Action P1ain Dhubri 2010-11 - RRC-NE
Action P1ain Dhubri 2010-11 - RRC-NE
Action P1ain Dhubri 2010-11 - RRC-NE
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CHAPTER CONTENT PAGE- EXECUTIVE SUMMARY 3-51 BACKGROUND 6-222 PROCESS FOR PLAN DEVELOPMENT 23-243 SITUATION ANALYSIS OF THE DISTRICT 25-444 PROGRESS MADE DURING 2005-06, 06-07, 07-08 & 08-09 45-675 CURRENT STATUS AND GOAL 68-766 GOAL, OBJECTIVES, STRATEGIES AND ACTIVITIES UNDER DIFFERENTCOMPO<strong>NE</strong>NTS OF NRHMPART A: RCH PROGRAMME 78-10477PART B: NRHM ADDITIONALITIES 105-121PART C: UIP 122-139PART D: NATIONAL DISEASE CONTROL PROGRAMME 140-192PART E INTERSECTORAL CONVERGENCE 1937 MONITORING AND EVALUATION/ HMIS 194-2088 WORK PLAN 209-2379 SUMMARY BUDGET 238PART A: RCH PROGRAMME 239PART B: NRHM ADDITIONALITIES 240-241PART C: UIP 242-249PART D: NATIONAL DISEASE CONTROL PROGRAMME 250-256PART E: INTERSECTORAL CONVERGENCE 25710 DETAILED BUDGET (AN<strong>NE</strong>XURE 3 E) 258-291AN<strong>NE</strong>XURESDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 2
EXECUTIVE SUMMARY<strong>Dhubri</strong> district PIP for the year of <strong>2010</strong>-<strong>11</strong> (Programme Implementation Plan) preparedunder NRHM is a synopsis of various tasks and activities that are to be executed in the financialyear <strong>2010</strong>-<strong>11</strong>. The PIP is primed considering the Goals and main objectives of NRHM, in order toenhance the health scenario of the district.The main goals of NRHM in <strong>Dhubri</strong> district are Reduction in Infant Mortality Rate (IMR) andMaternal Mortality Ratio (MMR), Prevention and control of communicable and non-communicablediseases, including locally endemic diseases, an increase of contraceptive prevalence rate amongeligible couples etc .To achieve these goals we have adopted some strategies and that are:Maternal Health:1. To provide quality antenatal care to all pregnant woman by increasing the access throughexisting Govt. facilities.2. To provide quality antenatal care to all pregnant woman in inaccessible and uncoveredareas3. Quality improvement of the ANC.4. To increase awareness amongst the mothers and communities about the need of ANC.5. Increasing the access through facility strengthening.6. Social mobilization for institutional deliveries (Janani Suraksha Yojana)7. Referral of obstetric emergencies8. To improve the comprehensive EmOC in the CHCs and FRU.9. Awareness of communities and PRIs about facilities having comprehensive EmOCfacilities.10. Capacity building of ANM/GNM by SBA training :<strong>11</strong>. Ensure post partum care by AWW/ANM/LHV12. Operatonalize services for diagnosis & Treatment at CHC/DH13. Capacity building ANM/SN and Medical Officer & Lab Tech for managing RTI/STI14. Promote communication activities for prevention and early care seeking for RTI/STI.15. Increase the access to safe abortion in Govt. facilities.CHILD HEALTH1. Strengthening of the Govt facilities to provide newborn care.2. Introduce a communication package of home-based newborn care by ASHA, AWW, ANM,CBO, and FNGO.3. Referral of sick neonates who cannot be managed at home.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 3
4. Declaring Mother and Child Health Month during the month of September and March (biannually).5. To increase awareness amongst mothers on benefits of breast-feeding upto 6 months andneed of complementary feeding from 6 month onwards.6. To raise awareness amongst mothers and communities on diarrhea.7. Making ORS and zinc tablets available in remote/rural/tribal areas and difficult to reachareas through depot holders.8. Strengthen facilities at PHC, CHC, SDH and DH.9. To raise awareness amongst mothers and communities on ARI.10. Promote referral services of severe cases of ARI and diarrhoea.<strong>11</strong>. To prevent and treat anemia in children.12. To work closely with ICDS functionaries to reduce malnutrition.FAMILY PLANNING1. To raise awareness amongst the couples and communities about the advantage ofcontraceptives and small family.2. Increase the number of service delivery points.3. Improve the service delivery to provide quality male and female sterilization.4. To raise awareness among the community regarding Non Scalpel Vasectomy.ADOLESCENT HEALTH1. Community awareness by BCC.2. To educate and raise awareness amongst the adolescent boys and girls about humanphysiology, RTI, STI, HIV/AIDS, EC and safe sex.3. To assess service delivery by identifying institutions and also identifying counselors.4. Required models, charts of human anatomy as teaching aids to be used.5. A booklet will be developed on adolescent health including all the components preferablyin local languages.6. Ensure service delivery and infrastructure facility7. To prevent and treat anemia in adolescents.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 4
Programme Management Arrangement:The DPMU (District Programme Management Unit) consist of one Managementspecialists, Media Expert, Accounts Manager, Data Manager, Drug Store Manager, ComputerAssistant and they are working under the guidance of Joint Director of Health Services cumMember Secretary, DHS, <strong>Dhubri</strong>. Moreover the whole activities are supervised by DeputyCommissioner cum Chairman, DHS, <strong>Dhubri</strong>.For Strengthening the NRHM activities and to build skill and capacity of Top level officialsto middle level officials example - DPMU, BPMU, ASHA, ANM, GNM, AWW, MO etc sensitizeorientation training is proposed in the PIP.In the Block PHC level Block Programme Manager, Block accounts Manager are alsoappointed. Pharmacists, Lab Technicians, PHC Accountant, Asst. BPM, GNM, ANM, ASHA,ASHA Supervisor etc are alos posted in the PHCs, SDs, SHC, SCs and in the PIP requirement foradditional skill manpower like MO, Specialists, BPM, GNM, ANM has been proposed.BUDGETThe district proposes a total budget of Rs. 16,92,81,623.23 in the PIP for the year <strong>2010</strong>-<strong>11</strong>. Thebudget summary is as follows:Summary of BudgetProgrammeAmount ( In Rs.Cr)RCH-II Flexipool 32,345,665.23NRHM Mission Flexipool 10,99,21,450.00Immunization(UIP) 6,018,968.00National Disease Control Programme 0.00(i) NVBDCP 7,469,840.00(ii) RNTCP 7,974,000.00(iii) NPCB 1,771,000.00(iv) NLEP 943,100.00(v) IDSP 1,121,600.00(vi) NTCP 1,216,000.00(vii) NMHP 500,000.00Total 16,92,81,623.23DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 5
CHAPTER- 1BACKGROUND1.1 THE DISTRICT AT A GLANCE:<strong>Dhubri</strong> District - the gateway of western Assam happened to be in the past a meetingplace of different racial groups which mingled together and formed a unique Cultural Heritage andHistorical Background. The growth of blended culture in this region particularly in case ofLanguage, Art and Religion is due to continuous process of assimilation of various races, caste &creed of local people, invaders & migrated people. <strong>Dhubri</strong> District is bounded both by inter-stateand international border i.e. West Bengal and Bangladesh in the west, Goalpara and Bogaigoandistrict of Assam and Garo Hills district of Meghalaya in the east, Kokrajhar district in the north,Bangladesh and state of Meghalaya in the south. Covering an area of 2,838 Sq. Kms. includingforests, riverines, hills etc. the district has become the most densely populated district in India witha density of 584 persons per Sq. Km. (As per 2001 census).<strong>Dhubri</strong> District is bounded both by inter-state and international border i.e. West Bengaland Bangladesh in the west, Goalpara and Bogaigoan district of Assam and Garo Hills district ofMeghalaya in the east, Kokrajhar district in the north, Bangladesh and state of Meghalaya in thesouth.This district is located on the globe between 89.42 to 90.12 degree east longitude and26.22 to 25.28 degree north latitude. The district is situated at 30 meters above the sea level onaverage. General topography of <strong>Dhubri</strong> district is plain with patches of small hillocks likeTokorabandha, Dudhnath, Chandardinga, Boukumari, Boropahar, Chakrasila etc. All these aresituated in the north eastern part of the district. Mighty river Brahmaputra is flowing through thisdistrict from east to west with its tributaries like Champabati, Gourang, Gadadhar, Gangadhar,Tipkai, Sankosh,Silai, Jinjiram etc.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 6
DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 7
Table:1 Demography Characteristics of the District:Total Population : 16, 37, 344 NosMale 8,41,044 Nos. (51.37 %)Female 7,96,300 Nos. (48.63 %)Sex Ratio 1000 : 947General Population 12,36,054 Nos. (92.76%)Schedule Caste 64,161 Nos. (4.82%)Schedule Tribe 32,260 Nos. (2.42%)Urban Population 1,61,981 Nos. (12.16%)Rural Population <strong>11</strong>,70,494 Nos. (87.84%)Density577 Nos. per Sq. Km.Percentage of Decadal growth rate (91-01) +23.42Crude Birth Rate 31%Crude Death Rate 9%Maternal Mortality Rate 4/1000Infant Mortality Rate 78/1000Literate Person 6,25,369 Nos. (48.2%)Male 3,73,446 Nos. (55.91%)Female 2,51,923 Nos. (40.04%)http://dhubri.gov.in/demography_dhubri.htmTable: 2 Administration of the District:AS PER 2001 CENSUSThe present <strong>Dhubri</strong> District with an area of 2838 sq. km. has three Sub-divisions viz. (a)<strong>Dhubri</strong>(Sadar), (b) Bilasipara and (c) South Salmara/Mankachar1. Revenue Circle : 8 Nos. 2.Tahsil : 7 Nos.3. Sub Tahsil : 2 Nos. 4. Revenue Village : 1374 Nos. (Prior to BTAD)5. Model Village : 3 Nos. 6. Revenue Village : <strong>11</strong>33 Nos. (Excluding BTAD)7. Anchalik Panchayat : 14 Nos. 8. Mahkuma Parishad : 3 Nos.9. Municipal Board : 1 No. 10. Gaon Panchayat : 172 Nos. (Prior to BTAD)<strong>11</strong>. Development Block : 14 Nos. 12. Gaon Panchayat : 168 Nos. (Excluding BTAD)13. Police Outpost : 7 Nos. 14. Basic Town : 4 Nos.15. Govt. Raliway Police Outpost : 2 Nos. 16. Police Station : 8 Nos.17. Regular Fire Service Station : 2 Nos. 18. Police Watchpost : 36 Nos.19. Border Outpost : 35 Nos. 20. River Police Outpost : 3 Nos.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 8
Table: 1.2. District wise Total Population Data, 2001.NAME Total Male Female Sex RatioASSAM<strong>Dhubri</strong>Total 26655528 13777037 12878491 935Rural 23216288 <strong>11</strong>939945 <strong>11</strong>276343 944PC of Rural 87.10 86.67 87.56Total 1637344 841044 796300 947Rural 1444901 741574 703327 948PC of Rural 88.25 88.17 88.32(Source Census, 2001)Table: 1.3. District wise SC & ST Population Data, 2001.NAMEASSAMSC PopulationTotal Male FemaleSexRatioST PopulationTotal Male FemaleSexRatioTotal 1825949 943674 882275 935 3308570 1678<strong>11</strong>7 1630453 972Rural 1553691 802548 75<strong>11</strong>43 936 3154546 1598267 1556279 974Total 63208 32734 30474 931 32523 16278 16245 998<strong>Dhubri</strong>Rural 33559 17403 16156 928 31783 15878 15905 1002(Source Census, 2001)Table: 1.4. District wise Female population data in the age group 15-49Name TOTAL RURAL URBANASSAM 6574794 5634885 939909<strong>Dhubri</strong> 371860 320706 5<strong>11</strong>54Table: 1.5. District wise 0 – 6 years population dataASSAM(Source Census, 2001)NAME Total Male Female<strong>Dhubri</strong>Table: 1.6. District wise Literacy RateTotal 4498075 2289<strong>11</strong>6 2208959Rural 4104407 2086499 2017908Total 340182 173081 167101Rural 314345 159874 154471(Source Census, 2001)NAME Total Male FemaleASSAM<strong>Dhubri</strong>Total 63.25 71.28 54.61Rural 59.73 68.22 50.70Total 48.21 55.91 40.04Rural 43.90 51.72 35.61(Source Census, 2001)DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 9
Table: 1.7. Government/ Private Health institutions in the DistrictSl. No. (A) Government of Health Institutions No1. District Civil Hospital 12. Sub-Divisional Civil Hospital 13. Primary Health Centre 74. Community Health Centre 55. Mini PHC <strong>11</strong>6. Subsidiary Health Centre 47. State dispensary <strong>11</strong>8. First Referral Unit 19. <strong>Dhubri</strong> Health & Maternity Centre <strong>11</strong>0. Urban Health Centre <strong>11</strong>1. Sub Centre 246 (FW =233 & SC =13)(B) Private Health Institution1. Tea Garden Hospital 2Table: 1.8. Block PHC Wise List of Health Institution in <strong>Dhubri</strong> District.Block PHCDharmasala BPHCGolakganj BPHCHalkura BPHC200 beded <strong>Dhubri</strong> Civil HospitalHealth Institutions<strong>Dhubri</strong> Health Maternity Centre, <strong>Dhubri</strong><strong>Dhubri</strong> Chest HospitalGauripur CHCDharmasala PHCGeramari MPHCDurahati Med SCBhogdahar Med SCAlomganj Med SCFW SC – 31Golakganj PHCDumurdaha MPHCDhepdhepi MPHCMoterjhar MPHCBherbhangi SDKachokhana SDPaglahat Med SCKamandanga Med SCRatidaha Med SCFW SC – 28Halakura PHC & CHCAgomoni CHCSatrasal MPHCBoterhat SDFW SC – 25DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 10
Raniganj BPHCChapor BPHCSouth Salmara BPHCGazarikandi BPHCRaniganj PHCBilasipara SHCSapatgram SHCSantipur MPHCLakhiganj SDFutkibari SDBogribari SDBorkanda Med SCNayaralga Med SCFW SC – 46Chapor PHC/CHC/FRURangamati/Champabati MPHCSalkocha SHCBahalpur SDFW SC- 17South Salmara PHCTumni CHCJaruwa MPHCChirakuti MPHCFakirganj MPHCMedartari SDJamadarhat Med SCPatakata Med SCFW SC- 44Gazarikandi PHCMankachar CHCSukchar MPHCSadullabari SHCKakripara SDJhawdanga SDFekamari Med SCBaghapara/Sadullabari Med SCHazirhat Med SCFW SC- 42DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> <strong>11</strong>
Table: 1.9 Block PHC Wise List of Sub Centers in <strong>Dhubri</strong> District.SlNoName of theBlock PHCName of SubCenterGovt/Rented(Yes/No)if in rentedbuilding,whetherunderconstructionby NRHM or12th FinanceCommissionFunctional(Yes/No)WhetherFW/MNPSub-Centrewith Nobuilding(neitherGovt norRented)Remarks1DharmasalaPHCPatamariGovt12th FinanceCommissionYesFW2DharmasalaPHCBhogdaharGovt12th FinanceCommissionYesMedical3DharmasalaPHCReserverchar Rented Yes FW4DharmasalaPHCChar Bhasani Rented Yes FW5DharmasalaPHCAiranjangla Rented NRHM-1 Yes FW(Land not handedover)6DharmasalaPHCBidyaparaVatigaonRented NRHM-3 Yes FW7DharmasalaPHCMotir Char Rented Yes FWIn place ofGhegraralga inNRHM-18DharmasalaPHCHowrarpaarRented12th FinanceCommissionYesFW9DharmasalaPHCSilghagri Rented Yes FW10DharmasalaPHCGasparaGovt12th FinanceCommissionYesFW<strong>11</strong>DharmasalaPHCDubirpar Rented NRHM-3 Yes FW1213DharmasalaPHCDharmasalaPHCTistarpar Rented NRHM-3 Yes FWSingimari Govt NRHM-1 Yes FWTemporaryarrangement(Land not handedover)14DharmasalaPHCDurahatiGovt12th FinanceCommissionYesMedicalTemporaryarrangement15DharmasalaPHCKacharihat Govt Yes FW16DharmasalaPHCSoulmari Rented NRHM-2 Yes FW17DharmasalaPHCPestirpar Govt Yes FWTemporaryarrangement18DharmasalaPHCKachuarkhas Rented NRHM-3 Yes FW19DharmasalaPHCAdabariGovt12th FinanceCommissionYesFW20DharmasalaPHCBidaypara Pt - I Rented NRHM-2 Yes FWSCrunning InGPMembersHouseDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 12
21DharmasalaPHCModhusoulmari Govt Yes FW22DharmasalaPHCFolimariRented12th FinanceCommissionYesFW23DharmasalaPHCTiamariRented12th FinanceCommissionYesFW24DharmasalaPHCMadaikhaliGovt12th FinanceCommissionYesFW25DharmasalaPHCSouth Geramari Rented NRHM-2 Yes FWSCrunning inANMshouseIn place ofNowarchar,(NRHM-1) but repated inNRHM2, SC maybe changed fromNRHM-2,26DharmasalaPHCGhageralgaRented12th FinanceCommissionYesFWGhegrar in place ofBoraibari SC2728293031DharmasalaPHCDharmasalaPHCDharmasalaPHCDharmasalaPHCDharmasalaPHCJhaleralga Govt Yes FWBoraibari Govt Yes FWAlomganjRangamati(Panbari)GovtGovt12th FinanceCommission12th FinanceCommissionBolodmara Govt Yes FWYes Medical Temp arrangmentYes FW Temp arrangment32DharmasalaPHCNauarcharRented12th FinanceCommissionYes FW in place of silarpar33343536373839DharmasalaPHCDharmasalaPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCSilairpar Govt Yes FWDarchauka Govt Yes FWRatiadaha SCGovtProposed forNRHM-2 inplace ofMajercharYesMedicalBalajan SC Govt Yes FWSouth Raipur SC Govt Yes FWKhudimari SCSukatikata SCRentedRented12th FinanceCommission12th FinanceCommissionYesFWSC in Dilapidatedconditionin place ofHoriorkutiYes FW In place of Balajan40GolakganjPHCGaikhowa SCRented12th FinanceCommissionYesFWGaikhowa SC inplace of S.Raipur41GolakganjPHCLalkura SC Rented Yes FWLalkura SCselected in place ofGaikhowa inNRHM-1DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 13
424344454647484950515253545556575859606162636465666768GolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCGolakganjPHCHalakuraPHCHalakuraPHCHalakuraPHCHariarkuti SC Govt Yes FWChapgarh SC Govt Yes FWSahebganj SCRented12th FinanceCommissionYesBinnachara SC Govt NRHM-1 Yes FWBishkhowa-IVSCBishkhowa SCFWGovt Yes FWGovt12th FinanceCommissionYesKanuri SC Govt Yes FWRakhalpat SC Govt Yes FWSonahat SC Govt Yes FWPratapganj SC Govt Yes FWPaglahat SCGovt12th FinanceCommissionYesFWMedicalBisondoi SC Govt Yes FWB.N. Chariali SCRented12th FinanceCommissionYesDafarpur SC Govt Yes FWUjanpetla SC Govt Yes FWBhatipetla SC Govt Yes FWMadhyapetla SC Govt Yes FWMajerchar SCBorochoraikholaSCRentedRented12th FinanceCommission12th FinanceCommissionYesYesBathuatuli SC Govt Yes FWKamandanga SC Govt Yes MedicalPokalagi SC Rented NRHM-2 Yes FWDhepdhepi SC Govt Yes FWDumardaha Govt Yes FWRanpagli Govt Yes FWChagolia Pt-II Govt Yes FWFWFWFWin place ofChapgarhattached withMPHCattached withMPHCPokalagi Pt-II Govt Yes FW DilapidatedDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 14
697071727374757677787980818283848586878889909192939495HalakuraPHCHalakuraPHCHalakuraPHCHalakuraPHCHalakuraPHCHalakuraPHCHalakuraPHCHalakuraPHCHalakuraPHCHalakuraPHCHalakuraPHCHalakuraPHCHalakuraPHCHalakuraPHCHalakuraPHCHalakuraPHCHalakuraPHCHalakuraPHCHalakuraPHCHalakuraPHCHalakuraPHCHalakuraPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCGharialdanga Govt Yes FWKherbari Pt-IV Govt Yes FWJhaskal Pt- III Govt Yes FWLohajani Rented NRHM-1 Yes FWKherbari Pt – III Govt Yes FWPaborchara Govt Yes FWTalli Pt - IIRented12th FinanceCommissionYesShimlabari Rented NRHM-2 Yes FWBidyardabri Pt –IIIRented12th FinanceCommissionYesKoimari Pt-I Rented NRHM-1 Yes FWAtgharitariKaldoba Pt- IIIUttarmaraGodadharRentedRentedRented12th FinanceCommission12th FinanceCommission12th FinanceCommissionYesYesYesBhamondanga Rented NRHM-3 Yes FWMoisa Pt- IRented12th FinanceCommissionYesKathatoli Rented NRHM-2 Yes FWKherbari Pt - I Govt Yes FWBauserkuti Rented NRHM-3 Yes FWPokalagi Pt - III Rented NRHM-2 Yes FWChotoguma SC Rented NRHM-2 Yes FWKaimmati SC Rented NRHM-2 Yes FWBanyaguri SC Rented NRHM-2 Yes FWDhemdhema Govt NRHM-1 Yes FW Temp arrangmentRokakhata Govt NRHM-1 Yes FW Temp arrangmentRabontary Govt Yes FWMurabariGovt12th FinanceCommissionYesKoimari Govt Yes FWFWFWFWFWFWFWFWDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 15
9697989910010<strong>11</strong>02103104105106107108109<strong>11</strong>0<strong>11</strong><strong>11</strong>12<strong>11</strong>3<strong>11</strong>4<strong>11</strong>5<strong>11</strong>6<strong>11</strong>7<strong>11</strong>8<strong>11</strong>912012<strong>11</strong>22RaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCBarogiraiparGovt12th FinanceCommissionYesBuchirchar Govt Yes FWKazaikata Pt – V Govt Yes FWChechapani(Aisakati)FWGovt Yes FWDhanpur Govt NRHM-2 Yes FW Temp arrangmentMayarcharKazaikata Pt – IVPiazbariGovtGovtGovt12th FinanceCommission12th FinanceCommission12th FinanceCommissionYesYesYesFasatpur Panbari Rented NRHM-3 Yes FWChechapani Pt –IFWFWFWRented Yes FWPub Sadhubhasa Rented Yes FWAmbari Rented NRHM-2 Yes FWChotogiraipar Govt Yes FWMaspara Rented Yes FWSuripara Rented NRHM-1 Yes FWHatipota Rented NRHM-3 Yes FWSagunmari Rented NRHM-2 Yes FWLutapara Rented Yes FWBhuterkanda Rented Yes FWGobordhanparaRented12th FinanceCommissionYesHowdartary Rented Yes FWTamakubariGovt12th FinanceCommissionYesKadamtola Rented NRHM-3 Yes FWKalipara Rented Yes FWKachuagaon Rented NRHM-1 Yes FWGutipara Rented Yes FWThakureralga Rented Yes FWFWFWDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 16
12312412512612712812913013<strong>11</strong>32133134135136137138RaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCRaniganjPHCAndamariKalaircharRented12th FinanceCommissionYesSaildhora Rented Yes FWMasaneralgasantipurFWRented NRHM-3 Yes FWChoudhurirchar Rented Yes FWMasaneralga Rented NRHM-2 Yes FWJharnarchar Rented Yes FWPatakata Rented Yes FWChuapata Pt-V Rented NRHM-3 Yes FWChoitara Rented Yes FWKatholipara Rented Yes FWKhankhowa Govt Yes FW Temp arrangementBogribari Govt Yes FW attached with SDSapatgram Govt Yes FW attached with SHCFutkibari Govt Yes FW attached with SDBorkanda (Med) Govt Yes MedicalNayar Alga(Med)Govt Yes Medical139 Chapor PHC Bahalpur Govt Yes FW140 Chapor PHC Simalabari Govt Yes FW Dilapidated141 Chapor PHC Arearjhar Govt Yes FW142 Chapor PHC Islamari Govt Yes FW Dilapidated143 Chapor PHC Santoshpur Govt NRHM-2 Yes FW Dilapidated144 Chapor PHC Noonmati Govt NRHM-2 Yes FW Dilapidated145 Chapor PHC Falimari Govt Yes FW146 Chapor PHC Batordol Govt Yes FW147 Chapor PHC Kaljani Govt NRHM-2 Yes FW Dilapidated148 Chapor PHC Champabati Govt Yes FW149 Chapor PHC Hardamara Govt Yes FWDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 17
150 Chapor PHC Dhirghat Rented Yes FW151 Chapor PHC Soulmari Rented NRHM-1 Yes FW152 Chapor PHC Kurshamari Rented NRHM-1 Yes FW153 Chapor PHC Barunitara Govt Yes FW Dilapidated154 Chapor PHC Jalikuria Rented Yes FW155 Chapor PHC Haridal Rented Yes FW15615715815916016<strong>11</strong>6216316416516616716816917017<strong>11</strong>72173174175176GazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCKalapaniKuchnimaraBhurakataManullaparaBorkonaBorairalgaKokradangaKanaimaraPurandiaraFulercharDiara BazarBengirvitaDharakobaGokulpurBerabhangaBamunparaKukurmaraSunarparaBormanparaBangrircharMolakhowaGovt Yes FW Attached with SHCGovt Yes FWGovt Yes FWGovt Yes FWGovt Yes FW Temp arrangmentGovt Yes FWRented NRHM-3 Yes FWRented NRHM-3 Yes FWRented NRHM-1 Yes FWRented NRHM-3 Yes FWGovt Yes FWGovt12th FinanceCommissionYesFWGovt Yes FWGovtGovtGovt12th FinanceCommission12th FinanceCommission12th FinanceCommissionYesYesYesFWFWFWGovt Yes FWRented NRHM-3 Yes FWGovt Yes FWGovtGovt12th FinanceCommission12th FinanceCommissionYesYesFWFWDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 18
177178179GazarikandiPHCGazarikandiPHCGazarikandiPHCThakuronbariK.K.M ParaJhograrcharRented NRHM-2 Yes FWRented NRHM-2 Yes FWRented NRHM-2 Yes FW18018<strong>11</strong>8218318418518618718818919019<strong>11</strong>92193194195196197198GazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCGazarikandiPHCJhalerchar Rented NRHM-2 Yes FWPipulbari BazarFiringircharPankataTeporparaBheramaraPipulbari Pt – IIJordangaDakergaonTangaonPubergaonBamuneralgaJhowdangaKakriparaTakimariKhopatiaJewaliCharbetbariFekamari (Med)Govt Yes FWGovt12th FinanceCommissionYesFWGovt Yes FWGovt12th FinanceCommissionYesFWRented NRHM-3 No FWRented NRHM-3 Yes FWRented NRHM-2 Yes FWRented NRHM-2 Yes FWGovt Yes FWRented NRHM-1 Yes FWRented NRHM-3 Yes FWSCrunning ina privatehouseGovt Yes FW attached with SDGovt Yes FW attached with SDRented NRHM-3 No FWGovt12th FinanceCommissionYesFWGovt Yes FWGovt12th FinanceCommissionYesFWGovt Yes Medical199GazarikandiPHCBaghapara(Med)SadullabariGovt Yes Medical200GazarikandiPHCHazirhat (Med)Govt Yes MedicalDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 19
2012022032042052062072082092102<strong>11</strong>212213214215216217218219220SouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCBauskata Govt Yes FWMuthakhowa -II Govt Yes FWBhalukkandi Govt Yes FWJaruachar Govt Yes FW DamagedRavatoriGovt12th FinanceCommissionYesMuhurirchar Govt Yes FWSimlakandiRented12th FinanceCommissionYesAirkata Rented NRHM-1 Yes FWFWFWErroted byBrahmaputraPadmeralga – II Govt Yes FW DamagedChirakutiPoyesti DimatolaRentedRentedProposed forNRHM-2 inplace ofSimlakandi12th FinanceCommissionYesYesChtonisanpur Rented NRHM-2 Yes FWKushbariBolodmariRentedRented12th FinanceCommission12th FinanceCommissionMedortary Govt Yes FW attached with SDYesYesKatiaralga-III Rented NRHM-3 Yes FWGolaperalgaRentedProposed forNRHM-2 inplace ofKushbariYesSatdubi Rented NRHM-2 Yes FWSalkataRentedProposed forNRHM-2 inplace ofMonircharYesSalapara-I Rented NRHM-3 Yes FWFWFWFWFWFWFWDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 20
221222223224225226227228229230231232233234235236237238239240241242SouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCAmbari Rented NRHM-3 Yes FWNatineralga Rented NRHM-3 Yes FWRiver Block – III Rented Yes FWTumniDewakandiRented NRHM-3 Yes FWDhenerkuti Rented NRHM-1 Yes FWChottobilpara Rented NRHM-3 Yes FWNamasershow Rented NRHM-3 Yes FWRadhuramchola Rented NRHM-1 Yes FWRavarchola Rented NRHM-3 Yes FWFolimari Rented NRHM-3 Yes FWPodmeralga – I Rented NRHM-2 Yes FWFeskumari Rented NRHM-1 Yes FWKathdanga Rented NRHM-3 Yes FWMonircharMuthakhowa Pt –IIIRented12th FinanceCommissionYesFWRented Yes FWSatsia Rented NRHM-2 Yes FWChalbandharCharGosaidubiRented Yes FWRented12th FinanceCommissionYesMathakata Rented NRHM-3 Yes FWSundarpara Rented NRHM-2 Yes FWNayaparowa Rented NRHM-3 Yes FWMajercharChalakurarcharRented12th FinanceCommissionYesFWFWDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 21
243244245246SouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCSouthSalmaraPHCFulkakataTangvita RiverBlock-9Patakata (Med)Jamadarhat(Med)Rented12th FinanceCommissionYesFWRented NRHM-3 Yes FWGovt12th FinanceCommissionYes Medical DamagedGovt Yes Medical ErrotedDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 22
CHAPTER- 2Process for Plan DevelopmentPreparation of an absolute DHAP (District Health <strong>Action</strong> Plan) is big deal. The wholeprocess is depended on the capacity of the officials of DPMU, incrages of all National DiseasesControl Programme and BPMU. Before going to do a plan it is essential to acquire the technicalknow how of the subjects. Keeping in mind the NRHM in joint collaboration with <strong>RRC</strong> North Eastdesigned a 4 days Capacity Building workshop for the officials of district. It was organized atSIHFW, Khanapara, Guwahati 10 th November to 13 th November 2009. The course models aredeveloped by PHRN, Chhattisgarh (Public Health Resource NetworkThe following officials of <strong>Dhubri</strong> represented for the district.Sl.No Name Designation1 Dr. Nural Amin SDM & HO(HQ)2 Dr. A. Bose SDM &HO- Raniganj PHC3 Kurshed Alom DPM- NRHM4 Maruf Alom DME-NRHM5 Rabindra Borkakati DDM- NRHM <strong>Dhubri</strong>In the 4 days training emphasised given on Learning by Doing approach. Almost everylecture followed by Group Works. During the first day DHAP of 2009-10 were reviewed by MissionDirector of NRHM and Regional Director of <strong>RRC</strong>, <strong>NE</strong>.As per discussion with Joint Director of Health Services cum Member Secretary, DHS<strong>Dhubri</strong> a one day Capacity Building Workshop for the in-charge of All National Diseases ControlProgramme, BPMU consisting SDM & HO, BPM, BAM and BEE was organized on 10 th December2009 at Joint Director of Health Services Conference Hall, <strong>Dhubri</strong>. All the major topics likepreparation of Village Health <strong>Action</strong> Plan, Training Plan, Quality Assurance, Monitoring Plan,IEC/BCC, PPP, and HIMS are covered.Instruction has been received from MD of NRHM vide email to attend Guwahati on 18 th &19 th December 2009 along with the draft copy of DHAP <strong>2010</strong>-<strong>11</strong>. .All the related information, data& format were collected from respective sources like National Diseases Control Programme incharge,NFHS, DLHS, Censes of India various website etc.Instruction of DO Letter of MD on Planning Process <strong>2010</strong>-<strong>11</strong>, vide no; 109”)/2008-NRHM- Idt 8 th October 2009, Letter No 6-34/2009/NVBDCP (P & C) <strong>2010</strong>-<strong>11</strong>, dt 14-10-09 issued by Jointdirector Dr. P.K Srivastava and Letter No. M-<strong>11</strong>015/1/2009- M & E dt 9 th October 2009 issued byDirector (Stats) were circulated to respective Programme officials and followed strictly whileactivities were proposed in DHAP <strong>2010</strong>-<strong>11</strong>.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 23
District planning team fixed a date for submission of draft copy of Block Health <strong>Action</strong> Plan(BHAP) along with 5 nos of Village Health Plansand Institutional plans to district and accordinglyall the BPHC has submitted. District planning team conducted a detailed study and analysed theGoal-objective- strategy- activity-budget etc of respective Block. Comparing all the plans asummarize DHAP for the year <strong>2010</strong>-<strong>11</strong> is prepared at district. During preparation of DHAPspecial instruction, guideline and direction were frequently received from State ProgrammeManager of NRHM via e-mail and over mobile phone also. Moreover, DHAP of 2007-08, 2008-09and 2009-10 were the main reference for us, the last 3 years DHAP work like an encyclopaedia inpreparation of DHAP <strong>2010</strong>-<strong>11</strong> of <strong>Dhubri</strong>.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 24
CHAPTER- 3Situational AnalysisTable: 3.1 District Profile– ≤ 400,000 (urban) currently under NRHM (Template-1)<strong>Dhubri</strong>AssamS.No.Background CharacteristicsNumber % to total Number1 Geographic Area (in Sq. Kms) 2797.78 3.56 % 784382 Number of blocks 14 6.39 % 2193 Size of Villages (2001 Census) 262471-500 532501-2000 6382001-5000 1815000+ 84 Number of towns 55 Total Population (2001) 1637344 6.14 % 26655528-Urban 192443 5.59 % 3439240-Rural 1444901 6.22 % 232162886 Sex Ratio (F/M*1000)• Population Sex Ratio947:1000935• Child Sex Ratio965:1000Decadal Growth rate 23.4 (DLHS III) 15.4 (SRS,09)7 Density- per sq. km. 584 3408 Literacy Rate (6+ Pop) 48.21 63.25-Male 55.91 71.28-Female 40.04 54.61632084.8% 1825949325232.4% 3308570147017929 SC populationST populationNo. of Primary schoolsNo. of Anganwadi Centres10 Length of road per 100 sq. km.12 No of villages having access to safe drinking 1359water facility13 No of households having sanitation facility 42360(Specify Type –sewer, septic tank)14 Population below poverty line <strong>11</strong>7139215 Health StatusMorbidityMaleFemaleChildMortalityMMRIMR16 Health Resources-Facilities (Specify level of Facility like Subcentre)Personnel (Sanctioned Vacancy)Finances (Requirement and Releases)17. 1.Birth rate and death rate2. Fertility rate.3. Disease maximum Disability.4.High Risk Groups18. B.To link with the nutritional determinants-480/10000064/10001. 23.9 (BR)& 8.6 (DR)2. 2.7 (Ind)1. % of Infants with low birth weight.2. Weight for Age no. above 90%,3. No between 60%-80%,4. No. below 60% weight for ageDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 25
Table: 3.2 Public Health Infrastructure in the District (Template-2)NumberSl.No.Health FacilityGovt. Building Rented House1 District Civil Hospital 1 Nil2 Sub-Divisional Hospital 1 Nil3 Primary Health Centre 7 Nil4 Community Health Centre 5 Nil5 Mini PHC <strong>11</strong> Nil6 Subsidiary Health Centre 4 Nil7 State dispensary <strong>11</strong> Nil8 First Referral Unit 1 Nil9 <strong>Dhubri</strong> Health & Maternity Cnetre 1 Nil10 Urban Health Centre 0 <strong>11</strong>1 No. of Sub-Centre in <strong>Dhubri</strong> District 120 12612 No. of FW sub-centre 107 12613 No. of Medical sub-centre 13 Nil(Sources; Jt.DHS, <strong>Dhubri</strong>)Table: 3.2.1 Sub Centre (SC) Building SituationPHC wise Sanction SC Govt. Building RentedDharmasala PHC 34 17 17Raniganj PHC 48 21 27Golokganj PHC 31 22 9Chapor PHC 17 12 5Halakura PHC 25 9 16South Salmara PHC 46 10 36Gazarikandi PHC 45 29 16Total 246 120 126(Sources; Jt.DHS, <strong>Dhubri</strong>)DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 26
Table: 3.3.1 Vacancy Posiion of Officers/Staffs under the Establishment Joint Director of HealthServices, <strong>Dhubri</strong> as 30.<strong>11</strong>.09Sl No Category of Post Sanction Stregth Staff in Position Vacancy1 Jt. DHS 1 1 02 CM & HO (CD) 1 1 Attaching at MMC, Guwahati3 Addl CM & HO (FW) 1 1 04 Supdt. Civil Hospital 1 1 05 SDM & HO & Its cadre 25 20 56 Sr. M & HO 48 31 177 M & HO-1 66 39 278 MO (Ayur) 20 19 19 Dental Surgeon 3 3 010 MO (Homeo) 2 2 0<strong>11</strong> PMA 1 1 012 SI 10 10 013 RHI 8 6 214 Health Asstt. 9 9 015 Vacinator 37 37 016 Driver 16 15 <strong>11</strong>7 ANM 57 46 <strong>11</strong>18 LHV 8 4 419 Opth Asstt <strong>11</strong> <strong>11</strong> 020 Cinema Operator 2 2 021 TB Health Visitor 2 2 022 Radiographar 7 5 223 Dresser 17 15 224 Lab Tech 29 29 025 Matron 1 0 126 Asstt Matron 1 0 127 Ward Sister 10 7 328 PHN 5 5 1 attached to Golaghat29 PNO 1 1 030 Sister Tutor 4 4 031 Staff Nurse 78 53 2532 BCG Technician 7 7 033 NMS 2 2 034 NMA 13 13 035 HE <strong>11</strong> <strong>11</strong> 036 Pharmacist 53 53 037 Gr-IV 216 2<strong>11</strong> 538 Sweeper 63 54 939 Handyman 3 3 040 Dark Room Attendant 3 3 041 Head Assistant 1 0 142 UDA 15 15 043 LDA 24 21 344 M.L.O 1 1 045 Head Pharamist 1 1 046 Sr. Inspector of Drugs 1 1 047 Inpector of Drugs 1 1 048 Food Inspector 1 1 049 Asstt. Public Analysist 1 1 050 Research Asstt 1 1 1 duputed at Morigaon51 Statistical Asstt 2 2 052 Statistical Computor 1 0 153 Statistical Clerk 2 1 1DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 27
Table: 3.3.2 Manpower Position in the Establishment of Addl.CM & HO (FW), <strong>Dhubri</strong> ason <strong>11</strong>/12/2009SlNoCategory of post No. of Sanction post In-Position Vacant Position1 Addl. CM & HO (FW) 1 1 02 DIO 1 1 03 Sr. M & HO 7 4 34 M & HO-I 6 1 55 Adminsitrative Officer 1 0 16 Asstt. Accountant 1 1 07 Cashier 1 1 08 UDA 12 12 09Dist. Extension & MediaOfficer1 1 010Dy. Extension & MediaOfficer2 1 <strong>11</strong>1 L.D.Asstt 3 2 <strong>11</strong>2 S.I.(FW & UIP) 2 2 013 Steno Typist 1 0 <strong>11</strong>4 Projectionist 1 0 <strong>11</strong>5 D.P.H.N.S 1 1 016 Ref Mechanic 1 1 017Artist cumPhotographer1 1 018 Lab. Technician 3 3 019 Pharmacist 1 1 020 B.E.E 7 7 021 Computer 7 1 622 Field worker 5 5 023Field & EvaluationWorker1 1 024 LHV 20 8 1225 U.E.E 1 1 026 A.N.M 267 180 8727 O.T. Nurse 2 1 128 Dhai 3 3 029 Driver 7 6 130 Gr-IV 18 8 10Table 3.3.4 : Doctors Position of <strong>Dhubri</strong> District as on <strong>11</strong>.12.09SlSanctionedName of PostNoStrengthStaff in Position Vacancy1 Jt. DHS 1 1 02 CM & HO (CD) 1 1 03 Addl CM & HO (FW) 1 1 04 Supdt. Civil Hospital 1 1 05 Dy. Supdt 5 4 16 DIO (FW) 1 1 07 SDM & HO 19 14 58 Sr. M & HO 48 31 179 M & HO-1 66 40 2610 MO (Ayur) 20 19 <strong>11</strong>1 Dental Surgeon 3 3 012 MO (Homeo) 2 2 0Total 168 <strong>11</strong>8 50DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 28
Table: 3.3.5 Staffs position of the District Health Society, NRHM, <strong>Dhubri</strong> as on <strong>11</strong>.12.09SlNoDesignation No. of Position Vacant Remarks1 District Programme Manager 1 02 District Media Expert 1 03District Warehouse StoreManager1 04 District Accounts Manager 1 05 District Data Manager 1 06 Computer Assistant 1 07 Peon 1 0 Daily Basis8 Block Programme Manager 7 19 Block Accounts Manager 9 010Block PHC Accountant cumAsstt BPM16 2<strong>11</strong> Consultant Paedrieatic 2 012 Consultant Anaesthist 0 213 MO (MBBS) 4 014 MO (MBBS) 1 yr rural posting 23 1415 MO (Ayur) 17 016 RHP 10 017 Lab Tech 14 018 Pharmacist 7 019 GNM including MMU unit 69 020 ANM 230 021 Radio Graphar for MMU 1 022 Lab Tech for MMU 1 023 Pharmacist for MMU 1 024 Driver 3 025 Handyman 2 0Table: 3.3.6 : PHC Wise Manpower Position of Malaria Deptt. As On 7.12.09Dharmasala PHCSanction In positon VacantSMI 0 0 0MI 1 1 0Lab Tech 2 1 1SI 5 5 0SW 19 18 1Driver 0 0 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 29
Golakganj PHCSanction In positon VacantSMI 1 1 0MI 0 0 0Lab Tech 1 1 0SI 3 1 2SW 15 15 0Driver 0 0 0Raniganj PHCSanction In positon VacantSMI 0 0 0MI 1 1 0Lab Tech 1 2 0SI 5 5 0SW 21 18 3Driver 0 0 0Halakura PHCSanction In positon VacantSMI 0 0 0MI 1 1 0Lab Tech 1 0 0SI 2 2 0SW 9 9 0Driver 0 0 0Chapor PHCSanction In positon VacantSMI 0 0 0MI 1 1 0Lab Tech 1 1 0SI 3 3 0SW 7 7 0Driver 0 0 0South Salamara PHCSanction In positon VacantSMI 1 1 0MI 0 0 0Lab Tech 1 1 0SI 3 3 0SW 15 <strong>11</strong> 4Driver 0 0 0Gazarikandi PHCSanction In positon VacantSMI 1 0 1MI 1 1 0Lab Tech 1 1 0SI 4 4 0SW 18 17 1Driver 0 0 0District Head QuarterDMO 1 1 0MI 1 1 0AMO 1 1 0Sr. Asstt 2 2 0Jr. Asstt 2 2 0SFW 4 2 2FW 9 7 2Driver 4 3 1Night Chowkidar 4 1 3Peon 2 1 1Van Cleaner 3 3 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 30
Table: 3.4. Functionality of District Hospitals, CHCs, PHCs and Sub-Centers (In terms ofavailability of critical staff position) As On <strong>11</strong>/12/2009 (Template-4)Sl.NoName of the Post HealthInstistutionwiseSanctioned strengthof Doctors/staffStaff inpositionVacancyRemarks1 2 3 4 5DHUBRI SUB-DIVISION200 BEDED DIST. CIVIL HOSPITAL, DHUBRI1 Supdt. 1 1 02 Dy. Supdt. 1 1 03 SDM & HO 4 4 04 Sr. M & HO 13 12 15 M & HO 6 6 06 M.O. (Ayr) 1 1 07 B.D.S. 1 1 08 M.O. (Homeo) 1 1 010 A.N.M. (G) 2 2 0<strong>11</strong> G.N.M. 37 33 412 GNM (NRHM) 0 12 013 SI (PH) 1 0 <strong>11</strong>4 Gr. IV 57 50 715 Pharmacist 9 9 016 Driver 2 2 0DIST. HEAD QUARTER1 Jt. Director, DHS 1 1 02 CM& HO (CD) 1 1 03 SDM & HO 4 4 04 E.U. 1 1 05 MO (Ayur) 1 1 06 SI (PH) 1 1 07 P.M.A. 1 1 08 RHI 1 1 09 Grade-IV 17 15 210Total Vacinator(posted under DifferentPHC) 51 42 9<strong>11</strong>Total Driver Excluding DMEO(postedin different Institution of <strong>Dhubri</strong>) 18 15 374 BEDED CHEST HOSPITAL, DHUBRI1 Dy Suptd. 1 1 02 SDM & HO 1 1 03 Sr. M&HO (DTC) 1 1 04 M&HOI 1 1 05 Staff Nurse 8 6 26 Gr.IV 19 18 17 Sweeper 4 4 08 Pharmacist 2 2 09 Driver 2 2 0DHARMASALA PHC1 SDM&HO 1 1 02 Sr. M & HO 2 0 23 MO under NRHM 0 1 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 31
4 A.N.M. (G) 1 1 05 G.N.M. 2 0 26 Gr.IV 2 2 07 Sweeper 1 1 09 Pharmacist 1 1 010 SI (PH) 1 1 0<strong>11</strong> RHI(PH) 1 1 012 Health Assistant(PH) 2 2 0GAURIPUR CHC & SHC/F W.M./C 6 BEDED1 Sr. M & HO 2 2 02 M & HOI 3 1 23 M.O. (Ayr) 1 1 04 A.N.M. (G) 2 2 05 G.N.M. 3 2 16 Gr.IV 9 7 27 Sweeper 2 2 08 Pharmacist 2 2 09 GNM (NRHM) 0 4 010 SI (PH) 1 1 0<strong>11</strong> Health Assistant(PH) 1 1 020 BEDED MATERNITY CENTRE, DHUBRI1 Sr. M & HO 1 1 02 M & HOI 2 2 03 Ward Sister 1 1 04 G.N.M. 1 1 05 Gr.IV 8 8 06 Sweeper 1 1 07 GNM (NRHM) 0 3 0TOWN STATE DISPENSARY1 Sr. M & HO 1 1 02 M&HOI 1 1 03 Pharmacist 1 1 04 Gr.IV 2 2 05 Sweeper 1 1 0GERAMARI MINI PHC1 M&HOI 1 1 02 M.O. (Ayr) 1 1 03 MO (Ayur) under NRHM 0 1 04 A.N.M. (G) 1 1 05 Gr.IV 2 2 06 Sweeper 1 1 07 Pharmacist 1 1 0ALOMGANJ MEDICAL SUB-CENTRE1 A.N.M. (G) 1 1 02 ANM (NRHM) 0 1 03 Gr.IV 1 0 1DURAHATI MEDICAL SUB-CENTRE1 A.N.M. (G) 1 1 02 ANM (NRHM) 0 1 03 Gr.IV 1 1 0BHOGDAHAR MEDICAL SUB-CENTRE1 A.N.M. (G) 1 1 0Attached to CMcarcadeDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 32
2 Gr.IV 1 1 0HALAKURA PHC1 SDM&HO 1 1 02 Sr. M&HO 2 1 13 M&HOI 1 0 14 M.O. (Ayr.) 1 1 05 A.N.M. (G) 4 3 16 Gr.IV 5 4 17 Sweeper 2 1 18 Pharmacist 1 1 09 SI (PH) 1 0 <strong>11</strong>0 Health Assistant(PH) 1 1 0<strong>11</strong> Driver 1 1 0HALAKURA CHC1 Sr. M&HO 1 1 02 MO under NRHM 0 1 03 G.N.M. 4 3 14 GNM (NRHM) 0 2 0AGOMANI C.H.C.1 Sr. M&HO 1 0 12 M&HO 4 4 03 M.O. (Ayr.) 1 1 04 G.N.M. 4 3 15 A.N.M. (G) 1 1 06 RHI (PH) 1 0 17 Gr.IV 4 4 08 Sweeper 1 1 09 Pharmacist 1 1 010 GNM (NRHM) 0 5 0SATRASAL MINI P.H.C.1 M&HOI 2 2 02 GNM (NRHM) 0 2 03 Gr.IV 1 1 04 Sweeper 1 1 05 Pharmacist 1 1 0BOTERHAT S/D1 M&HOI 1 0 12 Gr.IV 2 2 03 Sweeper 1 0 14 Pharmacist 1 1 0GOLAKGANJ P.H.C. & 8 BEDED M/C F.W.1 SDM&HO 1 1 02 Sr. M&HO 2 1 03 M&HOI 1 0 14 MO under NRHM 0 1 05 M.O. (Ayr.) 1 1 06 MO (Ayur) under NRHM 0 1 07 GNM (NRHM) 0 6 08 Pharmacist 2 1 19 SI (PH) 1 0 1DHEPDHEPI MINI P.H.C.1 M&HOI 1 0 <strong>11</strong> attached toGoalpara CHDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 33
2 MO under NRHM 0 1 03 M.O. (Ayr.) 1 1 04 A.N.M. (G) 1 1 05 Gr.IV 4 3 16 Sweeper 2 2 07 Pharmacist 1 1 08 RHI (PH) 1 1 0DUMARDAHA MINI PHC1 M&HOI 1 1 02 Gr.IV 1 1 03 Sweeper 1 1 04 Pharmacist 1 1 0MOTERJHAR S/D1 M&HOI 1 1 02 MO under NRHM 0 1 03 A.N.M. (G) 1 1 04 Gr.IV 2 1 15 Sweeper 1 1 06 Pharmacist 1 1 0KACHOKHAN S/D1 M&HOI 1 0 12 MO (Ayur) 1 1 03 MO under NRHM 0 1 04 Lab Tech under NRHM 0 1 05 Pharmacist 1 1 06 GNM under NRHM 0 2 07 ANM 2 2 08 Gr-IV 1 1 0RATIADAHA MEDICAL S/C1 A.N.M. (G) 1 1 02 ANM (NRHM) 0 1 03 Gr.IV 1 1 0PAGLAHAT MEDICAL. S/C1 A.N.M. (G) 1 1 02 ANM (NRHM) 0 1 03 Gr.IV 1 1 0BERBHANGI SD1 M&HOI 1 1 02 MO under NRHM 0 1 03 Gr.IV 1 1 04 Sweeper 1 0 15 Pharmacist 1 1 0BILASIPARA SUB-DIVISIONCHAPOR PHC1 SDM&HO 1 1 02 Sr. M & HO 2 1 13 M&H.O.-I 2 0 24 M.O. (Ayr) 1 1 05 Dental Surgeon 1 1 06 Pharmacist 2 2 07 A.N.M. 5 4 18 SI (PH) 1 0 19 RHI (PH) 1 0 1DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 34
10 Gr.IV 6 5 <strong>11</strong>1 Sweeper 2 1 <strong>11</strong>2 Driver 2 2 0CHAPOR CHC (FRU)1 Deputy Supdt. 1 1 02 Sr. M & HO 2 1 13 M&H.O.-I 2 2 04 Pharmacist 1 1 05 Staff Nurse 7 5 26 GNM (NRHM) 0 4 07 A.N.M. 1 1 08 Gr.IV 2 2 0BAHALPUR S/D1 M&H.O.-I 1 1 02 MO under NRHM 0 1 04 Pharmacist 1 1 05 GNM (NRHM) 0 1 06 Gr.IV 1 1 07 Sweeper 1 1 0SALKOCHA SHC 6 BEDED M/C1 M&H.O.-I 1 1 02 MO under NRHM 0 2 03 Pharmacist 1 1 04 Gr.IV 2 2 05 Sweeper 1 0 1RANIGANJ PHC1 S.D.M. & H.O. 1 1 02 Sr. M & HO 2 2 03 M.O. (Ayr) 1 1 04 Pharmacist 1 1 05 A.N.M.(G) 4 4 06 GNM (NRHM) 0 2 07 Health Assistant(PH) 1 1 08 SI (PH) 1 1 09 Gr.IV 5 4 <strong>11</strong>0 Sweeper 1 1 0<strong>11</strong> Driver 1 1 0FUTKIBARI S/D1 M&H.O.-I 1 1 02 MO (Ayur) under NRHM 0 1 03 Pharmacist 1 1 06 M.O. (Ayr) NRHM 0 1 07 Gr.IV 1 1 08 Sweeper 1 1 0LAKHIGANJ S/D1 M&H.O.-I 1 1 02 MO under NRHM 0 2 03 M.O. (Ayr.) NRHM 0 1 04 Pharmacist 1 1 0deputedGoalpara CHAttached toJothatDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 35
5 Gr.IV 1 1 06 Sweeper 1 1 0BILASIPARA SUB-DIVISION (HQ)1 SDM&HO-I 1 1 0BILASIPARA S.H.C. & F.W. 12 BEDED M/C1 Sr. M & HO 1 1 02 M&H.O.-I 4 3 13 M.O. (Ayr.) 1 1 04 MO (Ayur) under NRHM 0 1 05 Health Assistant(PH) 1 1 06 Pharmacist 1 1 07 A.N.M. (G) 1 1 08 Gr.IV 3 3 09 Sweeper 2 2 0BAGRIBARI S/D1 M & H.O.-I 1 1 02 MO under NRHM 0 2 03 Pharmacist 1 1 04 A.N.M. 1 1 05 Gr.IV 1 1 06 Sweeper 1 1 0SAPATGRAM S.H.C. & F.W. 6 BEDED M/C1 M&H.O.-I 3 1 22 M.O. (Ayr.) 1 1 03 Pharmacist 1 1 04 Staff Nurse 1 0 15 Gr.IV 2 2 06 Sweeper 1 0 1BARKANDA MEDICAL. SUB-CENTRE1 M.O. (Ayr.) 1 0 12 MO (Ayur) under NRHM 0 1 03 A.N.M.=1 1 1 04 Gr.IV 1 1 0NAYERALGA MEDICAL. SUB-CENTRE1 A.N.M.-=1 1 1 02 Gr.IV 1 1 0SANTIPUR MPHC1 M & HO-1 1 0 12 MO (Ayur) under NRHM 0 1 0HATSINGIMARI SUB-DIVISIONSDCH1 Dy. Supdt. 1 1 02 SDM & HO 1 1 03 Sr. M & HO 4 1 34 M & HO 2 0 25 MO (Ayur) under NRHM 0 1 06 Pharmacist 2 0 27 Metron 1 0 18 W.Sister 2 0 29 Radigraphar 2 0 210 Lab Tech 1 0 1Attached to<strong>Dhubri</strong> CHOn commutedleaveDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 36
<strong>11</strong> Acctt cum cashier 1 1 012 UDA 1 1 013 LDA 1 1 014 Gr-IV 12 12 0SOUTH SALMARA PHC1 SDM&HO 1 0 12 Sr. M & HO 2 1 13 M&H.O.-I 3 0 34 M.O (Ayur) 1 1 05 MO under NRHM 0 1 06 A.N.M. (G) 5 1 47 Gr.IV 9 8 18 Sweeper 2 2 09 Pharmacist 1 1 010 SI (PH) 1 1 0<strong>11</strong> RHI (PH) 1 1 0SOUTH SALMARA CHC1 Deputy Supdt. 1 0 12 Sr. M & HO 3 0 33 MO under NRHM 0 1 04 MO (Ayur) under NRHM 0 2 05 G.N.M. 4 0 46 Driver 1 1 0JARUA MPHC1 M & HO 1 0 12 MO under NRHM 0 1 03 Pharmacist 1 1 04 Gr-IV 1 1 0FAKIRGANJ MPHC1 M & HO-1 1 1 02 MO under NRHM 0 1 03 Lab Tech 1 1 04 Gr-IV 1 1 0CHIRAKUTI MPHC1 M & HO-1 1 0 12 MO under NRHM 0 1 03 MO (Ayur) 0 1 04 Pharmacist 1 1 05 Gr-IV 1 0 1MEDARTARI MINI PHC1 M.O. (Ayur) 1 1 02 MO under NRHM 0 1 03 RHI (PH) 1 1 04 Gr.IV 1 1 05 Sweeper 1 1 06 Pharmacist 1 1 0PATAKATA MEDICAL S/C1 A.N.M. (G) 1 0 12 ANM (NRHM) 0 2 03 Gr.IV 1 1 0JAMADARHAT MEDICAL S/C1 A.N.M. (G) 1 0 12 Gr.IV 1 1 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 37
GAJARIKANDI PHC1 SDM&HO 1 0 12 Sr. M & HO 2 2 03 M.O. (Ayr) 1 1 04 MO under NRHM 0 1 05 GNM (NRHM) 0 3 06 SI (PH) 1 1 07 RHI (PH) 1 1 08 Health Assistant(PH) 2 2 0HATSINGIMARI SHS1 Sr. M & HO 1 1 02 HEB. Sr. M&HO 1 0 13 A.N.M. (G) 1 1 04 Staff Nurse 3 2 15 Gr.IV 4 3 16 Sweeper 1 1 07 Pharmacist 2 2 0SDM&HO (HQ) HATSINGIMARI1 Gr.IV 5 3 2MANKACHAR CHC/FRU1 Sr. M & HO 1 1 02 M&HO-I 3 3 03 Staff Nurse 3 0 34 GNM (NRHM) 0 5 05 Gr.IV 6 6 06 Sweeper 2 1 17 Pharmacist 2 2 0MANKACHAR MINI PHC1 Sr. M & HO 1 1 02 M&HO-I 2 0 23 A.N.M. (G) 1 1 0MANKACHAR S/D1 A.N.M. (G) 2 0 2JHOWDANGA MINI PHC1 M & HO – I 1 1 02 MO under NRHM 0 1 03 Gr.IV 1 1 04 Sweeper 1 1 0KAKRIPARA MINI PHC1 M.O. (Ayur) 1 1 02 MO under NRHM 0 1 03 Gr.IV 1 1 04 Sweeper 1 1 05 Pharmacist 1 1 0SADULLABARI S.H.C.1 M&HO-I 1 0 12 MO (Ayur) under NRHM 0 1 03 A.N.M. (G) 1 1 04 Gr.IV 3 2 1SUKHCHAR MINI PHCattaced atGauripur CHC1 nos. H/Aattached inSukchar MPHCDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 38
1 M & HO-I 1 1 02 M.O. (Ayur) 1 1 03 Gr.IV 4 4 04 Sweeper 1 1 05 Pharmacist 1 1 0ADARSHAMANJURIGAON MEDICAL S/C1 M.O. (Ayur) 1 0 12 M.O under NRHM 0 1 0BAGHAPARA MEDICAL S/C1 A.N.M. (G) 1 0 12 Gr.IV 1 1 0HAZIRHAT MEDICAL S/C1 A.N.M. (G) 1 1 03 Gr.IV 1 1 0FEKAMARI MEDICAL S/C1 A.N.M. (G) 1 1 02 Gr.IV 1 1 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 39
Table: 3.5. Status of Logistics in <strong>Dhubri</strong> District (Template-5)Logistics ElementsDescriptionAvailability of a dedicated District warehouse for healthdepartmentStock outs of any vital supplies in last year . -Indenting Systems (from peripheral facilities to districts)Existence of a functional system for assessing Quality ofVaccineYes, Zonal Drug Ware House,<strong>Dhubri</strong>Respective Institution makestheir indents with last monthsreceipt, expenditure andbalance in hands. In case ofSub Center their indents comesthrough their respective PHCwith countersigned & submittedto the district.YesTable: 3.6 Status of Logistics (Details about the training institution/s) (Template-6)Details about the training institution/sName of the Institution: FHW/GNM training Centre, <strong>Dhubri</strong>Key issuesPhysical InfrastructuresAvailability of lecture halls = No Lecture hallTraining faculty = 7, deputation = 4Residential accommodation forTrainees (men and women) =Dining hall = Not AvailableFurniture’s, = Not SufficientSafe drinking water and electricity etc = Not AvailableProvide details of Faculty (Sanctioned and In-position) withdesignation and specializationAvailability of Teaching Aids, computers etc.Assessment of availability of common audio visual aids at the facilityAvailability of annual training plans for the last year andachievements of the plan?Training activities under NRHM:i) Orientation / sterilization workshops on NRHM- District level officers of related departments, sub districtlevel officers, elected PRIs, field NGOs, faculty ofANMTCs/DTCs, block panchayat and Gram panchayat• 2 Class rooms is there fortaking class.• There is one room for allfaculties.• There is a Hostel for Girls.• Electricity from HospitalSanction post = 8 (Sister tutor/PHN)In Position = 7 (Sister Tutor = 3 &PHN = 4)Computer = 2Laser Printer = 1OHP = 2There is no Annual training plans,46 nos. of GNM studentscompleted 3 years course in theyear 2005-2006.GNM trainees admitted on 25.5.06for 3 years 6 months=48 nosANM trainees admitted on 21.3.07for 18 months=32 nos.ii)Training for strengthening of health system- ASHA training- Skill based trainingsThe districts are required to indicate the trainings conducted for allcategories of health personnels with reference to the training load.The cumulative number of trained manpower and the number oftrained during the current year along with percentage ofachievement may be specified.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 40
Table: 3.7 BCC Infrastructures in <strong>Dhubri</strong> District (Template-7)Human Resources for BCC i.e. District Media officers,Dy Media officers and block level staffAny trainings the staff has undergone in mediaplanning or material development in past five yearsAny functional Mass media audio- visual aids such as16 mm projectors, Video cameras, VCD/DVD players-Did the district prepare a BCC plan in the past year?-If yes, what BCC activities were planned andundertaken?-In the absence of plan, find out what BCC activitieswere undertaken?Are there other institutions available in the privatesector for conducting communication activities usingmodern media or folk media???NoYes, LCD Projector-1NoNoTable 3.8 Details of ICDS programme in <strong>Dhubri</strong> District (Template-9)Sl NoName of theBlock with ICDSProgrammeNumber ofAWCsCDPOs andACDPOsSupervisorsAWWsAW helpersS F S IP S IP S IP S IP1 Gauripur 198 198 2 1 9 9 198 198 198 1982 Agomoni 151 151 1 1 6 5 151 151 151 1513 Golakganj <strong>11</strong>5 <strong>11</strong>5 1 1 4 4 <strong>11</strong>5 <strong>11</strong>5 <strong>11</strong>5 <strong>11</strong>54 Rupshi 146 146 1 1 5 5 146 146 146 965 Debitola 164 164 1 1 6 6 164 164 164 1646 Bilasipara 103 102 1 1 3 2 103 102 103 1027 Mahamaya 121 121 1 1 5 3 121 121 121 1218 Nayeralga 77 77 1 1 3 3 77 77 77 779 Chapor-Salkocha <strong>11</strong>5 <strong>11</strong>5 1 1 3 3 <strong>11</strong>5 <strong>11</strong>5 <strong>11</strong>5 <strong>11</strong>510 S.Salmara 109 109 1 1 3 3 109 108 109 108<strong>11</strong> Jamadarhat 78 76 1 1 1 1 78 76 78 7812 Fekamari 139 139 1 1 4 3 139 139 139 13913 Mankachar 152 152 1 1 5 2 152 152 152 15014 Birsing Jarua 127 127 1 1 4 3 127 127 127 127Total 1795 1792 15 14 61 52 1795 1791 1795 1741(Source ICDS, <strong>Dhubri</strong> Office)S = Sanctioned; F =Functioned and IP = In PositionDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 41
Table: 3.9 Elected representatives to Panchayat institutionsName of the blockTotalTotal ZP Total BDC/Mandal Total Panchayatpanchayatmembers membersPradhansFemalvillages MaleMale Female Male FemaleeA. <strong>Dhubri</strong> Sub Division1 Gauirpur 15010 52 Debitola 60 5 13 Rupshi <strong>11</strong>0 5 67 64 Golakganj 100 5 55 Agomoni 130 <strong>11</strong> 26 Hatidhura 40 4 0Sub Total (A) 590 7 6 40 19B. Bilasipara Sub Division7 Chapor Salkocha 1206 68 Bilasipara 100 6 45 29 Nayeralga 90 7 210 Mahamaya 120 6 6Sub Total (B) 430 5 2 25 18C. Hatsingimari Sub Division<strong>11</strong> Mankachar 1509 612 Fekamari 140 10 413 South Salmara 130 4 410 314 Jamdarhat 90 7 215 Birsing Jorua 150 9 6Sub Total (C) 660 4 4 45 21(Source : ZP Office, <strong>Dhubri</strong>)Total Panchyat Villages = 1680Tatal No. of Panchyat = 168Total ZP Members = 28 (Male = 16, Female = 12)Total Panchyat Pradhan = 168 (Male = <strong>11</strong>0, Female = 58)Table: 3.10 NAME OF THE NGOs WORKING IN HEALTH SECTOR IN THE DHUBRIDISTRICT: - (Template-<strong>11</strong>)SlNo12345Names of NGOs Address RemarksGauripur Vivekananda Club,GauripurNorth Easr Zone WelfareDevelopments Society,HatsingimariSocial Activites voluntaryOrganisation, MankacharLegal Social DevelopmentOrganisation, DharmasalaA Society for Human ResourceOverall ManagementP.O.-Gauripur Dist-<strong>Dhubri</strong>(Mother NGO of DHS,<strong>Dhubri</strong>)Hatsingimari, GazarikandiMankachar, GazarikandiDharmasala, <strong>Dhubri</strong>Nayahat Bazar, <strong>Dhubri</strong>MNGO, <strong>Dhubri</strong>FNGO, Gazarikandi PHCFNGO, South SalmaraFNGO, Dharmasala PHCFNGO, Raniganj PHCDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 42
Table: 3.<strong>11</strong> Key RCH IndicatorsKey - Indicators, Reproductive and Child Health – Rapid Household Survey (RCH-RHS)For 1998-99 & 2002-04INDICATORSASSAMDHUBRI1998-99 2002-04 1998-99 2002-04Marriage below 18 28.7 23.8 59.0 33.8Birth order 3+ 45.9 40.6 52.7 50.9Know all FP * 42.6 24.2 71.1 15.7CPR any mode** 28.4 28.7 26.2 19.6Unmet need 37.6 22.5 36.4 29.8ANC 56.0 61.5 37.8 37.8Full ANC 24.8 42.6 18.5 23.6Institutional Delivery 23.8 26.8 <strong>11</strong>.5 10.6Safe Delivery 31.9 33.2 17.4 13.0MMR 398*** 490****Full Vaccination 46.7 19.3 83.7 14.0No Vaccination <strong>11</strong>.6 23.6 1.6 28.2Aware AIDS-Female 37.7 49.1 19.7 20.4RTISTI-Female 28.5 24.3 42.4 21.8Aware AIDS-Male 57.7 34.7RTISTI-Male 15.1 1.3RW-ANM 7.7 3.1 12.3 4.2The above table shows the comparative data of different parameters of different health indicatorsof Assam, and <strong>Dhubri</strong> district.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 43
Table 3.12: Key Health Indicators of <strong>Dhubri</strong> District[Source: DLHS-2(02-04)& DLHS-3(07-08)]IndicatorsAssam<strong>Dhubri</strong>DLHS-3 DLHS-2 DLHS-3 DLHS-2Marriage and FertlityMarriage below 18 21.8 25.8 38.2 38.1Birth Order 3 and above NA NA 32.9 53.0% of births to women during age 15-19 out of total births 5.2 - 17.0 -Currently used Family Planning Methods (Currently married women, age 15-49)Any Method (%) 49.7 55.6 32.7 42.5Any modern Method (%) 31.2 26.9 23.6 17.3Female Sterlization (%) 10.7 <strong>11</strong>.6 2.2 4.5Total Unmet need 26.1 23.6 37.2 32.4Maternal HealthMothers registered for ANC in the first trimaster during the lastpregnancy (%)39.4 38.5 20.7 -Mothers who had at least 3 ANC visits during the lastpregnancy (%)45.1 39.4 21.9 20.9Mothers who got atleast one TT injection when they werepregnant with their last live birth/still birth (%)69.3 55.0 40.4 31.9Institutional births (%) 35.3 23.2 15.8 8.5Delivery at home assisted by a doctor/nurse/LHV/ANM (%) 7.7 9.2 3.8 3.0Child ImmunizationChildren (12-23 months) who have received BCG (%) 80.5 61.3 73.7 38.0Children (12-23 months) who have received Measles Vaccine(%)65.2 33.7 43.4 18.8Children (12-23 months) fully immunizaed 48.0 16.0 23.2 8.4Child feeding practicesChildren breastfed within one hour of birth (%) 65.7 50.6 70.0 -Knowledge of HIV/AIDS and RTI/STI among Ever Married Women (age 15-49)Women heard of HIV/AIDS (%) 54.8 44.0 41.6 15.2Women heard of RTI/STI (%) 16.8 21.8 4.4 19.2Knowledge of HIV/AIDS and RTI/STI among Un-married Women (age 15-24)Women heard of HIV/AIDS (%) 72.2 - 54.5 -Women heard of RTI/STI (%) 13.5 - 4.0 -Women Facilitated/Motivated by ASHA forAnte-natal Care (%) NA NA 13.3Delivery at Health facility (%) NA NA 7.7Use of Family Planning Methods NA NA 7.2---DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 44
CHAPTER - 4Progress Made During 2005-2009Table 4.1:Status of ASHA Block PHC wise (Excluding BTAD)Sl.NoName of PHCEstimatedPopulation ason Nov 2009Status ofASHA during07-08Status ofASHA during08-09(ExculdingBTAD)Status of AHSAduring 09-10 ason Jan’101 South Salmara PHC 332656 230 230 2822 Halakura PHC 170500 150 150 1723 Golakganj PHC 267224 200 225 2664 Dharmasala PHC 322157 260 229 2895 Raniganj PHC 323724 234 203 3036 Chapor PHC 136200 140 125 1397 Gazarikandi PHC 298692 230 204 275Total 185<strong>11</strong>53 1444 1366 1726SlName of the BlockPHCNo of ASHA Received Training1st Module 2nd Module 3rd Module 4th Module 5th Module1 Dharmasala BPHC 229 229 229 229 2292 Golakganj BPHC 206 206 206 206 2063 Halakura BPHC 160 160 160 160 1604 Raniganj BPHC 201 201 201 201 2015 Chapor BPHC 140 139 139 139 1246 Gazarikandi BPHC 204 204 204 204 2007 South Salmara BPHC 230 230 230 230 220District Total 1370 1369 1369 1369 1340Table 4.2: No. of VHND Observed Block PHC Wise during 06-07, 07-08, 08-09 & 09-10 (uptoJan’10)SlName of the BPHC/Urban Center/Reporting UnitNo of VHND2006-07No of VHND2007-08No of VHND2008-09No of VHND2009-10 (uptoJan’10)1 Dharmasala BPHC 133 2877 2652 20862 Golakganj BPHC 3 679 2<strong>11</strong>7 16663 Halakura BPHC 232 927 1599 15694 Raniganj BPHC 68 2193 2051 16525 Chapor BPHC 195 1516 1533 12406 Gazarikandi BPHC 66 1582 1894 15307 South Salmara BPHC 300 1414 2188 2327Total: 997 <strong>11</strong>188 14034 12070DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 45
Table 4.3: Status of Village Health and Sanitation Committee of <strong>Dhubri</strong> District during 08-09and 09-10 (upto June’09)SlNoName of Block PHCNo. of VHSCformedduring 08-09No. of VHSCAchievemeAcct Opennt PCduring 08-09No. of VHSCformedduring 09-10No. of VHSCAcct Openduring 09-10Achievement PC1 Golakganj PHC 219 219 100.00% 209 209 100%2 Dharmasala PHC 212 212 100.00% 212 212 100%3 Halakura PHC 150 150 100.00% 160 160 100%4 Chapor PHC 124 124 100.00% 124 124 100%5 Raniganj PHC 201 196 97.51% 197 197 100%6 South Salmara PHC 226 226 100.00% 223 223 100%7 Gazarikandi PHC 190 179 94.21% 185 185 100%Total 1322 1306 98.79% 1310 1310 100%Table 4.4: INSTITUTION WISE DELIVERY REPORTS OF DHUBRI DISTRICTYear: 2005-06Sl. Name of PHC/DistrictHome Delivery Institutional Delivery Grand TotalNo Hospital1 Dharmasala 2621 27 26482 Golokganj 1630 241 18713 Halakura 1369 194 15634 Raniganj 1633 199 18325 Chapor <strong>11</strong>84 59 12436 South Salmara 1045 0 10457 Gazakandi 916 74 9908 <strong>Dhubri</strong> Civil Hospital 0 2896 2896Total 10398 3690 14088Year : 2006-07Sl. Name of PHC/DistrictHome Delivery Institutional Delivery Grand TotalNo Hospital1 Dharmasala 3080 338 34182 Golokganj 1921 453 23743 Halakura 1561 495 20564 Raniganj 2490 553 30435 Chapor 1310 252 15626 South Salmara 1588 0 15887 Gazakandi 1664 335 19998 <strong>Dhubri</strong> Urban 0 2568 2568Total 13614 4994 18608DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 46
Year: 2007-08Sl No. Name of PHC/Urban UnitName of the Home Institutional GrandInstitution Delivery Delivery Total1 <strong>Dhubri</strong> Urban<strong>Dhubri</strong> CH34483720 Bed MC. <strong>Dhubri</strong> 4603945Chapor FRUBahalpur SD76445Salkocha SHC 133Jalikura SC 32 Chapor PHC Soulmari SC 173572716Champabati SC 26Noonmati SC 1Dhirghat SC 1Bamungaon SC 1Agomoni CHC6613 Halakura PHCHalakura CHC 8831424Satrasal SD 863229Boterhat SD 175Gouripur CHC4194 Dharmasala PHCDharmasala PHC 7192737Kazigaon SD 573971Debitola SD 395 Gazarikandi PHCMankachar CHC3061749Gazarikandi PHC 147535306 Golakganj PHC Golakganj PHC 1769 1024 2793Raniganj PHCBilasipara SHC2667597 Raniganj PHC Sapatgram SHC 2340 2583722Lakhiganj SD 91Futkibari SD 88 South Salmara PHC Bolodmara SC 3630 3 3633Total 15421 12<strong>11</strong>8 27539Year: 2008-09Sl No. Name of PHC Name of Institution Home Institutional Total1 <strong>Dhubri</strong> Urban<strong>Dhubri</strong> Civil Hospital4102020 Beded Mat. Cen. 41545172 Chapor PHCChapor FRUBahalpur SD <strong>11</strong>9564256 2069Salkocha SHC 176Agomoni CHC6513 Halakura PHCHalakura CHC 12991064Satrasal SD 933278Boterhat SD 1714 Dharmasala PHCGouripur CHC3992314Dharmasala PHC 65533685 Gazarikandi PHCMankachar CHC6322034Gazarikandi PHC 15074173Golakganj PHC12616 Golakganj PHCTamarhat MPHC 6091624Kachokhan SD 483547Moterjhar SD 5Raniganj PHCBilasipara SHC1768287 Raniganj PHC Sapatgram SHC 2554 231 3976Lakhiganj SD 142Futkibari SD 458 South Salmara BPHC 2780 0 2780Total 13565 14143 27708DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 47
Year: 2009-10 (Upto Jan’10)SlNo.Name of PHC1 <strong>Dhubri</strong> UrbanName of InstitutionHomeDeliveryInstitutionDelivery<strong>Dhubri</strong> Civil Hospital4054020 Beded Mat. Cen. <strong>Dhubri</strong> 301Total4355Chapor FRU7312 Chapor PHCBahalpur SD 91636Salkocha SHC 1051788Agomoni CHC5943 Halakura PHCHalakura CHC 1315646Satrasal MPHC <strong>11</strong>0Boterhat SD 13227974DharmasalaPHCGouripur CHC33<strong>11</strong>971Dharmasala PHC 47827805GazarikandiPHCMankachar CHC7831960Gazarikandi PHC 15624305Golakganj PHC12486GolakganjPHCTamarhat MPHC 616Kachokhan SD <strong>11</strong>35200Moterjhar SD 1473416Dhepdhepi MPHC 70Raniganj PHC1277 Raniganj PHCBilasipara SHC 997Sapatgram SHC 2196202Lakhiganj SD 136Futkibari SD 6437228South SalmaraPHC2652 0 2652Total <strong>11</strong>476 14339 25815DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 48
Table 4.5: JSY BE<strong>NE</strong>FICIARIES OF DHUBRI DISTRICTYear : 2005-06Name of Health Home InstitutionalInstitutionDelivery DeliveryTotalChapor PHC 30 8 38Gazarikandi PHC 157 9 166Raniganj PHC 22 0 22Total 209 17 226Year : 2006-07Name of PHC Name of Health Home InstitutionalInstitution Delivery DeliveryTotalChapor PHC82Chapor PHCSalkocha SHC 5996Bohalpur SD 61307Chapor FRU 218Golakganj PHC Golakganj PHC 1526 416 1942Halakura PHC406Halakura PHCAgomoni CHC 134993Boterhat SD 3<strong>11</strong>565Satrasal SD 1Dharmasala PHCDharmasala PHC961340Gauripur CHC 1521588Gazarikandi PHC Gazarikandi PHC 2238 358 2596Raniganj PHCRaniganj PHCBilasipara SHC 10171003241618Sapatgram SHC 177South Salmara PHC S.Salmara PHC 2753 0 2753<strong>Dhubri</strong> Urban 100 464Urban Unit<strong>Dhubri</strong> Civil Hosp 9621803<strong>Dhubri</strong> 20 Bed MC 277Total 10963 4209 15172Year : 2007-08Sl No. Name of PHC Name of Institution Institutional Delivery1 <strong>Dhubri</strong> Urban<strong>Dhubri</strong> Civil Hospital 299620 Bed Maternity centre, <strong>Dhubri</strong>. 467Chapor FRU 688Bahalpur SD 45Salkocha SHC 130Jalikura SC 32 Chapor PHC Soulmari SC 7Champabati SC 10Noonmati SC 1Dhirghat SC 1Bamungaon SC 1Agomoni CHC 7383 Halakura PHCHalakura CHC 879Satrasal SD 88Boterhat SD 193Gouripur CHC 2824 Dharmasala PHCDharmasala PHC 719KazigaonSD 46Debitola SD 75 Gazarikandi PHCMankachar CHC 258Gazarikandi PHC <strong>11</strong>796 Golakganj PHC Golakganj PHC 1007Raniganj PHC 203Bilasipara SHC 5647 Raniganj PHC Sapatgram SHC 181Lakhiganj SD 58Futkibari SD 18 South Salmara PHC Bolodmara SC 3Total 10755DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 49
Year : 2008-09SlNo.Name of PHC Name of Institution Total1 <strong>Dhubri</strong> Urban<strong>Dhubri</strong> Civil Hospital 320120 Beded Mat. Cen. <strong>Dhubri</strong> 405Chapor FRU 3792 Chapor PHC Bahalpur SD 60Salkocha SHC 146Agomoni CHC 5913 Halakura PHCHalakura CHC <strong>11</strong>24Satrasal SD 75Boterhat SD 1744Dharmasala Gouripur CHC 436PHC Dharmasala PHC 6105Gazarikandi Mankachar CHC 426PHC Gazarikandi PHC 757Golakganj PHC 12596 Golakganj PHCTamathat MPHC 473Kachokhana SD 48Moterjhar SD 0Raniganj PHC 176Bilasipara SHC 7307 Raniganj PHC Sapatgram SHC 204Lakhiganj SD 143Futkibari SD 50Total <strong>11</strong>467Year: 2009-10 (Upto Jan’10)SlNo.12345Name ofPHC<strong>Dhubri</strong>UrbanChaporPHCHalakuraPHCDharmasalaPHCGazarikandiPHCName ofInstitution<strong>Dhubri</strong> CivilHospital20 Beded Mat.CenApril May June July Aug Sept Oct Nov Dec Jan Total195 134 207 492 465 2<strong>11</strong> 1031 856 0 0 359131 13 14 20 36 0 35 40 46 37 272Chapor FRU 0 0 0 216 161 91 72 55 70 92 757Bahalpur SD 0 0 0 10 4 5 2 2 5 0 28Salkocha SHC 0 0 0 10 5 24 3 5 14 14 75Agomoni CHC 3 0 39 144 22 89 104 12 0 0 413Halakura CHC 0 0 137 513 180 4 223 168 0 0 1225Satrasal MPHC 0 0 0 38 30 0 17 0 0 0 85Boterhat SD 0 0 0 43 41 0 32 0 0 0 <strong>11</strong>6Gouripur CHC 0 1 1 92 38 1 2 35 0 0 170DharmasalaPHC0 0 149 27 0 0 172 62 0 0 410Mankachar CHC 0 0 255 0 195 0 193 0 97 0 740GazarikandiPHC0 0 0 494 423 0 0 0 436 0 1353DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 50
SlNo.67Name ofPHCGolakganjPHCRaniganjPHCName ofInstitutionApril May June July Aug Sept Oct Nov Dec Jan TotalGolakganj PHC 0 0 197 0 86 0 <strong>11</strong>4 223 164 0 784Tamathat MPHC 0 48 223 0 0 0 161 0 72 0 504Kachokhana SD 14 6 9 0 0 0 82 0 35 0 146Moterjhar SD 0 0 25 10 4 0 33 23 0 0 95DhepdhepiMPHC0 0 0 4 0 0 51 0 <strong>11</strong> 0 66Raniganj PHC 0 0 30 12 14 <strong>11</strong> 12 0 31 21 131Bilasipara SHC 1 0 58 257 97 6 0 0 309 220 948Sapatgram SHC 15 8 50 7 4 0 50 10 35 15 194Lakhiganj SD 0 0 41 10 18 2 0 0 0 74 145Futkibari SD 4 3 5 4 9 3 7 0 0 0 35Total 263 213 1440 2403 1832 447 2396 1491 1325 473 12283DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 51
Table 4.6: STATUS OF CIVIL WORK UNDER NRHM, DHUBRI AS ON 5.<strong>11</strong>.09STATUS OF CIVIL WORK UNDER NRHM, DHUBRI DISTRICT AS ON 31.7.09Rs. 30 Thousand allotted for Maintenance & Repairing of Health Institution (as reported by BPHCIncharge)SlNoName ofBlock PHCName ofInstitution/SCImplementingAgencyFinancialyearRemarksFundallotedperinstitutionTypeofworkProgressof workin % age1DharmasalaMadaikhaliS/CHMC 0.30 lac ‘05-06 M&R 100% Completed2PHCAlomganj S/C HMC 0.30 lac ‘05-06 M&R 100% Completed3GolakganjRatiadaha S/C HMC 0.30 lac ‘05-06 M&R 100% Completed4PHCBiskhowa S/C HMC 0.30 lac ‘05-06 M&R 100% Completed5ChaporPHCAirarjhar S/C HMC 0.30 lac ‘05-06 M&R 100% Completed6RaniganjBorogirai S/C HMC 0.30 lac ‘05-06 M&R 100% Completed7PHCBorkanda S/C HMC 0.30 lac ‘05-06 M&R 100% Completed8HalakuraChagolia S/C HMC 0.30 lac ‘05-06 M&R 100% Completed9PHCRanpagli S/C HMC 0.30 lac ‘05-06 M&R 100% Completed10GazarikandiPHCFekamari S/C HMC 0.30 lac ‘05-06 M&R 100% CompletedRs. 50 Thousand allotted for Maintenance & Repairing of Health Institution during 2005-06 (asreported by BPHC Incharge & inspection report of JE, NRHM)SlNo12Name of BlockPHCSouth SalmaraPHCDharmasalaPHC3 Golakganj PHC4 Golakganj PHCName ofInstitutionImplementing AgencyFundallotted perinstitutionProgress ofwork in% AgeRemarksMedartari SC HMC 0.50 lac 100% completedGeramari MPHC HMC 0.50 lac 100% CompletedKachokhanaMPHCDhepdhepiMPHCHMC 0.50 lac 100% CompletedHMC 0.50 lac 100% Completed5 Chapor PHC Salkocha MPHC HMC 0.50 lac 100% Completed6 Raniganj PHCSapatgramMPHCHMC 0.50 lac 100% Completed7 Raniganj PHC Lakhiganj MPHC HMC 0.50 lac 100% Completed8 Raniganj PHC Futkibari MPHC HMC 0.50 lac 100% Completed9 Halakura PHC Boterhat SD HMC 0.50 lac 100% Completed10GazarikandiPHCJhowdangaMPHCHMC 0.50 lac 100% CompletedDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 52
Rs. 1 lakh allotted for Maintenance & Repairing of Health Institution (as reported by BPHC Incharge &inspection report of JE, NRHM)FundType Progress ofName of ImplementingFinancialSl.Noalloted perof work in % RemarksInstitution Agencyyearinstitutionwork Age1 Halakura PHC HMC 1 lac ‘06-07 MSR 100% Completed2 Golakganj PHC HMC 1 lac ‘06-07 M&R 100% Completed3 Dharmasala PHC HMC 1 lac ‘06-07 M&R 100% Completed4 Raniganj PHC HMC 1 lac ‘06-07 MSR 100% Completed5South SalmaraPHCHMC 1 lac ‘06-07 M&R 100% Completed6 Gazarikandi PHC HMC 1 lac ‘06-07 M&R 100%Completedonly staffquarterrepaired.7 Chapor PHC HMC 1 lac ‘06-07 M&R 100% CompletedRs. 1 lakh allotted for Maintenance & Repairing of Health Institution (as reported by BPHC Incharge &inspection report of JE, NRHM)SlNoName ofBlock PHCName ofInstitutionImplementingAgencyFinancialyearRemarks1FundallotedperinstitutionTypeofworkProgressof workin % AgeRangpagli S/C HMC 1 lac 06-07 MSR 100% Completed2 Chagolia S/C HMC 1 lac 06-07 MSR 100% CompletedHalakura3 PHC GharialdangaHMC 1 lac 06-07 MSR 100% CompletedS/C4 Kharbari S/C HMC 1 lac 06-07 MSR 100% Completed5Protapganj S/C HMC 1 lac 06-07 MSR 100% Completed6 Rakhalpat S/C HMC 1 lac 06-07 MSR 100% Completed7South RaipurS/CHMC 1 lac 06-07 MSR 100% completedBishkhowa8 GolakganjHMC 1 lac 06-07 MSR 100% completedBazar S/CPHC9 Sonahat S/C HMC 1 lac 06-07 MSR 100% Completed10 Harirhat S/C HMC 1 lac 06-07 MSR 100% Completed<strong>11</strong>MadhyapetlaS/CHMC 1 lac 06-07 MSR 100% Completed12 Chaghar S/C HMC 1 lac 06-07 MSR 100% Completed13Debitola S/C HMC 1 lac 06-07 MSR 100% Completed14MadhusoulmariS/CHMC 1 lac 06-07 MSR 100% completed15 Dharmasala Baraibari S/C HMC 1 lac 06-07 MSR 100% CompletedPHC16 Jhaleralga S/C HMC 1 lac 06-07 MSR 100% Completed17 Madaikhali S/C HMC 1 lac 06-07 MSR 100% Completed18 Gaspara S/C HMC 1 lac 06-07 MSR 100% Completed19Bahalpur S/C HMC 1 lac 06-07 MSR 100% Completed20 Chapor Arerjhar S/C HMC 1 lac 06-07 MSR 100% Completed21 PHC Nunmati S/C HMC 1 lac 06-07 MSR 100% Completed22 Falimari S/C HMC 1 lac 06-07 MSR 100% Completed23 Raniganj Chotogiraj S/C HMC 1 lac 06-07 MSR 100% Completed,DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 53
24PHC TamokobariS/CHMC 1 lac 06-07 MSR 100% Completed25 Rabantari S/C HMC 1 lac 06-07 MSR 100% Completed26 Silabari S/C HMC 1 lac 06-07 MSR 100% Completed27 Kaimari S/C HMC 1 lac 06-07 MSR 100% Completed28 Buchirchar S/C HMC 1 lac 06-07 MSR 100% Completed29 Aysakati S/C HMC 1 lac 06-07 MSR 100% Completed30Bauskata S/C HMC 1 lac 06-07 MSR 100% CompletedMuthakhowa31HMC 1 lac 06-07 MSR 100% CompletedSouth S/CSalmara Bhalukkandi32HMC 1 lac 06-07 MSR 100% CompletedPHC S/C33 Salkata S/C HMC 1 lac 06-07 MSR 100% completed34 Medertari S/C HMC 1 lac 06-07 MSR 100% Completed35Kalapani S/C HMC 1 lac 06-07 MSR 100% completed36KuchnimaraS/CHMC 1 lac 06-07 MSR 100% completedGazarikandi Manullapara37HMC 1 lac 06-07 MSR 100% completedPHC S/C38 Borona S/C HMC 1 lac 06-07 MSR 100% Completed39 Borealga S/C HMC 1 lac 06-07 MSR 100% Completed40 Kukurmara S/C HMC 1 lac 06-07 MSR 100% CompletedRs. 2 lakh allotted for Maintenance & Repairing of Health Institution (as reported JE, NRHM)SlNoName ofBlock PHCName ofInstitutionFinancialyearImplementingAgencyFundalloted perinstitutionTypeofworkProgressof workin % AgeRemarks1Agomoni CHC HMC 2 lac 06-07 M&R 100% CompletedHalakura PHC2 Halakura CHC HMC 2 lac 06-07 M&R 100% Completed3DharmasalaPHCGauripur CHC HMC 2 lac 06-07 M&R 100% Completed4 Chapor PHC Chapor CHC HMC 2 lac 06-07 M&R 100% CompletedRs. 5 Lakhs allotted for Up gradation of BPHC to 24x 7delivery Services during the year 06-07,Sources : PWD report as on 24.9.08 & AE, NRHM report as on 05.05.09SlNoName ofInstitutionImplementing AgencyType of work12DhepdhepiMPHCKachokhanaSD3 Satrasal SD4 Salkocha SHC5 Lakhiganj SDDist Const.Committ.Dist Const.Committ.Dist Const.Committ.Dist Const.Committ.Dist Const.Committ.Fundalloted perinstitutionFinancialyear5.0 lac 06-075.0 lac 06-075.0 lac 06-075.0 lac 06-075.0 lac 06-0724x 7Hr DeliveryService24x 7Hr DeliveryService24x 7Hr DeliveryService24x 7Hr DeliveryService24x 7Hr DeliveryServiceProgressof workin % AgeRemarks100% completed100% completed100% completed100% completed100% completedDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 54
Rs. 5 Lakhs allotted for Up gradation of BPHC to 24x 7delivery Services during the year 07-08,Sources : PWD report as on 31.7.09SlNoName ofInstitutionImplementingAgencyType of work1 Moterjhar SD2SadullabariSHC3 Kakripara SD4 Basbari SD5SapatgramSHCDist Const.Committ.Dist Const.Committ.Dist Const.Committ.Dist Const.Committ.Dist Const.Committ.Fundalloted perinstitutionFinancialyear5.0 lac 07-0824x 7Hr DeliveryService5.0 lac07-08 24x 7Hr DeliveryService5.0 lac 07-0824x 7Hr DeliveryService5.0 lac 07-0824x 7Hr DeliveryService5.0 lac 07-0824x 7Hr DeliveryServiceProgressof work in% AgeRemarks100% completed100% completed100%100%100%Rs. 6 Lakhs allotted for Up gradation of PHCs to 24x 7delivery Services during the year 08-09,Sources : PWD report as on 31.01.10Fund FinanProgressSl Name of Implementingalloted per cial Type of work of work inNo Institution Agencyinstitution year% Age1Dumardaha Dist Const.24x 7Hr Delivery6.0 lac 08-09MPHCCommitt.Service100%2Bogribari Dist Const.24x 7Hr Delivery6.0 lac 08-09SDCommitt.Service100%3Berbhangi Dist Const.6.0 lac 08-0924x 7Hr Delivery90%4SDJhowdangaSD5 Boterhat SDCommitt.Dist Const.Committ.Dist Const.Committ.6.0 lac 08-096.0 lac 08-09Service24x 7Hr DeliveryService24x 7Hr DeliveryService100%Rs. 6 Lakhs allotted for Up gradation of PHCs to 24x 7delivery Services during the year 08-09,Source : PWD report as on 31.01.10Work JustcompletedWorkcompletedWorkscompletedRemarksWorkcompletedWorkcompletedWork inprogressWorkcompleted57% completedSlNoName of HealthInstImplementingAgencyFundFinancialalloted peryearinstitutionType of workProgress of workin % AgeRemarks1 Jarua MPHC2 Bilasipara SHC3 Futkibari SD4 Santipur MPHC5 Tamarhat MPHC6 Geramari MPHCDist Const.Committ.Dist Const.Committ.Dist Const.Committ.Dist Const.Committ.Dist Const.Committ.Dist Const.Committ.6.0 lac 08-096.0 lac 08-096.0 lac 08-096.0 lac 08-096.0 lac 08-096.0 lac 08-0924x 7Hr DeliveryService45%24x 7Hr DeliveryService55%24x 7Hr DeliveryService13%24x 7Hr DeliveryService70%24x 7Hr DeliveryService40%24x 7Hr DeliveryService41%Work inprogressWork inprogressWork inprogressWork inprogressWork inprogressWork inprogressDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 55
Rs. 5.3 Lakhs allotted for Up gradation of 24X7 hr delivery of BPHC during the year 05-06 and 07-08 under NRHMSources : AE, NRHM as on 24.7.08SlNoName ofInstitutionImplementing AgencyFundAllotted perinstitutionFinancialyear1 Raniganj PHC HMC 5.3 lac ‘05-062 Golakganj PHC HMC 5.3 lac ‘05-063. Dharmasala PHCDist. Const.Committee5.3 Lac ‘07-08Type of workUpgradation to24 hr deliveryUpgradation to24 hr deliveryUpgradation to24 hr deliveryProgressof work in%Remarks100% Completed100% Work completed100% Work completedRs.7.4 lakhs allotted for Up gradation of Health Institution to 24 x 7 hr Delivery services as on 31.03.08SlNo12Name ofInstitution20 beds MC<strong>Dhubri</strong>AgomoniCHCImplementingAgencyTown & CountryPlanningDist. Const.CommitteeFundallotedFinancialyear7.4 L 06-077.4 L ’07-08Type of workUpgradation to 24hr deliveryUpgradation to 24hr deliveryRs. 14.9 Lakhs allotted for Up-gradation of BPHC to FRU during the year 2006-2007(Source : PWD building report as on 30.05.09 and AE, NRHM report as on 24.9.08)SlNoName ofInstitutionImplementing AgencyFundallottedType ofwork1 Golakganj PHCPWDBuilding14.9 lac2 Gazarikandi PHC HMC 14.9 lacBPHC toFRUBPHC toFRUProgress ofwork inpercentageProgressof workin % AgeRemarks100% Completed100%RemarksCompletedand handedover100% Work completed100% Work completedRepairing of Doctor's Quarter and Staff Quarter during 07-08 (Source : PWD building report as on 30.5.09 &AE, NRHM report as 31.3.09)Sl NoName ofInstitution/PHC/CHC/SDetcFundallotedImplementing AgencyType of workProgressof workin % ageRemarks1 Gauripur CHC PWD (B) Doctors & Staff Quarter 100% Work completed2 Chapor CHC PWD (B) Doctors & Staff Quarter 100% Work completed3 Raniganj PHC PWD (B) Doctors & Staff Quarter 100% Work completed4 Halakura CHC PWD (B) Doctors & Staff Quarter 100% Work completed5 Satrasal MPHC PWD (B) Doctors & Staff Quarter 100% Work completed6 Boterhat SD PWD (B) Doctors & Staff Quarter 100% Work completed7 Gazarikandi PHC PWD (B) Doctors & Staff Quarter 100% Work completedRepairing of Doctor's Quarter and Staff Quarter during 08-09 (Source : PWD report as 31.01.10)Sl NoName ofInstitution/PHC/CHC/SDetcFundallotedImplementing Agency in2008-09Type of workProgressof workin % ageRemarks1 Dharmasala PHC 6.0 L PWD (B) Doctors & Staff Quarter 100% Work completed2 Lakhiganj SD 6.0 L PWD (B) Doctors & Staff Quarter 58% Work progress3 Salkocha SHC 6.0 L PWD (B) Doctors & Staff Quarter 100% Work completed4 Bilasipara SHC 6.0 L PWD (B) Doctors & Staff Quarter 100% Work completed5 Futkibari SD 6.0 L PWD (B) Doctors & Staff Quarter 100% Work completed6 Geramari MPHC 6.0 L PWD (B) Doctors & Staff Quarter 100% Work completedDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 56
Construction of Stabilization Unit during 08-09, Source : PWD report as on 31.01.10Name ofSl No Institution/PHC/CHC/SDetc1 Dharmasala BPHC,FundallotedImplementing AgencyType ofworkProgress of workin % age40%2 Golakgnaj BPHC 100%3 Raniganj BPHC, 85%4 Gazarikandi BPHC, 30%5 Chapor CHC, 60%6 Gauripur CHC,Dist Const Stabilization<strong>11</strong>%4.2 L7 Halakura CHC, Committ unit100%8 Agomoni CHC, 60%9 Mankachar CHC, 35%10 Sapatrgam SHC, 75%<strong>11</strong> Bilasipara SHC and 85%12 20 beded Maternity Centre 20%RemarksConstruction / Upgradtion of Twon SD to FRU during 08-09Sl NoName ofInstitution/PHC/CHC/SD etcFundalloted1 Town SD 14.43 LImplementing AgencyConstCommittType of workConstruction of Groundfloor of 2 9two) st R.C.CBldg (with a provision ofAssam Type 1 st floor)for upgradation of townstate dispensary to FRUstandard in the campusof Old Civil hospital,<strong>Dhubri</strong>Progress ofwork in %ageRemarks70% Work in progressDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 57
Table 4.7: Status of Civil Work Implemented by PWD BuildingRural Health Block Pooling Complex during 2006-07 (Source : PWD report as on 31.12.09)Progress ofSl Name of Name of Fund Implementing Type ofwork in %RemarksNo Block PHC Institution alloted Agency workage123ChaporPHCChaporCHCGazarikandi MankacharPHC CHCHalakuraPHCHalakuraCHC100 L100 L100 LPWD(Building)PWD(Building)PWD(Building)BlockPoolingComplexBlockPoolingComplexBlockPoolingComplexCHC to IPHS standard during 06-07 (Source : PWD building report as on 31.7.09)FundSl Name ofImplementiProgress ofalloted perA.A letter noNo Institutionng Agencywork in % ageinstitution1234ChaporCHCMankacharCHCHalakuraCHCGauripurCHC40 L40 L40 L40 LPWD(Building)PWD(Building)PWD(Building)PWD(Building)NRHM/ESTIMATE/DHUBRI/405/2996dtd. 23-10-06NRHM/ESTIMATE/DHUBRI/405/5659dtd. 5-12-06100% Work completed100% Work completed86% Work in progress100% Work completed100%RemarksWork completed and Handedover100% Work completed100%Work completed and HandedoverConstruction of Doctor's Quarter and Nurses Quarter during 06-07 (Source : PWD building report as on 5.<strong>11</strong>.09)ProgressSlName ofFund ImplementinNo Institution/PHC/CHC/SD etcType of work of work inalloted g Agency% ageRemarks1 Golakganj PHC 28.80 L PWD (B)Doctors & NurseQuarter (Assam Type)100% Work completed2 Bilasipara SHC 28.80 L PWD (B)Doctors Qtr (1unit) &Nurse Qtr (3 unit)100% Work completed3 Gauripur CHC 28.80 L PWD (B)Doctors Qtr (1unit) &Nurse Qtr (3unit)100% Work completed4 South Salmara CHC 28.80 L PWD (B)5 Bogribari SD 28.80L PWD (B)6 Dhepdhepi MPHC 28.80L PWD (B)Doctors Qtr (1unit) &Nurse Qtr (3 unit)Doctors Qtr (1unit) &Nurse Qtr (3 unit)Doctors Qtr (1unit) &Nurse Qtr (3 unit)100%Work completedexcept electrification100% Work completed100% Work completedConstruction of 200 beded Civil Hospital, <strong>Dhubri</strong>(Source : AE report as on 31.1.10)Name ofFund ImplementinSl No Institution/PHC/CHalloted g AgencyC/SD etc1 <strong>Dhubri</strong> Civil hospital PWD (B)Type of workConstruction of 200beded Civil hospitalProgressof workin % ageRemarks74% Work in progressDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 58
RCC GNM School cum Hostel Building for 100 Nursing students(Source : PWD building report as on 31.12.09)Name ofFund ImplementinSl No Institution/PHC/CHType of workalloted g AgencyC/SD etcRCC GNM School cum1 <strong>Dhubri</strong> Civil Hospital PWD (B)Hostel BuildingProgressof workin % ageRemarks43% Work in progressConstruction of Wards in <strong>Dhubri</strong> District During 2008-09(Source : PWD report as on 31.01.10)Name ofFund ImplementinSl No Institution/PHC/CHalloted g AgencyC/SD etcType of workProgressof workin % ageRemarks1 Salkocha SHC Assam Type Ward 80% Work in progress2 Lakhiganj SD 70% Work in progress3 Satrasala MPHC 70% Work in progressTable 4.8: Perormance Of Mobile Mdical Unit, <strong>Dhubri</strong> During 08-09 & 09-10 (Upto Jan’10)Month During 08-09During 09-10(upto Jan’10)TotalNo of Camps held 60 79 139No of Patient Treated 9878 12597 22475No of ANC 540 765 1305No of PNC 469 <strong>11</strong>7 586No of X-Ray 3 0 3No of USG 0 3 3No of ECG 0 0 0No of Patient examined for Blood Test 361 252 613No of Patient examined for Urine Test 201 108 309No of Patient examined for Stool Test 0 79 79Table 4.9: Performance Of Boat Clinic Service , <strong>Dhubri</strong> during 07-08, 08-09 & 09-10(upto Jan’10)During During During 09-10 Total07-08 08-09 (upto Jan’10)No. of camps <strong>11</strong> 143 173 327Genral Health Checkup 2083 23129 20165 45377ANC 106 772 426 1304PNC 39 515 43 597Routine Immunization(BCG+OPVII+OPVIII+B+DTI+DTII+Measles+TTI + TT2)223 2253 3167 5643Vitamin A 5 15 21 41Family Planning 43 <strong>11</strong>89 1334 2566IPPIP 0 0 0 0Sppl Vacnation 0 0 0 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 59
Table 4.10: Performance Of Evening Opd Services, <strong>Dhubri</strong> during 08-09 & 09-10(Upto Jan’10)SlNoName of the InstDayOPDDuring 08-09 During 09-10EveningOPD% overDay OPDDayOPDEveningOPD% over DayOPD1 Chapor FRU 39524 8758 22.16% 51055 14029 27.48%2<strong>Dhubri</strong> CivilHospital/<strong>Dhubri</strong> Health &Maternity Centre106854 13351 62.92% 38075 <strong>11</strong>078 29.10%3 Golakganj PHC 19171 2994 15.62% 29450 5982 20.31%4 Mankachar CHC 20902 2950 14.<strong>11</strong>% 37377 7310 19.56%5 Agomoni CHC 10200 2272 22.27% 15319 4690 30.62%6 Gauripur CHC <strong>11</strong>768 1260 10.71% 21589 2690 12.46%7 Bilasipara SHC 18279 2052 <strong>11</strong>.23% 32267 5516 17.09%Total 226698 33637 14.84% 225132 51295 39.82%Table 4.<strong>11</strong>: Status of Training/workshop conducted by DHS, <strong>Dhubri</strong>Sl.Name of the Training Trainee Duration During theNoyear1 ASHA facilitator Training2 BTT Training for 1 st Module Block Training Team3 ASHA induction Training 1 st Phase at ASHABPHC4 ASHA induction Training 2 nd Phase at ASHABPHC4 BTT Training for 2 nd ,3 rd ,4 th & 5 th Block Training Team 6 Days 2007-08Module5 Workshop for NRHM staff BPMU/MO(ayur) 2 Days 2007-086 Management of Immunization ANM 1 day 2007-08DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 60
Table 4.12: UIP performance Report of <strong>Dhubri</strong> DistrictyearInfantTargetBCG PC DPT PC OPV PC Measles PCPWtargetTTPC2004-0539175 35335 90.20% 28589 72.98% 28589 72.98% 27126 69.24% 44602 39036 87.52%2005-0638906 43300 <strong>11</strong>1.29% 29940 76.95% 29940 76.95% 28609 73.53% 46285 38660 83.53%2006-0738906 41238 105.99% 40484 104.06% 40484 104.06% 25224 64.83% 46285 40301 87.07%2007-0849356 50150 101.61% 42251 86% 42251 86% 44207 90% 54840 49485 90.24%2008-0942479 47107 <strong>11</strong>0.89% 39576 93.17% 39576 93.17% 365<strong>11</strong> 85.95% 50184 41529 82.75%2009-10(UptoJan’10)50723 35530 70.05% 32528 64.13% 32365 63.81% 31357 61.82% 57622 38837 67.40%Table 4.13: Family Welfare Performance of <strong>Dhubri</strong> DistrictYEAR METHOD TARGET ACHIEVEMENT PERCENTAGESterilisation 3500 28 0.80%2006-2007I.U.D/Copper-T (insertion) 4000 703 17.57%O.P.(User) 3000 1689 56.30%C.C.(User 4000 1979 49.47%Sterilisation 1352 37 2.73%2007-20082008-20092009-<strong>2010</strong>(UptoJan’10)I.U.D/Copper-T (insertion) 2459 665 27.04%O.P.(User) 2828 1675 59.23%C.C.(User 3073 1512 49.20%Sterilisation 7800 1525 19.55%I.U.D/Copper-T (insertion) 3900 680 17.44%O.P.(User) 3000 2433 81.10%C.C.(User) 3100 2444 78.84%Sterilisation 9800 777 7.93%I.U.D/Copper-T (insertion) 4900 971 19.82%O.P.(User) 4700 2875 61.17%C.C.(User) 4700 2685 57.13%DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 61
Table 4.14: Status Report of Majoni Scheme as on 31 st Jan’10 of <strong>Dhubri</strong> DistrictSlReporting MonthNo of Girl Child bornduring the month(Source Live Birth -HMIS Report)No ofbeneficiariessubmittedapplication formNo of FixedDepositeissuedTotal FundUtilised1 Feb-09 375 10 5 25,000.002 Mar-09 478 6 0 0.003 Apr-09 437 7 0 0.004 May-09 364 3 0 0.005 Jun-09 354 195 0 0.006 Jul-09 495 277 99 495,000.007 Aug-09 645 94 96 480,000.008 Sep-09 851 193 85 425,000.009 Oct-09 832 94 60 300,000.0010 Nov-09 719 407 25 125,000.00<strong>11</strong> Dec-09 629 385 326 1,630,000.0012 Jan-10 638 <strong>11</strong>4 0 0.00Total 6817 1785 696 3,480,000.00Table 4.15: Status Report of Mamoni Scheme as on 30th Nov'09 of <strong>Dhubri</strong> DistrictName of the BPHCTotal No ofPregnantWomenRegister forANCTotal no of PW completedANC visit1st 2nd 3rdTotal no release ofPayment for mamoniScheme1stInstallment2ndInstallmentFund UtilizationGolakganj BPHC 6042 6015 5494 3463 226 106 166,000.00Dharmasla BPHC 6536 6508 3592 3301 162 148 155,000.00Halakura BPHC 3364 <strong>11</strong>42 1354 1991 336 63 199,500.00Raniganj BPHC 7280 6606 1815 2381 400 0 200,000.00Chapor BPHC 2994 2994 1936 2097 292 97 194,500.00South Salmara BPHC 9149 9149 4484 4133 145 145 145,000.00Gazarikandi BPHC 7831 7721 4456 2977 192 192 192,000.00<strong>Dhubri</strong> Civil Hospital 615 615 491 174 340 99 219,500.00<strong>Dhubri</strong> Health &Maternity Centre<strong>11</strong>31 <strong>11</strong>31 877 787 210 190 200,000.0044942 41881 24499 21304 2303 1040 1,671,500.00Table 4.16: Status of ASHA Incentive for Full Immunization as on 31 st Jan’10SL NoName of BPHCTarget for FullyImunizationInfants fullyimmunizedIncentive of Rs. 250received by ASHATotal Amount1 South Salmara BPHC 9002 6040 2963 740750.002 Halakura BPHC 6078 4575 1271 317750.003 Dharmasala BPHC 6832 6070 2487 621750.004 Golakgnaj BPHC 8378 6108 1227 306750.005 Gazarikandi BPHC 8200 8138 1458 364500.006 Raniganj BPHC 8792 6535 1761 440250.007 Chapor BPHC 4452 3238 2051 512750.00Total 51734 40704 13218 3304500.00DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 62
Table: 4.17 Performance Report of National Disease Control Programme of<strong>Dhubri</strong> DistrictTable: 4.17.1: National Vector Borne Diseases Control Programme (NVBDCP)(Report from Jan 2004 to Dec 2008) of <strong>Dhubri</strong> DistrictYearTotalPopulationDeathNo. of B/S Species R.T.due toIncidencegivenMalariaColl. Eaxm Pos Pv Pf Conf. DigABERSPR SFR API AFI Pf%1 2 3 4 5 6 7 8 9 10 <strong>11</strong> 12 13 14 15 162004 1618945 93223 93223 <strong>11</strong>49 84 1065 <strong>11</strong>49 Nil Nil 5.75 1.23 1.14 0.71 0.65 92.30%2005 1667208 94314 94314 1066 71 995 1066 Nil Nil 5.65 1.13 1.05 0.63 0.59 93.30%2006 1692358 1308331308332432321 2131 2432 6 Nil 7.73 1.85 1.62 1.43 1.25 87.60%2007 1725283 1217121217121977182 1795 1977 18 Nil 7.05 1.62 1.47 16.2414.7490.79%2008 1729694 12433412433414<strong>11</strong> 98 1313 14<strong>11</strong> Nil Nil 7.18 1.13 1.05 <strong>11</strong>.3410.5693.05%2009(UptoNov’09)1728860 <strong>11</strong>3745<strong>11</strong>37451513 67 1446 1513 4 Nil 6.57 1.33 1.27 0.87 0.83 95.57%Table: 4.17.2: National Leprosy Eradication Programme in <strong>Dhubri</strong> District (NLEP)YearNew cases detectedduring the yearCases dischargedduring the year2002-03 81 76 762003-04 63 53 862004-05 70 88 682005-06 46 54 602006-07 32 16 762007-08 47 50 732008-09 51 54 702009-10 (UptoOct’09)Total No of Leprosy casesunder treatment37 20 87DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 63
Table: 4.17.3: National Programme for Control of Blindness (NBCP)Table: 4.17.3.1 Cataract Performance of <strong>Dhubri</strong> DistrictYEARIOL2006-07 8662007-08 7682008-09 4262009-10 (UptoNov’09)402Table: 4.17.3.2: School Eye Screening (SES) Performance of <strong>Dhubri</strong> District.Sl No Activity 2006-07 2007-08 2008-091234No. of Teachers trained inScreening for RefractiveErrorsNo of school going ChildrenScreenedNo of school going Childrendetected with RefractiveErrorsNo of school going Childrenprovided with free glass2009-10(uptoNov)362 63 Nil Nil5100 8273 4271 519995 418 189 16741 378 229 84Table: 4.17.4: Performance of RNTCP for the last 4 Quarters ie. July’08 to June’09TBUnitTotal numberof patients puton treatment3Q-084Q-081Q-092Q-09Annualizedtotal casedetection rate(per lakh pop)3Q-084Q-081Q-092Q-09No of newsmear positivecases put ontreatment3Q-084Q-081Q-092Q-09AnnualizedNew smearpositive casedetection rate(per lakh p op)3Q-084Q-081Q-092Q-09Cure rate forcases detectedin the last 4correspondingquarters3Q-084Q-081Q-092Q-09Plan for the nextyearAnnualized NSPCDRCurerate(85%)Proportion of TBpatientstested forHIV<strong>Dhubri</strong> DTCTU27517514919674477194923753586727697586.586.886.586.570%or more85%GauripurTUBilasiparaTU134 -133 156107 135154 17250 -49 6147 5968 7661 -60 5853 4674 6961 -60 6263 4888 7287.8 -87.7 -86 -91 -70%or more70%or more85%85%Figure notavailableat presentGazarikandiTU1739<strong>11</strong>049660314744552931425227385278.289.288.385.270%or more85%DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 64
Table4.18: PROGRESS OF BIRTH AND DEATH REGISTER Deptt.PERFORMANCE YEAR TOTAL NO OF BIRTH TOTAL NO OF DEATH2005 28357 32942006 30944 34512007 31544 31092008 33628 30572009 (Upto Oct’09) 24710 2903PERFORMANCE YEAR INFANT DEATH MATERNAL DEATH STILL BIRTH2005 5 0 1312006 2 4 922007 32 19 2342008 100 25 2862009 (Upto Oct’09) 104 21 239Table4.19 : PROGRESS OF HEALTH CHECKUP IN DHUBRI SCHOOL under School Health Deptt.PERFORMANCE YEARTOTAL NO. OF SCHOOLSCOVEREDTOTAL NO. OF STUDENTS COVERED2005 198 212952006 184 233192007 187 231662008 173 212<strong>11</strong>2009(Upto Oct’09) 201 22837Table 4.20 : Progress under AIDS control ProgrammeA. Performance of ICTC (Integrated Counseling and Testing Centre) – General in <strong>Dhubri</strong>Counciling Details/Positive CasesYEAREast : 28-05-03 Working : 03-12-03Counseling Details/Positive CasesYEARPRE-POST POSITIVE CASESTESTTESTTEST MALE FEMALETOTAL2003 83 83 62 2 2 42004 195 195 195 2 3 52005 176 176 174 2 1 32006 409 409 397 3 4 72007 1608 <strong>11</strong>53 <strong>11</strong>53 5 0 52008 1660 1620 1620 2 8 102009 (Upto Nov’09) 1873 1869 1851 4 2 1G. Total 6004 5505 5452 20 15 35B. Performance of ICTC –PPTCT in <strong>Dhubri</strong> DistrictEast/Working : 01-01-07PRE-TESTTESTPOSTTESTPOSITIVE CASESMALEFEMALETOTAL2007 1640 1576 1576 0 1 12008 1718 1749 1593 0 2 22009 (upto Nov’09) 3556 3548 3538 0 2 2G.Total 6914 6873 6707 0 5 5Positive Casese in the District : 40 (Male =20 & Female = 20)AIDS Cases = 7 (till Nov’09)Death = 7 (till Nov’09)DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 65
Table: 4.21 .Progress of IEC activity in <strong>Dhubri</strong> District:Progress during 2009-10.A). Under Emergency management fund:Name of the IEC/BCC activity Languages QuantitSl.Noy1/8 Size Leaflets on Malaria Assamese 250001.copies2345RemarksDistributed to MalariaProne area and toDMODoPoster Assamese 6000copiesFlex Banner on Swine Flu Assamese 200 nos Installed in BPHC wiseprominent placesLeaflets on Swine Flu Assamese 50000 Distributed in BPHCcopies wiseLeaflets on Diabetes Assamese 3000 Distributed duringcopies World Diabetes dayB). Workshop & MeetingSl.NoName of the IEC/BCC Conducted by Quantity Remarksactivity1 Focus Group Discussion BEE 4802 Focus Group Discussion HE 6603 Focus Group Discussion LHV 840Awareness meeting on DPMU 1 no DC attend the4 breastfeeding at Dist HQmeeting on 3 rdAugust 095Awareness meeting on BPMU 7 nos Local MLA, BDO,6Breastfeeding at BPHCAwareness meeting onDiabetesC). Miking• Weekly Miking in all session day is going on.• BPHC wise Cassette on Immunization, malaria prepared.• Centrally a Cassette is prepared on Diabetes.etc attended.DPMU 1 no In connection worlddiabetes Day.• During Observation of world breastfeeding week mike is done round the District• During Health Mela 2009 Miking was done in all 3 places of health mela by respectiveBPHCD). Screening of Films• For adolescent Health Clinic a Hind Film Hari Bari is provided to all the BPHC forscreening and accordingly they have screened.• On 22 nd November 2009 Some Diabetes awareness videos screened at The Town Club<strong>Dhubri</strong> premises during the Diabetes Awareness cum Free Blood Sugar Estimation Camp.• Screening of Film on Breastfeeding on 3 rd August 2009 at Jt. DHS Conference Hall <strong>Dhubri</strong>during observation of World Breast feeding Week.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 66
E). General IECSl.No12Name of the IEC/BCC activity Languages QuantityInstallation of Hoarding Boardson EOPDAssamese 7 nosSupply of Digital Still Camera toBPMU10 nos3 Information Board for SC on Flex Assamese 492 nos4 Hoarding Boards Assamese 35 nos5 Newsletter Bi lingual6 Annual Report English4000copies4000copiesRemarksInstalled in the health institutionwhere EOPD is launchedOut of IEC fund the camerawere procuredSubject are JSY, Immunization,FP, ASHA, MMU, Majoni etcInstalled in all BPHC areas,JSY, FP7 Street Play 84 nosCovering all the district streetplays are organized on Malaria,JSY, FP, and Immunization.8 Rallies on Breastfeeding 7 nos BPHC wise really organized.9 Poster on Health Meal 2009 Assamese10.<strong>11</strong>.Cloth Banner for Health Mela2009Leaflets on malaria, JSTY,ASHA etc6000copiesHanged in prominent placesAssamese 45 nos Displayed at prominent places.Assamese12. Hand Bill on EOPD Assamese21000copies10000copiesDistributed to the audiencesDistributed during Health MelaF). Other Activity:Yoga:• 20 nos of School has been selected and MoU singed among DeputyCommissioner, Head Master and NGO.• 40 % of the total approved budget has been released to NGO as per MoU.• NGO- North East Apex Body has already engaged physical instructor to the 20 nsof selected school and Yoga programme already startedSchool Health Awareness Programme:.• District level convergence meeting held with SSA on 30 th October 2009 at SSAoffice <strong>Dhubri</strong> and finalized the programme.• Initially 100 nos of Schools were selected for the programme.• Block level Convergence meeting with SSA officials has been organized andstrategy is prepared.Now as per action plan School Health Awareness Programme in 100nos of School is going onsuccessfully.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 67
CHAPTER - 5INDICATIVE FORMAT FOR CURRENT STATUS AND TARGETSRCH II GOALSTATE: ASSAMCurrent status(specify year & source)Target10-<strong>11</strong> <strong>11</strong>-12MMR 480 (SRS 2004-06)
RCH OUTCOMESCurrent Status(year & source)TARGET10-<strong>11</strong> <strong>11</strong>-126. % of neonates who were breastfed within one hour of lifeOverall 70.0% (DLHS 3)2007-0880% 90%7. % of infants who were breastfed exclusively till 6 months of ageOverall 38.1% (DLHS 3)2007-0850% 60%8. Children (6-24 months) who received solid or semisolid food and still being breastfed (%)Overall 97.7 % (DLHS 3)2007-08100% 100%9. % of children 12-23 months of age fully immunizedOverall 23.2% (DLHS 3)2007-0880% 90%10. % of children 6-35 months of age who are anaemicOverall 76.7%(NFHS3 2005-06)60% 40%<strong>11</strong>. Children (above 21 months) who have received three doses of Vitamin A (%)Overall 10.3% (DLHS 3)2007-0830% 50%12. % of children under 3 years age with diarrhoea in the last 2 weeks who received ORSOverall 39.1% (DLHS 3)2007-0860% 75%13. % of children under 3 years age who are underweightOverall 17.81%(HMIS web portal)10% 5%Family Planning14. Knowledge of all modern family planning methodOverall 23.6% (DLHS 3)2007-0845% 60%15. Contraceptive prevalence rate (limiting methods)Male Sterilization 6.65%(HMIS Report)Female Sterilization 5.54%(HMIS Report)20% 30%40% 50%16. Contraceptive prevalence rate (spacing methods)Oral Pills 48.13%(HMIS Report)60% 80%DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 69
RCH OUTCOMESCurrent Status(year & source)TARGET10-<strong>11</strong> <strong>11</strong>-12IUDs 14.76%(HMIS Report)Condoms 43.96%(HMIS Report)30% 50%60% 80%17. Unmet need for spacing methods among eligible couplesOverall 10.1% (DLHS 3)2007-088% 5%18. Unmet need for terminal methods among eligible couplesOverall 27.1% (DLHS 3)2007-0820% 10%DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 70
RCH INTERMEDIATE INDICATORSCURRENTSTATUS a(year,source)TARGET (cumulative) b10–<strong>11</strong> (quarter-wise)Q1 Q2 Q3 Q4<strong>11</strong>-12Infrastructure1. No. and % of PHCs upgraded toprovide 24X7 RCH services (as perGOI guidelines)Out of 29nos. 18nos. InstcompletedandHandedover6 2 3 -2. No. and % of health facilities upgraded to FRUs, fulfilling the minimal criteria per the FRU guidelines (atleast 3 critical criteria)a. District Hospitalsb. Sub-district/ Civil Hospitalsc. CHCsd. Block PHCs3. No. and % of functional Sub-Centres c 246 nos.4. No. and % of health facilities thathave operationalised IMEP guidelinesHuman Resources5. No. and % of ANM positions filled d 230(NRHM)180 (FW)46 (jtDHS),Total= 456nos. ofANMposted atSC andOther instie 93%filled up29 29 29 29DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 71
RCH INTERMEDIATE INDICATORSCURRENTSTATUS a(year,source)TARGET (cumulative) b10–<strong>11</strong> (quarter-wise)Q1 Q2 Q3 Q4<strong>11</strong>-126. No. and % of specialist positions filledat FRUs d O&G -2Ananes-1(trained)Dental -1Paed-1all areposted atChaporFRUO&G-1, Ped-1, Anaes-2, Med -2Dental-1, Eye –2, Surgeo –2 shouldbe posted at Chapor and MankacharFRUProgramme Management7. % of district action plans ready YesFinancial Management8. % of districts reporting quarterlyfinancial performance in timeYesLogistics / Procurement9. % of district not having at least onemonth stock ofa. Measles vaccineb. OCPc. EC Pillsd. Surgical Gloves10. % of sub-centres supplied Kit A andKit B in the last 6 monthsTraining<strong>11</strong>. No. and % of Medical Officers trained ina. Management of Common ObstetricComplications0%246 nos. ofSCsuppliedwith Kit Aand Kit B ie100%246 (Kit A & B) 246 (Kit A & B)b. Life-saving anaesthesia skills 1 4c. EmOC 1 4 4. 4 4.d. RTI/STI 12 3 3 2 2e. Safe Abortion Services - 4 4 4 2f. MTP using other methods 6 5 5 5 -DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 72
RCH INTERMEDIATE INDICATORSCURRENTSTATUS a(year,source)TARGET (cumulative) b10–<strong>11</strong> (quarter-wise)Q1 Q2 Q3 Q4<strong>11</strong>-12g. IMNCI 13 - - - -h. Facility Based Newborn care - - - - -i. Care of sick children and severemalnutrition- - - - -j. NSV 2 1 1 1 1k. Laparoscopic sterilisation 6 - - - -l. Minilap (Abdominal Tubectomy) 4 (MO-2,OT-2MO-1OT-1MO-1OT-1- -m. IUD insertion 13 8 8 8 4n. ARSH - - - - -o. IMEP - - - - -12. No. and % Staff trained in SBAa. ANM 53 3 3 3 3b. LHV 10 - - -c. Staff nurse 57 6 6 6 613. No. and % Staff trained in RTI/ STIa. ANM - 4 4 4 2b. LHV - 2 2 2 1 nos.c. Staff nurse - 4 4 4 2d. Lab Technician - 2 2 2 -14. No. and % Staff trained in IMNCIa. ANM 455b. LHVc. AWW 1791d. Staff nurse15. No. and % of staff nurses trained inFacility Based Newborn Care16. No. and % of ASHAs trained in HomeBased Newborn Care17. No. and % Staff trained in IUD insertiona. ANM 29 30 30 30 30DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 73
RCH INTERMEDIATE INDICATORSCURRENTSTATUS a(year,source)TARGET (cumulative) b10–<strong>11</strong> (quarter-wise)Q1 Q2 Q3 Q4<strong>11</strong>-12b. LHV 9 - - - -c. Staff nurse 17 10 10 10 1018. No. and % of staff trained in ARSHa. ANMb. LHVc. Staff nursed. Programme Managers19. No. and % of state and districtprogram managers trained on IMEP20. No. and % of health personnel whohave taken Contraceptive UpdatesMaternal Health21. % of ANC registrations in 3 ANCCheckup49.68%(UptoJan’10reportHMIS)of10% 15% 15% 20%22. % of 24 hrs PHCs conductingminimum of 10 deliveries/month14 nos.PHC23. No. and % of health facilities providing RTI/STI servicesa. SDHs Nilb. CHCs Nilc. PHCs Nil24. No. and % of health facilities providing Safe Abortion services (including MVA/ EVA and medicalabortion)a. DHsb. SDHsc. CHCs40 nosMVA kitd. PHCs25. No. and % of planned Monthly VillageHealth and Nutrition Days held (even ifbudgeted under NRHM Part B)12070(86%)(MonthlyReport uptoJan’10)25% 25% 25% 25%DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 74
RCH INTERMEDIATE INDICATORSCURRENTSTATUS a(year,source)TARGET (cumulative) b10–<strong>11</strong> (quarter-wise)Q1 Q2 Q3 Q4<strong>11</strong>-12Child Health26. No. of districts where IMNCI logisticsare supplied regularly27. No. and % of health facilities with atleast one provider trained in FacilityBased Newborn CareFamily Planning28. No. and % of health facilities providing Female Sterilization servicesa. DHs 7.24% (uptoJan’10)b. SDHs 0c. CHCs 0d. PHCs 029. No. and % of health facilities providing Male Sterilization servicesa. DHs 0b. SDHs 0c. CHCs 0d. PHCs 10.6% (uptoJan’10)30. No. and % of health facilities providing IUD insertion servicesa. CHCsb. PHCsc. Sub centres19.82%(uptoJan’10)5900 nos. of Beneciciary31. No. of accredited private institutions providing:a. Female sterilisation servicesb. Male sterilisation servicesc. IUD insertion services32. % of districts with Quality AssuranceCommittees (QACs)33. % of district QACs having quarterlymeetingsDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 75
RCH INTERMEDIATE INDICATORSCURRENTSTATUS a(year,source)TARGET (cumulative) b10–<strong>11</strong> (quarter-wise)Q1 Q2 Q3 Q4<strong>11</strong>-1234. % of planned Female Sterilisationcamps held in the quarter35. % of planned NSV camps held in thequarterNil 12 12 12 124 21 21 21 21Adolescent Reproductive and Sexual Health36. % of ANC registrations in firsttrimester of pregnancy for women
CHAPTER - 6GOALS, OBJECTIVE, STRATEGY ANDACTIVITIES UNDER DIFFERENTCOMPO<strong>NE</strong>NTS OF NRHMDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 77
National Rural Health MissionRecognizing the importance of Health in the process of economic and social developmentand improving the quality of life of our citizens, the Government of India has resolved to launchthe National Rural Health Mission to carry out necessary architectural correction in the basichealth care delivery system. The Mission adopts a synergistic approach by relating health todeterminants of good health viz. segments of nutrition, sanitation, hygiene and safe drinkingwater. It also aims at mainstreaming the Indian systems of medicine to facilitate health care. ThePlan of <strong>Action</strong> includes increasing public expenditure on health, reducing regional imbalance inhealth infrastructure, pooling resources, integration of organizational structures, programmes ofhealth manpower, decentralization and district management of health programmes, communityparticipation and ownership of assets, induction of management and financial personnel intodistrict health system, and operationalizing community health centers into functional hospitalsmeeting Indian Public Health Standards in each Block of the Country.The Goal of the Mission is to improve the availability of and access to quality health careby people, especially for those residing in rural areas, the poor, women and children.The National Rural Health Mission (2005-12) seeks to provide effective healthcare to ruralpopulation throughout the country with special focus on 18 states, which have weak public healthindicators and/or weak infrastructure. It also seeks to reduce the Maternal Mortality Rate (MMR) inthe country from 407 to 100 per 1,00,000 live births, Infant Mortality Rate (IMR) from 60 to 30 per1000 live births and the Total Fertility Rate (TFR) from 3.0 to 2.1 within the 7 year period of theMission.These 18 States are Arunachal Pradesh, Assam, Bihar, Chhattisgarh, Himachal Pradesh,Jharkhand, Jammu & Kashmir, Manipur, Mizoram, Meghalaya, Madhya Pradesh, Nagaland,Orissa, Rajasthan, Sikkim, Tripura, Uttaranchal and Uttar Pradesh.6.1 Goals of the Mission: Reduction in Infant Mortality Rate (IMR) and Maternal Mortality Ratio(MMR) Universal access to public health services such as women’s health, child health, water,sanitation & hygiene, immunization and nutrition Prevention and control of communicable and non-communicable diseases, includinglocally endemic diseases Access to integrated comprehensive primary health care Population stabilization, gender and demographic balance Revitalize local health traditions and mainstream AYUSH Promotion of healthy life stylesDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 78
The overall objectives is to increase coverage and quality of services as envisaged underthe National Rural Health Mission is to bring about outcomes in the Millennium DevelopmentGoals, the National Population Policy, National Health Policy, minimizing the regional variations inthe areas of maternal and child health, communicable diseases and primary health and the healthsector strategies.Thus the broad objectives are as follows: To improve the accessibility of poor and un reached groups to curative, preventive,promotive and rehabilitative health services To reduce maternal and child mortality, and the burden of communicable, noncommunicable and nutrition-related diseases and disorders To ensure quality at all levels of health and medical care services To maintain excellence in education and research in medicine and all allied professions(including management)In order to achieve the above broad objectives there is a need further focus on the followingobjectives: Ensure that the whole population has access to a range of evidence based andaffordable health promotion and prevention services Promote appropriate health seeking behaviour by all citizens Ensure universal equity of access to simple curative and emergency services Ensure that quality primary Health Care remains pre-eminent as the central strategichealth priority for the district Ensure that the health systems necessary to provide such services, which areaccountable to clients and are effective, are developed and strengthened in line withinternational best practices Actively engage in partnerships with PRI, civil society groups, NGOs, the private sectorsand other development partnersDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 79
6.2 Outcomes of the Mission Infant Mortality Rate reduced to 30/1000 live births Maternal Mortality Ratio reduced to 100/100,000 Total Fertility Rate Reduced to 2.1 Malaria Mortality Reduction Rate- 50% upto <strong>2010</strong>, additional 10% by 2012 Kala Azar Mortality Reduction Rate – 100% by <strong>2010</strong> and sustaining elimination until 2012 Filaria/Microfilaria Reduction Rate: 70% by <strong>2010</strong>, 80% by 2012 and elimination by 2015 Dengue Mortality Reduction Rate: 50% by <strong>2010</strong> and sustaining at that level until 2012 Japanese Encephalitis Mortality Reduction Rate: 50% by <strong>2010</strong> and sustaining at that leveluntil 2012 Cataract Operation: increasing to 46 lakhs per year until 2012 Leprosy Prevalence Rate: reduce from 1.8/10,000 in 2005 to less than 1/10,000 thereafter Tuberculosis DOTS Services: Maintain 85% cure rate through entire Mission period Upgrading Community Health Centres to Indian Public Health Standards Increase utilization of First Referral Units from less than 20% to 75% Engaging female Accredited Social Health Activits (ASHA)Community level Availability of trained Community level worker at village level, with a drug kit for genericailments Health Day at Anganwadi level on a fixed day/month for provision of immunization, ANCand PNC checkups and services related to mother & child health care, including nutrition Availability of generic drugs for common ailments at Sub Centre and hospital level Good hospital care through assured availability of doctors, drugs and quality services atPHC/CHC level Improved access to Universal Immunization through induction of Auto Disabled Syringes,alternate vaccine delivery and improved mobilization services under the programme Improved facilities for institutional delivery through provision of referral, transport, escortand improved hospital care subsidised under the Janani Suraksha Yojana (JSY) for theBelow Poverty Line families. Availability of assured health care at reduced financial risk through pilots of CommunityHealth Insurance under the Mission Provision of household toilets Improved outreach services through mobile medical unit6.3 Mission Targets to be achieved IMR reduced to 30/1000 live births by 2012 MMR reduced to 100/100,000 live births by 1012 TFR reduced to 2.1 by 2012 Malaria Mortality Reduction Rate- 50% up to <strong>2010</strong>, additional 10% by 2012 Cataract operations-increasing to 46 lakhs until 2012 Leprosy Prevalence Rate- reduce from 1.8 per 10,000 in 2005 to less than 1 per 10,000thereafter Tuberculosis DOTS series- maintain 85% cure rate through entire Mission period and alsosustain planned case detection rate. Upgrading all Community Health Centres to Indian Public Health Standards. Increase utilization of First Referral Units from bed occupancy by referred cases of lessthan 20% to over 75% Engaging female Accredited Social Health Activists (ASHA) in every village.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 80
6.4 PART A: RCH PROGRAMME6.4.1 : MATERNAL HEALTHGoal: To reduce maternal mortality rate from 480 (SRS 04-06) to less than 350 by <strong>2010</strong>-<strong>11</strong>.O-1. To increase the 3 ANC from 21.9% (DLHS-3) and 49.68% (HMIS report up Jan’10) to70% by <strong>2010</strong>-<strong>11</strong> and also to reduce the proportion of pregnant women with anemia.Strategies:S-1.Early registration of PregnancyProposed Activitiesa. Training of 1726 nos of ASHA on early detection and registration of Pregnancy in the SubCentre area.b. Identification of Pregnant Women and registration will be ensured by ASHA as early aspossible taking help of urine examination for Pregnancy test by using of NISHYA KIT.c. Regular supply of Pregnancy Test Kit will be ensured to all 1726 nos. of ASHAs and 456nos. of ANMd. Village Health & Nutrition Day in 1500 villages of the District will be used as a platform formotivating and mobilizing the women for early registration of pregnancy.e. The District under “Assam Bikash Yojana” has implemented “Mamoni”-Nutrional food forpregnant women where a pregnant woman after her first registration receives a hand bookon nutrional food and MCH card. On her 2 nd checkup, a cheque of Rs. 500/- is given asmonetory support for nutrional food and on her 3 rd checkup, another cheque of Rs. 500/- isgiven and a voucher for referral transport.S-2.To provide quality antenatal care to all pregnant woman by increasing the accessthrough existing Govt. facilities.Proposed Activities:a. It will be ensured that all the existing 246 Sub-Centres will be procured requisiteequipments from the SC untited fund and it wil be equipped with BP instruments,weighting mahine and examination table.b. Regular supply of IFA tablet, TT injection and Hb Kit wil be ensured in all 246 Sc & 41Health Institutions. (SD/MPHC/SHC/CHC/FRU/BPHC/UHC/SDCH/DH)c. In all the SC it will mandatory that ANM will perform regular checkup of BP, weight and Hbtest of all the registrated pregnant women and will keep a upto date record in the MCHregister and tickler chart for follow up with the help of ASHADHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 81
d. Re Orientation Training of 456 nos. of ANM Block PHCwise in a batch of 30 on physicalexamination of pregnant women, Hb estimation and record keeping.e. Out of 246 SC functioning in rented building & Govt. dilapidated building, 58 nos SCsalready taken up for construction during 2007-08, again another 45 SCs have beenapproved for new construction during 08-09 & 09-10 @ Rs. 7.5 lakhs and during currentyear 32 nos of SC will be proposed for construction for increase provision of qualityantenatal care during <strong>2010</strong>-<strong>11</strong>. (Annexure -A)f. The sanctioned vacant posts of ANM will be filled up through regular appointment by theState Govt. Total sanctioned post vacant under Addl CM & HO(FW) establishment =87and JDHS establish=<strong>11</strong>g. As per the report there are total 376 nos.of ANM in the district in the SC. The totalrequirement for the district @ 2 ANMs per SC (excluding outreach area) is <strong>11</strong>6. Thereforeduring <strong>2010</strong>-<strong>11</strong> atleast 50 ANM’s may be posted.S.3.To provide quality antenatal care to all pregnant woman in inaccessible anduncovered areas.Proposed Activities:a. The uncovered and inaccessible areas under South Salmara, Gazarikandi, Raniganj andDharmasala BPHC (Total No of Char Village=124, & Char Population=1,39,801) havebeen identified where there is no other Health facilities to provide ANC coverage regularly.A total 26 nos. of Sub Center is proposed for @ Rs. 7.5 lakhs in the identified permanentChar areas to increase provision of quality antenatal care.b. The contractual ANM may be posted under NRHM @ 2 ANMs per SC. Therefore totalrequirent will be 52 nos.c. Logistic supply will also be regularizedd. Special camp to be organized to cover uncovered inaccessible areas by mobile medicalteam & Boat Clinic.S-4.ANC.To increase awareness amongst the mothers and communities about the need ofProposed Activities:Communication strategies like street play, FGD, awareness meeting will be done layingemphasis on marriage after 18 years, first child after 20 years, need of ANC, birth preparednessand importance of hospital delivery to increase awareness amongst the mothers and communitiesabout the need of ANC and exclusive breast feeding.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 82
O-2.: To strengthen the basic obstetric care (institutional deliveries) from 30.3% (CoverageEvaluation Survey, <strong>RRC</strong>-<strong>NE</strong>) to 50% by <strong>2010</strong>-<strong>11</strong>Strategies:S-1.Increasing the access through facility strengthening.Proposed Activities:a. To strengthen the institutional delivery, the district has upgraded and taken up to 3 no.sBPHC , 1 nos. CHC, 1 nos. Maternity Centre, 6 nos. MPHC, 4 nos. SHC and <strong>11</strong> nos. SD to24x7 hr delivery services during 05-06 to 09-10, Out of which the construction work hascompleted in 18 nos. Health Institutions and providing 24x7 hr delivery services and theconstruction work is going on in 8 nos. of health institutions.b. Again during 2009-10, fund has been received for 3 nos. Health Institutions for upgradtionof 24x7 hr delivery services with maternity wards and the construction work is in process.c. As per facility survey there is a requirement of 21 nos. labour table, 21 nos. of Stand light,10 nos. Radiant warmer, 13 nos. Auto clave, 19 nos. Electric Sterilizer, 19 nos. backupGenerator set including other logistics for 24x7 hr delivery services for quality services.The institutionwise detailed requirement is enclosed herewith as Annexure Bd. Contractual engagement of 2 MO (MBBS), 3 MO (Ayur) and 55 GNM will be done in 24x7PHCs deficient in manpower. The institutionwise detailed requirement is enclosedherewith as Annexure Ce. The repairing and renovation of PHC Quarter of Jhowdanga SD, Bherbhangi SD,Dumardaha MPHC, Moterjhar SD & Kachokhana SD will be taken up during <strong>2010</strong>-<strong>11</strong> soas to ensure that MO stays in Quarters.f. During 10-<strong>11</strong>, 15 nos. SC has been proposed for taking up the Institutional Delivery atFolimari, Islamari, Barunitara, Simlabari, Silairpar, Gharialdanga, Ranpagli, Jhaskal IIIBorkanda, Kazaikata Pt-V, Rakhalpat, South Raipur, Paglahat, Fekamari and BaghaparaSC. As per facility survey the gaps interms of infrasture and equipments/furniture have tobe full filled during <strong>2010</strong>-<strong>11</strong>.g. 57 nos. GNM. 10 nos. LHV and 53 nos. ANM has already trainined on Skilled BirthAttendent (SBA) at Civil Hospital, <strong>Dhubri</strong> till Nov, 2009-10, During <strong>2010</strong>-<strong>11</strong>, another 24nos. of GNM, and 12 nos. of ANM will be trained on SBA on priority basis to improve thequality of services.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 83
S-2.Delivery by Trained Birth AttendantProposed Activities:Even after implementation of JSY, there are pregnant women who cant reached Health Facilitiesfor Institutional Delivery, these are the women from far flanged char areas/ riverine island evenafter creating awareness through ASHA and various IEC activities, the District is unable to bringthese women specially from Char area where a sub-centre cannot be constructed not transportcould be made availableHence it is proposed in these difficult areas, women such as DHAI who any how is conductingdelivery will be trained and provided with Disposable delivery Kit. , So that at least clean deliverypractices could be ensured in these areas. An amount of Rs. 100 is proposed for DHAI asincentive for conducting delivery. Total budget is as follows-EstimatedPWIncentiveTotal Budget50% of 46935 100 23,46,750.00S-3. Social mobilization for institutional deliveries (Janani Suraksha Yojana)Proposed Activities:a. The district will continue with Janani Suraksha Yojana, wherein all the pregnant woman willbe given incentives for institutional deliveries till Nov, 09, the JSY beneficiaries in the Districtare 10485, out of <strong>11</strong>366 Institution deliveries.The payment structure will be in line to GoI guidelines, which is as follows:Location Rural Amount (in Rs.) Urban Amount (in Rs.)Institutional Delivery 1400 1000Home Delivery 500 500ASHA (only for ID) 600 -b. For the Year <strong>2010</strong>-<strong>11</strong>, the total Pregnant Women estimated are 46935, this year the districtproposed to increase the institution delivery from existing level to least 50%. Thefore basedon this a detail calculation has been worked out for JSy beneficiaries and shown as below -JSY CALCULATION FOR <strong>2010</strong>-<strong>11</strong> (Rs. In lakhs)DistrictPopulation Census 2001Projected Population<strong>2010</strong>(Growth Rate 1.6)Live BirthPWProjected ID (50%) <strong>2010</strong>-<strong>11</strong>Projected urban ID(13%) <strong>2010</strong><strong>Dhubri</strong> 1637344 1923153 47310 52041 26020 3383 22638 33.83 316.93 135.83 6.77 130.10 623.45Projected rural ID (87%) <strong>2010</strong>JSY benefit urban ID@Rs.1000 (in lakhs)JSY benefit (ID) Rural @Rs.1400 (in lakhs)ASHA @Rs.600 for rural ID(in lakhs)ASHA @Rs.200 for urban ID(in lakhs)JSY for Home delivery@Rs.500 (in lakhs)Total JSY fund proposed (inlakhs)DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 84
c. The ASHA accompanying the pregnant woman for hospital delivery will also be givenmonetary incentive under this Scheme as per GoI guidelines.d. For developing the practice of institutional delivery age bar and order of pregnancy willnot consider any more.S-4. Referral of obstetric emergenciesProposed Activities:a. Village to Health facilitiesMost of the parts of the district is backward and covered by char area and most of thePregnant women donot come to health facilties for delivery because of of non availitbility oftransportation facility from village to health institution. In these areas the means ofcommunication are bullock carts, hand pull carts, private vehicles and boats which areavailable on hire. So the district proposed for providing transportation facility to thepregnant women from village to Health Institution including char areas.The Projected Institutional Delivery for <strong>2010</strong>-<strong>11</strong> is 18744, In these backward, referraltransport money will be provided to Prgenant women (expected Pregnant women living inthis backward area =7497 (40% of ID) and Char areas 3748(20% of ID) coming forInstitutional Delivery under following categoriesDistance Referal Money (in Rs.) Expected PW Estimated BudgetLess than 5 KM Rs. 60/- 1874 1.12 lakh5 to 10 KM Rs. 100/- 1874 1.87 lakhAbove 10 KM Rs. 250/- 3749 9.37 lakhHiring of Boat in Char area Rs. 350/- 3749 9.37 lakhTotal 21.73 lakhb. Health Institution to Health InstitutionThe Pregnant women and Sick New Born requiring referral to higher institutions will betransported from one Health Institutions to another using ambulance available in the healthfacility.Sl No Detail Unit Total (Rs. In Lakh)1 PoL for 30 nos. AmbulanceRs. 4000/- pm perambulance14.40 lakhDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 85
O-3.To Strengthen the Comprehensive Obstetric CareStrategies:S-1.To improve the comprehensive EmOC in the CHCs and FRU.Proposed Activities:O-4.a. Construction of CHC to IPHS Standard has been completed for Chapor, MankacharHalakura and Gauripur CHC in <strong>Dhubri</strong> district and required manpower will be providedduring <strong>2010</strong>-<strong>11</strong> as per IPHS for comprehensive EmOC.b. It will also be ensured to fill up all gaps in terms of logistics and equipments during <strong>2010</strong>-<strong>11</strong> for operationalizing these health facilitiesc. 2 nos. of Specialist in each discipline of O&G, Pae, Anae, Surgeon, and Radiologistetc will be reqcruited on contract basis for atleast 2 nos. IPHS institution i.e Halakura andMankachar CHC.d. 4 nos. MBBS doctors will be trained at SIHFW for EmOC to make 4 nos. of CHC functionalfor comprehensive EmOC.Strategy: Increasing coverage of post partum care from 14.8% (DLHS3) to 35% by<strong>2010</strong>-<strong>11</strong>S-1: Ensure post partum care at Village level by ASHA/AWW/ANMProposed Activities:a. The AWW/ANM/AHSA of 246 SCs of <strong>Dhubri</strong> district will pay 3 post partum visit (1 st within 2days, 2 nd within 14 days and 3 rd within 42 days) in respetive sub-centre areas and the activitywill monitor by BPM/BAM/Asstt BPM.b. During Village Health and Nutrition Day, the mothers will be motivated on essential newborncare, early and exclusive breast-feeding and adopting family planning practices byASHA/ANMS-2: Ensure post partum care at PHCs and Higher Health InstitutionProposed Activities:a. It will ensure that the mother stays for 48 hrs after delivery in the Health Institutions so thatnecessary care can be taken if any complication arises and maternal mortality can bereduced.b. During their stay they will be counseled about essitential New Born care, Early & ExclusiveBreast feeding and Adopting Family Planning practices.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 86
O-5.S-1.To improve safe abortion facilities and reduce unsafe abortionIncrease the access to safe abortion in Govt. facilities.Proposed Activities:a. DH/5 CHC/6 BPHC/ 2 SHC/ 1 MPHC/ 1 MC will be provided with requisite Kits to providesafe MTP.b. 40 MVA kit reveied by the District will supplied to all the above health centers (2 each forDH/CHC/PHC/SHC/MPHC) after trainingc. 15 nos. of Doctors from PHC/CHC/SHC will be trained in phased manner at District CivilHospital, <strong>Dhubri</strong> for MTPd. Proper maintenance of records will be ensured.O-6: To promote RTI/STI FacilitiesS-1: Operatonalize services for diagnosis & Treatment at CHC/DHProposed Activities:a. District Civil Hospital and CHC will be strengthened to provide facilities for diagnosis andtreatment of RTI/STI. The PHC however will focus on syndromic approach and drugs will beprovided for the same. However, complicated cases will be referred to higher institutions.b. RTI/STI Kit will be provided to DHs and 5 nos. of CHCs of <strong>Dhubri</strong> Districtc. The Laboratory in the DHs, and CHCs will be provided with requisite logistics (drugs and kits)twice a year.S-2 Capacity building ANM/SN and Medical Officer & Lab Tech for managing RTI/STIProposed Activities:ANMs (14)/ LHV(7), GNM (14) and Doctors (10) & Lab Tech (6) will be trained in theSIHFW, Guwahati in phase manner.S-3.Promote communication activities for prevention and early care seeking for RTI/STI.Proposed Activities:a. Communication activities will be developed laying emphasis on symptoms of RTI, STI, andfacilities available in the block area of diagnosis & treatment. The activity is budgetedunder BCC/ IEC.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 87
6.4.2 : CHILD HEALTHIndicatorIMR (SRS, 2008)Goal (Overall)Status64 per 1000 live birth30 per 1000 live birthGoal (Annual) < 58 per 1000 live birth by <strong>2010</strong>-<strong>11</strong>Situation AnalysisDistrict : <strong>Dhubri</strong>Indicators DLHS - 3 DLHS - 2Child feeding practices (Children under 3 years)Children breastfed within one hour of birth (%)Children (age 6 months above) exclusivelybreastfed (%)Children (6-24 months) who received solid orsemisolid food and still being breastfed (%).70.0-38.1 -97.7 -Treatment of childhood diseases (children under 3 years based on last two survivingchildren)Children with Diarrhoea in the last two weeks who39.1 49.0received ORS (%)Children with Diarrhoea in the last two weeks whowere given treatment (%)Children with acute respiratory infection/fever in thelast two weeks who were given treatment (%)Children had check-up within 24 hours afterdelivery (based on last live birth)(%)Children had check-up within 10 days after delivery(based on last live birth) (%)61.2 71.062.4 -15.7 -15.3 -DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 88
Goal: To reduce Infant mortality rate from 64 (SRS, 2008) to less than 58 by <strong>2010</strong>-<strong>11</strong>.O-1. Objectives: To improve new born care by <strong>2010</strong>-<strong>11</strong>S-1 ; Implementing Integrated Management of Neonatal & Childhood IllenessTo standardize case management of sick newborns and children under IMNCI.a. To focus on the most common causes of mortality.b. Nutrition assessment and counseling for all sick infants and children.c. Care of Newborns and Young Infants (infants under 2 months) including keeping the childwarm; initiation of breastfeeding immediately after birth and counseling for exclusivebreastfeeding and non-use of pre lacteal feeds; cord, skin and eye care; recognition ofillness in newborn and management and/or referral; immunization and home visits in thepostnatal period.d. Care of Infants (2 months to 5 years) including management of diarrhoea, acuterespiratory infections (pneumonia) malaria, measles, acute ear infection, malnutrition andanemia; recognition of illness and at risk conditions and management/referral; preventionand management of Iron and Vitamin A deficiency; counseling on feeding for all childrenbelow 2 years; counseling on feeding for malnourished children between 2 to 5 years andimmunization.Proposed Activitiesa. 13 nos. Medical Officer, 3 nos. Nursing Staff and 2 CDPO has completed the ToT onIMNCI at SIHFW, Guwahatib. The district will organize 8 days training on IMNCI for 1791 nos. of AWW workers and 455nos. of ANM in batchwise (24 partcipant per batch) as per training plan and providingIMNCI Kits and followup.S-2:Strengthening of the Govt facilities to provide newborn care.Proposed Activities :a. During 2008-09, fund has been received @ Rs.4.2 lakhs for establishment of 4 BeddedNeonatal Stabilization Unit at Dharmasal BPHC, Golokganj BPHC, Raniganj BPHC,Gazarikandi BPHC, Chapor CHC, Gauripur CHC, Halakura CHC, Agomani CHC,Mankachar CHC, 20 Bedded MC, Sapatgram SHC and Bilashipara SHC and the work is inprogress.b. Again during 2009-10, fund has been received @ Rs.4.2 lakhs for establishment of 4Bedded Neonatal Stabilization Unit at Salokcha SHC, Dhepdhep MPHC, Satrasal MPHC,Tamarhat MPHC and Lakhiganj SD and the work is in process.c. During <strong>2010</strong>-<strong>11</strong>, the Neonatal Stabilization Unit of <strong>Dhubri</strong> districts have to make functionalby providing logistics and manpower.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 89
S-3.Capacity building of Doctors and Nurses on Basic Neo Natal Resuscitation trainingProposed Activites :a. The District TOT on Basic Neonatal Resuscitation technique has completed for 24 nos.Medical Officer, 2 nos. Sister Tutor, 2 nos Staff Nurse and 4 nos LHV at <strong>Dhubri</strong>b. Block level training of 48 nos of Doctors and 74 nos. of GNM’s of 24 x 7 PHC’s will bedone on Basic Neo Natal Resuscitation techique batchwise (30 nos. participant perbatch) as per training plan.O-2.Strategies:Promote early breast feeding and exclusive breast feeding till 6 months and abovefrom 38.1% (DLHS 3) to 50% by <strong>2010</strong>-<strong>11</strong>S-1. To increase awareness amongst mothers on benefits of breast-feeding upto 6months and need of complementary feeding from 6 month onwards.Proposed Activities:a. IEC/BCC activities will be developed laying emphasis on early feeding ofcolostrums, exclusive breast-feeding of 6 months and importance and preparationof complementary feeding from 6 months onwards.b. Village Health and Sanitation Committees, SHG may also be involved formotivating pregnant women and lactating mothers to promote exclusive breastfeedingc. ASHA will counsel the mothers on the importance of exclusive breastfeeding andcomplementory feeding.d. During VHND, pregnant women and lactating mothers are to be motivated forexclusive breast feeding.O3. Objectives: To increase awareness of Diarrhea and ARI from 61.2% (DLHS 3) to 70%and increase the use of ORS from 39.1% (DLHS3) to 50% by <strong>2010</strong>-<strong>11</strong> and treatmentof ARIS-1.To raise awareness amongst mothers and communities on diarrhea ARI.Proposed Activities:BCC/ IEC activities will be developed laying emphasis on use of HAF, continuing breastfeeding,solid feeds, ORS usage, and identification of danger signs of diarrhea and ARI. (To beincluded under BCC/ IEC).DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 90
S-2. Making ORS and zinc tablets available in remote/rural/tribal areas and difficult toreach areas through depot holders.Proposed Activities:a. The refresher training of ASHA and AWW will be done on usage of ORS and Zinc tablets.b. ASHA/AWW will made depot holder for distributing ORS packates. The ASHA kit and SCKit-A have ORS packats. The supply of AHSA Kit and SC Kit-A twince in a year will beensured. The AWW will also be provided ORS packats.c. Performance of the depot holders and replenishment of the stock shall be reviewed by thePHC MOs/ BPM quarterly and arrangement for readily available stock of ORS to the depotholders shall be ensured from the BPHCS-3.Strengthen facilities at PHC, CHC, SDH and DH.Proposed Activities:a. Fund @ Rs. 25000/- has been received for establishment of 13 nos ORT corner in DH,PHCs, CHCs, SDH and SHCs of <strong>Dhubri</strong> District. Out of which fund has been utilized forestablishment of 10 nos of ORT Corner in the District.b. During <strong>2010</strong>-<strong>11</strong>, the remaining fund has to be utilized for establishment of ORT coner indifferent identified Health institutions of the district.c. The health facilities will be provided with required drugs and kitsS-4.Promote referral services of severe cases of ARI and diarrhoea.Proposed Activities:a. The VHND will be used as platform to bring awareness amongs the mothers andcommunities about warning signs of diarrhoea and ARI.b. The health functionaries will be given reorientation training for detection of ARI andDiarrhoea cases requiring referral.O-4.S-1.: To reduce prevalence of anemia (6-35 months)To prevent and treat anemia in children.Proposed Activities:a. The pregnant women and mothers will be counseled by ASHA/AWW/ANM aboutimportance of exclusive breast-feeding upto 6 months, importance of complementaryfeeding from 6 months onwards and preparation of iron rich food.b. Regular supply of IFA (s) tablets will be ensured to treat anemia.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 91
c. Children below 6 months to 60 months will be given 20 mg. elemental iron and 100 gm of folicacid in liquid formulation.d. Under School Health Programme weekly distribution of IFA tablets to Girls and Six monthlydistribution of Albendazole for de-worming by the the Nodal School Teacher. The Schoolteacher will ensure that the girls will consume IFA tablets infront of her.e. It will be ensure that each school should have one fix day for IFA distribution with minimumabsenteeism.O-5-: To reduce the prevalence of underweight among children under 3 years of age.S-1.To work closely with ICDS functionaries to reduce malnutrition.Proposed Activities:a. Emphasis will be laid to reduce malnutrition amongst the children (3 – 6 years) by working withICDS functionaries and augmenting the mid day meal programmeO-6-: To reduce Vitamin A deficiency.S-1. To prevent and treat Vitamin-A deficiency and de-worming campaign amongchildren .Proposed Activities:a. Vit-A will be made available in all the institutions till the Sub-Centre level and administration ofVitamin-A upto 5 years of age will be ensured.b. VHND held every month in the village will also be used as a platform for Vit-A administration.c. In <strong>2010</strong>-<strong>11</strong>, 2 rounds of Vitamin –A week campaign alongwith de-worming March, <strong>2010</strong> andSept, 20<strong>11</strong>.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 92
6.4.3 : FAMILY PLANNINGGoal : To reduce TFR from 2.7 to less than 2.4 by <strong>2010</strong>-<strong>11</strong>O1- Objective: To meet the unmet need of contraception from 37.2% (DLHS3) to 28% andincrease Contraceptive prevalence rate 23.6% (DLHS3) to 45% by <strong>2010</strong>-<strong>11</strong>S1. To raise awareness amongst the couples and communities about the advantage ofcontraceptives and small family.Proposed Activities:a. Communication messages will be printed about importance of FP and availablity of FPservices alongwith incentive offered and distibuted to ASHA/ANM/AWW (Details inIEC/BCC plan)b. IEC materials will be dirtributed to the community by ASHA/AWW/ANM in VHND alongwithFamily Planning counseling for eligible couple for adopting family planning methods.c. During Home visit on Moday and Thursday ANM & ASHA will update eligible coupleregister and motivate the couple to adopt FP methods as per choice of the coupled. BCC/IEC activities will be done with help of AWW, ASHA, Woman’s SHGs, FNGOs as perneed of the locality to raise awareness amongst the couples and communities about theadvantage of contraceptives and small family.e. During Health Day disadvantages of early marriage (too early, too many and toofrequently) are to be explained especially to adolescent girls with the help of opinion andreligious leaders of the village.h. One separate room will be allotted where ANM/GM will conduct counseling session’salongwith distribution of contraceptive/IEC materials etc. in District Hospital, CHCs andBPHCs, MPHCs. SHCs, SDs during OPD hours.S2. Increase the number of service delivery points.Proposed Activities:a. ASHA will act as a depot holder for Condom, Oral Pill and E-Pill and regular replenishmentof the contraceptives on exhaustion is to be ensured during <strong>2010</strong>-<strong>11</strong>.b. 13 nos. of Doctor, 17 nos. of GNM, 29 nos. of ANM and 9 nos. of LHV has completed theTOT on inerstion of Copper-T 380A at <strong>Dhubri</strong>.c. Training of 30 MO/ 120 ANM/ 40 GNM on IUD Insertion will be done as per training Planduring <strong>2010</strong>-<strong>11</strong>.d. The IUCD Kit received during 2009-10 alredy distributed where training imparted another100 nos of IUCD kit will be required during <strong>2010</strong>-<strong>11</strong>.e. On Tuesday and Friday of every week Family planning services including IUD Insertion(after training of 120 nos ANM in Govt.Building) are to be provided in all the Govt. BuildingSub Center of the District under the supervision of LHV/Doctor will be ensured. Familyplanning counseling will also be done alongwith.f. Fixed day family IUD insertuion along with family planning counseling will be ensured atDH/FRU/CHC/BPHC/PHC.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 93
g. The women will be provided Rs. 20/- as per GoI guidline under RCH progrogramme foreach IUD insertion, Budget under RCH flexipool.No. of Expected Beneficiary Amount (in Rs.) Total Budget5900 20/- 1.18 LakhBudget under RCHFlexipoolS3. Improve the service delivery to provide quality female sterilization.Proposed Activities:a. The District Hospital, CHC/FRU will be equipped with requisite infrastructure and logistics are tobe provided Laparoscopic sterilization. (Annexure E)b. Fixed day sterilization (Lap. Camp) in the facilities twice in every week in the District Hospitalsand once in Chapor CHC/FRUs will be ensured.c. Female sterilization in every 2 months in 4 CHCs, 3 BPHCs and 1 SDCH by camp approach willbe ensured.c. 1nos. of SDCH, 4nos. of CHC and 3 nos. of BPHC will be provided with OT table and BoylesAppeartus for Laprascopic Sterilization.d. DH/FRU/4nos. of CHC/1nos SDCH/3 BPHCs will provided with Co 2 Gas Cylinder forLaprascopic sterilization.e. Training of 4nos. Medical Officers, 4nos. of OT boys on Co 2 gas technique as per training Plan.f. Medical Termination of Pregnancy, MTP will be ensured at DH/CHC/FRU/BPMC/MPHC/SHCafter imparting training to 15 MOs and after providing MVA Kits received during 09-10g. PPS will be ensured at District Hospital, Chapor FRU and Gauripur CHC where PPS surgeon &Mini Lap Kits available.h. The beneficiaries will be given incentive for Female sterilization as per GoI guidline.No. of Expected Beneficiares Compensation Amount Total Budget9800 1000.00 98.0 LakhBudget for Organizing Laprascopic CampDetails Rate Total AmountLaprascopic camp at 8 nos. Health Institutions 17000x8x6 8.16 LakhDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 94
S4. Encouraging Post partum Sterilisation scheme.Proposed Activities:a. JSY Beneficiaries are to be motivated for accepting Post Partum Sterilization and refer theacceptor to FRU/CHC/DH where PPS can be done at every level.b. The JSY beneficiary adopting female sterilsation will get compensation money of Rs.600.00. Moreover the scheme also provides for Rs. 150.00 motivation fee for ASHA andAWW respectively.O 2 : To increase the male sterilization from the existing level of 10.6% (HMIS report uptoJan’10) to 20% by <strong>2010</strong>-<strong>11</strong>.S1- To raise awareness among the community regarding Non Scalpel Vasectomy.Proposed Activities:a. One day District level workshop will be organized by the Addl CM & HO (FW)incordination with District Administration. Zila Parishad (PRI) members, DIPRO,Teachers, Opinion leaders, Social activist, NGO of NYK etc.to sensitize them on theimportance and promotion of NSV.b. Similar workshop will be organize at Block PHC Level involving chaired by BDO forteachers, Openion leaders, religious leaers, PRI members etc to sensitize them on onthe importance and promotion of NSV.c. IEC material like Hand bill, Brochure, Leaf lets etc on NSV will be developedd. BPHC wise outdoor publicity material on NSV like Hoarding, Bill Board, Flex Banner etcwill be install in Public gathering areasS2- To improve the service delivery to provide Non Scalpel VasectomyProposed Activities:a. At the BPHC level one NSV camps cum training for MOs will be organized registering atleast 20 acceptors of NSV. One trainer from the Medical College or two trainers fromDistrict will attend the workshop. This camp will be organizded in each 7 Block PHCs of<strong>Dhubri</strong> District monthly. In the workshop MOs from PHC wil be trained.b. The train MO of the Block and Master trainer of the District will attend to perform NSVsterilization in each Block and compensation money will be paid as per GoI guidelines.Budget for Organizing NSV CampDetails Rate Total AmountNSV camp cum training at 7 Block PHCs monthly 15000x7x12 12.60 LakhDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 95
Budget for Compensation PackageNo. of Expected Beneficiares Compensation Amount Total Amount2000 1500.00 30.00 Lakh6.4.4 : ADOLESCENT HEALTHObjective:O1. To introduce a comprehensive health initiative for adolescent.O2. To ensure the reproductive health and nutrition needs are met.O3. To reduce prevalence of anemia in adolescents.Strategies:1. School Health Programme (Details under Intersectoral Convergence)2. Adolcent Clinic in the Health InstitutionsProposed Activities:a. Fund has been received for establishment of Adolescent Health Clinic in 10 nos. ofBPHCs/CHCs of <strong>Dhubri</strong> district and Out of which 6 nos. of Adolcent Health Clinic hasbeen established.b. During <strong>2010</strong>-<strong>11</strong>, the remaining 4 nos. of Adolescent Health Clinic has to be establishedand to make functional already established Adolcent Health Clinic in true sense.c. IEC & BCC activities will be developed laying emphasis on normal physiology,menstrual hygiene, use of CC, OC, EC, unwanted pregnancy, safe abortion, childmarriage, various risk of teenage pregnancy etc.d. Identification of adolescent groups and numbers of organized and drop out sectorsthrough school health programmes and at the village level during regular home visit byANMs by maintaining a register.e. Counseling sessions will be held at regular intervals at fixed sites for both adolescentboys and girls separately. Counseling will be provided on the health days.f. Alolescents will be supplemented with 30 mg elemental iron and 250 mcg folic acid perday for 100 days in a yearg. Special counseling and on the spot provision of IFA tablets to adolescent girls in orderto prevent anaemia.h. District will arrange training of School teachers on the basic knowledge of adolescenthealth.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 96
6.4.5 URBAN RCHUrban population comprises of 12.16 % of the entire population of District. There are limitedhealth care facilities for poor section of people or the urban slum dwellers.Goal: To improve the Health status of urban poor community by provision of qualityintegrated primary health care services.Objectives:• Integrated and sustainable system for primary health care service delivery with focus on urbanpoor/slums.• Outreach services to be delivered at community level.• Referral services for the risk cases.• To create demand for services in slum population.StrategiesS-1 Institution strengthening through creation of Urban Health CentresProposed Activities:During 2009-10, the District has started the Urban Health Centre, Rail Gumti area covering30,000 population of the District and is providing following services.• OPD services, 4 hrs in the morning and 2hrs in the evening• Provding services like counseling services basic laboratory services, collection andreporting of vital events and IDSP and services for non Communicable diseases.• It will conduct health camps in the areas under the UHC to generate awareness in thecommunity.a. During <strong>2010</strong>-<strong>11</strong>, 2 nos of Urban Health Center is to be established in the urban slums of<strong>Dhubri</strong> namely, at 1) Bahdur Tari, 2) Dabryc. During <strong>2010</strong>-<strong>11</strong> the Urban Health Centers have to make functional by providing manpower andlogistics.Budget under UHCUnit cost of 1 Urban Health Centre = Rs. 9, 9, 82,000.00 per YearTotal fund proposed for 3 nos. UHC during <strong>2010</strong>-<strong>11</strong> <strong>11</strong> = 3x9x9, , 82,000.00= Rs. 29,9,4646,0000,0000.00DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 97
6.4.6 VUL<strong>NE</strong>RABLE GROUPThe uncovered and inaccessible areas under South Salmara PHC, Gazarikandi PHC andDharmasala PHC (Total No of Char Village=50, & Char Population=69,945) has been identifiedwhich do not have any Health Care facilities.The Centre for North East Studies & Policy Research(C-<strong>NE</strong>S) had signed a MoU with theNational Rural Health Mission of the Government of Assam in February 2008 to extend healthservices to the people of char/sapories in ten districts of Assam including <strong>Dhubri</strong> district. Thefocus of the boat clinic initiative is Routine immunization, Ante natal care (ANC), and Post natalcare (PNC), health checkups, awareness, and Water and sanitation in association partnershipwith NRHM, Assam, and District Health Society of <strong>Dhubri</strong>.The C-<strong>NE</strong>S team in <strong>Dhubri</strong> comprise of one District Programme Officer, Two Doctors,Three nurses, one laboratory technician, one pharmacist, three Community Workers and four boatcrew members.Objective: To Provide Primary Health care for inaccessible Char peopleS-1: Promoting Boat Clinic for char areas of <strong>Dhubri</strong>, DistrictProposed Activities:a. Antenatal Care services by Boat Clinicb. Postnatal care services by Boat Clinicc. Family Planning servicesd. Routine Immunizatione. Curative caref. Basic Laboratory Services.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 98
The tentative annual action plan has been proposed keeping in view the immunizationschedule as well antenatal check up providing minimum three checkup & two doses of TT forevery pregnant women. A tentative plan of boat clinic camp is given below.Quarter1st2nd3rd4thMonthApril <strong>2010</strong> toJune <strong>2010</strong>July <strong>2010</strong> toSeptember<strong>2010</strong>October<strong>2010</strong>toDecember<strong>2010</strong>January20<strong>11</strong>to MarchNos. ofcampdays48(16 dayspermonth)48(16 dayspermonth)48(16 dayspermonth)48(16 dayspermonth)20<strong>11</strong>Total 12 months 192campsTarget Char16 Differentchar16 Differentchar16 Differentchar16 Differentchar32 differentcharTargetCharpopulation(Approx)Infant(Approx)Pregnantwoman(Approx)20399 504 59617628 434 507Same populationof quarter 1 stSame populationof quarter 2 ndSamepopulationof quarter1stSamepopulationof quarter2nd38027 938 <strong>11</strong>03Samepopulation ofquarter 1stSamepopulation ofquarter 2ndSL.NO.Name of Char/River IslandDetails of char targeted for the year <strong>2010</strong>-20<strong>11</strong>Name of PHCPopulationInfant forRITargetANC(PregnantWoman)1 Majer Char NC South Salmara 1950 48 57 572 Hatirchar Gajarikandi 1300 32 28 283 Moslabari South Salmara <strong>11</strong>50 28 34 344 Katiaralga South Salmara 1450 36 42 425 Majerchar Chalakura South Salmara 2100 52 61 616 Char BhasaniDharmasala 1510 37 44 44Aironjongla7 Majerchar Pt-I South Salmara 1250 31 37 378 Bamundanga South Salmara 1450 36 42 429 Bylarchar Dharmasala 1250 31 37 3710 Boldiaralga NC Dharmasala <strong>11</strong>20 28 33 33<strong>11</strong> Dangirchar-Bagmara Dharmasala 1050 26 31 3<strong>11</strong>2 PoyestiMajercharPt-X South Salmara <strong>11</strong>50 28 34 3413 MohorircharBerabhana South Salmara 950 24 28 2814 AironjonglaPtI(Namap Dharmasala <strong>11</strong>00 27 32 32ara)15 Kalaikhowa South Salmara 1200 30 35 3516 Piazbari South Salmara 850 21 25 25PNCDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 99
17 Sutlamari South Salmara <strong>11</strong>00 27 32 3218 Porarchar South Salmara 926 23 27 2719 Poraporirchar Dharmasala <strong>11</strong>50 28 34 3420 NatinerAlga South Salmara 925 23 27 2721 Dhedaimari South Salmara 1350 33 40 4022 Ayermari South Salmara 1369 34 40 4023 ChalakuraRiverblock South Salmara 1080 27 32 3224 Bhasanirchar-Pt-II Dharmasala <strong>11</strong>43 28 33 3325 BoldiarAlga West South Salmara 1050 26 31 3126 Kadamtola South Salmara 1020 25 30 3027 Kaziarchar South Salmara 825 20 24 2428 Mahamayarchar South Salmara 1225 30 36 3629 Riverblock No.10 South Salmara 860 21 25 2530 Haddirchar South Salmara 1040 26 30 3031 Sialmari South Salmara 1025 25 30 3032 Aminerchar South Salmara <strong>11</strong>09 27 32 32Total 38027 938 <strong>11</strong>03 <strong>11</strong>03Details of char targeted in 1st & 3rd quarterSL.NO.Name of Char/River IslandName of PHCPopulationInfant forRITargetANC(PregnantWoman)1 Majer Char NC South Salmara 1950 48 57 572 Moslabari South Salmara <strong>11</strong>50 28 34 343 Katiaralga South Salmara 1450 36 42 424 Majerchar Chalakura South Salmara 2100 52 61 615 Char BhasaniDharmasala 1510 37 44 44Aironjongla6 Bamundanga South Salmara 1450 36 42 427 Bylarchar Dharmasala 1250 31 37 378 Dangirchar-Bagmara Dharmasala 1050 26 31 319 MohorircharBerabhana South Salmara 950 24 28 2810 AironjonglaPtI(Namap Dharmasala <strong>11</strong>00 27 32 32ara)<strong>11</strong> Kalaikhowa South Salmara 1200 30 35 3512 Poraporirchar Dharmasala <strong>11</strong>50 28 34 3413 ChalakuraRiverblock South Salmara 1080 27 32 3214 Riverblock No.10 South Salmara 860 21 25 2515 Haddirchar South Salmara 1040 26 30 3016 Aminerchar South Salmara <strong>11</strong>09 27 32 32Total 20399 504 596 596PNCDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 100
SL.NO.Name of Char/River IslandDetails of char targeted in 2nd & 4th quarterName of PHC PopulationInfant forRITargetANC(PregnantWoman)1 Hatirchar Gajarikandi 1300 32 28 282 Majerchar Pt-I South Salmara 1250 31 37 373 Boldiaralga NC Dharmasala <strong>11</strong>20 28 33 334 PoyestiMajercharPt-X South Salmara <strong>11</strong>50 28 34 345 Piazbari South Salmara 850 21 25 256 Sutlamari South Salmara <strong>11</strong>00 27 32 327 Porarchar South Salmara 926 23 27 278 NatinerAlga South Salmara 925 23 27 279 Dhedaimari South Salmara 1350 33 40 4010 Ayermari South Salmara 1369 34 40 40<strong>11</strong> Bhasanirchar-Pt-II Dharmasala <strong>11</strong>43 28 33 3312 BoldiarAlga West South Salmara 1050 26 31 3<strong>11</strong>3 Kadamtola South Salmara 1020 25 30 3014 Kaziarchar South Salmara 825 20 24 2415 Mahamayarchar South Salmara 1225 30 36 3616 Sialmari South Salmara 1025 25 30 30Total 17628 434 507 507PNCDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 101
6.4.7 PUBLIC PRIVATE PART<strong>NE</strong>RSHIP (PPP).In <strong>Dhubri</strong> district there are 3 nos of Tea Garden namely Choibari Tea Estate, Chapor TeaEstate and Krishna Kali Tea Estate covering around 22,800 Population. During 2008-09 ChoibariTea Estate Hospital has been identified and selected for Public Private Partnership.The facilitysarvey of Choibari Tea Estate has been completed and MOU has also signed accordingly. During2009-10, Krishnakoli Tea Estate has been identied an selected for PPP. The facility survey andMMU will be signed shortly.The hospitals under PPP will mainly focus on RCH II activities like promoting JSY,Institutional delivery, new born care services, sterilization programmes, counselling on adolescenthealth etc. The targeted population will mainly be the mother and child, which will result in bringingdown the MMR and IMR.Detials Budget as follows –Sl No Detail Total1 Manpower Rs. 4,80,000.002 Operation cost @30,000/- pm Rs. 3,60,000.003 Referral transport Rs. 60,000.004 Ambulance Rs. 5,50,000.005 Repair & Renovation Rs. 50,000.006 Drugs will be provided by the District Rs. 0.00Total for one hospital Rs. 15,00,000.00During 20010-<strong>11</strong>, the total fund proposed for 2 nos. PPP Hospital = Rs. 30,00,000.00`DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 102
Comprehensive Training Plan of <strong>Dhubri</strong> District for the <strong>2010</strong>-<strong>11</strong>SlType of TrainingNoMaternal Health1 SBACurrent Status40 Batch(GNM=17LHV=10,ANM=53)Category ofpartcipantGNM=24ANM=122 EmOC 1 MO MO MBBS=4 nos3 RTI/STIChild Health4 IMNCI5 NRTFamily Planning6 IUCD (CopperT380A)MO=12Lab Tech=3GNM=4MO=13Nursing Staff=3CDPO=2MO=24Sister Tutor=2SN=2LHV=4MO=13GNM=17ANM=29LHV=9MO MBBS=10nosLab Tech =6 nosGNM=14 nos.ANM = 14 nosANM=456AWW=1791MO=48GNM=74MO=30ANM=120GNM=40DurationNoBatch3 weeks 1216weeks12 days 10Venue<strong>Dhubri</strong> CivilHospitalGuwahatiMedical CollegeGuwahatiMedical College8 days 93 District HQ2 days 4 District HQ5 days 19 District HQ7 MTP including MVA Specialist(O&G)=6 MO=15 15 days 3District CivilHospital8 Mini LapMO=2MO=1Dubri Civil12 days 1OT=2OT=1Hospital9 Laprascopic Sterlization MO=6 - - - -10 NSV MO=2 MO=4 1 At camp SiteGuwahati<strong>11</strong> Co 2 Gas Technique -MO=4Medical1OT=4College/SIHFW,GuwahatiImmunization12 Refresher training on ImmunizationANM=406LHV=6ANM=456GNM=50LHV=17Cold ChainHandler=642 days 17-18 At District HQ13 Vaccine Handler TrainingCold ChainHandler=641 days 2 At District HQ14 Blcok Level data Handler training Data Handler=28 Data Handler=28 1 days 1 At District HQANM=45615 Micro Planing -AHSAfacilitator=1761 days 78 At District HQASHA=1726NVBDCP1617181920NVBDCPMedical Officers=4LaboratoryTechnicians(reorientation)=0HealthSupervisors (M)=0HealthSupervisors (F)=0Health(F)=0WorkersMedical Officers=100LaboratoryTechnicians(reorientation)=48HealthSupervisors(M)=58HealthSupervisors(F)=7Health Workers(F)=348As per TrainingPlan ofNVBDCPDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 103
SlNoType of TrainingCurrent StatusCategory ofpartcipantDurationNoBatchVenue21 ASHAs=70 ASHAs=9922223CommunityVolunteers otherthan ASHA=0Others specify:MPW (Contractual&SprayWorkers=21CommunityVolunteers otherthan ASHA=200Others specify:MPW(Contractual &SprayWorkers=12RNTCP24 Training of MOs 100 MO=5025 Training of LTs of DMCs- 17 LT=826 Training of Comm Volunteers 275 Volunter=10027 Re- training of MOs - MO=5028 Re- Training of LTs of DMCs 17 LT=2529 Re-training of Pvt Practitioners 20 MO(Pvt)=2030 TB/HIV Training of MOs - MO=50TB/HIV Training of STLS, LTs ,STLS, MPW,31 MPWs, MPHS, Nursing Staff,-Nursing staff,Community Volunteers etcVolunter=50NLEP324 days training of newly appointedMO’s (rural & urban) 30 nos- MO=30 4 days333 days training of newly appointedHealth-Health Supervisor 30 nos.Supvisor=303 days343 days training of newly appointed-Health Worker3 days3536Health Worker (M) 30 nos3 days training of newly appointedHealth Worker (F) 30 nos2 days training of newly appointedMO’s 30 nos-(M) =30Health Worker(F) =303 days- New MO= 30 2 daysAs per TrainingPlan of RNTCPAs per TrainingPlan of NLEP375 days training of newly appointedLab. Technician 15 nos.- Lab Tech = 15 5 daysNBCP38Training of Manpower for SkillUpgradation-School Teacher =100ANM/HealthWorkers=6001 daysAs per TrainingPlan of NBCPIDSP3 days training for MO( newly39 inducted officers ) for a batch of 20- MO= 40 3 days 2 At DSUtrainees.402 days training for Health WorkersHealth-for a batch of 20 traineesWorkers=4002 days 20 Block PHCs413 days training for LaboratoryAt District CivilTechnicians/ Microscopist for a batch- Lab Tech=40 3 days 2Hospitalof 20 traineesNRHM Additionaities42Sensitization workshop to Medicalofficers(Newly Appointed)- MO (New)=37 2 days 1 At District HQ43 Sensitization workshop to PRIs - PRI member=196 1 days 4 At District HQ44Capacity Building workshop forBPMU- BPMU = 33 2 days 1 At District HQDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 104
6.5 PART B: NRHM ADDITIONALITIESVillage Level activity:O-1:S-1:Efective implementation of NRHM Programme at village levl.Strengthening Village Health and Sanitation Committees (VHSC).Proposed Activitiesa. For the development of the villages of <strong>Dhubri</strong> district wherever there is an ASHA VillageHealth & Sanitation Committee has been formed as per NRHM guideline. In <strong>Dhubri</strong> district1310 nos of VHSC has formed and open bank account and out of which 1300 nos ofVHSC has received an amount of Rs.10,000 as Untied Grant.b. During <strong>2010</strong>-<strong>11</strong>, additional 380 nos of VHSC has to be formed in the left out villages of thedistrict where additional ASHA has been selected and have to open the bank account forUntited Grantc. Capacity building of the 1690 VHSC members is proposed during <strong>2010</strong>-<strong>11</strong> throughMNGO/NGO including importance and preparation of Village Health Plan.d. During <strong>2010</strong>-<strong>11</strong>, the Village Health <strong>Action</strong> Plan of each VHSC will be ensured.e. The VHSC will be responsible for the overall health of the village. It will take intoconsideration of the problems of the community and the health and nutrition care providersand suggest mechanism to solve itf. The committee will monitor all the health activities that are conducted in the village such asVillage Health & Nutrition Day, Mothers Meeting etc.g. VHSC along with the ANM will be responsible to conduct household survey in the village.h. It will discuss every maternal or neonatal death that occurs in their village, analyze it andsuggest necessary action to prevent such deaths. Get these deaths registered in thePanchayat.i. During emergency like flood or any epidemic the committee will utilize the fund for therelief camps or supplies such as in case of flood it can supply Halogen tablet forpurification of water, ORS, Bleaching powder etc.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 105
S-2:Observing Village Health & Nutrition DayProposed Activitiesa. During <strong>2010</strong>-<strong>11</strong>, Observation of VHND will be ensured every month in each villages of<strong>Dhubri</strong> District by ASHA/AWW/ANM in the Awganwadi Centre where services like ANC, PNC,Immunization by ANM and Health Education and awareness will be provided byASHA/AWW/BEE/LHV/ANM etc.b. Procurement of Examination table, BP Instrument, Weighing machine etc will be ensured inthe newly formed VHSCs out of VHSC fund for successful observation of VHND.c. Involvement of VHSCs members will be ensured during <strong>2010</strong>-<strong>11</strong> in each VHND.d. The Contigency fund of Rs. 100 for observing VHND will be provided out of VHSC fund.S-3: Organizing Health Melas.Proposed Activities:a. 3 nos. of Health Melas has been organized during 2009-10 with objective to provide an easyto accesss platform for health services for all segments of population of the District. Duringthis Health Melas extensive IEC on Malaria, Family Planning, TB, Blindness, AIDS,Leprosy, Water & Sanitation etc. was done.b. During <strong>2010</strong>-<strong>11</strong>, similar Health Mela will be organized in Malaria prone area of the District.c. Rs 5 lakhs for is proposed for organzing Health Mela during <strong>2010</strong>-<strong>11</strong>.O-2 : To Provide support to ASHAs of <strong>Dhubri</strong> DistrictS-1 . Selection, Training and support to ASHAsProposed Activities:a. The selection and training of 1340 nos of ASHAs of <strong>Dhubri</strong> has completed 5 th ModuleTraining.b. The selection of Additional 380 nos of ASHA has also completed in the left out villages ofthe District.c. During <strong>2010</strong>-<strong>11</strong>, 1 st , (Induction Training), 2 nd , 3 rd , 4 th & 5 th Module training of 380 nosASHAs will be ensured. (No fund is proposed as fund already received)d. Also refresher training is to be imparted to 1340 nos. of ASHAs who have completed 4 thmodule training for 12 days in a yeare. 380 nos of Radio Set, Umbrella and Bag is proposed during <strong>2010</strong>-<strong>11</strong> for 380 nos ofadditional ASHA.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 106
S-2 : Providig ASHA Drug KitsProposed Activities:a. Durig <strong>2010</strong>-<strong>11</strong>, 1726 nos of ASHA Drug Kits is proposed for 1726 nos. of ASHA of <strong>Dhubri</strong>Districtb. Proper utilization of Drug Kit will be enusred during <strong>2010</strong>-<strong>11</strong> under the supervision of ANM andSectoral MO.S-3 : ASHA FacilitatorProposed Activities:a. During 2009-10, 176 nos. of ASHA Supervisor has been selected for 7 BPHC of <strong>Dhubri</strong> Districtie. 1 supervisor for 10 ASHAs to handhold and monitor the ASHA activities.b. During <strong>2010</strong>-<strong>11</strong>, these facilitators has to be trained on ASHA programme under NRHM andalso on field level monitoring to be done so that they have an overview of various on goingprogrammes under NRHM. The proposed training will be conducted through District ToT ASHAFacilitator.c. Honorarium including TA/DA of ASHA facilitator will be provided as per norms.BudgetDetails Unit (No) Rate (in Rs.) Total (in Lakh)Honorarium including TA/DA ofASHA facilitator176 3500.00 73.92 lakhS-4: Incentive to ASHAs for Full ImmunizationProposed Activities:a. The District will continue for providing incetive of Rs. 250/- to ASHAs for each fully immunizedchild as this increases the full immunization coverage rate of the District as the ASHAs after BCGwill keep a track of the infants in her village as she is from the same village and will accompanythe mother to the sub-centre to vaccinate the infant.This will also help the ANM intracking/vaccinate the infants as there are instances where the ANM fails to vaccinate the infantas mothers are not willing or forgotten about the date of Immunization of their child but with thehelp of ASHAsi it will be easier for the ANM to conveience the mothers and also kepeping a trackof the Infants.Budget proposed for the same as follows –Details Unit (No) Rate (in Rs.) Total (in Lakh)Incentive to 1726 ASHAInfant Target=4461780% of target Infants will beimmunized=35693 and outof which 60% will bemobilze by ASHA250.00 66.92 lakhDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 107
O-3 : To strengthen the Health Institutions in terms of physical infrastructure andmanpower.S-1. Providing Untited and Annual Maintenance fund to SC, PHC, CHC, SDCHProposed Activities:a. As part of the National Rural Health Mission, it is proposed to provide each HealthInstitutions ie. SC, PHC, CHC, SDCH will be provided with Unitied and AnnualMaintenance Fund. Th Untited funds will be utlize for the following purposes-Minor repair, whitewash of the hospital buildingDisplay of logo of NRHMCleanliness & maintenance of toilets.Water supply etc. consumables of the hospital like gloves, regents,disinfectants etc.In addition an Annual Maintenance Fund is proposed for Govt. Building Sub-Centre, PHCs,CHCs and SDCH and the fund will be utilized for the following purposes-Facelift of the hospital buildingMinor repairing whereever required with approval pf the managementcommittee.Hospital consumables like gloves, regents, disinfectants. Chemicals forlaboratory etc.The society engaged 1 (one) sweeper @ Rs 1000.00 for the cleanliness oflabour room and hospital premises.Maintenance of running water supply and toilets.Maintenance of the generator and its POL.b. During <strong>2010</strong>-<strong>11</strong>, it will be ensured that each health Institutions will have the clear actionplan for utilizing the Unitied and Annual Maintenance FundBudgetA. Untited Fund`SlNoHealth facility Target Unit CostTotal(Rs. In Lakh)1 SC 246 10000 24.602 PHC(5BPHC+4SHC+<strong>11</strong> MPHC+<strong>11</strong>SD+1 MC)32 25000 8.003 CHC 6 50000 30.004 SDCH 1 50000 0.50Total63.10 LakhDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 108
B. Annual Maintenance Fund`SlNoHealth facility Target Unit CostTotal(Rs. In Lakh)1 SC (Govt Building) 120 10000 12.002PHC(5BPHC+4SHC+<strong>11</strong> MPHC+<strong>11</strong>SD+1 MC)32 50000 16.003 CHC 6 100000 6.004 SDCH 1 100000 1.00Total35.00 LakhS-2. Strengthening Rogi Kalyan Fund/Hospital Mamangement CommitteeProposed Activities:a. The Rogi Kalyan Samitee/Hospital Management Committees has been formed inDistrict Hospital, SDCH, 5 BPHCs, 6 CHCs, 4 SHCs, <strong>11</strong> MPHCs, <strong>11</strong> SDs, 1 MaternityCnetre, with an objectives to have facility based planning and community involvementand ownership of the Health facilties by the respective RKS Committee/HMCb. During <strong>2010</strong>-<strong>11</strong>, It is proposed to provide RKS fund to all the Health Institutions asdetail belowBudgetRogi Kalyan Samittee Fund`SlNoHealth facility Target Unit CostTotal(Rs. In Lakh)1 DH 1 500000 5.002 SDCH 1 100000 1.003 CHC 6 100000 6.004 PHC(5BPHC+4SHC+<strong>11</strong> MPHC+<strong>11</strong>SD+1 MC)32 100000 32.00Total 44.00c. During <strong>2010</strong>-<strong>11</strong>, all the RKS are to be registered under Societies Act.d. During <strong>2010</strong>-<strong>11</strong>, it will be ensured that each health Institutions will have the clear actionplan for utilizing the RKS Funde. For the assessment of the RKS fund utilization by DH/SDCH/PHC/CHC/SHC/SDduring 2009-10 an evaluation (Audit) will be done in the year <strong>2010</strong>-<strong>11</strong>DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 109
S-3. Strengthening physical infrastructure of SCs/PHCs/CHCs,Proposed Activities (Sub-Centre)a. Out of 246 SC functioning in rented building & Govt. dilapidated building, 58 nos SCsalready taken up for construction during 2007-08, another 45 SCs have been approved during2008-09 & 09-10 for construction @ Rs. 7.5 lakhs and 32 nos. new SC will be proposed forconstruction for increase provision of quality antenatal care during <strong>2010</strong>-<strong>11</strong>. (Annexure -A)b. During <strong>2010</strong>-<strong>11</strong>, Upgradtion of Paglahat SC and Nayeralga SC to PHC is proposedProposed Activities (PHCs)a. During 2006-07 and 08-09, Construction of Doctors (1 unit) and Nurse Quarter (3 unit) hasbeen taken up in Golokganj PHC, Bilashipara SHC, Gauripur CHC, South Salmara CHC,Bogribari SD and Dhepdhepi MPHC and construction has been completed in all institution.b. During <strong>2010</strong>-<strong>11</strong> Construction of Doctors (1 unit) and Nurse Quarter (3 unit) has to betaken up at Hatsingimari SDCH, Sadullabari SHC and Kachokhana SD @ Rs.28.80 lakhs.c. During <strong>2010</strong>-<strong>11</strong>, the following health institution has to be taken up for Quarter repairingJhowdangaSD, Bherbhangi SD, Dumardaha MPHC, Moterjhar SD & Santipur MPHC@10.00 lakhs per institution.d. During <strong>2010</strong>-<strong>11</strong>, the following health institutions have been taken up for construction ofBoundary wall (Goat proof fencing) at Hatsingimari Sub-Divisional Civil Hospital,Dharmasala BPHC, Tumni CHC, Bherbhangi SD and Kachokhana SD.S-4. Providing Additional manpower at SCs/PHCs/CHCs/ SDCHProposed Activities (Sub-Centre)a. As per the report there are total 376 nos.of ANM in the district in the SC. The totalrequirement for the district @ 2 ANMs per SC (excluding outreach area) is <strong>11</strong>6. Thereforeduring <strong>2010</strong>-<strong>11</strong> atleast 50 ANM’s may be posted.b. The contractual ANM may be posted under NRHM @ 2 ANMs in 26 nos of SC constructedin Permanent Chars of <strong>Dhubri</strong> District. Total requirement is 52 ANM.Proposed Activities (PHCs)a. Contractual engagement of 4 MO (MBBS) and 4 MO (Ayur) will be done in 24x7 PHCsdeficient in manpower. The institutionwise detailed requirement is as follows-SL NAME OF THE HEALTH INSTITUTION Type of Institution MO (MBBS) AYUR1 Tamahat MPHC 24 x7 PHCs 1 02 Moterjhar SD 24 x7 PHCs 0 15 Dumardaha MPHC 24 x7 PHCs 0 16 BATERHAT SD 24 x7 PHCs 1 08 Jhowdanga SD 24 x7 PHCs 0 1Total 2 3DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> <strong>11</strong>0
Proposed Activities ( For CHCs & SDCH)a. Specialist Doctors on contract basis to be placed at 2 nos. IPHS institutions and SDCHHatsingimari as follows –Name of HealthCategory of speciailstInstitutionO&G Paedratic Anaesthesist SurgeonTotalMankachar CHC 1 1 1 1 4Halakura CHC 1 1 1 1 4SDCH (Hatsingimari) 1 1 1 1 4Total 12Proposed Activities ( For GNM at BPHC/CHC/24x7 PHCs)a. At Present, thereare 122 nos. of GNM have been posted at various Health Institutionsof <strong>Dhubri</strong> District, Out of which 53 nos. are Reqular GNM and 69 nos. are ContractualGNM. To make the Health facility functional as IPHS norms, 192 nos. GNM is proposedduring <strong>2010</strong>-<strong>11</strong>. Requirement of Institutionwise as follows-SlNoHealth InstitutionsNo. of HealthInstitutionsPresentstatus ofGNMNo. of GNMreuired (asper IPHS)GapTotalreuirement1 CHC 4 26 9 10 102 BPHC 4 10 3 2 2324x7 PHCs(inlucding HealthInstitution under25 22 3 53 53construction)4 SDCH 1 1 9 8 8Total 59 73 73S-5: Strengthening the District Hospitals by improving the physical infrastructure.Proposed Activities:During 2008-09, Construction of 200 bedded Civil Hospital under NRHM has been taken up andthe progress of work till Nov, 09 is around 60 %. Total project cost is Rs.7.14 Cr and aftercompletion necessary logistics will have to be supplied during <strong>2010</strong>-<strong>11</strong>S-6: Strengthening the Nursing Schools by improving the physical infrastructure.Proposed Activities:Construction of RCC GNM School cum Hostel Building for 100 nursing students at <strong>Dhubri</strong> CivilHospital is in progress (42%). Total project cost is 2 Cr. So, no fund proposed in the current year.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> <strong>11</strong>1
S- 7.Ambulance for all PHC’s/CHCs/District Hospitals:Proposed Activities:a. 37 nos ambulances were already supplied by Govt., NRHM and MLA fund to 28 nos of differentmedicinal institutions of <strong>Dhubri</strong> District. (Annexure C)b. During <strong>2010</strong>-<strong>11</strong>, new ambulance for Dumardaha MPHC is proposed @ Rs.5 Lakhs.O-4:To strengthen the health institutions in terms of necessary materials support interms of equipments and drugs.S-1: Ensure proper functioning of the health centres by providing necessary equipmentsand drugs.Proposed Activities : (Supply of Drugs)a. As per the IPHS norms the District propose to supply the Drugs for all the Health Instution asmentioned belowSl No Health Institutions No. of Health Institutions1 SC 2462 BPHC/MPHC/SHC/SD/MC 323 CHC 64 SDCH 15 Civil Hospital 16 Urban Health Centre 17 PPP Hospital 28 MMU 19 Boat Clinic 1Proposed Activities : (Supply of Equipments)a. As per facility survey there is a requirement of 21 nos. labour table, 21 nos. of Stand light, 10nos. Radiant warmer, 13 nos. Auto clave, 19 nos. Electric Sterilizer, 19 nos. backup Generator setincluding other logistics for 24x7 hr delivery services for quality services. The institutionwisedetailed requirement is enclosed herewith as Annexure Bb. The IUCD Kit received during 2009-10 alredy distributed where training imparted another 100nos of IUCD kit will be required during <strong>2010</strong>-<strong>11</strong>.O-5: To ensure effective implementation of the programme at the block levelS-1: Strengthening the block for effective implementation of the programmeProposed Activities : Support to district and Block level Resource Groups.At the district level, DPMU already exists. At the Block level Block Programme Manager,Block Accounts manager and Assist. Block Programme has also appointed during 2007-08 and2008-09.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> <strong>11</strong>2
During <strong>2010</strong>-<strong>11</strong>, to support the Block Programme Management Unit the followingmanpower is proposed as follows-SL No NAME OF POST UNDER NRHM NAME OF HEALTH INSTITUTION WHERE VACANT1Futkibari SD2 Gauripur CHCPHC ACCTT.3 <strong>Dhubri</strong> Health & maternity Centre4 Tamarhat MPHC1Golakganj BPHC2 Tamarthat MPHCLAB TECH3 Dharmasala BPHC4 Moterjhar SDO-6: To provide supportive measures to the districts for performance analysis and forpreparation of health action plans.S-1: Strengthening the planning activities.Propsoed Activities:a. Resource mapping in every village done by Village Health & Sanitation Committee will helpto assess the need of the community. Therefore, by undertaking household and facilitysurvey, the actual need of the community can be assessed which is also the essentialrequirements for developing District Health/Block Health <strong>Action</strong> Plans-annual &perspective.b. Orientation of VHSC of each BPHC.O-7: To provide health care services to the unserved, underserved and remote areas.S 1.: Support to Mobile Medical Units (MMU)Proposed Activities:a. With the objective to take health care to the door step of the public in the rural far flung areas,especially in under served areas, the district has received the Mobile Medical Unit withspecialized facilities like USG, X-ray etc and will continue the service.b. During 2009-10, training of GNM, Pharmacist, Radiographer and lab Tech. of MMU isproposed for skill upgradation.c. For Implmenting the Mobile Medicla Unit, Total fund proposed 21.66 lakh for <strong>2010</strong>-<strong>11</strong> forrecurring expenditure of MMU, <strong>Dhubri</strong>. Details budget enclosed.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> <strong>11</strong>3
d.1. Recurring Costs:a. Manpower…………………………………… Rs12.36lakhs/ annumi. Medical Officer 2 Nos.General Practitioner -2 nos.(Rs 20,000.00 X 2 =Rs.40, 000.00/month)ii. GMN 2 Nos. (Rs. 7000.00 X 2= Rs.14,000.00/month)iii. Radiographer-1 no. (Rs 8,000.00/month)iv. Pharmacist-1 no. (Rs. 8000.00/month)v. Laboratory Technician-1no. (Rs. 8000.00/month)vi. 4 th Grade cum handyman-2 nos.(Rs. 5000.00 X 2= Rs 10,000.00)vii. Driver-3 nos. Rs. 5000.00 X 3= Rs.15,000.00(Total: Rs. 103,000.00 per month X 12 = Rs 12, 36,000.00 per year)b. Medicines………………… Rs. 5 lakhs / annumc. Training of manpower… Rs. 30,000.00 /annumd. Maintenance & repair of vehicle… Rs. 2 lakhs /annume. POL Rs. 2 lakhs /annumGrand Total Recurring Fund Required For Medical Mobile Unit, <strong>Dhubri</strong> is. Rs.21.66 lakhs.S-2:Promoting Boat Clinic in char areas of <strong>Dhubri</strong> district.a. The uncovered and inaccessible areas under South Salmara PHC, Gazarikandi PHC andDharmasala PHC (Total No of Char Village=50, & Char Population=69,945) has been identifiedwhich do not have any Health Care facilities.The Centre for North East Studies & Policy Research(C-<strong>NE</strong>S) had signed a MoU with theNational Rural Health Mission of the Government of Assam in February 2008 to extend healthservices to the people of char/Chapories in five districts of Assam including <strong>Dhubri</strong> district. Thefocus of the boat clinic initiative is Routine immunization, Ante natal care (ANC), and Post natalcare (PNC), health checkups, awareness, and Water and sanitation in association partnershipwith NRHM, Assam, and District Health Society of <strong>Dhubri</strong>.Proposed Activities:a. Antenatal Care services by Boat Clinicb. Postnatal care services by Boat Clinicc. Family Planning servicesd. Routine Immunizatione. Curative caref. Basic Laboratory Services.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> <strong>11</strong>4
The tentative annual action plan has been proposed keeping in view the immunizationschedule as well antenatal check up providing minimum three checkup & two doses of TT forevery pregnant women. A tentative plan of boat clinic camp is given below.Quarter1st2nd3rd4thMonthApril <strong>2010</strong> toJune <strong>2010</strong>July <strong>2010</strong> toSeptember<strong>2010</strong>October<strong>2010</strong>toDecember<strong>2010</strong>January20<strong>11</strong>to MarchNos. ofcampdays48(16 dayspermonth)48(16 dayspermonth)48(16 dayspermonth)48(16 dayspermonth)20<strong>11</strong>Total 12 months 192campsTarget Char16 Differentchar16 Differentchar16 Differentchar16 Differentchar32 differentcharTargetCharpopulation(Approx)Infant(Approx)Pregnantwoman(Approx)20399 504 59617628 434 507Same populationof quarter 1 stSame populationof quarter 2 ndSamepopulationof quarter1stSamepopulationof quarter2nd38027 938 <strong>11</strong>03Samepopulation ofquarter 1stSamepopulation ofquarter 2ndb. During 2009-10, a Speed Boat Ambulance has been received from Zilla Parishad<strong>Dhubri</strong>. In order to make functional of the speed boat ambulance and to extend healthservices to the people of char/Chapories in the districts. The following manpower including PoL isproposed during <strong>2010</strong>-<strong>11</strong>Sl No Detail Numbers Unit Cost Total Amount1 Doctor 1 30,000.00 3,60,000.002 GNM 1 7000.00 84,000.003 ANM 2 5000.00 1,20,000.004 Lab Tech 1 8000.00 96,000.005 Pharmacist 1 7000.00 84,000.006 Pilot/Driver 1 5000.00 60,000.007 Handiman 2 3000.00 72,000.008Pol&1,00,000.00Maintenanceper month12,00,000.00Total 20,76,000.00DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> <strong>11</strong>5
O-8:S-1:Skill up gradation/Capacity Building at all levels.Train and enhance capacity BPMU, PRIs & Medical offcersS-2 : Stregthening Infrastructure of District Training HallProposed Activities:a. In order to organize the different trainings for the officials/health workers under theestablishment of JDHS, Addl CM & HO(FW), <strong>Dhubri</strong>, it is required to repair and renovate theexistence Training Hall, during <strong>2010</strong>-<strong>11</strong>. A total Rs. 300000.00 lakh is proposed for carrying outthe same activity.b. In order to implement the NRHM programme successfully, it is required to organize sentitizationworkshops on NRHM for the PRIs (ZP Member-28, GP President=168) and the medical offcers(37) and capacity building workshop for BPMU (BPM-7, BAM-9 & Assist.BPM-17)c. Sensitization workshop to Medical officers(Newly Appointed):A total of 37 medical officers newly appointed will be sensitized in <strong>2010</strong>-<strong>11</strong>. Per batch 37 MOs willbe there. There will be 2 days workshop. Altogether there will be 1 batches. Therefore budget isas follows:• DA @ Rs 200.00 for 2 days for 37 participants= Rs 14,800.000• TA @ Rs 500.00 for 37 participants= Rs 18,500.00• Honorarium to trainers @ Rs 200.00 for 3 trainers for 2 days= Rs 1200.00.• Tea, Snacks etc @ Rs.100.00 for 37 participants for 2 days= Rs 7400.00Total= Rs 14800.00+ 18500.00+1200.00+7400.00 = Rs 41,900.00.Therefore total = Rs 41,900.00d. Sensitization workshop to PRIs:A total of 196 PRIs (ZP Member-28, GP President=168) will be sensitized in <strong>2010</strong>-<strong>11</strong>. A totalof 4 batch PRIs will be sensitized. Per batch 50 PRIs will be there. There will be 1 daysworkshop.. Therefore budget for 1 batch is as follows:• DA @ Rs 125.00 for 1 days for 50 participants= Rs 6250.00• TA @ Rs 300.00 for 50 participants= Rs 15,000.00• Honorarium to trainers @ Rs 200.00 for 3 trainers per batch for 1 days= Rs 600.00.• Tea, Snacks etc @ Rs.100.00 for 50 participants for 1 days= Rs 5000.00Total= Rs 6250.00+ 15,000.00+600.00+5000.00 = Rs 26,850.00.Therefore total = Rs 26,850Therfore total Budget for 4 batch= 1,07,400.00e. Capacity Building workshop for BPMU:A total of 33 BPMU (BPM-7, BAM-9 & Assist.BPM-17) will be sensitized in <strong>2010</strong>-<strong>11</strong> in 1 batch.There will be 2 days workshop.. Therefore budget is as follows:• DA @ Rs 125.00 for 2 days for 33 participants= Rs 8,250.00• TA @ Rs 200.00 for 33 participants= Rs 6,600.00• Honorarium to trainers @ Rs 200.00 for 3 trainers per batch for 2 days= Rs 1200.00.• Tea, Snacks etc @ Rs.100.00 for 33 participants for 2 days= Rs 6,600.00Total= Rs 8,250.00+ 6600.00+1200.00+6600.00 = Rs 22,650.00.Therefore total = Rs 22,650.00DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> <strong>11</strong>6
IEC/BCC StrategyObjectives:1. To refute the myths and misunderstandings prevalent in the society2. To create a demand for various health services being provided under NRHM .3. Bringing about a behavioural change among individuals and community at a large.Proposed Activities:A.) Setting up and development of IEC/BCC unit at the district level:1. One District Media Expert under NRHM is already placed at District, one District Extension& Media Officer and two nos of Dy Ext & Media officer is placed under Addl. CM & HO(FW), <strong>Dhubri</strong>2. One Digital Video Camera, one still camera with Tripod is already available at District.3. One Public Addressing System set; LCD Projector with Screen is available at District.4. One laptop may be provided to the IEC/BCC cell of the district in Q1, which may costaround Rs. 35,000/-.5. One LCD projector may be provided to each BPHC @Rs.50,000 X 7 nos of BPHC in Q26. One Grade IV staff may be deputed from regular set up to the IEC/BCC cell for assist theday-to-day activity.B). Meeting Manpower requirements at District level1. At Present no further manpower is required at District in IEC/BCC Cell.C). Formative research/situational analysis/baseline study to identify focus areas1. To find out the perception of the villagers and to do a study on the level of Knowledge ofFamily Planning, Immunization and Institutional Delivery an independent agency will beengaged.2. In the first two-quarter they will visit the Char areas of <strong>Dhubri</strong> only. They will assist byASHA and AWW.3. Students of M. Phil & Phd will be encouraged to do research on the health status of teagarden population and finding will be used to prepare specific plan.4. The process will be continued up to Q4 and total Budget requirement for per quarter is Rs.15,000 X 7 nos BOHC X per quarter.D). Develop IEC/BCC Strategy : Streamline objectives/identify Communication tools/identifymedia mix as per target audience/frame monitoring evaluation indicators Identify externalagency/Advertising agency for the task (if needed)DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> <strong>11</strong>7
1. A comprehensive IEC/BCC action plan will be prepared in the Q2.E). Media Mix : Develop a strategic media mix as per the target population and issues(Child Health, Maternal Health/Family Planning)a). Interpersonal Communications1. On every Wednesday a Counselling session will be organised at 4 nos of FRUs and 7 nosof PHCs by BEE & LHV for the mother and eligible couple.2. ICTC will be intimated and engaged in the counselling session.3. ASHA, ANM, & AWWs will be instructed to do IPC whenever they do home visited.4. Group Discussion will be organized by BEE, LHV, HE, they will get @ Rs.300/- for per GDX 5 GD in a month X 12 months5. The GD will be organized at village level, SC level, AWW centre wise6. Instruction will be given to VHSC to conduct community meetings out of their own funds.7. Workshop at Block level will be organized, one workshop will be organised in eachquarter, @Rs.5000 X 7 nos BPHC X per Quarterb). Community Media:1. A audio cassette will be developed using folk tune on JSY, FP, immunization, ID etc andwill be broadcast through slow moving vehicle, cost @ Rs1000/- X 52 Weeks X 7 nosBPHC2. Street Play on Malaria, Immunization, JSY, FP etc will be organized in village area in permonths, @Rs. 3000 per Street Play X 12 months X 7 nos BPHC3. During Health Mela IEC exhibition and Drama will be organized. Cost will be Rs. 25,000/-4. BPHC wise rally will be organized to make sensitise. One rally in each BPHC in eachQuarter will be organised. Cost @ 2500 X 4 quarter X 7 BPHCc). Outdoor Media :1. Street Banner on JSY, Immunization, family planning, ASHA, malaria etc will be developedcentrally and installed in the prominent places. In each quarter 1000 nos of Street bannerwill prepared. @ Rs 150 X 1000 nos X 4Q.2. For popularised the NRHM schemes among the general people IEC message will bedisplayed in the backside of the Buses. Cost @ Rs. 250 X 100 buses, will be done in Q23. During Q1 and Q3 Information Boards on Family Planning will be developed and installedin SC wise. Per SC will be provided 2 nos of Information Boards. Cost @ Rs 2000 X 246nos of SC centre X 2nos of Information Board.4. During Q2, Hoarding on JSY, ASHA, Immunization, ANC, PNC etc will installed in BPHCwise. 5 nos of Hoarding will be provided in each BPHC. Cost @ Rs, 10,000 X 5 nos ofHoarding X 7 nos of BPHCDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> <strong>11</strong>8
d). Print materials:1. Pamphlets on health related issues would be developed for ASHA, AWW and PRImembers; the same will be distributed during VHND. In per quarter 20000 copies will bebrought out. Cost of per pamphlets will be Rs. 1 /-2. In every quarter poster on related subject will be developed and distributed to BPHC.Quantity required 8000 per quarter and cost would be Rs.5/- per copy.3. Newsletter will be published in each quarter, which will highlight all the major achievementof NRHM and other National Programme. 4000 copies will be published and will bedistributed to ASHA, AWW PRI etc. Cost @ Rs. 25 X 4000 copies.4. In the Q3 annual report will be published which will reselect the whole activity of thefinancial year. Cost @ Rs. 25 X 4000 copies will be distributed to all concern departments,officials.5. A table calendar will be prepared which will contained IEC message and distributed to allGovt & Private office. The activity will be done in Q3 and 300 nos will be brought out. Cost@ Rs. 50 X 300 nos.F) BCC implementation Components :Capacity Building and training of manpower Designate responsibilities as per task/identifycoordinator and design activity chart1. A District level Workshop on BCC capacity building will be organized for BPM, BEE, HE,LHV during Q1, appox cost of the workshop will be Rs. 10,000/-Special Training on BCC will be organized at BPHC level for ASHA facilitator and ANMs. Thetraining will be organized round the year in all four quarters in phase wise. Cost for per Trainingwill be Rs. 5000/-. In each BPHC 4 nos of training will be organized.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> <strong>11</strong>9
Budget under IEC/BCC PlanSl.No12345Detailed ActivitiesSetting up and development ofIEC/BCC unit at the district level(Procurement of Laptop)Quarterly Budget AllocationsQ1 Q2 Q3 Q435000 350000 0 0Meeting Manpower requirements atDistrict level 0 0 0 0Annexure-IIIRemarksDetails activitiesmay be seen atIEC/BCCStrategy for RCH,Sl No. ADetails activitiesmay be seenIEC/BCCStrategy forRCH,Sl No. CFormative research/situationalanalysis/baseline study to identifyfocus areas105000 105000 105000 105000Develop IEC/BCC StrategyStreamline objectives/identifyCommunication tools/identify mediamix as per target audience/framemonitoring evaluation indicatorsIdentify external agency/Advertisingagency for the task (if needed) 0 0 0 0Media MixDevelop a strategic media mix as perthe target population and issues( ChildHealth, Maternal Health/FamilyPlanning) 0 0 0 0a). Interpersonal Communications 0 0 0 0ICounselling at FRUs, PHCsetc 0 0 0 0iiOne to one interaction byASHAs/ANMs/AWWs 0 0 0 0Group discussions atiiiVillage/Block/Panchayat level ( by BEE,HE, LHV) 148500 148500 148500 148500ivCommunity Meetings ( Will beconducted by VHSC) 0 0 0 0vWorkshops at Panchayath/Block District level 35000 35000 35000 35000b). Community Media 0 0 0 0IFolk arts ( preparation ofAudio Cassette & miking) 91000 91000 91000 91000iiStreet plays ( Rs.3000 X 12months X 7 BPHC) 63000 63000 63000 63000iii Health Melas 25000 0 0 0iv Rallies 17500 17500 17500 17500vSocial MobilisationProgrammes 0 0 0 0c). Outdoor Media 0 0 0 0 DetailsI Banners 150000 150000 150000 150000ii Bus Boards 0 25000 0 0iiiBulletin Boards ( informationBoards 2 nos for per SC wise) 492000 0 492000 0Detailsactivities maybe seenIEC/BCCStrategy for SlNo. E (a)Detailsactivities maybe seen atAnnexure III, SlNo. E (b)activities maybe seenIEC/BCCStrategy for SlDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 120
ivSign ages (Hoardings 5 nosfor per BPHC) 0 350000 0 0d). Television Spots 0 0 0 0e). Radio Programmes 0 0 0 0f). Newspaper advertisements 0 0 0 0g). Print materials 0 0 0 0IPamphlets @ Rs.1/- X 20,000X 4Q 20000 20000 20000 20000ii Poster @ Rs.5 X 8000 X 4Q 40000 40000 40000 40000iii Flip Charts 0 0 0 0ivNewsletter @ Rs.25 X 4000 X4Q 100000 100000 100000 100000vAnnual Report @ Rs. 25 X4000 0 0 100000 0vi Flash cards 0 0 0 0viiCalendars and danglers@ Rs50 X 300 nos 0 0 15000 0BCC implementation Components 0 0 0 06Capacity Building and training ofmanpower Designate responsibilitiesas per task/identify coordinator anddesign activity chart0 0 0 0I Capacity building of Staff 10000 0 0 0ii Internal Workshops 0 0 0 0iiiSpecialised training for Staffmembers 35000 35000 35000 35000Monitoring and evaluation7 Midterm monitoringEvaluation of the Programme 0 0 0 0Total Quarterly Budget 1367000 1530000 1412000 805000No. E (c)Detailsactivities maybe seenIEC/BCCStrategy forRCH,Sl No. E(d)Detailsactivities maybe seenIEC/BCCStrategy forRCH,, Sl No.FTotal BCC/IEC Budget 51,14,000/-DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 121
6.6. PART C: UNIVERSAL IMMUNIZATIONPROGRAMME (UIP)Situational Analysis Of Immunization ProgrammeCurrent Situation of implementation of Immunization ProgrammeDistrict ProfileTotal Population (2001) 16,34,589 As per Census 2001Projected Population (<strong>2010</strong>) 19,07,814Rural (%) 88.3% As per Census 2001Urban (%) <strong>11</strong>.7 As per Census 2001Infant Mortality Rate (IMR) 64/1000 SRS 2008Below Poverty Line (BPL) (%) 36.09% NFHS-3Crude Birth Rate ( CBR) 26.9Infants/Year (<strong>2010</strong>) 44261Pregnancies /Year 52656Sub-Divisions 3District 1Blocks 14Gram Panchayat 172Villages 1359Towns/Urban Areas 3DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 122
INFRASTRUCTURE AND STAFFING LEVELS:Health StaffPositionSanctioned In Position Proposed Trained InPostsAddition Last 3 YearsMedical Officer 139 80 59 80LHV(Female Multi-Purpose HealthSupervisor)Male Multi –purposeHealth SupervisorANM(FemaleMultipurpose Healthworker)Male Multipurpose17 15 To be trainedfor 2 days reorientation54 47 7 47F.W. – 267Med - 62F.W.-180 F.W. – 87 267(F.W &Contractual)203 161 42Health workerContractual ANM 230Contractual GNM 69Dedicated Immunization staffsPosition Sanctioned Post In position ProposedadditionTrained In last 3YearsDist.1 1 TrainedImmunizationOfficerDistrict2 2StatisticalinvestigatorCold ChainMechanic1 1 To be trainedNon CFCDriver (UIPVehicle)1 1 1Public Health InfrastructureBuilding Sanctioned Functioning With FunctionalCold ChainEquipmentSub-centre 246 246 0 5PHC/MPHC/SHC/SD 16 13 <strong>11</strong> 2PHCBlock PHC 7 7 7 3CHC 6 5 5 0ProposedExpansion (No.of Facilities)DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 123
COLD CHAIN STATUS OF DHUBRI DISTRICTSlNo.Name of theLocation/PHC of theCold Chain1 Dist Head Quarter2 <strong>Dhubri</strong> Urban Unit3 Dharmasala BPHC4 Golakganj BPHC5 Halakura BPHC6 Raniganj BPHC7 Chapar BPHC8 Gazarikandi BPHCSl.No.Name of the ColdChain PointNo. ofColdChainPoint1 Dist. F.W.Bureau 22 Dist Ware House 51 Civil Hospital 22 Urban Unit, <strong>Dhubri</strong> <strong>11</strong> Dharmasala PHC 32 Gauripur CHC 1Solar1 Golakganj PHC 3 12 Dhepdhepi 13 Dumurdaha 14 Kachakhana 15Moterjhar(Newly installed)16Berbhangi(Newly installed)17 Tamarhat <strong>11</strong> Halakura PHC 12 Agomoni CHC 13 Satrasal SD 14 Baterhat SD <strong>11</strong> Raniganj PHC 12 Bilasipara 23 Lakhiganj 14 Sapatgram 15 Bagribari <strong>11</strong> Chapar PHC 22 Bahalpur 13 Salkocha 14 Rangamati <strong>11</strong> Gazarikandi PHC 22 Sukchar 13 Mankachar 14Hatsigimari( Newly installed)15Kalapani(Newly installed)9 S Salmara BPHC 1 South Salmara PHC 1Total Cold Chain Point(In 32 Locations)1451(But not working)RemarksKazigaon SD &Tipkai MPHCis now underBTAD areaand fromB.S.F. Hospitalis nowwithdrawnRupsi is nowin BTADarea,Tamarhatis included to<strong>Dhubri</strong> Districtfrom BTADand fromKedar iswithdrawnDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 124
Additional Requirement Of Cold Chain Equipment, <strong>2010</strong>-<strong>11</strong>.Cold Storage Point Total Number ProposedProposedExpansionReplacementILR Storage Point 32 6 2Total Deep Freezer 5 6 2Solar Refrigerator 1 1 5Sl No.ItemStock(Functional)as on 31stDe'09Requirement2009-10 <strong>2010</strong>-<strong>11</strong> 20<strong>11</strong>-121 Cold Chain Equipmentsa) WIC 1b) WIF 1c) ILR 38 8d) DF 29 8e) Cold Boxes 48 25f) Vaccine Carrier 2352 150 150g) Ice Pack 18726 5000 3500 3500h) Vaccine Van 1 1ILR Required :-1. B.S.F. Hospital - 1 No.(Replacement)2. Raniganj PHC - 1 No. (Replacement)3. Kalapani - 1 No.4. Sadullabari - 1 No.5. D.F.W.B. - 1 No.6. Chapor PHC - 1 No7. Moterjahr MPHC - 1 No8. Halakuara PHC - 1 NoDeep Freezer :-1. Dhepdhepi S.D. - 1 No.2. Dumurdaha S.D. - 1 No.3. Tamarhat PHC - 1 No. (Replacement)4. B.S.F. Hospiital - 1 No.5. Kalapani S.D. - 1 No.6. Sadullabari S.D. - 1 No.7. Halakura PHC - 1 No.8. D.F.W.B. - 1 No.(300 lts Replacement)DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 125
U.I.P. Related Training conducted during 09-10:PositionD.I.O. (Mid Level Manager) 1M.O.sLHVs 6ANMs 406Cold Chain handler 64Data Handler 28Numbers(Trained up to Dec’09)Recent PerformanceName ofthe PHCYearly Target(2008-09)Yearly Target(2009-10)Inf PW Inf PWBCG Coverage(in numbers)2008-092009-10OPV-1st DoseCoverage(in numbers)2008-092009-10OPV-3rd DoseCoverage(in numbers)2008-092009-10DPT-1st DoseCoverage(in numbers)2008-092009-10DPT-3rd DoseCoverage(in numbers)2008-092009-10Dharmasala 5860 6972 5860 6972 6<strong>11</strong>1 4328 6385 4298 5320 4378 6385 4298 5320 4378Golakganj 5857 6968 7<strong>11</strong>7 7826 5464 3822 5708 3667 4966 3469 5708 3667 4966 3469Halakura 4390 4878 4481 5079 3497 2257 3726 2339 3797 2539 3726 2339 3797 2539Raniganj 6803 8093 7539 7590 8973 3982 8992 4209 7230 4135 8992 4209 7230 4135Chapor 3216 3823 2606 3100 3218 1989 3162 2760 2750 2143 3162 2760 2750 2143S.Salmara 7717 9181 7717 9181 7979 5335 8417 5396 6277 4571 8417 5396 6277 4571Gazarikandi6957 8277 7079 8421 7555 4758 8380 4356 7322 4235 8380 4356 7322 4235<strong>Dhubri</strong>Urban 1679 1992 1679 1992 1359 695 1386 721 908 524 1386 721 908 524Boat Clinic 486 446 519 514 298 353 519 514 298 3533886 2634Total42479 50184 44078 50161 44642 27612 46675 28260 38868 26347 46675 28260 8 7Name ofthe PHCHep-BBirthDoseCoverage(innumbers)Hep-B1st DoseCoverage(innumbers)Hep-B3rd DoseCoverage(innumbers)MeaslesCoverage(in numbers)TT2 + BoosterCoverage(in numbers)JERoutineVit-A 1st DoseCoverage2008-092009-102008-092009-102008-092009-102008-092009-102008-092009-102008-092009-102008-092009-10Dharmasala0 0 0 0 0 0 4763 4346 5<strong>11</strong>0 4735 0 0 2662 3990Golakganj0 0 0 0 0 0 4087 3301 5601 4073 0 0 3466 3178Halakura 0 0 0 0 0 0 3282 2393 3378 2582 0 0 2858 2329DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 126
Raniganj 0 0 0 0 0 0 5684 3525 7599 5019 0 0 3534 2087Chapor 0 0 0 0 0 0 2144 2018 2490 2050 0 0 975 1526S.Salmara0 0 0 0 0 0 6250 4391 6993 5903 0 0 2591 3751Gazarikandi0 0 0 0 0 0 6083 3875 7092 5562 0 0 2967 3958<strong>Dhubri</strong>Urban 0 0 0 0 0 0 852 476 2028 1704 0 0 704 476Boat Clinic0 0 0 0 0 0 354 223 162 187 0 0 0 59Total 0 0 0 0 0 0 33499 24548 40453 31815 0 0 19757 21354Vaccine preventable Diseases:Name ofthe PHCDiptheriaCaseDeathWhoopingCoughCaseDeathNeonatalTetanusCaseDeathTetanus(Other)CaseDeathMeasles Polio AESCaseDeathCaseDeathCaseDeathDharmasala0 0 0 0 0 0 0 0 90 0 0 0 0 0Golakganj0 0 0 0 0 0 0 0 0 0 0 0 0Halakura 0 0 0 0 0 0 0 0 60 0 0 0 0 0Raniganj 0 0 0 0 0 0 0 0 0 0 0 0 0 0Chapor 0 0 0 0 0 0 0 0 0 0 0 0 0 0S.Salmara0 0 0 0 0 0 0 0 0 0 0 0 0 0Gazarikandi0 0 0 0 0 0 0 0 37 0 0 0 0 0<strong>Dhubri</strong>Urban 0 0 0 0 2 0 1 0 13 0 0 0 0 0Boat Clinic0 0 0 0 0 0 0 0 0 0 0 0 0 0Total 0 0 0 0 2 0 1 0 200 0 0 0 0 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 127
ObjectiveThe Overall goal is to measure to increase immunization coverage rtes. Based on review ofpast performance, assessment of critical bottlenecks and planned activitiesImmunization Coverage Targets:INDICATORS Current 2009-10 Planned <strong>2010</strong>-<strong>11</strong>(upto Jan’10)BCG coverage (%) 70.05% 90%DPT-1 coverage (%) 71.59% 90%DPT-3 coverage (%) 64.13% 90%Measles coverage (%) 61.82% 90%Vit- A coverage (%2+ doses) 42.55% 60%Dropout rate BCG-Measles(%) <strong>11</strong>.75% -Children fully vaccinated by 12months of age (%) from HMISreport53.49% 70%Key performance indicatrs:INDICATORS Current 2009-10 Planned <strong>2010</strong>-<strong>11</strong>% Blocks with routine100 100immunization micro planavailableKey performance indicators:INDICATORS Current 2009-10 Planned <strong>2010</strong>-<strong>11</strong>(upto Nov’09)ANM having received refresher 90% 100%training in Immunizationwithin the last 3 years (%)DIO having participated in- 1mid-level managers (MLM)training within the last 3years(%)DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 128
ACTION PLAN ON UIP PART –C , ASSAM,<strong>2010</strong>-<strong>11</strong> :-As per guidelines laid down, outline action points for implementing delivery scheme at State /Block level, justifying state or State specific deviation from the establishment norms.Total Projected Population : 1907814Pregnant Woman target : 52656Infant Target : 44261Vaccination Sites : 17288Sub Centres : 246Villages : 1359ANM/MPHW : 180Addl. ANM : 2301-2 Years Children = 43880 (2.30% of the projected population)5 years Children = 46169 (2.42% of the projected population)PROPOSED MONTHLY ACTION PLAN FOR ROUTI<strong>NE</strong> IMMUNIZATION : <strong>2010</strong>-<strong>11</strong>Name ofBlock PHCSouthSalmaraNo. Of BlockM.O.No.of S.C.No. OfInstitutionNo. Of SectorM.O.No. Of ColdChain PointNo. of BEENo. of LHVNo. Of SessionPlannedNo. ofUnderservedSessionPopulationYearly Target1 47 6 4 1 1 0 2796 372 290537 8019 6740Gazarikandi 1 44 3 7 3 1 1 2640 276 303650 8381 7045Raniganj 1 48 7 7 9 1 3 3012 156 329098 9083 7635Dharmasala 1 34 3 3 4 1 2 2532 240 327505 9039 7598Golakganj 1 34 7 7 8 1 1 2388 24 271660 7498 6303Halakura 1 22 4 4 4 1 2 1548 96 173330 4784 4021Chapar 1 17 4 4 3 1 4 1500 132 138461 3822 3212<strong>Dhubri</strong>1 1 1 1 756 96 73572 2031 1707UrbanTotal 8 246 34 37 33 8 13 17172 1392 1907814 52656 44261P.W.0-1yr InfantDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 129
Requirement of Vaccine and Syringe during the year <strong>2010</strong>-<strong>11</strong>Name ofBlock PHCRequirement of Vaccine DoseRequirement of SyringeT.T. B.C.G. D.P.T. O.P.V. Measles 0.1 ml 0.5 ml 5 mlImmunizationCardSouthSalmara24056 10<strong>11</strong>1 40443 40443 10<strong>11</strong>1 10<strong>11</strong>1 74610 8481 8019Gazarikandi 25142 10567 42268 42268 10567 10567 77977 7989 8381Raniganj 27249 <strong>11</strong>453 45810 45810 <strong>11</strong>453 <strong>11</strong>453 84512 9075 9083Dharmasala 27<strong>11</strong>7 <strong>11</strong>397 45589 45589 <strong>11</strong>397 <strong>11</strong>397 84103 7656 9039Golakganj 22493 9454 37815 37815 9454 9454 69762 7170 7498Halakura 14352 6032 24128 24128 6032 6032 445<strong>11</strong> 4668 4784Chapar <strong>11</strong>465 4818 19274 19274 4818 4818 35557 4533 3822<strong>Dhubri</strong>Urban6092 2560 10241 10241 2560 2560 18893 2292 2031Total 157967 66392 265568 265568 66392 66392 489927 51864 52656Proposed Activity:Service Delivery Improvement:-a. Mobilization of Children by ASHA : For every 1431 sites we have got one ASHA per site.Invitation card (IPC Slip) to be printed and distributed to ASHA . Missed/Dropout children areto be mobilize or Invited by ASHA to reduce the drop Out. The District will continue forproviding incetive of Rs. 250/- to ASHAs for each fully immunized child as this increases thefull immunization coverage rate of the District as the ASHAs after BCG will keep a track of theinfants in her village as she is from the same village and will accompany the mother to thesub-centre to vaccinate the infant.This will also help the ANM in tracking/vaccinate the infantsas there are instances where the ANM fails to vaccinate the infant as mothers are not willingor forgotten about the date of Immunization of their child but with the help of ASHAsi it will beeasier for the ANM to conveience the mothers and also kepeping a track of the Infants.b. Hard to Reach area/Unreached Area : <strong>11</strong>6 nos of sites per month has been identified asdifficult to reach areas/Char areas/Urban Slums. For Holding the sessions in Underservedand Slum areas ANM will be deputed and Rs. 300/- will be paid as honorarium and Rs. 50/-as contingency to ANM for holding the session.c. Vaccine Delivery (State- Dist. To Cold Chain Pt.) :: Vaccine distribution plans areprepared to distributes vaccine from Dist. to 8 PHC by maintaining proper cold chain.Dist. To PHC :: As per vaccine distribution route map, Vaccine will distribute from Dist. To 8PHC level cold chain pt. by insulated vaccine Van covering 3 PHCs per trip for one monthquota. Per trip POL cost of Rs. 800/-, DA of driver is Rs. 90/-, loading/unloading of Vacc. Andsyringes is Rs. 100/- and maintenance of Vehicle Rs. 800/- PM is planned.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 130
d. ALTERNATE DELIVERY OF VACCI<strong>NE</strong> :For 1431 normal sites Alternate arrangement is planned for vaccine delivery so that ANM canattend the session site in time. In 2009-10, 85% sites were covered, but in next year it will bearranged for 100% Rs. 50/- per normal site.In underserved slum area /Char area of <strong>11</strong>6 nos. it is planned to provide Rs. 100/- per site foralternate vaccine carrying.e. Cold Chain MaintenanceProper Functioning of Cold Chain Equipments (ILR/Deep Frezer/Col-Box/vaccinecarrier etc.) and maintain temperature record of ILD/DF (daily twice), stock of vaccineand syringes at District and PHC level will be ensure during <strong>2010</strong>-<strong>11</strong>. It will also beensured that the quality of vaccine by maintaining proper Cold Chain System atstorage and transportation.f. Computer Assistant under DIO: One Computer Assistant @ Rs.10,000 PM is provided toassist DIO in keeping up to data record on immunization and submit the performance reporton physical and financial as per HIMS/UIP format.g. Supervision and Monitoring : :Rs.4,200/-PM is provided to utilize for POL expenses on supervision and monitoring purposeby Addl. CM&HO (FW)/ DIO to ensure satisfactory performance of immunization programmecovering all sites.At Block PHC leve I.c of BPHC will look after the Immunization Programme and supervise theactivity. In addition Sector MO, BEE, LHV will supervise the activity.h. TRAININGS :(i) 2 Days Training for ANM, LHV & GNMTo improve the quality services of Immunization 2 days refresher training of Healthworkers (ANMs, LHV, GNM etc) along site visits related to immunization will be organized.The batch size should be 25-30 persons in each batch. Priority will be given to those ANMswho have hired drop out rates.456 ANM/ 50 GNM/ 17 LHV will be trained during <strong>2010</strong>-<strong>11</strong>.ii) Vaccine Handlers Training :: One day cold chain handlers training will be organized for64 nos of Vaccine Handlers against 32 Cold Chain storage during <strong>2010</strong>-<strong>11</strong> by District coldchain officers and DIO in a batch of 15-20 trainees. At PHC level Contractual Pharmacist willbe involved for computerized record keeping of Vaccine stock position.iii) Block level Data Handlers Training : For streamlining the reporting system ofimmunization ,the team of block level data handlers to be trained on reporting system at Dist.H.Q. by D.I.O , DDM, and S.I. The participants will be BEE, BPM, LHV and BAM.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 131
iv) Training on Micro Planning :: Block level Meeting/Training will be organized for all subcentres for all ANM, AWW, ASHA, ASHA Facilitator for finalization of Sub centre micro plan.i. Conduct Regular Monthly District and PHC Level Review Meetings:To identify sub center/ institutions lagging behind in performance and therby to take remedialmeasure, to avail opportunity for on site training and to solve the problems, to solve theproblems identified by the participants and to provide feed back monthly review meeting willbe ensured at District and Block Level.j. Injection Safty : Red Bag, Black Bag, Hub Cutter, Twine bucket, Injection pits etc will beensured during <strong>2010</strong>-<strong>11</strong> for ensuring Injection safty.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 132
Budget under UIPExpenditure & Ahievement2005-06 2006-07 2007-08 2008-09 2009-10 (till Nov'09) <strong>2010</strong>-<strong>11</strong>Service DeliveryNormsExpenditureExpenditureExpenditureExpenditureAchievementExpenditureAchievementFundsrequirementTargetRemarksMobility supportfor SupervisionSupervisory visitsby District levelofficers formonitoring andsupervision of RIat Rs.50,000 perdistrict forDistrictlevel officers(this includes POLand Maintenance)per year12600 25162 74400 29457No. ofSessionsSupervised<strong>11</strong>938No. of SessionsSupervised120000No. of SessionsSupervised384 256 408Cold ChainmaintenanceRs.500 per PHC/CHCper year DistrictRs.10000 per year0 36433 1530 25466% fundsused 51400% funds used99% 52%98400% funds usedFocus on slum &underservedareas in urbanareasHiring an ANM@rs.300/ session forfoursessions/month/slumof 10000 populationand Rs.200/- per68600 171500No. ofSessionswith hiredvaccinators0No. of Sessionswith hiredvaccinators134400No. of Sessionswith hiredvaccinatorsDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 133
month ascontingency per slumof i.e total expenseof Rs. 1400/- permonth per slum of10000 population490 0 96Mobilization ofChildren throughASHA/mobilizersRs.150/session (forDistrict)284000 939400No. ofSessionswith ASHA 0No. of Sessionswith ASHA2813400No. of Sessionswith ASHA9394 18756 18756AlternateVaccine DeliveryGeographically Hardto reach areas(session site>30 k.m.from vaccine deliverypoint, river crossingetc) @rs. 100 per RISession0 0 0No. ofSessionswith AVD0No. of Sessionswith AVD385200No. of Sessionswith AVDHilly terrain @Rs.100per RI sessionFor RI session inother areas @ Rs.50per session3852215800 490000 15624 1046600 16104 937800 18756Support forComputerAssistant for RIReporting (withannualincrement of10% w.e.f. from<strong>2010</strong>-<strong>11</strong>)District @ Rs. 8000-10000 p.m.No. of C.A.in positionNo. of C.A. inpositionNo. of C.A. inposition84000 Yes 77000 Yes 120000 YesDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 134
Printing anddissemination ofimmunizationcards, tallysheets,monitoringforms etcRs. 5 per beneficiary 0 0 0 0 25080550161beneficiariesReviewMeetingsQuaterly Review &feedback meeting forexclusive for RI atDistrict level withone Block Mos, ICDSCDPO and otherShakeholders@ Rs100/- per participantfor meetingexpences (launch,Organizationalexpences)0 0 0No ofpersonstrained.No of personstrained.60000No of personstrained.Quaterly reviewmeeting exclusive forRI at Block level @ Rs50/- pp ashonorariam forASHAs (travel) and Rs25 pp at the disposalof MO-I/C formeeting expences(refresments,stationary and misc.expences)147600DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 135
Trainings:District Levelorientationtraining for 2days ANM, MultiPurpose HealthWorker (Male),LHV, HealthAssistant(Male/Female),Nurse Midwives,BEEs & otherspecialist (as perRCH norms)As per revised normsfor trainings underRCH161723No ofpersonstrained344678No of personstrained601301No of personstrained267 412 523Three daystraining ofMedical Officeron RI usingrevised MOtraing moduleAs per revised normsfor trainings underRCHNo ofpersontrainedNo of persontrainedNo of persontrainedone dayrefreshertraining ofDistrict RIComputerAssistants onRIMs/HMIS andImmunizationformats underNRHMAs per revised normsfor trainings underRCHDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 136
One day ColdChain handlerstraing for blocklevel cold chainhandlers by stateand District coldchain officersand DIO for abatch of 15-20trainees andthree trainers.As per revised normsfor trainings underRCH0 10870 0 9040 30 40585No of persontrained1203<strong>11</strong>00No of persontrained60One day trainingof block leveldata handler byDIO and DistCold Chainofficer to trainabout thereportingformats ofImmunizationand NRHMMicroplanning todevelop subcenterand PHCmicroplans usingbottom upplanning withparticipation ofANM, ASHA,As per revised normsfor trainings underRCHat Rs 100/- per SC(meeting atbolcklevel, logistic)No ofpersontrained1850024600No of persontrained28% ofSC/PHC/CHC/Disthave updatedmicroplan thisyear100%1845024600No of persontrained30% ofSC/PHC/CHC/Disthave updatedmicroplan thisyearDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 137
AWWFor consolidation ofmicroplan atPHC/CHC level @ Rs1000/- block & distlevel @ 2000/- perdist.9345 8000 0 8613 13000 24000POL for vaccinedelivery fromdist. ToPHC/CHCsRs 100,000/dist/year 20724 50573 15757 45134% of fundused77509% of fund used73% 38%201600% of fund usedConsumables forcomputerincludingprovision forinternet accessfor RIMsAt Rs 400/-/month/dist4800Injection Safety% fundsused% funds used % funds usedRed/Black/Plasticbags etcat Rs 2/bag/session 37512Bleach/Hypochlorite solutionat Rs 500/PHC/CHC/year4800Twine bucketat Rs400/PHC/CHC/year3200DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 138
Any DistrictSpecific Needwith Justification( please providea separate writeupon objective,stretegy,expected outputand outcomes,basis for costestimates etc.10% of total amountof approved PIP% fundsused% funds used % funds usedTotal 42669 131038 660087 1964333 1705810 6018968DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 139
6.7. PART D: NATIONAL DISEASE CONTROL PROGRAMME6.7.1 National Vector Borne Disease Control Programme (NVBDCP)GOAL: To reduce morbidity and mortality due to malariaOBJECTIVEa. To bring down API from 4.27 to 2b. To bring down PF% from 65.12% to 30%Strategies:1. Early detection and prompt treatment2. Case management & referral3. Integrated Vector control4. BCC & Social Mobilization5. Intersectoral Convergence6. Capacity building (Training)7. Monitoring & EvaluationDISTRICT PROFILE THE DISTRICT IS SITUATED IN THE WESTERN COR<strong>NE</strong>R OF THE STATE OF ASSAM BETWEENLATITUDE 25˚ 28' AND 26˚01'NORTH AND LONGITUDE 89˚59' AND 90˚28' EAST. IT IS SITUATED 35 METER ABOVE THE SEA LEVEL. IT HAS A TOTAL GEOGRAPHICAL AREA OF 2838 SQ.KMS. IT IS BORDER BY KOKRAJHAR DISTRICT ON THE NORTH, MEGHALAYA AND BANGLADESH INSOUTH BOGAIGAON AND GOALPARA DISTRICT IN THE EAST AND WEST BENGAL ANDBANGLADESH IN THE WEST. RIVER BRAHMAPUTRA FLOWS THROUGH THIS DISTRICT AND BESIDE THE DISTRICT INTO TWOPARTS VIZ SOUTH BANK AND NORTH BANK. BILASIPARA, SOUTH SALMARA-MANKACHAR AND DHUBRI ARE THREE SUB-DIVISION OF THEDISTRICT WITH H.Q. AT DHUBRI. THE CLIMATE OF THE DISTRICT IS MAINLY HUMID. THUNDER STORMS OCCUR DURING THE PERIODFROM MARCH TO MAY AND MAY TO OCTOBER IS CONSIDERED AS FLOOD SEASON.Vital Statistics of the Distict at a GlanceGeneral:1. Population - :: 17,28,860 (as per NVBDCP 2009census)2. Tea estate population - :: 9,581 No.s3. BPL population - :: <strong>11</strong>,71,392(as per 2001 census)DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 140
4. Schedule caste - :: 63208(4.8%) (as per 2001 census)5. Schedule tribe - :: 10223 (as per 2007 NVBDCP census)Administrative details1. Area - :: 2797.78 sq.km.2. Sub-division - :: 3 nos2. Development Block - :: 12 nos.3 Village - :: 13024. Panchayat - :: 162 nos5. Municipality - :: 16. Town - :: 37. ICDS - :: 128. Tea garden - :: 3Border area1. Development block - :: 6(Agomani,Golakganj, Dharmasala,SouthSalmara, Fekamari,Mankachar)2. Village - :: 462Health care Delivery InfrastructureGovernment1. Civil Hospital - :: 12. Sub-Divisional Hospital - :; 23. Chest Hospital - :: 14. 20 Bedded Maternity Hospital - :: 15. Block PHC - :: 76. CHC - :: 67. Mini PHC - :: 108. SHC - :: 69. State Dispensary - :: 1410. FRU - :: 2<strong>11</strong>. ESI Hospital - :: <strong>11</strong>2. Police Hospital - :: <strong>11</strong>3. Railway Hospital - :: <strong>11</strong>4. Malaria Clinic - :: 2815. Sub-centre - :: 246Private1. Tea Garden Hospital - :: 1DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 141
Status of Health facilitiesS. No Health facility No1 District Hospital 12 Block PHC 73 Add PHC/ Mini PHC 104 Sub centre 2465 Villages 13026 FTD 1067 ASHA 13978 Rapid response team formed (yes/no) YesHuman ResourceS. No Health facility Sanctioned In Place Trained1 DMO (Full Time) 1 1 Yes2 AMO 1 1 No3 MO 178 130 304 Lab Technician 35 35 335 Lab Technician13 13 13(contractual)*6 Health Supervisors (M) 78 70 127 Health Supervisors (F) 21 8 18 MPW (M) 194 182 1829 MPW (M) (contractual)# 10 9 910 MPW (F) 324 400 52<strong>11</strong> Malaria Technical1 1 YesSupervisor (contractual)*12 ASHA 1397 1397 407PHCNameDharmasalaHalakuraGolokganjYearPHC wise epidemiological information 2005 to 2008PopulationBSC/BSEABERTotalMalariaCasesPf.CasesAPI SPR SFRDeathsdue tomalaria2005 359107 21440 5.97 48 44 0.13 0.22 0.2 Nil2006 368050 30762 8.35 467 432 1.26 1.51 1.4 22007 370801 27426 7.39 281 238 0.75 1.02 0.86 62008 339070 18181 5.36 76 65 0.22 0.41 0.35 Nil2005 132916 <strong>11</strong>947 8.98 18 12 0.13 0.15 0.1 Nil2006 134892 14429 10.6 39 32 0.28 0.27 0.22 Nil2007 138420 12585 9.09 18 16 0.13 0.14 0.12 Nil2008 147552 13203 8.94 13 12 0.08 0.09 0.09 Nil2005 231367 13009 5.62 22 19 0.09 0.16 0.14 Nil2006 229638 18668 8.12 68 41 0.29 0.36 0.21 Nil2007 231698 16065 6.93 66 36 0.28 0.41 0.22 1DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 142
RaniganjChaparSouthSalmaraGazarikandiTOTAL2008 261312 16468 6.30 34 20 0.13 0.20 0.12 Nil2005 314238 <strong>11</strong>083 3.52 107 70 0.34 0.96 0.63 Nil2006 318167 16050 5.04 106 28 0.33 0.66 0.17 22007 3223<strong>11</strong> 13108 4.06 98 67 0.30 0.74 0.51 52008 318221 17590 5.52 <strong>11</strong>3 92 0.35 0.64 0.52 Nil2005 126952 8733 6.87 108 95 0.85 1.23 1.08 Nil2006 127953 15630 12.2 498 405 3.89 3.18 2.59 12007 130173 12709 9.76 248 217 1.90 1.95 1.70 32008 130560 14436 <strong>11</strong>.05 65 35 0.49 0.45 0.24 Nil2005 238562 68854 2.87 47 47 0.19 0.68 0.68 Nil2006 243875 8881 3.64 85 71 0.34 0.95 0.79 Nil2007 257390 108<strong>11</strong> 3.93 <strong>11</strong>0 95 0.42 1.01 0.87 32008 247233 13133 5.31 127 124 0.51 0.96 0.94 Nil2005 264066 21248 8.04 716 708 2.71 3.36 3.33 Nil2006 267783 26413 9.79 <strong>11</strong>69<strong>11</strong>224.36 4.42 4.24 12007 274790 290<strong>11</strong> 10.55 <strong>11</strong>54<strong>11</strong>214.19 3.97 3.86 Nil2008 285746 31323 10.96 983 965 3.44 3.13 3.08 Nil2005 1667208 94314 5.65 1066 995 0.63 1.13 1.05 Nil2006 1692358 130833 7.73 2432213<strong>11</strong>.43 1.85 1.62 62007 1725283 121712 7.05 197517701.14 0.<strong>11</strong> 1.47 182008 1728860 124334 7.18 14<strong>11</strong>13130.81 1.13 1.05 NilPHCNameSub-CentreName<strong>Dhubri</strong>AA1<strong>Dhubri</strong>AA2TownTownSub-centre wise epidemiological information 2007-2008Year Population BSC/BSE ABER TotalMalariacasesPfcasesAPI SPR SFR Deathdue tomalaria2007 28495 287 1.00 0 0 0 0 0 02008 28495 456 1.60 0 0 0 0 0 02007 17373 193 1.<strong>11</strong> 0 0 0 0 0 02008 17373 454 2.61 0 0 0 0 0 0Aironjongla 2007 4590 203 4.42 3 3 0.65 1.47 1.47 0Dharmasala PHC2008 4590 455 9.91 1 1 0.21 0.21 0.21 0Charbhasani 2007 4700 200 4.25 0 0 0 0 0 0BidyaparaBhatigaon2008 4700 452 9.61 0 0 0 0 0 02007 4905 200 4.07 0 0 0 0 0 02008 4905 454 9.25 1 1 0.20 0.22 0.22 0Bidyapara-I 2007 4875 3850 78.97 76 66 15.5 1.97 1.71 1Madhusoulmari-I2008 5075 1972 38.91 10 10 1.97 0.50 0.50 02007 14550 3780 25.97 70 60 4.81 1.85 1.58 02008 14650 675 4.60 2 2 0.13 0.29 0.29 0Tiamari-II 2007 10996 2220 20.18 52 42 4.72 2.34 1.89 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 143
2008 10996 380 3.45 2 2 0.18 0.52 0.52 0Patamari 2007 5220 20 0.38 0 0 0 0 0 02008 5320 232 4.36 0 0 0 0 0 0Bhogdahar 2007 5402 18 0.33 0 0 0 0 0 02008 5902 238 4.03 0 0 0 0 0 0Reserverchar 2007 4910 9 0.18 0 0 0 0 0 02008 5010 235 4.69 0 0 0 0 0 0Kachuarkhash 2007 6120 1215 19.85 8 7 1.30 0.65 0.57 12008 6320 670 10.60 2 2 0.31 0.29 0.290Durahati2007 5108 848 4.33 4 4 0.78 0.47 0.47 02008 5416 680 12.55 0 0 0 0 0 0Singimari-II 2007 4896 704 14.37 3 3 0.61 0.42 0.42 02008 5010 675 13.47 0 0 0 0 0 0Tistarpar 2007 4698 650 13.83 3 3 0.63 0.46 0.46 02008 4898 670 13.67 0 0 0 0 0 0Adabari 2007 15530 1556 10.01 6 5 0.38 0.38 0.32 02008 15830 380 2.40 2 2 0.12 0.52 0.52 0Gaspara 2007 7126 62 0.87 3 2 0.42 4.83 3.22 02008 7650 375 4.90 2 2 0.26 0.53 0.53 0Dubirpar 2007 63<strong>11</strong> 38 0.60 2 1 0.31 5.26 2.63 02008 6512 360 5.52 1 1 0.15 0.27 0.27 0Dharmasala PHCBinnachara 2007 6180 12 0.19 0 0 0 0 0 02008 6518 355 5.44 1 1 0.15 0.28 0.28 0Silghagri 2007 4135 250 6.04 1 0 0.24 0.40 0 02008 4515 270 5.98 1 1 0.22 0.37 0.37 0Howrarpar 2007 3717 262 7.04 0 0 0 0 0 02008 4018 280 5.91 1 1 0.24 0.41 0.41 0Motirchar 2007 3592 291 8.10 0 0 0 0 0 02008 4092 242 5.91 1 1 0.24 0.41 0.41 0Soulmari 2007 5320 170 3.19 0 0 0 0 0 02008 5620 245 4.35 0 0 0 0 0 0Pyestirpar 2007 5812 198 3.40 0 0 0 0 02008 6012 252 4.19 1 1 0.16 0.39 0.39 0Kacharihat 2007 6358 200 3.14 2 0 0.31 1.00 0 0Gouripur TownAC12008 6658 252 3.78 1 1 0.15 0.39 0.39 02007 14898 2771 18.59 12 <strong>11</strong> 0.82 0.43 0.39 02008 15098 700 4.63 4 4 0.26 0.57 0.57 0DharmasalaPHCGauripur TownAC22007 <strong>11</strong>955 760 6.35 4 4 0.35 0.52 0.52 12008 12055 680 5.64 3 3 0.24 0.44 0.44 0Silairpar 2007 3298 305 9.24 1 1 0.31 0.32 0.32 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 144
DarchukaBaladmaraNawarcharFalimari<strong>Dhubri</strong> TownAD1<strong>Dhubri</strong> TownAD2Geramari-IVJhaleralgaAlomganjRangamatiMadaikhaliGhageralgaBoraibari2008 4028 140 5.95 2 2 0.49 0.83 0.83 02007 4490 195 4.34 1 1 0.22 0.51 0.51 02008 2020 100 4.95 0 0 0 0 0 02007 4297 200 4.65 2 2 0.46 1.00 1.00 02008 5097 245 4.80 2 2 0.39 0.81 0.81 02007 4399 98 2.22 0 0 0 0 0 02008 5038 242 4.80 1 1 0.19 0.41 0.41 02007 16898 407 2.40 0 0 0 0 0 02008 16998 680 4.0 1 1 0.05 0.14 0.14 02007 17299 3<strong>11</strong> 1.79 0 0 0 0 0 02008 17398 675 3.88 0 0 0 0 0 02007 20930 283 1.35 0 0 0 0 0 02008 21030 272 1.29 0 0 0 0 0 02007 5319 520 9.77 1 1 0.18 0.19 0.19 02008 5619 262 4.66 1 1 0.17 0.38 0.39 02007 5380 409 7.60 0 0 0 0 0 02008 5680 255 4.48 0 0 0 0 0 02007 8530 180 2.<strong>11</strong> 3 3 0.35 1.66 1.66 12008 8730 362 4.14 1 1 0.<strong>11</strong> 0.27 0.27 02007 7038 180 2.55 0 0 0 0 0 02008 7538 360 4.77 2 2 0.26 0.55 0.55 02007 5060 322 6.36 0 0 0 0 0 02008 5560 375 4.94 1 1 0.17 0.36 0.36 02007 4619 280 6.06 0 0 0 0 0 02008 5019 258 5.14 1 1 0.19 0.38 0.38 02007 5779 300 5.19 0 0 0 0 02008 6012 255 4.24 1 1 0.16 0.39 0.39 0Halakura PHCKherbari-IIIPokalagiAtgharitariGharialdangaChagoliaKoimari2007 4561 370 8.<strong>11</strong> 1 0 0.21 0.27 0 02008 4572 556 12.16 0 0 0 0 0 02007 5152 402 7.87 0 0 0 0 0 02008 5156 560 10.84 0 0 0 0 0 02007 3781 350 9.25 0 0 0 0 0 02008 3791 550 14.50 0 0 0 0 0 02007 4809 360 7.48 0 0 0 0 0 02008 4821 575 <strong>11</strong>.92 0 0 0 0 0 02007 10783 571 5.29 0 0 0 0 0 02008 10793 698 6.46 0 0 0 0 0 02007 6168 566 9.17 1 1 0.16 0.17 0.17 02008 6168 550 8.91 0 0 0 0 0 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 145
KathaltoliBidyardabri-IKherbari-IPokalagi-IIBasirkutiKaldoba-IIIJhaskalPabarchara2007 5884 506 8.59 1 1 0.16 0.19 0.19 02008 5884 556 9.44 1 1 0.16 0.17 0.17 02007 12293 1338 10.88 2 1 0.16 0.14 0.07 02008 12293 542 4.40 3 3 0.24 0.55 0.55 02007 3337 159 4.76 0 0 0 0 0 02008 3337 232 6.95 0 0 0 0 0 02007 3687 150 4.06 0 0 0 0 0 02008 3687 225 6.10 0 0 0 0 0 02007 3491 100 2.86 0 0 0 0 0 02008 3491 202 5.78 0 0 0 0 0 02007 20833 2724 10.88 4 2 0.19 0.14 0.07 02008 20833 3181 15.26 0 0 0 0 0 02007 5476 624 <strong>11</strong>.39 2 2 0.36 0.32 0.32 02008 5476 546 9.97 0 0 0 0 0 02007 5162 614 <strong>11</strong>.89 2 2 0.38 0.32 0.32 02008 5162 540 16.46 3 2 0.58 0.55 0.37 0Halakura PHCTalli-IIMoisa-IIBhamundanga2007 5597 634 <strong>11</strong>.32 1 1 0.17 0.15 0.15 02008 5597 552 9.86 2 2 0.35 0.36 0.36 02007 5595 624 <strong>11</strong>.15 1 1 0.17 0.16 0.16 02008 5594 546 9.75 3 3 0.53 0.54 0.54 02007 7468 427 5.71 0 0 0 0 0 02008 7468 445 5.95 0 0 0 0 0 0Kherbari-IVRangpagliLohajaniSimlabari2007 8855 452 5.10 1 1 0.<strong>11</strong> 0.22 0.22 02008 8855 438 4.92 0 0 0 0 0 02007 6298 402 4.38 1 1 0.15 0.24 0.24 02008 6298 452 7.17 1 1 0.15 0.22 0.22 02007 4791 575 12.00 1 1 0.20 0.17 0.17 02008 4791 587 12.25 0 0 0 0 0 02007 4400 572 13.00 0 0 0 0 0 02008 4400 570 12.95 0 0 0 0 0 0PHCNameGolokganj PHCSub-CentreNameGolokganjBA1RatiadahaKanoriYear Population BSC/BSE ABERTotalMalariacasesPfcasesAPI SPR SFRDeathdue tomalaria2007 21030 3336 15.14 26 12 1.18 0.77 0.35 02008 21934 3174 14.47 5 3 0.22 0.15 0.09 02007 4021 238 5.91 0 0 0 0 0 02008 4021 215 5.34 0 0 0 0 0 02007 3516 215 6.<strong>11</strong> 0 0 0 0 0 02008 3516 238 6.76 0 0 0 0 0 0Bishkhowa 2007 3783 208 5.49 0 0 0 0 0 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 146
Golokganj PHCBishkhowa-IVGaikhowaMajercharRakhalpathSonahatBerbhangiBA4PratapganjBisandoiB.N. CharialiDafarpurBaroCharaikholaSouth RaipurDhepdhapiBatuatoliSukatikhataLalkuraDumardahaBalajanSahebganj2008 3783 195 5.15 0 0 0 0 0 02007 3550 220 6.20 0 0 0 0 0 02008 3550 226 6.36 0 0 0 0 0 02007 3358 215 6.40 1 1 0.29 0.46 0.46 02008 3303 313 9.47 3 2 0.90 0.95 0.60 02007 2861 180 6.29 0 0 0 0 0 12008 28<strong>11</strong> 227 8.07 1 1 0.35 0.44 0.44 02007 3549 205 5.77 0 0 0 0 0 02008 3499 285 8.16 0 0 0 0 0 02007 35<strong>11</strong> 200 5.69 0 0 0 0 0 02008 34<strong>11</strong> 125 3.66 0 0 0 0 0 02007 14558 946 6.08 3 2 0.19 0.31 0.21 02008 13743 <strong>11</strong>12 8.09 2 2 0.14 0.17 0.17 02007 15135 1675 10.38 1 0 0.06 0.05 0 02008 16049 1569 9.77 2 0 0.12 0.12 0 02007 8642 485 5.48 0 0 0 0 0 02008 8807 721 8.18 5 2 0.56 0.69 0.41 02007 8559 482 5.56 0 0 0 0 0 02008 8559 636 7.43 1 1 0.<strong>11</strong> 0.15 0.15 02007 9147 605 6.61 0 0 0 0 0 02008 9095 753 8.27 2 2 0.21 0.26 0.26 02007 7502 580 7.64 0 0 0 0 0 02008 7541 530 7.02 1 1 0.13 0.18 0.18 02007 4621 425 9.19 1 0 0.21 0.23 0 02008 4601 518 <strong>11</strong>.25 7 5 1.52 1.35 0.96 02007 5041 438 8.68 0 0 0 0 0 02008 5021 823 16.39 0 0 0 0 0 02007 4255 400 9.40 0 0 0 0 0 02008 4254 222 5.21 3 1 0.70 1.35 0.45 02007 4689 38 0.81 0 0 0 0 0 02008 4688 137 2.92 0 0 0 0 0 02007 5685 40 0.70 0 0 0 0 0 02008 5665 <strong>11</strong>9 2.10 0 0 0 0 0 02007 4997 296 5.92 1 0 0.20 0.33 0 02008 4947 310 6.26 0 0 0 0 0 02007 4888 278 5.68 1 1 0.20 0.35 0.35 02008 4830 226 4.67 0 0 0 0 0 02007 5083 316 6.21 1 1 0.19 0.31 0.31 02008 4033 319 7.90 0 0 0 0 0 0Khudimari 2007 6035 327 5.16 3 0 0.47 0.91 0 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 147
Golokganj PHCChapgharHariharkutiUttarGadadharBhatipatlaPaglahatUjanpatlaMadhyapatlaTamarhatKamandangaPokalagiChotogumaKaimmatiBainnaguri2008 6315 417 6.60 0 0 0 0 0 02007 7051 327 4.57 0 0 0 0 0 02008 7122 375 5.26 0 0 0 0 0 02007 5440 325 5.76 0 0 0 0 0 02008 5620 301 5.35 0 0 0 0 0 02007 <strong>11</strong>998 991 7.31 0 0 0 0 0 02008 12882 730 5.66 0 0 0 0 0 02007 5413 181 3.34 0 0 0 0 0 02008 3583 274 5.09 0 0 0 0 0 02007 5306 178 3.35 2 1 0.38 1.12 0.56 02008 5276 103 1.95 0 0 0 0 0 02007 4592 263 5.72 0 0 0 0 0 02008 4540 337 7.42 5 2 1.10 1.48 0.59 02007 3890 258 5.72 0 0 0 0 0 02008 3838 285 7.42 3 3 0.78 1.05 1.05 02007 0 0 0 0 0 0 0 0 02008 18658 79 0.42 0 0 0 0 0 02007 0 0 0 0 0 0 0 0 02008 8090 0 0 0 0 0 0 0 02007 0 0 0 0 0 0 0 0 02008 5538 57 1.02 0 0 0 0 0 02007 0 0 0 0 0 0 0 0 02008 5553 61 1.09 0 0 0 0 0 02007 0 0 0 0 0 0 0 0 02008 37<strong>11</strong> 38 1.20 0 0 0 0 0 02007 0 0 0 0 0 0 0 0 02008 900 49 5.44 0 0 0 0 0 0PHCNameSub-CentreNameChaparTownAriarjharYear Population BSC/BSE ABER TotalMalariacasesPfcasesAPI SPR SFR Deathdue tomalaria2007 15030 5070 33.73 84 72 5.58 1.65 1.42 02008 15127 5106 33.75 20 16 1.32 0.39 0.31 02007 3803 804 21.14 20 19 5.25 2.48 2.36 02008 3120 630 20.19 6 5 1.92 0.95 0.79 0Chapar PHCFalimariBaterdal2007 6148 329 5.35 2 2 0.32 0.60 0.60 02008 6098 374 6.13 3 2 0.49 0.97 0.53 02007 4773 320 6.70 2 2 0.41 0.62 0.62 02008 4723 250 5.29 0 0 0 0 0 0Barnitara2007 4799 340 7.08 2 2 0.42 0.59 0.59 22008 4754 165 3.47 0 0 0 0 0 0Dhirghat 2007 6083 130 2.13 1 1 0.16 0.76 0.76 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 148
2008 5883 290 4.92 1 0 0.16 0.34 0 0SoulmariSimlabariIslamariBazarKaljaniNoonmatiSantospurHaridolJalikura2007 5579 104 1.86 0 0 0 0 0 02008 5179 150 2.89 0 0 0 0 0 02007 5053 100 1.97 0 0 0 0 0 02008 4853 165 3.19 0 0 0 0 0 02007 13335 4218 31.63 181 156 13.57 4.29 3.69 12008 13279 3681 27.72 25 10 1.88 0.67 0.27 02007 3995 200 5.00 1 1 0.25 0.50 0.50 02008 2900 94 3.24 0 0 0 0 0 02007 8580 92 1.07 1 1 0.<strong>11</strong> 0.20 0.20 02008 8883 497 5.59 1 1 0.<strong>11</strong> 0.20 0.20 02007 6435 260 4.04 0 0 0 0 0 02008 6406 290 4.52 0 0 0 0 0 02007 3952 0 0 0 0 0 0 0 02008 3902 132 3.31 1 1 0.25 0.75 0.75 02007 4082 270 6.61 2 2 0.48 0.74 0.74 02008 3982 245 6.15 0 0 0 0 0 0Chapar PHCBahalpurHardemara2007 4628 310 6.69 3 3 0.64 0.96 0.96 02008 4528 660 14.57 3 1 0.66 0.45 0.15 02007 4295 260 6.05 1 1 0.23 0.38 0.38 02008 4280 255 5.95 0 0 0 0 0 0KursamariChampabati2007 6827 810 <strong>11</strong>.86 5 5 0.73 0.61 0.61 02008 6727 640 9.51 2 2 0.29 0.31 0.31 02007 6988 820 <strong>11</strong>.74 6 5 0.85 0.73 0.60 02008 6955 707 10.16 2 1 0.28 0.28 0.14 0PHCNameSub-CentreNameFasatpurPanbariChowtaraYear Population BSC/BSE ABER TotalMalariacasesPfcasesAPI SPR SFR Deathdue tomalaria2007 2221 38 1.71 1 0 0.45 2.63 0 02008 1973 93 4.7 0 0 0 0 0 02007 2762 30 1.08 0 0 0 0 0 02008 2005 101 4.90 0 0 0 0 0 0Raniganj PHCAmbariPiyazbariPubSadhubhasa2007 3088 46 1.48 0 0 0 0 0 02008 2086 94 4.50 0 0 0 0 0 02007 3260 20 0.61 1 1 0.30 5.00 5.00 12008 1856 88 4.70 2 2 1.0 2.2 1.13 02007 3826 38 1.21 0 0 0 0 0 02008 1945 91 4.60 0 0 0 0 0 0Bagribari2007 <strong>11</strong>141 803 7.20 10 10 0.89 1.24 1.24 02008 <strong>11</strong>996 710 5.90 2 2 0.10 0.20 0.14 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 149
Raniganj PHCPathakataBarogirairJogirmahal(Chotogirair)GutiparaMurabariBorkandaTamakubariAndamariKalaircharChoudhurycharJharnarcharNayeralgaPub NayeralgaThakuraralgaMayarcharBuchircharKazaikataKazaikata-IVRaniganjLutapara2007 9399 49 4.25 3 1 0.31 0.75 0.25 02008 7949 409 5.10 2 2 0.20 0.48 0.48 02007 3210 38 1.18 0 0 0 0 0 02008 7225 102 1.40 0 0 0 0 0 02007 2878 30 1.04 0 0 0 0 0 02008 9225 168 1.80 0 0 0 0 0 02007 3781 46 1.21 0 0 0 0 0 12008 4104 48 1.10 0 0 0 0 0 02007 3230 30 0.92 0 0 0 0 0 02008 3946 40 1.0 0 0 0 0 0 02007 9183 60 0.65 0 0 0 0 0 02008 5679 <strong>11</strong>7 2.0 0 0 0 0 0 02007 7908 25 0.31 0 0 0 0 0 02008 6800 0 0 0 0 0 0 0 02007 3602 46 1.27 0 0 0 0 0 02008 3937 120 3.0 0 0 0 0 0 02007 3718 38 1.02 0 0 0 0 0 02008 4021 127 3.10 0 0 0 0 0 02007 4389 30 0.68 1 0 0.22 3.33 0 02008 3853 131 3.30 0 0 0 0 0 02007 8002 38 0.47 0 0 0 0 0 02008 3415 318 3.70 0 0 0 0 0 02007 12590 570 4.52 1 1 0.07 0.17 0.17 12008 14102 528 3.70 4 4 0.20 0.70 0.70 02007 12370 509 4.<strong>11</strong> 0 0 0 0 0 02008 12603 377 2.90 0 0 0 0 0 02007 6893 228 3.30 0 0 0 0 0 02008 6776 278 4.10 3 3 0.40 1.0 1.0 02007 6357 220 3.46 0 0 0 0 0 02008 6554 249 3.70 0 0 0 0 0 02007 4153 240 4.77 0 0 0 0 0 02008 5436 237 4.30 0 0 0 0 0 02007 6241 256 4.10 0 0 0 0 0 02008 5540 228 4.10 0 0 0 0 0 02007 4969 235 4.72 0 0 0 0 0 02008 5333 201 3.70 0 0 0 0 0 02007 12350 1202 9.73 26 23 2.10 2.16 1.91 02008 6623 1228 81.5 15 13 2.26 1.20 1.0 02007 6624 0 0 0 0 0 0 0 02008 6624 394 5.90 7 5 1.0 1.7 1.20 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 150
Raniganj PHCRaniganj PHCKoimariFutkibariKhudigaonDhemdhamaBilasiparaHatipotaMasaneralgaHawdertariGobordhanparaSutaparaKaliparaKachuagaonBhoterkandaMasparaSagunmariRokakhataKathuliparaSechapaniDhanpurPukhuripara2007 14350 759 5.28 13 13 0.90 1.71 1.71 02008 14392 521 8.10 8 6 1.20 1.50 1.10 02007 12153 296 2.43 3 3 0.24 1.01 1.01 02008 12205 1479 12.10 <strong>11</strong> 10 0.90 0.70 0.70 02007 4305 38 0.88 0 0 0 0 0 02008 <strong>11</strong>005 304 2.70 0 0 0 0 0 02007 6024 95 1.57 0 0 0 0 0 02008 6<strong>11</strong>9 369 6.0 0 0 0 0 0 02007 19072 2534 13.28 16 6 0.83 0.63 0.23 12008 19791 2426 12.20 <strong>11</strong> <strong>11</strong> 0.50 0.40 0.40 02007 3021 145 4.79 0 0 0 0 0 02008 6807 213 3.01 0 0 0 0 0 02007 2819 140 4.96 0 0 0 0 0 02008 7307 197 2.60 0 0 0 0 0 02007 1726 98 5.67 0 0 0 0 0 02008 1900 84 4.40 0 0 0 0 0 02007 2473 93 3.76 0 0 0 0 0 02008 1865 75 4.0 0 0 0 0 0 02007 2127 80 3.76 0 0 0 0 0 02008 2003 95 4.70 0 0 0 0 0 02007 1748 90 5.14 0 0 0 0 0 02008 1795 104 5.70 0 0 0 0 0 02007 1667 106 6.35 0 0 0 0 0 02008 1902 104 5.40 0 0 0 0 0 02007 1514 96 6.34 0 0 0 0 0 02008 1936 77 3.90 0 0 0 0 0 02007 6820 441 6.46 0 0 0 0 0 02008 4510 267 5.90 0 0 0 0 0 02007 6704 440 4.56 0 0 0 0 0 02008 4630 284 6.0 0 0 0 0 0 02007 7004 440 6.28 0 0 0 0 0 02008 3803 384 4.30 0 0 0 0 0 02007 4126 406 9.84 0 0 0 0 0 02008 3990 294 3.20 0 0 0 0 0 02007 4919 76 1.54 4 0 0.81 5.26 0 02008 4393 162 3.60 6 2 1.30 3.70 1.20 02007 4242 84 1.98 2 2 0.47 2.38 2.38 02008 4721 147 3.40 6 4 1.20 4.0 2.72 02007 4471 68 1.52 4 0 0.89 5.88 0 02008 4896 175 3.50 3 3 0.60 1.70 1.70 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 151
AyshakutiSapatgramKadamtolaRabantariSuripara2007 4023 88 2.18 3 0 0.74 3.4 0 02008 4429 200 4.50 0 0 0 0 0 02007 9061 298 3.28 8 6 0.88 2.68 2.01 02008 9486 382 4.0 6 4 0.60 1.50 1.0 02007 3695 84 2.27 2 0 0.54 2.38 0 02008 4019 230 5.70 2 1 0.40 0.80 0.40 02007 4493 68 1.51 0 0 0 0 0 02008 5548 41 0.70 2 2 0.30 0.80 0.80 02007 4012 66 1.64 0 0 0 0 0 02008 4335 44 1.0 0 0 0 0 0 0Gazarikandi PHCGazarikandiPHCKakripara2007 7<strong>11</strong>6 776 10.90 58 55 8.15 7.47 7.08 02008 9744 <strong>11</strong>96 12.2 64 64 6.5 5.4 5.4 0Jhagrarchar2007 6289 322 5.12 <strong>11</strong> <strong>11</strong> 1.74 3.41 3.41 02008 4675 330 7.0 16 16 3.4 4.8 4.8 0Dakergram2007 6076 256 4.21 10 8 1.64 3.90 3.12 02008 4959 324 6.50 27 27 5.4 8.3 8.3 0Thakuranbari2007 6890 633 9.18 40 38 5.80 6.31 6.0 02008 8435 506 5.9 26 25 3.0 5.1 4.9 0Mankachar2007 7157 2880 40.24 27 27 3.77 0.93 0.93 02008 10946 3378 30.8 35 35 3.1 1.0 1.0 0Sonarpara2007 7284 641 8.80 18 17 2.47 2.80 2.65 02008 6937 733 10.5 27 26 3.8 3.6 3.5 0Barmanpara2007 7164 297 4.14 6 6 0.83 2.02 2.02 02008 4203 385 9.1 4 4 0.90 1.0 1.0 0Jordanga2007 5264 542 10.29 14 14 2.65 2.58 2.58 02008 4563 451 9.8 26 26 5.6 5.7 5.7 0Kuchnimara2007 5481 422 7.69 17 17 3.10 4.02 4.02 02008 6404 415 6.4 20 20 3.10 4.80 4.80 0Jhaudanga2007 5809 1085 18.67 29 28 4.99 2.67 2.58 02008 7336 1491 20.30 38 38 5.1 2.5 2.5 0Pubergram2007 5753 449 7.80 6 6 1.04 1.33 1.33 02008 5044 502 9.9 16 16 3.17 3.18 3.18 0Jhalorchar2007 7199 586 8.14 38 35 5.0 6.14 5.97 02008 6406 516 8.10 21 21 3.2 4.0 4.0 0Diarabazar2007 7141 912 12.77 45 42 6.3 4.93 4.6 02008 6947 <strong>11</strong>93 17.10 26 26 3.70 2.10 2.10 0Kukurmara2007 3960 616 15.55 56 55 14.14 9.09 8.89 02008 4592 544 <strong>11</strong>.80 33 33 7.10 6.0 6.0 0Dharakoba 2007 3907 325 8.31 18 15 4.60 5.53 4.61 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 152
2008 3754 529 41.0 23 22 6.10 4.30 4.10 0Bhurakata2007 3896 693 17.78 22 22 5.64 3.17 3.17 02008 62<strong>11</strong> 509 8.10 22 22 3.50 4.30 4.30 0Pipulbari2007 4288 161 3.75 21 21 4.89 13.0 13.0 02008 3847 315 8.10 14 13 3.60 4.40 4.10 0Gazarikandi2007 7385 4491 60.18 122 106 16.51 2.71 2.36 02008 9315 6<strong>11</strong>1 65.60 125 <strong>11</strong>5 13.30 2.0 1.8 0Purandiara2007 7339 1819 24.78 79 75 10.76 4.34 4.12 02008 6990 1506 20.5 73 72 10.40 4.80 4.70 0Fekamari2007 10239 312 3.04 47 45 4.59 15.06 13.46 02008 17930 588 3.20 15 15 0.80 2.50 2.50 0Manullahpara2007 9987 174 1.74 16 13 1.60 9.19 7.47 02008 7820 202 2.50 4 4 0.50 1.90 1.90 0Bamunpara2007 10006 217 2.16 21 20 2.09 9.67 9.32 02008 4635 367 7.90 32 30 6.90 8.70 8.10 0Fulerchar2007 12521 498 3.97 20 20 1.59 4.01 4.01 02008 9425 572 6.0 9 9 0.90 1.50 1.50 0Bangirchar2007 <strong>11</strong>982 434 3.06 18 18 1.50 4.14 4.14 02008 6175 244 3.90 3 3 0.40 1.20 1.20 0Sukhchar2007 3907 2283 58.43 28 28 7.16 1.22 1.22 02008 3542 417 <strong>11</strong>.70 17 17 4.70 4.0 4.0 0Bamuneralga2007 3884 203 5.22 37 37 9.52 18.22 18.22 02008 5393 499 9.20 21 20 3.80 4.20 4.0 0Berabhanga2007 3861 485 12.56 51 51 13.20 10.50 10.50 02008 5077 429 8.40 29 29 5.70 6.70 6.70 0Molakhowa2007 3831 350 9.13 63 60 16.44 18.0 17.14 02008 3637 475 13.0 29 29 7.90 6.10 6.10 0Gokulpur2007 3909 169 4.32 29 29 7.41 17.10 17.10 02008 6393 473 7.30 28 28 4.30 5.90 5.90 0Firingirchar2007 3755 29 0.77 4 4 1.06 13.70 13.70 02008 3532 189 5.30 9 9 2.50 4.70 4.70 0Kanaimara2007 1908 352 18.44 13 1 6.81 3.69 0.28 02008 2963 338 <strong>11</strong>.40 <strong>11</strong> 10 3.70 3.20 2.90 0Kokradanga2007 1861 168 9.02 9 9 4.83 5.35 5.35 02008 3546 137 3.80 0 0 0 0 0 0Boreralga2007 1939 198 10.21 2 2 1.03 1.01 1.01 02008 6526 56 0.80 0 0 0 0 0 0Bheramara2007 1856 37 1.99 3 3 1.61 8.10 8.10 02008 3400 32 0.9 1 1 0.20 3.10 3.10 0Khopatia 2007 3248 472 14.53 18 18 5.54 3.81 3.81 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 153
K.K. M ParaHazirhatTakimariCharbatbariTapalparaPankataBaghaparaBorkonaSadullahbariBengervitaTangaonPipulbariBazarJewali2008 6107 528 8.60 29 29 4.7 5.4 5.4 02007 3315 128 3.86 1 1 0.3 0.78 0.78 02008 5951 80 1.30 6 6 1.0 7.5 7.5 02007 3270 71 2.17 2 2 0.61 2.81 2.81 02008 5415 25 0.40 3 3 0.5 12.0 12.0 02007 3343 0 0 0 0 0 0 0 02008 5663 0 0 0 0 0 0 0 02007 3065 220 7.17 5 5 1.63 2.27 2.27 02008 5232 215 4.10 1 1 0.10 0.40 0.40 02007 4245 51 1.20 3 3 0.70 5.88 5.88 02008 4701 214 4.50 1 1 0.20 0.4 0.4 02007 4082 40 0.97 5 5 2.44 12.0 12.0 02008 2185 232 10.60 6 6 3.0 2.5 2.50 02007 7803 255 3.26 24 24 3.07 9.41 9.41 02008 6658 518 7.70 6 6 0.90 1.10 1.10 02007 7467 176 2.35 19 18 2.54 10.7 10.2 02008 10032 342 3.40 19 19 1.80 5.50 5.50 02007 10395 735 7.07 18 18 1.73 2.44 2.44 02008 10206 1203 <strong>11</strong>.70 23 23 2.20 1.90 1.90 02007 9998 262 2.62 8 8 0.80 3.05 3.05 02008 7064 364 5.10 <strong>11</strong> <strong>11</strong> 1.50 3.0 3.0 02007 4505 228 5.06 <strong>11</strong> 10 2.44 4.82 4.82 02008 5307 240 4.50 17 17 3.20 7.10 7.10 02007 4380 270 6.16 14 13 3.19 5.18 4.81 02008 4857 250 5.10 15 15 3.10 6.10 6.10 02007 4632 271 5.85 24 24 5.18 8.85 8.85 02008 3630 275 7.50 10 10 2.70 3.60 3.60 0Madertari2007 7204 950 13.18 14 10 1.94 1.47 1.05 02008 6334 932 14.70 8 8 1.26 0.85 0.85 0South Salmara PHCChoto NisampurGossaindubiMajercharChalakuraChirakuti2007 6372 905 14.20 7 5 1.09 0.77 0.55 02008 5602 385 6.87 0 0 0 0 0 02007 8027 250 3.<strong>11</strong> 1 1 0.12 0.4 0.4 02008 5140 152 2.95 1 1 0.19 0.65 0.65 02007 7014 186 2.65 1 1 0.12 0.4 0.4 12008 6736 170 2.52 0 0 0 0 0 02007 5563 76 1.36 0 0 0 0 0 02008 6706 250 3.72 2 2 0.29 0.80 0.80 0Nayaparwa2007 5830 87 1.49 0 0 0 0 0 02008 4673 194 4.15 0 0 0 0 0 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 154
FeskamariJamdarhatFalimariSatsiaJaruarcharPadmaralga-IPadmaralga-IIPayestidimatolaRiverblock-IIIBaladmaraAirkataRiverchala2007 5046 65 1.28 0 0 0 0 0 02008 5484 205 3.73 0 0 0 0 0 02007 5013 300 5.98 0 0 0 0 0 02008 3530 239 6.71 1 1 0.28 0.42 0.42 02007 4219 268 6.35 0 0 0 0 0 02008 5212 233 4.47 0 0 0 0 0 02007 4507 310 6.87 0 0 0 0 0 02008 6634 257 3.87 1 1 1.15 0.38 0.38 02007 <strong>11</strong>370 285 2.50 0 0 0 0 0 02008 10885 303 5.53 0 0 0 0 0 02007 3548 125 3.52 0 0 0 0 0 02008 6976 105 1.50 0 0 0 0 0 02007 3819 <strong>11</strong>7 3.06 0 0 0 0 0 02008 5723 184 3.21 0 0 0 0 0 02007 3799 131 3.44 0 0 0 0 0 02008 6671 98 1.46 0 0 0 0 0 02007 3520 <strong>11</strong>8 3.35 0 0 0 0 0 02008 4689 302 6.30 0 0 0 0 0 02007 13277 1090 8.20 0 0 0 0 0 02008 7412 712 9.60 0 0 0 0 0 02007 4517 205 4.53 0 0 0 0 0 02008 5054 214 4.23 0 0 0 0 0 02007 3793 200 5.27 0 0 0 0 0 02008 4126 195 4.72 0 0 0 0 0 0South Salmara PHCKushbariSundarparaSalkata2007 39<strong>11</strong> 252 6.44 0 0 0 0 0 02008 5287 227 4.29 0 0 0 0 0 02007 3360 202 6.01 0 0 0 0 0 02008 4278 136 3.17 0 0 0 0 0 02007 4158 250 6.01 1 1 0.24 0.40 0.40 02008 8999 325 3.61 0 0 0 0 0 0Borkalia (Chatlabilpara)NamaserchowRadhuramchalaAmbariRavatari2007 4<strong>11</strong>9 265 6.43 0 0 0 0 0 12008 6509 250 4.62 0 0 0 0 0 02007 4625 275 5.94 0 0 0 0 0 02008 7074 196 2.77 0 0 0 0 0 02007 3593 215 5.98 0 0 0 0 0 02008 8208 250 3.04 0 0 0 0 0 02007 5680 243 4.27 0 0 0 0 0 02008 3747 105 2.80 0 0 0 0 0 02007 6014 263 4.37 0 0 0 0 0 02008 6962 3<strong>11</strong> 4.46 0 0 0 0 0 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 155
BauskataDhenerkutiS. Salmara BazarSimlakandiTumniDawakandiBhalukkandiPatakataSatdubiKatdangaMonircharMuthakhowa-IMuthakhowa-IIKatiaralgaNatineralgaGolaperalgaMuhurircharFakirganjSalaparaChalbandharcharChoudhury Char2007 5502 225 4.08 0 0 0 0 0 02008 5360 264 4.92 0 0 0 0 0 02007 6254 892 14.26 26 18 4.15 2.91 2.69 02008 8891 209 2.35 5 5 0.56 2.39 2.39 02007 7358 893 12.13 44 24 5.97 4.92 2.68 02008 4590 899 19.50 19 19 4.13 2.<strong>11</strong> 2.<strong>11</strong> 02007 4848 83 1.71 3 1 0.61 3.61 1.30 02008 5637 897 15.90 21 21 3.72 2.34 2.34 02007 4780 82 1.71 3 1 0.62 3.65 2.43 02008 5764 107 1.85 7 7 1.21 6.54 6.54 02007 4798 166 3.45 4 2 0.83 2.40 1.20 12008 5439 252 0.20 <strong>11</strong> <strong>11</strong> 2.02 4.36 4.36 02007 4008 57 1.42 0 0 0 0 0 02008 5393 138 2.55 5 5 0.92 3.62 6.622007 3550 42 1.18 0 0 0 0 0 02008 4424 122 2.75 1 1 0.22 0.81 0.81 02007 4180 59 1.41 0 0 0 0 0 02008 6856 97 1.41 2 2 0.29 2.06 2.06 02007 4365 62 1.42 0 0 0 0 0 02008 5764 205 3.55 17 17 2.94 8.29 8.29 02007 3605 10 0.27 0 0 0 0 0 02008 4916 102 2.07 0 0 0 0 0 02007 3550 8 0.22 0 0 0 0 0 02008 5604 106 1.89 0 0 0 0 0 02007 3677 10 0.27 0 0 0 0 0 02008 6647 89 1.30 0 0 0 0 0 02007 6067 275 4.53 0 0 0 0 0 02008 5142 402 7.81 0 0 0 0 0 02007 5562 250 4.49 0 0 0 0 0 02008 7726 325 4.20 0 0 0 0 0 02007 5625 256 4.50 0 0 0 0 0 02008 4406 82 1.86 0 0 0 0 0 02007 0 0 0 0 0 0 0 0 02008 4278 446 10.40 0 0 0 0 0 02007 0 0 0 0 0 0 0 0 02008 3151 122 3.87 0 0 0 0 0 02007 0 0 0 0 0 0 0 0 02008 3631 270 7.43 0 0 0 0 0 02007 0 0 0 0 0 0 0 0 02008 6482 108 1.66 0 0 0 0 0 0DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 156
MonthBSC/BSEMONTH-WISE EPIDEMIOLOGICAL REPORT FOR THE YEAR 2009Population of the district :: 17,28,860 No.sNo. ofTotalpositiveNo.of PfNo.of PVSPR SFR MBERRTGivenDeath (ifJanuary 5532 36 33 3 0.65 0.60 0.32 36 NilFebruary 6621 46 40 6 0.69 0.60 0.38 46 NilMarch 8074 59 51 8 0.73 0.63 0.47 59 NilApril 8726 130 125 5 1.49 1.43 0.50 130 NilMay 12605 262 251 <strong>11</strong> 2.08 1.99 0.73 262 1June 19903 314 304 10 1.58 1.53 1.15 314 2July 23831 294 282 12 1.23 1.18 1.38 294 NilAugust 14061 121 <strong>11</strong>8 3 0.86 0.84 0.81 121 1September 10865 86 82 4 0.79 0.75 0.62 76 NilOctober 13478 105 100 5 0.77 0.74 0.77 105 Nilany)SURVEILLANCEActive :- Active surveillance done by 103 numbers of surveillance worker . For propersurveillance each sub centre is to be manned by MPW(M).Total sub-centre = 246Existing SW = 103 No.sNMA = 17Vaccinator = 43BCG Tech. = 6Health Asstt. = 10MPW =10Total=189 No.sWe need additional 57 (Fifty seven) MPW (M). Surveillance worker alreadymobilized to the priority areas for proper active surveillance .Supervision of surveillance activityVillage Level /Sub-Centre Level PHC Level District LevelS.IM.I./ S.M.I.C.M & H.O ( CD ) / DMO /AMO / MTSDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 157
Passive SurveillancePassive surveillance done by ASHA , FTD , and ANM in this Sub-centre .Malaria .Total 1397 number of ASHA have already been selected and they will be trained onTraining Programme of ASHA on Malaria.TotalNo. ofASHATotalASHAtrainedonMalariaTrainingSession1397 407 16 Batch ( 50no.s participantsin each batch )Date Venue ResourcepersonWithinApril/<strong>2010</strong>PHCHeadquarter• 407 no. ASHA of the priority villages already trained.sHigh Risk Areas:CM & HO(CD)/DMO.SupervisionFromState Hq.Officer.S. No Name of PHC High risk Sub High risk High risk Tribal Population (no)centre (no) Village (no) Population (no)1Dharmasala6 21 46,297 Nil2.345RaniganjChaparSouth SalmaraGazarikandi7 47 51,881 Nil6 55 52,242 5,2408 31 42,836 Nil45 236 2,85,746 5,580District Total 72 390 4,79,002 10,820Classify the areas as per following API rangesS. No API PHCs (No)Sub centre(No)Villages(No)Population @Village (No)% population ofDistrict1 10 1 2 13 16,305 0.94Total 7 246 1302 17,28,860Outbreak: Yes/ no if yes; Yes.• No of outbreaks : 1• Area affected : Fakirganj area under South Salmara PHC.• Period of outbreak: 23-05-09 TO 29-06-09.• No of deaths reported during outbreak : 3 (Three) no.s.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 158
• Reasons for outbreak : Lack of regular surveillance, migration of people toneighboring State Meghalaya where Malaria is endemic.• Containment measures taken : Mass survey, DDT Spray, Bed-Net impregnation,Health Check-up & awareness Camps done in the effectedAreas.RD Kits (for use in pf endemic sub-centre from where reports of blood slide not receivedwithin 24hrs.)(i) Planning for distribution of Rapid Diagnostic Kits during <strong>2010</strong>-<strong>11</strong>S.No1234PHC NameSubcentre ininaccessible areas(No)Villages ininaccessible areas(No)Populationat Villagesininaccessibleareas (No)BloodCollection ininaccessibleareas (as perABER) No.RDTs to bedistributedin <strong>2010</strong>-<strong>11</strong>Dharmasala 8 28 36,774 2,308 2,400GolokganjRaniganjS. Salmara7 34 55,280 1,014 1,10010 48 71,525 2,553 2,60014 54 90,404 2,059 2,100Total 39 164 2,53,483 7,934 8,200(ii) Requirement of Rapid Diagnostic Kits based on epidemiological data of 2008 for 20<strong>11</strong>-12 in the District.SlideSubS.Village Total Tribal CollectionDetailscentreNo.(no) Population Population (as per(no)ABER)1 Total areas with high Pf % 38 210 2,21,036 Nil 49292 Of the above prioritized(inaccessible areas) to beequipped with RDT duringthe year3 No of RDTs Required for<strong>2010</strong>-<strong>11</strong>39 164 2,53,983 Nil 7934TOTAL 12863Inaccessible areas + High Pf % areas=13,000 No.sFor Institutional use = 7,000ASHA use = 10,000Total = 30,000DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 159
Areas for supply of ACTA. Planning for distribution of ACT in the District <strong>2010</strong>-<strong>11</strong>S.No.Name of PHCNosTotalPopulationPf casesreported inprevious year1 Dharmasala 3,39,070 65ACTBlistersASTabsSPTabs2 Halakura 1,47,552 123 Golokganj4 Raniganj5 Chapar6 South Salmara7 Gazarikandi2,61,312 203,18,221 921,30,560 352,47,233 1242,85,746 965TOTAL 17,29,694 1313 1298 6943 1735Requirement of ACT for distribution 20<strong>11</strong>-2012Pf cases reportedS.TotalName of PHCin previous yearNo.PopulationAdults Children1 Dharmasala 3,39,070 39 262 Halakura 1,47,552 7 53 Golokganj 2,61,312 12 84 Raniganj 3,18,221 56 365 Chapar 1,30,560 21 146 South Salmara 2,47,233 75 497 Gazarikandi 2,85,746 579 386Bed netsACT Blistersfor adultsAS TabsforchildrenSP TabsforchildrenTOTAL 17,29,694 789 524 1298 6943 1735Planning for distribution of BednetsS.No.PHCName1 Dharmasala2 HalakuraEligibleSubcentre(nos.)Eligiblevillages (no)EligiblePopulationTribalpopulationTotalHouseholds(no)No ofHouseholdswith atleast 2effectivebednets (no)A B CNo ofHouseHold tobeimpregnatedTotalBednetrequired (no)DD=C X 2Totaldistributedduring(2009-10)(no)ETotal Planned tobe distributed in<strong>2010</strong>-<strong>11</strong> (noITNsITN LLIN F GLLINsTotalplannedto betreatedH3 Golokganj4 RaniganjDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 160
5 Chapar6 SouthSalmara7 GazarikandiTotal=7 72 390 17 10820 32345550909 <strong>11</strong>6897 233794 0 1990020000 30000 167806Name ofPHCMICRO ACTION PLAN <strong>2010</strong>Identification of Village according to GIS Data in the District on Priority BasisPriority –IPriority-IIIAPI>5 & PF 50%API>3 to 30% -50%No. ofS/CinvolvedNo.ofVill.No.ofPopu.No. ofS/CinvolvedNo.ofVill.No. ofPopu.Priority-IVAPI>3 to 30%to 50%No. ofS/CinvolvedNo.ofVill.No. ofPopu.Dharmasala 34 Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil NilHalakura 22 Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil NilGolokganj 34 Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil NilRaniganj 48 Nil Nil Nil Nil Nil Nil Nil Nil Nil 2 15 15015Chapar 17 Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil NilS. Salmara 46 Nil Nil Nil Nil Nil Nil 2 9 10,227 2 8 <strong>11</strong>203Gazarikandi 45 <strong>11</strong> 57 64,602 Nil Nil Nil 18 103 1,02,617 3 18 17368Total 246 <strong>11</strong> 57 64,602 Nil Nil Nil 20 <strong>11</strong>2 1,12,844 7 41 43590Total Village Total Population Sub centerPriority-I 57 64,602 <strong>11</strong>Priority-II Nil Nil NilPriority-III <strong>11</strong>2 1,12,844 20Priority-IV 41 43,590 7Total 210 2,21,074 38(Planning for IRS)S.NoName ofPHCsSelectedfor IRSSubcentreselected(no)Villageselected (no)Total PopulationselectedP.ITribalPopulationSpraysquadsrequired(no)(*)Trainingsbatchesof spraysquads(no)(*)1 Gazarikandi <strong>11</strong> 57 64602 Nil Nil 3 2P. IIEquipmentrequired(no)Requirement ofDDTSUPERVISION OF SPRAY WORK FOR THE YEAR <strong>2010</strong>SlNoName ofPHCNo. ofSubcentreselectedPrioritybasis.No. ofVillageSelectedPrioritybasisDate of spray1 stround2 ndroundSupervisorat S.C. &VillageSupervisorat PHC1 Gazarikandi <strong>11</strong> 57 15.2.10 15.5.10 SW,SI(M) MI,SMI i/cPHCSupervisor at DistrictAMO,DMO,CM&HO(CD),Jt.DHSDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 161
TRAINING OF SUPERVISORS AND SPRAY SQUARDS, <strong>2010</strong>.SlNoName ofPHCNo. ofMPW &OthersupervisorstaffsNo. ofspraysquadsTotalNo. ofManpowerTrainingsessionsDateVenueResourcepersons1 Gazarikandi <strong>11</strong>3 X 6 =1829 <strong>11</strong> st week ofFebruary”10PHCH.Q.CM&HO(CD)& DMO/AMOROAD MAP OF DDT DUMPING <strong>2010</strong>.FromDistrict<strong>Dhubri</strong>To PHCNo.ofkmGazarikandi <strong>11</strong>0From PHCGajarikandito <strong>11</strong> No.of S/CTo Sub-Centre1. Kakripara S/C, 2. Dakergram, 3.Jordanga4. Jhawdanga , 5. Kukurmara, 6.Dharakoba,7. Gazarikandi, 8. Puran diara, 9.Bamunpara10. Berabhanga, <strong>11</strong>. Molakhowa** IEC ACTIVITY FOR SENSITIZATION AND MOBILIZATION OF COMMUNITY FOR SPRAYOPERATION :-1) Awareness meeting to be organized with involvement of local NGO, ASHA, AWW,local prominent bodies, teachers, SHG and miking to be done well before two days ofspray operation.2) Prior information regarding DDT Spray Operation in the community to be given byASHA in this village Health Day, SFW, SW, SI, ANM, community volunteers PRI.** Time of Reporting of 1 st round DDT sprayAfter 15 days of completion of DDT spray operation.** Analysis of 1 st round DDT SprayAnalysis done by Joint Director of Health Services/ CM & HO ( CD) / DMO/ I/C PHC.DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 162
InnovationsCommodity RequirementS. No. Innovations Describe details & Procedure adopted1Patient referral e.g. Likeuse of NRHM/ RKS flexifunds for transport ofsevere casesFund provided by District Health Society to thePHC for referral of Severe Malaria Cases.234Transportation of slidesE g. Use of Publictransport systemNGO/ CBO involvementRefer to PPP guidelines onwww.nvbdcp.gov.inCommunity mobilizationeg. Mobilizing using streetplays, puppet plays, selfhelp groupsNilNilStreet plays on Malaria from NRHM side.ItemPreviousyear’sRequirement forcurrent yearutilization (no) (no)BalanceAvailable(no)Net requirement(2-3)1 2 3 4Insecticide For IRS (Kg) 45,923 Kgs 9690 Kgs 27,679 Kgs NilInsecticide For ITMN (Lts) 4843 Lts 4200 Lts Nil 4,200 LtsITNs 30,300 50,000 Nil 50,000Chloroquine (No.) 10,75,000 15,00,000 17,000 14,83,000Primaquine 2.5 (No.) 41,400 50,000 8,000 42,000Primaquine 7.5 (No.) 1,36,200 1,80,000 <strong>11</strong>,500 1,68,500ACT ( Artesunate +SP)Blister (No.)400 2,000 50 1,950Artesunate tabs (No.) 7,800 6,943 1,704 5,239S+P Combination (No.) 3,600 1,735 100 1,635Quinine Injection (No.) 1,770 900 Nil 900Quinine Sulphate (No.) 32,200 10,000 1,000 9,000Arteether Inj (No.) 1,188 78 274 NilRDK (No.) 41,050 30,000 375 29,625Micro Slides (No.) 1,41,200 1,50,000 850 1,49,150Pumps (No.) 16 No.s 6 16 NilDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 163
Training:S.NoTrainingsTraining during2009-101 Medical specialists at District Hospital NilProposedduring <strong>2010</strong>-<strong>11</strong>EstimatedCost (Rs)2 Medical Officers 4 100 1,60,000.003 Laboratory Technicians (induction) Nil4 Laboratory Technicians (reorientation) Nil 48 80,000.005 Health Supervisors (M) Nil 586 Health Supervisors (F) Nil 77 Health Workers (M) Nil8 Health Workers (F) Nil 3481,05,000.009 ASHAz 70 992 2,90,000.0010<strong>11</strong>Community Volunteers other thanASHAOthers specify: MPW (Contractual &Spray WorkersNil 200 40,000.0021 (9+12) 12 10,000.00Total 6,85,000.00BCC/ IEC:S. No ActivitiesUnit Cost(Rs)IECduring2009-10(No)Proposed during <strong>2010</strong>-<strong>11</strong>EstimatedCost (Rs)A. Print Media1 Posters 10.00 15,000 1,50,000.002 Hoardings 20,000.00 40 8,00,000.003 NewspaperadvertisementB. Community level1,000.00 10 10,000.006 Health camps 1500.00 50 70 1,40,000.007 Village level awarenesscamps for IRS/ ITBN500.00 700 3,50,000.008 Others (specify) StreetPlays,2,000.00 10 20,000.00Local advertisement. 1,000.00 10 10,000.00Total 14,70,000.00DHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 164
PPP involvementSchemesPrevious year Planned in Current2009-10 (no) year <strong>2010</strong>-<strong>11</strong>(no)CostScheme I EDPT 2 (MalariaScheme II Microscopy & treatment Health Checkup10 15,000.00Camp)Scheme III Hospital based treatment - - -Scheme IV ITBN 2 50 25,000.00Scheme V Larvivorous Fish - - -Do a SWOT analysis of the district as below.StrengthsWeaknessBUDGET & ESTIMATEITEM ACTIVITY Amount Rs.Surveillance 57 No.s MPW X @ Rs.6000.00/ p.m X12 41,04,000.00Vector Control-IRS Wages for 2 rounds DDT Spray for 3 Squads 1,56,240.00DDT Dumping (Road & Boat) 50,000.00Fogging Fogging Operation in 5 town areas 1,00,000.00ITBN 350 Camps X @ Rs.500/ X 2 Rounds 3,50,000.00Protective Equipments Purchase of hand gloves, Goggles, Apron, mask for 3 Spray 5,000.00for sprayTrainingTotal 4 60 40,000.00 In position manpower of NVBDCP DDT Spray for vector control. Govt. supply Bed-Net to endemicvillages. Community owned & Govt. suppliedBed-Net impregnation. Anti-Malarial drugs and equipments. Use of RDK for EDPT. Shortage of manpower. Shortage of accessories.Opportunities Involvement of ASHA, AWWselected MNGO from NRHM, PRI,other local NGO and SHG.Threats Migration of people to and fromMeghalaya Char area and inaccessible area.<strong>Action</strong>s to be Taken :- Rational utilization.SquadsM.O, Lab-Tech, Health Supervisors, Health workers, ASHA,Spray workers and spray Super visors Filling up vacant posts. Vehicle to be sanctioned & requiredaccessories to be supplied. Regular communication with thesegroups. Mobile teams and Boat Clinic tocover these areas.6,85,000.00BCC / IEC 14,70,000.00M & E Jt. DHS/ CM& HO(CD) @ Rs. 10,000.00/ p.mX 12 =1,20.000.00DMO. @ Rs. 10,000/ p.m X 12 =1,20,000.00AMO/ MI Hq. @ Rs.5000/ p.m X12 =60,000.00MI PHC @Rs.1000/ p.m X12X7 PHC =84,000.00Miscellaneous For cross checking of B/S @ Rs.400 per PHC X 7 PHC X 12Stationary Article for Office useTelephone Bill @ Rs.1000/ p.m X 12Collection of Anti-Malarial Drugs and Equipments from StateH.Q33,600.0060,000.0012,000.0060,000.00Total 74,69,840.00Total Budget & Estimated Cost is Rupees Seventy Four Lakhs Sixty Nine Thousand EightHundred Forty Only onlyDHUBRI/DHAP/<strong>2010</strong>-<strong>11</strong> 165
6.7.2 REVISED NATIONAL TUBERCULOSIS PROGRAMME (RNTCP)Objectives:1. To achieve and maintain a cure rate of at least 85% among newly detected infectious(new sputum smear positive) cases, and2. To achieve and maintain detection of at least 70% of such cases in the populationANNUAL PLAN FOR PROGRAMME PERFORMANCE & BUDGET FOR THE YEAR1 ST APRIL <strong>2010</strong> TO 31 ST MARCH 20<strong>11</strong>This action plan and budget have been approved by the DTCS.Signature of the DTO_________________Name_Dr. Jogodindu Bikash Roy, Designation – DTO, <strong>Dhubri</strong>Section-A – General Information about the District1 Population (in lakh) please give projected population <strong>2010</strong> 18505082 Urban population 2241963 Tribal population -4 Hilly population -5 Any other known groups of special population for specificinterventions(e.g. nomadic, migrant, industrial workers, urban slums)-(These population statistics may be obtained from Census data /District Statistical Office)Does the district have a DTC - YesORGANIZATION OF SERVICES IN THE DISTRICT:S. No. Name of the TU Population (inLakhs)Please indicate if the TU is-No. of MCsGovt NGO Govt NGO Private1 <strong>Dhubri</strong> DTC TU 444379 - - -2 Gauripur TU 524644 - - -3 Bilasipara TU 459441 - - -4 Gazarikandi TU 422044 - - -DISTRICT 1850508 - - - - -166
RNTCP performance indicators:Important: Please give the performance for the last 4 quarters i.e. July -2008 to June-2009.TBUnitTotal numberof patients puton treatment3Q-084Q-081Q-092Q-09Annualizedtotal casedetection rate(per lakh pop)3Q-084Q-081Q-092Q-09No of newsmear positivecases put ontreatment3Q-084Q-081Q-092Q-09AnnualizedNew smearpositive casedetection rate(per lakh p op)3Q-084Q-081Q-092Q-09Cure rate forcases detectedin the last 4correspondingquarters3Q-084Q-081Q-092Q-09Plan for the nextyearAnnualized NSPCDRCurerate(85%)Proportion of TBpatientstested forHIV<strong>Dhubri</strong> DTCTU27517514919674477194923753586727697586.586.886.586.570%or more85%GauripurTUBilasiparaTU134 -133 156107 135154 17250 -49 6147 5968 7661 -60 5853 4674 6961 -60 6263 4888 7287.8 -87.7 -86 -91 -70%or more70%or more85%85%Figure notavailableat presentGazarikandiTU1739<strong>11</strong>049660314744552931425227385278.289.288.385.270%or more85%Section B – List Priority areas for achieving the objectives planned:S.No. Priority areas Activity planned under each priority area1 ACMS- Increased Meeting, Street Play, Interaction Meeting,Sensitization.- Increased Publicity Materials.- Increased Wall Paintings Bus Board etc.2 Training / Re-Training Particularly MOs, Dot Providers & LTs.3 Supervision Increased Boat hiring.4 Contractual staffs Particularly LTs 4 nos.5 Coordination6 NGO InvolvementWith NRHM in respect of ACMS, Supervision, Dot decentralization,Finance and Sputum collection centresNGO involvement in selected areas by small NGOs under new NGOscheme.7. TB-HIV Coordination As per <strong>Action</strong> Plan.167
Section C – Plan for Performance and Expenditure under each head:Civil WorksActivityNo. requiredas per thenorms in thedistrictNo.actuallypresentin thedistrictNo.plannedfor thisyearPl provide justification if anincrease is planned (useseparate sheet if required)EstimatedExpenditureon theactivityQuarter in which theplanned activityexpected to becompleted(a) (b) (c) (d) (e) (f)DTC 1 1 0 - - -TUs 4 4 0 - - -DMC 20 20 1 Out of the 20 DMCs one DMCis performing poor. So it isplanned that works of theDMC should be shifted to thenear by sub-divisional hospitalwhich has been functioningrecently and with much OPDattendance.Maintenance ofCivil30000A separate sheet enclosed herewith in details ( last page) 307003 rd Quarter-<strong>2010</strong>All Quarter during thefinancial year –<strong>2010</strong>-<strong>11</strong>.worksTotal 60700 -Civil Works under NRHM AdditionaltiesSl.No.ItemNumbers required.1 Treatment (DOTS) Room For 45 PHIs ( Health Centres).One sitting room for Proposal for 20 DMCs duringpatients to take treatment the financial year <strong>2010</strong>-<strong>11</strong>under DOTS.2 Observation room For 45 PHIs ( Health Centres).( for observation & work byDOT Providers)One room attached totreatment room & onewindow to observe3 Laboratory Room at SukcharDMC to be constructed withlaboratory outlet connectionand a pit for waste matterdisposal from the laboratoryand Dot centre4 Renovation of DTC building-Proposal for 20 DMCs duringthe financial year <strong>2010</strong>-<strong>11</strong>It is specially needed forSukchar DMC.For DTc OfficeHealth CentresinvolvedRs.50000X20= 1000000Rs.50000X20= 1000000Rs. 50000Rs.20000168
a) One partition wall withone door & one window.b) Tiles fitting in DTO’sroom, Laboratory &Computer room.At DTC Rs. 100000Total Rs. 2170000Laboratory MaterialsActivityAmountpermissibleas per thenorms inthe districtAmountactuallyspent inthe last4quartersProcurementplannedduring thecurrentfinancial year(in Rupees)EstimatedExpenditure for thenext financial year forwhich plan is beingsubmitted(Rs.)Justification/ Remarks for(d)(a) (b) (c) (d) (e)Purchase of LabMaterials396825207090 180000 400000 As per normsHonorariumActivityAmountpermissibleas per thenorms inthe districtAmountactuallyspent inthe last 4quartersExpenditure(in Rs)planned forcurrentfinancialyearEstimated Expenditure forthe next financial year forwhich plan is beingsubmitted(Rs.)Justification/ Remarksfor (d)Honorarium forDOT providers(both tribal andnon tribal districts)Honorarium forDOT providers ofCat IV patients(a) (b) (c) (d) (e)226000103250 200000- - -300000-More expenditureplanned for currentfinancial year due tooutstandingexpenditures.-Honorarium under NRHM Additionalties• As seen in the column (c) above there is a need of Rs. 200000 for currentfinancial year, but at present we have only Rs.50000. So it is requestedthat a sum of Rs. 150000 may be granted for this head from NRHM flexipool for disposal of outstanding bills.Total requirement Rs. 150000.169
RNTCP-<strong>Dhubri</strong> DistrictAnnual <strong>Action</strong> Plan Format Advocacy, Communication and Social Mobilization (ACSM) for RNTCP– <strong>2010</strong>-<strong>11</strong>1) Information on previous year’s Annual <strong>Action</strong> Plana) Budget proposed in last Annual <strong>Action</strong> Plan: 321800b) Amount released by the state: 166730c) Amount Spent by the district- 104310 ( Last 4 Quarter)2) Permissible budget as per norm : 1965003) Budget for next financial year for the district as per action plan detailed below: 299000A. CHALLENGE 1 – LOW ACDR, NSP-CDR, LOW SUSPECT EXAMI<strong>NE</strong>D.I – Advocacy Activities.ProgramChallengesto betackled byACSMduring theWHYACSMObjectiveGainingadministrativesupport forincreasereferralfromOPD.For WHOMTargetAudiencefrom DC,Jt.DHSetc.Involvement ofEducation Deptt. ,SocialWelfareDeptt PrivatePractitioners TraditionalHealers,PharmacyOwners.ActivitiesRegularmonthlymeetings Sensitization BriefingMeeting. Factsheets.WHATACSM ActivitiesMaterials/Media Required.Power pointPresentation PowerPointpresentation. Booklet. Brouchers. Factsheets. SuccessStories.WhenTime FrameByWHOMMonitoring andEvaluationQ1 Q2 Q3 Q4 Output Outcome3 3 3 3 DTO/WHOConsultant1 1 1 1 DTO,MOTCs,STS/STLSMeeting/Minutes Reports Photograph MutualAgreementYear <strong>2010</strong>-<strong>11</strong>LowACDR,NSP-CDR,LowSuspectExamined Increasereferral ofchestsupmtomatic IncreaseACDR &NSP-CDRBudget forthefinancialyearNocostCostofmeetings –500 X12=60001 1 1 1 Cost1 1 1 1ofcommunicationmaterials20000 WorldTB Day1 - - -40000II. Communication ActivitiesProgramChallengesto betackled byACSMduring theYear<strong>2010</strong>-<strong>11</strong>LowACDR,NSP-CDR,LowSuspectExaminedWHYACSMObjectiveTo informcommunities and careprovidersabout theDOTservicesfor earlydetection.For WHOMTargetAudienceGeneralpublic.Schools.WHATACSM ActivitiesActivitiesPublicitythroughcableTV.SchoolHealthProgrammeMaterials/MediaRequired.CableChannelsFlipChart.Brouchers.Factsheet.Posters.WhenTime FrameByWHOMMonitoring andEvaluationQ1 Q2 Q3 Q4 Output Outcome1 1 1 14 4 4 4DTO,MTOCsMOTCs,STS/STLS,LocalPHIVouchersMinutesPhotographOfficeRegisterMIncrease inCaseReferralKAPStudyafteroneyear.Budgetfor thefinancial year2000X4=80001000X16=16000ForFilipChart170
AwarenessGeneralPublicCareProvidersGeneralPublic,SchoolsPatientProviderInteractionnMeeting.Wall paintingStreetPlay/DrammaBus Board(inside)Walls ofHealthInstitutionsScript andMan powerofprofessionalgroups.On hiringbasis24 24 24 24I/c,HeadMaster oftheSchool.I/c ofthePHI,DotProviderandSTLS.20 20 20 20 DTO1 1 1 <strong>11</strong>0 10 1010DTO,CF,STS/STLSDTOMinutesOfficeRegisterPhotograph,Office Recordetc.15000200X96=19200, say20000400X80=320004000X4=16000200X40=8000Postering inAuto RickswasOn hiringbasis10 10 10 10 DTO250X40=10000Drum Beatingin RuralMarketsOn contractbasis4 4 4 4DTO,OTCs, CF500X20=10000III. Social MobilizationProgramChallengesto betackled byACSMduring theYear<strong>2010</strong>-<strong>11</strong>LowACDR,NSP-CDR,LowSuspectExaminedWHYACSMObjectiveGeneralawareness inpublicIncreaseRate of selfreportingTo createa sense ofintrigrationFor WHOMTargetAudienceGeneralCommunity,Patients andDotProviders etc.SchoolChildrenLocal SmallNGO GroupsActivitiesCommunityLevel MeetingsExhibition,Melas,World TBdayQuizCompetition &ShortSensitizationMeeting.SensitizationandOnteractionMeetingWHATACSM ActivitiesMaterials/Media Required.Flip Charts,Posters,Broachers,Handbills.Posters,BannersWhenTime FrameByWHOMQ1 Q2 Q3 Q4 Output36 36 36 36DTO,MOTCs, CF,Monitoring andEvaluationMinutes,PhotographOutcomeIncreain selfBudgetfor thefinancial year500X144=72000, Office reportin1 1 1 1 I/c MOPHC,STS/STLSRecords g ofcases.KEPstudy2000X4=8000Already given. 1 - - - afterAlreadoney given.year.OtheranalysisandPrizeMaterialsPrintingMaterials(IEC)QuizMaterials.LeafletsPostersBrokers etc.2 2 2 2 1000X8Motnito=8000ring4 4 4 4 500X16=8000ForPrintingmaterials 10000Grand Total 299000171
Comments, if any:-i) Due to constant low ACDR-NSP-CDR and Low Case Referrals stress has been given forincrease of this crtteria.ii) It is presume that ACMS Activities for the above will also boost the other criteria’s likelowering of default rates etc.Prepared by:-i. Dr. J.B. Roy, DTO, <strong>Dhubri</strong>Sign. of DTO, <strong>Dhubri</strong>ii. Sri Patal Ch. Paul, Accountant, RNTCP, <strong>Dhubri</strong> .iii. Sri Biswajit Mazumder, DEO <strong>Dhubri</strong>.Equipment Maintenance:ItemNo. actuallypresent inthe districtAmountactuallyspent inthe last 4quartersAmountProposedforMaintenanceduringcurrentfinancial yr.EstimatedExpenditure for thenext financial yearfor which plan isbeing submitted(Rs.)Justification/Remarks for (d)(a) (b) (c) (d) (e)Office Equipment(Maintenance includes computersoftware and hardware upgrades,repairs of photocopier, fax, OHP etc)One eachofComputer,Photocopierand OHP5900 25000 50000 Ageing of theequipments needfrequentmaintenance.Binocular Microscopes ( RNTCP) 21 State TBCell- 90000 Accurate cost can beascertain from StateTB Cell.140000Training:ActivityNo. inthedistrictNo.alreadytrained inRNTCPNo. planned to be trainedin RNTCP during eachquarter of next FY(c)Q1 Q2 Q3 Q4Expenditure(in Rs)planned forcurrentfinancialyearEstimatedExpenditurefor the nextfinancialyear forwhich planis beingsubmittedJustification/remarks(Rs.)(a) (b) (d) (e) (f)Training of MOs 150 100 25 - 25 - 90000 90000 As ACDR,25NSP-CDR andTraining of LTs of DMCs-17 8 - - - 14000 14000case referralis low soGovt + Non Govtintensivetraining, retrainingTraining of MPWs - - - - - - - - hasbeen planned172
Training of MPHS, pharmacists,- -- - - ---nursing staff, BEO etcTraining of Comm Volunteers - 275 25 25 25 25 - 60000Training of Pvt Practitioners - - - - - - - -Other trainings # - - - - - - - -Re- training of MOs - - 25 - 25 - - 23000Re- Training of LTs of DMCs 25 17 25 - - - - 14000Re- Training of MPWs - - - - - - - -Re- Training of MPHS - - - - - - - -Re- Training of Pharmacists - - - - - - - -Re- Training of nursing staff,BEO- - - - - - - -Re- Training of CVs - - - - - - - -Re-training of Pvt Practitioners 20 20 - 20 - - - 20000TB/HIV Training of MOs 150 - - 25 - 25 - 42000TB/HIV Training of STLS, LTs ,MPWs, MPHS, Nursing Staff,Community Volunteers etc--- 25 - 25 -30000TB/HIV Training of STS - - - - - - -Training of MOs and Paramedicals in DOTS Plus formanagement of MDR TBProvision for Update Training atVarious Levels(key staff & MO-PHIs)Any Other Training Activity( Keystaff & MO-PHIs)# Please specify --Total :Rs. 293000Vehicle Maintenance:Type of VehicleNumberpermissibleas per thenorms in thedistrictNumberactuallypresentAmount spenton POL andMaintenance inthe previous 4quartersExpenditure (inRs) planned forcurrent financialyearEstimatedExpenditure for thenext financial yearfor which plan isbeing submittedJustification/remarks173
(Rs.)(a) (b) (c) (d) (e) (f)Four Wheelers 1 1 196500 100000 300000Two Wheelers 4 41. Supervisionintensified.2. Ageing ofthe vehicleneedfrequentrepairing /partsreplacementetc.Vehicle Hiring:Hiring of FourWheelerNumberpermissible asper the normsin the districtNumberactuallypresentAmountspent in theprevious 4quartersExpenditure (inRs) planned forcurrent financialyearEstimatedExpenditure forthe next financialyear for whichplan is beingsubmitted (Rs.)Justification/remarks(a) (b) (c) (d) (e) (f)For DTO 1 1For MO-TC 4 468000 200000 320000Slightly more fundis required due toboat hiring andvehicle hiring inSouth Bank biDTO.320000174
NGO/ PP Support: (New schemes w.e.f. 01-10-2008)ActivityNo. ofcurrentlyinvolvedinRNTCPin thedistrictAdditionalenrolmentplannedfor thisyearAmountspent in theprevious 4quartersExpenditure(in Rs)planned forcurrentfinancialyearEstimatedExpenditure for thenext financial yearfor which plan isbeing submitted(Rs.)Justification/remarks(a) (b) (c) (d) (e) (f)ACSM Scheme: TB advocacy,communication, and socialmobilizationNil 4 Nil Nil 37500Four NGOs inseparate areascovering 1 laqcpopulationeach. The areasare having lowcase detectionproblem.SC Scheme: SputumCollection Centre/sNil 3 Nil Nil 180000Three identifiedhealthinstitution arestuffed withpatients, butdifficult incommunication.Transport Scheme: SputumPick-Up and Transport ServiceNil 5 Nil Nil 24000Three identifiedhealthinstitution arestuffed withpatients, butdifficult incommunication.DMC Scheme: DesignatedMicroscopy Cum TreatmentCentre (A & B)Nil Nil Nil Nil Nil -LT Scheme: StrengtheningRNTCP diagnostic servicesNil 2 Nil Nil 100000Two DMCs arehaving no postof LT, sufferingsue to shortageof LT.Culture and DST Scheme:Providing Quality AssuredCulture and DrugSusceptibility Testing ServicesNilNil Nil Nil Nil-Adherence scheme:Promoting treatmentadherenceNil 3 Nil Nil 60000.Some areas areidentified ashigh defaultareas despiteregularsupervision.Slum Scheme: Improving TBcontrol in Urban SlumsNil 1 Nil Nil 50000Districtheadquarter hasmany slumareas & highrate ofincidence &prevalence of175
TBNil Nil Nil NilTuberculosis Unit ModelNil-Nil Nil Nil NilTB-HIV Scheme: DeliveringTB-HIV interventions to highHIV Risk groups (HRGs)Nil-TOTAL451500Miscellaneous:Activity*Amountpermissibleas per thenorms inthe districtAmountspent intheprevious4quartersExpenditure(in Rs)planned forcurrentfinancial yearEstimated Expenditure for thenext financial year for whichplan is being submitted(Rs.)Justification/ remarks(a) (b) (c) (d) (e)TA/DAStationeries / Theexpenditure whichdoes not fall inany other heads ofaccount360750 257000150000 400000-400000* Please mention the main activities proposed to be met out through this headMiscellaneous under NRHM additionalities-Item No. requires Budget in Rs.Plastic Handled Chairs for patients to sit at the 45 PHI DOT Centres. 6 chairs foreach PHI DOT Centre45X6=270 270XRs.500=135000Water Filter for patients at the 45 PHI DOT Centres 45X1+5extra=5050XRs.500=25000Weight Machine for patients at the 45 PHI DOT Centres 45X1+5extra=5050XRs.500=25000Steel Almirah 7 ft. height for each of the 45 PHI DOT Centre 45X1=45 45X8000=360000One Steel Table (non secretariat) for each of the 45 PHI DOT Centre 45X1=45 45XRs.2000=90000One Steel rack for each of the 45 PHI DOT Centre 45X1=45 45XRs.1000=45000One Iron safe for keeping cash amounts, used and unused check books andother very important documents – only for DTC, <strong>Dhubri</strong> office.Total Rs. 7000001 20000176
Contractual Services:ActivityNo. required asper the normsin the districtNo.actuallypresentin thedistrictNo. planned tobe additionallyhired duringthis yearAmountspent intheprevious 4quartersExpenditure(in Rs)planned forcurrentfinancialyearEstimatedExpenditurefor the nextfinancial yearfor which planis beingsubmittedJustification/remarks(Rs.)(a) (b) (c) (d) (e)Medical Officer-DTCNot to be filled - -STS 4 4 -STLS 4 4 -TBHV 1 1 -1365000 640000 1285000As pernorms.DEO 1 1 -Accountant – parttime1 1 -Contractual LT 2 4Driver 1 1 -Printing:ActivityAmountpermissible asper the norms inthe districtAmountspent in theprevious 4quartersExpenditure (inRs) planned forcurrent financialyearEstimated Expenditure forthe next financial year forwhich plan is beingsubmittedJustification/remarks(Rs.)(a) (b) (c) (d) (e)Printing*Printing of Forms,Patients Cards etc.Research and Studies:360750 17000 60000 365000 As perpopulationnorms.* Please specify items to be printedAny Operational Research project planned (Yes) No.(Post Graduate grant for one research paper from each Medical College)Estimated Budget (to be approved by STCS).___________________________________177
Medical CollegesActivityAmount permissibleas per normsEstimated Expenditure for thenext financial year(Rs.)Justification/ remarksContractual Staff: MO (In place: Yes/No) STLS (In place: Yes/No) LT (In place: Yes/No) TBHV (In place: Yes/No)(a) (b) (c)- --Research and Studies: Thesis of PG Student Operations Research*- ---Travel Expenses for attendingSTF/ZTF meetings- - -IEC: Meetings and CME planned - - -- - -Procurement of Vehicles:EquipmentNo. actuallypresent in thedistrictNo. plannedfor this yearEstimated Expenditure for the nextfinancial year for which plan is beingsubmitted (Rs.)Justification/ remarks(a) (b) (c) (d)4-wheeler ** 1 - - -2-wheeler 4 3 150000 3 motorcycles willcross 6 years in thefirst Qtr.-<strong>2010</strong>.The motorcycles arerequiring frequentmajor repairing.** Only if authorized in writing by the Central TB Division178
Procurement of Equipment:EquipmentNo. actuallypresent in thedistrictNo. plannedfor this yearEstimated Expenditure forthe next financial year forwhich plan is beingsubmitted (Rs.)Justification/ remarksOffice Equipment(computer, modem,scanner, printer, UPSetc)(a) (b) (c) (d)1 Computer2 Printer1 UPS1 Modem1 Scanner1 TFTMonitor1 UPS1 Scanner1000025003500For upgradation andreplacement of theexisting system.Any Other - OneGenerator Set.One LCDprojectorand itsaccessoriesandLaptop5 Digitalcameras50000 Due to frequentloadsheding DistrictSociety has alreadyapproved.8000045000The old projector is notworking well and trainingprogramms are increasingday by day.IEC awareness demandsmore photographs withquality pictures.One for each TU, One forDTOProcurement of Equipment under NRHM AdditionalitiesNote :- From the above procurement of equipment section, the column for “Any other” issought from NRHM additionalities. So a total sum of Rs. 175000 has been requested in theNRHM Additionalities budget.* Maintenance of Civil Work (Worksheet)ActivityNo.requiredas perthenorms inthedistrictNo.actuallypresentin thedistrictNo.plannedfor thisyearPl provide justification ifan increase is planned(use separate sheet ifrequired)Estimated Expenditure onthe activityQuarter in which theplanned activityexpected to becompleted(a) (b) (c) (d) (e) (f)DMC - 20 - - 1000 X 20=21000 -Drug Stores - 4 - - 1300X4=5200 -DTC - 1 - - 4500 -Total 30700-179
Section D: Summary of proposed budget for the district –S.No.Category ofExpenditureBudget estimate for the comingFY <strong>2010</strong>- <strong>11</strong>(To be based on the plannedactivities and expenditure inSection C) in. Rs.Budget sought fromNRHM additionalities<strong>2010</strong>-<strong>11</strong>In Rs.1 Civil works 61000 21700002 Laboratory materials 4000003 Honorarium 300000 1500004 IEC/ Publicity 2990005Equipmentmaintenance 1400006 Training 2930007 Vehicle maintenance 3000008 Vehicle hiring 3200009 NGO/PP support 45000010 Miscellaneous 400000 700000<strong>11</strong> Contractual services 128500012 Printing 36500013 Research and studies 014 Medical Colleges 01516Procurement –vehicles 150000Procurement –175000equipment 191000TOTAL 4954000 3195000** Only if authorized in writing by the Central TB DivisionGrand Total :- Rs.( 4954000+3195000) - Rs.175000=Rs. 7974000Please note :- if Rs,. 175000 is sanctioned from NRHM additionalities head- procurement of equipment,then this amount should be deducted from the procurement head of RNTCP budget which has beenshown as Rs. 191000.180
6.7.3 N.L.E.P.IntroductionDistrict <strong>Dhubri</strong> is situated in the Western Part of Assam. It is the boarder District ofAssam. It has 7 Block PHCs & having population of 18,43,<strong>11</strong>3Situation AnalysisAs <strong>NE</strong>LP has been integrated with GHC, drugs are available atCH/PHC/CHC/SDs, MO’s are diagnosing cases who have come voluntarily & NLEPstaff is assisting GHC staff at every level as per need.Now, NLEP also integrated with NRHM & involvement & ASHA’s to beensured for regular treatment. In addition, monitoring & supervision will becomemore effective.It is supposed that at each & every level, regular & repeated orientations ofstaff (both NLEP & GHC) are needed to provide quality services.As there are no survey activities, we have to initiate regular IEC activities inthe community to decreases stigma & discrimination & to increase awareness.Strength :-1. Trained District Nuclens staff.2. Trained & motivated GHC staff.3. Availability of Guidelines from State from time to time.4. Availability of MDT.5. Review & monitoring is being done regularly.6. Fund stored be regular in time.Weaknesses :-1. NLEP & GHC staff at PHC/CHC/SHC/SD level are engaged more in otheractivities.2. Inadequate mobility at PHC level & as well as non-availability of TA/DA.Opportunity :-1. Integration of NLEP with GHC staff2. Integration with NRHM leading to better monitoring & supervision.3. Valuable support of RCS by the GMCH/AMCH & SMCH.181
Threats :-1. Involvement of leprosy staff in other programmes.2. NLEP staff posted improperly.3. Frequently transfer of staff.4. Low priority to NLEP staff at all level.5. Priority to other programmeSuggestion :-1. Physical : The School Teacher of char areas (difficult area) to be trained inleprosy to facilitate detection of leprosy cases.2. Financial : Easy & regular fund flow for the time bound activities.Performance under NLEP :Indicator 2006-07 2007-08 2008-09 2009-<strong>2010</strong>No. of new cases detected 32 47 51 37 up to Oct’09(ANCDR)No. of cases on record at 76 73 70 87the yearend (PR)No. of Gr.II disability X Nil Gr-8 1among non cases (%)Gr-1Treatment Completion 73% 55% 80% -RateRe-construction Surgery X X X Xconducted(Cumulative number to be mentioned & rate/percentage to be given on bracket).Infrastructure :District HQ :District Nucleus Cell is in position & providing supervision & monitoring.Man power of District Nucleus Cell are1. Medical Officer-12. Non-Medical Supervisor-13. Non-Medical Assitant-14. Contractual Driver-<strong>11</strong>82
Training Plan :A. 4 days training of newly appointed MO’s (rural & urban) 30 nos.Expenditures Details :Stationary 30 x 50 = 1,500 /-Lunch & Tea 35 x 100 x 4= 14,000 /-TA & DA 30 x 300 x 4 = 36,000 /-Trainer’s 2 x 300 x 4 = 2,400 /-Total Cost53,900 /-B. 3 days training of newly appointed Health Supervisor 30 nos.Expenditures Details :Stationary 30 x 50 = 1,500 /-Lunch & Tea 35 x 75 x 3= 7,875 /-TA & DA 30 x 160 x 3 = 14,400 /-Trainer’s 2 x 300 x 3 = 1,800 /-Total Cost25,575 /-C. 3 days training of newly appointed Health Worker (M) 30 nos.Expenditures Details :Stationary 30 x 50 = 1,500 /-Lunch & Tea 35 x 75 x 3= 7,875 /-TA & DA 30 x 120 x 3 = 10,800 /-Trainer’s 2 x 300 x 3 = 1,800 /-Total Cost21,975 /-D. 3 days training of newly appointed Health Worker (F) 30 nos.Expenditures Details :Stationary 30 x 50 = 1,500 /-Lunch & Tea 35 x 75 x 3 = 7,875 /-TA & DA 30 x 120 x 3 = 10,800 /-Trainer’s 2 x 300 x 3 = 1,800 /-E. 2 days training of newly appointed MO’s 30 nos.Expenditures Details :Stationary 30 x 50 = 1,500 /-Lunch & Tea 35 x 100 x 2 = 7,000 /-TA & DA 30 x 300 x 2 = 18,000 /-Trainer’s 2 x 300 x 2 = 1,200 /-Total Cost21,975 /-Total Cost27,700 /-F. 5 days training of newly appointed Lab. Technician 15 nos.Expenditures Details :Stationary 15 x 50 = 750 /-Lunch & Tea 15 x 75 x 5 = 5,625 /-TA & DA 15 x 120 x 5 = 9,000 /-Trainer’s 2 x 300 x 5 = 3,000 /-Total Cost18,375 /-183
IEC Plan :a. Inter Personal Workshop Communication @ 6,000 /- x2 nos = 12,000 /-b. Folk Show @ 3,000 /- x 7 Nos = 21,000/-c. Wall painting @500/- x 50 Nos = 25,000 /-d. Advocacy meeting @500/- x 30 Nos = 15,000 /-e. Publicity through TV, Radio, Newspaper etc = 10,000 /-f. Rallies @ 5,000/- x 1 No. = 5,000/-g. Health Mela @ 3,000/- X 50 Nos = 9,000/-h. I.P.C. meeting @ 500/- x 50 Nos = 25,000/-i. Meeting with Zila Parisad @ 3,000/- x 1 No. = 3,000 /-Total Cost1,25,000 /-DPMR :a. Procurement of M.C.R. @200/-x 120 Pairs = 24,000/-b. Patients welfare Blanket @300/-x 100 Nos = 30,000/-c. For R.C.S. of BPL casesincentive for 5 cases @ 25,000/-each = 25,000 /-Total Cost79,000 /-Urban Leprosy Control : NilLeprosy colonies: NilProcurement Plan :a. Purchase to be made as per drug list (guideline)b. Need base purchase to be done.c. Equipments - Not necessary.d. Printing Register/Forms etc. to be printed as per need.e. No such specific NGO is existing in the District.Incentive for ASHA :a. Number of ASHA trained & involved in NLEP – 1327 nos.b. Number of Neno PB & MB cases likely to be detected during the year byASHA based on the trend of New case detection – 50 Nos.NLEP Monitoring & Review Plan :a. Review meeting has been conducted montly.b. Monitoring & supervision works has been done regularly.184
Vehicle operation & hiring:2 (two) vehicles are operatingOffice expenditure & consumable:Stationeries & other Misc. Expenditure which does not fall in any other Head ofAcctt.Format for submitting budget Proposal:Sl. Activity ProposalAmount ProposedNo.1. Contractual Services 54,000 /-District one Driver @ 4,500/-PM x 12 months2. Services through ASHA/USHA 25,000 /-Sensitization of ASHA/incentive to ASHA3. Office expenses & consumables 40,000 /-4. Capacity Building (Training)4 days training of newly appointed MO (rural & urban)53,000 /-3 days training of newly appointed Health worker &69,525 /-Health Supervisor2 days refresher training og MO 27,700 /-5 days training of newly appointed Lab. Technician 18,375 /-5. Behaviours change communication (IEC) 1,25,000 /-Mass media, outdoor media, Rural media & Advocacy6. POL/Vehicle operation & hiring 80,000 /-& vehicle at state level & vehicle at district level7. DPMR 30,000 /-MCR footwear, Aids and appliances, welfareallowances to BPL patients for RCS support to Govt.Institution for RCS12,500 /-2,50,000 /-8. Materials & supplies 52, 000 /-Supportive drugs, Lab reagent & equipment & printingforms.9. Urban leprosy control Do not arisesTownship, Medium cities-I, Medium cities-II & Megacities10. NGO-SET scheme 50,000 /-<strong>11</strong>. Supervision, Monitoring & Review 50,000 /-Review Meeting & Travel expensesCash Assistance 6,000 /-Total = 9,43,100 /-185
6.7.4 N.P.C.B.Goal : Reduce prevalence of preventable BlindnessACTION PLAN <strong>2010</strong>-<strong>11</strong>STRATEGY ACTIVITY Sub-Activity TIMEPERIODWeekly Cataract Procurement of Drugs,WeeklyEye Operation at Sharp Instruments, IOL,Two daysCivil Hospital, Consumables etc.operationCataract Surgeryat base HospitalApproachEye Screening andDetection of CataractCases at Sub-CantersDevelopment of Infra--structural facility forVision Screening atPHC/CHC whereOphth. Asstt. postedPopularization ofSchool Eye ScreeningProgrammePopularization of EyeDonation & Eye CareDevelopment ofEye OperationFacility at CHCsIntensive IECActivities andBlindness SurveyDoor to DoorBlindness SurveyDevelopment ofVision Centres atMankachar CHCS.Salmara CHCTraining & VisionScreening at SchoolsOrientation Meetingat all 7 BPHCsAwarness Meeting &Eye Screening Campsat 14 DevelopmentBlocksArrangement of Beds etc.Development of O.T.Placement of InstrumentsDeployment of StaffsEye Screening at Sub-centersby the PMOA on fixed dayevery weekInform the targeted Population by ASHAthrough Health DaySurvey at 30nosVillages/Towns6000 housesMake Provision for Room inconsultation with the i/c M.O.Procurement & Placement ofEquipments & FurnituresOrientation Trainingof School TeachersScreening & detectionof RE to the remotearea with MobileVision Testing VanDistribution of freeSpectacles to theSchool ChildrenSensitization MeetingWith all M.O./ ANMs etcIEC Activity & organisa-tion of Eye CheckupcampsFortnightlyEye CampApril-March20010-<strong>11</strong>Apr-May-June/ <strong>2010</strong>April-May<strong>2010</strong>July<strong>2010</strong>May –Nov/10Feb – Mar/<strong>11</strong>Aug /<strong>2010</strong>Aug–Sept<strong>2010</strong>ResponsiblePersonsSuperintendentD.O.S.D.P.M.Jt.D.H.S.,D.O.S. &D.P.M.PMOA &D.P.M.D.P.M.D.O.S.D.P.M.D.P.M.D.P.M.D.P.M.D.P.M.186
Budget Under NPCB for <strong>2010</strong>-<strong>11</strong>STRATEGY ACTIVITY Sub-Activity Cost per Unit Total CostWeekly Cataract Procurement of Drugs, @ Rs. 750/-Eye Operation at1. Cataract Surgery Civil Hospital @ 9Consumables, Sutures, etc. For 800 oprns. 6,00,000.00at base HospitalApproachOprn. Per day for 2O.T. day for 45 weeks,Procurement of SharpInstruments etc.Lump-sum 40,000.002. School EyeScreening Programme3. Procurement ofEquipmernts4. Development ofVision Centre:5. Eye Screening andDetection of CataractCases at Sub-Canters6. Popularization ofEye Donation & EyeCare7.MANAGEMENTOF District HealthSocietyVision Screening at 100Schools @ 200 studentseach7% defective Refraction of 20000 School Visit by PMOAsStudents i.e. 1400 students for confir With Vision Testing Van-matory camps30% Refrective Error of 1400 Nos. i.e.420 nos. students for distributionof Free SpectaclesDevelopment of EyeOperation Facility at<strong>Dhubri</strong> Town Health Instt.Development of VisionCerntre where O.A. posted1. Mankachar CHC2. South Salmara CHCIEC ActivitiesEye Screening atSub-centers by thePMOA on fixed dayEvery weekDoor to DoorBlindness SurveyOrientation Meetingat all 7 BPHCsAwarness Meeting &Eye Screening Campsat 14 DevelopmentBlocksSalary Support ofDistrict HealthSocietyTA/DA of the StaffTraining of 100 SchoolTeachers Details 25,000.00Development of O.T.Placement of InstrumentsDeployment of StaffsMake Provision for Room inconsultation with the inchargeM.O.Procurement & Placement ofEquipments & FurnituresPrinting of Forms, BlindRegister, Leaflets,StationeriesOrganisation &ContingenciesSurvey at 30nosVillages/Towns6000 housesSensitization MeetingWith all M.O.s/ BPMU/BEEs/ ANMsIEC Activity at 20 nosOf Health InstitutionsWith Flaxo bannersDPM=1DealingAsstt.= 1Lump-sum@ Rs.20/- eachfor 1400 students 28,000.00@ 200/- each for420 students 84,000.00Lump-sum 5,00,000.0050,000/- each 1,00,000.00@ Rs.50/-eachFor IEC and 15,000.00Rs. 200/- for 58,000.00OrganizationExp. of at 290Health Instt.15/-per house 90,000.00@ Rs. 3000/- 21,000.00@ Rs. 1,500/-Each for 20H.Institutions96,000/-30,000.0018,000/- <strong>11</strong>4,000.0020,000.00Maintenance ofOphth. Equipments Lump-sum 16,000.00Contingency & OtherActivities 30,000.00Total 17,71,000.00187
6.7.5 INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)Proposed activities schedule for DSU/ IDSP/ <strong>Dhubri</strong> DHAP:: <strong>2010</strong> - <strong>11</strong>1. 3 days training for newly inducted Medical Officers on IDSP.2. 2 days training for Health Workers.3. 3 days training for Laboratory Technicians/ Microscopist at District Laboratory.4. Weekly online transmission of S, P & L Forms.5. Dissimilation of Early Warning Out Break Responses.6. Supervision and Monitoring of Peripheral Surveillance Units.7. Activities on International Health Regulation ( IHR ) Focal Point (daily basis onlinereporting of H1N1 Influenza Status).Working plan for above proposal:Sl No Initiatives Number of batches to be trained VenueI Qtr II Qtr III QTR IV QTR1 3 days training forMO( newly inductedofficers ) for a batchof 20 trainees.2 2 days training forHealth Workers for abatch of 20 trainees.1 batch 1 batch5batches5batches5batchesat DSU5 batches Block PHCPremises3 days training for3 LaboratoryTechnicians/Microscopist for abatch of 20 trainees.4 Supervision andMonitoring ofPeripheralSurveillance Units6 Nos ofvisits atPSU1 batch 1 batch at DistrictLaboratory.6 Nos ofvisits atPSU6 Nos ofvisits atPSU6 Nos ofvisits atPSUat PSU188
INTEGRATED DISEASE SURVEILLANCE PROJECT.BUDGET BREAK UP OF VARIOUS HEAD, DHUBRI DISTRICT.( RS IN LAKHS )Sub -Tasks Unit Cost No of <strong>2010</strong>-<strong>11</strong> RemarksactivityUnits1. Staff 1.1 Epidemiologists 30000Salary 1.2 Microbiologists 200001.3 Entomologist 200001.4 Consultant ( Finance ) 140001.5 Consultant ( Training ) 280001.6 State Data Manager 140001.7 District Data Manager 13500 12 1620001.8 Data Entry Operator 8500 12 1020001.9 Accountant 9500 12 <strong>11</strong>4000 already appointed &1.10 Administrative Assistant 7000 12 84000 working as perGovt. guidelines thesaid post may becontinued withIDSP.Sub Total 4620002.Training 2.1 Training of Hospital 36500 2 73000Doctors2.2 Training of Hospital 15500 20 310000Pharmacist/ Nurses2.3 Training of Laboratory 23500 2 47000Technicians/MicroscopistSub Total 4300003.3.1 Mobility Support, 5800 12 69600Operational 3.2 Office Expenses 5000 12 60000Cost 3.3 ASHA incentives for100 120 12000Outbreak reporting3.4 Collection and3000 12 36000transportation of samples3.5 IDSP reports including 500 12 6000alerts3.6 Printing of IDSP Forms 2000 12 240003.7 Broadband Expenses 1000 12 12000Sub Total 2196004. New 4.1 Review Meeting District 5000 2 10000Innovations CommitteeGrand Total <strong>11</strong>21600( Rupees eleven lakhs twenty one thousand six hundred only)189
6.7.6 National tobacco Control Programme (NTCP)National Tobacco Control Programme (NTCP) was launched in the year 2007-08 as pilotprogramme in 18 districts covering 9 states of India and Assam is one of the Sate. At present theprogramme is running in 42 districts covering 21 states of the country.The Basic Objective of the NTCP:1. To Build up Capacity of the District to effective implementation the Anti Tobacco Initiatives2. Skill development of the Health and Social Workers3. To take up appropriate IEC/BCC and mass awareness campaign4. Introducing NTCP agendas in School Health Programme5. To set up a regulatory mechanism to monitor6. Implement the Anti Tobacco laws farmed by Government7. To establish Tobacco Cessation Centres8. To conduct Global Adult tobacco survey for surveillanceProposed Activities:1. District Tobacco Control Cell will be set up, one Psychologist and One Social Worker willbe appointed on the Contractual basis. All the activities will be carried under thesupervision of DPMU NRHM2. Phase wise training will be conducted for BPM, BEE, HE & LHV and MNGO members.3. Awareness cum sensitisation meeting with Civil Society group such as Women SHG,NGOs, ULB’s and PRI’s, School teachers, health workers, law enforcers etc. IEC materialswill be developed.4. Special Talk show on Anti Tobacco, awareness rally, quiz etc will be arranged with SchoolHealth Progarmme.5. For effective implementation of NTCP at grass root level frequent monitoring is required,hence monitoring plan will be developed.6. For enforcement of anti-tobacco law awareness regarding the following specificationprovision will be increased:a. Ban on Smoking in public in public placesb. Ban on sale of tobacco products to children bellow 18 yearsc. Ban on direct/indirect advertisement promotion and sponsorship of tobaccoproductsd. Ban on sale of tobacco products within 100 yards of the educational institutionse. Mandatory depicition of Specified health warning on all tobacco productsf. Testing of tobacco products for tar and nicotine.190
7. Under the supervision of the Psychologist and Social Worker a Tobacco CessationCentres will be established at <strong>Dhubri</strong> Civil Hospital, <strong>Dhubri</strong>.8. For find out the actual status of the district Global l Adult tobacco survey will be conducted.Proposed Budget for District Tobacco Control Programme (NTCP)Sl.No Components Calculation (Rs) Total (Rs)1Salaries:I). Psychologist: Rs.10, 000/- per monthii). Social Worker: Rs. 8,000/- per month10000 X 12 months8000 X 12 months216,0002 Training 200,000 200,0003 IEC Activity 200,000 200,0004 School Activity 400,000 400,0005Monitoring of Tobacco Control Laws &Reporting100,000 100,0006 Contingency 100,000 100,000Total 12,16,000/-191
6.7.7 National Mental Health ProgrammeIt is estimated that 6-7% of population suffers from mental disorders. Together thesedisorders account for 12% of the global burden of diseases (GBD) and an analysis of trendsindicates this will increase to 15% by 2020 (World Health Report, 2001). Most of them (>90%)remain un-treated. Poor awareness about symptoms of mental illness, myths & stigma related toit, lack of knowledge on the treatment availability & potential benefits of seeking treatment areimportant causes for the high treatment gap.As present there 123 nof of district has been covered under District Metal HealthProgramme.Strategy:1. Enhancing the capacity of the mental health infrastructure to serve a greaternumber of Service seekers.2. Improving the quality of services in custodial institutions and developing innovativeapproaches in non-custodial settings.3. Initiating research that would provide information on planning and implementingappropriate services.4. Manpower development.Proposed Activities:1. Enhancing the Capacity of the Mental Health Infrastructurea. Increasing the number of mental institutionsb. Increasing the service capacity of individual institutionsc. Integrating mental health with general health1. One district Counselling Centre will be established2. Crisis Helpline will be set up3. Regular Counselling session will be organized in Colleges, Work Place, necessaryarrangement will be made for stress management.4. Thought DHMP it to be ensured that basic mental health services are beingprovided at the community level.5. Necessary support staff (Clinical Psychologist, PSWs, Psychiatric Nurses etc )willbe engaged on purely contractual basis.6. Required medicines will be supplied to all health institutions.7. IEC materials like handbook, Leaflets, Picture Chart etc will be developed.8. Contingency for running the DMHP will be released to BPHC wise.Total Budget proposed under Mental Health Programem during <strong>2010</strong>-<strong>11</strong> is Rs. 5,00,000.00192
6.8 PART E: CONVERGENCEIntersectoral ConvergenceIntersectoral Convergence is a vital component of National Rural Health Mission. The mainaim of convergence is to facilitate integration of various services to meet simultaneously thevarious felt needs in diversified areas of the targeted groups. One of the main objectives ofconvergence is the coordinated delivery of some or all services in view of the complementarily oftheir objectives.Inter Sectoral Convergence with PHE:Proposed Activities:• A district level convergence Meeting with PHE department will be organized to streamlinethe TSC (Total Sanitation Camping).• After the district level meeting similar Block level meeting with block officials will beorganized at Block level.• Under VHSC fund an amount of Rs. 3000/- is meant for construction of sanitary toilet. Thefund will be handed over to PHE department by respective VHSC for further course ofaction.• Flex Hoarding Board BPHC wise 10 nos will be developed and installed• IEC materials like Poster, leaflets etc will be developed and distributed .Inter Sectoral Convergence with Education Department:Activity already done:• District level convergence meeting held with SSA on 30 th October 2009 at SSA office<strong>Dhubri</strong> and finalized the programme.• Initially 100 nos of Schools were selected for the programme.• Block level Convergence meeting with SSA officials has been organized and strategy isprepared.• Now as per action plan School Health Awareness Programme in 100nos of School is goingon successfully.Proposed Activity:• In the next financial year another 100 nos of School will be selected for School HealthProgramme.• School Teacher of the Selected School will be trained in phase wise.• Health Awareness video will be screen in all the selected schools.• IEC materials life Picture Chart will be developed for School students.• Quiz, Essay writing & Art computations etc will on Health related subject will be organized.Total Budget proposed under Convergence during <strong>2010</strong>-<strong>11</strong> is Rs. 2,00,000.00193
Chapter – 7HMIS & Monitoring and EvaluationAs per letter of MD, NRHM, Assam vide no. NRHM/MIS/DO/121/09-10/19833-59 dt. 13 thNov’09, the District Health Socety, NRHM, <strong>Dhubri</strong> has designated the following officiares asNodal Monitoring and Evaluation Officer in addtiona to their noram responsibilities forstrengthening monitoring and evaluation activities and to serve single point of contact for all healthrelated M&E information. The following officer is as follows –Present DesignationDistrict Data ManagerBlock Programme ManagerNew DesignationDistrict Data manager and District Nodal M & EOfficerBlock Programme Manager and Block NodalM & E OfficerIt has also ensured that District Programme Officers (RCH, RNTCP, NVBDCP, NLEP, UIP,IDSP etc) should endorse a copy of the compiled data to the Nodal M&E Officer at each level i.eDistrict & Block level and should cooperate with newly designated Nodal M&E Officer at eachlevel for builing up the integrated health database.Data Uploading in the Web PortalDistrict Nodal M&E officer is responsible for uploading regaular HMIs data in the HMISportal. All programme officers are cooperating with the District Nodal M&E Officer to upload datacorrectly, completely and regularly.Data qualityIt has also ensured that the data before uploading in the HMIS webportal should beverified properly.Monitoring & EvaluationMonitoring and Evaluation is the backbone of any programme. Monitoring may be donefor ongoing activities for effective implementation of any programme and the impact should beassessed through proper evaluation of the activities initiated under NRHM .To achieve the desired outcome it is mandatory to conduct review at all level; i.e. fromDistrict level to Block level at regular intervals in a systemic manner. The required MobilitySupports for the officers who will be entrusted with the job of monitoring and supervision wouldalso be under this component of the programme. As new reporting formats would be introduced,it has been decided that all the officers and staff who will be involved in the programme would beadequately trained and assigned so that there will be no communication gaps and the desired outcome would be reach at the District in due time.194
Monitoring1.District Health Mission (DHM)At District LevelDistrict Health Society (DHS)DHS Secretariat (DistrictProgramme Management SupportUnit (DPMSU)Programme Committee forvarious health programmesDISTRICT MONITORING TEAMBlock Health CommitteeAt Block LevelHospital Management Society of Block PHC/CHCVillage Health CommitteeImpact evaluation will be conducted with the help of internal/external agencies as per theneed of the programme.The main aim of NRHM is to provide accessible, affordable and quality health care to therura population to reduce Maternal Mortlity Rate(MMR), Infant Mortality Rate(IMR), TotalFertality Rate(TFR) and minimize disease burden (viz- Gastroenterities/Malaria/TB etc). This willbe possible only when all Institutions from Sub-Centre upto District Hospital can be madefunctional in true sense. Monitoring is the only way to know whether the institutions are functioningor not and also to identify the gaps in Infrastructure, Manpower, Equipments, Instruments andother Logistics. Monitoring can be done by four ways1. Direct Observations using checklists (Different Checklist for different Institutions)2. Reviewing and analyzing HMIS reports3. Taking to the Community (interaction)4. Conducting PHC level review meeting195
Approaches of Monitoring1. Monitoring from District levelAs per the letter of MD, NRHM, Assam vide no. NRHM/DOC/557/07-08/6685-67<strong>11</strong> dated26.6.08, A District Monitoring Team has been constituted with the following members : -1. Joint Diretcor of Health Services cum Member Secretary, DHS, <strong>Dhubri</strong>2. Addl CM & HO (FW), <strong>Dhubri</strong>3. DIO, <strong>Dhubri</strong>4. SDM & HO (HQ), <strong>Dhubri</strong>5. DPM, DME, DAM, DDM, <strong>Dhubri</strong>6. SDM & HO (PH)/JSY Nodal Officer, <strong>Dhubri</strong>The Institution to be monitored by District team:- District Hospital, SDCH, FRU, CHC, 24x7PHC, Block PHC and Cross monitoring of the institutions monitored by Block PHCSources of Information to be taken during monitoring: - Reports, OPD/Indoor Register,Attendance Registers, Drugs Stock Regsiter and Other registers maintained by the concernedinstitutions, FMR, Minutes of the meeting etc and Special tools like case studies/diary. RecordedObservations, One-on-One Interview, Focus Group Discussion, Sample Survey Recording etc.Through Monitoring we can- Review Progress- Identifying Problems in Planning and/or Implementation- Make adjustments to make a difference.The District Monitors will do monitoring and supervision as per allotted BPHC and as perquarterly plan and submit the monitoring report to the Joint Director of Health Services cummember secretary, DHS, <strong>Dhubri</strong> in 1 st week of every month on the basis of Check list so thatremedial measures can be taken.196
2. Monitoring from Block levelA block level monitoring team has also constituted to monitor vaious health programmesunder NRHM in their respective Blcok PHC area.The Team consist of SDM& HO/In-Charge of BPHC, Sectoral MO, BPM, BAM, Asst BPM,BEE etc.During <strong>2010</strong>-<strong>11</strong>, it will be ensured that the team will carry prescribe checklist of monitoringand submit the detail report to the in-Charge of Block PHC with a copy to Dist. HQ. The copy ofthe monitoring report will be send to each MPHC/SHC/SD/SC with feedback and suggestion forimprovement.3. Monitoring Micro PlanIn order to stream line of monitoring system it will be ensured during <strong>2010</strong>-<strong>11</strong>, that eachBPHC will prepare a micro monitoring plan and submit to the District and also stick to themonitoring Micro Plan and submit report to the District HQ. It will be ensured that the Districtmonitoring team will do the monitoring and supervision as per quarterly micro monitoring plan asenclosed herewith.Quarterly Micro Monitoring Plan of District Monitoring TeamSl NoDesignationof Official1 JDHS, <strong>Dhubri</strong>2Addl. CM &HO (FW),<strong>Dhubri</strong>Jan’10 Feb’10 Mar’10Name of Institutionto be visitedChapor FRU,Salokocha SHC,Bahalpur SD,Champabati MPHCMankachar CHC,Sukchar MPHC,Sadullabari SHC,Kakripara SD,Jhawdanga SDName of Institutionto be visitedHalakura CHC,Agmoni CHC, SatrasalMPHC, Boterhat SDChapor FRU,Salokocha SHC,Bahalpur SD,Champabati MPHCName of Institutionto be visitedMankachar CHC,Sukchar MPHC,Sadullabari SHC,Kakripara SD,Jhawdanga SDHalakura CHC,Agmoni CHC,Satrasal MPHC,Boterhat SD3 DIO, <strong>Dhubri</strong>Dumurdaha MPHC,Dhepdhepi MPHC,Moterjhar MPHC,Bherbhangi SD,Kachokhana SD,Gauripur CHC,Geramari MPHCJaruwa MPHC,Chirakuti MPHC,Fakirganj MPHC,Medartari SD4SDM & HO(HQ), <strong>Dhubri</strong>BilasiparaSapatgram SHC,Santipur MPHCLakhiganj SD,Futkibari SD,Bogribari SDSHC,Dumurdaha MPHC,Dhepdhepi MPHC,Moterjhar MPHC,Bherbhangi SD,Kachokhana SD,Chapor FRU,Salokocha SHC,Bahalpur SD,Champabati MPHC197
5SDM & HO(PH), <strong>Dhubri</strong>Halakura CHC,Agmoni CHC,Satrasal MPHC,Boterhat SDJaruwa MPHC,Chirakuti MPHC,Fakirganj MPHC,Medartari SDDumurdaha MPHC,Dhepdhepi MPHC,Moterjhar MPHC,Bherbhangi SD,Kachokhana SD,67DPM/DDM,NRHM, <strong>Dhubri</strong>DME/DAM,NRHM,<strong>Dhubri</strong>Gauripur CHC,Geramari MPHCJaruwa MPHC,Chirakuti MPHC,Fakirganj MPHC,Medartari SDMankachar CHC,Sukchar MPHC,Sadullabari SHC,Kakripara SD,Jhawdanga SDBilasipara SHC,Sapatgram SHC,Santipur MPHCLakhiganj SD,Futkibari SD,Bogribari SDBilasipara SHC,Sapatgram SHC,Santipur MPHCLakhiganj SD,Futkibari SD,Bogribari SDGauripur CHC,Geramari MPHC198
Sl NoDesignationof Official1 JDHS, <strong>Dhubri</strong>2Addl. CM &HO (FW),<strong>Dhubri</strong>3 DIO, <strong>Dhubri</strong>4SDM & HO(HQ), <strong>Dhubri</strong>Apil’10 May10 June’10Name of Institutionto be visitedBilasipara SHC,Sapatgram SHC,Santipur MPHCLakhiganj SD,Futkibari SD,Bogribari SDChapor FRU,Salokocha SHC,Bahalpur SD,Champabati MPHCMankachar CHC,Sukchar MPHC,Sadullabari SHC,Kakripara SD,Jhawdanga SDDumurdaha MPHC,Dhepdhepi MPHC,Moterjhar MPHC,Bherbhangi SD,Kachokhana SD,Name of Institutionto be visitedDumurdaha MPHC,Dhepdhepi MPHC,Moterjhar MPHC,Bherbhangi SD,Kachokhana SD,BilasiparaSapatgram SHC,Santipur MPHCLakhiganj SD,Futkibari SD,Bogribari SDChapor FRU,Salokocha SHC,Bahalpur SD,Champabati MPHCHalakura CHC,Agmoni CHC,Satrasal MPHC,Boterhat SDSHC,Name of Institutionto be visitedChapor FRU,Salokocha SHC,Bahalpur SD,Champabati MPHCDumurdaha MPHC,Dhepdhepi MPHC,Moterjhar MPHC,Bherbhangi SD,Kachokhana SD,Halakura CHC,Agmoni CHC,Satrasal MPHC,Boterhat SDMankachar CHC,Sukchar MPHC,Sadullabari SHC,Kakripara SD,Jhawdanga SD5SDM & HO(PH), <strong>Dhubri</strong>Halakura CHC,Agmoni CHC,Satrasal MPHC,Boterhat SDGauripur CHC,Geramari MPHCJaruwa MPHC,Chirakuti MPHC,Fakirganj MPHC,Medartari SD6DPM/DDM,NRHM, <strong>Dhubri</strong>Jaruwa MPHC,Chirakuti MPHC,Fakirganj MPHC,Medartari SDMankachar CHC,Sukchar MPHC,Sadullabari SHC,Kakripara SD,Jhawdanga SDGauripur CHC,Geramari MPHC7DME/DAM,NRHM,<strong>Dhubri</strong>Gauripur CHC,Geramari MPHCJaruwa MPHC,Chirakuti MPHC,Fakirganj MPHC,Medartari SDBilasipara SHC,Sapatgram SHC,Santipur MPHCLakhiganj SD,Futkibari SD,Bogribari SD199
Sl NoDesignationof Official1 JDHS, <strong>Dhubri</strong>2Addl. CM &HO (FW),<strong>Dhubri</strong>July’10 Aug10 Sept’10Name of Institutionto be visitedGauripur CHC,Geramari MPHCJaruwa MPHC,Chirakuti MPHC,Fakirganj MPHC,Medartari SDName of Institutionto be visitedJaruwa MPHC,Chirakuti MPHC,Fakirganj MPHC,Medartari SDMankachar CHC,Sukchar MPHC,Sadullabari SHC,Kakripara SD,Jhawdanga SDName of Institutionto be visitedBilasipara SHC,Sapatgram SHC,Santipur MPHCLakhiganj SD,Futkibari SD,Bogribari SDGauripur CHC,Geramari MPHC3 DIO, <strong>Dhubri</strong>Halakura CHC,Agmoni CHC,Satrasal MPHC,Boterhat SDGauripur CHC,Geramari MPHCJaruwa MPHC,Chirakuti MPHC,Fakirganj MPHC,Medartari SD4SDM & HO(HQ), <strong>Dhubri</strong>Dumurdaha MPHC,Dhepdhepi MPHC,Moterjhar MPHC,Bherbhangi SD,Kachokhana SD,Halakura CHC,Agmoni CHC,Satrasal MPHC,Boterhat SDMankachar CHC,Sukchar MPHC,Sadullabari SHC,Kakripara SD,Jhawdanga SD5SDM & HO(PH), <strong>Dhubri</strong>Mankachar CHC,Sukchar MPHC,Sadullabari SHC,Kakripara SD,Jhawdanga SDChapor FRU,Salokocha SHC,Bahalpur SD,Champabati MPHCHalakura CHC,Agmoni CHC,Satrasal MPHC,Boterhat SD67DPM/DDM,NRHM, <strong>Dhubri</strong>DME/DAM,NRHM,<strong>Dhubri</strong>Chapor FRU,Salokocha SHC,Bahalpur SD,Champabati MPHCBilasipara SHC,Sapatgram SHC,Santipur MPHCLakhiganj SD,Futkibari SD,Bogribari SDBilasiparaSapatgram SHC,Santipur MPHCLakhiganj SD,Futkibari SD,Bogribari SDDumurdaha MPHC,Dhepdhepi MPHC,Moterjhar MPHC,Bherbhangi SD,Kachokhana SD,SHC,Dumurdaha MPHC,Dhepdhepi MPHC,Moterjhar MPHC,Bherbhangi SD,Kachokhana SD,Chapor FRU,Salokocha SHC,Bahalpur SD,Champabati MPHC200
Sl NoDesignationof OfficialOct’10 Nov’10 Dec10Name of Institutionto be visitedName of Institutionto be visitedName of Institutionto be visited1 JDHS, <strong>Dhubri</strong>Dumurdaha MPHC,Dhepdhepi MPHC,Moterjhar MPHC,Bherbhangi SD,Kachokhana SD,Halakura CHC,Agmoni CHC,Satrasal MPHC,Boterhat SDMankachar CHC,Sukchar MPHC,Sadullabari SHC,Kakripara SD,Jhawdanga SD2Addl. CM &HO (FW),<strong>Dhubri</strong>Mankachar CHC,Sukchar MPHC,Sadullabari SHC,Kakripara SD,Jhawdanga SDChapor FRU,Salokocha SHC,Bahalpur SD,Champabati MPHCHalakura CHC,Agmoni CHC,Satrasal MPHC,Boterhat SD3 DIO, <strong>Dhubri</strong>45SDM & HO(HQ), <strong>Dhubri</strong>SDM & HO(PH), <strong>Dhubri</strong>Chapor FRU,Salokocha SHC,Bahalpur SD,Champabati MPHCGauripur CHC,Geramari MPHCJaruwa MPHC,Chirakuti MPHC,Fakirganj MPHC,Medartari SDBilasiparaSapatgram SHC,Santipur MPHCLakhiganj SD,Futkibari SD,Bogribari SDJaruwa MPHC,Chirakuti MPHC,Fakirganj MPHC,Medartari SDMankachar CHC,Sukchar MPHC,Sadullabari SHC,Kakripara SD,Jhawdanga SDSHC,Dumurdaha MPHC,Dhepdhepi MPHC,Moterjhar MPHC,Bherbhangi SD,Kachokhana SD,Bilasipara SHC,Sapatgram SHC,Santipur MPHCLakhiganj SD,Futkibari SD,Bogribari SDGauripur CHC,Geramari MPHC6DPM/DDM,NRHM, <strong>Dhubri</strong>Halakura CHC,Agmoni CHC,Satrasal MPHC,Boterhat SDGauripur CHC,Geramari MPHCJaruwa MPHC,Chirakuti MPHC,Fakirganj MPHC,Medartari SD7DME/DAM,NRHM,<strong>Dhubri</strong>BilasiparaSapatgram SHC,Santipur MPHCLakhiganj SD,Futkibari SD,Bogribari SDSHC,Dumurdaha MPHC,Dhepdhepi MPHC,Moterjhar MPHC,Bherbhangi SD,Kachokhana SD,Chapor FRU,Salokocha SHC,Bahalpur SD,Champabati MPHC4. Reports and ReturnsIt will be ensured during <strong>2010</strong>-<strong>11</strong> that DH/BPHC/CHC/PHC/Sc will submit the report as perNew HMIS format.201
5. Review meetingsa.District Review Meeting :It will be ensure that District Review meeting on 6th to 7th Day of the monthafter receiving HMIS report from all Block PHC/SDCH/DH.The DPM will collect all the minutes of BPHC Level review meeting and prepareasummary note. The agenda and agenda note will be prepared by DEMO/Dy. DEMO &DPM inconsultation with Addl. CM&HO(FW) and Joint DHS.All Program Officers of the District/ DMO/ All SDM& HO I/C BPHC/ Superintendent CivilHospital & SDCH/ Medical Officers from MMU & Boat Clinic/ DIO/Addl. CM & HO(FW) /CM & HO (CD)/ Principal ANM/GNM School/ District Programme Manager/ DistrictAccounts Manager/ District Media Expert/ District Data Manager/ i/c MO District DrugsStore/District Drugs Store Manager/ AE/Junior Engineer (Construction)/ DistrictCommunityMobilizer/ Computer Assistant / Data Entry Operator cum Office Assistant,District Drugs Store,etc will attend the meeting.The minutes of the meeting will be recorded by the person entrusted by Joint DHS.Minutes must be submitted to Mission Director, NRHM, Assam along with presentation ofthe report analysis and monthly reporting format for review meeting (Annexure I).The attendance registered is to be maintained regularly by obtaining signature Institutionwise so that absentees can be identified to take necessary action.Routinely the following are the points of discussion:-1. At the Onset of the meeting - The Chairperson (Joint DHS) will read out the minutesof the last review meeting along with the action taken report. He will also discuss thesalient points of last District Health Society meeting2. HMIS Report – DEMO/DPM will present analyzed HMIS Report and will announce thenames of the reporting units from where reports were not received.Reporting month means from 1st day to last day of the month (i.e., 1st to 30th / 31st / 28th/29th) as the case may be.They will also point out the Reporting Units submitting incorrect HMIS Report, so thatreports are received Timely, Regularly, & Correctly.Performance of all health institutions of the Districts must be analyzed for all healthindicators including ANC, Institutional Delivery, JSY, PNC, Immunization, FamilyPlanning, VHND, Majoni, Mamoni, etc.District will identify the low performing areas for various Programmes likeANC,Institutional Delivery, JSY, PNC, Immunization, Family Planning, VHND, Majoni,Mamoni, etc to find out the cause of low performance and action to be taken.Highperforming Block PHC/ Health Institutions should be appreciated at the meeting.Soft copy and hard copy of the presentation of report analysis should be submittedto Mission Director, NRHM, Assam along with the minutes and Monthly ReportingFormat for Review Meetings (Annexure-I).202
3. Internal Monitoring Report – Joint DHS will discuss Institution wise gaps identifiedduring monitoring by the District Monitoring Team and <strong>Action</strong> Plan is to be prepared inthe meeting itself to minimize the gaps. Monitoring Report should be submitted toMission Director, NRHM, Assam. Commonly identified gaps in respect to performanceare as follows :-Activities Target Performance duringthe reporting monthNo. of PW receiving3 ANCNo. of High riskPW/PW withComplication inAntenatal PeriodreferredNo. of InstitutionDelivery conductedNo. of JSYBeneficiariesNo. of Health andNutrition DayOrganizedNo. of fullyImmunized InfantsNo of ASHAincentive given forfull immunizationDPT 1 to DPT3No. of DropoutInfants from DPT 1to MeaslesNo. of DropoutInfants fromContraceptiveDistributeda) Nirodhb) Oral Pillc) E PillNo. of IUCD insertedNo. of Mini lapperformedNo. of LaparoscopicSterilizationperformedNo. of NSVperformedNo. of MTPperformedCumulativeAprilsince203
4. Status of Medicine/Contraceptive/Logistic – District Drug Store Manager (NRHM)will present his/her monitoring report and will discuss how uninterrupted supply ofMedicine/Contraceptive/Logistic to all the Institutions can be ensured.5. Status of Manpower – Health Institution wise status of Manpower (Doctor/ GNM/ANM/ Lab Tech/ Pharmacist / etc) will be reviewed in the review meeting and gapanalysis with action taken proposed will be recorded in the minutes.6. Fund utilization - DAM will present Institution wise utilization of Fund bearing in mindthat there should not be any backlog for payment of JSY incentive to Mother & ASHA.Guideline for utilization of untied, maintenance and RKS Fund is to be discussedthoroughly.7. Civil work - Junior Engineer/ Asst. Engineer allotted for the District is also to be invitedto the meeting to present status of Civil Works in entire District.8. Feed back from the participants - The participants need to express their problems inimplementing activities under NRHM and also to share their success stories.9. UIP - DIO will present the Routine Immunization Report PHC wise and will announcethe name of the PHCs lagging behind in performance and action to be taken to improvethe performance. He/She will also discuss about Immunization week/ Pulse Polio/ ColdChain Status whenever it is necessary.10. NVBDCP/RNTCP/NLEP/NBCP/IDSP/IDDCP - The Program Officer of the concernProgram will present the performance report along with action taken report to improvethe performance.<strong>11</strong>. Discussion on implementation of DHAP (District Health <strong>Action</strong> Plan) - The DPMwill highlight the quarterly activities to be performed by District as ear marked in thework plan of DHAP.12. Status of in service training – DPM will collect the status of in service trainingimparted in the District at various sites of the District. At present the trainings are asfollows :-Training Name Load Achievement Cumulative(Since April)SBA at DistrictHospitalIMNCI by a NodalOfficerIUCD by ExpertMaster TrainerMini lap Training atDistrict HospitalLaparoscopicSterilization Trainingat District HospitalMTP Training at204
District Hospital3 days RoutineImmunizationTraining by DIO/Addl. CM & HO(FW)NeonatalRestabilizationTraining13. Functioning of District Hospital/SDCH/FRU/ 24 x 7 PHC – In charge of theseInstitution will present there Functional Status and <strong>Action</strong> Plan is to be prepared tominimize the gaps14. Orientation Hour - All circulars, guidelines received from the State (MD, NRHM/DHS/GoA) during the reporting month are to be discussed thoroughly by Chairman andresponsibility is to be fixed for implementation. New Programmes introduced should alsobe discussed in the meeting.15. Miscellaneous - Any other issues which are considered as important are to bediscussedin the meeting.The District review meeting will have impact over implementation of NRHM only whenfollow up actions are taken by the Joint DHS & Addl. CM & HO(FW) & All ProgramOfficers.b. Block Level Review Meeing :The Block PHC Review meeting is to be organized monthly by all Block PHC on 2nd to 4thDay of every month after receiving HMIS Report from SC/SD/MPHC/SHC/CHC/FRU.The agenda and agenda note will be prepared by BEE & BPM in consultation with MO i/cBlock PHC.All Sr MO from each institution, BPM/ BAM/ BEE/ Computor/ HE/ LHV/ Store In charge/ANM, Male worker, under the Block PHC will attend the meeting.One representative from District Level will also attend the meeting.The minutes of the meeting will be recorded by the person entrusted by (MO I/C BlockPHC). Minutes must be submitted to Jt. DHS of the district with a copy mark to MissionDirector, NRHM, Assam.The attendance registered is to be maintained regularly by obtaining signature Institutionwise so that absentees can be identified to take necessary action.Routinely the following are the points of discussion:-1) At the Onset of the meeting - The Chairperson ( MO I/C BPHC) will read out theminutes of the last review meeting along with the action taken report.205
2) HMIS Report - BEE & BPM will present analyzed HMIS Report and will announce thenames of the reporting units from where reports were not received. They will also pointout the Health Institution submitting incorrect HMIS Report, so that reports are receivedTimely, Regularly, & Correctly.Performance of all health institutions (CHC/MPHC/SHC/SD/SC) under the jurisdiction ofthe Block PHC must be analyzed for all health indicators including ANC, InstitutionalDelivery, JSY, PNC, Immunization, Family Planning, VHND, Majoni, Mamoni, etc.BPHC will identify the low performing areas for various Programmes like ANC,Institutional Delivery, JSY, PNC, Immunization, Family Planning, VHND, Majoni, Mamoni,etc to find out the cause of low performance and action to be taken. High performingBlock PHC/ Health Institutions should be appreciated at the meeting.3) Internal Monitoring Report - MO I/C Block PHC will discuss Institution wise gapsidentified during monitoring by Block & District Monitoring Team and <strong>Action</strong> Plan is to beprepare in the meeting itself to minimize the gaps. Commonly identified gaps in respect toperformance are as follows :-Activities Target Performance duringthe reporting monthNo. of PW receiving 3 ANCNo. of High risk PW/PWwith Complication inAntenatal Period referredNo. of Institution DeliveryconductedNo. of JSY BeneficiariesNo. of Health and NutritionDay OrganizedNo. of fully ImmunizedInfantsNo of ASHA incentive givenfor full immunization DPT 1to DPT3No. of Dropout Infants fromDPT 1 to MeaslesNo. of Dropout Infants fromContraceptive Distributedd) Nirodhe) Oral Pillf) E PillNo. of IUCD insertedNo. of Mini lap performedNo. of LaparoscopicSterilization performedNo. of NSV performedNo. of MTP performedCumulativeAprilsince206
4) Status of Medicine/Contraceptive/Logistic - The Pharmacist (NRHM) will presenthis/her monitoring report and will discuss how uninterrupted supply ofMedicine/Contraceptive/Logistic to all the Institutions can be ensured.5) Fund utilization - BAM will present Institution wise utilization of Fund bearing inmind that there should not be any backlog for payment of JSY incentive to Mother &ASHA. Guideline for utilization of untied, maintenance and RKS Fund is to bediscussed thoroughly.6) Civil work - Junior Engineer/ Asst. Engineer allotted for the District is also to beinvited to the meeting to present status of Civil Works in entire Block PHC Area.7) Feed back from the participants - The participants need to express their problemsin implementing activities under NRHM and also to share their success stories.8) UIP/NVDCP/RNTCP/NLEP/NBCP/IDSP/IDDCP - SMO other than In- chargeBlock PHC is to be given responsibilities to implement these National programmes.He/She will present the performance report of these program in the meeting.9) Discussion on implementation of Block Health <strong>Action</strong> Plan - The BPM willhighlight the quarterly activities to be performed by BPHC as ear marked in thework plan of BHAP.10) Status of in service training – DPM will collect the status of in service trainingimparted in the District at various sites of the District. At present the trainings are asfollows :-Training NameNo of persons trainedDocotr GNM ANM LHVOthers(Pleasespecify<strong>11</strong>) Orientation Hour - All circulars, guidelines received from the District during thereporting month are to be discussed thoroughly by Chairman and responsibility is to befixed for implementation. New Programmes introduced must be discussed in the meeting.Subject of orientation will depend upon the findings of monitoring. It may beregarding functioning of Sub-Centre/ 24x7 PHCs/ORT corner /Adolescent Clinic/MMU/Boat Clinic/ Innovative Scheme.12) Miscellaneous - Any other issues which are considered as important are tobediscussed in the meeting.The Block PHC review meeting will have impact over implementation of NRHMonly when follow up actions are taken by the MO I/C Block PHC.207
6. Capacity Building on New HMIS format and Registers for Block OfficialDuring <strong>2010</strong>-<strong>11</strong>, One day capacity building workshop will be done at District Level toBPM/BEE/LHV/UE/Computor etc on New HMIS format and Regsiters.7. Internet connectivity at Blcok Level:During <strong>2010</strong>-<strong>11</strong>, 7 nos. Block PHC, 1 CHC, 1 DH and 1 MC will be ensured thatthe establsiment of Internet connection at Block PHC so that the sub-district level datacan be uploaded to the Ministry Web Portal.. It will also help to establish bettercommunication between District and Block PHC and save time, money and energy spendfor communication and report submission.8. Procurement of HW/SW and Other equipments.During <strong>2010</strong>-<strong>11</strong>, As the electricity is available in Bherbhangi SD, (PHC Acct =1),Bogribari SD (PHC Acct Proposed=1) and <strong>Dhubri</strong> Health & Maternity Centre (PHC AcctProposed=1), 3 nos. computers will be proposed for <strong>2010</strong>-<strong>11</strong> at Bherbhangi SD,BogribariSd and <strong>Dhubri</strong> Health & maternity Centre.Budget AllocationSlMajor Head Minor Head Budget in Rs. Details RemarksNoSalaries of M&E, MIS & DataBudgeted under RCH and1- -Entry OperatorNRHM additionalitiesStregtening of2 M&E/HMIS Mobility for M&E Officers 24600003 M&E studies - -Hardware & Software4200000 -Procurment ofProcurement5 HW/SW and Internet connectivity 100000 -6 other Annual maintenance 3000007EquipmentsPrinting and ComputerStationary1500008Review of Existance Registerto make them compatibe with 50000 -National HMIS9Operationalising Printing of NewHMIS at Sub- Resgiters/Forms- -District LevelCapacity Building on New10HMIS format and Registersfor Block Official50000Total 3310000208
Chapter – 8Work PlanSl.No.WORK PLAN1stQr2ndQr3rdQr4thQrResponsiblePersonARCH PROGRAMMEA1MATERNAL HEALTHS-1. Early registration of PregnancyProposed Activities:-a.Training of 1726 nos of ASHA on early detection andregistration of Pregnancy in the Sub Centre area.b. Identification of Pregnant Women and registrationwill be ensured by ASHA as early as possible takinghelp of urine examination for Pregnancy test by usingof NISHYA KIT.c. Regular supply of Pregnancy Test Kit will be ensuredto all 1726 nos. of ASHAs and 456 nos. of ANMd. Village Health & Nutrition Day in 1500 villages of theDistrict will be used as a platform for motivating andmobilizing the women for early registration ofpregnancy.e. The District under “Assam Bikash Yojana” hasimplemented “Mamoni”-Nutrional food for pregnantwomen where a pregnant women after her firstregistration receives a hand book on nutrional food andMCH card. On her 2 nd checkup, a cheque of Rs. 500/-is given as monetory support for nutrional food and onher 3 rd checkup, another cheque of Rs. 500/- is givenand a voucher for referral transport.Jt.DHS/Addl. CM & HO/DPMU/DIOS-2. To provide quality antenatal care to all pregnantwoman by increasing the access through existing Govt.facilities.Proposed Activities:a. It will be ensured that all the existing 246 Sub-Centres will be procure requisite equipments from theSC untited fund and it wil be equipped BP instruments,weighting mahine and examination table.209
. Regular supply of IFA tablet, TT injection and Hb Kitwil be ensured in all 246 Sc & 41 Health Inst(SD/MPHC/SHC/CHC/FRU/BPHC/UHC/SDCH/DH)c. In all the SC it will mandatory that ANM will performregular checkup of BP, weight and Hb test of all theregistrated pregnant women and will keep a upto daterecord in the MCH register and tickler chart for followup with the help of ASHAd. Re Orientation Training of 456 nos. of ANM BlockPHCwise in a batch of 30 on physical examination ofpregnant women, Hb estimation and record keeping.e. Out of 246 SC functioning in rented building & Govt.dilapidated building, 58 nos SCs already taken up forconstruction during 2007-08, another 20 new SCs hasbeen approved during 09-10 @ Rs. 7.5 lakhs and 70nos. new SC will be proposed for construction forincrease provision of quality antenatal care. (Annexure-A)f. The sanctioned vacant posts of ANM will be filled upthrough regular appointment by the State Govt. Totalsanctioned post vacant under Addl CM & HO(FW)establishment =87 and JDHS establish=<strong>11</strong>g. As per the report there are total 376 nos.of ANM inthe district in the SC. The total requirement for thedistrict @ 2 ANMs per SC (excluding outreach area) is<strong>11</strong>6. Therefore the total contractual ANMs for the year<strong>2010</strong>-<strong>11</strong> will be <strong>11</strong>6S.3. To provide quality antenatal care to all pregnantwoman in inaccessible and uncovered areas.Proposed Activities:a. The uncovered and inaccessible areas under SouthSalmara, Birsing Jurwa, Fekamri, Jamadarhat andMankachar Development block (Total No of CharVillage=325, & Char Population=4,35,063) has beenidentified to provide ANC coverage regularly. A total 50nos. of out reach post will be constructed @ Rs. 0.75lakhs in Char areas to increase provision of qualityantenatal care. The Out reaches post are deigned forthe flood prone and reverine areas as these can berelocated and dismantled as per the requirement of theenvironment.210
. The contractual ANM may be posted under NRHM@ 2 ANMs per Out reach post (in 325 outreach area-Char). Total requirement is 100 ANM.c.Logistic supply will also be regularizedd. Special camp to be organized to cover uncoveredinaccessible areas by mobile medical team & BoatClinic.S-4. To increase awareness amongst the mothers andcommunities about the need of ANC.Proposed Activities:Communication strategies like street play, FGD,awareness meeting will be done laying emphasis onmarriage after 18 years, first child after 20 years, needof ANC, birth preparedness and importance of hospitaldelivery to increase awareness amongst the mothersand communities about the need of ANC and exclusivebreast feeding.S-1. Increasing the access through facilitystrengthening.Proposed Activities:a. To strengthen the institutional delivery, the district hasupgraded and taken up to 3 no.s BPHC , 1 nos. CHC, 1 nos.Maternity Centre, 6 nos. MPHC, 4 nos. SHC and <strong>11</strong> nos. SDto 24x7 hr delivery services during 05-06 to 09-10, Out ofwhich the construction work has completed in 18 nos.Health Institutions and providing 24x7 hr delivery servicesand the construction work is going on in 8 nos. of healthinstitutions.b. Again during 2009-10, fund has been received for 3 nos.Health Institutions for upgradtion of 24x7 hr deliveryservices with maternity wards and are in process.c. As per facility survey there is a requirement of 21 nos.labour table, 21 nos. of Stand light, 10 nos. Radiant warmer,13 nos. Auto clave, 19 nos. Electric Sterilizer, 19 nos. backupGenerator set including other logistics for 24x7 hr deliveryservices for quality services. The institutionwise detailedrequirement is enclosed herewith as Annexure Bd. Contractual engagement of 4 MO (MBBS), 4 MO (Ayur)and 49 GNM will be done in 24x7 PHCs deficient inmanpower. The institutionwise detailed requirement isenclosed herewith as Annexure C2<strong>11</strong>
e. The repairing and renovation of PHC Quarter ofJhowdanga SD, Bherbhangi SD, Dumardaha MPHC,Moterjhar SD & Kachokhana SD will be taken up during2009-10 so as to ensure that MO stays in Quarters.f. During 10-<strong>11</strong>, 15 nos. SC has been proposed for taking upthe Institutional Delivery at Folimari, Islamari, Barunitara,Simlabari, Adabari, Silairpar, Gharialdanga, Ranpagli,Borkanda, Chotogiraipar, Ratidaha, Rakhalpat, Kanuri,Fekamari and Baghapara SC. As per facility survey the gapsinterms of infrastrucre and equipments/furniture have to befull filled during <strong>2010</strong>-<strong>11</strong>.g. 57 nos. GNM. 10 nos. LHV and 53 nos. ANM has alreadytrainined on Skilled Birth Attendent (SBA) at Civil Hospital,<strong>Dhubri</strong> till Nov, 2009-10 another 24 nos. of GNM, and 12nos. of ANM will be trained on SBA on priority basis toimprove the quality of services.S-3. Social mobilization for institutional deliveries (JananiSuraksha Yojana)Proposed Activities:a. The district will continue with Janani Suraksha Yojana,wherein all the pregnant woman will be given incentives forinstitutional deliveries till Nov, 09, the JSY beneficiaries inthe District are 10485, out of <strong>11</strong>366 Institution deliveries.b. For the Year <strong>2010</strong>-<strong>11</strong>, the total Pregnant Womenestimated are 52041, this year the district proposed toincrease the institution delivery from existing level to least50%.c. The ASHA accompanying the pregnant woman for hospitaldelivery will also be given monetary incentive under thisScheme as per GoI guidelines.d. For developing the practice of institutional delivery agebar and order of pregnancy will not consider any more.S-4. Referral of obstetric emergenciesProposed Activities:212
a. Village to Health facilitiesMost of the parts of the district is backward and covered bychar area and most of the Pregnant women donot come tohealth facilties for delivery because of of non availitbility oftransportation facility from village to health institution. Inthis areas the means of communication are bullock carts,hand pull carts, private vehicles and boats which areavailable on hire. So the district proposed for providingtransportation facility to the pregnant women from villageto Health Institution including char areas.The Projected Institutional Delivery for <strong>2010</strong>-<strong>11</strong> is 26020, Inthese backward, referral transport money will be providedto Prgenant women (expected Pregnant women living in thisbackward area =10408 and Char areas 5204) coming forInstitutional Delivery under following categoriesb. Health Institution to Health InstitutionThe Pregnant women and Sick New Born requiring referralto higher institutions will be transported from one HealthInstitutions to another using ambulance available in thehealth facility.S-1. To improve the comprehensive EmOC in the CHCs andFRU.Proposed Activities:a. Construction of CHC to IPHS Standard has beencompleted for Chapor, Mankachar Halakura and GauripurCHC in <strong>Dhubri</strong> district and required manpower will beprovided during <strong>2010</strong>-<strong>11</strong> as per IPHS for comprehensiveEmOC.b. It will also be ensured to fill up all gaps in terms oflogistics and equipments during <strong>2010</strong>-<strong>11</strong> foroperationalizing these health facilitiesc. 4 nos. of Specialist in each discipline of O&G, Pae, Anae,Surgeon, and Radlogistetc will be reqcruited on contract basis for 4 nos. IPHSinstitutionMulti skilling training- 4 nos. MO (MBBS) will be trainined atGMC for Anesthesia &4 nos. MBBS doctors will be trained at SIHFW for EmOC tomake 4 nos. of CHC functional for comprehensive EmOC.d. Ensure post partum care at Village level byASHA/AWW/ANMS-1: Ensure post partum care at Village level byASHA/AWW/ANMProposed Activities:213
a. The AWW/ANM/AHSA of 246 SCs of <strong>Dhubri</strong> district willpay 3 post partum visit (1st within 2 days, 2nd within 14days and 3rd within 42 days) in respetive sub-centre areasand the activity will monitor by BPM/BAM/Asstt BPM.b. During Village Health and Nutrition Day, the mothers willbe motivated on essential newborn care, early and exclusivebreast-feeding and adopting family planning practices byASHA/ANMS-2: Ensure post partum care at PHCs and Higher HealthInstitutionProposed Activities:a. It will ensure that the mother stays for 48 hrs afterdelivery in the Health Institutions so that necessary care canbe taken if any complication arises and maternal mortalitycan be reduced.b. During their stay they will be counseled about essitentialNew Born care, Early & Exclusive Breast feeding andAdopting Family Planning practices.S-1. Increase the access to safe abortion in Govt. facilities.Proposed Activities:a. DH/5 CHC/6 BPHC/ 2 SHC/ 1 MPHC/ 1 MC will beprovided with requisite Kits to provide safe MTP.b. 40 MVA kit reveied by the District will supplied to all theabove health centers (2 each for DH/CHC/PHC/SHC/MPHC)after trainingc. 15 nos. of Doctors from PHC/CHC/SHC will be trained inphased manner at District Civil Hospital, <strong>Dhubri</strong> for MTPd. Proper maintenance of records will be ensured.S-1: Operatonalize services for diagnosis & Treatment atCHC/DHProposed Activities:a. District Civil Hospital and CHC will be strengthened toprovide facilities for diagnosis and treatment of RTI/STI. ThePHC however will focus on syndromic approach and drugswill be provided for the same. However, complicated caseswill be referred to higher institutions.b. RTI/STI Kit will be provided to DHs and 5 nos. of CHCs of<strong>Dhubri</strong> Districtc. The Laboratory in the DHs, and CHCs will be provided withrequisite logistics (drugs and kits) twice a year.214
S-2 Capacity building ANM/SN and Medical Officer & LabTech for managing RTI/STIProposed Activities:a. ANMs (14)/ LHV(7), GNM (14) and Doctors (10) & LabTech (6) will be trained in the SIHFW, Guwahati in phasemanner.S-3. Promote communication activities for prevention andearly care seeking for RTI/STIProposed Activities:a. Communication activities will be developed layingemphasis on symptoms of RTI, STI, and facilities available inthe block area of diagnosis & treatment. The activity isbudgeted under BCC/ IEC.6.4.2 : CHILD HEALTHS-1 ; Implementing Integrated Management of Neonatal &Childhood IllenessProposed Activitiesa. 13 nos. Medical Officer, 3 nos. Nursing Staff and 2 CDPOhas completed the ToT on IMNCI at SIHFW, GuwahatiA2b. The district will organize 8 days training on IMNCI for1791 nos. of AWW workers and 455 nos. of ANM inbatchwise (24 partcipant per batch) as per training plan andproviding IMNCI Kits and followup.S-2: Strengthening of the Govt facilities to providenewborn care.Proposed Activities :a. During 2008-09, fund has been received @ Rs.4.2 lakhsfor establishment of 4 Bedded Neonatal Stabilization Unit atDharmasal BPHC, Golokganj BPHC, Raniganj BPHC,Gazarikandi BPHC, Chapor CHC, Gauripur CHC, HalakuraCHC, Agomani CHC, Mankachar CHC, 20 Bedded MC,Sapatgram SHC and Bilashipara SHC and the work is inprogress.b. Again during 2009-10, fund has been received @ Rs.4.2lakhs for establishment of 4 Bedded Neonatal StabilizationUnit at Salokcha SHC, Dhepdhep MPHC, Satrasal MPHC,Tamarhat MPHC and Lakhiganj Sd and the work yet notstartedc. During <strong>2010</strong>-<strong>11</strong>, the Neonatal Stabilization Unit of <strong>Dhubri</strong>districts have to make functional by providing logistics andmanpower.Jt.DHS/Addl. CM & HO/DPMU/DIO/DME215
S-3. Capacity building of Doctors and Nurses on Basic NeoNatal Resuscitation trainingProposed Activites :a. The District TOT on Basic Neonatal Resuscitationtechnique has completed for 24 nos. Medical Officer, 2 nos.Sister Tutor, 2 nos Staff Nurse and 4 nos LHV at <strong>Dhubri</strong>b. Block level training of 48 nos of Doctors and 74 nos. ofGNM’s of 24 x 7 PHC’s will be done on Basic Neo NatalResuscitation techique batchwise (30 nos. participant perbatch) as per training plan.S-1. To increase awareness amongst mothers on benefitsof breast-feeding upto 6 months and need ofcomplementary feeding from 6 month onwards.Proposed Activities:a. IEC/BCC activities will be developed laying emphasis onearly feeding of colostrums, exclusive breast-feeding of 6months and importance and preparation of complementaryfeeding from 6 months onwards.b. Village Health and Sanitation Committees, SHG may alsobe involved for motivating pregnant women and lactatingmothers to promote exclusive breast feedingc. ASHA will counsel the mothers on the importance ofexclusive breastfeeding and complementory feeding.d. During VHND, pregnant women and lactating mothers areto be motivated for exclusive breast feeding.S-1. To raise awareness amongst mothers andcommunities on diarrhea ARI.Proposed Activities:BCC/ IEC activities will be developed laying emphasis on useof HAF, continuing breast-feeding, solid feeds, ORS usage,and identification of danger signs of diarrhea and ARI. (Tobe included under BCC/ IEC).S-2. Making ORS and zinc tablets available inremote/rural/tribal areas and difficult to reach areasthrough depot holders.Proposed Activities:a. The refresher training of ASHA and AWW will be done onusage of ORS and Zinc tablets.b. ASHA/AWW will made depot holder for distributing ORSpackates. The ASHA kit and SC Kit-A have ORS packats. Thesupply of AHSA Kit and SC Kit-A twince in a year will beensured. The AWW will also be provided ORS packats.216
c. Performance of the depot holders and replenishment ofthe stock shall be reviewed by the PHC MOs/ BPM quarterlyand arrangement for readily available stock of ORS to thedepot holders shall be ensured from the BPHCS-3. Strengthen facilities at PHC, CHC, SDH and DH.Proposed Activities:a. Fund @ Rs. 25000/- has been received for establishmentof 13 nos ORT corner in DH, PHCs, CHCs, SDH and SHCs of<strong>Dhubri</strong> District. Out of which fund has been utilized forestablishment of 10 nos of ORT Corner in the District.b. During <strong>2010</strong>-<strong>11</strong>, the remaining fund has to be utilized forestablishment of ORT coner in different identified Healthinstitutions of the district.c. The health facilities will be provided with required drugsand kitsS-4. Promote referral services of severe cases of ARI anddiarrhoea.Proposed Activities:a. The VHND will be used as platform to bring awarenessamongs the mothers and communities about warning signsof diarrhoea and ARI.b. The health functionaries will be given reorientationtraining for detection of ARI and Diarrhoea cases requiringreferral.S-1. To prevent and treat anemia in children.Proposed Activities:a. The pregnant women and mothers will be counseled byASHA/AWW/ANM about importance of exclusive breastfeedingupto 6 months, importance of complementaryfeeding from 6 months onwards and preparation of iron richfood.b. Regular supply of IFA (s) tablets will be ensured to treatanemia.c. Children below 6 months to 60 months will be given 20mg. elemental iron and 100 gm of folic acid in liquidformulation.d. Under School Health Programme weekly distribution ofIFA tablets to Girls and Six monthly distribution ofAlbendazole for de-worming by the the Nodal SchoolTeacher. The School teacher will ensure that the girls willconsume IFA tablets infront of her.e. It will be ensure that each school should have one fix dayfor IFA distribution with minimum absenteeism.217
A3S-1. To work closely with ICDS functionaries to reducemalnutrition.Proposed Activities:a. Emphasis will be laid to reduce malnutrition amongst thechildren (3 – 6 years) by working with ICDS functionariesand augmenting the mid day meal programmeS-1. To prevent and treat Vitamin-A deficiency and dewormingcampaign among children .Proposed Activities:a. Vit-A will be made available in all the institutions till theSub-Centre level and administration of Vitamin-A upto 5years of age will be ensured.b. VHND held every month in the village will also be used asa platform for Vit-A administration.c. In <strong>2010</strong>-<strong>11</strong>, 2 rounds of Vitamin –A week campaignalongwith de-worming May, <strong>2010</strong> and December, 20<strong>11</strong>.FAMILY PLANNINGS1. To raise awareness amongst the couples andcommunities about the advantage of contraceptives andsmall family.Proposed Activities:a. Communication messages will be printed aboutimportance of FP and availablity of FP services alongwithincentive offered and distibuted to ASHA/ANM/AWW(Details in IEC/BCC plan)b. IEC materials will be dirtributed to the community byASHA/AWW/ANM in VHND alongwith Family Planningcounseling for eligible couple for adopting family planningmethods.c. During Home visit on Moday and Thursday ANM & ASHAwill update eligible couple register and motivate the coupleto adopt FP methods as per choice of the coupled. BCC/IEC activities will be done with help of AWW, ASHA,Woman’s SHGs, FNGOs as per need of the locality to raiseawareness amongst the couples and communities about theadvantage of contraceptives and small family.Jt.DHS/Addl. CM & HO/DPMU/DIO/DME/FP Cordinatore. During Health Day disadvantages of early marriage (tooearly, too many and too frequently) are to be explainedespecially to adolescent girls with the help of opinion andreligious leaders of the village.218
f. One separate room will be allotted where ANM/GNM willconduct counseling session’s alongwith distribution ofcontraceptive/IEC materials etc. in District Hospital, CHCsand BPHCs, MPHCs. SHCs, SDs during OPD hours.S2. Increase the number of service delivery points.Proposed Activities:a. ASHA will act as a depot holder for Condom, Oral Pill andE-Pill and regular replenishment of the contraceptives onexhaustion is to be ensured during <strong>2010</strong>-<strong>11</strong>.b. 13 nos. of Doctor, 17 nos. of GNM, 29 nos. of ANM and 9nos. of LHV has completed the TOT on inerstion of Copper-T380A at <strong>Dhubri</strong>.c. Training of 30 MO/ 120 ANM/ 40GNM on IUD Insertionwill be done as per training Plan during <strong>2010</strong>-<strong>11</strong>.(Annexure……..)d. The IUCD Kit received during 2009-10 alredy distributedwhere training imparted another 100 nos of IUCD kit will berequired during <strong>2010</strong>-<strong>11</strong>.e. On Tuesday and Friday of every week Family planningservices including IUD Insertion (after training of 120 nosANM in Govt.Building) are to be provided in all the Govt.Building Sub Center of the District under the supervision ofLHV/Doctor will be ensured. Family planning counseling willalso be done alongwith.f. Fixed day family IUD insertuion along with family planningcounseling will be ensured at DH/FRU/CHC/BPHC/PHC.g. The women will be provided Rs. 20/- as per GoI guidlineunder RCH progrogramme for each IUD insertion, Budgetunder RCH flexipool.S3. Improve the service delivery to provide quality femalesterilization.Proposed Activities:a. The District Hospital, CHC/FRU will be equipped withrequisite infrastructure and logistics are to be providedLaparoscopic sterilization. (Annexure E)b. Fixed day sterilization (Lap. Camp) in the facilities twice inevery week in the District Hospitals and once in ChaporCHC/FRUs will be ensured.c. Female sterilization in every 2 months in 4 CHCs, 3 BPHCsand 1 SDCH by camp approach will be ensured.219
d. 1nos. of SDCH, 4nos. of CHC and 3 nos. of BPHC will beprovided with OT table and Boyles Appeartus forLaprascopic Sterilization.e. DH/FRU/4nos. of CHC/1nos SDCH/3 BPHCs will providedwith Co2 Gas Cylinder for Laprascopic sterilization.f. Training of 4nos. Medical Officers, 4nos. of OT boys onCo2 gas technique as per training Plan.g. Medical Termination of Pregnancy, MTP will be ensuredat DH/CHC/FRU/BPMC/MPHC/SHC after imparting trainingto 15 MOs and after providing MVA Kits received during 09-10h. PPS will be ensured at District Hospital, Chapor FRU andGauripur CHC where PPS surgeon & Mini Lap Kits available.i. The beneficiaries will be given incentive for Femalesterilization as per GoI guidline.S4. Encouraging Post partum Sterilisation scheme.Proposed Activities:a. JSY Beneficiaries are to be motivated for accepting PostPartum Sterilization and refer the acceptor to FRU/CHC/DHwhere PPS can be done at every level.b. The JSY beneficiary adopting female sterilsation will getcompensation money of Rs. 600.00. Moreover the schemealso provides for Rs. 150.00 motivation fee for ASHA andAWW respectively.S1- To raise awareness among the community regardingNon Scalpel Vasectomy.Proposed Activities:a. One day District level workshop will be organized by theAddl CM & HO (FW) incordination with DistrictAdministration. Zila Parishad (PRI) members, DIPRO,Teachers, Opinion leaders, Social activist, NGO of NYK etc.tosensitize them on the importance and promotion of NSV.b. Similar workshop will be organize at Block PHC Levelinvolving chaired by BDO for teachers, Openion leaders,religious leaers, PRI members etc to sensitize them on onthe importance and promotion of NSV.c. IEC material like Hand bill, Brochure, Leaf lets etc on NSVwill be developedd. BPHC wise outdoor publicity material on NSV likeHoarding, Bill Board, Flex Banner etc will be install in Publicgathering areas220
S2- To improve the service delivery to provide Non ScalpelVasectomyProposed Activities:a. At the BPHC level one NSV camps cum training for MOswill be organized registering at least 20 acceptors of NSV.One trainer from the Medical College or two trainers fromDistrict will attend the workshop. This camp will beorganizded in each 7 Block PHCs of <strong>Dhubri</strong> District monthly.In the workshop MOs from PHC wil be trained.b. The train MO of the Block and Master trainer of theDistrict will attend to perform NSV sterilization in each Blockand compensation money will be paid as per GoI guidelines.6.4.4 : ADOLESCENT HEALTH1. School Health Programme (Details underIntersectoral Convergence)1. Adolcent Clinic in the Health InstitutionsProposed Activities:a. Fund has been received for establishment of AdolescentHealth Clinic in 10 nos. of BPHCs/CHCs of <strong>Dhubri</strong> district andOut of which 6 nos. of Adolcent Health Clinic has beenestablished.A4b. During <strong>2010</strong>-<strong>11</strong>, the remaining 4 nos. of AdolescentHealth Clinic has to be established and to make functionalalready established Adolcent Health Clinic in true sense.c. IEC & BCC activities will be developed laying emphasis onnormal physiology, menstrual hygiene, use of CC, OC, EC,unwanted pregnancy, safe abortion, child marriage, variousrisk of teenage pregnancy etc.d. Identification of adolescent groups and numbers oforganized and drop out sectors through school healthprogrammes and at the village level during regular homevisit by ANMs by maintaining a register.Jt.DHS/ DPMUe. Counseling sessions will be held at regular intervals atfixed sites for both adolescent boys and girls separately.Counseling will be provided on the health days.f. Alolescents will be supplemented with 30 mg elementaliron and 250 mcg folic acid per day for 100 days in a year221
A5g. Special counseling and on the spot provision of IFA tabletsto adolescent girls in order to prevent anaemia.h. District will arrange training of School teachers on thebasic knowledge of adolescent health.6.4.5 URBAN RCHS-1 Institution strengthening through creation of UrbanHealth CentresProposed Activities:During 2009-10, the District has started the Urban HealthCentre, Rail Gumti area covering 30,000 population of theDistrict and is providing following services.• OPD services, 4 hrs in the morning and 2hrs in the evening• Provding services like counseling services basic laboratoryservices, collection and reporting of vital events and IDSPand services for non Communicable diseases.• It will conduct health camps in the areas under theUHC to generate awareness in the community.During <strong>2010</strong>-<strong>11</strong>, 3 nos of Urban Health Center is to beestablished in the urban slums of <strong>Dhubri</strong> namely, at 1)Bahdur Tari, 2) Dabry and 3) Choto Harishaba.During <strong>2010</strong>-<strong>11</strong> the Urban Health Centers have to makefunctional by providing manpower and logistics.6.4.6 VUL<strong>NE</strong>RABLE GROUPS-1: Promoting Boat Clinic for char areas of <strong>Dhubri</strong>, DistrictJDHS/SDM & HO/Urban Health OfficerA6BProposed Activities:a. Antenatal Care services by Boat Clinicb. Postnatal care services by Boat Clinicc. Family Planning servicesd. Routine Immunizatione. Curative caref. Basic Laboratory Services.NRHM AdditionalitiesS-1: Strengthening Village Health and SanitationCommittees (VHSC).Proposed ActivitiesIn-Charge of BoatClinic/DPMU222
a. For the development of the villages of <strong>Dhubri</strong> districtwherever there is an ASHA Village Health & SanitationCommittee has been formed as per NRHM guideline. In<strong>Dhubri</strong> district 1310 nos of VHSC has formed and open bankaccount and out of which 1300 nos of VHSC has received anamount of Rs.10,000 as Untied Grant.b. During <strong>2010</strong>-<strong>11</strong>, additional 380 nos of VHSC has to beformed in the left out villages of the district whereadditional ASHA has been selected and have to open thebank account for Untited Grantc. Capacity building of the 1690 VHSC members is proposedduring <strong>2010</strong>-<strong>11</strong> through MNGO/NGO including importanceand preparation of Village Health Plan.d. During <strong>2010</strong>-<strong>11</strong>, the Village Health <strong>Action</strong> Plan of eachVHSC will be ensured.e. The VHSC will be responsible for the overall health of thevillage. It will take into consideration of the problems of thecommunity and the health and nutrition care providers andsuggest mechanism to solve itf. The committee will monitor all the health activities thatare conducted in the village such as Village Health &Nutrition Day, Mothers Meeting etc.g. VHSC along with the ANM will be responsible to conducthousehold survey in the village.h. It will discuss every maternal or neonatal death thatoccurs in their village, analyze it and suggest necessaryaction to prevent such deaths. Get these deaths registeredin the Panchayat.DPMU/SDM & HO School Health/Nodal Officer-JSY/ASHAi. During emergency like flood or any epidemic thecommittee will utilize the fund for the relief camps orsupplies such as in case of flood it can supply Halogen tabletfor purification of water, ORS, Bleaching powder etc.S-2: Observing Village Health & Nutrition DayProposed ActivitiesDuring <strong>2010</strong>-<strong>11</strong>, Observation of VHND will be ensured everymonth in each villages of <strong>Dhubri</strong> District byASHA/AWW/ANM in the Awganwadi Centre where serviceslike ANC, PNC, Immunization by ANM and Health Educationand awareness will be provided byASHA/AWW/BEE/LHV/ANM etc.223
Procurement of Examination table, BP Instrument, Weighingmachine etc will be ensured in the newly formed VHSCs outof VHSC fund for successful observation of VHND.Involvement of VHSCs members will be ensured during<strong>2010</strong>-<strong>11</strong> in each VHND.The Contigency fund of Rs. 100 for observing VHND will beprovided out of VHSC fund.Organizing Health Melas.Proposed Activities:3 nos. of Health Melas has been organized during 2009-10with objective to provide an easy to accesss platform forhealth services for all segments of population of the District.During this Health Melas extensive IEC on Malaria, FamilyPlanning, TB, Blindness, AIDS, Leprosy, Water & Sanitationetc. was done.During <strong>2010</strong>-<strong>11</strong>, similar Health Mela will be organized inMalaria prone area of the District.Rs 5 lakhs for is proposed for organzing Health Mela during<strong>2010</strong>-<strong>11</strong>.S-1 . Selection, Training and support to ASHAsProposed Activities:a. The selection and training of 1340 nos of ASHAs of <strong>Dhubri</strong>has completed 5th Module Training.b. The selection of Additional 380 nos of ASHA has alsocompleted in the left out villages of the District.c. During <strong>2010</strong>-<strong>11</strong>, 1st, (Induction Training), 2nd, 3rd, 4th &5th Module training of 380 nos ASHAs will be ensured. (Nofund is proposed as fund already received)d. Also refresher training is to be imparted to 1340 nos. ofASHAs who have completed 4th module traininge. 380 nos of Radio Set, Umbrella and Bag is proposedduring <strong>2010</strong>-<strong>11</strong> for 380 nos of additional ASHA.S-2 : Providig ASHA Drug KitsProposed Activities:Durig <strong>2010</strong>-<strong>11</strong>, 1726 nos of ASHA Drug Kits is proposed for1726 nos. of ASHA of <strong>Dhubri</strong> DistrictProper utilization of Drug Kit will be enusred during <strong>2010</strong>-<strong>11</strong>under the supervision of ANM and Sectoral MO.S-3 : ASHA FacilitatorProposed Activities:224
During 2009-10, 176 nos. of ASHA Supervisor has beenselected for 7 BPHC of <strong>Dhubri</strong> District ie. 1 supervisor for 10ASHAs to handhold and monitor the ASHA activities.During <strong>2010</strong>-<strong>11</strong>, these facilitators has to be trained on ASHAprogramme under NRHM and also on field level monitoringto be done so that they have an overview of various ongoing programmes under NRHM. The proposed training willbe conducted through District ToT ASHA Facilitator.Honorarium including TA/DA of ASHA facilitator will beprovided as per normsS-4: Incentive to ASHAs for Full ImmunizationProposed Activities:The District will continue for providing incetive of Rs. 250/-to ASHAs for each fully immunized child as this increases thefull immunization coverage rate of the District as the ASHAsafter BCG will keep a track of the infants in her village as sheis from the same village and will accompany the mother tothe sub-centre to vaccinate the infant.This will also help theANM in tracking/vaccinate the infants as there are instanceswhere the ANM fails to vaccinate the infant as mothers arenot willing or forgotten about the date of Immunization oftheir child but with the help of ASHAsi it will be easier forthe ANM to conveience the mothers and also kepeping atrack of the Infants.S-1. Providing Untited and Annual Maintenance fund to SC,PHC, CHC, SDCHProposed Activities:a. As part of the National Rural Health Mission, it isproposed to provide each Health Institutions ie. SC, PHC,CHC, SDCH will be provided with Unitied and AnnualMaintenance Fund. Th Untited funds will be utlize for thefollowing purposes-During <strong>2010</strong>-<strong>11</strong>, it will be ensured that each healthInstitutions will have the clear action plan for utilizing theUnitied and Annual Maintenance FundS-2. Strengthening Rogi Kalyan Fund/HospitalMamangement CommitteeProposed Activities:225
a. The Rogi Kalyan Samitee/Hospital ManagementCommittees has been formed in District Hospital, SDCH, 5BPHCs, 6 CHCs, 4 SHCs, <strong>11</strong> MPHCs, <strong>11</strong> SDs, 1 MaternityCnetre, with an objectives to have facility based planningand community involvement and ownership of the Healthfacilties by the respective RKS Committee/HMCb. During <strong>2010</strong>-<strong>11</strong>, It is proposed to provide RKS fund to allthe Health Institutionsc. During <strong>2010</strong>-<strong>11</strong>, all the RKS are to be registered underSocieties Act.d. During <strong>2010</strong>-<strong>11</strong>, it will be ensured that each healthInstitutions will have the clear action plan for utilizing theRKS Funde. For the assessment of the RKS fund utilization byDH/SDCH/PHC/CHC/SHC/SD during 2009-10 an evaluation(Audit) will be done in the year <strong>2010</strong>-<strong>11</strong>S-3. Strengthening physical infrastructure ofSCs/PHCs/CHCs,Proposed Activities (Sub-Centre)Out of 246 SC functioning in rented building & Govt.dilapidated building, 58 nos SCs already taken up forconstruction during 2007-08, another 20 new SCs has beenapproved during 09-10 @ Rs. 7.5 lakhs and 30 nos. new SCwill be proposed for construction for increase provision ofquality antenatal care. (Annexure -A)Proposed Activities (PHCs)During 2006-07 and 08-09, Construction of Doctors (1 unit)and Nurse Quarter (3 unit) has been taken up in GolokganjPHC, Bilashipara SHC, Gauripur CHC, South Salmara CHC,Bogribari SD and Dhepdhepi MPHC and construction hasbeen completed in all institution.b. During <strong>2010</strong>-<strong>11</strong> Construction of Doctors (1 unit) andNurse Quarter (3 unit) has to be taken up at SadullabariSHC, Kachokhana @ Rs.28.80 lakhsc. During <strong>2010</strong>-<strong>11</strong>, the following health institution has to betaken up for Quarter repairing JhowdangaSD, BherbhangiSD, Dumardaha MPHC, Moterjhar SD & Santipur MPHC@10.00 lakhs per institution.S-4. Providing Additional manpower at SCs/PHCs/CHCs/SDCHProposed Activities (Sub-Centre)226
As per the report there are total 376 nos.of ANM in thedistrict in the SC. The total requirement for the district @ 2ANMs per SC (excluding outreach area) is <strong>11</strong>6. Therefore thetotal contractual ANMs for the year <strong>2010</strong>-<strong>11</strong> will be <strong>11</strong>6The contractual ANM may be posted under NRHM @ 2ANMs per Out reach post (50 nos. out reach post underSouth Salmara BPHC). Total requirement is 100 ANM.Proposed Activities (PHCs)Contractual engagement of 4 MO (MBBS) and 4 MO (Ayur)will be done in 24x7 PHCs deficient in manpower.Proposed Activities ( For CHCs & SDCH)Specialist Doctors on contract basis to be placed at 4 nos.IPHS institutions and SDCH HatsingimariProposed Activities ( For GNM at BPHC/CHC/24x7 PHCs)At Present, thereare 122 nos. of GNM have been posted atvarious Health Institutions of <strong>Dhubri</strong> District, Out of which53 nos. are Reqular GNM and 69 nos. are Contractual GNM.To make the Health facility functional as IPHS norms, 192nos. GNM is proposed during <strong>2010</strong>-<strong>11</strong>.S-5: Strengthening the District Hospitals by improving thephysical infrastructure.Proposed Activities:During 2008-09, Construction of 200 bedded Civil Hospitalunder NRHM has been taken up and the progress of worktill Nov, 09 is around 60 %. Total project cost is Rs.7.14 Crand after completion necessary logistics will have to besupplied during <strong>2010</strong>-<strong>11</strong>S-6: Strengthening the Nursing Schools by improving thephysical infrastructure.Proposed Activities:Construction of RCC GNM School cum Hostel Building for100 nursing students at <strong>Dhubri</strong> Civil Hospital is in progress(42%). Total project cost is 2 Cr. So, no fund proposed in thecurrent year.S- 7.Ambulance for all PHC’s/CHCs/District Hospitals:Proposed Activities:During <strong>2010</strong>-<strong>11</strong>, new ambulance for Dumardaha MPHC isproposed @ Rs.5 Lakhs.S-1: Ensure proper functioning of the health centres byproviding necessary equipments and drugs.227
Proposed Activities : (Supply of Drugs)As per the IPHS norms the District propose to supplythe Drugs for all the Health Instution as mentionedbelowSCBPHC/MPHC/SHC/SD/MCCHCSDCHCivil HospitalUrban Health CentrePPP HospitalMMUBoat ClinicProposed Activities : (Supply of Equipments)As per facility survey there is a requirement of 21 nos.labour table, 21 nos. of Stand light, 10 nos. Radiant warmer,13 nos. Auto clave, 19 nos. Electric Sterilizer, 19 nos. backupGenerator set including other logistics for 24x7 hr deliveryservices for quality services. The institutionwise detailedrequirement is enclosed herewith as Annexure BThe IUCD Kit received during 2009-10 alredy distributedwhere training imparted another 100 nos of IUCD kit will berequired during <strong>2010</strong>-<strong>11</strong>.S-1: Strengthening the block for effective implementationof the programmeProposed Activities : Support to district and Block levelResource Groups.During <strong>2010</strong>-<strong>11</strong>, to support the Block ProgrammeManagement Unit the following manpower is proposed .S-1: Strengthening the planning activities.Propsoed Activities:1. Resource mapping in every village done by Village Health& Sanitation Committee will help to assess the need of thecommunity. Therefore, by undertaking household andfacility survey, the actual need of the community can beassessed which is also the essential requirements fordeveloping District Health/Block Health <strong>Action</strong> Plans-annual& perspective.2. Orientation of VHSC of each BPHC.S 1.: Support to Mobile Medical Units (MMU)Proposed Activities:228
a. With the objective to take health care to the door step ofthe public in the rural far flung areas, especially in underserved areas, the district has received the Mobile MedicalUnit with specialized facilities like USG, X-ray etc and willcontinue the service.b. During 2009-10, training of GNM, Pharmacist,Radiographer and lab Tech. of MMU is proposed for skillupgradation.c. For Implmenting the Mobile Medicla Unit, Total fundproposed 21.66 lakh for <strong>2010</strong>-<strong>11</strong> for recurring expenditureof MMU, <strong>Dhubri</strong>. Details budget enclosed.S-2: Promoting Boat Clinic in char areas of <strong>Dhubri</strong> district.Proposed Activities:Antenatal Care services by Boat ClinicPostnatal care services by Boat ClinicFamily Planning servicesRoutine ImmunizationCurative careBasic Laboratory Services.S-1: Train and enhance capacity BPMU, PRIs & MedicaloffcersS-2 : Stregthening Infrastructure of of District Training HallProposed Activities:In order to organize the different trainings for theofficials/health workers under the establishment of JDHS,Addl CM & HO(FW), <strong>Dhubri</strong>, it is required to repair andrenovate the existence Training Hall, during <strong>2010</strong>-<strong>11</strong>. A totalRs. 300000.00 lakh is proposed for carrying out the sameactivity.In order to implement the NRHM programme successfully, itis required to organize sentitization workshops on NRHM forthe PRIs (ZP Member-28, GP President=168) and themedical offcers (37) and capacity building workshop forBPMU (BPM-7, BAM-9 & Assist.BPM-17)IEC/BCC StrategyProposed Activities:A.) Setting up and development of IEC/BCC unit at thedistrict level:229
1. One District Media Expert under NRHM is already placedat District, one District Extension & Media Officer and twonos of Dy Ext & Media officer is placed under Addl. CM &HO (FW), <strong>Dhubri</strong>2. One Digital Video Camera, one still camera with Tripod isalready available at District.3. One Public Addressing System set; LCD Projector withScreen is available at District.4. One laptop may be provided to the IEC/BCC cell of thedistrict in Q1, which may cost around Rs. 35,000/-.5. One LCD projector may be provided to each BPHC@Rs.50,000 X 7 nos of BPHC in Q26. One Grade IV staff may be deputed from regular set up tothe IEC/BCC cell for assist the day-to-day activity.B). Meeting Manpower requirements at District level1. At Present no further manpower is required at District inIEC/BCC Cell.C). Formative research/situational analysis/baseline study toidentify focus areas1. To find out the perception of the villagers and to do astudy on the level of Knowledge of Family Planning,Immunization and Institutional Delivery an independentagency will be engaged.2. In the first two-quarter they will visit the Char areas of<strong>Dhubri</strong> only. They will assist by ASHA and AWW.Students of M. Phil & Phd will be encouraged to do researchon the health status of tea garden population and findingwill be used to prepare specific plan.4. The process will be continued up to Q4 and total Budgetrequirement for per quarter is Rs. 15,000 X 7 nos BOHC Xper quarter.Develop IEC/BCC Strategy : Streamline objectives/identifyCommunication tools/identify media mix as per targetaudience/frame monitoring evaluation indicators Identifyexternal agency/Advertising agency for the task (if needed)230
Part C: UNIVERSAL IMMUNIZATION PROGRAMME (UIP)Proposed Activity:Service Delivery Improvement:-CMobilization of Children by ASHA : For every 1431 sites wehave got one ASHA per site. Invitation card (IPC Slip) to beprinted and distributed to ASHA . Missed/Dropout childrenare to be mobilize or Invited by ASHA to reduce the dropOut. The District will continue for providing incetive of Rs.250/- to ASHAs for each fully immunized child as thisincreases the full immunization coverage rate of the Districtas the ASHAs after BCG will keep a track of the infants in hervillage as she is from the same village and will accompanythe mother to the sub-centre to vaccinate the infant.Thiswill also help the ANM in tracking/vaccinate the infants asthere are instances where the ANM fails to vaccinate theinfant as mothers are not willing or forgotten about thedate of Immunization of their child but with the help ofASHAsi it will be easier for the ANM to conveience themothers and also kepeping a track of the Infants.Hard to Reach area/Unreached Area : <strong>11</strong>6 nos of sites permonth has been identified as difficult to reach areas/Charareas/Urban Slums. For Holding the sessions in Underservedand Slum areas ANM will be deputed and Rs. 300/- will bepaid as honorarium and Rs. 50/- as contingency to ANM forholding the session.Vaccine Delivery (State- Dist. To Cold Chain Pt.) :: Vaccinedistribution plans are prepared to distributes vaccine fromDist. to 8 PHC by maintaining proper cold chain.JDHS/Addl CM&HO/DPMU/DIO/SDM&HO/BPMUDist. To PHC :: As per vaccine distribution route map,Vaccine will distribute from Dist. To 8 PHC level cold chainpt. by insulated vaccine Van covering 3 PHCs per trip for onemonth quota. Per trip POL cost of Rs. 800/-, DA of driver isRs. 90/-, loading/unloading of Vacc. And syringes is Rs. 100/-and maintenance of Vehicle Rs. 800/- PM is planned.ALTERNATE DELIVERY OF VACCI<strong>NE</strong> :231
For 1431 normal sites Alternate arrangement is planned forvaccine delivery so that ANM can attend the session site intime. In 2009-10, 85% sites were covered, but in next year itwill be arranged for 100% Rs. 50/- per normal site.In underserved slum area /Char area of <strong>11</strong>6 nos. it isplanned to provide Rs. 100/- per site for alternate vaccinecarrying.Cold Chain MaintenanceProper Functioning of Cold Chain Equipments (ILR/DeepFrezer/Col-Box/vaccine carrier etc.) and maintaintemperature record of ILD/DF (daily twice), stock of vaccineand syringes at District and PHC level will be ensure during<strong>2010</strong>-<strong>11</strong>. It will also be ensured that the quality of vaccineby maintaining proper Cold Chain System at storage andtransportation.Computer Assistant under DIO: One Computer Assistant @Rs.10,000 PM is provided to assist DIO in keeping up to datarecord on immunization and submit the performance reporton physical and financial as per HIMS/UIP format.Supervision and Monitoring : :Rs.4,200/-PM is provided to utilize for POL expenses onsupervision and monitoring purpose by Addl. CM&HO (FW)/DIO to ensure satisfactory performance of immunizationprogramme covering all sites.At Block PHC leve I.c of BPHC will look after theImmunization Programme and supervise the activity. Inaddition Sector MO, BEE, LHV will supervise the activity.TRAININGS :(i) 2 Days Training for ANM, LHV & GNMTo improve the quality services of Immunization 2 daysrefresher training of Health workers (ANMs, LHV, GNM etc)along site visits related to immunization will be organized.The batch size should be 25-30 persons in each batch.Priority will be given to those ANMs who have hired dropout rates.456 ANM/ 50 GNM/ 17 LHV will be trained during <strong>2010</strong>-<strong>11</strong>.232
ii) Vaccine Handlers Training :: One day cold chain handlerstraining will be organized for 64 nos of Vaccine Handlersagainst 32 Cold Chain storage during <strong>2010</strong>-<strong>11</strong> by Districtcold chain officers and DIO in a batch of 15-20 trainees. AtPHC level Contractual Pharmacist will be involved forcomputerized record keeping of Vaccine stock position.iii) Block level Data Handlers Training : For streamlining thereporting system of immunization ,the team of block leveldata handlers to be trained on reporting system at Dist. H.Q.by D.I.O , DDM, and S.I. The participants will be BEE, BPM,LHV and BAM.iv) Training on Micro Planning :: Block levelMeeting/Training will be organized for all sub centres for allANM, AWW, ASHA, ASHA Facilitator for finalization of Subcentre micro plan.Conduct Regular Monthly District and PHC Level ReviewMeetings:To identify sub center/ institutions lagging behind inperformance and therby to take remedial measure, to availopportunity for on site training and to solve the problems,to solve the problems identified by the participants and toprovide feed back monthly review meeting will be ensuredat District and Block Level.Injection Safty : Red Bag, Black Bag, Hub Cutter, Twinebucket, Injection pits etc will be ensured during <strong>2010</strong>-<strong>11</strong> forensuring Injection safty.D6.7. PART D: NATIONAL DISEASE CONTROL PROGRAMMENVBDCPD1SURVEILLANCEActive :- Active surveillance done by 103 numbers ofsurveillance worker . For proper surveillance each subcentre is to be manned by MPW(M).Passive SurveillancePassive surveillance done by ASHA , FTD , and ANM in thisSub-centre .Training Programme of ASHA on Malaria.RD Kits (for use in pf endemic sub-centre from wherereports of blood slide not received within 24hrs.)JDHS/DMO233
(Planning for IRS)TRAINING OF SUPERVISORS AND SPRAY SQUARDS, <strong>2010</strong>.REVISED NATIONAL TUBERCULOSIS PROGRAMME (RNTCP)D2D3Civil Works under NRHM AdditionaltiesTreatment (DOTS) RoomOne sitting room forpatients to take treatment under DOTS.Observation room( for observation & work by DOT Providers)One room attached to treatment room & one window toobserveLaboratory Room at Sukchar DMC to be constructed withlaboratory outlet connection and a pit for waste matterdisposal from the laboratory and Dot centreRenovation of DTC buildinga) One partition wall with one door & one window.b) Tiles fitting in DTO’s room, Laboratory & Computer room.Laboratory materialsHonorariumIEC/ PublicityEquipment maintenanceTrainingVehicle maintenanceVehicle hiringNGO/PP supportMiscellaneousContractual servicesN.L.E.P.Training Plan :A. 4 days training of newly appointed MO’s (rural & urban)30 nos.B. 3 days training of newly appointed Health Supervisor 30nos.C. 3 days training of newly appointed Health Worker (M) 30nos.D. 3 days training of newly appointed Health Worker (F) 30nos.E. 2 days training of newly appointed MO’s 30 nos.F. 5 days training of newly appointed Lab. Technician 15nos.JDHS/DTOJDHS/In-Charge of NLEP/DME234
D4D5IEC Plan :DPMR :Procurement Plan :a. Purchase to be made as per drug list (guideline)b. Need base purchase to be done.c. Equipments - Not necessary.d. Printing Register/Forms etc. to be printed as per need.e. No such specific NGO is existing in the District.6.7.4 N.B.C.P.Proposed Activities:Weekly CataractEye Operation atCivil Hospital,Development ofEye OperationFacility at CHCsIntensive IECActivities andBlindness SurveyDoor to DoorBlindness SurveyDevelopment ofVision Centres atMankachar CHCS.Salmara CHCTraining & VisionScreening at SchoolsOrientation Meetingat all 7 BPHCsAwarness Meeting &Eye Screening Campsat 14 DevelopmentBlocksINTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)Proposed activities1. 3 days training for newly inducted Medical Officers onIDSP.2. 2 days training for Health Workers.3. 3 days training for Laboratory Technicians/ Microscopistat District Laboratory.4. Weekly online transmission of S, P & L Forms.5. Dissimilation of Early Warning Out Break Responses.JDHS/DPM,NBCP/DMEJDHS/DSO235
6. Supervision and Monitoring of Peripheral SurveillanceUnits.7. Activities on International Health Regulation ( IHR ) FocalPoint (daily basis online reporting of H1N1 Influenza Status).D6D7National Mental Health ProgrammeProposed Activities:1. Enhancing the Capacity of the Mental HealthInfrastructurea. Increasing the number of mental institutionsb. Increasing the service capacity of individual institutionsc. Integrating mental health with general health1. One district Counselling Centre will be established2. Crisis Hipline will be set up3. Regular Counselling session will be organized in Colleges,Work Place, necessary arrangement will be made for stressmanagement.4. Thought DHMP it to be ensured that basic mental healthservices are being provided at the community level.5. Necessary support staff (Clinical Psychologist, PSWs,Psychiatric Nurses etc )will be engaged on purelycontractual basis.6. Required medicines will be supplied to all healthinstitutions.7. IEC materials like handbook, Leaflets, Picture Chart etcwill be developed.8. Contingency for running the DMHP will be released toBPHC wise.National tobacco Control Programme (NTCP)Proposed Activities:1. District Tobacco Control Cell will be set up, onePsychologist and One Social Worker will be appointed onthe Contractual basis. All the activities will be carried underthe supervision of DPMU NRHM2. Phase wise training will be conducted for BPM, BEE, HE &LHV and MNGO members.3. Awareness cum sensitisation meeting with Civil Societygroup such as Women SHG, NGOs, ULB’s and PRI’s, Schoolteachers, health workers, law enforcers etc. IEC materialswill be developed.4. Special Talk show on Anti Tobacco, awareness rally, quizetc will be arranged with School Health Progarmme.JDHS/DPMUJDHS/In-Charge of NTCP/DPM/DME236
E5. For effective implementation of NTCP at grass root levelfrequent monitoring is required, hence monitoring plan willbe developed.6. For enforcement of anti-tobacco law awareness regardingthe following specification provision will be increased:a. Ban on Smoking in public in public placesb. Ban on sale of tobacco products to children bellow 18yearsc. Ban on direct/indirect advertisement promotion andsponsorship of tobacco productsd. Ban on sale of tobacco products within 100 yards of theeducational institutionse. Mandatory depicition of Specified health warning on alltobacco productsf. Testing of tobacco products for tar and nicotine.7. Under the supervision of the Psychologist and SocialWorker a Tobacco Cessation Centres will be established at<strong>Dhubri</strong> Civil Hospital, <strong>Dhubri</strong>.8. For find out the actual status of the district Global l Adulttobacco survey will be conducted.Intersectoral ConvergenceProposed Activities:• A district level convergence Meeting with PHE departmentwill be organized to streamline the TSC (Total SanitationCamping).• After the district level meeting similar Block level meetingwith block officials will be organized at Block level.• Under VHSC fund an amount of Rs. 3000/- is meant forconstruction of sanitary toilet. The fund will be handed overto PHE department by respective VHSC for further course ofaction.• Flex Hoarding Board BPHC wise 10 nos will be developedand installed• IEC materials like Poster, leaflets etc will be developed anddistributed .Inter Sectoral Convergence with Education Department:Proposed Activity:• In the next financial year another 100 nos of School will beselected for School Health Programme.• School Teacher of the Selected School will be trained inphase wise.• Health Awareness video will be screen in all the selectedschools.• IEC materials life Picture Chart will be developed forSchool students.• Quiz, Essay writing & Art computations etc will on Healthrelated subject will be organized.JDHS/In-/DPM/DME237
Chapter – 9Summary of BudgetProgrammeAmount( In Rs.Cr)RCH-II Flexipool 32,345,665.23NRHM Mission Flexipool 10,99,21,450.00Immunization(UIP) 6,018,968.00National Disease Control Programme 0.00(i) NVBDCP 7,469,840.00(ii) RNTCP 7,974,000.00(iii) NPCB 1,771,000.00(iv) NLEP 943,100.00(v) IDSP 1,121,600.00(vi) NTCP 1,216,000.00(vii) NMHP 500,000.00Total 16,92,81,623.23238
A. BUDGET UNDER RCHIIS.No.Budget Head1 Maternal Health2 Child Health3 Family Planning4 Adolescent HealthFundproposed for<strong>2010</strong>-<strong>11</strong>(Rs. In lakhs)Fundapproved in2009-10(Rs. In lakhs)(FundReceived)Unspentbalance as on30.<strong>11</strong>.09(Rs. In lakhs)Expenditurelikely to bemade from01.01.10. to31.03.10.(Rs. In lakhs)Fund utilizedand will beutilized till31.03.10 (Rs. Inlakhs)againstfund approvedin 2009-10Expectedbalance on01.04.10(Rs. In lakhs)against fundapproved in2009-10Actual Fundproposed for<strong>2010</strong>-<strong>11</strong>(Rs. In lakhs)6,000,000.00 - 18,<strong>11</strong>0,559.19 5,093,000.00 5,093,000.00 13,017,559.19 (7,017,559.19)- - 173,033.00 147,035.00 147,035.00 25,998.00 (25,998.00)<strong>11</strong>8,000.00 - 2,000,000.00 1,500,000.00 1,500,000.00 500,000.00 (382,000.00)- 300,000.00 250,000.00 250,000.00 50,000.00 (50,000.00)5 Urban Health2,946,000.00 642,000.00 906,650.00 722,000.00 722,000.00 184,650.00 2,761,350.00Vulnerable group and6tribal RCH 12,000,000.00 - - - - - 12,000,000.007 Innovations / PPP / NGO- - 797,822.00 650,000.00 650,000.00 147,822.00 (147,822.00)8InstitutionalStrengthening/ HMIS 3,310,000.00 1,932,250.00 2,715,210.48 - 2,715,210.48 594,789.529Infrastructure & HR /IMEP 19,980,000.00 14,052,048.00 <strong>11</strong>,967,598.00 <strong>11</strong>,967,598.00 2,084,450.00 (2,084,450.00)10 Training<strong>11</strong> BCC / IEC3,420,000.00 787,670.00 1,555,422.00 1,555,067.00 1,555,067.00 355.00 3,419,645.005,<strong>11</strong>4,000.00 3,418,210.00 4,753,012.22 3,750,000.00 3,750,000.00 1,003,012.22 4,<strong>11</strong>0,987.7812 Procurement- - - - - -Dist.Prog.Management13Unit 908,000.00 2,670,793.00 2,007,606.03 569,902.00 569,902.00 1,437,704.03 (529,704.03)Total Base Flexipool33,816,000.00 29,430,923.00 47,371,362.92 26,204,602.00 26,204,602.00 21,166,760.92 12,649,239.0814 JSY62,345,000.00 50,000,000.00 66,774,658.85 14,000,000.00 14,000,000.00 52,774,658.85 9,570,341.15Sterilization15compensation and camps 14,876,000.00 6,565,500.00 6,635,915.00 1,886,000.00 1,886,000.00 4,749,915.00 10,126,085.00Total RCH Flexipool<strong>11</strong>1,037,000.00 85,996,423.00 120,781,936.77 42,090,602.00 42,090,602.00 78,691,334.77 32,345,665.23Remarks239
B: BUDGET UNDER N.R.H.M ADDITIONALITIES:S.No.AASHAsBudget Format for NRHM Mission Flexible Pool Part B * and Part EInitiativeNumberProposedRateProposedTotalAmount(in lakhs)A1 Selection & Training of ASHA 380 0 0A2 ASHA Kit 1726 0 0A3 ASHA Incentives 26770 250 6692500A4 Others 0 0 0TOTAL(A) 6692500B Infrastructure related mattersB1 New Construction of DH 0 0 0B2 Renovation / Upgradation of DH 0 0 0B3 New Construction of CHCs 0 0 0B4 Renovation / Upgradation of CHCs 0 0 0B5 New Construction of CHCs 0 0 0B6 New Construction of PHCs 0 0 0RemarksfundalreadyreceivedB7 Construction of Doctors and Nurses Quarter 3 2880000 8640000B8 New Construction of SCs 32 750000 24000000B9 Upgradation of SC 2 2500000 5000000B10Construction of Boundary wall(Goat prroffencing)5 1000000 5000000B<strong>11</strong> MMU 1 2166000B12 Emergency & Referral Services2173000B13 Pol Money for Ambulance 1440000B14 Repair/Renovation of Training Hall 1 300000TOTAL(B) 48719000C Human Resources related mattersC1 Contractual Specialists 12 30000 4320000C2 Contractual Doctors 2 25000 600000C3 Contractual Paramedical(Lab Tech) 4 7000 336000C4 Contractual ANM 102 5000 6120000C5 Contractual MO (Ayur) 3 15000 540000C6 Contractual GNM 73 7000 6132000TOTAL(C) 18048000D Programme Management related mattersD1 State Programme Managemet 0 0 0D2 Divisional PMSU 0 0 0D3 Block PMSU 6 10000 720000D4 District Health <strong>Action</strong> Plan 1 100000 100000240
D5 Monitoring & Evaluation 3310000 3310000D6 Others 0 0 0TOTAL(D) 4130000EUntied Funds, Annual MaintainenceGrants and RKS fundsrelated mattersE1 Rogi Kalyan Samiti-DH 1 500000 500000E2 Rogi Kalyan Samiti-SDH 1 100000 100000E3 Rogi Kalyan Samiti-CHC 6 100000 600000E4 Rogi Kalyan Samiti-PHC/SDCH 33 100000 3300000E5 Untied Fund for CHC 6 50000 300000E6 Untied Fund for PHC 32 25000 800000E7 Untied Fund for SC 246 10000 2460000E8 Untied Fund for VHSC 1690 10000 16900000E9 Annual Maintenance Grant-DH 0 0 0E10 Annual Maintenance Grant-CHC 6 100000 600000E<strong>11</strong> Annual Maintenance Grant-BPHC 5 50000 250000E12 Annual Maintenance Grant-SDCH 1 100000 100000E13 Annual Maintenance Grant-PHC 27 50000 1350000E14 Annual Maintenance Grant-SC(Govt) 120 10000 1200000E15 Others 0 0 0TOTAL(E) 28460000FTraining & Capacity Building relatedmattersF1 Management Development Trainings 0 0 0F2 Capacity Building/Orientation Workshops 171950F3 Others 0 0 0TOTAL(F) 171950GInnovations (No approval withoutdetails)G1 Health Melas 1 500000 500000G2 District Innovations 0 0 0G3 Incentive Scheme 0 0 0G4 PPP initiative 2 1500000 3000000G5 Others 0 0 0G6 Health Insurance scheme 0 0 0G7 Others 0 0 0TOTAL(G) 3500000HIntersectoral Convergence (Part E) (Noapproval without details)H1 Ayush 0 0 0H2 Intersectoral Convergence Related 200000 200000H3 Others 0 0 0TOTAL(H) 200000Grand Total (A+B+C+D+E+F+G+H) 109921450241
C: BUDGET UNDER IMMUNIZATION:Expenditure & Ahievement2005-06 2006-07 2007-08 2008-09 2009-10 (till Nov'09) <strong>2010</strong>-<strong>11</strong>Service DeliveryNormsExpenditureExpenditureExpenditureExpenditureAchievementExpenditureAchievementFundsrequirementTargetRemarksMobility supportfor SupervisionSupervisory visitsby District levelofficers formonitoring andsupervision of RIat Rs.50,000 perdistrict forDistrictlevel officers(this includes POLand Maintenance)per year12600 25162 74400 29457No. ofSessionsSupervised<strong>11</strong>938No. of SessionsSupervised120000No. of SessionsSupervised384 256 408Cold ChainmaintenanceRs.500 per PHC/CHCper year DistrictRs.10000 per year0 36433 1530 25466% fundsused 51400% funds used99% 52%98400% funds usedFocus on slum &underservedareas in urbanareasHiring an ANM@rs.300/ session forfoursessions/month/slumof 10000 populationand Rs.200/- per68600 171500No. ofSessionswith hiredvaccinators0No. of Sessionswith hiredvaccinators134400No. of Sessionswith hiredvaccinators243
month ascontingency per slumof i.e total expenseof Rs. 1400/- permonth per slum of10000 population490 0 96Mobilization ofChildren throughASHA/mobilizersRs.150/session (forDistrict)284000 939400No. ofSessionswith ASHA 0No. of Sessionswith ASHA2813400No. of Sessionswith ASHA9394 18756 18756AlternateVaccine DeliveryGeographically Hardto reach areas(session site>30 k.m.from vaccine deliverypoint, river crossingetc) @rs. 100 per RISession0 0 0No. ofSessionswith AVD0No. of Sessionswith AVD385200No. of Sessionswith AVDHilly terrain @Rs.100per RI sessionFor RI session inother areas @ Rs.50per session3852215800 490000 15624 1046600 16104 937800 18756Support forComputerAssistant for RIReporting (withannualincrement of10% w.e.f. from<strong>2010</strong>-<strong>11</strong>)District @ Rs. 8000-10000 p.m.No. of C.A.in positionNo. of C.A. inpositionNo. of C.A. inposition84000 Yes 77000 Yes 120000 Yes244
Printing anddissemination ofimmunizationcards, tallysheets,monitoringforms etcRs. 5 per beneficiary 0 0 0 0 25080550161beneficiariesReviewMeetingsQuaterly Review &feedback meeting forexclusive for RI atDistrict level withone Block Mos, ICDSCDPO and otherShakeholders@ Rs100/- per participantfor meetingexpences (launch,Organizationalexpences)0 0 0No ofpersonstrained.No of personstrained.60000No of personstrained.Quaterly reviewmeeting exclusive forRI at Block level @ Rs50/- pp ashonorariam forASHAs (travel) and Rs25 pp at the disposalof MO-I/C formeeting expences(refresments,stationary and misc.expences)147600Trainings:District Levelorientationtraining for 2As per revised normsfor trainings underRCH161723No ofpersonstrained344678No of personstrained601301No of personstrained245
days ANM, MultiPurpose HealthWorker (Male),LHV, HealthAssistant(Male/Female),Nurse Midwives,BEEs & otherspecialist (as perRCH norms)267 412 523Three daystraining ofMedical Officeron RI usingrevised MOtraing moduleAs per revised normsfor trainings underRCHNo ofpersontrainedNo of persontrainedNo of persontrainedone dayrefreshertraining ofDistrict RIComputerAssistants onRIMs/HMIS andImmunizationformats underNRHMAs per revised normsfor trainings underRCH246
One day ColdChain handlerstraing for blocklevel cold chainhandlers by stateand District coldchain officersand DIO for abatch of 15-20trainees andthree trainers.As per revised normsfor trainings underRCH0 10870 0 9040 30 40585No of persontrained1203<strong>11</strong>00No of persontrained60One day trainingof block leveldata handler byDIO and DistCold Chainofficer to trainabout thereportingformats ofImmunizationand NRHMMicroplanning todevelop subcenterand PHCmicroplans usingbottom upplanning withparticipation ofANM, ASHA,As per revised normsfor trainings underRCHat Rs 100/- per SC(meeting atbolcklevel, logistic)No ofpersontrained1850024600No of persontrained28% ofSC/PHC/CHC/Disthave updatedmicroplan thisyear100%1845024600No of persontrained30% ofSC/PHC/CHC/Disthave updatedmicroplan thisyear247
AWWFor consolidation ofmicroplan atPHC/CHC level @ Rs1000/- block & distlevel @ 2000/- perdist.9345 8000 0 8613 13000 24000POL for vaccinedelivery fromdist. ToPHC/CHCsRs 100,000/dist/year 20724 50573 15757 45134% of fundused77509% of fund used73% 38%201600% of fund usedConsumables forcomputerincludingprovision forinternet accessfor RIMsAt Rs 400/-/month/dist4800Injection Safety% fundsused% funds used % funds usedRed/Black/Plasticbags etcat Rs 2/bag/session 37512Bleach/Hypochlorite solutionat Rs 500/PHC/CHC/year4800Twine bucketat Rs400/PHC/CHC/year3200248
Any DistrictSpecific Needwith Justification( please providea separate writeupon objective,stretegy,expected outputand outcomes,basis for costestimates etc.10% of total amountof approved PIP% fundsused% funds used % funds usedTotal 42669 131038 660087 1964333 1705810 6018968249
D1. BUDGET & ESTIMATE UNDER (NVBDCP)ITEM ACTIVITY Amount Rs.Surveillance 57 No.s MPW X @ Rs.6000.00/ p.m X12 41,04,000.00Vector Control-IRS Wages for 2 rounds DDT Spray for 3 Squads 1,56,240.00DDT Dumping (Road & Boat) 50,000.00Fogging Fogging Operation in 5 town areas 1,00,000.00ITBN 350 Camps X @ Rs.500/ X 2 Rounds 3,50,000.00Protective Equipments for Purchase of hand gloves, Goggles, Apron, mask 5,000.00sprayTrainingfor 3 Spray SquadsM.O, Lab-Tech, Health Supervisors, Healthworkers, ASHA, Spray workers and spray Supervisors6,85,000.00BCC / IEC 14,70,000.00M & E Jt. DHS/ CM& HO(CD) @ Rs. 10,000.00/ p.mX 12=1,20.000.001,20,000.00DMO. @ Rs. 10,000/ p.m X 12 = 60,000.00AMO/ MI Hq. @ Rs.5000/ p.m X12=MI PHC @Rs.1000/ p.m X12X7 PHC=84,000.00Miscellaneous For cross checking of B/S @ Rs.400 per PHC X 7PHC X 12Stationary Article for Office useTelephone Bill @ Rs.1000/ p.m X 12Collection of Anti-Malarial Drugs and Equipmentsfrom State H.Q33,600.0060,000.0012,000.0060,000.00Total 74,69,840.00Total Budget & Estimated Cost is Rupees Seventy Four Lakhs Sixty NineThousand Eight Hundred Forty Only only251
D2: BUDGET UNDER RNTCPS.No.Category ofExpenditureBudget estimate for the comingFY <strong>2010</strong>- <strong>11</strong>(To be based on the plannedactivities and expenditure inSection C) in. Rs.Budget sought fromNRHM additionalities<strong>2010</strong>-<strong>11</strong>In Rs.1 Civil works 61000 21700002 Laboratory materials 4000003 Honorarium 300000 1500004 IEC/ Publicity 2990005Equipmentmaintenance 1400006 Training 2930007 Vehicle maintenance 3000008 Vehicle hiring 3200009 NGO/PP support 45000010 Miscellaneous 400000 700000<strong>11</strong> Contractual services 128500012 Printing 36500013 Research and studies 014 Medical Colleges 01516Procurement –vehicles 150000Procurement –175000equipment 191000TOTAL 4954000 3195000** Only if authorized in writing by the Central TB DivisionGrand Total :- Rs.( 4954000+3195000) - Rs.175000=Rs. 7974000252
Budget Uner NPCBSTRATEGY ACTIVITY Sub-Activity Cost per Unit Total CostWeekly Cataract Procurement of Drugs, @ Rs. 750/-Eye Operation at1. Cataract Surgery Civil Hospital @ 9Consumables, Sutures, etc. For 800 oprns. 6,00,000.00at base HospitalApproachOprn. Per day for 2O.T. day for 45 weeks,Procurement of SharpInstruments etc.Lump-sum 40,000.002. School EyeScreening Programme3. Procurement ofEquipmernts4. Development ofVision Centre:5. Eye Screening andDetection of CataractCases at Sub-Canters6. Popularization ofEye Donation & EyeCare7.MANAGEMENTOF District HealthSocietyVision Screening at 100Schools @ 200 studentseach7% defective Refraction of 20000 School Visit by PMOAsStudents i.e. 1400 students for confir With Vision Testing Van-matory camps30% Refrective Error of 1400 Nos. i.e.420 nos. students for distributionof Free SpectaclesDevelopment of EyeOperation Facility at<strong>Dhubri</strong> Town Health Instt.Development of VisionCerntre where O.A. posted1. Mankachar CHC2. South Salmara CHCIEC ActivitiesEye Screening atSub-centers by thePMOA on fixed dayEvery weekDoor to DoorBlindness SurveyOrientation Meetingat all 7 BPHCsAwarness Meeting &Eye Screening Campsat 14 DevelopmentBlocksSalary Support ofDistrict HealthSocietyTA/DA of the StaffTraining of 100 SchoolTeachers Details 25,000.00Development of O.T.Placement of InstrumentsDeployment of StaffsMake Provision for Room inconsultation with the inchargeM.O.Procurement & Placement ofEquipments & FurnituresPrinting of Forms, BlindRegister, Leaflets,StationeriesOrganisation &ContingenciesSurvey at 30nosVillages/Towns6000 housesSensitization MeetingWith all M.O.s/ BPMU/BEEs/ ANMsIEC Activity at 20 nosOf Health InstitutionsWith Flaxo bannersDPM=1DealingAsstt.= 1Lump-sum@ Rs.20/- eachfor 1400 students 28,000.00@ 200/- each for420 students 84,000.00Lump-sum 5,00,000.0050,000/- each 1,00,000.00@ Rs.50/-eachFor IEC and 15,000.00Rs. 200/- for 58,000.00OrganizationExp. of at 290Health Instt.15/-per house 90,000.00@ Rs. 3000/- 21,000.00@ Rs. 1,500/-Each for 20H.Institutions96,000/-30,000.0018,000/- <strong>11</strong>4,000.0020,000.00Maintenance ofOphth. Equipments Lump-sum 16,000.00Contingency & OtherActivities 30,000.00Total 17,71,000.00253
D4. Budget under NLEPSl.No.Activity ProposalAmountProposed1. Contractual Services 54,000 /-District one Driver @ 4,500/-PM x 12 months2. Services through ASHA/USHA 25,000 /-Sensitization of ASHA/incentive to ASHA3. Office expenses & consumables 40,000 /-4. Capacity Building (Training)4 days training of newly appointed MO (rural & 53,000 /-urban )3 days training of newly appointed Health worker & 69,525 /-Health Supervisor2 days refresher training og MO 27,700 /-5 days training of newly appointed Lab. Technician 18,375 /-5. Behaviours change communication (IEC) 1,25,000 /-Mass media, outdoor media, Rural media &Advocacy6. POL/Vehicle operation & hiring 80,000 /-& vehicle at state level & vehicle at district level7. DPMR 30,000 /-MCR footwear, Aids and appliances, welfareallowances to BPL patients for RCS support to Govt.Institution for RCS12,500 /-2,50,000 /-8. Materials & supplies 52, 000 /-Supportive drugs, Lab reagent & equipment &printing forms.9. Urban leprosy control Do not arisesTownship, Medium cities-I, Medium cities-II &Mega cities10. NGO-SET scheme 50,000 /-<strong>11</strong>. Supervision, Monitoring & Review 50,000 /-Review Meeting & Travel expensesCash Assistance 6,000 /-Total = 9,43,100 /-254
D5. Budget Under IDSPSub -activity1. StaffSalaryTasksUnitCostNo ofUnits<strong>2010</strong>-<strong>11</strong> Remarks1.1 Epidemiologists 300001.2 Microbiologists 200001.3 Entomologist 200001.4 Consultant ( Finance ) 140001.5 Consultant ( Training ) 280001.6 State Data Manager 140001.7 District Data Manager 13500 12 1620001.8 Data Entry Operator 8500 12 1020001.9 Accountant 9500 12 <strong>11</strong>4000 already1.10 AdministrativeAssistant7000 12 84000Sub Total 4620002.Training 2.1 Training of Hospital 36500 2 73000Doctors2.2 Training of Hospital 15500 20 310000Pharmacist/ Nurses2.3 Training of Laboratory 23500 2 47000Technicians/MicroscopistSub Total 4300003.3.1 Mobility Support, 5800 12 69600Operational 3.2 Office Expenses 5000 12 60000Cost 3.3 ASHA incentives for 100 120 12000Outbreak reporting3.4 Collection and3000 12 36000transportation ofsamples3.5 IDSP reports including 500 12 6000alerts3.6 Printing of IDSP2000 12 24000Forms3.7 Broadband Expenses 1000 12 12000Sub Total 2196004. New 4.1 Review Meeting5000 2 10000Innovations District CommitteeGrand Total <strong>11</strong>21600appointed &working as perGovt. guidelinesthe said postmay becontinued withIDSP.255
D6 : Budget under NTCPProposed Budget for District Tobacco Control Programme (NTCP)Sl.No Components Calculation (Rs) Total (Rs)1Salaries:10000 X 12 monthsI). Psychologist: Rs.10, 000/- per month8000 X 12 monthsii). Social Worker: Rs. 8,000/- per month216,0002 Training 200,000 200,0003 IEC Activity 200,000 200,0004 School Activity 400,000 400,0005Monitoring of Tobacco Control Laws &Reporting100,000 100,0006 Contingency 100,000 100,000Total 12,16,000/-256
E: Budegt Under ConvergenceSl. NoActivity/ Sub-activityE.1 Convergence meetingMeeting with representativefrom PHE, Education Dept,Social Welfare dept, PRImembers, vertical HealthSystem RNTCP, NLEP,NVBDCP, DBCS etcPhysicaltarget20Unit costTotal amount(Rs.)5000 1,00,000E.2 Convergence workshop2 days Workshop withrepresentative from PHE,Education Dept, SocialWelfare dept, PRI members,vertical Health SystemRNTCP, NLEP, NVBDCP,DBCS etcE.3 Dist. Level Training ofmembers from other dept andvertical health system7 25000 1,75,0004 7500 30,000Grand Total 3,05,000/-257
DETAIL BUDGET (AN<strong>NE</strong>XURE 3 e )SlBudget HeadBaseline/CurrentStatus(31stJan, 10)Unit ofMeasureQ IQ IIPhysical Target Rate Fund Proposed For <strong>2010</strong>-<strong>11</strong> (Rs. Lakhs)QIIIQ IVTotalAnnual(Rs./Unit)Q I Q II Q III Q IVTotalAnnualUnspentBalanceon31.03.10.Fundproposed(Rs.Lakh)Remarks1. MATERNALHEALTHS1To increase the 3ANC from 21.9%(DLHS-3) and41.05% (HMISreport) to 60% by<strong>2010</strong>-<strong>11</strong> and also toreduce theproportion ofpregnant womenwith anemia.Earlyregistration ofpregnancyTraining of 1726nos of ASHA onearly detectionand registrationof Pregnancy inthe Sub Centrearea.Regular supply ofPregnancy Test Kitwill be ensured toall 1726 nos. ofASHAs and 456nos. of ANMVillage Health &Nutrition Daywill be used as aplatform formotivating andmobilizing thewomen for earlyregistration ofpregnancy.432 432 430 432 172612068 5178 5178 5178 5178 20712 0Detail inprocurementFund avialbelin VHSC259
S2S3The District under“Assam BikashYojana” hasimplemented“Mamoni”-Nutrionalfood for pregnantwomen where apregnant womanafter her firstregistrationreceives a handbook on nutrionalfood and MCHcard. On her 2 ndcheckup, a chequeof Rs. 500/- isgiven as monetorysupport fornutrional food andon her 3 rd checkup,another cheque ofRs. 500/- is givenand a voucher forreferral transport.Provide QualityAnte NatalCare to allpregnantwomenRe OrientationTraining of 456nos. of ANM BlockPHCwise in abatch of 30 onphysicalexamination ofpregnant women,Hb estimation andrecord keepingTo strengthenthe basicobstetric care(institutionaldeliveries)from 30.3%(CoverageEvaluationSurvey, <strong>RRC</strong>-<strong>NE</strong>) to 50% by<strong>2010</strong>-<strong>11</strong>19948 8643 8643 8643 8643 34572 8.64 8.64 8.64 8.64 34.56 95.00 0<strong>11</strong>4 <strong>11</strong>4 <strong>11</strong>4 <strong>11</strong>4 456260
Sub CentreMicro BirthPlanning by theANM for all thePregnant womenReferral of thecomplicatedcases to thehigherinstitutions26020InPlanTrainingEquipments for24x7 facilitiesLabourTable21nos.Shadowlesslamps 21nos.5 KVAgenerator19 nos.UnderProcurementUnderProcurementUnder NRHMPHC/CHCS4Enganagementof contracutaldoctots ¶medicsStrengtheningreferraltransportmechanismSBA training ofthe doctors &GNMRepair &Renovation ofdoctors & nursesquartersDelivery byTBA in thedifficult areas5under HR ofNRHM Addlin ReferralTransport120 9 9 9 9 36 In training5 NRHM Addl.261
Training of 1000Daiin TrainingProcurement ofDDKUnder NRHMIncentive to Daiper delivery23467Rs. 100perdelivery<strong>11</strong>.73 <strong>11</strong>.73 23.46 0.00 23.46Home DeliveryS5JananiSurakshaYojana12283 6505 6505 6505 6505 26020 155.9 155.9 155.9 155.9 623.5 527.7 95.7S6ReferralTransportVillage to HealthIntitution (60%of ID)POL forambulance fortransporting thewomenObjective: Tostrengthen thebasic obstetriccare(institutionaldeliveries)from 30.3%(CoverageEvaluationSurvey, <strong>RRC</strong>-<strong>NE</strong>) to 50% by<strong>2010</strong>-<strong>11</strong>Increasing theaccess throughfacilitystrengthening5.43 5.43 5.43 5.43 21.7 0.003.60 3.60 3.60 3.60 14.4 0.00UnderNRHMUnderNRHMLabour roomUpgradation withwards for 24 X7 PHCs.BudgetedunderInfrastructure& HR262
S1To strengthentheComprehensiveobstetric careFRUOT Instruments& new born caerinstrumentsOT & New borncare cornerrepair &renovationBack up power(10 KVA)Water SupplyrepairBlood StorageFacilityupgradationTraining ofdoctors onCEmoCTraining ofdoctors on LSAS4undertrainingS1S2Increasing coverageof post partum carefrom 14.8%(DLHS3) to 35% by<strong>2010</strong>-<strong>11</strong>Ensure postpartum care byASH/AWW/ANMIEC Material forthe mothers onPPCPost partumcare at HealthfacilitiesunderIEC/BCC263
S1Baby Kit forinstitutionaldelivery formothers stayingup to 48 hrsTo increaseawarenessamong thecommunity onMaternal &PerinatalDeathMaternal &Perinatal DeathAutopsyTo improvesafe abortionfacilities.Increase safeabortionfacilities inGovt. Hospitals15 Mos will betrained in MTP15undertrainingProcurementMVA kitofS2Access to safeabortion inPvt. FacilitiesNew Initiativeby the districtsProject Palna(Dibrugarh &DhemajiSUB TOTAL OFMATERNALHEALTH#### 173.54 185.27 185.27 717.62 527.74 189.88264
2 CHILD HEALTHTo improve new born careby 2009-10S1 IMNCITraining of health workers of<strong>Dhubri</strong> districtsProcurement of IMNCI Kit274 274 274 274 1096underTrainingunderProcurementS2S3Facility Based New BornCareTraining of MOSetting up of SNCU indistrictsunderTrainingSetting up of SNCU indistrictsS4Setting up of StabilizationCentreStabilization centre for PHCObjectives: Promote earlybreast feeding andexclusive breast feedingtill 6 months and abovefrom 38.1% (DLHS 3) to50% by <strong>2010</strong>-<strong>11</strong>UnderInfrastructure&procurement265
S1Increases awarenessamongst mothers aboutimportance of exclusivebreast feeding andcomplementary feedingCommunication activities(IEC/BCC)UnderIEC/BCCHealth Institutions to bemade Baby Friendly hospitalUnder BCCObjective: To increase thepercentage of 12 monthsof age fully immunizedchildren from 53.49% to70% by <strong>2010</strong>-<strong>11</strong>.To strengthen the presentimmunization system.Details of immunization givenunder UIP componentDetails underUIPObjectives: To increasethe use of ORSS1S2Making ORS and zinctablets available in all thedistricts as well as inremote/rural/tribal areasand difficult to reachareas through depotholders.Referral of diarrhoeacasesTraining of ASHA & AWW onORS & Zinc as a depot holderunderIEC/BCC266
Procurement of ORS packets& Zinc TabletsIMNCI kit to be providedReferral of sick children withdiarrhoeaAll the govt. health facilitieswill be strengthened toprovide treatment ofDiarrhoea. ORT Corner arecreated to rehydrate childrensuffering from dehydrationdue to acute waterydiarrhoea keeping the childfor four hours and will bemade functionalunderProcurementunder referraltransportIncluded inIEC/BCCIncrease awareness ofARI and improve referralof ARI casesS1Reorientation treaining ofANMsS2 Prompt referralANMs to be given refreshertraining on ARI & diarroheacase detection and referral ofthese casesDetails intraining planPrompt referral of ARI casesunder referraltransportReduce prevalance ofanemia267
To prevent and treat anemiaCounsellingcommunication activitiesandIncluded inIEC/BCCSuplly of IFA(s) tabletsReduce Vitamin AdeficiencyPrevent and treat Vit-Adeficiency in childrenVitamin A campaignSUB TOTAL OF CHILDHEALTH0.00 0.00 0.00 0.00268
3 FAMILY PLANNINGTo meet the unmet needof contraception from37.2% (DLHS3) to 28%andincreaseContraceptive prevalencerate 23.6% (DLHS3) to45% by <strong>2010</strong>-<strong>11</strong>S1To raise awarenessamongst the couples andcommunities about theadvantageofcontraceptives and smallfamily.Communication activities willbe developed with help ofAWW, ASHA, Woman’sSHGs, male workers, CBOs &FNGOs as per need of thelocality.Family planning counselingwill be ensured by ASHA &ANMs during home visits andVHND and also at the subcenter during visit of thewomen for immunization,care of the children etc tomeet the unmet need ofcontraception and also needof small family.IEC/BCCNRHM AddlS2Increase the number ofservice delivery pointsASHA and AWW will act asdepot holders. All the depotholders will be provided withwider basket of choice (OCP,ECP, and Nirodh).Procurementplan269
The ANMs will be trained forIUCD. Necessary logistics forIUCD insertion at SC levelwill be supplied (IUD kit).Incentive for IUCD 5900 Rs.20 0.3 0.3 0.3 0.3 1.2 0 1.2Training &ProcurementPlanBudgetedunder RCHFlexi-poolS3Improve the servicedelivery to provide qualityfemale sterilization.15 Mos will be trained in MTPProcurement of MVA kitCompensation package forfemale strilization in Govt.2450 2450 2450 2450 9800 Rs.1000 24.5 24.5 24.5 24.5 98.00 0.00 98.00undertrainingUnderProcurementBudgetedunder RCHFlexi-poolS1Compensation package forfemale sterilization in pvthospitalsTo increase the malesterilization from theexisting level of 10.6%(HMIS report uptoJan’10) to 20% by <strong>2010</strong>-<strong>11</strong>.Raising awareness forNSVWorkshop at State LevelBudgetedunder RCHFlexi-poolWorkshop at District levekS2Improve service deliveryfor NSV270
NSV camps cum training 21 21 21 21 84 Rs. 15000 3.15 3.15 3.15 3.15 12.6 0.00 12.6Budgetedunder RCHFlexi-poolCompensation package formale sterilization in Govt.Compensation package formale sterilization in pvthospitalsOutreach camps inuncovered areas500 500 500 500 2000 Rs.1500 7.5 7.5 7.5 7.5 30.00 0.00 30.00Budgetedunder RCHFlexi-poolS1Sterilization camps in <strong>11</strong>high focus districtsSpecial sterlization campsfor females for 3 monthsS2Sterilization camps inuncovered areasFemale SterilizationMale SterilizationInnovation under FamilyPlanning:Samidhri Babe Kisu Hamai(Second Honeymoon Scheme)in 10 districtsSUB TOTAL OF FAMILYPLANNING35.45 35.45 35.45 35.45 141.80 5.00 136.80271
4 ADOLESCENT HEALTHIntroduce acomprehensive healthplan for adolescentTo ensure reproductivehaelth and nutrition needsare metS1 School health programmeUnderintersectoralconvergenceS2Outreach programmes forout of school adolescentsS3Adolescent Clinic in HealthInstitutionsAwareness generationactivities related toadolescent health. (underIEC/BCC).underIEC/BCCT raining of counselors onARSHIncentive to the counselorsOutreach Health Programmefor Adolescents for 1 district,viz. Morigaon, pilot basisthrough FNGO & PeerEducator.Low Cost Sanitary Napkins toadolescent females .SUB TOTAL OFADOLESCENT HEALTH0 0 0 0 0.00 0.00 0.00272
5 URBAN RCHTo provided integrated andsustainable system forprimary health careservice delivery with focuson urban poor/slums.Increasing access to servicedelivery pointUHC - Railgumti, <strong>Dhubri</strong> 1 no 1Urban Health Centres 2 no 1 1 2 7.37 7.37 7.37 7.37 29.46 1.84 27.62Acrredited Urban HealthWorkersSUB TOTAL OF URBAN RCH 7.37 7.37 7.37 7.37 29.46 1.84 27.626VUL<strong>NE</strong>RABLE GROUP &TRIBAL RCHHealth Camp for the refugeesin two districtsHealth camps in the floodaffected areas of two districts( Lakhimpur & Dhemaji)Mobility support to ANMsworking in char areasCamps and procurement ofinflatable boats inKarbianglong districtSUB TOTAL VUL<strong>NE</strong>RABLEGROUP AND TRIBAL RCH0 0.00 0.00 0.00 0.00 0.00273
7INNOVATIONS/ PPP/ NGO/ PNDT/QA7 PPPA-1A-2PPP with old Tea Garden 1 1PPP with new Tea Garden 1 1PPP with Charitable/Private HospitalChiranjivi Yojna (in 5 districts,viz..Kamrup, Jorhat, Dibrugarh, Barpetaand Silchar)UnderNRHMAddlUnderNRHMAddl7 NGO SCHEMEA-1Release of 2 nd installmentA-2Release of 1st installmentRelease of 2nd installmentRelease of preparatory grantExternal agency evaluation of 10MNGOsA-3Quarterly review meetings7 PNDT/GENDER ISSUEA-1Meetings274
a State Supervisory Board meetingsbMeetings of the Multi Member StateAppropriate Authority to be organizedcdA-2A State level 1 (one) Day PublicSeminar cum workshopDistrict level Advisory CommitteeMeetingsQuarterly Reports (printing of theformat to be done if required, so fund isrequired)A-3Contingency FundA-4Mobility7 QUALITY ASSURANCEA-1Quality Assurance in 6 districtsDevelopment of software for QASUB TOTAL OFINNOVATIONS/PPP/NGO/PNDT/QA0.00 0.00 0.00 0.00 0.00 0.00 0.00275
8INSTITUTIONALSTRENGTHENING / HMIS8 Strengthening of M&E Cell 8 8 6.15 6.15 6.15 6.15 24.68M&E consultant(s) recruitedand in position1 NoIncluded inDPMU889Provision of equipment atstate and district levelsOperationalising the newMIES formatPrinting of all MCH registersincorporating new MISformats9 Printing of new formats1.88 1.88 1.88 1.88 7.52a) Monthly format for SC'sand equivalent facilities(NRHM/HSC/3/M ). BilangualFormat - English & Assameseb) Monthly format for PHC'sand equivalent facilities(NRHM/PHC/3/M )c) Monthly format for CHC'sand equivalent hospitals(NRHM/CHC/3/M )d) Monthly format for Sub-District Hospitals andequivalent hospitals(NRHM/SDH/3/M )e) Monthly format for DistrictHospitals and equivalenthospitals (NRHM/DH/3/M )9 Training of staff276
a) 2 days training onReporting System and M&Efor District Level Officersb) 2 days training onReporting System and M&Efor Block Level Officersc) 1 day training on ReportingSystem and M&E at BlockLevel0.13 0.13 0.13 0.13 0.509Other M&E activities(please specify)a) BPHC level- monthlyReview Meetingb) District Level MonthlyReview Meetingc) State Level QuarterlyReview MeetingSUB TOTAL OFINSTITUTIONALSTRENGTHENING / HMISNo 21 21 21 21 84 Rs.5,000.00 1.05 1.05 1.05 1.05 4.20 0.00 89.40No 3 3 3 3 12 Rs.25,000.00 0.75 0.75 0.75 0.75 3.00 0.00 81.009.96 9.96 9.96 9.96 39.82 27.15 12.679INFRASTRUCTURE ANDHR9INFECTION MANAGEMENT& ENVIRONMENTPROTECTIONTrainingCBWTFBMW Consumables277
9 Infrastructure24 x 7 PHC Up-gradation &renovation of labour roomand maternity wards for 24 X7 PHCFRU - OT & New born carecorner repair & renovationfor FRUFRU - Blood Storage Facilityupgradation for FRUSNCU - Upgradation & repairSNCU- ManpowerStabilization Unit - Tiling,reconstruction & wiringRepair & Renovation of O/ODHSSUB TOTAL OF IMEPINFRASTRUCTURE ANDHR0 0 0 0.00 0.00 0.0010 TRAINING10.1.<strong>11</strong>0.1.210.1.3Carry out repairs/renovations of the traininginstitutions(LECTURE HALL50+ HOSTEL 55 +ELECTRICITY REPAIRING 36+ SUPPORT SERVICE 15)Provide equipment andtraining aids to the traininginstitutions (AV equipments+ Library books)Contractual staff recruitedand in position278
10.1.41010.2.<strong>11</strong>0.2.2Other activities (pl. specify)VEHICLES&CONTINGENCIESDevelopment of trainingpackagesDevelopment/ translationand duplication of trainingmaterials (PRINTING OFIMNCI CHARTS, MODULES &BOOKLETS ETC AND BCC,RTI/STI MODULES, ARSHMODULES, SBA MODULES)Specialisedtrainingequipment (for skillstrainings) provided (IMNCItrg aids & ZOE Model)10.2.3 Other activities (pl. specify)10.2.410.2.5Monitoring of TrainingprogrammeRegional Training CoordinatingUnitSUB TOTAL OF 10.1 TO10.2.50.00 0.00 0.00 0.00 0.00 0.00 0.0010 Maternal Health Training10.3.<strong>11</strong>0.3.1.1Skilled Attendance at Birth /SBASetting up of SBA TrainingCentres10.3.1.2 TOT for SBA10.3.1.310.3.1.410.3.1.5Training of Medical Officers inManagement of CommonObstetric ComplicationsTraining of Staff Nurses inSBATraining of ANMs / LHVs inSBA279
10.3.2 EmOC Training10.3.2.1Setting up of EmOC TrainingCentres10.3.2.2 TOT for EmOC10.3.2.310.3.310.3.3.<strong>11</strong>0.3.3.2Training of Medical Officers inEmOCLife saving Anaesthesiaskills trainingSetting up of Life savingAnaesthesia skills TrainingCentresTOT for Anaesthesia skillstraining10.3.3.3Training of Medical Officers inlife saving Anaesthesia skills10.3.4Safe abortion servicestraining (including MVA/EVA and Medical abortion)10.3.4.<strong>11</strong>0.3.4.2TOT on safe abortionservicesTraining of Medical Officersin safe abortion10.3.5. RTI / STI Training10.3.5.1 TOT for RTI/STI training10.3.5.2Training of laboratorytechnicians in RTI/STI280
10.3.5.310.3.5.4Training of Medical Officersin RTI/STITraining of Staff Nurses inRTI/STI10.3.5.510.3.610.3.710.3.7.<strong>11</strong>0.3.7.2Training of ANMs / LHVs inRTI/STIOrientation of Dai / TBAson safe deliveryOther maternal healthtraining (please specify)District Orientation Trg. ForMosIntegrated MCH ServicesOrientation10.3.810.3.9State level ToTBlock level ToTANMMulti Skilling of MedicalOfficers on RadiologyMulti Skilling of MedicalOfficers on Clinical Pathology10 IMEP Training10.4.1 TOT on IMEP10.4.210.4.3IMEP training for state anddistrictprogrammemanagersIMEP training for medicalofficersSUB TOTAL OF MATERNALHEALTH TRAINING0.00 0.00 0.00 0.00 0.00 0.00 0.00281
<strong>11</strong> Child Health Training10.5.1IMNCI Training (preserviceand in-service)10.5.1.1TOT on IMNCI (preserviceand in-service)10.5.1.2IMNCI Training forMedical Officers10.5.1.3IMNCI Training for staffnurses10.5.1.4IMNCI Training for ANMs /LHVs1096ANMs/AWWs(20batches)120 120 120 120 480 171370/batch 8.55 8.55 8.55 8.55 34.210.5.1.5IMNCI Training forAnganwadi Workers10.5.1.6Multi Skilling Training ofMos of FRUs & CHCs10.5.1.7 SNCU TRAININGSUB TOTAL OF CHILDHEALTH TRAINING8.55 8.55 132.1 192.8 34.2 0 34.2<strong>11</strong>10.6.<strong>11</strong>0.6.1.<strong>11</strong>0.6.1.2Family PlanningTrainingLaparoscopicSterilisation TrainingTOT on laparoscopicsterilisationLaparoscopic sterilisationtraining for medicalofficers10.6.2 Minilap Training282
10.6.2.1 TOT on Minilap10.6.2.2Minilap training formedical officers10.6.3Non-Scalpel(NSV) TrainingVasectomy10.6.3.1 TOT on NSV10.6.3.2 NSV10.6.4 IUD Insertion10.6.4.1 TOT for IUD insertion10.6.4.210.6.4.310.6.4.410.6.510.6.6Training of Medical officersin IUD insertion (DTTLevel)Training of staff nurses inIUD insertionTraining of ANMs / LHVs inIUD insertionContraceptive update/ISDTrainingOther family planningtraining (please specify)SUB TOTAL OF FAMILYPLANNING TRAINING0 0 0 0 0 0.00 0.00<strong>11</strong>AdolescentReproductive andSexual Health/ARSHTraining10.7.1 TOT for ARSH training283
10.7.210.7.310.7.4Orientation training ofstate and districtprogramme managersARSH training for medicalofficersARSH training forANMs/LHVs10.7.5 ARSH training for AWWs10.7.6Training of ASACScounselorsSUB TOTAL OF ARSHTRAININGOther trainingBCC Training for DTTBCC Training for ASHASUB TOTAL OF OTHERTRAININGSUB TOTAL OFTRAINING0 0 0 0 0 0 0.000 0 0 0 0.00 0 0.008.55 8.55 132.12 192.79 34.20 0.00 34.20<strong>11</strong> BCC/IEC<strong>11</strong>.1 Setting up and development ofIEC/BCC unit at the district level(Procurement of Laptop) 35000 350000 0 0<strong>11</strong>.2 Meeting Manpower requirementsat District level 0 0 0 0<strong>11</strong>.3 Formative research/situationalanalysis/baseline study to identifyfocus areas 105000 105000 105000 105000284
<strong>11</strong>.4<strong>11</strong>.5Develop IEC/BCC StrategyStreamline objectives/identifyCommunication tools/identifymedia mix as per targetaudience/frame monitoringevaluation indicators Identifyexternal agency/Advertisingagency for the task (if needed) 0 0 0 0Media MixDevelop a strategic media mix asper the target population andissues( Child Health, MaternalHealth/Family Planning) 0 0 0 0<strong>11</strong>.6a). InterpersonalCommunications<strong>11</strong>.7 Counselling at FRUs, PHCs etc0 0 0 0<strong>11</strong>.8One to one interaction byASHAs/ANMs/AWWs0 0 0 0<strong>11</strong>.9<strong>11</strong>.10Group discussions at Village/Block/Panchayat level ( by BEE, HE,LHV)Community Meetings ( Will beconducted by VHSC)148500 148500 148500 1485000 0 0 0<strong>11</strong>.<strong>11</strong>Workshops at Panchayath/ BlockDistrict level<strong>11</strong>.12 b). Community Media35000 35000 35000 35000<strong>11</strong>.13Folk arts ( preparation of AudioCassette & miking)91000 91000 91000 91000285
<strong>11</strong>.14Street plays ( Rs.3000 X 12 monthsX 7 BPHC)<strong>11</strong>.15 Health Melas<strong>11</strong>.16 Rallies<strong>11</strong>.17 Social Mobilisation Programmes<strong>11</strong>.18 c). Outdoor Media<strong>11</strong>.19 Banners<strong>11</strong>.20 Bus Boards<strong>11</strong>.2<strong>11</strong>1.22Bulletin Boards ( information Boards2 nos for per SC wise)Sign ages (Hoardings 5 nos for perBPHC)<strong>11</strong>.23 d). Television Spots<strong>11</strong>.24 e). Radio Programmes<strong>11</strong>.25 f). Newspaper advertisements<strong>11</strong>.26 g). Print materials<strong>11</strong>.27 Pamphlets @ Rs.1/- X 20,000 X 4Q<strong>11</strong>.28 Poster @ Rs.5 X 8000 X 4Q<strong>11</strong>.29 Flip Charts<strong>11</strong>.30 Newsletter @ Rs.25 X 4000 X 4Q<strong>11</strong>.31 Annual Report @ Rs. 25 X 4000<strong>11</strong>.32 Flash cards63000 63000 63000 6300025000 0 0 017500 17500 17500 175000 0 0 0150000 150000 150000 1500000 25000 0 0492000 0 492000 00 350000 0 00 0 0 00 0 0 00 0 0 00 0 0 020000 20000 20000 2000040000 40000 40000 400000 0 0 0100000 100000 100000 1000000 0 100000 00 0 0 0286
<strong>11</strong>.33Calendars and danglers@ Rs 50 X300 nos0 0 15000 0<strong>11</strong>.34 BCC implementationComponents<strong>11</strong>.35Capacity Building and trainingof manpower Designateresponsibilities as pertask/identify coordinator anddesign activity chart0 0 0 0<strong>11</strong>.36 Capacity building of Staff<strong>11</strong>.37 Internal Workshops10000 0 0 00 0 0 0<strong>11</strong>.38<strong>11</strong>.39Specialised training for StaffmembersMonitoring and evaluationMidterm monitoringEvaluation of the ProgrammeSUB TOTAL OF BCC <strong>11</strong>.1TO <strong>11</strong>.39SUB TOTAL OF BCC/IEC35000 35000 35000 350000 0 0 013.67 15.3 14.12 8.05 51.14 51.14287
12 PROCUREMENTMaternal HealthPartographANC Card24 x 7 PHC - Equipments for24x7 facilities for MaternalHealthFRU - OT Instruments & newborn caer instruments forFRUSNCU EquipmentsStabilization Centre - BedStabilization Centre -EquipmentsStabilization Centre -Servo SatbilizerSub TotalFamily Planning288
IUD Insertion KitOCPNirodhEC PillLaparoscopes with CO2/ AirInsuflationMinilap kitMVA kitNSV kitOT Table for Lap operation2 nos. CO 2 cylinder for 24 DHand 37 FRUSUB TOTALChild HealthIMNCI KitsTab AlbendazoleVitamin A solutionSub TotalSUB TOTAL OFPROCUREMENT0.00 0.00 0.0013PROGRAMMEMANAGEMENT289
A-1StateProgrammeManagement Unit (SPMU)Salary of the SPMU 0.00A-2District ProgrammeManagement Unit (DPMU)Salary of the DPMU 2.27 2.27 2.27 2.27 9.08 14.38 -5.3A-3aStrengthing of FinancialManagement SystemTraining in accountingproceduresbAnnual Audit of theProgrammec Concurrent Auditc1 District Levelc2 State Levelc3 Regional WorkshopSUB TOTAL OFPROGRAMMEMANAGEMENTSUB TOTAL BASE FLEXIPOOL0.00 0.00 0.00 9.08 0.00 9.081023.12 561.73 461.39A-1Janani Suraksha YojanaInstitutional Delivery290
RuralUrbanHome DeliverySUB TOTAL OF JSY 0.00 0.00 0.00A2FamilyPlanningcompensation (male andFemale), Sterlization campsand Mega campsGRAND TOTAL (RCHFLEXIPOOL)0.001023.12 561.73 461.39291
AN<strong>NE</strong>XUREAnnex-IStatus of FRU OperationalizationS.Total No of FRUs Target for *FRUs operationalized tillDistrictNOPlanned till <strong>2010</strong> 2009-10December, 2009<strong>Dhubri</strong> 2 1*Must fulfil GoI Minimum CriteriaStatus of 24x7 PHCsS.NODistrictTotal No of 24x7PHCs Planned till<strong>2010</strong>Target for 2009-10<strong>Dhubri</strong> 24 <strong>11</strong> 14*Must fulfil GoI Minimum CriteriaStatus of Anaesthesia TrainingS.NOStateNo ofMedicalCollegesconductingLSASTrainingNo ofDistrictHospitalsconducting LSASTrainingStatus of EmOC TrainingS.NOState No ofMedicalCollegesconductingEmOCTrainingTotal NoofMBBSDoctorsto betrained inLSAS till<strong>2010</strong>No ofDistrictHospitalsconductingEmOCTrainingTargetfor2009-10Total Noof MBBSDoctorsto betrained inEmOCtill <strong>2010</strong>NotrainedtillDecember2009Targetfor 2009-10*24x7 PHCsoperationalizedtill December,<strong>2010</strong>No of trained MOsposted at FRU tillDecember 20091NotrainedtillDecember2009No oftrainedMOsposted atFRUs tillDecember20091 1 1 NilStatus of SBA TrainingS.NO StateNo ofdistrictsconductingSBATrainingNo of districthospitals/traininginstitutespracticing SBAProtocolsparticularlyPartographNo ofMasterTrainerstrained(BothState andDistricts)No ofSNs/ANMs/LHVsto be trained till<strong>2010</strong>1 GNM=24,ANM=12Targetfor2009-10NotrainedtillDecember2009GNM=17LHV=10ANM=53293
Status of MTP TrainingS.NOState No of doctors planned tobe trained inMA/MVA/EVA/ till <strong>2010</strong>No. trainedtillDecember2009No. of 24x7PHCsprovidingsafeAbortionServices<strong>Dhubri</strong> MO=15 O&G=6 Nil 2No. OfDH/FRUsprovidingcomprehensivesafe abortionservicesS.NODistrict.Budget allocated under MH(excluding JSY 2009-10)Budgetutilizedunder MH(excludingJSY tillDecember2009)Budgetallocatedunder JSY2009-10Budgetutilized underJSY tillDecember2009<strong>Dhubri</strong> 6,000,000.00 5,093,000.00 5 Cr 2 cr 89 LakhsTable on IncentivesName oftheSchemeType ofWorkerLevel of Facility(CHCs/PHCs/Sub-Centres)AmountofIncentivePerformanceExpectedNo ofworkergivenincentiveQuantifiableOutput294
Annexure - B (Pt-I)Additiional requirment of Equiptment/Instrument with present status of <strong>Dhubri</strong> District:-Sl.No.Name of HealthInstitutionsRadiantWarmerAutoclaveResuciationKitElectricSterilizerOxygenCylinder BTypewith FlowMeterOxygenCylinder BType1DharmasalaPHCPSAddReqPSAddReqPSAddReqPSAddReqPSAddReq1 1 1 1 1 12 Raniganj PHC 1 1 1 1 1 1 13 Golakganj PHC 1 1 1 1 1 1 14GazarikandiPHC1 1 0 1 1 1 15 Bilasipara SHC 1 1 0 1 1 3 367SapatgramSHCSadullabariSHC1 1 1 1 1 <strong>11</strong> 1 1 1 1 18 Salkocha SHC 1 1 1 1 1 19South SalmaraCHC(Kowahagi)0 1 0 1 0 1 1 1 <strong>11</strong>0 Gauripur CHC 1 1 1 1 1 1 <strong>11</strong>1 Halakura CHC 1 0 1 1 1 1 1 <strong>11</strong>2 Agomoni CHC 1 0 1 1 1 1 1 <strong>11</strong>314MankacharCHCGeramariMPHC1 1 0 1 1 1 10 1 0 1 0 1 1 1 <strong>11</strong>5 Santipur MPHC 0 1 0 1 0 1 1 1 <strong>11</strong>6 Jarua MPHC 0 1 0 1 0 1 1 1 <strong>11</strong>718DumordahaMPHCTamarhatMPHC0 1 0 1 0 1 1 1 <strong>11</strong> 1 1 1 1 1 <strong>11</strong>9 Satrasal MPHC 1 1 1 1 1 120 Bagribari SD 0 1 0 1 0 1 1 1 121 Medortary SD 0 1 0 1 0 1 1 1 122 Futkibari SD 0 1 0 1 0 1 1 1 123 Berbhangi SD 0 1 0 1 0 1 1 1 124 Jhowdanga SD 0 1 0 1 0 1 1 1 12520 Bedded Mat.Centre, <strong>Dhubri</strong>1 1 1 1 1 1 126 Bahalpur SD 1 1 0 1 1 1 1PSAddReq295
27 Boterhat SD 1 1 0 1 1 1 128 Kakripara SD 1 0 1 0 1 1 1 129 Dhepdhepi SD 1 1 1 1 1 130 Moterjhar SD 1 1 1 1 1 131KachokhanaSD1 1 1 1 1 132 Lakhiganj SD 1 1 1 1 1 1Total 22 10 19 13 16 23 13 19 13 21 12 22Sl.No.Name of HealthInstitutionsTrolley,Humidifier,WrenchandNeonatalMask &Adult MaskFootStep-DoubleIV DipStandBed Side-LockerInvalidWheelChairInstrumentTrolley( highquality )Patienttrolleywithremovabletop1DharmasalaPHCPSAddReqPSAddReqPSAddReqPSAddReqPSAddReqPSAddReq1 1 2 6 1 1 12 Raniganj PHC 1 1 2 6 1 1 13 Golakganj PHC 1 4 4 1 1 1 14GazarikandiPHC1 1 2 6 1 1 15 Bilasipara SHC 1 3 15 10 1 1 167SapatgramSHCSadullabariSHC1 1 2 6 1 1 <strong>11</strong> 1 2 6 1 1 18 Salkocha SHC 1 1 2 6 1 1 19South SalmaraCHC(Kowahagi)1 1 2 6 1 1 <strong>11</strong>0 Gauripur CHC 1 1 2 5 1 1 <strong>11</strong>1 Halakura CHC 1 1 10 20 1 1 <strong>11</strong>2 Agomoni CHC 1 1 2 6 1 1 <strong>11</strong>314MankacharCHCGeramariMPHC1 1 2 6 1 1 <strong>11</strong> 1 2 6 1 1 <strong>11</strong>5 Santipur MPHC 1 1 2 6 1 1 <strong>11</strong>6 Jarua MPHC 1 1 2 6 1 1 <strong>11</strong>718DumordahaMPHCTamarhatMPHC1 1 2 6 1 1 <strong>11</strong> 1 2 6 1 1 <strong>11</strong>9 Satrasal MPHC 1 1 2 6 1 1 1PSAddReq296
20 Bagribari SD 1 1 2 6 1 1 121 Medortary SD 1 1 2 6 1 1 122 Futkibari SD 1 1 2 6 1 1 123 Berbhangi SD 1 1 2 6 1 1 124 Jhowdanga SD 1 1 2 6 1 1 12520 Bedded Mat.Centre, <strong>Dhubri</strong>1 1 2 6 1 1 126 Bahalpur SD 1 1 2 6 1 1 127 Boterhat SD 1 1 2 6 1 1 128 Kakripara SD 1 1 2 6 1 1 129 Dhepdhepi SD 1 1 2 6 1 1 130 Moterjhar SD 1 1 2 6 1 1 131KachokhanaSD1 1 2 6 1 1 132 Lakhiganj SD 1 1 2 6 1 1 1Total 9 23 17 20 53 34 90 <strong>11</strong>4 10 22 10 22 10 22Sl.No.Name of HealthInstitutionsInstrumentCabinetLabourTable withfoammattressStandLightSteelTraywith lidToothedArteryForcep1DharmasalaPHCPSAddReqPSAddReqPSAddReqPSAddReq1 1 1 2 12 Raniganj PHC 1 1 1 1 2 13 Golakganj PHC 1 1 1 2 14GazarikandiPHCPSAddReq1 1 1 1 2 15 Bilasipara SHC 1 1 1 2 567SapatgramSHCSadullabariSHC1 1 1 2 <strong>11</strong> 1 1 2 18 Salkocha SHC 1 1 1 2 19South SalmaraCHC(Kowahagi)1 0 1 1 2 <strong>11</strong>0 Gauripur CHC 1 1 1 1 2 <strong>11</strong>1 Halakura CHC 1 1 1 1 2 <strong>11</strong>2 Agomoni CHC 1 1 1 1 2 <strong>11</strong>3MankacharCHC1 1 1 1 2 1297
14GeramariMPHC1 0 1 1 2 <strong>11</strong>5 Santipur MPHC 1 0 1 1 2 <strong>11</strong>6 Jarua MPHC 1 0 1 1 2 <strong>11</strong>718DumordahaMPHCTamarhatMPHC1 0 1 1 2 <strong>11</strong> 1 1 1 2 <strong>11</strong>9 Satrasal MPHC 1 1 1 2 120 Bagribari SD 1 0 1 1 2 121 Medortary SD 1 0 1 1 2 122 Futkibari SD 1 1 1 1 2 423 Berbhangi SD 1 0 1 1 2 124 Jhowdanga SD 1 0 1 1 2 12520 Bedded Mat.Centre, <strong>Dhubri</strong>1 1 1 1 2 126 Bahalpur SD 1 0 1 1 2 127 Boterhat SD 1 1 1 1 2 128 Kakripara SD 1 0 1 1 2 129 Dhepdhepi SD 1 1 1 2 130 Moterjhar SD 1 1 1 2 131KachokhanaSD1 1 1 1 132 Lakhiganj SD 1 1 1 1 1Total 10 22 21 21 <strong>11</strong> 21 20 42 20 19Sl.No.Name of HealthInstitutionsBowlsNeedleHolderEpisiotomyScissorDressingDrumsTissueForcepsBinocularMicroscope1DharmasalaPHCPSAddReqPS1 1AddReq2PSAddReqPSAddReqPSAddReqPSAddReq2 2 2 12 Raniganj PHC 1 2 2 2 2 13 Golakganj PHC 1 2 1 1 2 2 14GazarikandiPHC1 2 2 2 2 15 Bilasipara SHC 1 3 3 2 2 167SapatgramSHCSadullabariSHC1 1 2 2 2 <strong>11</strong> 1 2 2 2 1298
8 Salkocha SHC 1 1 2 2 2 19South SalmaraCHC(Kowahagi)1 2 2 2 2 <strong>11</strong>0 Gauripur CHC 1 1 1 1 1 2 1 <strong>11</strong>1 Halakura CHC 1 2 2 2 2 <strong>11</strong>2 Agomoni CHC 1 2 2 2 2 <strong>11</strong>314MankacharCHCGeramariMPHC1 2 2 2 2 <strong>11</strong> 2 2 2 2 <strong>11</strong>5 Santipur MPHC 1 2 2 2 2 <strong>11</strong>6 Jarua MPHC 1 2 2 2 2 <strong>11</strong>718DumordahaMPHCTamarhatMPHC1 2 2 2 2 <strong>11</strong> 2 2 2 2 <strong>11</strong>9 Satrasal MPHC 1 1 1 2 2 2 120 Bagribari SD 1 2 2 2 2 121 Medortary SD 1 2 2 2 2 122 Futkibari SD 1 2 1 1 1 1 123 Berbhangi SD 1 2 2 2 2 124 Jhowdanga SD 1 2 2 2 2 12520 Bedded Mat.Centre, <strong>Dhubri</strong>1 2 2 2 2 126 Bahalpur SD 1 2 2 2 2 127 Boterhat SD 1 2 2 2 2 128 Kakripara SD 1 2 2 2 2 129 Dhepdhepi SD 1 1 1 2 2 2 130 Moterjhar SD 1 1 1 2 2 2 131KachokhanaSD1 1 1 2 2 2 132 Lakhiganj SD 1 1 1 2 2 2 1Total 9 23 15 48 24 41 39 24 22 40 12 20299
Name of the District: <strong>Dhubri</strong>DG Set Requirement Format for Dist. Hospital, SDCH, FRU, CHC, BPHC, 24X7 PHCAnnexure BPt-IISl.NoName of theHealth InstitutionNo. ofDelivery09-10(uptoSep'09)Make ofDG SetCapacityof DGSetDt. ofInstallationSource ofSupplyWhethercoveredunderAMC(Y/N)Present Status of the DGSetWorkingNeedrepairbeyondeconomicrepairPresentRequirementif anyRemarkas1<strong>Dhubri</strong> CivilHospital2223 Kirlosker30 KV &14 KVNA Govt N Y 1 30 KV2<strong>Dhubri</strong> Health &Maternity Centre143 NA 5 KW NA Govt. Supply N Y YWithineconomicrepair3 Halakura CHC 1064 NA NA NA NA NA <strong>11</strong>1st Phasedistribuion4 Agomoni CHC 348 Kirlosker 8 HP 27-2-09Govt. supplyunder NRHMscheme alongwith newlylabour roomY Y Y Y 1Low HPGeneratorneeded5 Boterhat SD 105 NA NA NA NA NA 16 Satrasala MPHC 61 NA NA NA NA NA 17 Golakganj PHC 631 USHA 5 KV NA Govt. Supply NO Y N301
8 Kachokhana SD 76 NA NA NA NA NO 19 Dhepdhepi MPHC 37 NA NA NA NA NO <strong>11</strong>0 Moterjhar SD 97 NA NA NA NA NO <strong>11</strong>1 Tamahat PHC 363 NA NA NA NA NO <strong>11</strong>st Phasedistribuion12 Raniganj PHC 68 Honda 2.5 KV NANRHM RKSFundY Y NRecentlyPurchased13 Bilasipara SHC 564 NA NA NA NA No <strong>11</strong>st Phasedistribuion14 Sapatgram SHC <strong>11</strong>8 NA NA NA NA No <strong>11</strong>5 Lakhiganj SD 78 NA NA NA NA No <strong>11</strong>6 Futkibari SD 34 NA NA NA NA No <strong>11</strong>7 Chapor FRU 358 Kirlosker 10 KV NA Govt No Y N18 Salkocha SHC 45 NA NA NA NA NA 1302
19 Bahalpur SD 17 NA NA NA NA NA 120 Gazarikandi BPHC 797 USHA 5 KV 23.7.07 Govt NA Y 1 10 KV21 Mankachar CHC 388 NA NA NA NA NA <strong>11</strong>st Phasedistribuion22 Dharmasala BPHC 246 Birla 12 KV Oct, 2009 Govt Y Y N23 Gauripur CHC 164 Kirlosker 2.5 KV May, 2006 Govt NA Y 15 KV (1stPhasedistribuion)303
Instittionwise requirement of Contractual manpowerSLNAME OF THE HEALTHINSTITUTIONType of InstitutionMOMBBSAYURAnnexure-C1 Tamahat MPHC 24 x7 PHCs 1 0 22 Moterjhar SD 24 x7 PHCs 0 1 13 Kachokhana SD 24 x7 PHCs 0 0 14 Dhepdhepi MPHC 24 x7 PHCs 0 0 15 Berbhangi SD 24 x7 PHCs 0 0 36 Dumardaha MPHC 24 x7 PHCs 0 1 37 BATERHAT SD 24 x7 PHCs 1 0 28 SATRASAL MPHC 24 x7 PHCs 0 0 29 Geramari MPHC 24 x7 PHCs 0 0 310 S.Salmara CHC(Tumni) 24 x7 PHCs 0 0 4<strong>11</strong> Medortari SD 24 x7 PHCs 0 0 312 Jarua MPHC 24 x7 PHCs 0 0 313 Jhowdanga SD 24 x7 PHCs 0 1 314 Kakripara SD 24 x7 PHCs 0 0 315 Sadullabari SHC 24 x7 PHCs 0 0 316 Lakhiganj SD 24 x7 PHCs 0 0 <strong>11</strong>7 Futkibari SD 24 x7 PHCs 0 0 318 Bagribari SD 24 x7 PHCs 0 0 319 Santipur MPHC 24 x7 PHCs 0 0 320 Salkocha SHC 24 x7 PHCs 0 0 221 Champabati MPHC 24 x7 PHCs 0 0 0GNMTotal 2 3 49305
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