Saharanpur Citynuhm.upnrhm.gov.in/urban/pip/sharanpurpip.pdfSaharanpur City Program Implementation Plan National Urban Health Mission Prepared by District Health Officials with support

Saharanpur City

Program Implementation Plan

National Urban Health

Mission

Prepared by District Health Officials with support from Urban Health Initiative

August 2013

National Urban Health

Mission

PROGRAMME IMPLEMENTATION PLAN (PIP)

2013-14

Saharanpur

Dr Geeta Ram Dr V.K.Gupta

Nodal Officer(NUHM) Chief Medical Officer Saharanpur Saharanpur

National Urban Health Mission- Programme Implementation Plan

Saharanpur 2013-14

CONTENTS PAGE NO.

KEY FEATURES OF NUHM 2

PREPARATORY ACTIVITIES 3

VARIOUS ACTIVITIES TO BE UNDERTAKEN IN 2013-14 FOR NUHM 3

PLANNING PROCESS FOR NUHM PIP, 2013-14 6

ANNEXES

ANNEX NO.

1 NUHM STATE PIP (2013-14) 7

1a DISTRICT PROFILE 7

1b DISTRICT LEVEL INDICATORS AND TARGETS 7

1c SUMMARY OF DISTRICT NUHM BUDGET (2013-14) 15

1d DETAILED DISTRICT NUHM BUDGET (2013-14) 15

2 CITY HEALTH PLANS(Saharanpur Urban) 16-39

2a CITY PROFILE 16

2b CITY LEVEL INDICATORS AND TARGETS 16

2c SUMMARY OF CITY NUHM BUDGET 33

2d DETAILED CITY NUHM BUDGET (2013-14) 34-39

2 CITY HEALTH PLANS (Deoband Urban) 16-39

3 CITY HEALTH PLANS (Gangoh Urban) 51-61

4 Voucher Scheme 62-

- 1 -

- 2 -

KEY FEATURES OF NUHM

NUHM seeks to improve the health status of the urban population particularly slum dwellers and

other vulnerable sections by facilitating their access to quality health care. 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. These guidelines are used to enable the states and Union Territories to

prepare the Programme Implementation Plans (PIP) for 2013-14 under the NUHM and are to be read

in conjunction with the NUHM Framework for Implementation. Key features of NUHM are

enumerated below:

Creation of service delivery infrastructure :

Urban - Primary Health Centre (U-PHC): Functional for approximately 50,000

population, the U-PHC would be located within or near a slum.

Urban-Community Health Centre (U-CHC) and Referral Hospitals: 30-50 bedded U-CHC

providing inpatient care in cities with population of above five lakhs, wherever required

and 75-100 bedded U-CHC facilities in metros.

In towns/ cities, where some sort of public health institutions like Urban Family Welfare

Centres, Maternity Homes etc., exist effort will be made to strengthen them on the lines

of U-PHC and U-CHC.

Outreach:

Creation of Sub Centres has not been envisaged under NUHM. Outreach services

will be provided through Female Health Workers (FHWs)/ Auxiliary Nursing

Midwives (ANMs) headquartered at the UPHCs.

ANMs would provide preventive and promotive health care services to households

through routine outreach sessions.

Expansion of services through outreach to children by covering at least all government

schools and Anganwadi Centres. Other schools located in the slums would also be

covered. During such sessions, screening for birth defects, diseases, disability and

deficiency (4 Ds) would be carried out and follow-up actions would be initiated.

Various services to be delivered at the community level, UPHC and UCHC levels have

been elaborated in Table 17-1 of the NUHM Implementation Framework.

Targeted interventions for slum population and the urban poor:

Mahila Arogya Samiti (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, facilitating access to identified facilities and

management of grants received.

- 3 -

Capacity building of community – NUHM would provide capacity building support to

MAS / Community Based Organisations for orientation, training, exposure visits,

participation in workshops and seminars etc., apart from annual grant of Rs.5000 per

MAS for mobilization, sanitation and hygiene, and emergency healthcare needs.

Link Worker / ASHA - One frontline community worker (ASHA) would serve as an

effective and demand–generating link between the health facility 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 – Weekly medical camp would be organised in slum areas.

Role of Urban Local Bodies

The NUHM would promote active participation of the ULBs in the planning and management of

the urban health programmes. In the seven mega cities, namely Delhi, Mumbai, Kolkata,

Chennai, Bengaluru, Hyderabad and Ahmedabad, the NUHM would be implemented through the

City Urban Health Mission/Society. In other cities/ towns, NUHM will be implemented through

the District Health Society except the large cities where in the view of the State Government,

implementation of NUHM can be handed over to the City Urban Health Mission.

Funding/budget mechanism

Funds will flow to the City Urban Health Society/ District Health Society, through the State

Government / State Health Society. The SHS/DHS will have to maintain separate accounts for

NUHM.

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 Care 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.

States are also encouraged to explore possibility of engaging the Railways, ESIC and

corporate sector (through CSR).

Other aspects:

Extensive use of Information Technology would be made for hospital management,

reporting and monitoring as well as service delivery.

Public Health laboratories would also be strengthened for early detection and

management of disease outbreaks.

VARIOUS ACTIVITIES TO BE UNDERTAKEN IN 2013-14 FOR ROLL OUT OF NUHM

During 2013-14 the focus would be on establishing necessary program management structures and

building capacities for implementation of NUHM, mapping of slums and public healthcare facilities,

- 4 -

preparation of baselines for identifying areas of intervention and investment. Specific activities in

2013-14 would include:

Prioritise cities for roll out of NUHM on the basis of appropriate criteria

Strengthen program management structures at state level and selected districts and cities;

Build necessary capacities through training and establishing systems for flow of funds.

Carry out a baseline survey in the prioritised cities including listing and mapping of slums/

vulnerable pockets; mapping and facility survey of all public health facilities, which would

lead to “situational analysis”.

Prepare plans for intervention during 2013-14.

Recruitment of necessary program management staff. Capacities of staff would be

built through training.

Community processes i.e. MAS, ASHA/link-worker, targeted outreach services

Strengthening of existing public healthcare facilities

Convergence with other health programmes and wider determinants.

Prioritise cities/towns

Given the limited availability of funds during 2013-14, implementation of NUHM would necessarily

take place in a phased manner. States would need to prioriti se cities/ towns based on appropriate

criteria including number and proportion of people living in slum and slum like conditions, existence

of community based structures; capacity of ULB, etc. The States/UTs could also initiate NUHM in

selected JnNURM cities as these cities would be better prepared to manage NUHM. However, the

states are free to finalise the cities on the basis of objective criteria.

Carry out baseline survey and situational analysis in selected cities/ towns1

The base line survey would (1) identify and map the slums listed as well as the unlisted, low income

neighbourhoods, called Key Focus Areas (KFAs2) so that interventions can be targeted (2) list all

public health facilities and conduct facility surveys (availability of infrastructure, HR, drugs,

consumables and equipment) order to prepare estimates for up-gradation/strengthening the same

as per norms and standards (3) provide an assessment of existing community based structures in

order to determine whether these could take on the role of MAS (4) assess capacity ( staff, systems )

of the ULBs to manage NUHM.

Current status of KFAs in terms of health indicators may be obtained from existing secondary

databases and/ or through baseline household survey.

- 5 -

The above analysis would determine gaps in availability public health services ( in and around the

KFAs), thus providing a basis for the City Health Plans and subsequent monitoring of progress.

GIS mapping of slums undertaken by Urban Development/HUPA Department under JNNURM/RAY

would provide a good starting point for the mapping of KFAs. The National Polio Surveillance

Project (NPSP-WHO) surveillance maps and micro-plans may also be used to identify

vulnerable population/hard to reach pockets.

Prepare City Health plans

States/UTs need to prepare CHPs for the identified cities/ towns. The CHP would consist of a

situation analysis, key issues, strategies (including identification of facilities to be upgraded / location

of new facilities, PPPs/ innovations, etc.), activities, work plan, program management arrangements

including monitoring indicators/ results frame work and proposed budget.

While preparation of a comprehensive City Health Plan may not be feasible before submission of the

PIP for 2013-14, a plan is required to be prepared on the outlines indicated here.

Initiate community processes

Under NUHM, community processes include mobilising urban communities through structures such

as MAS, deployment of ASHA and their capacity building. It may be noted that NUHM provides for

ANMs for the entire urban population whereas ASHA and MAS will be mobilised only for population

living in KFAs. NUHM would provide untied grants and capacity building support to MAS / CBO.

Strengthening of existing primary healthcare facilities

One urban primary health centre (UPHC) may be planned for every 50-60 thousand population. In

case there is existing infrastructure of UFWC, UHC, UHP, etc., it may be upgraded and strengthened

as UPHC. Where none exists, new UPHCs will have to be planned and the State could initiate the

process of identification of location/ land. NUHM would provide both capital and recurrent cost for

up gradation and maintenance of the UPHCs, as per the norms in the NUHM Framework for

Implementation. The State could also hire premises for new UPHCs where land is not available.

Mobile PHCs could be planned for unlisted slums and other KFAs, where it is not possible to establish

a new UPHC as per requirement.

6

PLANNING PROCESS FOR NUHM PIP, 2013-14 An overview of the process is depicted below.

NUHM: PIP PLANNING PROCESS

Situation analysis

Ccurrent s tatus

Kkey issues

Ppriori tization / phasing of cities and agency responsible

Strategies, activities and work plan

Costing of PIP

Drafting of PIP

Review and approval byDHS

CHPs, if already prepared

Implementation /

monitoring and review

District level workshop

with representatives

from other departments

Iterations if required

Progress and lessons learnt

from other Urban Health

initiates

- 7 -

District NUHM PIP (2013-14)

.

1. DISTRICT PROFILE - Saharanpur

Table 1: Demographic Profile (based on 2011 census)

Total Population of District (In lakhs) 34.64

Urban Population of District (In lakhs) 8.61

Urban Population as percentage of total population 24.87

Urban slum population of District (in lakhs) 391868

Slum population as percentage of urban population 45.47

Number of Metro cities 0

Number of Million + cities (> 10 lakh population) 0

Number of cities with 1 to 10 lakh population 1

Number of towns with less than 1 lakh but more than 50 thousand

population 2

Number of District HQs which have less that 50 thousand population

but are covered under NUHM 0

Table 2: Health indicators

Total Urban Urban Poor

(wherever

available) Infant Mortality Rate 79(AHS 2011) 47 -

Under-five Mortality Rate 103 (AHS 2011) 57 -

Maternal Mortality Ratio 234 234 -

Total Fertility Rate 3.8(NFHS-3) 3.8 -

Full Immunization (percentage) 41.1(DLHS-3) 42.3 -

Number of SAM children identified

(ICDS data)

-

Annual Blood Examination Rate (ABER) for malaria

4.40 1.61 -

Annual Parasite Index (API) 0.56 0.64 -

Dengue Case Fatality Rate 0 0 -

Annual New Smear Positive case detection rate

72 72 -

Treatment success rate among new smear positive cases

88 88

- 8 -

Total Urban Urban Poor

(wherever available)

Leprosy Prevalence Rate .36 .34(districts

Health Data)

No. of outbreaks reported under IDSP in past year

2 0 0

Indicate the source of data (e.g. AHS , NFHS-3, etc.), Also include any other relevant

information

Table 3: Details of cities/towns to be covered under NUHM as per 2011 census

Sl.no

.

Name of the

city/town

Type (state

capital/district headquarters/othe

r)

Populatio

n as per 2011

census

No.

of slum

s

Slum

population

Whethe

r covered

under JnNURM, BSUP, IDSMT

1 Saharanpur(Urba

n)

District HQ 705478 157 391868 No

2 Deoband(Urban) Other 97037 11 32650 No

3 Gangoh(Urban) Other 59279 6 21659 No

Table 4: Details of cities/towns taken up for NUHM implementation in 2013-14 .

Sl.

No.

Name of

City/Town

Type (state

capital/district headquarters/other)

Population Slum

population

Implementing

Authority (City/ Dist. Health Society)

Development

Partner , if any

1 Saharanpur(Urban)

District HQ 705478 391868 Dist. Health Society)

ICDS,Municipal

corporation,DUDA

2 Deoband(Urban)

Other 97037 0 Dist. Health

Society)

ICDS,Municip

ality

3 Gangoh(Urban)

Other 59279 0 Dist. Health

Society)

ICDS,Municip

ality

(Source: ) Census 2011/Pilse Polio Data

- 9 -

2.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 living in a

defined geographical area. NRHM’s strategy of decentralization, PRI involvement,

integration of vertical programmes, inter-sectoral convergence and Health Systems

Strengthening has been partially achieved. Despite efforts, lack of capacity and inadequate

flexibility in programmes 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 reporting to state, facility 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, Communitization,

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 service 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 facilities 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

- 10 -

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 Lucknow

17) Management of communicable & non- communicable diseases

18) Strengthening AYUSH

19) Constitution of BSGY team for urban areas.

20) Identification & management of SAM children

3. STRATEGIES, ACTIVITIES AND WORKPLAN -Baseline &Listing and Mapping of Households in slums and Key Focus Are

-Selection & Training of Urban ASHA -MAS formation & Training -Infrastructural Development of New PHCs(To convert 5-UHPs running in Govt Building in PHCs) -recruitment of Health Staff for PHCs -Service Delivery

4. PROGRAMME 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.

After extensive deliberations the state plans to designate the District Health

Society under the chairmanship of the District Magistrate 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 Society 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:

- 11 -

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 Programme 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 Programme management Unit.

The City Program Management Committee will function as an Apex Body for

management of the City 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,

Member DUDA & UD - Project Officer Member – ESIC - ESIC Hosp. Supdt.

Members – School Education - BSA & DIOS Members – Dev. Partners - Partners working in urban health sector (

Coordinator - Lead Dev. Partner

- 12 -

City Health Plans

Saharanpur(Urban)

Table 1

Total Population of city (in lakhs) 705478

Slum Population (in lakhs) 302500

Slum Population as percentage of urban population 42.87 %

Number of Notified Slums 49

Number of slums not notified 108

No. of Slum Households 70946

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

49

Number of slums where households have individual water connections*

64

Number of slums connected to sewerage network* 0

Number of slums having a Primary school 93

No. of slums having AWC 111

No. of slums having primary health care facility 70

- 13 -

Table 2 Saharanpur(Urban)

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 4574

2 Self inflicted injuries/suicide 45

3 Cardiovascular Disease 890

4 Cancer (Breast cancer) 7

5 Cancer (cervical cancer) 0

6 Cancer (other types) 33

7 Mental health and depression 0

8 Chronic Obstructive Pulmonary Disease (COPD) 3805

9 Malaria 453

10 Dengue 0

11 Infectious fever (like H1N1, avian influenza, etc.) 0

12 TB 310

13 MDR TB 3

14 Diarrhea and gastroenteritis 3086

15 Jaundice/Hepatitis 0

16 Skin diseases 26

17 Severely Acute Malnourishment (SAM) 0

18 Iron deficiency disorder 158

19 Others 24665

(Source: )District Health Data

- 14 -


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

No of

Asha

required

(kutcha/pucca/mixed)

(IHL,community toilets, OD)

1 4 Bhatta Colony

732 Mixed IHL Handpump Bhatta Colony

1 KM 2 Kms

2 4 Topri Road

3272 Mixed IHL Handpump Topri Road 1 KM 1 Kms 1

3 4

Indira Colony(Hi

mmat Nagar)

2195 Mixed IHL Handpump Indira

Colony(Himmat Nagar)

1 KM 0 Km 1

4 4 Durga Puri 175 Mixed IHL Handpump 1 Km 1 KM 0 Km

5 14 Himmat

Nagar 5110 Mixed IHL Handpump

Himmat Nagar

1 KM 0 Km

3

6 4 Najirpura 1085 Mixed Mixed Handpump Najirpura 1 KM 3 Kms

1

7 4 Kanshiram Awasiya Colony

3750 Mixed IHL Handpump 1Km 1 KM 0 Km

2

8 4 Tagore Garden

1350 Mixed IHL Handpump Tagore Garden

1 KM 2 Kms

1

9 30 Balmiki

Basti 605 Mixed IHL Handpump

Balmiki Basti

1 KM 1 Kms

- 15 -

10 30 Pujabi Bagh

5000 Mixed IHL Handpump Pujabi Bagh 1 KM 2 Kms

2

11 30 Vinod Vihar

2000 Mixed IHL Handpump 1Km 1 KM 2 Kms

1

12 30 Dera

Ilahipura 1908 Mixed IHL Handpump

Dera Ilahipura

1 KM 2 Kms

1

13 30 Balaji Puram


1 14 30 Shriram Puram


15 30 Rajori

Garden 580 Mixed IHL Handpump 1Km 1 KM

2 Kms

16 30 Madhuba

n Vihar 1685 Mixed IHL Handpump

Madhuban Vihar

1 KM 2 Kms

1

17 1 Ojpura 3055 Mixed IHL Handpump Ojpura 1 KM 2 Kms 2

18 1 Walipura 70 Mixed IHL Handpump Walipura 1 KM 2 Kms

1 19 1

Rahimabad


20 1 Panni Jhopdi

330 Mixed OD Handpump Panni Jhopdi

1 KM 2 Kms

21 1 Kusht

Ashram 155 Mixed OD Handpump 1Km 1 KM

1 Km

22 7

Bhatedo Ki

Basti(Sharda nagar)

2500 Mixed OD Handpump Bhatedo Ki

Basti(Sharda nagar)

1 KM

1 Km

1

23 16

Indira Colony (Sharda nagar)

1885 Mixed OD Handpump

Indira Colony (Sharda nagar)

1 KM

1 Km

1

- 16 -

24 16 Labour Colony

3800 Mixed IHL Nagar Nigam Labour Colony

1 KM 0 Km

2

25 16 Sarita Vihar

1120 Mixed IHL Nagar Nigam 1Km 1 KM 1 Km

1

26 16 Prakash

vihar 570 Mixed IHL Nagar Nigam 1Km 1 KM 1 Km

2 27 16

Prakash Lok Vihar


28 16 Shiv

Nagar/Meer Nagar


29 16 Jan

Prabha Nagar


1

30 16 Nandpura 4445 Mixed IHL Nagar Nigam 1Km 1 KM 1 Km 2

31 16 Ram

Chandra Puri


1 32 16

Vijai Nagar/Baldev Nagar

630 Mixed IHL Nagar Nigam Vijai

Nagar/Baldev Nagar

1 KM

1 Km

33 16 Shorabh

Road 565 Mixed IHL Nagar Nigam 1Km 1 KM

1 Km

34 16 Jatav Basti Kishanpur

a 1005 Mixed IHL Nagar Nigam

Jatav Basti Kishanpura

1 KM

1 Km

1

35 16 Shah

Madar 5530 Mixed IHL Nagar Nigam Shah Madar 1 KM

1 Km 3

- 17 -

36 23 Kila

Nawabganj

5382 Mixed IHL Nagar Nigam Kila

Nawabganj 1 KM

1 Km

3

37 23

Indira Colony(Ra

kesh Talkies)

1515 Mixed IHL Nagar Nigam Indira

Colony(Rakesh Talkies)

1 KM

1 Km

1

38 23 Ghosyan(

Nawab Ganj)

1680 Mixed IHL Nagar Nigam Ghosyan(Nawab Ganj)

1 KM 1 Km

1

39 23 Moajjam

Pura 2810 Mixed IHL Nagar Nigam

Moajjam Pura

1 KM 1 Km

2

40 17 Balmiki

Basti Beri Bagh

540 Mixed IHL Nagar Nigam Balmiki

Basti Beri Bagh

1 KM

1 Km

41 19 Janak Nagar

8355 Mixed IHL Nagar Nigam Janak Nagar 1 KM 1 Km

4

42 29 Khan

Alampura 8538 Mixed IHL Handpump

Khan Alampura

1 KM 1 Km

4

43 Nai Basti 1968 Mixed IHL Handpump 1 KM 1 Km 1

44 29

Harijan Basti Janak Nagar

1055 Mixed IHL Handpump

Harijan Basti Janak

Nagar 1 KM

1 Km

1

45 29 Namak

Mill 580 Mixed IHL Handpump 1Km 1 KM

1 Km 1

46 29 Nand Vihar

530 Mixed IHL Handpump Nand Vihar 1 KM 1 Km

- 18 -

47 29 Nand Vatika


48 3 Shanti Nagar

2805 Mixed IHL Nagar Nigam Shanti Nagar

1 KM 1 Km

2

49 3 Habib Garh

2904 Mixed IHL Handpump Habib Garh 1 KM 1 Km

2

50 3 Mahipura 2065 Mixed IHL Handpump Mahipura 1 KM 1 Km

2

51 3 Husain Basti

1248 Mixed IHL Handpump Husain Basti 1 KM 1 Km

1

52 3

Balmiki Basti Janta Road

1680 Mixed IHL Nagar Nigam Balmiki

Basti Janta Road

1 KM

0 Km

1

53 5 Garhi

Malook-2 1416 Mixed IHL Nagar Nigam

Garhi Malook-2

1 KM 0 Km

1

54 5 Garhi

Malook-1 3800 Mixed IHL Nagar Nigam

Garhi Malook-1

1 KM 0 Km

2

55 5 Moajjam colony

3276 Mixed IHL Nagar Nigam Moajjam

colony 1 KM

1 Km 2

56 5 Dinesh Vihar

2094 Mixed IHL Nagar Nigam Dinesh Vihar

1 KM 1 Km

2

57 5 Upwan Vihar


58 37 Noor Basti 6510 Mixed IHL Nagar Nigam Noor Basti 1 KM 1 Km

3

59 37 Nai Basti 3240 Mixed IHL Nagar Nigam Nai Basti 1 KM 1 Km 2

- 19 -

60 27 Chhipiyan 3498 Mixed IHL Nagar Nigam Chhipiyan 1 KM 1 Km

2

61 27 Sharbatiya

Peer 3246 Mixed IHL Nagar Nigam

Sharbatiya Peer

1 KM 1 Km

2

62 27 Munga Garh

1080 Mixed IHL Handpump Munga Garh 1 KM 1 Km

1

63 27 Defence Colony


1

64 27 Gangotri

Vihar 510 Mixed IHL Handpump 1Km 1 KM

1 Km

65 27 Kailash vihar

624 Mixed IHL Handpump Kailash

vihar 1 KM

1 Km 1

66 27 Chaudhari

Vihar 2598 Mixed IHL Handpump

Chaudhari Vihar

1 KM 1 Km

2

67 27

Husain Basti Behat Road

1248 Mixed IHL Handpump 1Km 1 KM

2 Kms

1

68 27 Sanjay Vihar

1968 Mixed IHL Handpump Sanjay Vihar 1 KM 1 Km

1

69 27 Mubarak

Shah 1605 Mixed IHL Handpump

Mubarak Shah

1 KM 1 Km

1

70 27 Shyam

puri/Prempura

1150 Mixed IHL Handpump Shyam

puri/Prempura

1 KM 1 Km

1

71 27 Chaub

Farrasan 2898 Mixed IHL Handpump

Chaub Farrasan

1 KM 1 Km

2

72 27 Jhhotewal

a 2898 Mixed IHL Handpump Jhhotewala 1 KM

1 Km 2

- 20 -

73 27 Matagarh 1910 Mixed IHL Handpump Matagarh 1 KM 1 Km

1

74 27 Bhism Nagar

415 Mixed IHL Handpump Bhism Nagar

1 KM 1 Km

75 27 Shivdhan

Puri 1220 Mixed IHL Handpump 1Km 1 KM 1 Km

1

76 27 Hayat

Colony 4314 Mixed IHL Handpump 1Km 1 KM

1 Km 2

77 27 Hashmat Colony

1776 Mixed IHL Handpump Hashmat Colony

1 KM 1 Km

1

78 27 Balmiki

Basti(kalsia Road)


1

79 27 Vishwas Colony


80 44 Israr

Colony 1032 Mixed IHL Handpump Israr Colony 1 KM

1 Km 1

81 44 Nadeem colony


1

82 44 Hasan Colony

2652 Mixed IHL Nagar Nigam 1Km 1 KM 1 Km 2

83 44 Golden Nagar


84 44 Islamabad 3400 Mixed IHL Nagar Nigam Islamabad 1 KM 1 Km

2

85 44 Khudana 553 Mixed IHL Nagar Nigam 1Km 1 KM 1 Km

86 44 Faisal Town


2

87 44 Jain

Colony 3342 Mixed IHL Nagar Nigam Jain Colony 1 KM

1 Km 2

88 44 Siraj 3714 Mixed IHL Nagar Nigam 1Km 1 KM 1 Km 2

- 21 -

Colony

89 44 Mominpur

a 840 Mixed IHL Nagar Nigam 1Km 1 KM

1 Km

90 44 Barkat Colony


91 44 Sangam

vihar 1860 Mixed IHL Nagar Nigam

Sangam vihar

1 KM 1 Km

1

92 44 Farman

basti 1848 Mixed IHL Nagar Nigam

Farman basti

1 KM 1 Km

1

93 44 Miidewali

Gali 2574 Mixed IHL Nagar Nigam

Miidewali Gali

1 KM 1 Km

1

94 44 Naya Bans 2772 Mixed IHL Nagar Nigam Naya Bans 1 KM 1 Km

2

95 44 Banjaran 1566 Mixed IHL Nagar Nigam Banjaran 1 KM 1 Km 1

96 44 Jatvan 372 Mixed IHL Nagar Nigam 1Km 1 KM 1 Km

97 44 Daud Sarai

2838 Mixed IHL Nagar Nigam Daud Sarai 1 KM 1 Km

2

98 44 Sirajan 1554 Mixed IHL Nagar Nigam Sirajan 1 KM 1 Km 1

99 44 Kode

Bandan 382 Mixed IHL Nagar Nigam 1Km 1 KM

1 Km

100 44 Chavar

Bardaran 2148 Mixed IHL Nagar Nigam

Chavar Bardaran

1 KM 1 Km

1

101 44 Loharni

Sarai 1986 Mixed IHL Nagar Nigam

Loharni Sarai

1 KM 1 Km

1

102 44 Dholi Khal 2430 Mixed IHL Nagar Nigam Dholi Khal 1 KM 1 Km

1

103 44 Kutbsher 1776 Mixed IHL Nagar Nigam Kutbsher 1 KM 1 Km 1

104 44 Khambal

Pura 1620 Mixed IHL Nagar Nigam

Khambal Pura

1 KM 1 Km

1

- 22 -

105 44 Jatav Nagar

4446 Mixed IHL Nagar Nigam Jatav Nagar 1 KM 1 Km

2

106 44 Khurja

Mill 1290 Mixed IHL Nagar Nigam Khurja Mill 1 KM

1 Km 1

107 44 Macchera

n 1320 Mixed IHL Nagar Nigam Maccheran 1 KM

1 Km 1

108 34 Sarai

Hishamuddin

3216 Mixed IHL Nagar Nigam Sarai

Hishamuddin

1 KM 1 Km

2

109 34 Shah Noor 702 Mixed IHL Nagar Nigam Shah Noor 1 KM 1 Km

110 34 Pakka bagh

3846 Mixed IHL Nagar Nigam Pakka bagh 1 KM 1 Km

2

111 34 Topia sarai

2292 Mixed IHL Nagar Nigam Topia sarai 1 KM 1 Km

1

112 34 Sarai

Ahmed Ali 1566 Mixed IHL Nagar Nigam

Sarai Ahmed Ali

1 KM 1 Km

1

113 34 Khajoor

Tala 966 Mixed IHL Nagar Nigam Khajoor Tala 1 KM

1 Km 1

114 34 Sarai

Kalender Bakhs


Kalender Bakhs

1 KM 1 Km

1

115 34 Mohalla

Aali 2526 Mixed IHL Nagar Nigam Mohalla Aali 1 KM

1 Km 1

116 34 Mehandi

Sarai 5988 Mixed IHL Nagar Nigam

Mehandi Sarai

1 KM 1 Km

3

117 34 Sarai

Mardan Ali


Mardan Ali 1 KM

1 Km

1

- 23 -

118 34 Nadeem colony

5340 Mixed IHL Nagar Nigam Nadeem colony

1 KM 1 Km

3

119 34 Peerwali


Peerwali Gali

1 KM 1 Km

6

120 34 Chand Colony

5790 Mixed IHL Nagar Nigam Chand Colony

1 KM 1 Km

3

121 50 Qureshiya

n 1530 Mixed IHL Nagar Nigam 1Km 1 KM

1 Km 1

122 50 Allah Wali


Allah Wali Gali

1 KM 1 Km

1

123 50 Ekta

Colony 2856 Mixed IHL Nagar Nigam Ekta Colony 1 KM

1 Km 2

124 50 Mansoor Colony

11370 Mixed IHL Nagar Nigam Mansoor Colony

1 KM 1 Km

5

125 50 Indira Chowk


1

126 50 Dhobi Wala

4716 Mixed IHL Nagar Nigam Dhobi Wala 1 KM 1 Km

2

127 52 Sabri Ka

Bagh 1644 Mixed IHL Nagar Nigam

Sabri Ka Bagh

1 KM 1 Km

1

128 52 Khair Nagar


129 52 Zakariaba

d 1812 Mixed IHL Nagar Nigam Zakariabad 1 KM

1 Km 1

130 42 Azad

Colony 7812 Mixed IHL Nagar Nigam Azad Colony 1 KM

0 Km 3

131 42 Hakim Shah

Colony 3552 Mixed IHL Nagar Nigam - 1 KM

1 Km 2

132 42 Habib

Colony 4152 Mixed IHL Nagar Nigam

Habib Colony

1 KM 1 Km

2

- 24 -

133 42 Rajput Colony

576 Mixed IHL Nagar Nigam Rajput Colony

1 KM 1 Km

134 42 Khungar Colony

732 Mixed IHL Nagar Nigam Khungar Colony

1 KM 1 Km

135 42 Suraj Vihar

2994 Mixed IHL Nagar Nigam Suraj Vihar 1 KM 1 Km 2

136 42 Azeez Colony

2742 Mixed IHL Nagar Nigam Azeez Colony

1 KM 1 Km 2

137

Ru

ral V

illag

es In

clu

ded

in N

ewly

Dev

elo

ped

Nag

ar N

igam

.Po

pu

lati

on

of

thes

e vi

llage

s n

ot

incl

ud

ed in

Sah

aran

pu

r(U

rban

) p

op

ula

tio

n a

s p

er c

ensu

s 2

01

1

Chakrehti 7300 Mixed IHL/OD Handpump Chakrehti 1 KM 1 Km 3

138 Halalpur 6000 Mixed IHL/OD Handpump Halalpur 1 KM 1 Km 3

139 Lohiagarh 1200 Mixed IHL/OD Handpump Lohiagarh 1 KM 1 Km 1

140 Habibgarh 950 Mixed IHL/OD Handpump Habibgarh 1 KM 1 Km 1

141 Balpur 1540 Mixed IHL/OD Handpump Balpur 1 KM 1 Km 1

142 Sadak

Doodhli 8550 Mixed IHL/OD Handpump

Sadak Doodhli

1 KM 1 Km 4

143 Rasoolpur 2000 Mixed IHL/OD Handpump Rasoolpur 1 KM 1 Km 1

144 Hasanpur 1460 Mixed IHL/OD Handpump Hasanpur 1 KM 1 Km 1

145 Chak sarai 1117 Mixed IHL/OD Handpump Chak sarai 1 KM 1 Km 1

146 Chak Devli 2309 Mixed IHL/OD Handpump Chak Devli 1 KM 1 Km 1

147 Dabki

Junardar 6500 Mixed IHL/OD Handpump

Dabki Junardar

1 KM 1 Km 3

- 25 -

148 Mohamm

edpur Mafi

6250 Mixed IHL/OD Handpump Mohammed

pur Mafi 1 KM 1 Km 3

149 Hasanpur

Block 1260 Mixed IHL/OD Handpump

Hasanpur Block

1 KM 1 Km 1

150 Mai kalan 3200 Mixed IHL/OD Handpump Mai kalan 1 KM 1 Km 2

151 Mai Khurd 1860 Mixed IHL/OD Handpump Mai Khurd 1 KM 1 Km 1

152 Taharpur 3800 Mixed IHL/OD Handpump Taharpur 1 KM 1 Km 2

153 Khatriwal

a 1170 Mixed IHL/OD Handpump Khatriwala 1 KM 1 Km 1

154 Sawalpur Nawada

4100 Mixed IHL/OD Handpump Sawalpur Nawada

1 KM 1 Km 2

155 Manoharp

ur 2500 Mixed IHL/OD Handpump

Manoharpur

1 KM 1 Km 1

156 Galira 2701 Mixed IHL/OD Handpump Galira 1 KM 1 Km 1

157 Manak

Mau 7200 Mixed IHL/OD Handpump Manak Mau 1 KM 1 Km 3


- 26 -

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 District Hospital Health Department Bajoria Road

705478 All Serives except Maternal Health List Attached List Attached

2 District Women Hospital Health Department

Bajoria Road

705478 Matenal & Child Health List Attached List Attached

3 PPC DW Saharanpur Health Department Bajoria Road 2.0 Lacs

Matenal,ANC,Vaccination,Family Planning services

Mo-1,Staff Nurse-2,ANM-1,LT-0,Others-4 -

4 District TB Hospital Health Department Bajoria Road 702901

TB Control Services

1-Med Sup,Chest Specialist-1,Mos-3,Staff, Nurses-14,Pharmacist-5,Ward Boy-6,Sweepers-11,Ward Ya-3,Chowkidar-4,Bhisti-3,Peon-1,Ardali-1,X-ray Attendent-1,Lab A-1,Dhobi-2,Cook-3,Kahar-3,Bearer-1,Clerks-3 X-Ray Macine-2,

- 27 -

5 District Redcross Hospital Health Department

Nawabganj 150000

Matenal,ANC,Vaccination,Family Planning services

Gynae-1,Staff Nurse-3,Others-2

NA

6 Urban Family Welfare Centre Nehru Market Health Department

Nehru market 150000

ANC,Vaccination,Family Planning services Mo-1,Staff Nurse-

1,ANM-1,Others-3 NA

7 Urban Family Welfare Centre Ramanandi Health Department Ramanadi 100000

ANC,Vaccination,Family Planning services MO-0,Staff Nurse-

1,ANM-1,Others-3 NA

8 UHP Garhi Malook

Health Department(NRHM)

Garhi Malook 50800


1,ANM-1,Chowkidar-0 NA

9 UHP Balmiki Basti Janta Road


Balmiki Basti Janta Road 40000

ANC,Vaccination,Family Planning services MO-,Staff Nurse-1,ANM-

1,Chowkidar-0 NA

10 UHP Khata Kheri


Khatakheri 52400


1,Chowkidar-0 NA

11 UHP Azad Colony


Azad Colony 55000


1,Chowkidar-0 NA

12 UHP Kamela Colony


Kamela Colony 52600


1,Chowkidar-0 NA

13 UHP Labour Colony


Labour Colony 36000


1,Chowkidar-0 NA

- 28 -

14 UHP Laxmanpuri


Laxmanpuri 34600



15 UHP Himmatnagar


Himmatnagar 35000



16 Railway Hospital Railway

Sofia School Road 15000

OPD Services/General Patients Services

Mos-3,Staff Nurse-5,Others-11 NA

17 ESI Hospital ESI

New Sharda Nagar 25000

OPD Services/General Patients Services

MO-2,Staff Nurse-1,Others-5 NA

18 ITC Hospital ITC Ltd Khalasi Lane 12000

OPD Services/General Patients Services MO-1 NA

- 29 -

City Level Indicators and Targets

:Saharanpur(Urban)

Processes & Inputs

Indicators Baseline (as applicable)

Number Proposed (2013-14)

Number

Achieved

(2013-14)

Community Processes

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

400

2. Number of MAS members trained * 4000

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

200

Health Systems

4. Number of ANMs recruited * (New ANMs to be recruited )

85 (76)

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

70

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

353

7. Number of UPHCs made operational * 17

8. Number of UCHCs made operational * 0

9. No. of RKS created at UPHC and UCHC * 17

10. OPD attendance in the UPHCs 0

11. No. of deliveries conducted in public health facilities

10000

RCH Services

12. ANC early registration in first trimester 22033

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

22033

14. TT (2nd dose) coverage among pregnant women 22033

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

18888

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

109

Communicable Diseases

17. No. of malaria cases detected through blood examination

-

18. No. of TB cases identified through chest symptomatic

-

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

-

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

Non Communicable Diseases -

- 30 -

21. No. of Diabetes cases screened in the city -

22. No. of Cancer cases screened in the city -

23. No. of Hypertension cases screened in the city -

SUMMARY OF CITY NUHM BUDGET (2013-14)

Name of the City: Saharanpur(Urban)

FMR Code

Budget Head Budget

% total budget (Rs. Lakhs)

1 Planning & Mapping 0 0

2 Programme Management 13.16 1.58

3 Training & Capacity Building 72.55 8.74

4 Strengthening of Health Services 712.0154 85.81

4.a Human Resource

4.b Infrastructure 0 0

4.c Untied grants 0 0

4.d Procurement (drugs and

consumable) 0 0

4.e Other services 0 0

5 Regulation & Quality Assurance 0 0

6 Community Processes 32 3.86

7 Innovative Actions & PPP 0 0

8 Monitoring & Evaluation 0 0

TOTAL 829.7254 100

- 31 -

DETAILED CITY NUHM BUDGET (2013-14)

NAME OF THE CITY:Saharanpur(Urban)

Detailed City NUHM Budget ( 2013-14) Shaharanpur

FMR Code

Budget Head Unit cost*

(Rs. In lakhs)

Physical Target

(No.)

Months

Budget

Remarks (Rs. Lakhs)

1 Planning & Mapping 0

1.1 Metro cities 15 0

1.1.1 Mapping 0

1.1.2 Data gathering (secondary/primary) 0

1.1.3 Any Other 0

1.2 Million+ cities 10 0

1.2.1 Mapping 0


1.2.3 Any Other 0

1.3 Cities (1 lakh to 10 lakh population) 5 1 0 One time activity (The mapping has been done by Urban Development Department)

1.3.1 Mapping 0


1.3.3 Any Other 0

1.4 Towns (50,000 to 1 lakh population) 2 0

1.4.1 Mapping 0


1.4.3 Any Other 0

2 Programme Management 13.16

2.1 State PMU

- 32 -

2.1.1 Human Resources

2.1.2 Mobility support

2.1.3 Office Expenses

2.2 District PMU 13.16

2.2.1 Human Resources 0.58 1 6 3.96

District total Town Population 10 lakh to 20 lakhs 1 Urban Health Co-ordinators (UHC) and 1 Data Entry Operators (DEO), UHC Salary Rs. Rs. 30,000 pm and DEO Salary Rs. Rs. 10,000 pm. 8000 pm for Insentive to DPM for preparatory activity of NUHM one Accountent Rs. 18,0000 PM.

2.2.2 Mobility support 0.25 1 6 1.5 One vehicle will be hired Rs. Rs 25,000 per month per UHC

2.2.3 Office Expenses, for Rent 0.25 1 6 2.2

Rs.25,000 pm for office expenses including internet to each DPMU and one time Rs.70,000 for one computer, printer, table and chairs for each DEO of DPMU for use by HMIS/MCTS Operator

2.2.4 Strengthening Urban Health cell in District lebel

5.5 1 1 5.5

Rs. 2.5 lakhs for Furniture, ACs, desktops, minor renovations etc. for the District level Nodal Officer & 2.5 laks for DPMU office NUHM office strengthening, one time cost & 50,000 for DPM laptop along with data card.

2.3 City PMU As per need

2.3.1 Human Resources

2.3.2 Mobility support

2.3.3 Office Expenses 1.3

3 Training & Capacity Building 72.55

- 33 -

3.1 Orientation of Urban Local Bodies (ULB)

1 1 1 1 Rs.5 lakhs for metros, Rs.3 lakhs for million+ cities, Rs.1 lakh for other cities above 1 lakh and Rs.0.5 lakhs for smaller towns below 1 lakh, One time activity,

3.2 Training of ANM/paramedical staff 0.05 119 1 5.95 Maximum Rs.5000 per ANM (for entire training package), 5 ANMs and 2 Staff nurses from each UPHC will be trained.

3.3 Training of Medical Officers 0.10 34 1 3.4 Maximum Rs.10,000 per MO (for entire training package), All MOICs for UPHCs will be trained.

3.4 Orientation of Specialists Not planned this year

3.5 Orientation of MAS 0.10 400 1 40 Maximum Rs.10,000 per MAS (for entire training package)

3.6 Selection & Training of ASHA 0.10 200 1 20 Maximum Rs.10,000 per ASHA (for entire training package)

3.7 Other Trainings/Orientations 0 2.2

3.7.1 Stakeholders Workshop for NUHM

1

1 1 1 Rs. Rs1,00,000 for district headquarters and Rs.10,000 for towns.

3.7.2 Quarterly Multi-sectoral convergence Meeting

0.1

1 2 0.2 Rs. Rs10,000 for district headquarters and Rs.5,000 for towns.

3.7.3 Launch of NUHM 1 1 1 1

4 Strengthening of Health Services 712.0154

4.a Human Resource 0.1 17 6 10.2 HMIS / MCTS operators, one for 1 UPHC. Salary 10,000 pm

4.b Infrastructure 0.7 17 1 11.9 One Computer System with printer, Computer table, Computer chair, one for 1UPHCs for HMIS / MCTS data entry operator

4.c Untied grants

- 34 -

4.d Procurement (drugs and consumable)

4.e Other services 0.05 17 6 5.1 Operating cost for HMIS / MCTS data entry Rs.5000 per month for 1 UPHC

4.1 Outreach services/camps/UHNDs 73.77

4.1.1 UHNDs 0.015 353 6 31.77 Rs. 1500 per UHND.

4.1.2 Special outreach camps in slums/ vulnerable areas

0.1 70 6 42 One outreach camp per 10,000 population per month Rs. Rs.10,000 per outreach camp.

4.2 ANM/LHV 48.15

4.2.1 Salary support for ANM/LHV 0.1 76 6 45.6 Maximum Rs.10,000 pm for ANM as per approved norms in NRHM; (5 ANMs per UPHC) Only for contractual ANMs.

4.2.2 Mobility support for ANM/LHV 0.005 85 6 2.55 Rs.500 pm for all ANMs contractual as well as on government payroll.

4.3 Urban PHC (UPHC) 524.0276

4.3.1 Renovation/up-gradation of existing facility to UPHC

101

4.3.1.1 For Government owned buildings 10 5 1 50 Rs.10 lakhs per UPHC, one time activity for building renovation

4.3.1.2 For rented buildings 3 17 1 51 Rs.3 lakhs per UPHC, one time activity for UPHCs for purchase of equipments

4.3.2 Building of new UPHC 0

4.3.3 Operating cost support for running UPHC (other than untied grants and medicines & consumables)

168.0276 Rs.20 lakhs per year per UPHC ( For 1 UPHC)

4.3.3.1 Human Resource 157.2276

4.3.3.1.1 MO salary 0.36 32 6 69.12 2 MO IC per UPHC Rs.36,000 pm. 2 MO in state budget

- 35 -

4.3.3.1.2 Salary of paramedical & nursing staff (Staff Nurse/ Lab Technician/ Pharmacist/ Other)

17 6 62.6076 2 Staff Nurses per UPHC Rs.16,500 pm, 1 Pharmacist per UPHC Rs.16500 pm; 1 Lab Technician Rs.11,880 pm

4.3.3.1.3 Salary of support staff (non clinical staff)

0.05 51 6 15.3 3 Support staff for 1 UPHC Rs.5,000 pm

4.3.3.1.4 6 0

4.3.3.1.5 Office Expenses 0.1 17 6 10.2 Rs. 10,000 pm per UPHC

4.3.3.2 Others (e.g. hiring of premises/mobile PHC)

0.15 12 6 10.8 Rent for UPHCs running in rented buildings Rs.15,000pm

4.3.4 Untied grants to UPHC 2.5 17 1 42.5 Rs.2.50 lakhs per year per UPHC

4.3.5 Medicines & Consumables for UPHC 12.5 17 1 212.5 Rs.12.50 lakhs per year per UPHC

4.3.5.1 Emergency drugs 0

4.3.6 Other 0

4.4 Urban CHC (UCHC) 0

4.4.1 Capital cost support for new UCHC 0 0

4.4.2 Human Resource 0

4.4.2.1 0 0

4.4.2.2 0 0

4.4.3 Untied grants for UCHC 0 0

4.4.4 Medicines & Consumables for UCHC 0 0

4.5 School Health Program 5.4528

4.5.1 Human Resource 0.5788 1 6 3.4728 One team consisting of 1 doctor Rs.36,000 pm; 1 ANM Rs.10,000 pm and 1 Ophthalmic Assistant Rs.11,880 pm

4.5.2 Other School Health services 0.25 1 6 1.5 Hired vehicle Rs.25,000pm, per School Health team

- 36 -

4.5.3 Drugs,consumable & Operational expenses

0.08 1 6 0.48 Rs. 8000 pm per team for 6 Month

4.6 IEC/BCC 33.415

4.6.1 ASHA Kit Flip Book, Slum HIR, Bag, ID, Pen, handouts for community 0.02

200 1 4 one time Rs. 2,000 per ASHA

4.6.2 UPHC Citizen's charter, ED List, Immunization Schedule, Signage 0.2

17 1 3.4 One time Rs.20,000 per UPHC

4.6.3 Safe Motherhood Booklet, MCP Card etc.

0.00057 17 1500 14.535 1500 to be printed per UPHC area covering 50,000 population Rs. 57.00 for the set of MCP Card and Safe Motherhood booklet

4.6.4

Family Health Card

0.0001

60,500 1 6.05

Family Health Card to be printed for all slum households Rs 10 per card per house hold

4.6.5 Communcation material and wall painting at AWCs

0.01 403 1 4.03 One time, Rs.1,000 per AWC

4.6.6 NUHM Hording 0.2 7 1 1.4 Rs 20000/- Including printing & installation.

5 Regulation & Quality Assurance 0 0

6 Community Processes 32

6.1 MAS/community groups 0.05 400 1 20 Rs.5000 per year per MAS

6.2 ASHA (urban) 0.02 200 3 12 Approx. Rs.2000 pm per ASHA

6.3 NGO support for community processes 0

7 Innovative Actions & PPP As per need

8 Monitoring & Evaluation As per need

0

8.1 Baseline/end line surveys

8.2 Research Studies in Urban Public Health

8.3 IT based monitoring initiatives

TOTAL 829.7254

- 37 -

City Health Plan- Deoband (Urban)

Table 1 Deoband(Urban)



Slum Population as percentage of urban population 33.64





NA


11


- 38 -




Population as per census 2011


Sl. No.










9 Malaria 0

10 Dengue 0

- 39 -


12 TB 0

13 MDR TB 0



16 Skin diseases 0



19 Others 410

(Source: )Block Health Data


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)






1 - Peerjadgan 1195 Mixed IHL Piped &

Handpumps NA 0 Km 1 Km

- 40 -

2 - Pathanpura 13272 Mixed IHL Piped &


3 - Barun Kotla 1550 Mixed IHL Piped &


4 - Andrun Kotla 1100 Mixed IHL Piped &


5 - Shah Bukhari 2135 Mixed IHL Piped &


6 - Abul mali 2665 Mixed IHL Piped &


7 - Badi Khankah 1430 Mixed IHL Piped &


8 - Chhotia khankah 1545 Mixed IHL Piped &


9 - Bad Ziaul Haq 3095 Mixed IHL Piped &


10 - Abul haq 2475 Mixed IHL Piped &


11 - Lahas Wara 2190 Mixed IHL Piped &



- 41 -

Sl. No.





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 CHC Deoband Health Department

Railway Road Deoband

175000

General Patients Services,Matenal & Child Health,ANC,PNC services,Immunization,Trauma

Medical Sup-1,Surgeon-0,Anaes-

1,Gynae-0,MOS-2,MOCH-2,Pathologist-0,Radiologist-0,Ayush

MO-1,Paeditrician-1,SN-4,ANMs-0,LT-

1,Las-2,X-ray Tech-1

X-ray Machine-1,USG-1,Autoclave-1

2 PPC Deoband

Health Department

Railway Road Deoband

97037 ANC,Immunization,Family Planning Services

MO-0,SN-1,ANM-2,LT-0,Others-4 NA

- 42 -

City Level Indicators and Targets -Deoband(Urban)

Processes & Inputs

Indicators Baseline (as applicable)

Number Proposed (2013-14)

Number

Achieved

(2013-14)

Community Processes

1. Number of Mahila Arogya Samiti (MAS) formed * 34



17

Health Systems

4. Number of ANMs recruited * 10

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

10

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

33





11. No. of deliveries conducted in public health facilities

1500

RCH Services -

12. ANC early registration in first trimester -


-

- 43 -

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


-


-

Communicable Diseases -


-


-


-

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

Non Communicable Diseases -

21. No. of Diabetes cases screened in the city -

22. No. of Cancer cases screened in the city -

23. No. of Hypertension cases screened in the city -

- 44 -

City Health Plan- Gangoh

Table 1:Gangoh(Urban)



Slum Population as percentage of urban population 36.53





0


6




- 45 -


Table 2 Gangoh(Urban)

Sl. No.










9 Malaria 108

10 Dengue 0


12 TB 18

13 MDR TB 0

- 46 -



16 Skin diseases 6



19 Others 1062

(Source: ) Block Health data

Table 3 Gangoh(Urban)

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)






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1 - Moh Ghulam

Auliya 6538 Mixed IHL Piped.Handpumps 0 0 Km

1 Kms

Moh.Muhamm

ad gauri 4296 Mixed IHL Piped.Handpumps 0 0

1 Kms

Moh.Qureshiya

n 4845 Mixed IHL Piped.Handpumps 0 0

2 Kms

Moh.Mubarak

Ali 1845 Mixed IHL Piped.Handpumps 0 0

2 Kms

Moh.kotla 3190 Mixed IHL Piped.Handpumps 0 0 1 Kms

Moh.Sayyedan 1945 Mixed IHL Piped.Handpumps 0 0 2Kms

Table:4 health Facilites in Gangoh(Urban)

Sl. No.





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.

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1 CHC Gangoh Health Department Saharanpur

Gangoh Road Gangoh

59279

Matenal & Child Health,Trauma,TB,Le

prosy,General Disease

Medical Superintendent-

1,Mos-1,Ayush MO-1,Ayush LMO-1,ANMs-

4,Staff Nures-2,LT-0,LA-1,

Autoclave-1

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City Level Indicators and Targets :Gangoh(Urban)

Processes & Inputs

Indicators Baseline

(as applicable)

Number Proposed

(2013-14)

Number

Achieved

(2013-14)

Community Processes

1. Number of Mahila Arogya Samiti (MAS) formed * 22



11

Health Systems

4. Number of ANMs recruited * 4

5. No. of Special Outreach health camps organized in the slum/HFAs * 6

6. No. of UHNDs organized in the slums and vulnerable areas * 21





11. No. of deliveries conducted in public health facilities 1500

RCH Services

12. ANC early registration in first trimester


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



Communicable Diseases




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

Non Communicable Diseases

21. No. of Diabetes cases screened in the city

22. No. of Cancer cases screened in the city

23. No. of Hypertension cases screened in the city

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Documents

Saharanpur Citynuhm.upnrhm.gov.in/urban/pip/sharanpurpip.pdfSaharanpur City Program Implementation Plan National Urban Health Mission Prepared by District Health Officials with support