched with authority and delegation; the NUHM shall frame model
accountability guidelines, which will suggest a framework for accountability to the local community, requirement for documentation of unit cost of care, transparency in operations and sharing of information with all stakeholders. The state will incorporate the core principles of The National Health Mission of Universal Coverage, Achieving Quality Standards, Continuum of Care and Decentralized Planning.
Following would be the issues for the cities to address: City Health Planning, Public Private Partnership, Convergence, Capacity Building, Migration, Communization, Strengthen Data, Monitoring and Supervision, Health Insurance, Information Dissemination and Focus on NCDs/ Life-Style Diseases.
After considering the available data, city scenario and analysis, the City planning team has identified issues at both servic e
delivery & demand generation level. Following are the details of issues which would be addressed through NUHM at the
city level:
1) Need of community volunteers (ASHAs) for taking up the community mobilization activities
2) Need of Mahila Arogya Samiti (MAS- a group of 10-12 women) for wider spread of information/ rights and
entitlements
3) Strengthening of ANC, PNC & identification of high risk pregnancies at community level
4) Home based care of neonates at community level
5) Promotion of institutional deliveries
6) Health education for all, especially for adolescent group
7) Complete immunization of pregnant women & children
8) Needs to strengthen the existing health care facil ities by recruiting human resources
9) Need assessment of community in health scenario
10) Need a better convergence with other programs and wider determinants
11) Need of training & capacity building of human resources
12) Need of Strengthened program management structure at district level
13) Need of intensive baseline survey to start the community processes and identifying local needs
14) Involvement of local bodies in decision making and managing the program locally
15) Gap analysis of HR & recruitment
16) Promotion of family planning methods through basket of choice approach & counselling because unmet need for
family planning is high in Mathura.
17) Management of communicable & non- communicable diseases
18) Strengthening AYUSH
19) Constitution of BSGY team for urban areas.
20) Identification & management of SAM children
2. Strategies, Activities and Work plan
The key overarching strategies under NUHM for 2013-14 include data based planning, strengthening of management and
monitoring systems at the state and district level, improving the primary health care delivery system and community outreach through ASHAs, MAS and Urban Health and Nutrition Days (UHNDs).
The key activities at the district level will include convergence with key urban stakeholders, sensitization of ULBs on their role in urban health, strengthening UPHCs for provision of primary health care to urban poor, community outreach through
selection, training and support to ASHAs and MAS, conducting UHNDs and outreach camps to get services closer to the community and reach complete coverage of slum and vulnerable populations.
With the aim to improve the health parameters of urban population in the city, structures and strategies as recommended for the NUHM in its framework will be adopted and operationalized rapidly over the years.
Listing and Mapping of Households in slums and Key Focus Areas
Listing and mapping of households will provide accurate numbers for population their family size and composition residing
in slums. Currently, estimates of population residing in slums are available from District Urban Development Agency (DUDA) and National Polio Surveillance Project as the immunization micro plans (under NPSP) provide updated estimates of slum and vulnerable populations and are expected to be fairly complete. The current plan for covering slums is based on the currently available data of urban population of each city.
Once the ASHA are deployed they will l ist all households and fi l l the Slum Health Index Registers (SHIR) including the
number and details of family members in each household. This data will be compiled for city and will provide the population composition of slums and key focus areas. This will also help the urban ASHA know her community better and
build a rapport with the families that will go a long way in helping her advocate for better health behaviours and link communities to health facil ities under the NUHM. It is expected that once the household mapping is completed in cities, the number of ASHAs will be reviewed and adjusted upwards or downwards and the geographical boundaries of the
coverage area for each ASHA would be realigned. This is due to the reason that the a ctual population may be higher or lower than the original estimate used for planning.
Facility Survey for gaps in infrastructure, HR, equipment, drugs and consumables
Facility survey will be carried out in the public facil ities to assess the gaps in infra structure, human resource, equipment, drugs and consumables availability as against expected patient load. Further planning, particularly for UCHCs, will be based on these gaps. This work will be outsourced to a research agency. Development Partners l ike Health of the Urban Poor project will technically support this effort.
Baseline Survey
The state envisions monitoring progress in health indicators in urban areas and among urban poor over the period of
implementation of NUHM. This proposed Baseline survey will generate data on the health and related indicators which will be reviewed during the course of implementation of the program to assess the impact of implementation and necessary course corrections can accordingly be made and use of resources can be optimised.
Training and Capacity Building
ULB, Medical and Paramedical staff, Urban ASHAs and MAS will be trained. The trainings will have to be followed by periodic refresher trainings to keep these frontline health workers motivated. NUHM will engage wi th development organisations to develop the training modules and facil itate the trainings.
Monitoring & Evaluation
The M&E systems would also capture qualitative data to understand the complexities in health interventions, undertake periodic process documentation and self evaluation cross learning among the Planning Units to be made more systematic.
The Monitoring and Evaluation framework would be based on triangulation of information. The three components would be Community Based Monitoring, HMIS for reporting and feedback and external evaluations.
Strengthening of health facilities
Urban Community Health Centre (U-CHC)-
UCHC would be established/ set up for every 4-5 U-PHCs and shall be initiated with upgrading of the existing 8 BMCs which
are functioning efficiently in the city. Since these facil ities fall short of the services envisaged to be provided by the CHCs, they are being proposed to be strengthened in terms of induction and deployment HR and provision of necessary medical equipment. Further strengthening of the facil ities will be undertaken in the subsequent years.
Urban - Primary Health Centre (U-PHC) –
During the first year of implementation of the program, the existing urban health posts (26 NRHM funded + 11 state funded) will be attempted to be strengthened. Towards this, the UHPs existing in rented accommodations will be shifted to adequately larger premises which would help in rendering the mandated services. A provision of Rs. 10,000/ - per month per UPHC is being proposed for immediate service provision capacity enhancement, but over the period of time the said
rented accommodations will be shifted to owned premises for sustained services. Accommodations belonging to other stakeholder government l ine departments will be explored and then a dopted after entering into necessary agreements/ arrangements with the said department.
Targeted intervention for urban poor –
The process of l isting of households in the KFAs, mapping of KFAs and health facil ities and baseline survey of the KFA households will help determine the scope and extent of services required for targeting of the urban poor. A deliberate effort will be made to identify the vulnerable poor on the basis of their residence status, occupational status and social
status, besides other micro-level indicators, which will further help focusing the health care services to the most deserving.
Mahila Arogya Samiti (MAS)-
MAS will act as community based peer education group in slums, involved in community mobilization, monitoring and referral with focus on preventive and promotive care, facil itating access to identified facil ities and management of grants
received. Existing community based institutions could be util ized for this purpose. City planning team is proposing formation of only one MAS under each ASHA in the first year and the identification of the remaining planned MAS will be undertaken in the subsequent years.
ASHA-
For reaching out to the households ASHAs (frontline community worker) would serve as an effective and demand –generating l ink between the health facil ity and the urban slum population. Each link worker/ASHA would have a well -defined service area of about 1000-2,500 beneficiaries/ between 200-500 households based on spatial consideration.
Outreach services –
Outreach services will be provided to the slum areas and KFAs through ANMs who would be responsible for providing preventive and promotive healthcare services at the household level through regular visits and outreach sessions. Each ANM will organize a minimum of one routine outreach session in her area every month.
Special outreach sessions (for slum and vulnerable population) will be organized once in a week in partnership with other health professionals (doctors/ pharmacist/ technicians/ nurses – government or private). It will include screening and follow-up, basic lab investigations (using portable /disposable kits), drug dispensing, and counselling. The outreach sessions
(both routine and special outreach) could be organized at designated locations mentioned in the aforesaid paras in coordination with ASHA and MAS members
Innovations –
An urban specific IEC strategy covering urban contexts would be developed, field tested and then applied to cover RCH.
The IEC plans should especially focus on interpersonal or group communication which would include a description of expected behaviour change in different community segments. For effective tracking of its implementation, benchmarks and milestones would be developed.
School Health Services
School health program under NUHM has been an important component to provide not only the preventive and curative services to children but also to ensure their contribution in overall health development of the urban communities. It is
envisaged that the active involvement of children in the program will enable them to be a change agent for themselves as well as communities by taking home good knowledge and practices in terms of preventive health care activities. It is planned that children will be engaged through innovative and creative actions to make the learning entertaining and educational.
Objective: To evolve innovative ways to involve children in preventive health care activities to make them a change agent for them and their families. Innovation: An activity called SEEKH (Systematic Effort to Ensure Knowledge on Health) will be implemented in each urban
government school for active involvement of children based on two way education and learning package. Process: To ensure the participation of each and every children in proposed activity, the following process and flow is planned and will be implemented:
A small booklet on primary health information will be developed (or leveraged from SALONI program) for school
going children.
The school health team will distribute the booklet to students during their visit to schools and children will have to
read the booklet in 45 minutes (we can call it SWASTHYA CLASS).
The reading will be followed by fi l l ing up a small questionnaire in 15 minutes
All the students participating in the activity will receive a batch with tagline “Member-Baal Swasthya Sena”.
The three top scorer children will be rewarded as “Nayak-Baal Swasthya Sena” and will be known as class monitor
ti l l the next round
These three will be responsible to ensure that all students are aware about mentioned good health practices
They will also follow up with students that they are talking these points at their households and practicing good
practices (such as Hand wash, Personal hygiene etc)
PPP & CSR –
For Mathura city a few innovative interventions have been planned. Interventions performed under Public Private Partnership (PPP) arrangements and Corporate Social Responsibiltoy (CSR) will be undertaken with the intent to evolve successful models for health care delivery to the urban poor.
Convergence –
Intra-sectoral convergence is envisaged to be established through integrated planning for implementation of various health programmes like RCH, RNTCP, NVBDCP, NPCB, National Mental Health Programme, National Programme for Health Ca re of
the Elderly, etc. at the city level. Inter-sectoral convergence with Departments of Urban Development, Housing and Urban Poverty Alleviation, Women & Child Development, School Education, Minority Affairs, Labour will be established through city level Urban Health Committees headed by the Municipal Commissioner/ Deputy Commissioner/ District Collector.
Activity Plan under NUHM for the state and cities
Act. No.
Activity
Responsibility Months : October'13 - March'14 Remarks
State level
City level O
ct.
No
v.
De
c
Jan
Feb
Mar
1 Induction of city level staff for Urban Health program
2 Meeting of DHS for establishment of City Program Management Committee (UH)
3 Sensitization of new probable members
on NUHM
4 Identification of NGOs for their role under NUHM
5 Establishment & orientation of City Program Management Committee (UH)
6
Identification of groups, collectives formed under various govt. programs (like NHG under SJSRY, self help groups etc.) for MAS
7 Organize meetings with women in slums
where no groups could be identified
8 Formation and restructuring of groups as per MAS guidelines
9 Orientation of MAS members
10 Selection of ASHAs
10 a - Selection of local NGOs for ASHA selection facil itation
10 b - Listing of local community members as
facil itators by NGOs
10 c - Listing of probable ASHA candidates and finalize selection
11 Convergence meeting with govt.
Stakeholders
12 Mapping & listing exercise (for health
facilities and slums)
12 a
- Mapping of all urban health facil ities
(public & pvt.) for services
To
continue in 2014-15
12 b
- Mapping of slums (l isted and unlisted)
To
continue in 2014-15
12 c
- Houselisting of slums/ poor settlements
To continue
in 2014-15
13 Planning for strengthening of health
facilites/ services
- Health Facil ity Assessment (of public facil ities including listing of public facility wise infra & HR requirement)
To continue in 2014-
15
14 Baseline survey of urban poor/ slums (KFAs)
(to determine vulnerability, morbidity
pattern & health status)
15 Meetings of RKS for all the public health
facilites under NUHM
16
Identification of alternate/ suitable locations for UPHCs under various urban
devp. Programs
To continue
in 2014-15
17 Strengthening of public health facilities
- Selection, training and deployment of HR in pub. health facil ities
To continue
in 2014-
15
18 IEC activities
19 Outreach camps & UHNDs (from existing UHPs)
20
Empanelment of Private Health Facilities for health care provisioning
To continue
in 2014-15
21 Involvement of CSR activities
3. Program Management Arrangements
Districts Heath Society will be the implementing authority for NUHM under the leadership of the District Magistrate. District
Program Management Units have been further strengthened to provide appropriate managerial and operational support
for the implementation of the NUHM program at the district level.
District Health Society under the chairmanship of the District Magistra te as the implementing authority for NUHM
Fund flow mechanisms have been set up and separate accounts will be opened at in the district for receiving the
NUHM funds.
Urban Health will be included as a key agenda item for review by the District Health Soci ety with participation of city
level urban stakeholders.
An Additional / Deputy CMO has been designated as the nodal officer for NUHM at the district level. The District
Program Management Unit will co-opt implementation of NUHM program in the district and the District Program
Manager will be overall responsible for the implementation of NUHM. To support this the following additional staff and
funds are proposed for strengthening the District Program Management Units for implementing NUHM:
a. Urban Health Coordinator, Accountant and Data Entry Operators according to the following norms:
District total Urban
population
Additional Staff Proposed
1lakh to 10lakhs 1 Urban Health Coordinator,1 Accountant and 1 Data Entry Operator
b. District Program Manager will be nodal for all NUHM activities so extra incentive and budget for 1 laptop to
each DPM has been proposed for DPM for undertaking NUHM activities.
c. A onetime expense for computers, printer and furniture for the above staff has been budgeted along with the
recurring operations expenses.
d. Onetime expenses have been budgeted for up-gradation of the office of Additional/ Deputy CMO and District
Program management Unit.
The City Program Management Committee will function as an Apex Body for management of the Ci ty Health Plan, which will lead to delivery of Maternal, Newborn, Child Health and Nutrition (MNCHN) and water, sanitation
and hygiene (WASH) services to the urban poor and will work towards the following objectives:
1. Establish a forum for convergence of city level stakeholders for the delivery of MNCHN and WASH services to the
urban poor.
2. Serve as the nodal body for the planning and monitoring of MNCHN and WASH service delivery to the urban poor.
3. Provide a forum for exploring, reviewing and approving PPP initiatives and innovations to address the gaps in
MNCHN and WASH service delivery to the urban poor.
The structure proposed for the City Coordination Committee :
Chairperson - DM/ Municipal Commissioner Convener - CMO Members – Health - ACMO-Urban
Member – ICDS - CDPO Member – Nagar Nigam - Sum Improvement Officer Member – Water & Sanitation - Sup. En. / Ex.En. JalKal Vibhag, Nagar Nigam Member DUDA & UD - Project Officer
Member – ESIC - ESIC Hosp. Superintendent Members – School Education - BSA & DIOS Members – Dev. Partners - Partners working in urban health sector (Janani, PSI, HLFPPT)
Coordinator - Lead Development Partner - UHI
Review Meetings at UPHC and City Level
Nature of Meeting Periodicity Meeting
Venue
Participants
Mahila Aarogya Samiti
Meeting
Once a month for
each MAS
Slum ANM, HV, Community Organizer, Social
Mobilization officer
Review meeting with Link workers and MAS representatives
Once a month UPHC All ANMs, PHN, LMO, Community Organizer, Social Mobilization officer
Meeting of UPHC Coordination Committee
Once a month UPHC LMO, PHN/Community Organizer, Social Mobilization officer,
representative from 2nd
tier facil ity, and reps. From other departments
Meeting with CMO & UH Program Coordinator
Once a month CMO Office
CMO, Program Coord., Asst. Program Coordinator, LMO/ PHN/ Community
Organizer, Social Mobilization officer City Task Force Meeting Once in two months DM’s
office
CMO, Program Coord. UH, Various
departments’ reps. , private partners, NGOs
CITY LEVEL INDICATORS & TARGETS
Mathura
Processes & Inputs
Remarks Indicators
Baseline
(as applicable)
Number Proposed
(2013-14)
Number
Achieved
(2013-14)
Community Processes
1. Number of Mahila Arogya Samiti (MAS) formed * 0 282
2. Number of MAS members trained * 0 2820
3. Number of Accredited Social Health Activists (ASHAs) selected and trained *
0 141
Health Systems
4. Number of ANMs recruited * 0 25
1 UPHCs = 5 ANM
5. No. of Special Outreach health camps organized in the slum/HFAs *
0 35
6. No. of UHNDs organized in the slums and vulnerable areas * 0 282
7. Number of UPHCs made operational * 0 7
8. Number of UCHCs made operational * 0 0
9. No. of RKS created at UPHC and UCHC * 0 7
10. OPD attendance in the UPHCs
11. No. of deliveries conducted in public health facilities
RCH Services
12. ANC early registration in first trimester (expected) 31704
As per CBR Urban Mathura (Source
AHS-2011)
13. Number of women who had ANC check-up in their first trimester of pregnancy (expected)
31704
14. TT (2nd dose) coverage among pregnant women (expected) 31704
15. No. of children fully immunised (through public health facil ities)
31704
16. No. of Severely Acute Malnourished (SAM) children identified and referred for treatment
NA
Communicable Diseases
17. No. of malaria cases detected through blood examination 154 NA
18. No. of TB cases identified through chest symptomatic 113 NA
19. No. of suspected TB cases referred for sputum examination NA
20. No. of MDR-TB cases put under DOTS-plus 26 NA
Non Communicable Diseases
21. No. of Diabetes cases screened in the city NA
22. No. of Cancer cases screened in the city NA
23. No. of Hypertension cases screened in the city NA
Vrindavan
Processes & Inputs
Remarks Indicators
Baseline (as
applicable)
Number Proposed
(2013-14)
Number
Achieved
(2013-14)
Community Processes
1. Number of Mahila Arogya Samiti (MAS) formed * 0 8
2. Number of MAS members trained * 0 80
3. Number of Accredited Social Health Activists (ASHAs) selected and trained *
0 4
Health Systems
4. Number of ANMs recruited * 0 5
1 UPHCs = 5 ANM
5. No. of Special Outreach health camps organized in the
slum/HFAs * 0 6
6. No. of UHNDs organized in the slums and vulnerable areas * 0 63
7. Number of UPHCs made operational * 0 1
8. Number of UCHCs made operational * 0 0
9. No. of RKS created at UPHC and UCHC * 0 1
Kosikalan
Processes & Inputs
Remarks Indicators
Baseline (as
applicable)
Number Proposed
(2013-
14)
Number
Achieved
(2013-14)
Community Processes
1. Number of Mahila Arogya Samiti (MAS) formed * 0 6
2. Number of MAS members trained * 0 60
3. Number of Accredited Social Health Activists (ASHAs)
selected and trained * 0 12
Health Systems
4. Number of ANMs recruited * 0 5
1 UPHCs = 5 ANM
5. No. of Special Outreach health camps organized in the slum/HFAs *
0 6
6. No. of UHNDs organized in the slums and vulnerable areas * 0 1
7. Number of UPHCs made operational * 0 1
8. Number of UCHCs made operational * 0 0
9. No. of RKS created at UPHC and UCHC * 0 1