Rampur City - nuhm.upnrhm.gov.innuhm.upnrhm.gov.in/urban/pip/rampurpip.pdf1 | P a ge D P M U-N R H M , R a m p u r Rampur City Program Implementation Plan National Urban Health Mission

1 | P a g e D P M U - N R H M , R a m p u r

Rampur City Program Implementation Plan

National Urban Health Mission

Prepared by District Health Officials with support from Urban Health Initiative


NATIONAL URBAN HEALTH MISSION

Program Implementation Plan

2013-14

District Health Society

Rampur


Preamble

Census 2001 data says that Out of 1027 million (102.7 crore) population of India, 742

million live in rural areas and 285 million in urban areas comprising of 72.2% and 27.8% of the

population respectively. The urban population is increase to 37.7 crores in Census 2011 &

Rural – Urban distribution is 68.84% & 31.16%

The absolute increase in population is more in urban areas that in rural areas & level of

urbanization increased from 27.81% in 2001 Census to 31.16% in 2011 Census

Urban growth has led to rapid increase in number of urban poor population, many of

whom live in slums and other squatter settlements. As per Census 2001, 4.26 crores people

lived in slums spread over 640 towns/ cities having population of fifty thousand or above. In

the cities with population one Lakh and above the 3.73 crores slum population is expected to

reach 6.25 crores by 20081, thus putting greater strain on the urban infrastructure which is

already overstretched. Demographers have described the Indian scenario as the 2-3-4-5

syndrome, i.e., in the last decade, the Indian population grew at an average rate of 2%, the

urban population at 3%, mega cities at 4%, and slum populations increased at a rate of 5%.

The aim of the city health plan is to improve the health status of the urban poor

communities and other disadvantaged section of society by provision of quality integrated

primary health services.

The city health plan of Rampur has been made to improve access of slum population

to health services either by providing integrated and sustainable system for primary health or

revamped public health system and encourage healthy health behavior of the communities

through intensive IEC/BCC strategies. It will also try to ensure equitable access of slum

population to quality health care through a revamped public health system. The plan

envisages to strengthen linkages between slum communities and health service providers

and to strengthen referral systems for critical cases from community and primary health care

to identified referral centers.

Dr. D.R. Singh Shri N.K.S. Chauhan (I.A.S.)

Chief Medical Officer District Magistrate

Rampur Rampur


Acknowledgement

Present work for the planning of National Urban Health Mission which came with

maintaining hard work, dedication and perseverance. This work of planning would not have

been completed without the help and support of a number of people.

We do not have any hesitation to saying that this work would not have come up without

the valuable support and continuous encouragement of Shri Narendra Kumar Singh

Chauhaun (IAS), District Magistrate, Rampur. His great confidence in team and spurred us

into action.

My special regard goes to Dr. D.R. Singh, Chief Medical Officer, Rampur 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 express my gratefulness to Shri Amit Kumar Ghosh, IAS, Mission Director, National

Health Mission & Mr. Shashank Vikram, IFS, Additional Mission Director, NUHM for

overreaching support and building the thoughts in our mind.

I owe my sincere gratitude to Dr. M.R. Gautam (general Manager) & Dr. Usha

Gangwar, (Deputy General Manager – NUHM) 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 am privileged to have such good city team especially Shri Mohammad Nazir (DPM,

NRHM) who have supported, helped, put their great efforts into planning of NUHM at city

level.

I am also pleased to appreciate the precious help and motivation which I got from my

respective departments DUDA, ICDS, Nagar Palika, Education department, CMS and DTO.

Last but not the least; I would like to thanks all those people who were involved in the

planning process directly or indirectly.

Dr. Azfar Kamal Nodal Officer (NUHM),

Rampur


Abbreviation

ANM Auxiliary Nurse Midwife

ASHA Accredited Social Health Activist

AWC Aanganwari Center

AWW Aanganwari Worker

BSGY Bal Swasthay Guarantee Yojana

BSUP Basic Services for Urban poor

BSA Basic Sikhsha Adhikari

CDPO Child Development Project Officer

DH District Hsopital

DWH District Women Hospital

DHS District Health Society

DUDA District Urban Development Authority

ICDS Integrated Child Development Scheme

IDSMT Integrated Development of small & Medium Towns

IDSP Integrated Disease Surveillance Program

IHL Individual House Level

IMR Infant Mortality rate

KFA Key Focus Area

LHV Lady Health Visitor

LT Lab Technician

MAS Mahila Arogya Samiti

MMR Maternal Mortality rate

NHM National Health Mission

NPP Nagar Palika Parishad

NPSP National Polio Surveillance Program

NRHM National Rural Health Mission

NUHM National Urban Health Mission

OD Open Drainage

UA Urban Agglomeration

UCHC Urban Community Health Center

UFWC Urban Family Welfare Center

UHI Urban Health Initiative

UHP Urban Health Post

SAM Severely Acute Malnourishment


Table of Content

Preamble

2

Acknowledgement

3

Abbreviation

4

Distt. Profile

6-8

Table 1: Demographic Profile

9

Table 2: Morbidity status of the city

10

Table 3: Listing & Mapping of slums

11-14

Table 4: Overview of existing public health facilities

15

Key issues

16

Strategies, activities and work plan under NUHM

17-18

City Programme Management Arrangement

19

City level targets & indicators

20


District Profile – Rampur-

Location of District Rampur

The district Rampur is north central part of the state and is surrounded by district

Badaun, Moradabad, Bareilly, Bijnor & Uttaranchal State. In comparison to other district, in

this region, the district is placed better off in term of its soial & economic status but lags

behind in comparison to the state. The total land area of the district is 2367 Sq.km. The major

river that flows in the district is Kosi. The remains of Buddhist monasteries at Ahichhatra are

quite extensive. The administrative blocks in the district & basic population & status according

to census of 2011 are given below.

Demographic Profile of District Rampur


Population Indicators

According to 2011 census, the total population of the district was enumerated as 23.35

Lakhs of which 12.26 Lakhs are males and 11.09 Lakhs are females. The district accounts for

about 1.17 per cent of the total population of the state. While 75.03% resides in Rural, while

24.97% resides in urban areas. Muslims constitute around 10.07 Lakhs while Hindus constitute

9.05 Lakhs of the of the districts population. The SC/ST population of the district is 13.41%. The

decadal growth rate during 2001-2011 recorded in the district was 21.40 per cent which is little bit

more than the state average of 20.09 per cent. The population density in 2001 was 813 persons

per sq. km. and in 2011 it is 987 persons per sq. km.The sex ratio of district is 905 females per

1000 males is lower than the state level (908 in 2011). The child sex ratio in age group 0-6 years

in the district as per 2011 census is indicates good improvement now it is 919 which is higher

than the state’s figure 899.


S.N Index District S.N Index District

1 Population of District In Lakhs 5 Density 987

Male 12.26 6 Sex Ratio 905

Female 11.09 7 Population (0-6) 3.70

Total 23.35 8 Sex Ratio (0-6) 919

2 Population of District 9 Total Couples # 6.43

Rural of District 17.47

Urban population of District 5.88

BPL Population 4.61

3 % population increase (2001-11)

21.40

4 Percent literate

Male 63.10

Female 46.19

Total 55.08

# estimated figure 17 % of Population Source- Census 2011

Socio Cultural Profile

District Infrastructure:

India U.P. Rampur

382

828

987

0

100

200

300

400

500

600

700

800

900

1000

Po

pu

lati

on

Population Density Comparison


Index Status

District Hospital 01

District Women Hospital 01

District PPC 01

Urban Family Welfare Centers 1

Urban Health Posts 3

Urban Health Posts under NRHM (Slum area) 1

Table 1 Demographic Profile

Total Population of city (in lakhs) 325313

Slum Population (in lakhs) 125000

Slum Population as percentage of urban population 38.21%

Number of Notified Slums 72

Number of slums not notified NA

No. of Slum Households 24857

No. of slums covered under slum improvement programme (BSUP,IDSMT,etc.) NA

Number of slums where households have individual water connections* 72

Number of slums connected to sewerage network* -

Number of slums having a Primary school 72

No. of slums having AWC 72

No. of slums having primary health care facility 72

Table 2 Morbidity Status of the city


Sl. No. Name of Disease/ cause of morbidity (e.g.

COPD, trauma, cardiovascular disease

etc.)

Number of cases admitted in 2012

1 Injuries and Trauma 4182

2 Self inflicted injuries/suicide 8

3 Cardiovascular Disease 19111 (Hypertention-17607,

Ishmicheart - 1504)

4 Cancer (Breast cancer) NA

5 Cancer (cervical cancer) NA

6 Cancer (other types) NA

7 Mental health and depression NA

8 Chronic Obstructive Pulmonary Disease (COPD)

4244

9 Malaria 81 positive (slide 8048)

10 Dengue NA

11 Infectious fever (like H1N1, avian influenza, etc.)

NA

12 TB 1040

13 MDR TB 0

14 Diarrhea and gastroenteritis 14261

15 Jaundice/Hepatitis NA

16 Skin diseases NA

17 Severely Acute Malnourishment (SAM) NA

18 Iron deficiency disorder NA

19 Others NA


Table 3: Listing & Mapping of Slums

A detailed mapping of the listed and unlisted slums, vulnerable populations as well as public health facilities

catering to the slums is done for Rampur city in the following format.

Sl.no

.

Ward

no. Name of the slum Population

Quality of

housing

Quality of

sanitation Status of water

supply (Piped, Hand pumps, open wells,

none)

Location and distance of

nearest AWC

Location and

distance of

nearest

Primary School

Location and

distance of nearest Primary Health Centre/

UHP/ UFWC (kutcha/pucca/mixed)

(IHL,community

toilets, OD)

1 4 AAM WALI

MASSID 1073 mixed IHL

Piped & Hand pumps

AAM WALI MASSID

- PPC

2 12 AFRIDIYAN 1603 mixed IHL Piped & Hand

pumps AFRIDIYAN - PPC

3 13 AKHARDA MALLI

KHAN 1468 mixed IHL

Piped & Hand pumps

AKHARDA MALLI KHAN

- UHP

4 22 AKHOON KHALAN 1511 mixed IHL Piped & Hand

pumps AKHOON KHALAN - UHP

5 4 ALLAHA ATTA

NOOR 819 mixed IHL

Piped & Hand pumps

ALLAHA ATTA

NOOR - PPC

6 33 ASTABAL 1633 mixed IHL Piped & Hand

pumps ASTABAL - UHP

7 28&4 BADAYO WALI

MASJID 1775 mixed IHL

Piped & Hand pumps

BADAYO WALI MASJID

- City dispensery

8 37 BAGICHA AMNA 1106 mixed IHL Piped & Hand

pumps BAGICHA AMNA - City dispensery

9 13 BAGICHA

CHOOTE MIAN 1165 mixed IHL

Piped & Hand pumps

BAGICHA

CHOOTE MIAN - City dispensery

10 36 BAJODI TOLA 1812 mixed IHL Piped & Hand

pumps BAJODI TOLA - UHP

11 23/24 BARADARI

MAHMOOD KHAN 1303 mixed IHL

Piped & Hand pumps

BARADARI

MAHMOOD KHAN - UHP

12 25 BAVAN PURI 2516 mixed IHL Piped & Hand

pumps BAVAN PURI - UHP

13 43 BAZARIYA KADU 1027 mixed IHL Piped & Hand

pumps BAZARIYA KADU - UHP

14 24/43 BAZARIYA

KHANSAMA 807 mixed IHL

Piped & Hand pumps

BAZARIYA

KHANSAMA - UHP

15 22/21 BEGUM WALI

BAGIYA 1469 mixed IHL

Piped & Hand pumps

BEGUM WALI BAGIYA

- City dispensery


16 43 CHAH KHAZAN

KHAN 2613 mixed IHL

Piped & Hand pumps

CHAH KHAZAN KHAN

- City dispensery

17 22/36 CHAUKI PAKHAR 1809 mixed IHL Piped & Hand

pumps CHAUKI PAKHAR - UHP

18 25 CHEPTA 1147 mixed IHL Piped & Hand

pumps CHEPTA - UHP

19 20/26 DHOMELA 1705 mixed IHL Piped & Hand

pumps DHOMELA - City dispensery

20 22 DOOGAR PUR 1809 mixed IHL Piped & Hand

pumps DOOGAR PUR - PPC

21 42 GHAIR BAAZ

KHAN 1202 mixed IHL

Piped & Hand pumps

GHAIR BAAZ KHAN

- UHP

22 13 GHAIR CHANDAN

KHAN 738 mixed IHL

Piped & Hand pumps

GHAIR CHANDAN

KHAN - UHP

23 15 GHAIR DARIYA 1211 mixed IHL Piped & Hand

pumps GHAIR DARIYA - PPC

24 40 GHAIR HAZRATH

NOOR 629 mixed IHL

Piped & Hand pumps

GHAIR HAZRATH NOOR

- UHP

25 43 GHAIR KATEBAAZ

KHAN 1816 mixed IHL

Piped & Hand pumps

GHAIR KATEBAAZ

KHAN - UHP

26 21 GHAIR

MEERBAAZ KHAN 1169 mixed IHL

Piped & Hand pumps

GHAIR MEERBAAZ KHAN

- UHP

27 22 GHAIR MIAN

KHAN 3613 mixed IHL

Piped & Hand pumps

GHAIR MIAN KHAN

- UHP

28 40 GHAIR RAHMAT

KHAN 2788 mixed IHL

Piped & Hand pumps

GHAIR RAHMAT

KHAN - UHP

29 23 GHAIR SALAWAT

KHAN 1273 mixed IHL

Piped & Hand pumps

GHAIR SALAWAT KHAN

- UHP

30 40 GUJAR TOLA 1408 mixed IHL Piped & Hand

pumps GUJAR TOLA - UHP

31 40 GUJAR TOLA 989 mixed IHL Piped & Hand

pumps GUJAR TOLA - UHP

32 24 IMLI BATHANMIYA 1472 mixed IHL Piped & Hand

pumps IMLI BATHANMIYA - City dispensery

33 36 JUMMA COLONY 2211 mixed IHL Piped & Hand

pumps JUMMA COLONY - City dispensery

34 4 KACHHI MASJID 1458 mixed IHL Piped & Hand

pumps KACHHI MASJID - City dispensery

35 13 KALGHAR

NALAPAR 1373 mixed IHL

Piped & Hand pumps

KALGHAR

NALAPAR - City dispensery

36 39 KASHIRAMJI

PAHADI GATE 4673 mixed IHL

Piped & Hand pumps

KASHIRAMJI PAHADI GATE

- City dispensery


37 15 KHALE WALA

TALAB 1439 mixed IHL

Piped & Hand pumps

KHALE WALA TALAB

- PPC

38 4 KHAT KHAN 1407 mixed IHL Piped & Hand

pumps KHAT KHAN - PPC

39 17 MADAYA NADAR

BAGH 8575 mixed IHL

Piped & Hand pumps

MADAYA NADAR

BAGH - PPC

40 41/17 MAGZAIN 2137 mixed IHL Piped & Hand

pumps MAGZAIN - City dispensery

41 39 MAJHRA 1511 mixed IHL Piped & Hand

pumps MAJHRA - City dispensery

42 43 MASJID KALE

KHAN 750 mixed IHL

Piped & Hand pumps

MASJID KALE KHAN

- City dispensery

43 40 MASJID

ZAHURUDDIN 1320 mixed IHL

Piped & Hand pumps

MASJID

ZAHURUDDIN - City dispensery

44 28 MATHAWALA KABRISTAN

1796 mixed IHL Piped & Hand

pumps MATHAWALA KABRISTAN

- PPC

45 23 MAZAR SHSH

BAGHZADI SAHEB 1416 mixed IHL

Piped & Hand pumps

MAZAR SHSH BAGHZADI SAHEB

- City dispensery

46 23 MAZAR TAT SHAH

MAIN 1124 mixed IHL

Piped & Hand pumps

MAZAR TAT SHAH MAIN

- City dispensery

47 23/24 MAOHALLA

DARAKH KHINNI 713 mixed IHL

Piped & Hand pumps

MAOHALLA DARAKH KHINNI

- City dispensery

48 24/11 MOHALLA JHANDA


pumps MOHALLA JHANDA

- City dispensery

49 12 MORIGATE 2289 mixed IHL Piped & Hand

pumps MORIGATE - City dispensery

50 13 NALAPAR 1962 mixed IHL Piped & Hand

pumps NALAPAR - UHP

51 25 NAYI BASTI 2712 mixed IHL Piped & Hand

pumps NAYI BASTI - City dispensery

52 39/37 PAHADI GATE 1988 mixed IHL Piped & Hand

pumps PAHADI GATE - City dispensery

53 25/42 PANKEY WALAN 2986 mixed IHL Piped & Hand

pumps PANKEY WALAN - UHP

54 1 PANWADIA 3165 mixed IHL Piped & Hand

pumps PANWADIA - -

55 31/18 PATLA MOHALLA 1396 mixed IHL Piped & Hand

pumps PATLA MOHALLA - PPC

56 43/06 PEEPAOL TOLA 1014 mixed IHL Piped & Hand

pumps PEEPAOL TOLA - PPC

57 23 PHOLLO WALE

BHAGIA 993 mixed IHL

Piped & Hand pumps

PHOLLO WALE

BHAGIA - City dispensery


58 26 PURANA GUNJ 1908 mixed IHL Piped & Hand

pumps PURANA GUNJ - City dispensery

59 1 ROSHAN GUNJ 2117 mixed IHL Piped & Hand

pumps ROSHAN GUNJ - UHP

60 28

SAINEE NAGAR

MALA TAKES KE PICHE


pumps

SAINEE NAGAR

MALA TAKES KE PICHE

- PPC

61 33 SARAY SAHADAT

YAAR KHAN 1153 mixed IHL

Piped & Hand pumps

SARAY SAHADAT YAAR KHAN

- City dispensery

62 40/39 SATUNE SANG 2879 mixed IHL Piped & Hand

pumps SATUNE SANG - City dispensery

63 8 SIDDARTH

NAGAR 1256 mixed IHL

Piped & Hand pumps

SIDDARTH

NAGAR - UHP

64 13 SINGHADIYAN 1441 mixed IHL Piped & Hand

pumps SINGHADIYAN - UHP

65 36 TAKIYA MUBARAK

SHAH 1468 mixed IHL

Piped & Hand pumps

TAKIYA MUBARAK SHAH

- City dispensery

66 40 TALAB

CHAMARAN 1018 mixed IHL

Piped & Hand pumps

TALAB

CHAMARAN - City dispensery

67 39 TASHKA 2307 mixed IHL Piped & Hand

pumps TASHKA - UHP

68 40 TEETAR WALI

PAKHAR 1386 mixed IHL

Piped & Hand pumps

TEETAR WALI PAKHAR

- UHP

69 31/18 THANA HAJYANI

ROAD 965 mixed IHL

Piped & Hand pumps

THANA HAJYANI

ROAD - PPC

70 5 VIKAS NAGAR 1226 mixed IHL Piped & Hand

pumps VIKAS NAGAR - UHP

71 8 VISHNU VIHAR 2117 mixed IHL Piped & Hand

pumps VISHNU VIHAR - UHP

72 9 ZILA HOSPITAL

KE PICHE

(SAINEE NAGAR)


pumps

ZILA HOSPITAL KE PICHE (

SAINEE NAGAR)

- PPC

Total 124287

This information’s has been identified and taken from various sources such as NPSP, Health Department, DUDA and

UHI. Also to triangulate, we have cross checked the information’s. The AWC presence in the slums was supported by ICDS department and the health department has supported with presence of primary health facilities. The education

department has supported with data which indicates presence of primary or upper primary schools in the slums where children go for their schooling.


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.

1 DH/DWH Health Department Rampur City 2335398

Normal Delivery, C section, Gen. OPD, IPD & all

basic health facility

Detail list attached

Ultrasound, X-ray machine, USG,

autoclave etc.

2 PPC Health Department Rampur City

325313 ANC, PNC, RI FP

etc.

-

3 UHP l Health Department Rampur City -

4 UHP ll Health Department Rampur City -

5 UHP lll Health Department Rampur City -

6 UHP - NRHM Health Department Rampur City -

7 RMC Health Department Rampur City -

8 City dispensary Health Department Rampur City -

The above table reveals all types of health facilities such as district level hospitals including male and female,

urban health posts supported by state govt. and NRHM. It also reflects the quantity of population catered by these

facilities and the type of services available in each facility. This table also reflects the human resources present in all the

facilities in addition to the equipment’s used for quality service delivery. Apart from these, there is also a large gap in

demand and supply side of the quality service delivery. Most of these urban health posts are partially equipped with

trained providers to cater services regularly. Also comparing to the demand side, as there is no or less outreach activities

are conducted to generate demand among the urban poor to make accessibility to these facilities. NUHM initiation will

lead a vital role in fulfilling the demand as well as the supply side by conducting outreach activities at community level

there by equipping and upgrading the facilities as UPHC at community level across the city to cater quality service

delivery.


2. Key Issues

Based on the above tables and facts, the planning team had identified various

key issues as far as delivery of health care is concerned with specific focus on urban

poor. They are-

Maternal Health: Pregnancy and child birth are the leading causes of death,

disease and disability among women of reproductive age. Lack of antenatal care is

an important risk factor for maternal health which is contributed largely due to

inaccessibility of health facilities in the urban areas. Also, the availability of Front-

Line Workers (FLWs) is very low in the urban slums as compared to the rural areas

where ASHAs are the lead volunteers of the client-outreach activities. The

Reproductive and Child Health Program recommends that as part of antenatal care,

pregnant women should be provided with at least three antenatal check-ups, two

doses of tetanus toxoid vaccine and iron and folic acid supplementation for at least

three months during pregnancy. However, the urban areas are comparatively low

indicators of maternal health than rural areas and this need to be focused in

increasing the indicators by delivering quality services.

Childhood morbidity and health services: Rampur district is always common in

facing outbreaks of polio and Vaccine Preventable Diseases which are more

common in urban slums owing to high population density and continuous incoming

of a new pool of infective agents with the immigrating population. Although vaccines

have been developed for this deadly disease, yet their reach to children in urban

slums is a major area of concern. Also, there is high drop-out and left-out rates of

immunization among urban poor households as compared to the urban average and

rural areas. This is mainly due to the weak birth registration system particularly for

the urban slums. Many of the births particularly home deliveries in the urban slums

remain unregistered. This is compounded by inaccessibility of health facilities for the

urban slum population and lack of FLWs for providing the required information.

Usage of Family Planning: High population growth rate in urban areas is not only

because of rapid in-migration but also because of large families and the limited use


of family planning or contraceptive methods especially among the urban poor.

Addressing the high fertility and low use of family planning methods is not only

important from the view point of reducing the rapid growth of population but also to

reduce high parity and closely spaced births which have a significant bearing on

maternal and child health.

Environmental Health factors: The health status of the slum community is further

accounted by the poor climatic or environmental conditions in which they reside.

Access to safe drinking water and quality sanitary means of excreta disposal are

basic human rights and forma an indispensable components of primary health care

services. Inadequate sanitation, poor hygiene and water result not only in more

sickness and death but also in higher health costs, lower worker productivity and

lower school enrollment and retention rates. The poor in urban areas bear a

disproportionately higher burden of the non-availability of water as well as its poor

quality. Majority of the urban slum households derive their drinking water either from

hand pumps or public taps. Increased coordination and convergence of departments

in-charge of water supply, sanitation and slum improvements with the health

department is a pre-requiste for improving the health conditions of slum dwellers.

Lack in Health facilities: In Rampur urban areas, it does not have a wide network

of primary health care services unlike rural areas. The rapid growth of urban

population has also rendered the already limited health facilities more inadequate to

serve the needs of the urban poor. As a result some slum settlements are entirely

uncovered by health services and the quality of services in others is seriously

compromised.

3. Strategies, Activities and Work plan Under NUHM : The strategies will be

designed in line with the guidelines provided by the NUHM and to start with the

minimum plans to make sure that planning’s made and implemented as per the

norms and that has resulted to quality output as desired. Also it has been taken into

consideration that all planning made is participatory rolled out at community level

which will ensure its progress in a wide range. The following strategies are carried

out as-


Creation of Service delivery infrastructure: As per the guideline, it has mentioned

at every 50,000 population will be catered by UPHC to deliver quality health

services. Rampur city is proposing 06 UPHCs in accordance to the total population

of 325313 people in the city. All the UPHCs will be upgraded or newly identified as

per the baseline survey conducted by NUHM plan. Once the survey results are

collated, it will lead to take appropriate decisions for stepping to location and

placement of UPHC. Besides that, the budget part includes all human resources

which make sure that UPHCs are fully functional. Also plan for drug and

consumables in required number is made allocations to provide un-interrupted

services to urban poor. The planning team has also focused on strengthening the

urban health posts to UPHCs and henceforth these facilities will be more active in

provisioning services.

Outreach: Outreach services will be provided through female health workers or

ANMs who will be headquartered at UPHCs. Keeping this in view and population

standard’s, Rampur city plan has proposed 30 ANMs (5 ANM/UPHC & 6 UPHC

planned for city) in the budget part. All ANMs will be engaged to provide preventive

and promotive health care services to households through routine outreach

sessions. They will also focus on providing health services to children by covering all

government schools and anganwadi centers and schools located in the slums.

During the sessions, they will screen birth defects, diseases, disability and deficiency

and accordingly follow up actions would be initiated.

Targeted interventions for slum population and the urban poor:

As per the requirement and according to the city total population, 62 ASHA

workers are proposed in the budget. These ASHA workers would serve as an

effective and demand generating link between the health facility and the urban slums

population Each ASHA workers will serve to a population approx 2000.

Mahila Arogya Samiti will act as community based peer education group in

slums who will involve in community mobilization, monitoring and referral with focus

on preventive care, facilitating access to identified facilities and management of

grants received. In this context, Rampur city plan is proposing formation of 124 MAS

in the current financial year.


Once these MAS groups are formed, the city plan has also provisioned

capacity building and orientation to enhance the skills and exposure to the members

of MAS. A total number of 124 MAS group members (8-10 members in each MAS)

will be trained for mobilization, sanitation and hygiene and emergency healthcare

needs.

ANMs would provide preventive promotive health care services to households

through routine immunization. 225 UHND sessions will be held in AWC areas in

each month at the city. 33 outreach camps per month, other than UHND session

have been planned.

Role of Urban Local Bodies: The NUHM would promote active participation of the

ULBs in the planning and management of the urban health programmes. City plan

has proposed special focus on urban local bodies to involve in implementation

strategy and it will play a supportive role for achieving program goals.

Funding / budget mechanism: Funds will flow to the District Health Society through

State Health Society. There will be separate books of account for NUHM or as

guided by the NHM.

Convergence: Intra-sectorial convergence is envisaged to be established through

integrated planning for implementation of various health programmes like

RCH,RNTCP, NVBDCP, NPCB, National Mental Health Programme, and National

Programme for Health Care of the Elderly, etc. at the city level.

4. City programme Management Arrangement

The city programme management arrangement will be done accordingly to the

guideline and norms allocated by state NHM official’s. Also it will depend on the

district health society guidance and other stakeholders from time to time.


City Level Indicators and Targets

Processes & Inputs

Indicators Baseline

(as applicable)

Number Proposed (2013-14)

Number

Achieved

(2013-14)

Community Processes

1. Number of Mahila Arogya Samiti (MAS) formed * 0 124

2. Number of MAS members trained * 0 1240

3. Number of Accredited Social Health Activists (ASHAs) selected and trained *

0 62

Health Systems for 6

month

4. Number of ANMs recruited * 0 30

5. No. of Special Outreach health camps organized in the slum/HFAs *

0 33

6. No. of UHNDs organized in the slums and vulnerable areas *

0 225

7. Number of UPHCs made operational * 0 6

8. Number of UCHCs made operational * 0 0

9. No. of RKS created at UPHC and UCHC * 0 6

10. OPD attendance in the UPHCs 0 21600

11. No. of deliveries conducted in public health facilities NA 1800

RCH Services for 6

month

12. ANC early registration in first trimester NA 1800

13. Number of women who had ANC check-up in their first

trimester of pregnancy NA 1800

14. TT (2nd dose) coverage among pregnant women NA 1600

15. No. of children fully immunised (through public health facilities)

NA 1800

16. No. of Severely Acute Malnourished (SAM) children identified and referred for treatment

NA 20

Communicable Diseases for 6

month

17. No. of malaria cases detected through blood examination

NA -

18. No. of TB cases identified through chest symptomatic NA 416

19. No. of suspected TB cases referred for sputum examination

NA 3600

20. No. of MDR-TB cases put under DOTS-plus NA 18

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 -


Chief Medical Officer

Rampur

R

am

pur

Documents

Rampur City - nuhm.upnrhm.gov.innuhm.upnrhm.gov.in/urban/pip/rampurpip.pdf1 | P a ge D P M U-N R H M , R a m p u r Rampur City Program Implementation Plan National Urban Health Mission