annual report – 2009 state -biharnlrindia.org/pdf/scp100421annualreport2009_patna.pdf · annual...

1

.

National Leprosy Eradication Programme, India

NLR India Projects

ANNUAL REPORT – 2009 State -BIHAR

Districts covered 1. Patna 2. Bhojpur 3. Buxar 4. Aurangabad & 5. Nawada

Prepared by: Dr. R. N. Sinha Designation: LPA

State:Bihar

2

CONTENTS (index)

S.No Contents Page 1. Executive Summary -3 2. Introduction -4 to 5 3. Epidemiological data -6 to15

4. Analysis of activities -16

5. Other Developments -16

6 Finance -17

7. Conclusion and recommendations -18

8. Annexures

a) Map of Bihar showing NLR districts

-19

b) Patna district- Infrastructure & staff position -20

c) Bhoj Pur - Infrastructure & staff position -22

d) Buxar - Infrastructure & staff position -24

e) Aurangabad - Infrastructure & staff position -26

f) Nawada- Infrastructure & staff position -28

g) NLR BIHAR-Team -30

3

Executive Summary

Leprosy situation in Bihar as on 31st March 2009 was as follows: Projected Population -100979764, Total number of new cases detected- 20086.

PR – 1.07 ANCDR /100000 --19.89, Child proportion among new cases- 16.64%,

Gr-2 proportion among new cases - 2.1%. Reaction/Neuritis----1010

Relapse-------------------------------------06

RCS done-----------------------------Govt-42

ANCDR /100000, PR / 10000, Child % and Disability grade II% of Patna district-

19.0,1.1,16.9, & 2.6; Bhoj Pur-12.1,0.6,20.2, & 2.7; Buxar 15.7,0.86,17.2 & 0.8; Aurangabad- 18.5,

0.9, 14.8 & 2.2; and Nawada are-25.8, 1.2,16.2 & 2.6 respectively.

ANCDR of all the districts have declined progressively but Nawada district is having higher

rate than state average. PR of Patna and Nawada are more than the state average. Child ratio in all the

districts are in the average range except Bhoj Pur, which is having 20.2 % of child ratio, though PR is

only 0.6. In this district healthy contact is being given priority.

Bihar was the first state in India, where NLR started it’s work, but the support teams were

placed in the year 2000. With a gap of 9 months after withdrawal of DTSTs on 31st March 2007, NLR

project started functioning with the concept of capacity building of DNTs since January 2008 having

project area of five districts in the southern part of the state. Districts covered by NLR are Patna, Bhoj

Pur, Buxar, Aurangabad and Nawada.

Status of NLEP in the NLR districts is going on well but due to non- availability of

reporting and recording formats are affecting the activities. Monitoring of NLEP activities from the level

of CMO and above needs further attention.

A financial procedure needs further simplification. Orientation training of peripheral staff with other

senior health staff to be continued to maintain tempo of the programme.

4

Introduction Bihar is a state in eastern India having it’s capital at Patna. Bihar is bounded in north by Nepal,

south by Jharkhand, east by West Bengal and west by UP. Though in the year 2000 it’s southern mostly

tribal belt was separated and a new state Jharkhand was formed, still it is one of the populous

state of India having projected population of 1009797764 ( 8,28,78,296 as per 2001 Sensus ) with

SC population of 1,45,26,077 and ST population of 16,68,333. Bihar’s population is mixed of all the

religions namely Hindus, Muslims, Sikhs, Christians, Buddhists etc. The state is historically very

important. The state has remnants of “Ashoka The Great”, World’s first democracry of Vaishali,

Nalanda university, Birth place of sikh guru Guru Govind Singh Jee , has added stars on it’s glory.

Bodh Gaya as a Buddhist pilgrim as well as Gaya as a Hindu pilgrim has kept the state on

international map.

The state of Bihar having more than 70% of it’s population below poverty line, several

constraints and obstacles including natural calamities, environmental, socio-cultural and administrative

has been performing very well in NLEP with the support of ILEP ( four members NLR,DFIT,LEPRA

and

TLMI). Bihar was the first state in India, where NLR started it’s work, but the support teams were

placed in the year 2000. NLR is supporting five districts in the southern part of the state including the

capital.

NLEP goes on under the umbrella of NRHM. During 2008-09, no fund was released for the activities

and as such no NLEP activities could be undertaken.

Again in 2009-10 NLEP came on track and normal functioning of the programme started since June

2009.

NLR India is providing support in five districts of Bihar namely Patna, Bhojpur,

Buxar, Aurangabad and Nawada. In these districts routine activities like capacity building of DNTs in

respect of case identification, diagnosis, management, supervision skills, SCG activities in PAL homes

was done with desired results.

PATNA DISTRICT PATNA is the capital of the state of Bihar, situated almost in the centre of the state. The

district is bounded in the north by the river Ganges, south by Jahanabad district, east by the districts of

Begusarai & Nalanda and in the west by Bhojpur district. It covers an area of 3202 sqkms with a projected

population of 5738496 including the SC population of 955378 and ST population of 13257. Patna has

58.16% of rural population. Overall M:F ratio is 1000:873 with literacy rate M:F 73.81% & 52.17%

respectively.

Patna has very good network of Health Care System having two medical colleges, one Dental

college and a very advance health care system IGIMS which is also has been allowed to start medical

education. These are in addition to the district’s health infrastructure ( Annex-1) which is having 23 PHCs,

60 APHCs, 16 urban health posts. Patna has a DNT comprising of DLO, MO, MSW, NMS and a

physiotherapist. ( Annex-2)

5

BHOJPUR DISTRICT

Bhojpur is the neighbouring district of state capital at about 60 KMs. It’s boundaries are in the north

river Ganges, south Rohtas & Jahanabad district, east Patna district and west Buxar district. It is the birth

place of Babu Kunwar Singh and Babu Jag Jivan Ram. The district is spread in an area of 2334 sqkms

with a projected population of 2722261 having SC population of 393781 and ST only 11234. Major 86%

of Bhojpur district lives in 1007 villages. M:F ratio of the district is 1000:900 having literacy rate of

74.78% and 42.81% respectively.

The district of Bhojpur has one district hospital, 12 PHCs, 27 APHCs and two referral hospitals.

DNT is having DLO, NMA, HE and PT .

BUXAR DISTRICT Buxar is the western district of Bihar.It is bounded in the north by river Ganges,south by Rohtas &

Bhahbua district, east by Bhojpur district and west by UP. Buxar is famous as taposthali of Maharshi

Vishwamitra of Ramayan erra. It has two battle grounds which has witnessed battles between Sher Shah

Suri & Humayun and Britishers & Mugals.

Buxar covers an area of 1757.6 sqkms having projected population of 16,68,275 mainly of rural

92.82% people. SC population is 2,24,861 and ST are 2923. M:F ratio of the district is 1000:901 with

literacy rate of 72.82% and 40.36% among male and females.

Buxar has one district hospital, 7 PHCs,& 18 APHCs. DNT consists of DLO, NMA, only two

member DNT.

AURANGABAD DISTRICT

AURANGABAD is a part of southern Bihar, bounded in the north by Jahanabad and Arwal

district, south by Palamu of Jharkhand state, east by Gaya district and west by Rohtas district. G.T. road

passes through Aurangabad. The district is famous for Surya temple in Deo block, 10 kmsfrom H/Q.

The district is spread in 3305 sqkms with projected population of 2442850 ( SC 558768, ST

nil) having rural population of 91.6% in 1978 villages. Ratio of M:F is 1000:936 and literacy rate 71.99%

and 42.4% among Male and Female respectively.

Aurangabad has one district hospital, 11 PHCs, 55 APHCs, and 03 Referral hospitals. District

Nucleus Team consists of one I/C DLO, 01MSW and 01 NMA.

NAWADA DISTRICT Nawada is 125kms from state capital. It is one of the hottest area during summar. National highway

connecting Bihar and Jharkhand divides the district into two unequal halves. It is surrounded by Nalanda

& Shekhpura districts in the north, Jharkhand state in the south, Jamui district in the east and Gaya district

in the west. The area of the district is 2494 sqkms and projected population 2150839 with SC 754309 &

ST only 1865. Rural population living in 978 villages, constitutes it’s 92.3%.M:F ratio is 1000:948 and

literacy rate 61.2% & 32.64% respectively.

DNT consists of an I/C DLO, NMS and PT. Nawada has 14 PHCs,21 APHCs,and two referral hospitals.

6

EPIDEMIOLOGICAL DATA

EPIDEMIOLOGICAL DATA---PATNA DISTRICT

S

no

YEAR Population Total

New

Cases

detected

Balance

Case

As on

31st

March

AN

CD

R

PR

MB

CH

ILD

GR

-I

GR

-II

FE

MA

LE

1. 98-99

4529209 11931 5612 32.97 13.3 47.2 8.6 NA 4.3 NA

2

.

99-00 4642439 6418 5773 17.7 13.4 53.2 9.75 NA 5.1 NA

3

.

00-01 4758500 5867 4924 16.2 11.5 51.1 11.89 NA 4.7 NA

4

.

01-02 4877463 6223 4581 17.19 9.0 51.5 13.0 NA 4.6 NA

5

.

02-03 4999400 5488 4379 15.16 11.1 48.5 14.2 NA 2.5 34.80

6

.

03-04 5124385 3747 2434 7.3 4.7 45.2 14.03 NA 1.2 28.93

7

.

04-05 5290051 2980 1497 5.63 2.83 44.13 15.3 NA 1.54 31.88

8

05-06 5328764 1837 991 3.44 1.86 51.55 12.74 NA 2.34 24.77

9

06-07 5461983 1426 803 2.6 1.51 47.12 11.36 NA 3.78 30.65

10

07-98 5598533 1112 607 11.98* 1.08 48.65 14.56 0.89 3.14 31.74

11

08-09

5738496 1158 595 19.0 1.1 44.8 16.9 1.5 2.6 31.9

ANCDR given below are at /10,000 upto 2006-07 and after that /10,00,00 (*)

Chart Showing ANCDR & PR

0

5

10

15

20

25

30

35

98-

99

99-

00

00-

01

01-

02

02-

03

03-

04

04-

05

05-

06

06-

07

07-

08

08-

09

ANCDR PR

7

Showing Chart MB & CHILD

0

10

20

30

40

50

60

98-9

9

99-0

0

00-0

1

01-0

2

02-0

3

03-0

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04-0

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05-0

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06-0

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07-0

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08-0

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MB CHILD

Showing Chart GR-I & GR-II

0

1

2

3

4

5

6

98-9

9

99-0

0

00-0

1

01-0

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03-0

4

04-0

5

05-0

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06-0

7

07-0

8

08-0

9

GR –I GR –II

MDT availability for the last two Years in Patna district.

S.

N

o

Drugs Years Apr May June July Au

g

Sep Oct Nov Dec Jan Feb Mar

2007-08 7.0 8.2 5.0 4.0 3.9 6.0 8.0 7.0 1.8 4.2 2.8 2.0 1. MB-A*

2008-09 1.5 5.7 4.0 3.3 1.9 1.9 3.8 2.6 2.8 1.3 3.3 5.3

2007-08 2.0 2.5 1.2 1.7 2.0 2.5 2.0 1.7 2.7 6.0 7.0 4.0 2. MB-C*

2008-09 2.6 3.1 1.5 3.0 3.4 3.2 2.1 1.6 2.1 1.7 4.4 4.7

2007-08 4.0 6.0 3.9 2.0 2.9 3.7 8.0 7.0 6.0 5.0 3.0 1.8 3. PB-A*

2008-09 1.8 4.8 2.6 2.9 2.3 2.1 2.2 1.6 1.8 1.0 3.5 4.7

2007-08 1.4 1.0 1.1 1.8 1.8 2.8 4.0 3.5 5.0 7.2 7.0 2.9 4. PB-C*

2008-09 3.5 5.0 2.0 1.7 0.5 0.9 2.8 4.5 3.9 2.0 7.8 8.7

2007-08 - - - - - - - - - - - -A 5. Prednisolone

2008-09 A

8

EPIDEMIOLOGICAL DATA---BHOJPUR DISTRICT

FOR WHOLE DISTRICT

S

no


New

Cases

detected

Balance

Case

As on

31st

March

AN

CD

R

PR

MB

CH

ILD

GR

-I

GR

-II

FE

MA

LE

1. 98-99 2032755 4470 2129 21.4 10.2 35.34 12.3 NA 7.9 NA

2. 99-00 2127227 2634 2081 12.3 9.7 38.0 15.8 NA 6.7 NA

3. 00-01 2180328 2263 1379 10.6 6.4 36.8 11.9 NA 3.0 NA

4. 01-02 2233415 2674 2051 11.9 9.1 38.29 14.8 NA 4.4 NA

5. 02-03 2278018 2111 1713 9.3 7.5 37.89 18.3 NA 3.0 NA

6. 03-04 2357537 1684 1254 7.14 5.3 30.34 17.87 NA 1.24 NA

7. 04-05 2414118 1342 376 5.55 1.55 25.7 20.93 NA 0.44 NA

8 05-06 2526914 555 228 2.19 0.9 28.82 18.1 NA 0.90 NA

9 06-07 2590076 383 137 1.47 0.50 33.4 18.53 NA 0.26 NA

10 07-08 2654428 334 170 12.8* 0.65 33.23 14.97 2.1 0.9 35.62

11 08-09 2722261 331 171 12.1* 0.6 36.5 20.2 4.2 2.7 31.1

ANCDR is showing progressive decline, but variations in disability and Child ratio are not much

.


0

5

10

15

20

25

98-9

9

99-0

0

00-0

1

01-0

2

02-0

3

03-0

4

04-0

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05-0

6

06-0

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07-0

8

08-0

9

ANCDR PR

9


0

10

20

30

40

5098-9

9

99-0

0

00-0

1

01-0

2

02-0

3

03-0

4

04-0

5

05-0

6

06-0

7

07-0

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08-0

9

MB CHILD


0

2

4

6

8

10

98-9

9

99-0

0

00-0

1

01-0

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02-0

3

03-0

4

04-0

5

05-0

6

06-0

7

07-0

8

08-0

9

GR –I GR –II

MDT availability for the last two Years in Bhoj pur district.

S.

No.

Drugs Years Apr May June July Aug Sep Oct Nov Dec Jan Feb Mar

2007-08 7.0 8.2 5.0 4.0 3.9 6.0 8.0 7.0 1.8 4.2 2.8 2.0 6. MB-A*

2008-09 1.5 5.7 4.0 3.3 1.9 1.9 3.8 2.6 2.8 1.3 3.3 5.3

2007-08 2.0 2.5 1.2 1.7 2.0 2.5 2.0 1.7 2.7 6.0 7.0 4.0 7. MB-C*

2008-09 2.6 3.1 1.5 3.0 3.4 3.2 2.1 1.6 2.1 1.7 4.4 4.7

2007-08 4.0 6.0 3.9 2.0 2.9 3.7 8.0 7.0 6.0 5.0 3.0 1.8 8. PB-A*

2008-09 1.8 4.8 2.6 2.9 2.3 2.1 2.2 1.6 1.8 1.0 3.5 4.7

2007-08 1.4 1.0 1.1 1.8 1.8 2.8 4.0 3.5 5.0 7.2 7.0 2.9 9. PB-C*

2008-09 3.5 5.0 2.0 1.7 0.5 0.9 2.8 4.5 3.9 2.0 7.8 8.7

2007-08 - - - - - - - - - - - -A 10. Prednisolone

2008-09 A

10

EPIDEMIOLOGICAL DATA—BUXAR

.FOR WHOLE DISTRICT

S

no


New

Cases

detected

Balance

Case

As on

31st

March

AN

CD

R

PR

MB

CH

ILD

GR

-I

GR

-II

FE

MA

LE

1. 01-02 1438548 2397 1706 16.3 11.4 30.9 3.9 NA 1.6 36.5

2. 02-03 1474512 1196 1952 13.3 13.1 31.0 7.8 NA 2.4 30.3

3. 03-04 1511375 1241 922 8.3 6.2 25.5 15.4 NA 1.9 40.0

4. 04-05 1549159 812 486 5.3 3.2 18.2 16.3 NA 0.9 40.0

5 05-06 1587888 500 228 3.1 1.4 26.8 14.4 NA 0.9 34.8

6 06-07 1627585 431 203 2.7 1.3 38.5 14.4 NA 2.3 27.8

7 07-08 1668275 330 180 12.0* 1.1 35.8 16.4 NA 2.4 31.5

8 08-09

1668275 262 144 15.7* 0.9 37.8 17.2 3.8 0.8 28.2

ANCDR shows progressive decline where as Gr-2 has been �ncreasing with a downward in 08-09


0

5

10

15

20

01-0

2

02-0

3

03-0

4

04-0

5

05-0

6

06-0

7

07-0

8

08-0

9

ANCDR PR

11


0

10

20

30

40

5001-0

2

02-0

3

03-0

4

04-0

5

05-0

6

06-0

7

07-0

8

08-0

9

MB CHILD


0

1

2

3

4

01-0

2

02-0

3

03-0

4

04-0

5

05-0

6

06-0

7

07-0

8

08-0

9

GR –I GR –II

MDT availability for the last two Years in Buxar district.

S.

No.


2007-08 3.0 2.8 3.0 2.4 1.8 1.8 3.3 1.6 1.1 1.8 4.6 6.4 1 MB-A*

2008-09 6.1 4.6 3.7 2.1 2.0 1.4 2.6 2.7 2.7 0.5 5.6 4.9

2007-08 1.4 2.2 2.0 6.0 2.1 1.0 2.5 1.4 0.6 2.0 4.3 3.2 2 MB-C*

2008-09 1.4 7.6 6.0 3.7 2.9 2.0 2.6 2.5 4.7 0.8 6.2 3.9

2007-08 1.7 1.5 2.0 2.1 0.6 1.6 6.0 4.6 5.0 3.9 3.7 2.9 3 PB-A*

2008-09 2.7 6.3 3.8 1.5 1.6 0.9 2.5 1.4 1.7 0.1 4.9 2.7

2007-08 2.4 2.2 2.6 3.3 0.8 1.2 3.9 1.6 1.2 2.4 5.3 4.0 4 PB-C*

2008-09 3.8 14.7 12.5 9.6 6.6 2.3 5.5 3.7 5.8 5.8 6.2 4.6

2007-08 N O T A V A I L A B LE 5 Prednisolone

2008-09 - - --- - --- - - - - - - -

12

EPIDEMIOLOGICAL DATA—AURANGABAD DISTRICT

FOR WHOLE DISTRICT

S

no


New

Cases

detected

Balance

Case

As on

31st

March

AN

CD

R

PR

MB

CH

ILD

GR

-I

GR

-II

FE

MA

LE

1. 01-02 1537746 3881 3392 25.2 22 43.3 13.0 NA 3.6 NA

2. 02-03 2065510 2779 2486 13.4 12.0 41.2 11.5 NA 0.5 32.9

3. 03-04 2105203 1901 1500 9.0 7.1 43.9 14.2 NA 0.4 31.7

4. 04-05 2256787 1343 548 5.9 2.4 35.3 14.3 NA 0.0 36.2

5. 05-06 2268429 686 307 3.0 1.3 38.0 13.4 NA 0.5 34.9

6. -06-07 2325139 506 281 2.17 1.2 37.9 16.4 NA 0.9 34.7

7. 07-08 2383268 495 262 21.2* 1.1 34.0 15.0 2.2 0.8 36.0

8. 08-09

2442850 451 223 18.5* 0.9 38.1 14.85 2.9 2.2 28.8

ANCDR shows progressive decline but disability and Child ratio shows mild variations


0

5

10

15

20

25

30

01-0

2

02-0

3

03-0

4

04-0

5

05-0

6

06-0

7

07-0

8

08-0

9

ANCDR PR

13


0

10

20

30

40

5001-0

2

02-0

3

03-0

4

04-0

5

05-0

6

06-0

7

07-0

8

08-0

9

MB CHILD


0

1

2

3

4

01-0

2

02-0

3

03-0

4

04-0

5

05-0

6

06-0

7

07-0

8

08-0

9

GR –I GR –II

MDT availability for the last two Years in Aurangabad district.

S.

No.


2007-08 3.7 3.5 2.6 2.0 2.5 2.8 2.1 0.9 1.5 1.3 4.4 2.2 1 MB-A*

2008-09 1.2 4.4 1.7 3.5 2.9 2.3 4.2 2.5 2.9 2.1 1.3 3.1

2007-08 3.0 4.1 2.1 1.6 4.0 4.7 3.8 2.3 2.8 2.5 5.3 4.5 2 MB-C*

2008-09 4.3 3.4 1.8 1.0 2.0 2.5 1.0 0.7 2.5 2.1 1.5 6.2

2007-08 2.2 1.8 1.8 2.1 1.6 1.7 4.1 2.5 3.2 1.6 4.0 2.4 3 PB-A*

2008-09 3.4 5.7 2.8 2.1 1.5 1.3 3.9 2.1 3.3 4.2 3.8 8.1

2007-08 0.8 1.5 2.0 2.6 3.2 2.2 2.1 0.8 4.6 2.7 7.0 3.5 4 PB-C*

2008-09 2.4 3.3 2.0 2.7 1.5 2.1 5.7 3.5 4.9 4.5 3.6 5.7

2007-08 N O T A V A I L A B LE 5 Prednisolone

2008-09 - - - - --- - - - - - - A

14

. EPIDEMIOLOGICAL DATA---NAWADA DISTRICT

FOR WHOLE DISTRICT

S

no


New

Cases

detected

Balance

Case

As on

31st

March

AN

CD

R

PR

MB

CH

ILD

GR

-I

GR

-II

FE

MA

LE

1. 01-02 1854661 3826 2782 20 15 39.7 18 NA 1.85 NA

2. 02-03 1884064 2246 1704 11.9 9.04 38.8 17 NA 0.57 21.19

3. 03-04 1927397 1748 1041 9 5.4 35.12 19.56 NA 0.28 37.92

4. 04-05 1997267 1518 464 7.6 2.3 28.32 21.54 NA 0.72 36.23

5 05-06 2047199 652 264 3.18 1.28 28.2 18 NA 1.53 34.20

6 06-07 2098379 509 200 2.42 0.95 30.05 17.87 NA 0.98 39.09

7 07-08 2150839 426 202 11.9* 0.93 28.40 12.67 NA 2.34 37.55

8 08-09

2204609 569 259 25.8* 1.2 31.3 16.2 4.9 2.6 43.2

ANCDR is showing progressive decline except for the year 2008-09; which shows rise. Changes in disability and Child ratio is not

marked.


0

5

10

15

20

25

30

01-0

2

02-0

3

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ANCDR PR

15


0

10

20

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50

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9

MB CHILD

Showing Chart GR-II

0

0.5

1

1.5

2

2.5

3

01-0

2

02-0

3

03-0

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05-0

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8

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9

GR –II

MDT availability for the last two Years in Nawada district.

S.

No.


2007-08 1.3 5.1 3.7 4.1 2.6 1.2 3.0 1.6 1.7 2.4 1.9 0.3 1 MB-A*

2008-09 2.0 5.8 3.0 2.9 2.0 2.3 1.9 1.5 3.9 3.5 1.7 1.6

2007-08 3.9 0.9 0.9 4.8 3.0 1.6 3.2 2.0 1.4 1.9 2.1 1.9 2 MB-C*

2008-09 2.0 5.6 1.6 1.9 0.8 1.4 0.5 0.7 2.7 2.3 1.2 1.6

2007-08 3.8 1.7 1.2 1.4 0.6 0.5 6.0 3.6 2.9 3.2 2.6 0.8 3 PB-A*

2008-09 2.1 3.7 1.0 1.3 0.8 0.6 0.7 1.7 3.7 3.5 1.9 1.1

2007-08 0.4 1.0 4.0 5.2 3.5 2.8 9.0 8.8 8.0 3.8 6.0 6.4 4 PB-C*

2008-09 1.2 2.2 0.7 0.8 0.4 1.1 2.9 2.9 3.9 6.9 2.9 3.0

2007-08 x x x x x x x x x x A A 5 Prednisolone

2008-09 A A A A A A A A A A A A

16

Analysis of activities

PLANNED ACTIVITIES:

TRAININGS ILEP

NO. 2.5

Activities planned – 2009 Whether

completed

Target

date for the

activity

Dates on

which performed

Reasons for non completion

1

Orientation training of NLEP

Staff x 5 districts

Yes June’09 June’09

2 ANM’s DPMR training of

Nawada district x 14 PHCs

Yes Nov &

Dec’09

Nov &

Dec’09

3 District level stakeholders meeting X 2 districts

Yes June’09 & Oct’09

June & Oct’09

4 District level stakeholders

meeting X 3 districts

No Oct’09 to

Dec’09

Not

performed

Due to LPA on Med. Leave.

HEALTH EDUCATION ACTIVITIES ILEP NO.

4.4 Activities planned –2008 Whether

completed

Target

date for

the activity

Dates on

which

performed

Reasons for non completion

1 Distribution of T-shirts with IEC

slogans Provided by B.O.

Yes

UNPLANNED ACTIVITIES:

Activities performed which

were not planned in our budget

Who initiated this

activity

Reasons for the activity Which ILEP

head

1. Training of Trainees and employed Nurses of NMCH

Patna

Addl D.H.S Bihar To provide knowledge of Leprosy and NLEP

NLR India

2. Training of Trainees and employed Nurses of NMCH

Patna

Addl D.H.S Bihar To provide knowledge of Leprosy and NLEP

NLR India

Other Developments

Most important stake holders in addition to DNT are BSHS, DHS and ACMO. The

ACMOs have been delegated the power to draw the cash in consultation with DM ( chair person of

DHS ). Funds for planned activities including IEC are released from BSHS to DHS of concerned

districts. Fund for the year 2009-10 was released in the second half of June’09.

Due to poor coordination among the members of the societies approvals and release of funds get

delayed. A guideline for vehicle hiring needs further simplifications.

NLR fund allocations for activities have been always in time and as per demand. For

transport there was no earmarked allocation but approval for required expenditure was there.

NLR quarterly review meeting was arranged and conducted at Hotel Windsor Exhibition

Road Patna on 12th

and 13th

August 2009.

17

Finance

The planned activities for NLR Bihar were NLEP Staff orientation training ,ANMs training

on DPMR of whole of Nawada district, and stake holders meeting of all the five districts and SCG

activities in PAL homes of these districts. Unplanned activities were training of trainee and trained

Nurses of PMCH and NMCH Patna.

Activities preformed were NLEP Staff training of all the five district with expenditure

incurred Rs 19453.00,ANMs training of Nawada district Rs17515.00, Stake holders meeting of only

two districts Rs 1950.00, Training of Nurses of PMCH Rs 8439.00, Training of Nurses of NMCH Rs

5000.00, Expenditure on SCG activities Rs 47218.00 and on NLR review meeting was Rs 19817.00.

Expenditure on all the activities has been under budget allocations.

18

Conclusion & Recommendations

ANCDR of all the districts have declined progressively but Nawada district is having higher rate

than state average. PR of Patna and Nawada are showing more than the state average. Child ratio

in all the districts are in the average range except Bhoj Pur, which having 20.2 % of child ratio,

Though having PR only 0.6. In this district healthy contact is being given priority.

Status of NLEP in the NLR districts is going on well but due to non availability of reporting and

recording formats are affecting the activities. Monitoring of NLEP activities from the level of

CMO and above needs further attention.

Financial procedures needs further simplification. Orientation training of peripheral staff with

other senior health staff to be continued to maintain tempo of the programme

19

Annexes

ANNEXURES:-1

NLR SUPPORTED DISTRICTS OF

BIHAR W.Champaran

E.ChamparanGopalganj

Siwan

Saran

Muzaffarpur

Vaishali Samastipur

Begusarai

Sh

eo

ha

rSitamarhi

Madhubani

Darbhanga

Saharsa

KhagariaBuxar

KaimurRohtas

Bhojpur

Aurangabad

Jehanabad

Gaya

Nalanda

Nawada

Sheikhpura

LakhisaraiMunger

Bhagalpur

BankaJamui

Patna

Supaul Araria

Purnea

Ma

dh

ep

ura

Katihar

Kishanganj

Arwal

ANNEXURES:-2

STATE LEPROSY OFFICE:

SLO—Dr. N. M. Sharma

Jt. Director Health Services Govt of Bihar is I/C Leprosy and TB

Mobile No 9431311025, Phone No. 06122370434 ( Office ), Fax o6122285187

Office : Swasthya Bhawan, Sultan Ganj, Mahendru; Patna 800006( Bihar )

20

District-Patna

Contact No. of CMOs’ & DNT

S.

No

.

Name Designation Address Contact details

Mob.No. 1 Dr.C.B.P.Sinha CMO C.S. QUARTER, near

Magadh Mahila College

Patna-4 Tel No. 06122300658

Mob.No. 9835017084 2 Dr.(Mrs) Rekha

Prasad

DLO DLO office , Swasthya

Bhawan, Sultan Ganj,

Patna Tel No. 06122370853

3 Dr.N.P.Singh MO Do Mob.No. 9431077967

4 Sri Vinod Kr Sinha MSW Do Mob.No. 9835093534

5 Sri R.N.P.Sah NMA Do Mob No 9204042357

6 Dr. (Mrs) K. Jha PT Do Mob. No 9234766330

Demographic profile:

• Area (Sq. km.) 3202 • Total No. of School

( Detail below )

3655

• Total Population (2001) 47,09,851 - Primary 2198

- Urban (%) 41.84 - Junior High School 1129

- Rural (%) 58.16 - High School 328

- Male (%) 53.40 - Intermediate 29

- Female (%) 46.60 - Graduate -

- Scheduled Caste 932076 - Post Graduate 11

- Scheduled Tribe 12934 • No. of Urban Slums NA

• Sex Ratio (M:F) 1000:873 • Literacy Rate Total 63.82

• No. of Nyay Panchayats 330 - Male (%) 73.81

- No. of Gram Sabha 330 - Female (%) 52.17

- No. of Villages 1157

21

ANNEXURES:-3

INFRASTRUCTURE /HEALTH FACILITIES IN PATNA DISTRICT;

CATEGORY OF HEALTH FACILITY NUMBER OF HF

District Hospital 0

Number of PHCs 23

Number of APHCs 60

Referral Hospitals 03

Ayurvedic Hospital 01

Medical College 02

ANM Trainig School 02

Nursing Training Shool 02

Any other Govt Training Institute 01

Urban Health Posts 16

STAFF POSITION:

CATEGORY

SANCTIONED IN POSITION LEPROSY/ DPMRTraining

Received(no trained)

MEDICAL OFFICERS

290 192 192

PHARMACISTS

103 45

HEALTH

SUPERVISORS(F) & ( M)

102 78

Health Worker ( M )

114 86

Health Worker ( F )

523 480+389 480

NMS

08 08

NMA

43 43

ASHAs

2544 2277 531

22

ANNEXURES:-4

District-Bhojpur


S.

No.

Name Designation Address Contact details

Ph 06182235166 (O) 1 Dr. K.K. Labh CMO Sadar Hospital Bhojpur

06182236827 ( R )

2 Dr.Kalyan Kumar DLO Sadar Hospital Bhojpur M 9431027338

3. Sri B.B. Pathak HE Sadar Hospital Bhojpur M 9470485658

4. Sri R.K.Karna NMA Sadar Hospital Bhojpur M 9472987343

5 Sri V.K.Mishra PT Sadar Hospital Bhojpur M 9431066484

Demographic profile:


( Detail below )

1611

• Total Population (2001) 2233415 - Primary 1250

- Urban (%) 14 - Junior High School 250

- Rural (%) 86 - High School 111

- Male (%) 52.6 - Intermediate 03

- Female (%) 47.4 - Graduate 10

- Scheduled Caste 15% - Post Graduate 03

- Scheduled Tribe 0.42% • No. of Urban Slums 20



- No. of Gram Sabha 228 - Female (%) 42.81s


23

ANNEXURES:-5

INFRASTRUCTURE /HEALTH FACILITIES IN BHOJPUR DISTRICT;


District Hospital 01

Number of PHCs 12

Number of APHCs 27



Medical College 0


STAFF POSITION;BHOJPUR CATEGORY SANCTIONED IN POSITION LEPROSY/ DPMR Training


MEDICAL OFFICERS

127 102+42(Cont) 102+ 29 ( Leprosy Trainig)

PHARMACISTS

21 12 12

HEALTH

SUPERVISORS(F)

24 15 15

H.SUPERVISORS(M) 36 18 18

Health Worker ( M )

76 20 20

Health Worker ( F )

345 295+91(Cont) 295

NMS

14 03 03

NMA

53 23 23

ASHA 2264 1827 810

24

ANNEXURES:-6 District-Buxar


S. No. Name Designation Address Contact details

Mob.No. 9431412939

Tel No. 06183224162/63

1 Dr.R.C. Prasad CMO Sadar Hospital Buxar

E-mail ID

Mob.No. 9934483828

Tel No.

2 Dr. O.P. Verma DLO I/C DLOoffice,Sadar Hospital

Buxar.

E-mail ID

Mob.No. 9472246424

Tel No.

3 Sri H.R. Singh NMA Do

E-mail ID

Demographic profile: Buxar

• Area (Sq. km.) 1757.6 • Total No. of School

( Detail below )

747

• Total Population

(2001)

1403462 - Primary 599



- Male (%) 52.6 - Intermediate NA


- Scheduled Caste - Post Graduate 0

- Scheduled Tribe • No. of Urban Slums 02



- No. of Gram

Sabha

162 - Female (%) 42.4


25

ANNEXURES:-7


District Hospital 0

Number of PHCs 07

Number of APHCs 18



Medical College 0


Nursing Training Shool 0

Any other Govt Training Institute 0

Urban Health Posts 3

Subdivisional Hospital 01

STAFF POSITION;BUXAR

CATEGORY



MEDICAL OFFICERS

128 58 0

PHARMACISTS 27 13 13

HEALTH

SUPERVISORS(F)

19 07 07

H.SUPERVISORS(M)

33 11 06

Health Worker ( M ) 299 165 0

Health Worker ( F ) 382 301 0

NMS 05 01 01

NMA 33 06 06

ASHAs 1370 1082 0

Others

26

ANNEXURES:-8

District-Aurangabad

1. Contact No. of CMOs’ & DNT

Demographic profile: Aurangabad


( Detail below )

2185


(2001)

2004960 - Primary 1405



- Male (%) 51.7 - Intermediate -


- Scheduled Caste 22.86 - Post Graduate 01

- Scheduled Tribe - • No. of Urban Slums 0



- No. of Gram

Sabha

240 - Female (%) 42.4



Mob.No.

Tel No. 06186222150

1 Dr.P. R.. Prasad CMO Sadar Hospital

Aurangabad

E-mail ID

Mob.No. 9905231664

Tel No.

2 Dr.Surendra Prasad DLO I/C DLOoffice,Sadar

Hospital

Aurangabad. E-mail ID

Mob.No. 9931939198 3 SriK. M.Pandey

NMS

Do

Tel No. 9430210241 4 Sri N. Prasad PT Do

E-mail ID

27

ANNEXURES:-9

INFRASTRUCTURE /HEALTH FACILITIES IN AURANGABAD DISTRICT;



Number of PHCs 11

Number of APHCs 55



STAFF POSITION; AURANGABAD

CATEGORY



MEDICAL OFFICERS

175 110 110


HEALTH

SUPERVISORS(F)+ (M)

23+85 15+42 15 + 42

Health Worker ( M )

71 26 Nil

Health Worker ( F )

338 306 Nil

NMS 13 05 05

NMA 58 14 14

ASHAs 1371 1371 1371

Others 71 26 26

28

ANNEXURES:-10

District-Nawada


Demographic profile: Nawada


( Detail below )

1218


(2001)

1809425 - Primary 987



- Male (%) 51.4 - Intermediate -


- Scheduled Caste 41.7 - Post Graduate -

- Scheduled Tribe 01. • No. of Urban Slums -


• No. of Nyay

Panchayats

187 - Male (%) 61.2

- No. of Gram

Sabha

187 - Female (%) 32.6


.


Tel No. 1 Dr. S.K. Mahto CMO CS residence, Nawada.

E-mail ID

2 Dr.U.C.Chandra DLO I/C DLOoffice,Sadar

Hospital.

Mob.No. 9934020525

3 Sri U.Kant NMS Do Mob.No. 9835401977

Tel No. 9934005175 4 C.B.P.Singh PT Do

E-mail ID

29

ANNEXURES:-11

INFRASTRUCTURE /HEALTH FACILITIES IN NAWADA DISTRICT;



Number of PHCs 14

Number of APHCs 21



Medical College 0

STAFF POSITION;NAWADA

CATEGORY

SANCTIONED IN POSITION LEPROSY/ DPMR Training


MEDICAL OFFICERS

118 81 81


HEALTH

SUPERVISORS(F)

24 20 20

HEALTH

SUPERVISORS(M)

77 60 20

Health Worker ( M )

- 58 0

Health Worker ( F )

232 208 208

NMS 05 04 4

NMA 25 22 22

ASHAs 1671 1531 1231

30

NLR Bihar Team

1. LPA-------DR. RAM NARESH SINHA

2. NMS------MR. SHAMBHU NATH TIWARI

3. DRIVER—MR. BIRENDRA KUMAR GIRI

Office: NLR Bihar

204, INDRAPRASTH APPARTMENT

SHEKHPURA MORE, BAILEY ROAD

PATNA-14 (BIHAR)

annual report – 2009 state -biharnlrindia.org/pdf/scp100421annualreport2009_patna.pdf · annual...

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